Loading...
HomeMy WebLinkAboutKitsap Public Health 615 Sheridan Street Port Townsend, WA 98368 deuehson www.JeffersonCountyPublicHealth.org Public Het Consent Agenda July 2,2024 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Mark McCauley, County Administrator FROM: Apple Martine, Community Health Director Denise Banker, Community Health Division Director DATE: To I(7 / S 2C)Z SUBJECT: Agenda Item — Amendment #3 to the Professional Services Agreement with Kitsap Public Health District; July 1, 2024 — June 30, 2025; $82,000.00 STATEMENT OF ISSUE: Jefferson County Public Health is requesting Board approval of Amendment #3 to the Professional Services Agreement with Kitsap Public Health District, to provide Youth Cannabis and Commercial Tobacco prevention in Jefferson and E. Clallam Counties; July 1, 2024 —June 30, 2025; $82,000.00 ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S: The purpose of this contract amendment is to extend the timeframe and adjust the funding to reflect fiscal period 2024-2025, as well as update the statement of work. This agreement, for $82,000.00 is to pay for direct labor, direct material, and other direct costs. The other provisions of the Contract remain unchanged. FISCAL IMPACT/COST BENEFIT ANALYSIS: This agreement is funded by the Kitsap Public Health District through regional funding received from the WA State Department of Health. There is no impact to the General Fund. RECOMMENDATION: JCPH management request approval of Amendment #3 to the Professional Services Agreement with Kitsap Public Health District to provide Youth Cannabis and Commercial Tobacco prevention; July 1, 2024 —June 30, 2025; $82,000.00 REVIEWED BY: ,/4 "."/1-7 1/S"-A. Mark McCaul Coun Administrator Date Y County Community Health Environmental Public Health Developmental Disabilities 360-385-9444 360-385-9400 (f) 360-379-4487 360-385-9401 (t) Always working for a safer and healthier community N-22-028-A3 CONTRACT REVIEW FORM I Clear Form (INSTRUCTIONS ARE ON THE NEXT PAGE) CONTRACT WITH: Kitsap Public Health District Contract No: N-22-028-A3 Contract For: Youth Cannabis and Tobacco Products Prevention Term: July 1, 2024 - June 30, 2025 COUNTY DEPARTMENT: Public Health Contact Person: Denise Banker Contact Phone: x 438 Contact email: dbanker@co.jefferson.wa.us AMOUNT: $82,000.00 PROCESS: Exempt from Bid Process Revenue: $82,000.0o 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 COMP CE j 3.55.080 AND CHAPTER 42.23 RCW. CERTIFIED: N/A:f July 3, 2024 Signaf re Date STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOT BEEN DEBARR BY ANY FEDERAL, STATE, OR LOCAL AGENCY. CERTIFIED: 11 N/A: f July 3, 2024 Signature Date STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche): Electronically approved by Risk Management on 7/5/2024. Amendment to an existing contract to extend term and add dollars. STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche): Electronically approved as to form by PAO on 7/4/2024. State language - cannot change. 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 KPHD 2262 Amendment 3 (2413) AMENDMENT TO AGREEMENT 2262 This Amendment("Amendment") to Kitsap Public Health District Contract for Youth Cannabis & Commercial Tobacco Prevention Program (the "Contract"), is entered into between the Jefferson County Public Health ("Contractor") and the Kitsap Public Health District ("District"). RECITALS WHEREAS,the Parties entered into the Contract effective July 1, 2022; and WHEREAS, Washington State Department of Health has extended the contract by one year, and thus, has made changes to the statement of work, and the parties have agreed it is desirable to adjust funding; and WHEREAS,the Parties have entered into two prior amendments to the Contract. NOW, THEREFORE, THE PARTIES AGREE AS FOLLOWS: • I. Amendment of Contract Section 1. Period of Performance. Section 1 is amended to extend the Period of Performance to June 30, 2025. II. Amendment of Contract Section 4. Statement of work and Budget. Subcontractor shall furnish the necessary personnel, equipment material, and/or services and otherwise do all the things necessary for or incidental to the performance of the work set forth in ATTACHEMENT A-3, attached hereto and incorporated herein. ATTACHMENT A of the initial contract and ATTACHMENT A-1 of Amendment 1 and ATTACHEMENT A- 2 of Amendment 2 remain unchanged. III. Amendment of Contract Section 5. Compensation. $82,000 dollars will be added to the total budget for Jefferson County Public Health during this amendment period for a total compensation of$288,761. IV. Other Provisions Unchanged. The other provisions of the Contract, as it has been amended from time to time,remain unchanged. V. Effective Date. The effective date of this Amendment is the date last executed by all parties. VI.Authorization. Each party signing below warrants to the other party that they have the full power and authority to execute this Amendment on behalf of the party for whom they sign. [SIGNATURES FOLLOW ON THE NEXT PAGE] KPHD Amendment_Standard Form.docx N-22-028-A3 IN WITNESS WHEREOF,the Parties have subscribed their names hereto. KITSAP PUBLIC Dated this day of , 2024. HEALTH DISTRICT BOARD OF COUNTY COMMISSIONERS YoGat�ala�v JEFFERSON COUNTY, WASHINGTON Yolanda foil.(44 2,2U2413:6 P0T) Yolanda Fong Administrator Date: 07/02/2024 Kate Dean, Chair Date ATTEST: Carolyn Galloway, Clerk of the Board APPROVED AS TO FORM: C i July 4, 2024 Philip C. Hunsucker, Date Chief Civil Deputy Prosecuting Attorney ATTACHMENT A-3—SCOPE OF WORK AND BUDGET Jefferson County Public Health July 1,2024—June 30,2025 As a subrecipient of KPHD under the Washington Department of Health funded Youth Cannabis& Commercial Tobacco Prevention Program(YCCTPP), Jefferson County Public Health agrees to the following activities funded in full or part by the associated budget. Activity Coordinate and maintain the Olympic Prevention Partnership steering committee Planning& and network. • Invite new community partners to join the Olympic Prevention Partnership Coordination of Steering Committee. Regional • Attend four regional networking meetings(June 2024—June 2025) Network • Each subcontractor will be responsible for planning one of the above meetings.Refer to the workplan for schedule. 2024-2025 Strategies for Youth Cannabis&Commercial Tobacco Prevention.• • Social Norms:Media&Health Communications • Youth Empowerment&Engagement Implementation • Decision-maker Engagement • Policy,System,Environmental Changes Specific Jefferson County activities are described in the 2024-2025 YCCTPP workplan.Please refer to the workplan for guidance on which activities fall under each funding source.Workplans are subject to change.Any changes will be approved by both parties. Monitoring and Monitor progress for each activity as appropriate;submit monthly narrative and Reporting data reports as requested by KPHD on the 5th of every month. Midterm By February 1,2025,report progress to CTPP Regional Coordinator.If needed, Evaluation adjust activities to ensure spend down.Conduct a mid-year workplan re-evaluation. Participate in monthly conference call with KPHD and attend webinars as Calls/Meetings scheduled;respond to correspondences related to CTPP from the Department of Health;respond to activity assessments/surveys administered by KPHD as appropriate per scope of work. Submit monthly invoices by the 20th of the month following the month in which costs were incurred,except for the Final Expenditure Report and Request for Invoicing Reimbursement in each federal fiscal year(due July 1,2025).Invoices must include supporting documentation such as timecards for staff time and copies of invoices paid for goods and services. Budget July 1,2024—June 30,2025 DCA Cost Description Staff Salary 1.8924.36 Benefits 5,677.31 Indirect 6,873.71 Rate 27.94% Goods&Services 10,124.62 Mileage Travel/Training 400.00 Total Jefferson $42,000 NAPE Cost Description Staff Salary 18,924.36 Benefits 5,677.31 Indirect 6,873.71 Rate 27.94% Goods&Services 8,124.62 Mileage Travel/Training 400.00 Total Jefferson $40,000 Funding Source Chart of Accounts Program Name or Title BARS Code 7/1/24—6/30/25 SFY25 DEDICATED CANNABIS ACCOUNT(DCA) 334.04.93 $42,000 SFY25 NICOTINE ADDICT PREV&ED PRO 334.04.93 $40,000 (NAPE) Total to Jefferson=$82,000 Olympic Region YCCTPP Workplan Youth Cannabis and Commercial Tobacco Prevention Program (YCCTPP)Overview Purpose:To provide state and federal funding to regional networks and priority population networks to plan, implement, and evaluate cannabis and commercial tobacco* (including vaping products) prevention and control activities. *Note: Commercial tobacco includes any product that contains tobacco and/or nicotine, such as cigarettes, cigars, electronic cigarettes, hookah, pipes, smokeless tobacco, heated tobacco, and other oral nicotine products. Commercial tobacco does not include FDA-approved nicotine replacement therapies. Mission Statement:The Youth Cannabis and Commercial Tobacco Prevention Program's mission is to prevent initiation and reduce cannabis and commercial tobacco use by youth,ages 12-20, support adults who influence these youth, leverage resources for promoting and supporting commercial tobacco dependence treatment, and reduce cannabis and commercial tobacco-related inequities within Washington State. Impact:The impact YCCTPP hopes to make is to reduce initiation and use of cannabis and commercial tobacco by youth (ages 12-20), especially among populations most adversely affected by marijuana use throughout Washington State. Progress Objectives (Measured by Healthy Youth Survey) • Decrease percentage of 10th grade students (statewide)who have used cannabis and commercial tobacco on at least one day in the past 30 days. • Decrease percentage of 10th grade students who have used cannabis and commercial tobacco on at least one day in the past 30 days in African American/Black, Latino/Hispanic, Asian/Pacific Islander, American Indian/Alaska Native, and LGBTQ population. • Decrease the percentage of 10th grade students who first used cannabis and commercial tobacco before they were 14 years old. YCCTPP Statewide Program Goals 1. Establish networks that foster collaboration and innovation in youth cannabis and commercial tobacco use prevention. 2. Promote sustainability through evaluation, program, and personnel development, and establishing relevancy to current issues. 3. Promote equity through centering voices of those endure inequities, building a space for those with lived experience, while acknowledging past oppression and the harm it has caused to communities 4. Utilizing upstream prevention approach by drawing from existing science-based frameworks to create policy, systems, and environmental change Deliverables • Deliverable 1: Develop Network Annual Work Plan • Deliverable 2: Network Equity Assessment • Deliverable 3: Organization and Network Administrative Plan • Deliverable 4: Implement Annual Work Plan and Report Progress • Deliverable 5:Assess Program Implementation Olympic Region YCCTPP Workplan Olympic Prevention Partnership Work Plan-2023-2024 Fiscal Year Coordination Plan Required Activities By DOH Hire or assign project staff Assure all staff working with youth have an acceptable criminal background check on file. Participate in performance measure data collection activities in collaboration with DOH. Participate in project evaluation activities developed and coordinated by DOH. Participate in meetings with State YCCTPP contractors hosted by the DOH. Participate in Monthly YCCTPP Practice collaborative meeting Attend a one-day workshop with other Department of Health YCCTPP contractors to receive orientation and foster collaboration (Year 1 only.Travel paid by DOH). Provide workforce development training, technical assistance and support to project partners as needed. Participate in the recruitment of Healthy Youth Survey participation with school districts in your community. Create data management plan to protect participant confidentiality Additional Coordination Efforts Submit Monthly State Report to DOH. Conduct monthly check-in calls with subcontractors. Attend monthly check-in call with DOH contract manager. Mini-grant coordination and management. Participate in Statewide Commercial Tobacco Prevention Coalition. Participate in the statewide strategic planning process for the 2024 fiscal year. Participate in the statewide evaluation process directed by DOH. Administer the regional network(see meeting schedule below). Participate in DOH Needs Assessment process in Spring 2024. OLYMPIC PREVENTION PARTNERSHIP Regional Meeting Schedule, 2023-2024 AUGUST SEPT DEC MAR JUN In-person Regional Regional Regional Regional contractors Networking Networking Networking Networking meeting Meeting Meeting Meeting Mcctmg Olympic Region YCCTPP Workplan PSE Goal 1: Youth Empowerment To increase youth empowerment in our region by partnering with youth-serving organizations to create sustainable pro-social leadership opportunities for youth to communicate their needs to policymakers, and by encouraging and providing other pro-social leadership activities for youth. Objective 1: Regionally, offer 6 opportunities for youth empowerment by working with stakeholders to develop pro-social activities. Objective 2: Conduct a review of prosocial work that has been & can be implemented at schools and community organizations catered towards the Olympic Region and compile into a report. Distribute this report to our 3 subcontractors and additional interested parties. Which State goal(s) does this contribute to? 2, 3, 4 Network Activities Youth Engagement Strategy 1: Network Management&Sustainability Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Cannabis& Invite youth serving organizations to attend Olympic All Prevention Partnership. Commercial Both subcontractors Ongoing Tobacco Youth Engagement Strategy 2: Collaboration & Engagement Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Collaborate with community partners and youth- serving organizations to host at least two prosocial Cannabis& All Implement: leadership opportunities in each county. Promote to Commercial Both subcontractors 06/30/2025 local decision-makers. Examples: Art Advocacy events, Tobacco Townhalls,youth-led events, etc. Use mini-grants to build and maintain relationships Release: with community organizations by allowing them to Cannabis& 12/1/24 promote protective factors in youth or families at Commercial Both Regional lead, Award: youth-servings organizations. Tobacco JCPH 02/15 /25 Complete: 06/15/25 Cannabis& Promote and implement youth leadership development Commercial Both JCPH Implement: programs at local school districts, such as Youth2Youth. Tobacco 06/30/2024 Collaborate with youth serving organizations to prepare Cannabis& Regional Lead youth for participating in Prevention Policy Day, for Commercial Both &All Complete: 2025 (Date,TBD) Tobacco subcontractors 01/15/2025 Youth Engagement Strategy 3: Media&Communication Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Cannabis & Advertise prosocial events through social media. Boost All Commercial Both Ongoing as necessary. Report any boosting. Tobacco subcontractors Youth Engagement Strategy 4: Education &Technical Assistance Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Olympic Region YCCTPP Workplan Invite youth to participate in youth advocacy trainings Cannabis& Regional Lead locally and statewide. Commercial Both &All Ongoing Tobacco subcontractors Participate in the statewide Youth Cannabis Prevention Cannabis& Regional Lead Efforts in groups like: the Youth Cannabis Prevention Commercial Both &All Ongoing Collaborative, the Rural Network, the Youth Empowerment Workgroup, Prevention Voices WA, etc. Tobacco subcontractors Youth Engagement Strategy 5:Workforce Development Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Participate in monthly skill enhancement opportunities. These may include webinars,trainings, and other Cannabis& opportunities forwarded from the regional lead. Commercial Both All One per month Participate in a minimum of one skill enhancement Tobacco subcontractors opportunity per month. Olympic Re ion YCCTPP g Workplan SE Goal 2: Youth in Transition provide systems to help youth/young adults in transition stay quit from Commercial Tobacco. Focus on providing ccess to evidence-based therapies and healthy coping strategies. o Itbjective 1:Assess the current needs for helping youth involved with the juvenile system to stay quit in Kitsap by creating visual mapping tool for resources around Kitsap. Share this tool with relevant partners once developed. bbjective 2: Develop a response plan based on the needs assessment for working with youth involved with the Kitsap County and Clallam County juvenile detention centers. Distribute this response plan to our subcontractors and both Kitsap and Clallam Juvenile detention centers. Which State goal(s)does this contribute to?2, 3, 4 e, . JDCs Strategy 1:Network Management&Sustainability Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Invite juvenile detention center staff to join Cannabis & Olympic Prevention Partnership. Commercial Both Regional lead Ongoing Tobacco JDCs Strategy 2:Collaboration&Engagement Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Continue outreach to Kitsap County JDC and foster further partnership via collaboration with programs Cannabis & Both Regional lead Ongoing implemented with the Kitsap County JDC. Commercial Tobacco Work with community partners to put in place a network to help youth released from the Juvenile Commercial Commercial Regional lead Complete: Detention Center to stay quit from cigarettes and e- Tobacco Tobacco 02/30/2025 cigarettes. Explore outreach with Clallam Juvenile Detention Cannabis & Complete: and potential collaboration between KPHD, Clallam Commercial Both Regional lead 01/31/2025 Juvenile Detention, and Kitsap Juvenile Detention. Tobacco JDCs Strategy 3: Media&Communication Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Collaborate with Kitsap County Juvenile and Family Court Services to assess their need regarding Commercial Commercial Complete: information for prevention and cessation services. Regional Lead Create an information flyer/pamphlet/page if Tobacco Tobacco 07/01/2024 Kitsap County Juvenile expresses interest. JDCs Strategy 4: Education&Technical Assistance Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Provide ongoing technical assistance to JDCs about Commercial Commercial Regional Lead Ongoing cessation resources for youth released from JDCs. Tobacco Tobacco JDCs Strategy 5:Workforce Development Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Contractors will complete at least one training or Commercial Commercial One every 3 read one best practice guidance on working with Regional Lead youth in juvenile detention each quarter. Tobacco Tobacco months Olympic Region YCCTPP Workplan PSE Goal 3: Positive Community Norms To change community perceptions regarding cannabis and tobacco use, both regarding its prevalence and its perceived risk, among youth and adults. Engage with community organizations and community members to increase awareness of current data and trends regarding youth substance use. Objective 1: Create opportunities for youth to view data regarding substance use trends relevant to their communities within 3 schools. Objective 2: Facilitate events and standing agreements with 3 community organizations to showcase positive community norms materials to the youth and parents they serve. Which State goal(s)does this contribute to? 1, 4 KKF�` Network Activities Positive Community Norms Strategy 1: Network Management&Sustainability Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Invite youth serving organizations to attend Olympic Cannabis & All Commercial Both Ongoing Prevention Partnership. Tobacco subcontractors Collect data via methods such as focus groups to Cannabis & assess current community values, perceptions, and Commercial Both Regional Lead Complete: gaps regarding youth cannabis and tobacco use. Tobacco 08/01/2024 Positive Community Norms Strategy 2:Collaboration& Engagement Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Collaborate with OESD 114 to promote positive community norms regarding substance use in their Cannabis & youth populations via policy and environmental Commercial Both Regional Lead Ongoing Tobacco change. Collaborate with community organizations and Cannabis & external partners to promoting positive community norms regarding substance use within the Olympic Commercial Both Regional Lead Ongoing Region via policy and environmental change. Tobacco Maintain readiness to work with the parks service Cannabis & Kitsap Human regarding smoke and vape free parks. Commercial Both Services Ongoing Tobacco Positive Community Norms Strategy 3: Media&Communication Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Use social media to help change community norms Cannabis & Regional Lead & about youth cannabis and commercial tobacco use. One per Commercial Both All This could include statewide media toolkits like You month Tobacco subcontractors Can and Under the Influence of You, etc. Obtain positive community norm materials using Cannabis & Regional Lead & current available resources that will work for each Commercial Both Kitsap Human Implement: county in the Olympic Region. Tobacco Services 09/01/2024 Positive Community Norms Strategy 4: Education &Technical Assistance Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Provide technical assistance to schools and Cannabis & Regional Lead & community organizations regarding the interpretation Commercial Both All Ongoing of data and terminology used in promoting positive Tobacco subcontractors Olympic Region YCCTPP Workplan community norms alongside implementation of policy and environmental changes. Positive Community Norms Strategy 5:Workforce Development Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Participate in monthly skill enhancement opportunities.These may include webinars,trainings, Cannabis& and other opportunities forwarded from the regional Commercial Both All One every lead. Participate in a minimum of one skill Tobacco subcontractors other month enhancement opportunity per month. Olympic Region YCCTPP Workplan PSE Goal 4: Trusted Adults Vaping Education Provide education to family-serving organizations about protective factors for youth substance use and the health effects of vaping education to trusting adults Objective 1: Create a strategic plan obtained from the needs assessment and key informant interviews to best communicate information regarding cannabis to trusted adults. Objective 2: Distribute information and/or present information regarding cannabis to 6 organizations with trusted adults. Which State goal(s)does this contribute to?2, 3 Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Invite family-serving organizations and schools to Cannabis& Regional Lead, the Olympic Prevention Partnership. Commercial Both JCPH, Clallam 4- Ongoing Tobacco H Trusted Adults Strategy 2:Collaboration &Engagement Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Reach out to 3 trusting adult sectors(schools, family-serving organizations, faith-based Cannabis& Regional Lead, organizations, and youth groups or youth serving Commercial Both JCPH, Clallam 4- Complete: organizations, etc.) to explore the need for Tobacco H 09/01/2024 education on youth vaping. Continue maintaining relationships with parent- Regional Lead, serving organizations such as early learning, Commercial Commercial JCPH. Clallam 4- ECEAP, WIC, Maternal-Child Health services, etc. Tobacco Tobacco H, & Kitsap Ongoing to expand secondhand smoke education to Human Services include youth vaping. Engage 1 family-serving organizations and/or Regional Lead, schools from each county to collaborate on the Cannabis& JCPH, Clallam 4- Complete: development and distribution of vaping Commercial Both H, & Kitsap 04/30/2025 education for trusting adults who engage with Tobacco youth (Parents, school staff, coaches, etc.). Human Services Create and maintain relationships with school- based health centers and/or tribal clinics to Cannabis& Regional Lead & ensure they have the resources to educate youth Commercial Both JCPH Ongoing about substance use and/or healthy coping Tobacco mechanisms. Reach out to pediatrician offices to assess viability of providing resources to parents on how Cannabis & to talk to their children regarding cannabis and Commercial Both Regional Lead Implement: 10/01/2024 tobacco, especially as it pertains to vaping. Tobacco Provide materials to willing offices. Trusted Adults Strategy 3: Media and Communication Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Adapt secondhand smoke materials for trusted Regional Lead, adults on youth vaping education, including the Commercial Commercial Complete: JCPH, Clallam 4- harms of youth vaping and secondhand vape, Tobacco Tobacco H 06/30/2024 mental health resources, community social Olympic Region YCCTPP Workplan norms, and protective factors against youth substance use. Communicate findings of data collection and Cannabis & Cannabis& needs assessment with parents, schools, and Commercial Commercial Regional Lead Implement: 02/01/2025 community organizations. Tobacco Tobacco Trusted Adults Strategy 4: Education &Technical Assistance Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? Educate family-serving organizations about the Regional Lead, health effects of youth vaping. Commercial Commercial Complete: p g Tobacco Tobacco JCPH, CH Ilam 4- 06/30/2024 Distribute educational materials to providers about maternal cannabis and tobacco use, youth Cannabis& Regional Lead & substance use, and/or how mental health is Commercial Both JCPH Bi-annually associated with substance use. Update existing Tobacco materials as needed. Activity Substance(s) Funding Who is By when?Or Addressed Source(s) responsible? How often? YCCTPP lead and subcontractors will stay informed on trends and research regarding e- Commercial Commercial Regional Lead, One every 4 JCPH, Clallam 4- cigarettes and vapes via trainings, Tobacco TobaccoH months seminars/webinars, or information sessions. KPHD 2262 Amendment 2 (2344) AMENDMENT TO AGREEMENT 2262 This Amendment("Amendment")to Kitsap Public Health District Contract for Youth Cannabis & Commercial Tobacco Prevention Program (the"Contract"), is entered into between the Jefferson County Public Health("Contractor") and the Kitsap Public Health District ("District"). RECITALS WHEREAS,the Parties entered into the Contract effective July 1, 2022; and WHEREAS, Washington State Department of Health has extended the contract by one year, and thus, has made changes to the statement of work, and the parties have agreed it is desirable to adjust funding; and WHEREAS, the Parties have entered into one prior amendment to the Contract. NOW,THEREFORE,THE PARTIES AGREE AS FOLLOWS: I. Amendment of Contract Section 1. Period of Performance. The date of the contract will be extended to June 30, 2024. II. Amendment of Contract Section 4. Statement of work and Budget. Subcontractor shall furnish the necessary personnel, equipment material, and/or services and otherwise do all the things necessary for or incidental to the performance of the work set forth in ATTACHEMENT A-2, attached hereto and incorporated herein. A fI ACHMENT A of the initial contract and ATTACHMENT A-1 of Amendment 1 remain unchanged. III. Amendment of Contract Section 5. Compensation. $82,000 dollars will be added to the total budget for Jefferson County Public Health to provide services in both Jefferson County and Clallam County. For a total compensation of$209,761. IV.Other Provisions Unchanged. The other provisions of the Contract, as it has been amended from time to time,remain unchanged. V. Effective Date. This Amendment is effective July 1,2023. VI.Authorization. Each party signing below warrants to the other party that they have the full power and authority to execute this Amendment on behalf of the party for whom they sign. [SIGNATURES FOLLOW ON THE NEXT PAGE] KPHD Amendment Standard Form.docx N-22-028-A2 IN WITNESS WHEREOF,the Parties have subscribed their names hereto. June Dated this 7th day of 2023. Dated this 14t day of 1416:-• ,2023. KITSAP PUBLIC BOARD OF COUNTY COMMISSIONERS HEALTH DISTRICT JEFFERSQN QUNTY, WASHINGTON lzgl&/2-3 Keith Grellner Gre irothon, Chair Date Administrator ATTEST: iet7;1, (- Ut4"- , Carolyn Gallaway,Clerk of V Board APPROVED AS TO FORM: 444,4444,00,,,' (1" if June 21, 2023 Philip C. Hunsucker, Date Chief Civil Deputy Prosecuting Attorney 2 ATTACHMENT A-2—SCOPE OF WORK AND BUDGET Jefferson County Public Health July 1,2023—June 30,2024 As a subrecipient of KPHD under the Washington Department of Health funded Youth Cannabis & Commercial Tobacco Prevention Program (YCCTPP), Jefferson County Public Health agrees to the following activities funded in full or part by the associated budget. Activity Coordinate and maintain the Olympic Prevention Partnership steering committee and network. Planning& • Invite new community partners to join the Olympic Prevention Partnership Coordination of Steering Committee. Regional • Attend four quarterly regional networking meetings (June 2023—June 2024) Network • Each subcontractor will be responsible for planning one of the above meetings. Refer to the workplan for schedule. 2023-2024 Strategies for Youth Cannabis& Commercial Tobacco Prevention: • Social Norms: Media&Health Communications • Youth Empowerment&Engagement • Decision-maker Engagement Implementation • Policy,System,Environmental Changes Specific Jefferson County activities are described in the 2023 2024 YCCTPP workplan. Please refer to the workplan for guidance on which activities fall under each funding source. Workplans are subject to change. Any changes will be approved by both parties. Monitoring and Monitor progress for each activity as appropriate; submit monthly narrative and data Reporting reports as requested by KPHD on the 5th of every month. Midterm By February 1,2024,report progress to YCCTPP Regional Coordinator. If needed, Evaluation adjust activities to ensure spend down. Conduct a mid-year workplan re-evaluation. Participate in monthly conference call with KPHD and attend webinars as scheduled; Calls/Meetings respond to correspondences related to YCCTPP from the Department of Health; respond to activity assessments/surveys administered by KPHD as appropriate per scope of work. Submit monthly invoices by the 20`1' of the month following the month in which costs were incurred. except for the Final Expenditure Report and Request for Invoicing Reimbursement in each federal fiscal year(due July I, 2024). Invoices must include supporting documentation such as timecards for staff time and copies of invoices paid for goods and services. 3 Budget July 1,2023—June 30,2024 Cannabis Cost Description Staff Salary $18,304 11 hours per week Benefits $4,576 Indirect $6,635 Rate 29 % Goods & Services $1,000 Materials necessary and approved for programing Mini Grants $11,235 Mini Grants to Community Members Mileage $250 Any travel to and from implementation sites Travel/Training Total Jefferson $42,000 Tobacco Cost Description Staff Salary $16,640 10 hours per week Benefits $4,160 Indirect $6,032 Rate 29 % Mini Grants $10,000 Mini Grants to Community Members Mileage $100 Any travel to and from implementation sites Goods & Services $3,068 Materials necessary and approved for programing Total Jefferson $40,000 Funding Source Chart of Accounts Program Name or AL# BARS Code 7/1/23—6/30/24 Title SFY24 Dedicated Cannabis Account(MJ) n/a 334.04.93 $42,000 SFY24 Tobacco Prevention Proviso n/a 334.04.93 $40,000 Total to Jefferson $82,000 Subrecipient DUNS Number: 184826790 Subrecipient Indirect Rate: 29% Research and Development: No 4 KPHD 2262 Amendment 1 (2284) AMENDMENT TO AGREEMENT 2262 JEFFERSON This Amendment("Amendment")to Kitsap Public Health District Contract for Youth Cannabis and Commercial Tobacco Prevention Program (the"Contract"), is entered into between the Jefferson County Public Health("Contractor")and the Kitsap Public Health District ("District"). RECITALS WHEREAS,the Parties entered into the Contract effective July 1,2022;and WHEREAS, Washington State Department of Health has increased Tobacco funding, and the parties have agreed it is desirable to adjust funding; and NOW,THEREFORE,THE PARTIES AGREE AS FOLLOWS: I.Amendment of Contract Section 5. Compensation. $70,000 dollars will be added to increase tobacco funding for Jefferson County Public Health to provide services in both Jefferson County and Clallam County. For a total compensation of$124,761. II. Amendment of Contract Section 4. Statement of Work and Budget Subcontractor shall furnish the necessary personnel,equipment material, and/or services and otherwise do all things necessary for or incidental to the performance of the work set forth in ATTACHEMENT A-1, attached hereto and incorporated herein. ATTACHMENT A of the initial contract remains unchanged. III.Other Provisions Unchaned. The other provisions of the Contract,remain unchanged. IV. Effective Date. This Amendment is effective July 1, 2022. V.Authorization.Each party signing below warrants to the other party that they have the full power and authority to execute this Amendment on behalf of the party for whom they sign. IN WITNESS WHEREOF,the Parties have subscribed their names hereto. Dated this 8th day of sepreeibe 2022. Dated this I,"1 day of ` "(' , 2022. KITSAP PUBLIC JEFFERSON COUNTY WASHINGTON HEALTH DISTRICT Board of County Commissioners anitaas Keith Grellner Heidi Eisenhour, Chair Administrator Approved as to form only: ATTEST: Sept.13.2022 for Philip C. Hunsucker, Date Carolyn Gallaway, `Date KPHD Amendment Standard Form.docx Chief Civil Deputy Prosecuting Clerk of the Board Attorney N-22-028-A1 ATTACHMENT A-1 SCOPE OF WORK AND BUDGET Jefferson County Public Health July 1,2022—June 30,2023 As a subrecipient of KPHD under the Washington Department of Health funded Youth Cannabis& Commercial Tobacco Prevention Program (YCCTPP)Additional Tobacco Funds, Jefferson County Public Health agrees to the following activities funded in full or part by the associated budget. Activity Planning& Attend the Olympic Prevention Partnership steering committee and network. Coordination of • Invite new community partners to join the Olympic Prevention Partnership Regional Steering Committee. Network • Attend nine monthly steering committee meetings(Sept 2022—June 2023) 2022-2023 Goals for the Additional Tobacco Funds. • Reduce Commercial tobacco-related disparities among priority populations • Prevention commercial tobacco use among youth and young adults with Implementation emphasis on e-cigarettes Goals • Leverage resources for promoting and supporting commercial tobacco dependence treatment. • Eliminate exposure to secondhand smoke and electronic cigarette emissions. The above goals are Washington State specific goals.By August 15,2022,sub recipients will work with the lead contractor at KPHD to develop a detailed workplan and activities specific to Jefferson&Clallam Counties.Workplans are subject to change.Any changes will be approved by both parties. Monitor progress for each activity as appropriate;submit monthly narrative and data reports Monitoring and as requested by KPHD on the 5t'of every month. Only one report will be required for both Reporting Jefferson and Clallam additional tobacco work. Midterm By February 1,2023,report progress to the Regional Coordinator.If needed,adjust Evaluation activities to ensure spend down.Conduct a mid-year workplan re-evaluation. Participate in monthly conference call with KPHD and attend webinars as scheduled; Calls/Meetings respond to correspondences related from the Department of Health;respond to activity assessments/surveys administered by KPHD as appropriate per scope of work. Submit monthly invoices by the 20`s of the month following the month in which costs were incurred,except for the Final Expenditure Report and Request for Reimbursement in each Invoicing federal fiscal year(due July I.2023). Invoices must include supporting documentation such as timecards for stall"time and copies of invoices paid for goods and services. 2 Budget July 1,2022—June 30,2023 Cost Description Staff hours split between Jefferson&Clallam(6 hr.wk.Clallam— Megan C);(5 hr.wk.Jefferson Laura T);(8 hr.wk.Jefferson Karen Staff Salary $33,796 0). Benefits $8,366 Indirect $9,879 Rate: 29.23% Goods& Services $5,057 Materials necessary and approved for programing: See Work Plan. Mileage $4,902 1 time to PT--PA two ways @ $1.00 per mile 52.1329 wks. in a year Travel/Training Youth and sponsors to Legislative activity;Conferences, e.g. Montana Institute,Rural Network,People's Institute NW(undoing racism),etc. Host regional in-person training addressing changing $8,000 behavior/behavioral health. Total Jefferson $70,000 Total Funding Source Chart of Accounts Program Name or CFDA# BARS Code 7/1/22—6/30/23 Title FFY23 TOBACCO PREVENTION 334.04.93 $70,000 Total to Jefferson $70,000 3 KPHD 2262 Page 1 of 16 N-22-028 PROFESSIONAL SERVICES AGREEMENT Between KITSAP PUBLIC HEALTH DISTRICT And JEFFERSON COUNTY PUBLIC HEALTH This Professional Services Agreement("Agreement") is made and entered into between the Kitsap Public Health District, a Health District organized pursuant to chapter 70.46 Revised Code of Washington and Section 9.52 Kitsap County Code,hereinafter referred to as "District," and Jefferson County Public Health, hereinafter referred to as "Subcontractor." The parties mutually agree as follows: 1. Period of Performance: The period of performance of this Agreement shall begin July 1, 2022 and be completed no later than June 30, 2023, unless terminated sooner or extended as provided for herein. 2. Purpose: The District requires the expertise of this Subcontractor to develop and implement coordinated tobacco,vapor product, and marijuana intervention strategies to prevent and reduce commercial tobacco,vapor,and marijuana use by youth in Jefferson County. 3. Qualifications/Eligibility: Subcontractor shall have the qualifications necessary to successfully complete the objectives of this Agreement. The Subcontractor hereby affirms that he/she is eligible to work in the United States as set forth in the Immigration Reform and Control Act(IRCA). 4. Statement of Work and Budget: Subcontractor shall furnish the necessary personnel, equipment material, and/or services and otherwise do all things necessary for or incidental to the performance of the work set forth in ATTACHMENT A, attached hereto and incorporated herein. ATTACHMENT A contains the Scope of Work and Budget. 5. Compensation: This Agreement is funded by state funds. The District agrees to pay Subcontractor a total sum of$54,761 in state funds during this Agreement. The District shall reimburse Subcontractor for travel as applicable at the federally approved rate. Compensation will be based on invoices submitted by Subcontractor itemizing a detailed description of services performed per the agreed upon Scopes of Work and Budgets set forth respectively in ATTACHMENTS A. Subcontractor shall submit a Monthly Expenditure Report and Request for Reimbursement (Form A-19) invoice voucher, hereto attached and herein incorporated as ATTACHMENT B, to the District for payment. 6. Performance Requirements and Notices: The assigned District staff shall monitor the performance of this Agreement, approve billings submitted by Subcontractor, and determine the acceptability of any reports provided by Subcontractor. District staff shall provide and facilitate assistance and guidance to Subcontractor as necessary. The District reserves the right to conduct periodic performance and billing reviews after the execution of this Agreement in order to evaluate unspent/unclaimed funds. The District reserves for itself the authority to reallocate funding pending the outcome of such a review. KPHD 2262 Page 2 of 16 N-22-028 Subcontractor shall send programmatic communications, such as reports,via the communication method established by the District. Formal notices pursuant to this Agreement shall be sent to the staff responsible for project coordination as follows: If to the District: If to the Subcontractor Kitsap Public Health District Jefferson County Public Health Attn: Yolanda Fong Attn: Denise Banker 345 6th Street, Suite 300 615 Sheridan Street Bremerton, WA 98337 Port Townsend, WA 98368 (360) 728-2275 (360)385-9400 olanda,I ong; k tsappublichealth,or dbankergeojefferson.wa,us 7. Special Billing Requirements: Billings to the District shall be submitted no more frequently than every 30 days, and shall be quarterly at a minimum. Billings for services on a monthly fraction of the budget will not be accepted or approved. Billings shall be sent to: Kitsap Public Health District Melissa Laird 345 6th Street, Suite 300 Bremerton,WA 98337 (360)728-2283 Authorized and allowable program expenditures will be reimbursed upon receipt and approval of the monthly A-19 must be provided to the District by the 20th of each month in order to receive reimbursement for the previous month. If the District does not receive the A-19 by the 20th of the month with the required deliverables,the District may withhold approval and payment at its discretion. The District will pay Subcontractor all allowable costs incurred as evidenced by proper invoice of Subcontractor submitted to the District on a timely basis, insofar as those allowable and allocable costs do not exceed the amount appropriated or otherwise available for such purposes as stated herein or in subsequent amendments. Backup documentation will be provided to the District with invoice. Backup documentation can include,but is not limited to: receipts, invoices,billing records,work orders,positive time and attendance records(timesheets),travel vouchers and accounting expense reports. Failure to provide the required information may result in nonpayment of invoices or termination of this Agreement. This is a subcontractor contract. All expenditures incurred, and reimbursements made for performance under this Agreement will be based on actual allowable costs. Costs can include direct labor,direct material,and other direct costs specific to the performance of activities or achievement of deliverables under this Agreement. Unexpended funds in each fiscal year may not be carried forward into the new budget period unless otherwise approved by the District. KPHD 2262 Page 3 of 16 N-22-028 Email submission of invoices,electronic reports, and deliverables is encouraged. However, original hardcopy of the A-19 is required and shall be mailed to the District. Upon expiration of this Agreement, any claim for payment not already made shall be submitted to the District within 20 days after the expiration date. 8. Independent Capacity: Subcontractor and its employees or agents who are engaged in the performance of this Agreement shall continue to be employees or agents of Subcontractor and shall not be considered to be employees or agents of the District for any purpose. 9. Rights in Data: Unless otherwise provided, data which originates from this Agreement shall be "works for hire" as defined by the U.S. Copyright act of 1976 and shall be owned by the District. Data shall include,but not limited to, reports, documents,pamphlets, advertisements, books, magazines, surveys, studies, computer programs, films,tapes, and/or sound reproductions. Ownership includes the right to copyright,patent, register, and the ability to transfer these rights. The District maintains all rights to the license to publish, translate, reproduce, modify, deliver, dispose of the data, and to authorize others to do so. 10. Indemnification: Subcontractor shall defend, indemnify and hold the District, its officers, officials, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits including attorney fees, arising out of or resulting from the acts, errors or omissions of the Subcontractor in performance of this Agreement, except for injuries and damages caused by the sole negligence of the District. However, that in the case of negligence of both the District and the Subcontractor, any damages allowed shall be levied in proportion to the percentage of negligence attributable to each party. Solely for the purposes of this provision, Subcontractor waives its immunity under Title 51 (Industrial Insurance) of the Revised Code of Washington and acknowledges that this waiver was mutually negotiated by the parties. This provision will survive the expiration or termination of this Agreement. 11. Insurance: Subcontractor shall procure and maintain for the duration of this Agreement, coverage against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Subcontractor, its agents, representatives, or employees. No Limitation. Subcontractor's maintenance of coverage as required by this Agreement shall not be construed to limit the liability of Subcontractor to the coverage provided by such coverage, or otherwise limit the District's recourse to any remedy available at law or in equity. A. Minimum Scope of Coverage Subcontractor shall obtain coverage of the types described below: 1. Automobile Liability coverage covering all owned, non-owned, hired and leased vehicles. If necessary,the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liability coverage shall cover liability arising from premises, operations, independent contractors and personal injury and advertising injury. The District shall be named as an additional insured under KPHD 2262 Page 4 of 16 N-22-028 Subcontractor's Commercial General Liability coverage with respect to the work performed for the District. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the state of Washington. 4. Professional Liability coverage appropriate to the Subcontractor's profession. Subcontractor shall provide the District with proof of liability coverage or professional errors and omissions coverage as appropriate. B. Minimum Amounts of Coverage Subcontractor shall maintain the following coverage limits: 1. Automobile Liability coverage with a minimum combined single limit for bodily injury and property damage of$1,000,000 per accident 2. Commercial General Liability coverage shall be written with limits no less than$1,000,000 each occurrence, $2,000,000 general aggregate. 3. Professional Liability coverage shall be written with limits no less than$1,000,000 per claim and $1,000,000 policy aggregate limit. C. Other Coverage Provisions The coverages are to contain, or be endorsed to contain, the following provisions for Automobile Liability, Professional Liability and Commercial General Liability coverage: 1. Subcontractor's coverage shall be primary coverage as respect the District. Any coverage maintained by the District shall be excess of Subcontractor's coverage and shall not contribute with it. 2. Subcontractor's coverage shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30)days prior written notice by certified mail, return receipt requested, has been given to the District. D. Acceptability of Coverage Subcontractor has a memorandum of liability coverage with the Washington Counties Risk Pool, which the District agrees is acceptable. E. Verification of Coverage Subcontractor shall furnish the District with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional coverage endorsement, evidencing the coverage requirements of Subcontractor before commencement of the work. 12. Safeguarding of Information and Privacy: The use or disclosure by any party of any information concerning a client obtained in providing service under this Agreement shall be subject to Chapter 42.56 RCW and Chapter 70.02 RCW, as well as 45 CFR Parts 160 and 164 and any other applicable federal and state statutes and regulations. Personal information collected, used or acquired in connection with this Agreement shall be used solely for the purposes of this Agreement. Subcontractor agrees not to release, divulge, publish, transfer, sell or otherwise make known to KPHD 2262 Page 5 of 16 N-22-028 unauthorized persons personal information without the express written consent of the agency or as provided by law. Subcontractor agrees to implement physical, electronic, and managerial safeguards to prevent unauthorized access to personal information. Any unauthorized access or use of confidential information must be reported to the District Privacy Officer at(360) 728-2232. The notification must be made in the most expedient time possible(usually within 24 hours of discovery) and without unreasonable delay, consistent with the legitimate needs of law enforcement,or any measures necessary to determine the scope of the breach and restore the reasonable integrity of the data system. The District reserves the right to monitor, audit, or investigate the use of personal information collected,used,or acquired by Subcontractor through this Agreement. The monitoring,auditing,or investigating may include but is not limited to"salting" by the District. Salting is the act of placing a record containing unique but false information in a database that can be used later to identify inappropriate disclosure of data contained in the database. Subcontractor shall certify the return or destruction of all personal information upon expiration of this Agreement. 13. Records Retention and Inspection: The parties to this Agreement shall each maintain books, records, documents, and other evidence which sufficiently and properly reflect all direct and indirect costs expended by either party in the performance of the services described herein. These records shall be subject to the inspection,review or audit by personnel of both parties, other personnel duly authorized by either party,the Office of the State Auditor, and federal officials so authorized by law. All books, records, documents, and other material relevant to this Agreement will be retained for six years after expiration and the Office of the State Auditor, federal auditors, and any persons duly authorized by the parties shall have full access and the right to examine any of these materials during this period. Records and other documents, in any medium, furnished by one party to this Agreement to the other party, will remain the property of the furnishing party, unless otherwise agreed. The receiving party will not disclose or make available this material to any third parties without first giving notice to the furnishing party and giving that party a reasonable opportunity to respond. Each party will utilize reasonable security procedures and protections to assure that records and documents provided by the other party are not erroneously disclosed to third parties. 14. Written;Policies and.Procedures/Documents on File: Written policies and procedures,consistent with federal and state regulations, as applicable,will be kept on file in the office of the Subcontractor and available for review at the request of District staff. Such policies and procedures will include,but not be limited to, as appropriate: • Job Descriptions • Confidentiality Policy • Community Needs Assessment • 5-Year Regional Strategic Plan(includes biennial work plan) Special Instructions: a. Subcontractor must conduct criminal background checks for those staff,volunteer, contractor, or subcontractor working directly with youth(ages 0-17). KPHD 2262 Page 6 of 16 N-22-028 b. Subcontractor must prohibit any staff,volunteer, contractor, or subcontractor with a felony conviction related to their duties from supervising and interacting with minors while performing the duties of this Agreement. This requirement is consistent with existing RCW 9.96A.020. In addition, Subcontractor will keep on file and make available for review by District staff documents consistent with federal and state regulations that will include but are not limited to the latest agency audit and Subcontractor agreements. Subcontractor will include these requirements in all approved subcontracts. 15. Required Reports: Subcontractor will submit required reports using required forms according to procedures issued by the District. Subcontractor will be obligated to submit required reports after the close of the contract period, during the transfer of obligations to another contractor, or upon termination of the contract for any reason. Subcontractor will include all requirements listed above in all approved subcontracts. Due dates outside the Budget Period are for reporting only. Subcontractor may not bill for work done outside the Budget Period. 16. Statutory and Regulatory Compliance: Subcontractor shall comply with all applicable federal, state,and local laws,regulations, guidelines,and standards in the performance of this Agreement. 17. Compliance with State and Federal Confidentiality Laws: Subcontractor shall not use protected health information created or shared under this Agreement in any manner that would constitute a violation of RCW 70.02, RCW 42.56, the Health Information Portability and Accountability Act, commonly known as HIPAA, or any regulations enacted pursuant to its provisions. An excerpt of certifications and assurances is herein attached as ATTACHMENT C. 18.. Suspension of.Performance and Resumption of Performance: In the event contract funding from state, federal, or other sources is withdrawn,reduced, or limited in any way after the effective date of this Agreement and prior to normal completion,the District may give notice to Subcontractor to suspend performance as an alternative to termination. The District may elect to give written notice to Subcontractor to suspend performance when the District determines that there is a reasonable likelihood that the funding insufficiency may be resolved in a timeframe that would allow performance to be resumed prior to the end date of this Agreement. Notice may occur by facsimile or email to Subcontractor's representative. Subcontractor shall suspend performance on the date stated in the written notice to suspend. During the period of suspension of performance, each party may inform the other party of any conditions that may reasonably affect the potential for resumption of performance. KPHD 2262 Page 7 of 16 N-22-028 When the District determines that the funding insufficiency is resolved,the District may give Subcontractor written notice to resume performance and a proposed date to resume performance. Upon receipt of written notice to resume performance, Subcontractor will give written notice to the District as to whether it can resume performance, and if so,the date upon which it agrees to resume performance. If Subcontractor gives notice to the District that it cannot resume performance,the parties agree that this Agreement will be terminated retroactive to the original date of termination. If the date Subcontractor gives notice it can resume performance is not acceptable to the District,the parties agree to discuss an alternative acceptable date. If an alternative date is not acceptable to the District,the parties agree that this Agreement will be terminated retroactive to the original date of termination. 19. Non-Discrimination: Subcontractor shall not discriminate against any employee or applicant for employment because of race, color, sex,religion,national origin, creed,marital status, age,Vietnam era or disabled veteran status, sexual preference, or the presence of any sensory mental or physical handicap. 20. Waiver: A failure by either party to exercise its rights under this Agreement shall not preclude that party from subsequent exercise of such rights and shall not constitute a waiver of any other rights under his Agreement unless stated to be such in writing, signed by an authorized representative of the party and attached to the original Agreement. 21. Assignment: The work to be provided under this Agreement and any claim arising thereunder, is not assignable or delegable by either party in whole or in part without the express prior written consent of the District, which consent shall not be unreasonably withheld. 22. Amendments and Changes in Work: This Agreement may be modified only by a written amendment executed by authorized representatives of both parties. In the event of any errors or omissions by Subcontractor in the performance for any work required under this Agreement, Subcontractor will make all necessary corrections without additional compensation. All work submitted by Subcontractor will be certified by Subcontractor and checked by Subcontractor for errors and omissions. Subcontractor will continue to be responsible for the accuracy of work even after the work is accepted by the District. 23. Termination: This Agreement may be terminated by either party upon giving at least 30 days advance written notice to the other party. If this Agreement is so terminated,the parties shall be liable only for performance rendered or costs incurred in accordance with the terms of this Agreement prior to the effective date of termination. 24. Termination for Cause: If for any cause, either party does not fulfill in a timely and proper manner its obligations under this Agreement,or if either party violates any of these terms and conditions,the aggrieved party will give the other party written notice of such failure or violation. The responsible party will be given the opportunity to correct the violation or failure within 15 working days. If the failure or violation is not corrected,this Agreement may be terminated immediately by written notice of the aggrieved part to the other. KPHD 2262 N-22-028 Page 8 of 16 25. Termination for Funding: If funding for this Agreement or matter is withdrawn,reduced or limited in any way after this Agreement is signed or becomes effective,the Parties may summarily terminate this Agreement notwithstanding any other termination provision in this Agreement. Termination under his provision will be effective upon the date specified in the written notice of termination. No costs incurred after the effective date of the termination will be paid. 26. Choice of Law: This Agreement is entered into pursuant to and under the authority granted by the laws of the State of Washington and applicable federal laws,both as to its interpretation and performance. The provisions of this Agreement shall be construed to conform to those laws. Any action at law, suit in equity, or judicial proceeding arising out of this Agreement shall be instituted and maintained only in any of the courts of competent jurisdiction in Kitsap County, Washington. 27. Dispute Resolution: In the event that a dispute or conflict arises under this Agreement that the Parties are unable to resolve with good faith efforts,they shall allow the dispute to be decided by a Dispute Panel in the following manner: A Mediator shall be mutually appointed by both parties, and each party shall appoint an additional member to the Dispute Panel. The Dispute Panel shall review the facts, contract terms and applicable statutes and rules and make a determination of the dispute. The determination of the Dispute Panel shall be final and binding on the Parties hereto. The Parties shall equally share the costs, if any, for the services of the Dispute Panel. 28. Severabili If any provision of this Agreement or any provision of any document incorporated by reference shall be held invalid, such invalidity shall not affect the other provisions of this Agreement which can be given effect without the invalid provision, if such remainder conforms to the requirements of applicable law and the fundamental purpose of this Agreement, and to this end the provisions of this Agreement are declared to be severable. 29. Survival: Those provisions of this Agreement that by their sense and purpose should survive expiration or termination of this Agreement shall so survive. Those provisions include,but are not necessarily limited to,the following: Indemnification, Termination,Disputes, Confidentiality, Choice of Law, Waiver,Records Inspection and Retention, and Severability. 30 Subcontracting: Subcontractor shall not enter into subcontracts for any of the work contemplated under his Agreement without prior written approval of the District. In no event shall the existence of the subcontract operate to release or reduce the liability of Subcontractor to the Department for any breach in the performance of Subcontractor's duties. This clause does not include contracts of employment between Subcontractor and personnel assigned to work under this Agreement. Subcontractor is responsible for ensuring that all terms, conditions,assurances and certifications set forth in this Agreement are carried forward to any subcontracts. Subcontractor agrees not to release, divulge, publish,transfer, sell or otherwise make known to unauthorized persons personal information without the express written consent of the District or as provided by law. If at any time during the progress of the work, the District determines in its sole judgment that any contractor is incompetent, the District shall notify Subcontractor, and Subcontractor shall take immediate steps to terminate its Subcontractor's involvement in the work. The rejection or approval by the District of any Subcontractor or the termination of a Subcontractor shall not relieve Subcontractor of any of its responsibilities under this Agreement, nor be the basis for additional charges to the District. KPHD 2262 Page 9 of 16 N-22-028 31. Entire Agreement: This Agreement constitutes the entire agreement between the parties regarding its subject matter. Any oral or written representations not expressly incorporated in this Agreement are specifically excluded. KITSAP PUBLIC HEALTH DISTRICT BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON Zoe 6/27/7z. ith Grellner Date Heidi Eisenhour, Chair Date Administrator ATTEST: I Liv , Carolyn(Gallaway,Clerk of he Board APPROVED AS TO FORM: June 21, 2022 Philip C.Hunsucker Date Chief Civil Deputy Prosecuting Attorney Funding Source Program: CH Contract/Grant: DOH Con Con CLH31014(KPHD 2203) KPHD 2262 Page 10 of 16 N-22-028 ATTACHMENT A—SCOPE OF WORK AND BUDGET Jefferson County Public Health July I,2022—June 30,2023 As a subcontractor of KPHD under the Washington Department of Health funded Youth Cannabis& Commercial Tobacco Prevention Program (YCCTPP), Jefferson County Public Health agrees to the following activities funded in full or part by the associated budget. Actrvty Coordinate and maintain the Olympic Prevention Partnership steering committee and network. Planning& • Invite new community partners to join the Olympic Prevention Partnership Coordination of Steering Committee. Regional • Attend nine monthly steering committee meetings(Sept 2022—June 2023) Network • Each subcontractor will be responsible for planning one of the above meetings.Refer to the workplan for schedule. 2022-2023 Strategies for Youth Cannabis& Commercial Tobacco Prevention: • Social Norms: Media&Health Communications • Youth Empowerment&Engagement Implementation • Decision-maker Engagement • Policy,System,Environmental Changes Specific Jefferson County activities are described in the 2022-2023 YCCTPP workplan.Please refer to the workplan for guidance on which activities fall under each funding source. Workplans are subject to change.Any changes will be approved by both parties. Monitoring and Monitor progress for each activity as appropriate; submit monthly narrative and Reporting data reports as requested by KPHD on the 5th of every month. Midterm By February 1, 2023,report progress to CTPP Regional Coordinator. If needed, Evaluation adjust activities to ensure spend down. Conduct a mid-year workplan re-evaluation. Participate in monthly conference call with KPHD and attend webinars as Calls/Meetings scheduled;respond to correspondences related to CTPP from the Depai t►uent of Health;respond to activity assessments/surveys administered by KPHD as appropriate per scope of work. Submit monthly invoices by the 20th of the month following the month in which costs were incurred, except for the Final Expenditure Report and Request for Invoicing Reimbursement in each federal fiscal year(due July 1,2023).Invoices must include supporting documentation such as timecards for staff time and copies of invoices paid for goods and services. KPHD 2262 Page 11 of 16 N-22-028 Budget July 1,2022—June 30,2023 Cannabis Cost Description Staff Salary $23,580 15 hours per week Benefits $4,820 Indirect $8,301 Goods& Services $2,500 Materials necessary and approved for programing Mileage $1,522 Any travel to and from implementation sites TraveUTraining $1,521 Any training approved and applicable Total Jefferson $42,244 Tobacco Cost Description Staff Salary $7,860 5 hours per week Benefits $1,770 Indirect $2,815 Goods& Services $0 Materials as necessary to implement program Mileage $72 Any travel to and from implementation sites Travel/Training $0 Any training approved and applicable Total Jefferson $12,517 Funding Source Chart of Accounts Program Name or CFDA# BARS Code 7/1/22—6/30/23 Title SFY23 Dedicated Cannabis Account NA 334.04.93 I $42,244 SFY23 Youth Tobacco Vapor Products NA 334.04.93 $12,517 Total to Jefferson $54,761 Subcontractor DUNS Number: 184826790 Subcontractor Indirect Rate: 29.23%of salary Research and Development: No KPHD 2262 Page 12 of 16 N-22-028 i FORM 04 ,, STATE OF WASHINGTON Attachment B Page A-11 A 19-1A INVOICE VOUCHER (Rev.1/91) AGENCY NO. LOCATION CODE P.R.OR AUTH NO. - - AGENCY NAME INSTRUCTION TO VENDOR OR CLAIMANT:Submit this form to claim payment for materials,merchandise or StPAM, Kitsap Public Health District Show complete detail for each item. Attn:Melissa Laird 345 6th St,Suite 300 VENDOR'S CERTIFICATE,I hereby certify under penalty Bremerton,WA 98337-1866 of perjury that the items and totals listed herein are proper charges for materials,merchandise or services furnished to the State of Washington,and that all goods furnished and/or services rendered have been provided without VENDOR OR CLAIMANT(Warrant is to be payable to) discrimination on the grounds of race,creed,color, national origin,sex,or age. BY (DATE) FEDERAL I.D.NO.OR SOCIAL SECURITY NO. I RECEIVED BY DATE RECEIVED . - UNIT FOR AGENCY DATE DESCRIPTION QUANTITY UNIT PRICE AMOUNT USE . Services provided in performance of contract - — Billing period: to Total Tobacco Expenses , .. .. YMPEP Expenses ., . - TOTAL DUE: $ - PREPARED BY TELEPHONE NUMBER DATE AGENCY APPROVAL DATE DOC.DATE PMT DUE DATE CURRENT DOC.NO. REF.DOC.NO. VENDOR NUMBER VENDOR MESSAGE'USE TAX UBI NUMBER REF M MASTER INDEX SUB WKCLAS COUNT CITY I AMOUNT INVOICE NUMBER DOC TRANf 0 FUND APPN PROGRAM SUB SUB ORG BDGT ' SUB PRO. SUE CODE D INDEX INDEX OW INDEX ALLOC UNIT MOS P FUT PROJ PHM .. . . , • , . . . . . - — A _ — .. . . ,,, . , . „ .•- — - ACCOUNTING APPROVAL FOR PAYMENT DATE WARRANT TOTAL WARRANT NO. KPHD 2262 Page 13 of 16 N-22-028 ATTACHMENT C HIPAA BUSINESS ASSOCIATE AGREEMENT This Agreement("Agreement")is entered into by and between the Kitsap Public Health District ("Covered Entity") and Jefferson County Public Health ("Business Associate"). Section I: Purpose Performance of the Underlying Agreement may require Business Associate to use or disclose protected health information that is subject to provisions of the Health Insurance Portability and Accountability Act of 1996, set forth in 45 C.F.R. Parts 160 and 164 (commonly known as the "HIPAA Rules"). The purpose of this Agreement is to set forth the obligations of the Parties with regard to the way in which protected health information is created, used, disclosed, maintained, provided or received on behalf of Covered entity by the Business Associate. Section II.Defmitions The following terms used in this Agreement shall have the same meaning as those terms in the HIPAA Rules: Breach, Data Aggregation, Designated Record Set, Disclosure,Health Care Operations, Individual, Minimum Necessary,Notice of Privacy Practices, Protected Health Infoiivation, Required by Law, Secretary, Security Incident, Subcontractor, Unsecured Health Information, and Use. Specific Definitions 1. Business Associate. "Business Associate" shall generally have the same meaning as the term"business associate" at 45 CFR 160.103, and in reference to this Agreement shall mean Clallam County Health& Human Services. 2. Covered Entity. "Covered Entity" shall generally have the same meaning as the term "covered entity" in 45 CFR 160.103, and in reference to the party in this Agreement shall mean the Kitsap Public Health District. 3. HIPAA Rules. "HIPAA Rules"shall mean the Privacy, Security, Breach Notification, and Enforcement Rules at 45 CFR Part 160 and 164. Section III. Obligations and Activities of Business Associate Business Associate agrees to: 1. Not use or disclose protected health information other than as permitted or required by this Agreement or as required by law. 1 KPHD 2262 Page 14 of 16 N-22-028 2. Use appropriate safeguards, and comply with Subpart C of 45 CFR,Part 164 with respect to protected electronic health information and to prevent use or disclosure of protected health information other than as provided for by this Agreement. 3. Report to Covered Entity any use or disclosure of protected health information not provided for by this Agreement of which it becomes aware, including breaches of unsecured protected health information as required by 45 CFR 164.410,and any security incident of which it becomes aware. Business Associate agrees to promptly notify covered entity following the discovery of a Breach of unsecured PHI. A Breach is considered"discovered" as of the first day on which the Breach is known, or reasonably should have been known,to Business Associate or any employee, officer or agent of Business Associate, other than the individual committing the Breach. Any notice of a Security Incident or Breach of Unsecured PHI shall include the identification of each Individual whose PHI has been,or is reasonably believed by Business Associate to have been, accessed, acquired, or disclosed during such Security Incident or Breach as well as any other relevant information regarding the Security Incident or Breach. 4. In accordance with 45 CFR 164.502(e)(1)(ii)and 164.308(b)(2),if applicable,ensure that any subcontractors that create,receive,maintain, or transmit protected health information on behalf of the Business Associate agree to the same restrictions, conditions, and requirements that apply to the Business Associate with respect to such information. 5. Business Associate agrees to mitigate,to the extent possible, any harmful resulting from use or disclosure of PHI by Business Associate or its agents or subcontractors, in violation of the requirements of this Agreement. 6. Maintain and make available protected health information in a designated record set to the Covered Entity as necessary to satisfy Covered Entity's obligations under 45 CFR 164.524. If an Individual makes a request for access to the protected health information directly to Business Associate,business associate shall notify covered entity within three(3) business days of such request and shall cooperate with the Covered Entity to send the response to the Individual. 7. Make any amendment(s)to protected health information in a designated record set as directed or agreed to by the Covered Entity pursuant to 45 CFR 164.526, or take other measures as necessary to satisfy Covered Entity's obligations under 45 CFR 164.526. If an Individual makes a request for amendment to the protected health information directly to Business Associate, Business Associate shall notify Covered Entity within three (3)business days of such request and shall cooperate with the Covered Entity to send the response to the Individual. 2 KPHD 2262 Page 15 of 16 N-22-028 8. Maintain and make available the information required to provide to provide an accounting of disclosures to the Covered Entity as necessary to satisfy Covered Entity's obligations under 45 CFR 164.528. If an Individual makes a request for accounting of disclosures directly to Business Associate, Business Associate shall notify Covered Entity within three(3) business days of such request and shall cooperate with the Covered Entity to send the response to the Individual. 9. To the extent the Business Associate is to carry out one or more of Covered Entity's obligations(s) under Subpart E of 45 CFR Part 164, comply with the requirements of Subpart E that apply to the Covered Entity in the performance of such obligation(s); and 10. Make its internal practices,books, and records available to the Secretary for purposes of determining compliance with the HIPAA Rules. Section IV. Permitted Uses and Disclosures by Business Associate 1. Business Associate may only use or disclose protected health information as necessary to perform the services as outlined in the underlying agreement. 2. Business Associate is not authorized to use protected health information to de-identify the information in accordance with 45 CFR 164.514(a)-(c). 3. Business Associate may use or disclose protected health information as required by law. 4. Business Associate agrees to make uses and disclosures and requests for protected health information consistent with Covered Entity's minimum necessary policies and procedures. Business Associate may not use or disclose protected health information in a manner that would violate Subpart E of 45 CFR Part 164 if done by Covered Entity except for the specific used and disclosures set forth below: a) Business Associate may disclose protected health information for the proper management and administration of Business Associate or to carry out the legal responsibilities of the Business Associate, provided the disclosures are required by law, or Business Associate obtains reasonable assurances from the person to whom the information is disclosed that the information will remain confidential and used or further disclosed only as required by law or for the purposes for which it was disclosed to the person, and the person notifies Business Associate of any instances of which it is aware in which the confidentiality of the information has been breached. b) Business Associate may provide data aggregation services relating to the health care operations of the Covered Entity. 3 KPHD 2262 Page 16 of 16 N-22-028 Section V. Termination 1. Term. This Agreement shall terminate on June 30,2023 or on the date Covered Entity terminates for cause, whichever is sooner. 2. Termination for Cause. Business Associate authorizes termination of this Agreement if Covered Entity determines Business Associate has violated a material term of this Agreement and has not cured the breach or ended the violation within the time specified by Covered Entity. 3. Obligations of Business Associate Upon Termination. Upon termination of this Agreement for any reason Business Associate shall return or destroy all protected health information received from Covered Entity,or created or received by Business Associate on behalf of Covered entity. This provision shall apply to protected health information that is in the possession of subcontractors or agents of Business Associate. Business Associate shall retain no copies of the protected health information. In the event that Business Associate determines that returning or destroying the protected health information is infeasible, Business Associate shall provide to Covered Entity notification of the conditions that make return or destruction infeasible. Upon mutual agreement of the Parties that return or destruction of protected health information is infeasible, Business Associate shall extend the protections of this Agreement to such protected health information and limit further uses and disclosures of such protected health information to those purposes that make the return or destruction infeasible, for so long as Business Associate maintains such protected health information. 4. The obligations of Business Associate under this section shall survive the termination of this Agreement. Section VI. Miscellaneous 1. A reference in this agreement to a section in the HIPAA Rules means the section as in effect or amended. 2. The Parties agree to take such action as is necessary to amend this Agreement from time to time as is necessary for compliance with the HIPAA Rules and any other applicable law. 3. Any ambiguity in this Agreement shall be resolved to permit compliance with the HIPAA Rules. 4