HomeMy WebLinkAboutWashington State Department of Health (DOH), Amendment No. 13 re: 2022 - 2024 Consolidated - 061223 .()r, ' i . 9-, 7,3 : at3Q
Page 1 oft t
JEFFERSON COUNTY PUBLIC HEALTH
2022-2024 CONSOLIDATED CONTRACT
CONTRACT NUMBER: CLH31013 AMENDMENT NUMBER: 13
PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as
"DOH",and JEFFERSON COUNTY PUBLIC HEALTH,a Local Health Jurisdiction,hereinafter referred to as"LHJ",
pursuant to the Modifications/Waivers clause,and to make necessary changes within the scope of this contract and any
subsequent amendments thereto.
IT IS MUTUALLY AGREED: That the contract is hereby amended as follows:
I. Exhibit A Statements of Work,includes the following statements of work,which are incorporated by this reference
and located on the DOH Finance SharePoint site in the Upload Center at the following URL:
httus://stateofwa.shareuoint.com/sites/doh-ofsfundin&resources/sitep�es/Femme.asax?=e1:9a94688da2d94d3ea80ac7fbc32c4d7c ' O/
Z Adds Statements of Work for the following programs:
COVID-19 LHJ Gap Supplemental-ARPA-Effective January I,2023
❑ Amends Statements of Work for the following programs:
0 Deletes Statements of Work for the following programs:
2. Exhibit B-13 Allocations,attached and incorporated by this reference,amends and replaces Exhibit B-12 Allocations
41\--‘
as follows:
(81 Increase of$35.651 for a revised maximum consideration of S4.407.845.
❑ Decrease of for a revised maximum consideration of . -f'k
❑ No change in the maximum consideration of
Exhibit B Allocations are attached only for informational purposes.
Unless designated otherwise herein,the effective date of this amendment is the date of execution.
ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force
and effect.
IN WITNESS WHEREOF,the undersigned has affixed his/her signature in execution thereof.
JEFFERSO COUNTY WASHINGTON STATE OF WASHINGTON
BOARD OF OUNTY COMMISSIONERS DEPARTMENT OF HEALTH
‘› ) i -'2 . 33 8re d4' f-CE'itriiC 11t' 06/15/23
Greg Brotherton,Chair Date Date
APPROVED AS TO FORM ONLY: APPROVED AS TO FORM ONLY
0 r , Assistant Attorney General
C June 7, 2023
Philip C.Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
CC-22-002-A13 Page I of I
i �I
EXHIBIT B-13 Page 2 of 11
Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013
Contract Term:2022-2024 Date: May 1,2023
Indirect Rate January 1,2022 through December 31,2022:29.23%Public Health
DOH Use Only
BARS Statement of Work Chart of Accounts Funding Chart of
Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts
Chart of Accounts Program Title Identification# Amend# List#* Code** Start Date End Date Start Date End Date Amount SubTotal Total
FFY23 USDA BFPC Prog Mgmt 7WA700WA1 Amd 10 10.557 333.10.55 10/01/22 09/30/23 10/01/22 09/30/23 $28,238 $37,651 $81,040
FFY23 USDA BFPC Prog Mgmt 7WA700WA1 Amd 8,10 10.557 333.10.55 10/01/22 09/30/23 10/01/22 09/30/23 $9,413
FFY22 USDA BFPC Prog Mgmt 7WA700WA1 Amd 1 10.557 333.10.55 01/01/22 09/30/22 10/01/21 .09/30/22 $43,389 $43,389
FFY24 USDA WIC Client Svs Contracts NGA Not Received Amd 10 10.557 333.10.55 10/01/23 12/31/23 10/01/23 12/31/23 $25,238 $25,238 $232,295
FFY23 USDA WIC Client Svs Contracts 7WA700WA7 Amd 12 10.557 333.10.55 10/01/22 09/30/23 10/01/22 09/30/23 $21,218 $120,681
FFY23 USDA WIC Client Svs Contracts 7WA700WA7 Amd 10 10.557 333.10.55 10/01/22 09/30/23 10/01/22 09/3023 $75,713
FFY23 USDA WIC Client Svs Contracts 7WA700WA7 Amd 1 10.557 333.10.55 10/01/22 09/30/23 10/01/22 09/30/23 $23,750
FFY22 USDA WIC Client Svs Contracts 7WA700WA7 Amd 7 10.557 333.10.55 01/01/22 09/30/22 10/01/21 09/30/22 $5,600 $86,376
FFY22 USDA WIC Client Svs Contracts 7WA700WA7 Amd 5 10.557 333.10.55 01/01/22 09/30/22 10/01/21 09/30/22 $6,726
FFY22 USDA WIC Client Svs Contracts 7WA700WA7 Amd 1 10.557 333.10.55 01/01/22 09/30/22 10/01/21 09/30/22 $74,050
FFY23 USDA WIC Prog Mgmt CSS 7WA700WA7 Amd 10 10.557 333.10.57 01/01/23 09/30/23 10/01/22 09/30/23 $2,800 $2,800 $2,800
FFY22 USDA FMNP Prog Mgmt 7WA810WA7 Amd 4 10.572 333.10.57 05/01/22 09/30/22 10/01/21 09/30/22 $516 $516 $516
LHJ COVID-19 Gap Supplemental NGA Not Received Amd 13 21.027 333.21.02 01/0123 06/3023 01/01/23 06/30/23 $35,651 $35,651 $35,651
PS SSI 1-5 OSS Task 4 01J18001 Amd 7 66.123 333.66.12 01/01/22 06/30/23 07/01/17 06/30/23 ($1,654) $233,844 $233,844
PS SSI 1-5 OSS Task 4 01J18001 Amd 2,5 66.123 333.66.12 01/01/22 06/30/23 07/01/17 06/30/23 $235,498
FFY23 Swimming Beach Act Grant IAR(ECY) NGA Not Received Amd 11 66.472 333.66.47 03/01/23 10/31/23 03/0123 10/31/23 $15,000 $15,000 $30,000
FFY22 Swimming Beach Act Grant IAR(ECY) NGA Not Received Amd 2 66.472 333.66.47 03/01/22 10/31/22 01/01/22 11/3022 $15,000 $15,000
FFY22 PREP BP4 LHJ Funding NU90TP922043 Amd 7 93.069 333.93.06 07/01/22 06/30/23 07/01/22 06/30/23 $34,384 $34,384 $48,138
FFY21 PHEP BP3 LHJ Funding NU90TP922043 Amd 2 93.069 333.93.06 01/01/22 06/30/22 07/01/21 06/30/22 $13,754 $13,754
FFY22 Title X Dire Needs FPHPA006495 Amd 2 93.217 333.93.21 01/14/22 03/31/22 01/14/22 03/31/22 $4,066 $4,066 $4,066
FFY22 Title X Family Planning FPHPA006560 Amd 5 93.217 333.93.21 04/01/22 03/31/23 04/01/22 03/31/23 $27,137 $27,137 $27,137
COVIDI9 Vaccines NH23IP922619 Amd 4 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/3024 $278,114 $278,114 $278,114
COVID19 Vaccines R4 N1-123IP922619 Amd 4 93.268 333.93.26 01/01/22 06/30/24 07/0120 06/30/24 $354,803 $709,606 $709,606
COVID19 Vaccines R4 NH231P922619 Amd 1 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 $354,803
FFY23 VFC Ops NH231P922619 Amd 5 93.268 333.93.26 07/01/22 06/30/23 07/01/22 06/30/23 $5,600 $5,600 $11,200
FFY22 VFC Ops NH23IP922619 Amd 3 93.268 333.93.26 01/01/22 06/30/22 07/01/21 06/30/22 $5,600 $5,600
FFYI9 COVID CARES NU5OCK000515 Amd 2 93.323 333.93.32 01/01/22 04/22/22 04/23/20 07/31/24 $14,664 $14,664 $14,664
Page 1 of 3
EXHIBIT B-I3 Page 3 of 11
Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013
Contract Term:2022-2024 Date: May 1,2023
Indirect Rate January 1,2022 through December 31,2022:29.23%Public Health
DOH Use Only
BARS Statement of Work Chart of Amounts Funding Chart of
Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts
Chart of Accounts Program Title Identification# Amend# List#* Code** Start Date End Date Start Date End Date Amount SubTotal Total
FFY19 ELC COVID Ed LHJ Allocation NU5OCK000515 Amd 7 93.323 333.93.32 01/01/22 10/18/22 05/19/20 10/18/22 ($2,281) $1,737 $1,737
FFY19 ELC COVID Ed LHJ Allocation NU50CK000515 Amd 4 93.323 333.93.32 01/01/22 10/18/22 05/19/20 10/18/22 ($78,694)
FFY19 ELC COVID Ed LHJ Allocation NU50CK000515 Amd 2 93.323 333.93.32 01/01/22 10/18/22 05/19/20 10/18/22 $82,712
FFY20 ELC EDE LW Allocation NU50CK000515 Amd 9 93.323 333.93.32 01/01/22 07/31/23 01/15/21 07/31/24 ($6,375) $341,822 $341,822
FFY20 ELC EDE LHJ Allocation NU50CK000515 Amd 4,9 93.323 333.93.32 01/01/22 07/31/23 01/15/21 07/31/24 ($90,842)
FFY20 ELC EDE LW Allocation NU50CK000515 Amd 2,9 93.323 333.93.32 01/01/22 07/31/23 01/15/21 07/31/24 $439,039
FFY22 NEHA Climate&Health Grant NU380T000300 Amd 9 93.421 333.93.42 04/11/22 12/31/22 04/01/22 12/31/22 $11,000 $22,000 $22,000
FFY22 NEHA Climate&Health Grant NU380T000300 Amd 5 93.421 333.93.42 04/11/22 12/31/22 04/01/22 12/31/22 $11,000
FFY23 MCHBG LHJ Contracts B04MC47453 Amd 7 93.994 333.93.99 10/01/22 09/30/23 10/01/22 09/30/23 $36,700 $36,700 $64,225
FFY22 MCHBG LW Contracts B04MC45251 Amd 1 93.994 333.93.99 01/01/22 09/30/22 10/01/21 09/30/22 $27,525 $27,525
SFY23 School Based Health Centers Amd 5 N/A 334.04.90 07/01/22 06/30/23 07/01/22 06/30/23 $150,000 $150,000 $150,000
SFY23 Sexual&Rep Hlth Cost Share Amd 10 N/A 334.04.91 07/01/22 06/30/23 07/01/22 06/30/23 $40,357 $80,009 $124,109
SFY23 Sexual&Rep Hlth Cost Share Amd 7,10 N/A 334.04.91 07/01/22 06/30/23 07/01/22 06/30/23 $39,652
SFY22 Sexual&Rep Hlth Cost Share Amd 5 N/A 334.04.91 01/01/22 06/30/22 07/01/21 06/30/22 $5,880 $44,100
SFY22 Sexual&Rep Hlth Cost Share Amd 1 N/A 334.04.91 01/01/22 06/30/22 07/01/21 06/30/22 $38,220
State Drug User Health Program Amd 5 N/A 334.04.91 07/01/22 06/30/23 07/01/21 06/30/23 $15,000 $15,000 $22,500
State Drug User Health Program Amd 1 N/A 334.04.91 01/01/22 06/30/22 07/01/21 06/30/23 $7,500 $7,500
RecShellfish/Biotoxin Amd9 N/A 334.04.93 01/01/22 06/30/23 07/01/21 06/30/23 $7,000 $17,500 $17,500
Rec Shellfish/Biotoxin Amd I N/A 334.04.93 01/01/22 06/30/23 07/01/21 06/30/23 $10,500
Small Onsite Management(ALEA) Amd 12 N/A 334.04.93 07/01/22 06/30/23 07/01/21 06/30/23 $9,375 $24,375 $37,500
Small Onsite Management(ALEA) Amd 1 N/A 334.04.93 07/01/22 06/30/23 07/01/21 06/30/23 $15,000
Small Onsite Management(ALEA) Amd 12 N/A 334.04.93 01/01/22 06/30/22 07/01/21 06/30/23 ($9,375) $13,125
Small Onsite Management(ALEA) Amd 1 N/A 334.04.93 01/01/22 06/30/22 07/01/21 06/30/23 $22,500
Wastewater Management-GFS Amd 1 N/A 334.04.93 07/01/22 06/30/23 07/01/21 06/30/23 $30,000 $30,000 $30,000
SFY23 FPHS-LHJ-GFS Amd 6,9 N/A 336.04.25 07/01/22 06/30/23 07/01/21 06/30/23 $1,433,000 $1,433,000 $1,433,000
FPHS-LHJ-Proviso(YR2) Amd 7 N/A 336.04.25 07/01/22 06/30/23 07/01/21 06/30/23 ($550,000) $0 $445,181
FPHS-LHJ-Proviso(YR2) Amd 1 N/A 336.04.25 07/01/22 06/30/23 07/01/21 06/30/23 $550,000
FPHS-LHJ-Proviso(YR1) Amd 10 N/A 336.04.25 01/01/22 06/30/22 07/01/21 06/30/23 $32,681 $445,181
FPHS-LHJ-Proviso(YRI) Amd4 N/A 336.04.25 01/01/22 06/30/22 07/01/21 06/30/23 ($137,500)
FPHS-LHJ-Proviso(YR1) Amd 1 N/A 336.04.25 01/01/22 06/30/22 07/01/21 06/30/23 $550,000
Page 2 of 3
EXHIBIT B-13 Page 4 of 11
Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013
Contract Term:2022-2024 Date: May 1,2023
Indirect Rate January 1,2022 through December 31,2022:29.23%Public Health
DOH Use Only
BARS Statement of Work Chart of Accounts Funding Chart of
Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts
Chart of Accounts Program Title Identification# Amend# List#* Code** Start Date End Date Start Date End Date Amount SubTotal Total
YR 25 SRF-Local Asst(15%)(FO-SW)SS Amd 11 N/A 346.26.64 01/01/23 12/31/23 01/01/23 12/31/23 $2,200 $2,200 $3,600
YR24 SRF-Local Asst(15%)(FO-SW)SS Amd 1 N/A 346.26.64 01/01/22 12/31/22 07/01/21 06/30/23 $1,400 $1,400
Sanitary Survey Fees(FO-SW)SS-State Amd 11 N/A 346.26.65 01/01/22 12/31/23 07/01/21 12/31/23 $2,200 $3,600 $3,600
Sanitary Survey Fees(FO-SW)SS-State Amd I,11 N/A 346.26.65 01/01/22 12/31/23 07/01/21 12/31/23 $1,400
YR 25 SRF-Local Asst(15%)(FO-SW)TA Amd 11 N/A 346.26.66 01/01/23 12/31/23 01/01/23 12/31/23 $1,000 $1,000 $2,000
YR24 SRF-Local Asst(15%)(FO-SW)TA Amd 1 N/A 346.26.66 01/01/22 12/31/22 07/01/21 06/30/23 $1,000 $1,000
TOTAL $4,407,845 $4,407,845
Total consideration: $4,372,194 GRAND TOTAL $4,407,845
$35,651
GRAND TOTAL $4,407,845 Total Fed $2,138,855
Total State $2,268,990
*Catalog of Federal Domestic Assistance
**Federal revenue codes begin with"333". State revenue codes begin with"334".
Page 3 of 3
Page 5 of 11
Exhibit A
Statement of Work
Contract Term: 2022-2024
DOH Program Name or Title: COVID-19 LHJ Gap Supplemental-ARPA- Local Health Jurisdiction Name: Jefferson County Public Health
Effective January 1,2023
Contract Number: CLH31013
SOW Type: Original Revision#(for this SOW) Funding Source Federal Compliance Type of Payment
®Federal Subrecipient (check if applicable) ® Reimbursement
❑ State ® FFATA(Transparency Act) ❑ Fixed Price
Period of Performance: January 1,2023 through June 30,2023
❑Other ❑ Research&Development
Statement of Work Purpose: The purpose of this statement of work is to support LHJ COVID-19 vaccination utilizing American Rescue Plan Act(ARPA)funding and provide
supplemental funding for the LHJ to ensure adequate culturally and lingquistically responsive testing,investigation and contract tracing resources to limit the spread of
COVID-19.This ARPA funding is part of the LHJ COVID-19 Gap Supplemental budget.
Revision Purpose: N/A
Master Assistance BARS Allocation
Index Listing Revenue LHJ Funding Period Current Change Total
DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation
LHJ COVID-19 GAP SUPPLEMENTAL 934CO230 21.027 333.21.02 01/01/23 06/30/23 0 35,651 35,651
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
TOTALS 0 35,651 35,651
Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information
# and/or Amount
Task 1,2,and 3 Activities Supported by LHJ COVID-19 Gap Supplemental January 1,2023-June 30,2023 Reimbursement for actual
costs incurred,not to
exceed$35,651.
1. Provide vaccination services to increase COVID-19 vaccine Vaccine availability to the
availability in the community. Vaccination services are community and prioritized in Due date: Every 60 days as
defined as those outside the usual healthcare delivery your jurisdiction's community. specified in the ConCon
method,such as pop-up clinics,mobile clinics,non-clinical billing instructions.
facilities and may be conducted during non-traditional hours
such as evenings and weekends. Activities may include
vaccine strike teams,mobile vaccine clinics,satellite clinics,
temporary or off-site clinics to travel and provide
vaccination services in non-traditional settings,community
outreach/messaging or to supplement the work of other
Exhibit A,Statement of Work Page 1 of 7 Contract Number CLH31013-Special Amendment 13
Page 6 of 11
Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information
and/or Amount
community partners in underserved communities and may
include administration costs for COVID-19 vaccine.
1A. Vaccination data—will be maintained according to current Submission of vaccine use into Within two(2)days of vaccine use
state and federal requirements. WA IIS database within 48
hours of use.
Vaccine Registration Systems—If a local jurisdiction or
region does not have a registration system(s)then include Jurisdiction/Regions will ensure
internet based,phone option and other methods to ensure a fair and equitable process for
equitable registration.The state PrepMod system and tools registration of eligible
will be available for use. Washingtonians across all
available modalities.
1B. Specific itemized breakdown of activities and costs from our Final written report including Report due within 30 days of the end of
partners for vaccine efforts and keeping Washington safe. activities completed and how each quarter listed below:
LHJ addressed equitable Year 1 Quarter 3
distribution of the vaccine, January 1,2023-March 31,2023
community outreach and
messaging. Year 1 Quarter 4
April 1,2023-June 30,2023
2 Participate in public health emergency preparedness and See Special Requirements See Special Requirements below.
response activities for COVID-19.This may include below.
surveillance,epidemiology,laboratory capacity, infection
control,mitigation,communications and or other
preparedness and response activities for COVID-19.
Examples of key activities include:
• Incident management for the response
• Testing
• Case Investigation/Contact Tracing
• Sustainable isolation and quarantine
• Care coordination
• Surge management
• Data reporting
NOTE:The purpose of this agreement is to supplement
existing funds for local health jurisdictions to carry out
surveillance,epidemiology,case investigations and contact
tracing, laboratory capacity,infection control,mitigation,
communications,community engagement,and other public
health preparedness and response activities for COVID-19.
Exhibit A,Statement of Work Page 2 of 7 Contract Number CLH31013-Special Amendment 13
Page 7 of 11
Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information
# and/or Amount
3 1) LHJ Active monitoring activities.In partnership with Data collected and reported into Enter performance metrics daily into
WA DOH and neighboring Tribes,the LHJ must ensure DOH systems daily. DOH identified systems
adequate culturally and linguistically responsive testing,
investigation and contact tracing resources to limit the
spread disease.LHJs must conduct the following Quarterly performance reporting
activities in accordance with the guidance to be provided updates
by DOH.
a. Allocate enough funding to ensure the following
Contact Tracing and Case Investigation Support:
Hire a minimum of 1.0 data entry FTE to assure
system requirements for task 2.1.a.
i. Contact tracing
1. Strive to maintain the capacity to conduct Enter all contact tracing data in
targeted investigations as appropriate. CREST following guidance from
2. Have staff that reflect the demographic DOH.
makeup of the jurisdiction and who can
provide culturally and linguistically
competent and responsive services.In
addition,or alternatively,enter into an
agreement(s)with Tribal,community-
based and/or culturally-specific
organizations to provide such services.
DOH centralized investigations will count
towards this minimum.
3. Ensure all contact tracing staff are trained
in accordance with DOH investigative
guidelines and data entry protocols.
4. Coordinate with Tribal partners in
conducting contact tracing for Tribal
members.
5. Ensure contact tracing and case
investigations activities meet DOH case
and Contact Tracing Metrics. (Metrics to
be determined collaboratively by DOH,
LHJs and Tribes.)Work with DOH to
develop a corrective action plan if unable
to meet metrics.
ii. Case investigation
1. Strive to maintain the capacity to conduct
targeted investigations as appropriate.
Exhibit A,Statement of Work Page 3 of 7 Contract Number CLH31013-Special Amendment 13
Page 8of11
Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information
# and/or Amount
2. Enter all case investigation and outbreak Enter all case investigation data
data in WDRS following DOH guidance. in WDRS-following guidance
a) Strive to enter all case investigation from-DOH.
and outbreak data into CREST as
directed by DOH.
b) Ensure all staff designated to utilize
WDRS have access and are trained in
the system.
c) Include if new positive cases are tied
to a known existing positive case or
indicate community spread.
d) Conduct targeted case investigation
and monitor outbreaks.
e) Coordinate with Tribal partners in
conducting case investigations for
tribal members.
3. Ensure contact tracing and case
investigation activities meet DOH Case and
Contact Tracing Metrics.(Metrics to be
determined collaboratively by DOH,LHJs,
and Tribes.)Work with DOH to develop a
corrective action plan if unable to meet
metrics.
b. Testing
i. Work with partners and Tribes to ensure
testing is available to every person within the
jurisdiction meeting current DOH criteria for
testing and other local testing needs.
ii. Work with partners and Tribes to ensure
testing is provided in a culturally and
linguistically responsive manner with an
emphasis on making testing available to
disproportionately impacted communities and
as a part of the jurisdiction's contact tracing
strategy.
iii. Maintain a current list of entities providing Maintain a current list of entities
COVID-19 testing and at what volume. providing COVID-19 testing and
Provide reports to DOH on testing locations at what volume.Provide reports
and volume as requested. to DOH Contract manager on
testing locations and volume as
c. Surveillance FTE support at a minimum of.5 FTE requested.
Epidemiologist to support daily reporting needs
below.
Exhibit A,Statement of Work Page 4 of 7 Contract Number CLH31013-Special Amendment 13
Page 9 of 11
Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information
# and/or Amount
i. Ensure all COVID positive lab test results from Ensure all COVID positive test
LHJ are entered in to WDRS by 1)entering data results are entered into WDRS
directly in to WDRS,2)sending test results to within 2 days of receipt
DOH to enter,or 3)working with DOH and
entities conducting tests to implement an
electronic method for test result submission.
ii. Maintain records of all COVID negative lab test
results from the LHJ and enter into WDRS when
resources permit or send test results to DOH.
iii. Collaborate with Tribes to ensure Tribal entities
with appropriate public health authority have
read/write access to WDRS and CREST to
ensure that all COVID lab results from their
jurisdictions are entered in WDRS or shared with
the LHJ or DOH for entry.
d. Tribal Support. Ensure alignment of contact tracing
and support for patients and family by coordinating
with local tribes if a patient identified as American
Indian/Alaska Native and/or a member of a WA
tribe.
e. Support Infection Prevention and control for high-
risk populations Quarterly performance updates
i. Migrant and seasonal farmworker support. related to culturally and
Partner with farmers,agriculture sector and linguistic competency and
farmworker service organizations to develop responsiveness,tribal support,
and execute plans for testing,quarantine and infection prevention and control
isolation,and social service needs for migrant for high-risk populations,
and seasonal farmworkers. community education and
ii. Congregate care facilities: In collaboration regional active monitoring
with the state licensing agency(DSHS), activities. Performance update
support infection prevention assessments, should include status of all
testing.Infection control and isolation and projects listed.
quarantine protocols in congregate care
facilities.
iii. High risk businesses or community-based
operations. In collaboration with state
licensing agencies and Labor and Industries,
partner with food processing and
manufacturing businesses to ensure adequate
practices to prevent COVID-19 exposure,
conduct testing and respond to outbreaks.
Exhibit A,Statement of Work Page 5 of 7 Contract Number CLH3 1 0 13-Special Amendment 13
Page 10 of 11
Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information
# and/or Amount
iv. Healthcare: Support infection prevention and
control assessments,testing,cohorting,and
isolation procedures.Provide educational
resources to a variety of healthcare setting
types(e.g.,nursing homes,hospitals,dental,
dialysis).
v. Non-healthcare settings that house vulnerable
populations:In collaboration with state
corrections agency(DOC)and other state
partners,support testing,infection control,
isolation and quarantine and social services
and wraparound supports for individuals living
or temporarily residing in congregate living
settings, including detention centers,prisons,
jails,transition housing,homeless shelters,and
other vulnerable populations.
vi. Schools: In collaboration with OSPI and local
health jurisdictions,support infection
prevention and control and outbreak response
in K-12 and university school settings.
f. Ensure adequate resources are directed towards H2A
housing facilities within communities,fishing
industries and long-term care facilities to prevent
and control disease transmission.Funds can be used
to hire support staff,provide incentives or facility-
based funding for onsite infection prevention efforts,
etc.
g. Community education. Work with Tribes and
partners to provide culturally and linguistically
responsive community outreach and education
related to COVID-19.
h. Establish sustainable isolation and quarantine(I&Q)
measures in accordance with WAC 246-100-045 Quarterly performance updates
(Conditions and principles for isolation or to include name,address and
quarantine). capacity of identified location
i. Have at least one(1)location for conducting that can support isolation and
I&Q operations identified and confirmed.This quarantine,and confirmation of
location should be sufficient for supporting appropriate planning and
I&Q services that are adequate for the coordination as required.
population for your jurisdiction and have an
Exhibit A,Statement of Work Page 6 of 7 Contract Number CLH31013-Special Amendment 13
Page 11 of 11
Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information
# and/or Amount
ability to expand if needed.This can be
through contract/formal agreement;
alternatively,the jurisdiction may establish
with an adjacent jurisdiction a formal
agreement to provide the isolation and
quarantine capacity adequate to the population
for your jurisdiction with the ability to expand.
ii. Maintain ongoing census data for isolation and Report census numbers to
quarantine for your population. include historic total by month
iii. Planning must incorporate transfer or receipt of and monthly total for current
people requiring I&Q support to and from quarter to date
adjacent jurisdictions or state facilities in the
event of localized increased need.
iv. Planning must incorporate indicators for
activating and surging to meet demand and
describe the process for coordinating requests
for state I&Q support,either through mobile
teams or the state facility.
DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site.Questions related to this SOW,or any other
finance-related inquiry,may be sent to finance@doh.wa.gov.
Federal Funding Accountability and Transparency Act(FFATA)(Applies to federal grant awards.)
This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act(FFATA or the Transparency Act).
The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent.
To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Unique Entity Identifier(UEI)generated by SAM.gov.
Information about the LHJ and this statement of work will be made available on USASpending.gov by DOH as required by P.L. 109-282.
Program Specific Requirements
Special Requirements:
A report on the specific areas the LHJ partners have spent the ARPA vaccine dollars if the legislature requests this information.
Exhibit A,Statement of Work Page 7 of 7 Contract Number CLH31013-Special Amendment 13
615 Sheridan Street
Port Townsend, WA 98368
9eehson www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Healt
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Mark McCauley, County Administrator
FROM: Apple Martine, JCPH Director
Veronica Shaw, JCPH Deputy Director
DATE: 4ifkiti i�� goa3
SUBJECT: Agenda Item — Consolidated Contracts Amendment #13 with the Department
of Health; January 1 2022 — December 31, 2024; additional $35,651 for a
total of $4,407,844
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH) requests Board approval of Consolidated Contract Amendment #13
between JCPH and State of Washington Department of Health (DOH); January 1, 2022 — December 31, 2024;
additional $35,651 for a total of $4,407,844.
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
The purpose of this agreement is to provide public health services to the people of Washington State. This
Amendment adds a statement of work and funding for the following program:
• LHJ COVID-19 Gap Supplemental — provides funding for COVID-19 vaccination services, as prioritized
by the local health jurisdiction. (Funding: $35,651.)
FISCAL IMPACT/COST BENEFIT ANALYSIS :
Total consideration for this Contract Amendment is an increase of $35,651 for a total of $4,407,844. The
Consolidated Contract is funded by DOH, and comprises both Federal and State funds.
RECOMMENDATION:
JCPH Management recommends BOCC approval of Consolidated Contract Amendment #13; January 1 2022 —
December 31, 2024; additional $35,651 for a total of $4,407,844.
REVIEWED BY:
• et-3
Mark McCauley, Con Administrator Date
Community Health
Developmental Disabilities Environmental Public Health
360-385-9400 360-385-9444
360-385-9401 (f) (f) 360-379-4487
Always working for a safer and healthier community
CC-22-002-A 13
CONTRACT REVIEW, FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: State of WA Dept of Health Contract No: CC-22-002-A13
Contract For: Consolidated Contracts, Amendment 13 Term: 1/1/2022 - 12/31/2024
COUNTY DEPARTMENT: Public Health
Contact Person: Veronica Shaw
Contact Phone: x 409
Contact email: veronicaa@co.jefferson.wa.us
AMOUNT: Additional$35,651 for a total of$4,407,845 PROCESS: Exempt from Bid Process
Revenue: $35,651 Cooperative Purchase
Expenditure: Competitive Sealed Bid
Matching Funds Required: _ Small Works Roster
Sources(s)of Matching Funds Vendor List Bid
Fund# 127 _ RFP or RFQ
Munis Org/Obj 12756220 Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES CO NCE 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: ® N/A:171 ® .�i....,. 2, ZOO
Si ature Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT N DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: 1:1 N/A: E or,Date
Zo 3
Signature D
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically throu Laserfiche):
Electronically approved by Risk Management on 6/6/2023.
Amendment to a State agreement.
STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 6/7/2023.
State language - cannot change. Contract amendment.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
1