HomeMy WebLinkAboutOlympic Angels 615 Sheridan Street
Port Townsend, WA 98368
�e eWn 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, Director
Anna
Mc�,E,nery, DD & BH Coordinator
DATE: d / am- /I—, 2Z4) �Z ` -
SUBJECT: Agenda Item — Professional Services Agreement, Olympic Angels;
January 1, 2025— December 31, 2026; $26,713.09, ($12,673.27 in 2025
and $14,039.82 in 2026).
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH) requests Board approval of a Professional Services Agreement with
Olympic Angels, to provide the Dare to Dream and Love Box programs for families and youth in the foster care
community of Jefferson County. These programs support an improved and supported foster experience, which
can provide nourished and stabilized homes, access to normal childhood experiences for youth and
connections to deep and affirming relationships; January 1, 2025 — December 31, 2026; $26,713.09,
($12,673.27 in 2025 and $14,039.82 in 2026).
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
This two-year agreement between JCPH and Olympic Angels is for; Love Box Teams, Dare to Dream Mentors
and the Jefferson County Case Manager to provide wrap-around support for foster families through positive
long-term relationships and intentional giving; provide positive long-term relationships that can increase
normalcy, placement stability and relational permanence for foster children and their caregivers; provide
mentorship to foster youth to address developmental milestones necessary for life after foster care; support
youth in foster care to gain independent living skills to reach adult preparedness; assure that Dare to Dream
and Love Box programs are available throughout Jefferson County.
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
AD-24-047
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This is sales and use tax revenue raised by the County and deposited in the 1/10 of 1% Fund; is allocated by
the to the Board of County Commissioners, with advice from the Behavioral Health Advisory Committee. The
agreement states that funding is subject to availability and if the sales tax revenue decreases, the vendor will
be contacted and the contract may be renegotiated.
This Professional Services Agreement results from an RFP process and is recommended to the Board of County
Commissioners, (BoCC) by the Behavioral Health Advisory Committee.
RECOMMENDATION:
JCPH management requests Board approval of a Professional Services Agreement with Olympic Angels, to
provide the Dare to Dream and Love Box programs for families and youth in the foster care community of
Jefferson County; January 1, 2025 — December 31, 2026; $26,713.09, ($12,673.27 in 2025 and $14,039.82 in
2026).
REVIEWED BY:
Mark McCauley, ounty Administrator Date
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
CONTRACT REVIEW FORM Clear Form:]
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITI l: Olympic Angels Contract No: AD-24-047
Contract For: Programs for youth/families in Foster Care Term: January 1,2025 to December 31,2026
COUNTY DEPARTMI,'NT: Public Health
Contact Person: _Anna Mc Enery
Contact Phone: 360-385-9410
Contact email' amcenery@co.jeffersonma.us
AMOUNT: $26,713.09-($12,673.27 in 2025 and$14,039.82ln 2026) PROCESS: Exempt from Bid Process
Revenue: Cooperative Purchase
Expenditure: Competitive Sealed Bid
Matching funds Required: Small Worlcs Roster
Sources(s) of Matching Funds Vendor List laid
Fund # #131 RFP or RFQ
Munis Ora/Obj 13156400 Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMP E W .. 5.t)fit)AND CHAPTER 42.23 RCW.
CERTIFIED: F N/A:®
Signature Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT 13 N DEBAJWED 3Y ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: R N/A.: ® Sept. 27, 2024
Signature Date
STEP 3: RISK MANAGEMENT REVIEW(will he added electronically through Laserfiche):
Electronically approved by Risk Management on 9/27/2024.
STEP 4: PROSECUTING ATTORNEY REVIEW(will he added electronically through Laserfiche):
Electronically approved as to form by PAO on 9/30/2024.
Standard County PSA language.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(]F REQUIRED).
STEP G: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
l
PROFESSIONAL SERVICES AGREEMENT
Between
Jefferson County
And
Olympic Angels
THIS PROFESSIONAL SERVICES AGREEMENT("this Agreement") is entered into
between the County of Jefferson, a municipal corporation("the County"), and Olympic Angels
(DBA Olympic Angels) ("the Contractor"), in consideration of the mutual benefits,terms, and
conditions specified below.
1. Project Designation.tion. The Contractor is retained by the County to perform the following
Projects: to provide the Dare to Dream and Love Box programs for families and youth
in the foster care community of Jefferson County. These programs support an improved
and supported foster experience, can provide nourished and stabilized homes, access to
normal childhood experiences for youth and connections to deep and affirming
relationships.
2. Scope of Services. Contractor agrees to perform the services identified on Exhibit"A"
attached hereto including the provision of all labor.
3. Time for Performance. This Agreement shall commence on January 1, 2025 and
continue through December 31, 2026. Work performed consistent with this Agreement
during its term,put prior to the adoption of this Agreement, is hereby ratified. The
Contractor shall perform all services pursuant to this Agreement as outlined in Exhibit
"A". Time is of the essence in the performance of this Agreement.
4. Payment. The Contractor shall be paid by the County for completed work and for
services rendered under this Agreement as follows:
a. Payment for the work provided by Contractor shall be made on an hourly basis at
the rate as defined in Exhibit`B", attached hereto, provided that the total amount
of payment to the Contractor shall not exceed $26,713.09; ($12,673.27 in 2025
and$14,039.82 in 2026); without express written modification of the Agreement
signed by the County. The Contractor shall adhere to the budget amounts
pursuant to this Agreement as outlined in Exhibit"B".
b. Invoices must be submitted by the 10th of the month for the previous month's
expenses. Such invoices will be checked by the County, and upon approval
thereof,payment will be made to the Contractor in the amount approved. Failure
to submit timely invoices and reports pursuant to Exhibit"A"of the Agreement
may result in a denial of reimbursement. Invoices not submitted within 60 days
may be denied.
c. Final payment of any balance due the Contractor, of the total contract price
earned, will be made promptly upon its ascertainment and verification by the
County after the completion of the work and submittal of reports under this
Agreement and its acceptance by the County.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 1 of 19
nn-24-047
d. Contractor shall provide invoices and necessary backup documentation for all
services including timesheets and statements(specifying the services provided).
Any indirect charges require the submittal of an indirect cost methodology and
rate using 2 C.F.R. Part 255 and 2 C.F.R. Part 230.
e. The Contractor's records and accounts pertaining to this Agreement are to be
kept available for inspection by representatives of the County and state for a
period of six(6)years after final payments. Copies shall be made available upon
request.
f. The County reserves first right to use as match,the Chemical Dependency or
Mental Health Treatment Sales and Use Tax, (now known as the 1/10t'of 1%
Behavioral Health Sales Tax)and the services funded by them for purposes of
qualifying for additional funding and grants. The County may allow the
Contractor to use the 1/10'h of 1%Behavioral Health Sales Tax funds as match,
at the County's sole discretion. Should the County decline to use the 1/10'of
1%Behavioral Health Sales Tax funds as match for additional funding and/or
grants,then the County may authorize the Contractor to use such funds for match
(see ATTACHMENT A).
g. Where Contractor proposes to use 1/10'h of 1%Behavioral Health Sales Tax
funds for match, Contractor shall be solely responsible for compliance with all
state and federal laws and regulations, including,but not limited to DSHS, CMS
and MCSR funding rules,applicable to the use of 1/101h of 1%Behavioral Health
Sales Tax funds as match. Contractor shall document they have met this
responsibility by submitting to the County Administrator, in writing,their match
formula, allocation plan and any other documentation required of them pursuant
to ATTACHMENT A, attached hereto and incorporated in this Agreement.
h. The County may withhold authorization to utilize the 1/10t'of 1%Behavioral
Health Sales Tax funds as match. Contractor's failure to provide adequate
documentation does not relieve the Contractor of their responsibility to comply
with all state and federal laws and regulations related to match.
i. The County reserves first right to use as match the 1/10'of 1%Behavioral
Health Sales Tax fund to the County Administrator, in writing,their match
formula,allocation plan and any other documentation required of them pursuant
to ATTACHMENT A, attached hereto and incorporated in this Agreement.
5. Ownership and Use of Documents. All non-confidential or de-identified documents,
drawings, specifications, and other materials produced by the Contractor in connection
with the services rendered under this Agreement shall be the property of the County
whether the project for which they are made is executed or not. The Contractor shall be
permitted to retain copies, including reproducible copies, of drawings and specifications
for information,reference and use in connection with Contractor's endeavors.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 2 of 19
Contractor shall not be held liable for reuse of documents or modifications thereof,
including electronic data, by County or its representatives for any purpose other than the
intent of this Agreement.
6. Compliance with laws. Contractor shall, in performing the services contemplated by
this Agreement, faithfully observe and comply with all federal, state, and local laws,
ordinances and regulations, applicable to the services to be rendered under this
Agreement.
7. Audit. An audit will be submitted to the County upon request. Upon request,
Contractor will submit the most recent financial audit within 30 days.
a. Upon request the County shall have the option of performing an onsite review of
all records, statements, and documentation.
b. If the County finds indications of potential non-compliance during the
monitoring process,the County shall notify Contractor within ten(10) days.
County and Contractor shall meet to discuss areas of contention in an attempt to
resolve issues.
c. Audit will provide statements consistent with the guidelines of Reporting for
Other Non-Profit Organizations AICPA SOP 78-10, and is performed in
accordance with generally accepted auditing standards and with Federal
Standards for Audit of Governmental Organizations, Programs,Activities and
Functions, and meeting all requirements of 2 C.F.R. Part 200, as applicable.
8. Indemnification. The Contractor shall defend, indemnify and hold the County, its
officers, officials, employees, agents and volunteers(and their marital communities)
harmless from any claims, injuries, damages, losses or suits, including attorney's fees,
arising out of or resulting from the acts, errors or omissions of the Contractor in
performance of this Agreement, except for injuries and damages caused by the sole
negligence of the County. Should a court of competent jurisdiction determine this
Agreement is subject to RCW 4.24.115 if liability for damages occurs arising out of
bodily injury to persons or damages to property caused by or resulting from the
concurrent negligence of the Contractor and the County, its officers, officials,
employees, agents and volunteers (and their marital communities)the Contractor's
liability, including the duty and cost to defend, shall be only for the Contractor's
negligence. It is further specifically understood that the indemnification provided
constitutes the Contractor's waiver of immunity under Industrial Insurance, Title 51
RCW, solely for the purposes of this indemnification. This waiver has been mutually
negotiated by the parties. This section shall survive the expiration or termination of this
Agreement.
9. Insurance. Prior to commencing work,the Contractor shall obtain at its own cost and
expense the following insurance coverage specified below and shall keep such coverage
in force during the terms of the Agreement.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 3 of 19
a. Commercial Automobile Liability Insurance providing bodily injury and
property damage liability coverage for all owned and non-owned vehicles
assigned to or used in the performance of the work for a combined single limit of
not less than$500,000 each occurrence with the County named as an additional
insured in connection with the Contractor's performance of this Agreement.
This insurance shall indicate on the certificate of insurance the following
coverage: (a)Owned automobiles; (b)Hired automobiles; and, (3)Non-owned
automobiles.
b. Commercial General Liability Insurance in an amount not less than a single limit
of one million dollars ($1,000,000)per occurrence and an aggregate of not less
than two (2)times the occurrence amount($2,000,000.00 minimum) for bodily
injury, including death and property damage,unless a greater amount is specified
in the contract specifications. The insurance coverage shall contain no limitations
on the scope of the protection provided and include the following minimum
coverage:
i. Broad Form Property Damage, with no employee exclusion;
ii. Personal Injury Liability, including extended bodily injury;
iii. Broad Form Contractual/Commercial Liability—including coverage for
products and completed operations;
iv. Premises—Operations Liability (M&C);
v. Independent Contractors and subcontractors;
vi. Blanket Contractual Liability.
c. Professional Liability Insurance. The Contractor shall maintain professional
liability insurance against legal liability arising out of activity related to the
performance of this Agreement,on a form acceptable to Jefferson County Risk
Management in the amounts of not less than$1,000,000 Each Claim and
$2,000,000 Aggregate. The professional liability insurance policy should be on
an"occurrence"form. If the professional liability policy is"claims made,"then
an extended reporting periods coverage (tail coverage) shall be purchased for
three(3)years after the end of this Agreement, at the Contractor's sole expense.
The Contractor agrees the Contractor's insurance obligation to provide
professional liability insurance shall survive the completion or termination of
this Agreement for a minimum period of three (3)years.
d. The County shall be named as an"additional named insured"under all insurance
policies required by this Agreement, except Professional Liability Insurance
when not allowed by the insurer.
e. Such insurance coverage shall be evidenced by one of the following methods: (a)
Certificate of Insurance; or, (b) Self-insurance through an irrevocable Letter of
Credit from a qualified financial institution.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 4 of 19
f. The Contractor shall furnish the County with properly executed certificates of
insurance that, at a minimum, shall include: (a)The limits of overage; (b)The
project name to which it applies; (c) The certificate holder as Jefferson County,
Washington and its elected officials, officers, and employees with the address of
Jefferson County Public Health 615 Sheridan Street, Port Townsend, WA 98368,
and, (d)A statement that the insurance policy shall not be canceled or allowed to
expire except on thirty(30)days prior written notice to the County.
If the proof of insurance or certificate indicating the County is an"additional
insured"to a policy obtained by the Contractor refers to an endorsement(by
number or name)but does not provide the full text of that endorsement,then it
shall be the obligation of the Contractor to obtain the full text of that
endorsement and forward that full text to the County. Certificates of coverage as
required by this section shall be delivered to the County within fifteen(15) days
of execution of this Agreement.
g. Failure of the Contractor to take out or maintain any required insurance shall not
relieve the Contractor from any liability under the Agreement, nor shall the
insurance requirements be construed to conflict with or otherwise limit the
obligations concerning indemnification of the County.
h. The Contractor's insurers shall have no right of recovery or subrogation against
the County (including its employees and other agents and agencies), it being the
intention of the parties that the insurance policies, with the exception of
Professional Liability Insurance, so affected shall protect both parties and be
primary coverage for all losses covered by the above described insurance.
i. Insurance companies issuing the policy or policies shall have no recourse against
the County (including its employees and other agents and agencies) for payment
of any premiums or for assessments under any form of policy.
j. All deductibles in the above described insurance policies shall be assumed by
and be at the sole risk of the Contractor.
k. Any deductibles or self-insured retention shall be declared to and approved by
the County prior to the approval of this Agreement by the County. At the option
of the County,the insurer shall reduce or eliminate deductibles or self-insured
retention, or the Contractor shall procure a bond guaranteeing payment of losses
and related investigations, claim administration and defense expenses.
1. Insurance companies issuing the Contractor's insurance policy or policies shall
have no recourse against the County (including its employees and other agents
and agencies) for payment of any premiums or for assessments under any form
of insurance policy.
m. Any judgments for which the County may be liable, in excess of insured
amounts required by this Agreement, or any portion thereof,may be withheld
from payment due, or to become due,to the Contractor until the Contractor shall
furnish additional security covering such judgment as may be determined by the
County.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 5 of 19
n. Any coverage for third party liability claims provided to the County by a"Risk
Pool"created pursuant to Ch. 48.62 RCW shall be non-contributory with respect
to any policy of insurance the Contractor must provide in order to comply with
this Agreement.
o. The County may, upon the Contractor's failure to comply with all provisions of
this Agreement relating to insurance,withhold payment or compensation that
would otherwise be due to the Contractor.
p. The Contractor's liability insurance provisions shall be primary and
noncontributory with respect to any insurance or self-insurance programs
covering the County, its elected and appointed officers,officials,employees, and
agents.
q. Any failure to comply with reporting provisions of the insurance policies shall
not affect coverage provided to the County, its officers,officials,employees, or
agents.
r. The Contractor's insurance shall apply separately to each insured against whom
claim is made or suit is brought, except with respect to the limits of the insurer's
liability.
s. The Contractor shall include all subcontractors as insured under its insurance
policies or shall furnish separate certificates and endorsements for each
subcontractor. All insurance provisions for subcontractors shall be subject to all
the requirements stated herein.
t. The insurance limits mandated for any insurance coverage required by this
Agreement are not intended to be an indication of exposure nor are they
limitations on indemnification.
u. The Contractor shall maintain all required insurance policies in force from the
time services commence until services are completed. Certificates, insurance
policies, and endorsements expiring before completion of services shall be
promptly replaced. All the insurance policies required by this Agreement shall
provide that thirty (30)days prior to cancellation, suspension, reduction or
material change in the policy,notice of same shall be given to the Jefferson
County Public Health Contracts Manager by registered mail, return receipt
requested.
v. The Contractor shall place insurance with insurers licensed to do business in the
State of Washington and having A.M. Best Company ratings of no less than A-,
with the exception that excess and umbrella coverage used to meet the
requirements for limits of liability or gaps in coverage need not be placed with
insurers or re-insurers licensed in the State of Washington.
w. The County reserves the right to request additional insurance on an individual
basis for extra hazardous contracts and specific service agreements.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Pate 6 of 19
10. Worker's Compensation Industrial Insurance).
a. If and only if the Contractor employs any person(s) in the status of employee or
employees separate from or in addition to any equity owners, sole proprietor,
partners, owners or shareholders of the Contractor,the Contractor shall maintain
workers' compensation insurance at its own expense, as required by Title 51
RCW, for the term of this Agreement and shall provide evidence of coverage to
Jefferson County Public Health, upon request.
b. Worker's compensation insurance covering all employees with limits meeting all
applicable state and federal laws. This coverage shall include Employer's
Liability with limits meeting all applicable state and federal laws.
c. This coverage shall extend to any subcontractor that does not have their own
worker's compensation and employer's liability insurance.
d. The Contractor expressly waives by mutual negotiation all immunity and
limitations on liability,with respect to the County,under any industrial insurance
act, disability benefit act, or other employee benefit act of any jurisdiction which
would otherwise be applicable in the case of such claim.
e. If the County incurs any costs to enforce the provisions of this subsection,all
cost and fees shall be recoverable from the Contractor.
11. Independent Contractor. The Contractor and the County agree that the Contractor is an
independent contractor with respect to the services provided pursuant to this Agreement.
The Contractor specifically has the right to direct and control Contractor's own
activities, and the activities of its subcontractors, employees, agents, and representatives,
in providing the agreed services in accordance with the specifications set out in this
Agreement. Nothing in this Agreement shall be considered to create the relationship of
employer and employee between the parties. Neither Contractor nor any employee of
Contractor shall be entitled to any benefits accorded County employees by virtue of the
services provided under this Agreement, including, but not limited to: retirement,
vacation pay; holiday pay; sick leave pay; medical, dental, or other insurance benefits;
fringe benefits; or any other rights or privileges afforded to Jefferson County employees.
The County shall not be responsible for withholding or otherwise deducting federal
income tax or social security or for contributing to the state industrial insurance
program, otherwise assuming the duties of an employer with respect to Contractor, or
any employee of Contractor.
12. Subcontracting Requirements.
a. The Contractor is responsible for meeting all terms and conditions of this
Agreement including standards of service, quality of materials and workmanship,
costs, and schedules. Failure of a subcontractor to perform is no defense to a
breach of this Agreement. The Contractor assumes responsibility for and all
liability for the actions and quality of services performed by any subcontractor.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 7 of 19
b. Every subcontractor must agree in writing to follow every term of this
Agreement. The Contractor must provide every subcontractor's written
agreement to follow every term of this Agreement before the subcontractor can
perform any services under this Agreement. The Public Health Director or their
designee must approve any proposed subcontractors in writing.
c. Any dispute arising between the Contractor and any subcontractors or between
subcontractors must be resolved without involvement of any kind on the part of
the County and without detrimental impact on the Contractor's performance
required by this Agreement.
13. Covenant Against Contingent Fees. The Contractor warrants that he has not employed
or retained any company or person, other than a bona fide employee working solely for
the Contractor, to solicit or secure this Agreement, and that he has not paid or agreed to
pay any company or person, other than a bona fide employee working solely for the
Contractor, any fee, commission,percentage,brokerage fee, gifts, or any other
consideration contingent upon or resulting from the award or making of this Agreement.
For breach or violation of this warranty,the County shall have the right to annul this
Agreement without liability or, in its discretion to deduct from the contract price or
consideration, or otherwise recover,the full amount of such fee, commission,
percentage,brokerage fee, gift, or contingent fee.
14. Discrimination Prohibited. The Contractor, with regard to the work performed by it
under this Agreement, will not discriminate on the grounds of race, color,national
origin,religion, creed, age, gender, sexual orientation,material status, sex, or the
presence of any physical or sensory handicap in the selection and retention of employees
or procurement of materials or supplies.
15.No Assignment. The Contractor shall not sublet or assign any of the services covered
by this Agreement without the express written consent of the County. Assignment does
not include printing or other customary reimbursable expenses that may be provided in
an agreement.
16.Non-Waiver. Waiver by the County of any provision of this Agreement or any time
limitation provided for in this Agreement shall not constitute a waiver of any other
provision.
17. Termination.
a. The County reserves the right to terminate this Agreement at any time by giving
ten(10)days written notice to the Contractor.
b. In the event of the death of a member,partner, or officer of the Contractor, or
any of its supervisory personnel assigned to the project,the surviving members
of the Contractor hereby agree to complete the work under the terms of this
Agreement, if requested to do so by the County. This section shall not be a bar
to renegotiations of this Agreement between surviving members of the
Contractor and the County, if the County so chooses.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 8 of 19
c. The County reserves the right to terminate this contract in whole or in part,with
10 days' notice, in the event that expected or actual funding from any funding
source is withdrawn, reduced, or limited in any way after the effective date of
this agreement. In the event of termination under this clause,the County shall be
liable for only payment for services rendered prior to the effective date of
termination.
18.Notices. All notices or other communications which any party desires or is required to
give shall be given in writing and shall be deemed to have been given if hand-delivered,
sent by facsimile, email, or mailed by depositing in the United States mail,prepaid to
the party at the address listed below or such other address as a party may designate in
writing from time to time.
Notices to the County shall be sent to the following address:
Jefferson County Public Health Department
Attn: BH County Coordinator
615 Sheridan Street
Port Townsend, WA 98368
Notices to Contractor shall be sent to the following address:
Olympic Angels
ATT: Rachel Perkins—Board Adviser
PO Box 654
Port Townsend, WA 98368
19. Integrated Agreement. This Agreement together with attachments or addenda represents
the entire and integrated Agreement between the County and the Contractor and
supersedes all prior negotiations, representations, or agreements written or oral. No
representation or promise not expressly contained in this Agreement has been made.
This Agreement supersedes all prior or simultaneous representations, discussions,
negotiations, and agreements,whether written or oral, by the County within the scope of
this Agreement. The Contractor ratifies and adopts all statements,representations,
warranties, covenants, and agreements contained in its proposal, and the supporting
material submitted by the Contractor, accepts this Agreement and agrees to all of the
terms and conditions of this Agreement.
20. Modification of this Agreement. This Agreement may be amended only by written
instrument signed by both County and Contractor.
21. Disputes. The Parties agree to use their best efforts to prevent and resolve disputes
before they escalate into claims or legal actions. Any disputed issue not resolved
pursuant to the terms of this Agreement shall be submitted in writing within 10 days to
the County Risk Manager,whose decision in the matter shall be final, but shall be
subject to judicial review. If either party deem it necessary to institute legal action or
proceeding to enforce any right or obligation under this Agreement, each party in such
action shall bear the cost of its own attorney's fees and court costs. Any legal action
shall be initiated in the Superior Court of the State of Washington for Jefferson County.
The parties agree that all questions shall be resolved by application of Washington law
and that the parties have the right of appeal from such decisions of the Superior Court in
accordance with the laws of the State of Washington.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 9 of 19
The Contractor hereby consents to the personal jurisdiction of the Superior Court of the
State of Washington for Jefferson County.
22. Section Headings. The headings of the sections of this Agreement are for convenience
of reference only and are not intended to restrict, affect, or be of any weight in the
interpretation or construction of the provisions of the sections or this Agreement.
23. Limits of Any Waiver of Default. No consent by either party to, or waiver of,a breach
by either party, whether express or implied, shall constitute a consent to,waiver of, or
excuse of any other, different, or subsequent breach by either party.
24.No Oral Waiver. No term or provision of this Agreement will be considered waived by
either party, and no breach excused by either party,unless such waiver or consent is in
writing signed on behalf of the party against whom the waiver is asserted. Failure of a
party to declare any breach or default immediately upon the occurrence thereof, or delay
in taking any action in connection with, shall not waive such breach or default.
25. Severability. Provided it does not result in a material change in the terms of this
Agreement, if any provision of this Agreement or the application of this Agreement to
any person or circumstance shall be invalid, illegal, or unenforceable to any extent,the
remainder of this Agreement and the application this Agreement shall not be affected
and shall be enforceable to the fullest extent permitted by law.
26. Binding on Successors, Heirs and Assigns. This Agreement shall be binding upon and
inure to the benefit of the parties' successors in interest, heirs, and assigns.
27.No Assignment. The Contractor shall not sell, assign, or transfer any of rights obtained
by this Agreement without the express written consent of the County.
28.No Third-party Beneficiaries. The parties do not intend, and nothing in this Agreement
shall be construed to mean,that any provision in this Agreement is for the benefit of any
person or entity who is not a party.
29. Signature in Counterparts. The parties agree that separate copies of this Agreement may
be signed by each of the parties and this Agreement shall have the same force and effect
as if all the parties had signed the original.
30. Facsimile and Electronic Signatures. The parties agree that facsimile and electronic
signatures shall have the same force and effect as original signatures.
31. Arms-LengLh Negotiations. The parties agree that this Agreement has been negotiated
at arms-length,with the assistance and advice of competent, independent legal counsel.
32. Public Records Act. Notwithstanding the provisions of this Agreement to the contrary,
to the extent any record, including any electronic, audio, paper or other media, is
required to be kept or indexed as a public record in accordance with the Washington
Public Records Act, Chapter 42.56 RCW, as may hereafter be amended,the Contractor
agrees to maintain all records constituting public records and to produce or assist the
County in producing such records,within the time frames and parameters set forth in
state law. The Contractor further agrees that upon receipt of any written public record
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 10 of 19
request, Contractor shall, within two business days, notify the County by providing a
copy of the request per the notice provisions of this Agreement.
33. Confidentiality. With respect to all information relating to County that is confidential
and clearly so designated, as required by the Health Insurance Portability and
Accountability Act(HIPAA) and any other applicable privacy laws,the Contractor
agrees to keep such information confidential. The Contractor shall not disclose,
transfer, or sell any such information to any party, except as provided by law or, in the
case of personal information, with the prior written consent of the person to whom the
personal information pertains. The Contractor shall maintain the confidentiality of all
personal information and other information gained by reason of this Agreement,and
shall return or certify the destruction of such information if requested in writing by
Jefferson County. This Agreement, once executed,will be a"public record" subject to
production to a third party if same is requested pursuant to• the Washington Public
Records Act, Chapter 42.56 RCW,as may hereafter be amended.
34. Criminal History/Background Check. Each of the Contractor's employees, the
employees of any of the Contractor's approved subcontractors, or volunteers used by the
Contractor shall submit to a Washington State Patrol fingerprint identity and criminal
history check before they are authorized to perform services for the Project. The County
agrees to bear all reasonable costs incurred in the performance of this fingerprint identity
and criminal history check. Contractors who may or will have regular access or limited
access to any juveniles shall also:
a. Require that each of the Contractor's employees,the employees of any of the
Contractor's approved subcontractor, or volunteers used by the Contractor
undergo not less often than once every three(3)years another Jefferson County
approved criminal history and background check;
b. Ensure all employees, subcontractors, or volunteers are knowledgeable about the
requirements of RCW 13.40.570 and of the new crimes included in RCW 9A.44,
Sexual Offense;
c. Sign the Contractor Requirements for Responding to Situation of Sexual
Misconduct Form, and shall submit to Jefferson County with signed Agreement.
(SIGNATURES FOLLOW ON THE NEXT PAGE)
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 11 of 19
SIGNATURE PAGE
JEFFERSON COUNTY WASHINGTON OLYMPIC ANGELS
Board of County Commissioners
Jefferson County, Washington
By: By:
Kate Dean, Chair Date Signat e
By: Name:A&2!! 4fi v
Greg Brotherton, Commissioner Date
Title: 6XECtIM57- O/ellft4Vkf,
By: Date: 00 OCT-
Heidi Eisenhour, Commissioner Date
SEAL:
ATTEST:
Carolyn Gallaway, Date
Clerk of the Board
Approved as to form only:
for 09/30/2024
Philip C. Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 12 of 19
EXHIBIT A
Scope of Work
Olympic Angels
RESPONSIBILITIES:
The County, as administrator of the 1.10'h of 1% Sales and Use Tax Funds, and Olympic Angels
agree that Olympic Angels will provide services to individuals as described in this Contract,
including EXHIBIT A: Scope of Work; EXHIBIT B: Fee Schedule; and EXHIBIT C:
Logic Model and Performance Measures; and further agrees to comply with the stipulations
contained in ATTACHMENT A attached hereto and incorporated herein.
Olympic Angels, as a contracted provider, agrees to:
1. To provide the Dare to Dream and Love Box programs for families and youth in the
foster care community of Jefferson County. These programs support an improved and
supported foster experience, can provide nourished and stabilized homes, access to
normal childhood experiences for youth and connections to deep and affirming
relationships.
2. Olympic Angels will continue to develop a comprehensive plan that identifies critical
partners and outreach marketing that supports and maximizes their case management
capacity for Jefferson County. This plan will then be implemented by a new Case
Manager and the Olympic Angels Board members, mentors and volunteers.
3. The Case Manager will recruit,match,train and supervise 11 Love Box Teams from
Jefferson County during 2025 and 2026.
4. Love Box volunteers will serve foster youth and their families for at least one year or
until case dismissal, e.g.,return home, adoption, guardianship, etc.
5. The Case Manager will recruit, match,train and supervise 7 Dare to Dream mentors
from Jefferson County during 2025 and 2026.
6. Dare to Dream Mentors will serve foster youth and their families for at least one year or
until or until case dismissal, e.g.,return home, adoption, guardianship,etc.
7. Love Box Teams, Dare to Dream Mentors and the Case Manager for Jefferson County
will be utilized to provide the following services to foster families.
i. Provide wrap-around support for foster families through positive long-term
relationships and intentional giving.
ii. Through positive long-term relationships; increase normalcy,placement stability
and relational permanence for foster children and their caregivers.
iii. Provide mentorship to foster youth to address developmental milestones
necessary for life after foster care.
iv. Support youth in foster care gain independent living skills to reach adult
preparedness.
V. Assure that Dare to Dream and Love Box programs are available throughout
Jefferson County.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 13 of 19
8. Maintain a secure records system guaranteeing the confidentiality of PHI pursuant to
HIPAA.
9. Bill other revenues whenever they exist.
10. Quarterly data template on client utilization, referrals, outcomes, and required reporting,
in standard form as specified by Jefferson County Health.
11. Collection and preparation of data for internal and external evaluation purposes,
providing a monthly invoice to JCPH and a quarterly data report. Use forms supplied by
JCPH for data.
12. Preparation of progress reports if needed.
13. Clerical, billing, and general office support, to include administration.
14. Agency oversight regarding record keeping, data collection, legal and ethical issues and
standards of care are updated and meet State of Washington standards.
15. Data will be providing including the list below, but not limited to:
• Client survey indicating their view of how the program helped in their foster
child's wellbeing.
• Client survey indicating their view of how the program helped in their own
wellbeing.
16. A quarterly report of services will be recorded on a form created or approved by the
Public Health contracted Epidemiologist.
17. Olympic Angels will ensure that quarterly electronic reports are sent to Lolinthea
Hinkley at LHinkley(c�co.jefferson.wa.us
a. Quarterly reports will be reviewed by Public Health for accuracy. Any questions
will be referred back to Olympic Angels.
18. Upon request, additional reports of activities and services provided, to the JCPH
Contract Representative.
19. Attend and report to the Behavioral Health Advisory Committee once during the
duration of this contract period, at a regularly scheduled meeting, to share progress and
evaluation reports.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 14 of 19
EXHIBIT B
Fee Schedule/Budget Sheet
Olympic Angels
January 1, 2025—December 31,2025
OtherRequested
Sourcefrom
Personnel Costs SALES TAX
Employee/FTE & Salary& Other
Costs
Salary (1 FTE) 9,639.09 48,547.91 58,187.00
Benefits &Taxes 2,484.18 13,196.82 15,681.00
Jefferson County Case Manager
SUBTOTAL 12,123.27 61,744.73 73,868.00
OPERATING COSTS
Supplies/Materials- Please
Describe
1-HIPAA-compliant case 300.00 560.00 860.00
management software 1-user fee
2-required background checks and 250.00 250.00 500.00
fingerprinting
Travel
1-Jefferson County Case Manager 350.00 350.00
travel to meetings & conferences
Admin-(no more than 10% & please
describe what charges are to be
included)
1-Jefferson County Case Manager 600.00 600.00
cell phone necessary for safety and
security during field work
OTHER COSTS
(If Other— Please Describe)
1-Program Specific Expenses: 325.00 325.00
Volunteer training supplies
12,673.27 63,829.73 76,503.00
Not to exceed $26,713.09; ($12,673.27 in 2025 and $14,039.82 in 2026); in completion of
services for the duration of this contract without express written amendment signed by
both parties.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 15 of 19
EXHIBIT B
Fee Schedule/Budget Sheet
Olympic Angels
January 1, 2026—December 31,2026
OtherRequested
Budgetfrom
Personnel Costs SALES TAX Source
Employee/FTE & Salary & Other
Costs
Salary (1 FTE) 10,621AS 48,963.55 59,585.00
Benefits &Taxes 2,718.37 13,088.63 15,807.00
Jefferson County Case Manager
SUBTOTAL 13,339.82 62,052.18 75,392.00
OPERATING COSTS
Supplies/Materials - Please
Describe
1-HIPAA-compliant case
400.00 460.00 860.00
management software 1-user fee
2-required background checks and 300.00 200.00 500.00
fingerprinting
Travel
1-Jefferson County Case Manager
350.00 350.00
travel to meetings & conferences
Admin-(no more than 10% & please
describe what charges are to be
included)
1-Jefferson Co Case Manager cell
phone necessary for safety and 600.00 600.00
security during field work
OTHER COSTS
(If Other—Please Describe)
1-Program Specific Expenses:
325.00 325.00
Volunteer training supplies
TOTALCOST
14,039.82 63,987.18 78,027.00
Not to exceed $26,713.09; ($12,673.27 in 2025 and $14,039.82 in 2026); in completion of
services for the duration of this contract without express written amendment signed by
both parties.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 16 of 19
EXHIBIT C
Logic Model
Olympic Angels 2-Stage Logic Model for Love Box Program
Goals—Increase normalcy, placement stability, relational permanence & resilience
Inputs Process/Activities Outputs Outcomes
:�Ionte,ers
::e
h youth Number of Dare to Dream Volunteers have positive
support mentors matches experience with Olympic
Case Managers who are Communicate with mentors at Angels&with youth menteeonboarded and trained al sessions toeast once per month volunteers have the intent tooster care,childc. Conduct quarterly training continue with Olympic Angels
sessions after their commitment
•Build Relationships by meeting Number of activities with the Youth feels supported
Dare to DrDon
with the mentee at least 2 times a mentee Youth experiences less stress
rted
who mentyouths month Number of topics discussed YouthsCareg makers e progr mtoYouths make progress towards at
to-one bas •Identify and help work towards between mentor and youth least one of the identified
Milestones tailored to each youth. Number of milestones identified milestone goals
Olympic Angels 2-Stage Logic Model for Dare to Dream Program
Goals—Increase normalcy, relational permanence and independent living skills
Inputs Process/Activities Outputs Outcomes
•Match Love BDwithoster ' Volunteers have positivefamilyNumber of Love Box matches experience with OlympicCase Managers who are •Connect with ove Box Communicate with Love Box Angels&with assigned familiesonboarded and trained volunteersleaders at least once per monthprovide educas to Conduct quarterly training Volunteers have the intent tovolunteers ab ,child eontinw with Olympic Angelswelfare.traumsessions after their commitment
•Build Relationships by
•Child and caregivers have
serving a[leas[one year with Number of activities with the positive,stable relationships
matched family and develop a children Caregivers feel supported
supporting relatwnship through
Evolunteers
BoxiSting Number of activities with the family •Caregivers have reduced parenting
monthly activities such as childcare. Intentional giving as needed stress
ludinga eren[s.babysicting,tutoring,ecc. g g
•Engage in Intentional Giving by family Child has Improved relationships
delivering cleaning supplies. Other support services as with peers&volunteers
groceries.childcare,social needed •Family's resource needs are
9 met
activities,etc.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 17 of 19
ATTACHMENT A
JEFFERSON COUNTY 1/10th of 1% BEHAVIORAL HEALTH SALES TAX FUNDING
MATCH POLICY
Definitions:
Match: is a requirement for the grantee to provide contributions of a specified amount or
percentage to match funds provided by another grantor. Matching can be in the form of
cash or in-kind contributions.
Regulations: The specific requirements for matching funds are unique to each federal or
state program. The A-102 Common Rule provides criteria for acceptable costs and
contributions in regard to match.
Jefferson County Policy:
In 2005, the Washington State Legislature created an option for counties to raise the local sales
tax by 0.1 percent, (the 1/I Oth of 1% sales tax initiative)to augment state funding for behavioral
health treatment. Jefferson County collects and distributes the 1/101h of 1% Behavioral Health
Sales Tax fund. Services purchased by the County are allocated through a formal Request for
Proposal (RFP) process, review and contracting; staffed by Jefferson County Public Health,
overseen by Jefferson County Behavioral Health Advisory Committee and adopted by the
Board of County Commissioners, (BOCC). BOCC does not assume any fiscal
responsibility/liability for any of the Contractors they contract for services with.
Jefferson County reserves the first right to use as match the I/10`h of 1%Behavioral Health
Sales Tax funds and the services funded by them for purposes of qualifying for additional
funding and grants. County may make available to the Contractor the 1/IO h of 1% Behavioral
Health Sales Tax funds for the Contractor to propose as match to state, federal or other entities,
at the County's sole discretion. Contractor shall not use the 1/101h of 1% Behavioral Health
Sales Tax funds for match without prior authorization by the Jefferson County Administrator
and County fiscal team. To request authorization of availability of the funds for match,
Contractor must apply to the County Administrator in writing, and include their match formula
and allocation plan and may include other documentation to support their request. The County
Administrator will authorize or deny the availability of match funds in writing within 30 days of
the application.
If the County informs the Contractor of the availability of the 1/100, of 1% Behavioral Health
Sales Tax funds for match,then the Contractor shall be solely responsible for compliance with
all state and federal laws and regulations, including, but not limited to DSHS, CMS and BIRR
funding rules, applicable to the use of 1/l Oth of 1% Behavioral Health Sales Tax funds as match.
Following state, federal and local guidelines for match is the responsibility of the Contractor.
Professional Services Agreement/OLYMPIC ANGELS/2025-2026 Page 18 of 19
For example, if a Contractor provides Title XIX Medicaid services(the Policy 19.50.02 or 42
CFR 430.30)they are required by those rules to actually bill Medicaid for the services at the
same time. If no Medicaid billing exists,the match would not comply with state and federal
guidelines for match.
Concurrent with its request for authorization of the availability of match, Contractor shall
document it has met its responsibility to follow state, federal and local guidelines for match by
submitting in writing to the County Administrator their match formula, allocation plan, and
other documentation made mandatory pursuant to this Agreement and this Attachment A. At a
minimum,the Contractor shall also provide the following to the County Administrator:
1. DSHS requires contractors to complete and submit a"Local Match Certification"
form(DSHS 06-155) or a form that has equivalent data elements prior to any
agreement for DSHS services. Submit a copy of this application and form when
requesting match availability from the County and at each monthly billing.
2. Submit the current administrative policy within WA State regulating your
services and the use of local match.
3. Submit to the County your last financial audit showing your use of match,
County funds and tracking systems.
4. Submit to the County the terms of the agreement showing the MH/SA allocation
is an allowable source of match.
5. Provide documentation that your financial reporting system tracks matching
funds at a level that meets the level of documentation required by federal or state
statutes.
The County may reject permission for Contractor to utilize the 1/10''of 1%Behavioral Health
Sales Tax funding as match.
Professional Services Agreement/OLYWIC ANGELS/2025-2026 Page 19 of 19
OLYMP-2 OP ID:TGL
CERTIFICATE OF LIABILITY INSURANCE DA091261202TE I�
o91zs/zo2a
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements.
PRODUCER 440-871-7261 CONTACT Trista L.Glanco
Harding&Jacob Ins.Agency PHONE 440-871-7261 FAX 440-871-0780
6450 Rockside Woods S.,#140 A/C,No,Ext): Arc,No):
Independence,OH 44131 EMAIL TRI A L N M IL.0 M
Trista L.Glanco
INSURERS AFFORDING COVERAGE NAIC S
INSURER A:CINCINNATI INSURANCE CO. 10677
61 SSURED INSURER B:
PO Bpi 6A5n4gets
INSURER C:
Port I ownsendf WA 98368
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXPLTR DDIYYYYI LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE a OCCUR X ETN 0568468 02113/2024 0211312025 DAMAGE TO RENTED $ 1,000,000
MED EXP(Any oneperson) $ 10,000
PERSONAL&ADV INJURY 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3,000,000
X POLICY❑JE LOC PRODUCTS-COMP/OP AGG $ 3,000,000
OTHER: Emp Ben. 1,000,000
A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
ANY AUTO X ETN 0568468 02/1312024 02/1312025 BODILY INJURY Per erson $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY Per accident $
X HIRED FX
NON-OWNED PROPERTY AMAGE
AUTOS ONLY AUTOS ONLY Per accident $
UMBRELLA LIAR OCCUR EACH OCCURRENCE $ _
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$
A WORKERS COMPENSATION �( PER OTH-
AND EMPLOYERS'LIABILITY A
ANY PROPRIETOR/PARTNERIEXECU I IVE YIN
ETN0568468 02/1312024 02/13/2025 1,000,000
OFFICr ;MBE EXCLUDED? ❑ NIA E.L.EACH ACCIDENT $
(Mandatory m NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000
If yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS IOwE.L.DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Progect Dare to Dream and Love Box.The certificate holdee is named as an
addtional insured which includes Jefferson County Washington and its elected
officials,officers,employees.30 Day Notice of Cancellation
CER11RCATE HOLDER ANC L TI N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE ATE THEREOF,Jefferson County Public Health ACCO DAINCEION WITH THE POLICY PROVISIONS. WILL BE DELIVERED IN
615 Sheridan Street
Port Townsend,WA 98368 AUTHORIZED REPRESENTATIVE
Trista L.Glanco
ACORD 25(2016103) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD