HomeMy WebLinkAboutCONSENT PH School to Work Program 615 Sheridan Street
Port Townsend, WA 98368
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Consent Agenda
Public Healt
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Mark McCauley, County Administrator
FROM: Apple Martine, Jefferson County Public Health Director
Bonnie Obremski, Intellectual and Developmental Disabilities Coordinator
DATE: )t:�r brpaky 2(/7 5'_
SUBJECT: Agenda item — Division of Vocational Rehabilitation's "School-to-Work" Program
Direct Services Agreement between Jefferson County Public Health and Cascade
Community Connections August 1, 2024 - September 30, 2025, Fee for Service:
$10,088.40 per student served.
STATEMENT OF ISSUE:
Jefferson County Public Health, the Intellectual and Developmental Disabilities division (JCPH), requests
Board approval of Cascade Community Connections (Cascade) providing direct services dictated by Division
of Vocational Rehabilitation's (DVR) "School-to-Work" program; August 1, 2024-September 30, 2025.
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
"School-to-Work" is a step-by-step guide to employment for students with intellectual and/or developmental
disabilities who desire to have a job by the time they graduate high school. Steps include but are not limited
to goal setting, resume drafting, job searching, and support to stabilize a client at their place of work.
The Jefferson County Intellectual and Developmental Disabilities Advisory Board agrees that these are
essential and important services for the community.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
Funding will be fee for service ($10,088.40 per student served, no limit to number of students served).
Funding provided by an existing contract between the Jefferson County and DVR (Contract number DD-24-
037).
RECOMMENDATION:
JCPH management recommends approval for JCPH to subcontract Cascade to provide DVR School-to-Work
direct services in Jefferson County.
REVIEWED BY:
Mark McCauley, unty 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
DD-24-058
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Cascade Community Connections Contract No: DD-24-058
Contract For: School-to-Work Program Services fern,: August 1, 2024 - Sept. 30, 2025
COUNTY DEPARTMENT: Public Health
Contact Person: Bonnie Obremski
Contact Phone: #410
Contact email: BonnieO@co.jefferson.wa.us
AMOUNT: $10,088.40 per student(no limit on number of students) PROCESS: Exempt from Bid Process
Revenue: 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 12756810 Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMPLIA,-N _ T i.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: ❑■ N/A:® ` Dec. 16,2024
t a ure w Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BE D BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: F N/A: ❑ _ Dec. 16, 2024
Signature Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
Electronically approved by Risk Management on 12/17/2024.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added elect ronicaIIN, through Laserficlie):
Electronically approved as to form by PAO on 12/17/2024.
Standard subcontractor agreement.
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
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SUBCONTRACT FOR PROFESSIONAL SERVICES
Division of Vocational Rehabilitation's "School to Work" Program Direct Services
AGREEMENT BETWEEN
JEFFERSON COUNTY PUBLIC HEALTH
AND
CASCADE COMMUNITY CONNECTIONS
This agreement is made and entered into between Jefferson County Public Health(COUNTY)and
Cascade Community Connections(SUBCONTRACTOR)for provision of the Department of Vocational
Rehabilitation's"School-to-Work"Program direct services to students with intellectual and/or
developmental disabilities in Jefferson County. The term of this agreement is August 1, 2024 through
September 30, 2025. Payments under this contract may not exceed$10,088.40 per student and payments
are dependent on submission of deliverables listed in Exhibit A, attached hereto. There is no limit to
the number of students who may be served in the term of this Contract. The Washington State Division
of Rehabilitation(DVR) is reimbursing the COUNTY for each student served,per contract DD-24-037.
This Contract may be terminated by either party upon 60 days written notice. Termination of this
Contract shall not constitute a breach.
It is agreed Upon by Both Parties as Named Herein as Follows:
A. PROFESSIONAL SERVICES
Professional services to be provided by SUBCONTRACTOR shall include:
(1) "School-to-Work"provides individualized,direct services necessary to help eligible students with
intellectual and developmental disabilities obtain and continue integrated employment in the
general workforce at or above the state's minimum wage. Deliverables are listed in Exhibit A.
B. OBLIGATIONS
SUBCONTRACTOR shall fulfill the following obligations:
(1) SUBCONTRACTOR shall comply with all state and federal requirements regarding the
confidentiality of Client records. Client information is not disclosable to the public. Information
acquired pursuant to RCW 7 IA.14.070 requires a signed Release of Information or a signed Oath
of Confidentiality Form.
(2) SUBCONTRACTOR is required to assure that each employee has a current(within three years)
DSHS background check in accordance with RCW 43.43.830-845,RCW 74.15.030 and WAC
388-825.Any prospective employee or volunteer who will or may have unsupervised access to a
vulnerable person with a developmental disability in the course of his or her employment,or
involvement with the business or organization,must have a background/criminal history clearance
before they have unsupervised access. The DSHS Background Check Central Unit(BCCU)must
be utilized to obtain background clearance.
(3) "Intellectual and developmental disabilities(IDD)"means a disability attributable to intellectual
disability,cerebral palsy,epilepsy,autism,or another neurological or other condition of an
individual found by the secretary to be closely related to an intellectual disability or to require
treatment similar to that required for individuals with intellectual disabilities,which disability
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DD-24-058
originates before the individual attains age 18,which has continued or can be expected to continue
indefinitely, and which constitutes a substantial limitation to the individual.
(4) If SUBCONTRACTOR reviews the application and elects to hire or retain an individual after
receiving notice that the applicant has a conviction for an offense that would disqualify the
applicant from having unsupervised access to vulnerable adults as defined in Chapter 74.34 RCW,
then the COUNTY shall deny payment for any subsequent services rendered by the disqualified
individual Provider.
(5) COUNTY and its SUBCONTRACTOR are mandated reporters under RCW 74.34.020(13)and
must comply with reporting requirements described in RCW 74.34.035, .040 and Chapter 26.44
RCW. If the County is notified by DSHS that a subcontractor staff member is cited or on the
registry for a substantiated finding,then that associated staff will be prohibited from providing
services under this Program Agreement.
(6) SUBCONTRACTOR is required pursuant to RCW 74.15.030;that if any prospective employee
who has not resided in Washington State during the last three years,and who will or may have
unsupervised access to a vulnerable person with an intellectual or developmental disability in the
course of their employment,or involvement with the business or organization,must have an F.B.I.
Fingerprint Check before they have unsupervised access and before prospective employer begins
working. The DSHS Background Check Central Unit(BCCU)must be utilized to obtain
background clearance.
(7) SUBCONTRACTOR is required to repeat the background/criminal history clearance for all
employees or volunteers who will or may have unsupervised access to a vulnerable person with a
developmental disability in the course of his or her employment, or involvement with the business
or organization, every three years. The DSHS Background Check Central Unit(BCCU)must be
utilized to obtain background clearance in accordance with RCW 43.43.830-845,RCW 74.15.030
and WAC 388-825.
(8) SUBCONTRACTOR shall comply,as mandated reporters under RCW 74.34.020(11),with all
state and federal requirements under RCW 74.34.035, .040 Abuse and neglect of Vulnerable
Adults;RCW 26.44,Abuse of Children;the WACs: 275-26 Division of Developmental
Disabilities Services Rules;296-24 General Safety&Health; 296-62 General Occupational Health
Standards; WACs: 388-828 Developmental Disabilities Administration, (DDA)Assessment; 388-
845 Home and Community Based Waivers; Definitions 0001; Criteria for HCBS Services 0030;
Basic Waiver Services 0200;Basic Plus Waiver Services 0210; Core Waiver Services 0215;
Community Protection Waiver Services 0220; 0600-0610 Community Access Service; Supported
Employment Service 2100.
(9) SUBCONTRACTOR shall comply with the following Developmental Disabilities Administration,
(DDA)Policies: 3.01 Client Service Plans; 5.01 Criminal History Background Checks and
Safeguarding Personal Information; 5.02 Necessary Supplemental Accommodation(NSA); 5.03
Client Complaints; 5.05 Limited English Proficiency(LEP)Clients; 5.06 Client Rights; 5.13
Protections From Abuse; 5.14 Positive Behavior Support; 5.15 Use of Restrictive Procedures; 6.08
Mandatory Reporting Requirements for Employment and Day Program Services Providers; 6.13
Employment/Day Program Provider Qualifications; 9.07 Human Immunodeficiency Virus(HIV)
and Acquired Immune Deficiency Syndrome(AIDS); 12.01 Incident Management; 13.04 DRW
Access Agreement, and County Guide to Achieve DDA's Guiding Values.
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(10) The COUNTY staff who performs on-site evaluations-of SUBCONTRACTOR work sites,will
promptly report to DSHS per DDA Policy 5.13,Protection from Abuse:Mandatory Reporting, if:
(a) They have reasonable cause to believe that abandonment,abuse, financial exploitation or
neglect(as defined in RCW 74.34.020) of a person who has a developmental disability (as
defined in RCW 71A.10.020)has occurred, and,
(b) If they have reason to suspect that sexual or physical assault of such a person has occurred,
they shall also immediately report to the appropriate law enforcement agency.
(11) SUBCONTRACTOR shall comply with the following referenced documents found at DDA
Internet site https://www.dshs.wa.gov/dda/copptybest-practices under"Counties:"
(a) DDA Policy 4.11, County Services for Working Age Adults;
(b) WAC 388-850, WAC 388-828, WAC 388-845-0001, 0030, 0205,0210, 0215, 0220, 0600-
0610, 1200-1210, 1400-1410, 2100, 2110;
(c) Criteria for Evaluation;
https://www.dshs.wa.gov/sites/default/files/DDA/dda/documents/Criteria%20for%20Evaluat
ion%202021-2023.docx
(12) Onsite Evaluation: The County shall evaluate and review services delivered to reasonably assure
compliance and quality. The County shall conduct several, scheduled,onsite visits to
SUBCONTRACTOR during the term of the contract to observe program successes and challenges.
The County shall maintain written documentation of visits. Copies of such documentation will be
provided to the DDA or DVR upon request.
(13) SUBCONTRACTOR shall meet the definition of Quality Assurance,by adherence to all Program
Agreement requirements and reasonably expected levels of performance,quality,and practice by
adherence to:
(a) DDA Policy 6.13,Employment/Day Program Provider Qualifications,
https://www.dshs.wa. ovg /dda/policies-and-rules/policy-manual;
(b) County Guide to Achieve DDA's GuidingValues;
alues;
(c) DDA Guidelines for Community Assessments within Employment and Vocational Programs
(14) The DRW Access Agreement with DDA; assures that the COUNTY and SUBCONTRACTORS
have reviewed the Access Agreement; Disability Rights Washington(formerly Washin tgton
Protection and Advocacy System)Access Agreement. The Access Agreement covers DRW's
access to individuals with developmental disabilities,to Clients,to programs and records,to
outreach activities,to authority to investigate allegations of abuse,neglect,and other miscellaneous
matters,and it is binding for all Providers of DDA contracted services.
(15) SUBCONTRACTOR shall have written policies regarding sexual harassment and non-
discrimination(said policies must guarantee human/civil rights);regarding a person's right to
privacy,regarding safeguarding personal information and abuse of participants;regarding agency
medication procedure; regarding respectful staff-to-participant interactions(i.e.: including a
person's right to be treated with dignity and respect free of abuse).
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(16) SUBCONTRACTOR shall have a County-approved grievance policy for clients that:
(a) Is explained to clients and others in accordance with DDA Policy 5.02,Necessary
Supplemental Accommodation;
https://www.dshs.wa.gov/sites/default/fi les/DDA/dda/documents/policy/policy5.02.pdf
(b) Negotiates conflicts;
(c) States advocates are available and clients are encouraged to bring advocates to help
negotiate;
(d) Provides a mediation process using someone who is unaffected by the outcome if conflicts
remain unresolved a DDA Case Resource Manager may be included as an alternative option;
(A DDA Case Resource Manager(CRM)" means a case manager for DDA Clients)
(e) Prohibits retaliation for using the grievance process; and
(f) Includes a process for tracking and reporting grievance
(17) SUBCONTRACTOR shall assure that clients and others, in accordance with DDA Policy 5.06,
Client Rights, have been informed of their rights, what services and benefits may be expected from
the program,the program's expectations of them, and if necessary,the client's family, guardian or
advocate is also
infonned.https://www.dshs.wa.gov/sites/default/files/DDA/dda/documents/policy/policy5.06.pdf
(18) SUBCONTRACTOR shall assure that they have policies that protect individual rights; include but
are not limited:
(a) SUBCONTRACTOR shall assure that they have policies that protect individual rights;
include but are not limited:
(b) Respectful staff-to-client interactions
(c) A person's right to be treated with dignity, respect and free of abuse;
(d) A person's right to privacy; and
(e) Safeguarding personal information.
(19) SUBCONTRACTOR shall obtain and retain in the clients' files signed proof of client's and/or
family's review of all policies,provider expectation, and receipt of information about services and
benefits to be provided by the program. The signed proof required by this section shall be reviewed
and renewed, with new documentation, annually.
(20) SUBCONTRACTOR will encourage participant involvement in policy development.
(21) SUBCONTRACTOR shall update Client Intake Forms once at the beginning of service provision.
(22) SUBCONTRACTOR shall assure potential conflict of interest,real or apparent, will not arise.
Such a conflict will arise when: The employee, officer or agent, any member of immediate family,
Guardian/decision maker, or an organization that employs or is about to employ any of the above
has financial or other interest in the client(s).
(23) SUBCONTRACTOR shall have adequate staffing ratios and patterns to maintain quality and
safety.
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(24) All services for persons with developmental disabilities must be provided with attention to their
health and safety. SUBCONTRACTOR shall comply with all applicable federal, state and local
fire,health,and safety regulations.
(25) SUBCONTRACTOR shall make sure that all incidents involving injury,health or safety issues are
reported to DDA and the County;reference DDA Policy 6.08,Mandatory Reporting Requirements
for Employment Providers.
https://www.dshs.wa.gov/sites/default/files/DDA/dda/documents/Mlicy/Mligy6.08.pdf
(26) SUBCONTRACTOR shall track and analyze incident reports for potential trends and patterns.
(27) Current emergency contact and medical information(medications,diet,allergies,etc.)needed
during the hours of service is readily available for each participant.
(28) SUBCONTRACTOR shall provide evidence that it employs typical safety protection based upon
the environment the client is working or receiving services in.
(29) The COUNTY and all SUBCONTRACTORS are mandated reporters under RCW 74.34.020(11);
Abuse of Vulnerable Adults https://apps.leg.wa.pov/RCW/default.aspx?cite=74.34 and Chapter
26.44 RCW; Abuse of Children. All parties must comply with reporting requirements described in
RCW 74.34.035,040 and Chapter 26.44 and must adhere to DDA Policy,6.08 Mandatory
Reporting Requirements for Employment and Day Program Service Providers. All service
provider employees, contractors, and volunteers are mandatory reporters and must report every
incident of observed, reported, or suspected abuse, improper use of restraint, neglect, self-neglect,
personal or financial exploitation, abandonment and/or mistreatment of clients.
(30) School to Work Program Phases and payment structure is documented in Exhibit A.
(31) SUBCONTRACTOR is required to maintain the following minimum organizational capacity in
order to meet the performance standards set forth in this agreement. Failure or inability of
SUBCONTRACTOR to meet any or all of these minimum capacity requirements,as determined
solely by COUNTY,may be cause for termination of this agreement as provided herein.
(a) Accreditation: SUBCONTRACTOR must be able to demonstrate conformance to
Commission on Accreditation of Rehabilitation Facilities (CARF) standards for quality
assurance and CARF accreditation.
(b) Confidentiality: SUBCONTRACTOR shall protect and maintain all Confidential Information
gained by reason of the Program Agreement against unauthorized use, access,disclosure,
modification or loss. This duty requires the COUNTY to employ reasonable security
measures,which includes restricting access to Confidential Information through:
(32) Authority: The security requirements described in this document reflect the applicable
requirements of Standard 141.10(https://ocio.wa.gov/policies)of the Office of the Chief
Information Officer for the state of Washington, and of the DSHS Information Security Policy and
Standards Manual. Reference material related to these requirements can be found here:
https://www.dshs.wa.g_ov/fsa/central-contract-services/kegping-dshs-Client-information-P vate-
and-secure,which is a site developed by the DSHS Information Security Office and hosted by
DSHS Central Contracts and Legal Services.
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(33) Administrative Controls: The Contractor must have the following controls in place:
(a) A documented security policy governing the secure use of its computer network and systems,
and which defines sanctions that may be applied to Contractor staff for violating that policy.
(b) If the Data shared under this agreement is classified as Category 4 data,the Contractor must
be aware of and compliant with the applicable legal or regulatory requirements for that
Category 4 Data.
(c) If Confidential Information shared under this agreement is classified as Category 4 data, the
Contractor must have a documented risk assessment for the system(s)housing the Category 4
Data.
(34) Authorization,Authentication,and Access: In order to ensure that access to the Data is limited to
authorized staff,the Contractor must:
(a) Have documented policies and procedures governing access to systems with the shared Data.
(b) Restrict access through administrative,physical, and technical controls to authorized staff.
(c) Ensure that user accounts are unique and that any given user account logon ID and password
combination is known only to the one employee to whom that account is assigned. For
purposes of non-repudiation, it must always be possible to determine which employee
performed a given action on a system housing the Data based solely on the logon ID used to
perform the action.
(d) Ensure that only authorized users are capable of accessing the Data.
(e) Ensure that an employee's access to the Data is removed immediately:
1. Upon suspected compromise of the user credentials.
2. When their employment, or the contract under which the Data is made available to them,
is terminated.
3. When they no longer need access to the Data to fulfill the requirements of the contract.
(f) Have a process to periodically review and verify that only authorized users have access to
systems containing DSHS Confidential Information.
(g) When accessing the Data from within the Contractor's network(the Data stays within the
Contractor's network at all times),enforce password and logon requirements for users within
the Contractor's network, including:
1. A minimum length of 8 characters, and containing at least three of the following
character classes: uppercase letters, lowercase letters, numerals, and special characters
such as an asterisk, ampersand,or exclamation point.
2. That a password does not contain a user's name, logon ID, or any form of their full name.
3. That a password does not consist of a single dictionary word. A password may be
formed as a passphrase, which consists of multiple dictionary words.
4. That passwords are significantly different from the previous four passwords.
(h) When accessing Confidential Information from an external location(the Data will traverse
the Internet or otherwise travel outside the Contractor's network), mitigate risk and enforce
password and logon requirements for users by employing measures including:
1. Ensuring mitigations applied to the system do not allow end-user modification. Examples
would include but not be limited to installing key loggers,malicious software, or any
software that will compromise DSHS data.
2. Not allowing the use of dial-up connections.
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3. Using industry standard protocols and solutions for remote access. Examples include, but
are not limited to RADIUS Microsoft Remote Desktop (RDP) and Citrix.
4. Encrypting all remote access traffic from the external workstation to Trusted Network or
to a component within the Trusted Network. The traffic must be encrypted at all times
while traversing any network, including the Internet, which is not a Trusted Network.
5. Ensuring that the remote access system prompts for re-authentication or performs
automated session termination after no more than 30 minutes of inactivity.
6. Ensuring use of Multi-factor Authentication to connect from the external end point to the
internal end point. All Contractors must be in compliance by 6/30/2020.
(i) Passwords or PIN codes may meet a lesser standard if used in conjunction with another
authentication mechanism, such as a biometric (fingerprint, face recognition, iris scan) or
token (software, hardware, smart card, etc.) in that case:
1. The PIN or password must be at least 5 letters or numbers when used in conjunction with
at least one other authentication factor
2. Must not be comprised of all the same letter or number(I 1111, 22222, aaaaa, would not
be acceptable)
3. Must not contain a"run" of three or more consecutive numbers (12398, 98743 would not
be acceptable)
(j) If the contract specifically allows for the storage of Confidential Information on a Mobile
Device, passcodes used on the device must:
1. Be a minimum of six alphanumeric characters.
2. Contain at least three unique character classes (upper case, lower case, letter, number).
3. Not contain more than a three consecutive character run. Passcodes consisting of 12345,
or abcd12 would not be acceptable.
(k) Render the device unusable after a maximum of 10 failed logon attempts.
(35) Protection of Data. The Contractor agrees to store Data on one or more of the following media and
protect the Data as described:
(a) Hard disk drives. For Data stored on local workstation hard disks, access to the Data will be
restricted to Authorized User(s) by requiring logon to the local workstation using a Unique
User ID and Hardened Password or other authentication mechanisms which provide equal or
greater security, such as biometrics or smart cards.
(b) Network server disks. For Data stored on hard disks mounted on network servers and made
available through shared folders, access to the Data will be restricted to Authorized Users
through the use of access control lists which will grant access only after the Authorized User
has authenticated to the network using a Unique User ID and Hardened Password or other
authentication mechanisms which provide equal or greater security, such as biometrics or
smart cards. Data on disks mounted to such servers must be located in an area which is
accessible only to authorized personnel, with access controlled through use of a key, card
key, combination lock, or comparable mechanism.
For DSHS Confidential Information stored on these disks, deleting unneeded Data is
sufficient as long as the disks remain in a Secure Area and otherwise meet the requirements
listed in the above paragraph. Destruction of the Data, as outlined below in Section (31)
Data Disposition, may be deferred until the disks are retired, replaced, or otherwise taken out
of the Secure Area.
(c) Optical discs(CDs or DVDs)in local workstation optical disc drives. Data provided by
DSHS on optical discs which will be used in local workstation optical disc drives and which
will not be transported out of a Secure Area. When not in use for the contracted purpose,
such discs must be Stored in a Secure Area. Workstations which access DSHS Data on
optical discs must be located in an area which is accessible only to authorized personnel, with
access controlled through use of a key, card key, combination lock, or comparable
mechanism.
(d) Optical discs(CDs or DVDs) in drives or jukeboxes attached to servers. Data provided by
DSHS on optical discs which will be attached to network servers and which will not be
transported out of a Secure Area. Access to Data on these discs will be restricted to
Authorized Users through the use of access control lists which will grant access only after the
Authorized User has authenticated to the network using a Unique User ID and Hardened
Password or other authentication mechanisms which provide equal or greater security, such
as biometrics or smart cards.
Data on discs attached to such servers must be located in an area which is accessible only to
authorized personnel,with access controlled through use of a key, card key, combination
lock, or comparable mechanism.
(e) Paper documents. Any paper records must be protected by storing the records in a Secure
Area which is only accessible to authorized personnel. When not in use, such records must
be stored in a Secure Area.
(f) Remote Access. Access to and use of the Data over the State Governmental Network(SGN)
or Secure Access Washington(SAW)will be controlled by DSHS staff who will issue
authentication credentials(e.g. a Unique User ID and Hardened Password)to Authorized
Users on Contractor's staff. Contractor will notify DSHS staff immediately whenever an
Authorized User in possession of such credentials is terminated or otherwise leaves the
employ of the Contractor, and whenever an Authorized User's duties change such that the
Authorized User no longer requires access to perform work for this Contract.
(g) Data storage on portable devices or media.
1. Except where otherwise specified herein, DSHS Data shall not be stored by the
Contractor on portable devices or media unless specifically authorized within the terms
and conditions of the Contract. If so authorized,the Data shall be given the following
protections:
a. Encrypt the Data.
b. Control access to devices with a Unique User ID and Hardened Password or
stronger authentication method such as a physical token or biometrics.
c. Manually lock devices whenever they are left unattended and set devices to lock
automatically after a period of inactivity, if this feature is available. Maximum
period of inactivity is 20 minutes.
d. Apply administrative and physical security controls to Portable Devices and
Portable Media by:
i. Keeping them in a Secure Area when not in use,
ii. Using check-in/check-out procedures when they are shared, and
iii. Taking frequent inventories.
2. When being transported outside of a Secure Area, Portable Devices and Portable Media
with DSHS Confidential Information must be under the physical control of Contractor
staff with authorization to access the Data, even if the Data is encrypted.
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(h) Data stored for backup purposes.
1. DSHS Confidential Information may be stored on Portable Media as part of a
Contractor's existing, documented backup process for business continuity or disaster
recovery purposes. Such storage is authorized until such time as that media would be
reused during the course of normal backup operations. If backup media is retired while
DSHS Confidential Information still exists upon it, such media will be destroyed at that
time in accordance with the disposition requirements below in Section(31)Data
Disposition.
2. Data may be stored on non-portable media(e.g. Storage Area Network drives,virtual
media, etc.) as part of a Contractor's existing,documented backup process for business
continuity or disaster recovery purposes. If so, such media will be protected as otherwise
described in this exhibit. If this media is retired while DSHS Confidential Information
still exists upon it,the data will be destroyed at that time in accordance with the
disposition requirements below in Section(31) Data Disposition.
(i) Cloud storage. DSHS Confidential Information requires protections equal to or greater than
those specified elsewhere within this exhibit. Cloud storage of Data is problematic as neither
DSHS nor the Contractor has control of the environment in which the Data is stored. For this
reason:
1. DSHS Data will not be stored in any consumer grade Cloud solution, unless all of the
following conditions are met:
a. Contractor has written procedures in place governing use of the Cloud storage and
Contractor attest to the contact listed in the contract and keep a copy of that
attestation for your records in writing that all such procedures will be uniformly
followed.
b. The Data will be Encrypted while within the Contractor network.
c. The Data will remain Encrypted during transmission to the Cloud.
d. The Data will remain Encrypted at all times while residing within the Cloud storage
solution.
e. The Contractor will possess a decryption key for the Data, and the decryption key
will be possessed only by the Contractor.
f. The Data will not be downloaded to non-authorized systems,meaning systems that
are not on the contractor network.
g. The Data will not be decrypted until downloaded onto a computer within the control
of an Authorized User and within the contractor's network.
2. Data will not be stored on an Enterprise Cloud storage solution unless either:
a. The Cloud storage Provider is treated as any other Sub-Contractor, and agrees in
writing to all of the requirements within this exhibit; or,
b. The Cloud storage solution used is HIPAA compliant.
3. If the Data includes protected health information covered by the Health Insurance
Portability and Accountability Act(HIPAA),the Cloud Provider must sign a Business
Associate Agreement prior to Data being stored in their Cloud solution.
(36) System Protection. To prevent compromise of systems which contain DSHS Data or through
which that Data passes:
(a) Systems containing DSHS Data must have all security patches or hotfixes applied within 3
months of being made available.
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(b) The Contractor will have a method of ensuring that the requisite patches and hotfixes have
been applied within the required timeframes.
(c) Systems containing DSHS Data shall have an Anti-Malware application, if available,
installed.
(d) Anti-Malware software shall be kept up to date. The product, its anti-virus engine, and any
malware database the system uses, will be no more than one update behind current.
(37) Data Segregation.
(a) DSHS category 4 data must be segregated or otherwise distinguishable from non-DSHS data.
This is to ensure that when no longer needed by the Contractor, all DSHS Data can be
identified for return or destruction. It also aids in determining whether DSHS Data has or
may have been compromised in the event of a security breach. As such, one or more of the
following methods will be used for data segregation.
1. DSHS Data will be kept on media(e.g. hard disk, optical disc, tape, etc.) which will
contain no non-DSHS Data.
2. DSHS Data will be stored in a logical container on electronic media, such as a partition
or folder dedicated to DSHS Data.
3. DSHS Data will be stored in a database which will contain no non-DSHS data. And/or,
4. DSHS Data will be stored within a database and will be distinguishable from non-DSHS
data by the value of a specific field or fields within database records.
5. When stored as physical paper documents, DSHS Data will be physically segregated
from non-DSHS data in a drawer, folder, or other container.
(b) When it is not feasible or practical to segregate DSHS Data from non-DSHS data, then both
the DSHS Data and the non-DSHS data with which it is commingled must be protected as
described in this exhibit.
(38) Data Disposition. When the contracted work has been completed or when the DSHS Data is no
longer needed, except as noted above in Section(30. b.) DSHS Data shall be returned to DSHS or
destroyed. Media on which Data may be stored and associated acceptable methods of destruction
are as follows:
Data stored on: Will be destroyed by:
Server or workstation hard disks, or Using a"wipe" utility which will
Removable media(e.g. floppies, USB overwrite the Data at least three (3) times
flash drives, portable hard disks) using either random or single character
excluding optical discs data, or Degaussing sufficiently to ensure
that the Data cannot be reconstructed, or
Physically destroying the disk
Paper documents with sensitive or Recycling through a contracted firm,
Confidential Information provided the contract with the recycler
assures that the confidentiality of Data
will be protected.
Paper documents containing Confidential On-site shredding, pulping, incineration,
Information requiring special handling or contractor
(e.g. protected health information)
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Data stored on: Will be destroyed by:
Optical discs(e.g. CDs or DVDs) Incineration, shredding, or completely
defacing the readable surface with a
coarse abrasive
Magnetic tape Degaussing, incinerating or crosscut
shredding
(39) Notification of Compromise or Potential Compromise. The compromise or potential compromise
of DSHS shared Data must be reported to the DSHS Contact designated in the Contract within one
(1)business day of discovery. If no DSHS Contact is designated in the Contract,then the
notification must be reported to the DSHS Privacy Officer at dshsprivacyofficer@dshs.wa.gov.
Contractor must also take actions to mitigate the risk of loss and comply with any notification or
other requirements imposed by law or DSHS.
(40) Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with
a subcontractor,the Contract with the subcontractor must include all of the data security provisions
within this Contract and within any amendments, attachments,or exhibits within this Contract. If
the Contractor cannot protect the Data as articulated within this Contract,then the contract with the
sub-Contractor must be submitted to the DSHS Contact specified for this contract for review and
approval.
(41) Notification of Compromise or Potential Compromise. The compromise or potential compromise
of DSHS shared Data must be reported to the DSHS Contact designated in the Contract within one
(1)business day of discovery If no DSHS Contact is designated in the Contract,then the
notification must be reported to the DSHS Privacy Officer at dshsprivacyofficer@dshs.wa.gov.
Contractor must also take actions to mitigate the risk of loss and comply with any notification or
other requirements imposed by law.
(42) SUBCONTRACTOR shall provide the following:
(a) Equal Access: SUBCONTRACTOR will assure equal access to persons who do not speak or
have a limited ability to speak, read, or write English well enough to understand and
communicate effectively (reference DDA Policy 5.05,Limited English Proficient jLEP)
Clients .
(b) The date policies are implemented or the date,they are revised.
(c) Financial and Program Management: SUBCONTRACTOR will maintain an
administrative/organizational structure that clearly defines responsibilities; systems and
personnel to maintain accounting records that accurately reflect all program revenues and
expenditures; prepare monthly statements of activity (ADSA Reports); maintain appropriate
client service records and progress reports; and track key program performance indicators.
(d) Participants: SUBCONTRACTOR has a commitment to support integration of individuals
with developmental disabilities with people who are not disabled and has involved
participants with developmental disabilities in policy development.
(e) Partnerships: SUBCONTRACTOR has a history of working cooperatively with community-
based organizations including Employers, other Agencies,the COUNTY IDD Program,the
Division of Vocational Rehabilitation(DVR), and the Schools.
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(f) Student Guide: SUBCONTRACTOR will adhere to the plan published in the Division of
Vocational Rehabilitation's School to Work Student Guide.
(g) Internal Control Systems: SUBCONTRACTOR will have an administrative/organizational
structure that clearly defines responsibilities.
1. SUBCONTRACTOR has sufficient policies and procedures for establishment and
maintenance of adequate internal control systems.
2. SUBCONTRACTOR will maintain written policy procedural manuals for information
systems,personnel, and accounting/finance in sufficient detail such that operations can
continue should staffing change or prolonged absences occur.
3. SUBCONTRACTOR will date all policies when they are implemented or date when they
are revised.
(h) Qualified Staff. SUBCONTRACTOR will provide adequate,qualified staff with skills and
experience in evaluation,training, supervision, counseling and support of adults with
developmental disabilities who are earning wages, per the attached Statement of Work.
1. SUBCONTRACTOR will assure that all direct service staff are trained and has
experience in accordance with DDA Policy 6.13 and that training is documented.
2. SUBCONTRACTOR will assure that each employee has a current(within three years)
DSHS background check in accordance with RCW 43.43.830-845, RCW 74.15.030 and
WAC 388-825.
3. SUBCONTRACTOR will provide COUNTY with information regarding staff
qualifications upon request.
(i) Safety: SUBCONTRACTOR will provide evidence that it employs safety protection based
on the environment in which the participant is working or receiving services.
(j) Integration:_ Employment and day services must adhere to the Home and Community Based
settings(HCBS)requirements of 42CFR 441 530(a)(1), including that:
1. The setting is integrated in the greater community and supports individuals to have full
access to the greater community;
2. Ensures the individual receives services in the community to the same degree of access as
individuals not receiving Medicaid HCBS;
3. The setting provides opportunities to seek employment and work in competitive
integrated settings; and
4. The setting facilitates individual choice regarding services and supports, and who
provides them.
(43) SUBCONTRACTOR shall identify settings that isolate people from the broader community or that
have the effect of isolating individuals from the broader community of individuals who do not
receive Medicaid HCB services. These settings are presumed not to be home and community-
based.
(44) SUBCONTRACTOR shall adhere to the Department of Vocational Rehabilitation's Student Guide
and submit copies of completed forms contained therein.
(45) The SUBCONTRACTOR shall report any injury or accident that requires more than simple first
aid,and any extraordinary incident that requires intervention by the SUBCONTRACTOR to the
DSHS/DDA Case Manager for the individual involved,and then report the injury, accident,or
extraordinary incident to the COUNTY Coordinator. This includes serious physical or emotional
harm or potential harm.
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(a) Incidents involving injury,health or safety issues are reported to DDA and the County
reference DDA Policy 6.08,Mandatory Reporting Requirements for Employment and Day
Program Services Providers.
(b) The initial report to the COUNTY may be done via documented telephone calls to the
COUNTY Coordinator.
(c) The SUBCONTRACTOR shall submit a written follow-up report within 10 days to the
COUNTY Coordinator. The report to the COUNTY Coordinator may be submitted by
email, facsimile(FAX)to 360-385-9401, or by mail to Jefferson COUNTY Public Health
615 Sheridan Port Townsend, WA 98368.
(d) Serious and emergent incidents shall be handled in accordance with DSHS/DDA Policy
12.01,Incident Management.
(e) Incident reports are tracked and analyzed for potential trends and patterns.
(f) Mandatory reporting is done in accordance with Chapter 74.34 RCW,Abuse of Vulnerable
Adults and Chapter 26.44 RCW,Abuse of Children.
(46) For six years following the end date of this agreement, SUBCONTRACTOR will maintain client
records and books,records,documents,reports and other evidence of accounting procedures and
practices,which sufficiently and properly reflect all direct and indirect expenditures of funds
provided under this agreement.
(47) Client records shall minimally include copies of filled-out forms contained in the DVR School to
Work Student Guide.
(48) SUBCONTRACTOR will provide COUNTY with Individual Employment/Vocational Plans(or
Person-Centered Plan/Profile),client goals,and a summary of progress towards meeting those
goals on a bi-annual basis.
(49) COUNTY shall review services to ensure SUBCONTRACTOR is following the DVR School to
Work Student Guide and meeting milestones on deadline.
(50) SUBCONTRACTOR agrees to assign to COUNTY its Medicaid Billing Rights for services to
clients eligible under Title XIX programs. Written documentation shall be available to COUNTY
on request. If SUBCONTRACTOR contracts directly with DSHS to provide covered services
under Title XIX,COUNTY agrees that funding intended for those clients shall be excluded from
this agreement. If SUBCONTRACTOR contracts directly with Social Security to provide covered
services under a PASS/IRWE,COUNTY agrees that funding intended for those clients shall be
excluded from this agreement.
C. REIMBURSEMENTS
For said services rendered under this agreement, COUNTY shall reimburse
SUBCONTRACTOR up to $10,088.40 per student and payments are dependent on submission
of deliverables listed in Exhibit A. There is no limit to the number of students who may be
served in the term of this Contract.
(1) SUBCONTRACTOR will bill COUNTY on or before the 5th day of the month. At no time shall
the invoices for reimbursement be submitted more than 60 calendar days following the last day of
the month for which the services were provided without COUNTY approval.
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(2) COUNTY may,at its option,withhold reimbursement for any month for which required reports
and/or invoices have not been received,or are not accurate and/or complete,or for contractual non-
compliance issues.
(3) Total reimbursements for fiscal year 2023-2024 to SUBCONTRACTOR by COUNTY under this
contract shall not exceed$10,088.40 per student without express written amendment signed by
both parties to this Agreement. This Agreement shall commence on August 1,2024 and continue
through September 30, 2025 unless terminated as provided herein. Work performed between
August 1,2024 and the execution of this Agreement that is consistent with the provisions of this
Agreement is hereby ratified. This total reimbursement includes any amendment within the fiscal
year of 2024-2025.
(4) SUBONTRACTOR will access Division of Vocational Rehabilitation(DVR)funding as a
resource. Client services shall not be reimbursed under this agreement when the same services are
paid for under the Rehabilitation Act of 1973,DVR,P.L. 94-142(Public Education),or are being
funded under PASS/IRWE.
(5) If SUBCONTRACTOR contracts directly with DSHS to provide covered services under Title
XIX,COUNTY agrees that funding intended for those Clients shall be excluded from this
agreement. If SUBCONTRACTOR contracts directly with Social Security to provide covered
services under a PASS/IRWE, COUNTY agrees that funding intended for those Clients shall be
excluded from this agreement.
D. DEBARMENT
By signing this Agreement,the SUBCONTRACTOR certifies that it is not presently debarred,
suspended,proposed for debarment, declared ineligible, or voluntarily excluded in any
Washington State or Federal department or agency from participating in transactions (debarred).
The SUBCONTRACTOR agrees to include the above requirement in any and all subcontracts
into which it enters, and also agrees that it will not employ debarred individuals. The
SUBCONTRACTOR must immediately notify the County if,during the term of this Agreement,
the SUBCONTRACTOR becomes debarred. The County may immediately terminate this
Agreement by providing the SUBCONTRACTOR written notice, if the SUBCONTRACTOR
becomes debarred during the term of this Agreement.
E. FUNDING WITHDRAWN,REDUCED OR LIMITED
If the COUNTY determines in its sole discretion that the funds it relied upon to establish this
Agreement have been withdrawn,reduced or limited, or if additional or modified conditions are
placed on such funding after the effective date of this Agreement but prior to the normal
completion of this Agreement,then the COUNT, at its sole discretion, may: (1)Terminate this
agreement; (2)Renegotiate this Agreement under the revised funding conditions; or, (3) Suspend
the SUBCONTRACTOR's performance under this Agreement upon five(5)business days'
advance notice to the SUBCONTRACTOR, if the COUNTY determines that there is a
reasonably likelihood that the funding insufficiency may be resolved in time to allow the
SUBCONTRACTOR's performance to resume prior to the normal completion date of this
Agreement.
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F. OVERPAYMENTS OR ERRONEOUS PAYMENTS TO SUBCONTRACTOR
If overpayments or erroneous payments have been made to the SUBCONTRACTOR under this
Agreement, the COUNTY will provide notice to the SUBCONTRACTOR and the
SUBCONTRACTOR shall refund the full amount of the overpayment within thirty (30) calendar
days of the notice. If the SUBCONTRACTOR fails to make timely refund, the COUNTY may
charge the SUBCONTRACTOR one percent (1%)per month on the amount due, until paid in
full.
G. RECORDS AND DOCUMENTS REVIEW
(1) The SUBCONTRACTOR must maintain books, records, documents,magnetic media, receipts,
invoices or other evidence relating to this Agreement and the performance of the services rendered,
along with accounting procedures and practices, all of which sufficiently and properly reflect all
direct and indirect costs of any nature expended in the performance of this Agreement. At no
additional cost,these records, including materials generated under this Agreement, are subject at
all reasonable times to inspection,review, or audit by the Agency,the Office of the State Auditor,
and state and federal officials so authorized by law, rule, regulation, or agreement.
(2) The SUBCONTRACTOR must retain such records for a period of six(6)years after the date of
final payment under this Agreement.
(3) If any litigation, claim or audit is started before the expiration of the six(6)year period,the records
must be retained until all litigation, claims, or audit findings involving the records have been
resolved.
H. RISK ASSESSMENT AND MONITORING FOR COMPLIANCE BY THE COUNTY.
(1) SUBCONTRACTOR shall immediately report to the COUNTY any failure to perform under this
Agreement.
(2) Along with every request for reimbursement under this Agreement,the SUBCONTRACTOR may
submit a Monitoring Certification for purposes of the County performing the risk assessment of the
SUBCONTRACTOR and compliance monitoring of this Agreement that is required under the
Program Agreement.
I. MISCELLANEOUS
(1) DSHS Developmental Disabilities Administration(DDA) shall determine client eligibility and
service referral are the responsibility of the DDA pursuant to Chapter 388-823 WAC (Eligibility)
and Chapter 388-825 WAC (Service Rules). Only persons referred by DDA shall be eligible for
direct Client services under this Program Agreement. It is DDA's responsibility to determine and
authorize the appropriate direct service(s)type. Direct Client services provided without
authorization are not reimbursable under this Program Agreement.
(2) DSHS Developmental Disabilities Administration(DDA) shall notify COUNTY of persons
authorized for services reimbursed under this agreement. Only persons referred to COUNTY by
DDA through a County Service Authorization, (CSA) shall be eligible for services reimbursed
under this agreement.
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(3) The SUBCONTRACTOR'S relation to the COUNTY shall at all times be that of independent
SUBCONTRACTOR. Any and all employees of the SUBCONTRACTOR,or other persons
engaged in the performance of any work or service required of the SUBCONTRACTOR under this
Agreement, shall be considered employees of the SUBCONTRACTOR only,and any claims that
may arise on behalf of or against said employees shall be the sole obligation and responsibility of
the SUBCONTRACTOR.
(4) The SUBCONTRACTOR 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.
(5) The SUBCONTRACTOR,by signature to this Agreement,certifies that the SUBCONTRACTOR
is not presently debarred, suspended,proposed for debarment,declared ineligible,or voluntarily
excluded from participating in this Agreement,or any Agreement by any Federal department or
agency. The SUBCONTRACTOR also agrees to include the above requirement to all subcontracts
into which it enters.
(6) The SUBCONTRACTOR shall obtain and keep in force during the terms of the Agreement,or as
otherwise required,the following insurance with companies or through sources approved by the
State Insurance Commissioner pursuant to RCW 48:05:
(a) Worker's compensation and employer's liability insurance. The Contractor will participate in
the Worker's Compensation and Employer's Liability Insurance Program as may be required
by the State of Washington;
(b) Commercial Automobile Liability or Business Use 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$1,000,000 each
occurrence with the COUNTY named as an additional insured in connection with the
SUBCONTRACTOR'S performance of the contract.
(c) General Commercial Liability Insurance in an amount not less than a single limit of two
million dollars($2,000,000.00)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:
1. Broad Form Property Damage,with no employee exclusion
2. Personal Injury Liability, including extended bodily injury
3. Broad Form Contractual/Commercial Liability -including completed operations
4. Premises - Operations Liability (M&C)
5. Independent Contractors and Subcontractors
6. Blanket Contractual Liability
(7) All employees or subcontractors of SUBCONTRACTOR who are required to be professionally
certified by the State in the performance of services under this agreement shall maintain
professional liability insurance/error and omissions liability insurance in the amount of not less
than one million dollars($1,000,000). In no case shall such professional liability to third parties be
limited in any way.
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(8) It shall be the responsibility of the SUBCONTRACTOR to ensure that any and all persons
engaged in the performance of any work or service required of the SUBCONTRACTOR under this
Agreement, shall comply with the same insurance requirements that SUBCONTRACTOR is
required to meet.
(9) Failure on the part of the SUBCONTRACTOR to maintain the insurance as required shall
constitute a material breach of contract upon which the COUNTY may,after giving five working
days' notice to the SUBCONTRACTOR to correct the breach,immediately terminate the contract
or,at its discretion,procure or renew such insurance and pay any and all premiums in connection
therewith,with any sums so expended to be repaid to the COUNTY on demand,or at the sole
discretion of the COUNTY,offset against funds due the SUBCONTRACTOR from the
COUNTY.
(10) All cost for insurance shall be considered incidental to and included in the unit contract prices and
no additional payment will be made.
(11) Excepting the Workers Compensation insurance and any professional liability insurance secured
by the SUBCONTRACTOR,the COUNTY will be named on all certificates of insurance as an
additional insured. The SUBCONTRACTOR shall furnish the COUNTY with verification of
insurance and endorsements required by this Agreement. The COUNTY reserves the right to
require complete,certified copies of all required insurance policies at any time.
(12) All insurance shall be obtained from an insurance company authorized to do business in the State
of Washington. The SUBCONTRACTOR shall submit a verification of insurance as outlined
herein within 14 days of the execution of this Agreement to the COUNTY. All insurance policies
obtained by the SUBCONTRACTOR shall be primary to any equivalent or applicable policies
held by the COUNTY. All insurance policies obtained by the SUBCONTRACTOR shall include a
waiver of subrogation rights. Any insurance self-insured retention,deductible or risk retention
maintained,or participated in,by the COUNTY shall be excess and shall be non-contributory to
the insurance policies provided by the SUBCONTRACTOR in order to comply with the insurance
requirements of this Subcontract. All policies provided by the SUBCONTRACTOR in order to
comply with the insurance requirements of this Subcontract must be endorsed to show this primary
coverage.
(13) Nothing in the foregoing insurance requirements shall prevent the COUNTY, at its option,from
additionally requesting that the SUBCONTRACTOR deliver to the COUNTY an executed bond as
security for the faithful performance of this contract and for payment of all obligations of the
SUBCONTRACTOR.
(14) The SUBCONTRACTOR shall comply with all Federal, State,and local laws and ordinances
applicable to the work to be done under this Agreement. This Agreement shall be interpreted and
construed in accord with the laws of the State of Washington and venue shall be in Jefferson
COUNTY, WA.
(15) The SUBCONTRACTOR shall comply with the WA State Department of Labor and Industries
Minimum Wage Act, RCW 49.46,acknowledging persons with disabilities participating in job
assessments are not considered employees.
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(16) The SUBCONTRACTOR 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 SUBCONTRACTOR 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 SUBCONTRACTOR and the COUNTY,its officers,officials,
employees,agents and volunteers(and their marital communities)the SUBCONTRACTOR's
liability,including the duty and cost to defend, shall be only for the SUBCONTRACTOR's
negligence. It is further specifically understood that the indemnification provided constitutes the
SUBCONTRACTOR'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.
(17) Claims against the COUNTY shall include,but not be limited to assertions that the use and transfer
of any software,book,document,report,film,tape,or sound reproduction of material of any kind,
delivered there under, constitutes an infringement of any copyright,patent,trademark,trade name,
or otherwise results in an unfair trade practice or an unlawful restraint of competition.
(18) The SUBCONTRACTOR specifically assumes potential liability for actions brought against the
COUNTY by SUBCONTRACTOR'S employees, including all other persons engaged in the
performance of any work or service required of the SUBCONTRACTOR under this Agreement
and,solely for the purpose of this indemnification and defense,the SUBCONTRACTOR
specifically waives any immunity under the state industrial insurance law,Title 51 RCW. The
SUBCONTRACTOR recognizes that this waiver was specifically entered into pursuant to
provisions of RCW 4.24.115 and was subject of mutual negotiation.
(19) SUBCONTRACTOR shall not discriminate against any person presenting themselves for services
based on race,religion, color, sex, age,or national origin.
(20) COUNTY reserves the right to terminate this contract in whole or in part,without prior written
notice,in the event that contractual terms are not fulfilled,or if expected or actual funding from the
Department of Social and Health Services Division of Developmental Disabilities is withdrawn,
reduced,or limited in any way after the effective date of this agreement. In the event of
termination under this clause,COUNTY shall be liable only for payment for services rendered
prior to the effective date of termination.
(21) No portion of this contract may be assigned or subcontracted to any other individual, firm,or entity
without the express and prior written approval of COUNTY. If the COUNTY agrees in writing that
all or a portion of this Contract may be subcontracted to a third-party,then any contract or
agreement between the SUBCONTRACTOR and a third-party subcontractor must contain all
provisions of this Agreement and the third-party subcontractor must agree to be bound by all terms
and obligations found in this agreement.
(22) The parties agree that:
(a) No representation or promise not expressly contained in this Agreement has been made.
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(b) They are not entering into this Agreement based on any inducement, promise or
representation, expressed or implied, which is not expressly contained in this Agreement.
(c) This Agreement supersedes all prior or simultaneous representations, discussions,
negotiations, and agreements, whether written or oral, within the scope of this Agreement.
(23) 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.
(24) 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.
(25) The Contractor shall not sell, assign, or transfer any of rights obtained by this Agreement without
the express written consent of the County.
(26) 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.
(27) This Agreement may be amended or supplemented only by a writing that is signed by duly
authorized representatives of all the parties.
(28) This Agreement may be executed in one or more counterparts, each of which shall be deemed an
original, and all of which counterparts together shall constitute the same instrument which may be
sufficiently evidenced by one counterpart. Execution of this Agreement at different times and
places by the parties shall not affect the validity of this Agreement, so long as all the parties
execute a counterpart of this Agreement.
(29) The parties agree that facsimile and electronic signatures shall have the same force and effect as
original signatures.
(30) Notwithstanding any 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 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 also agrees that upon receipt of any written public record request, the
Contractor shall, within two business days, notify the County by providing a copy of the request
per the notice provisions of this Agreement.
(SIGNATURES FOLLOW ON NEXT PAGE)
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APPROVED AND ADOPTED this day of , 2025.
JEFFERSON COUNTY WASHINGTON CASCADE COMMUNITY CONNECTIONS
Board of County Commissioners
Jefferson County, Washington
By: By:
Heidi Eisenhour, Chair 75 for jebster, Executive Director
By: Date: 2 2
Greg Brotherton, Commissioner
By:
Heather Dudley-Nollette, Commissioner
SEAL:
ATTEST:
Carolyn Gallaway,
Clerk of the Board
Approved as to form only:
Z-Zzk for 12/17/2024
Philip C. Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
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EXHIBIT A
STATEMENT OF WORK
SCHOOL TO WORK PROGRAM
I. WORK STATEMENT
SUBCONTRACTOR shall provide School-to-Work Program direct services for clients as described
hereinafter. SUBCONTRACTOR shall be reimbursed for such services pursuant to payment table
below.
The purpose of School-to-Work efforts are to provide employment-related services to individuals with
developmental disabilities who will be exiting school with outcome of paid employment. This is a
collaborative effort with school districts,Department of Vocational Rehabilitation(DVR),
Developmental Disabilities Administration(DDA),provider, and the COUNTY.
II. ELIGIBILITY
These services may be authorized for individuals with birthdates between 9-1-2003 and 8-31-2004.
These services may be authorized in addition to or instead of Individual Employment or Group
Supported Employment services.
III. DELIVERABLES
a. At a minimum,the SUBCONTRACTOR shall submit the following deliverables to
demonstrate completion of the required services. Deliverables should be submitted in the
formats provided in the School-to-Work Program's Student Guide (Exhibit B)and the
fillable forms in Exhibits C and D.
(1) Intake and Assessment Phase
(a) Intake deliverable is a signed SDOP(Exhibit E)and the completed form titled
Team Contacts, Roles, and Responsibilities on page 7 of the Student Guide.
(Note the SDOP outlines a payment structure between DVR and the COUNTY.
The Agreement between the COUNTY and SUBCONTRACTOR is different,
and described in the table below).
i. Team Contacts, Roles, and Responsibilities will include;
(A) Team member contact information including name, email, and phone.
(B) Team member roles.
(C) Each team member's responsibility to the Student.
(b) Assessment deliverable includes completion of the Job Goal form and an
explanation on how it was reached(Page 11-13 of Student Guide).
(2) Job Placement Phase
(a) Job Seeker Tools: Resume and cover letter(video, PowerPoint,portfolio, etc.)
See page 16 of Student Guide.
(b) Job Offer: Documentation/details of a job offer. (Page 17 of the Student Guide).
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(3) Stabilization Phase
(a) Employment Verification: Documentation/details of a job start. (Page 19 of the
Student Guide).
(b) Stabilization: Stabilization Report: (Page 21 of the Student Guide).
Payment
Deliverables are completed forms that are in the Student Guide and in Exhibits C and D.
SUBCONTRACTOR must submit deliverables at time of invoicing in order to receive payment.
Student Guide Deliverable Payment
The following completed forms:
• Signed SDOP (Exhibit E) $2,163 per student
• Team Building Meeting and Information; Team Contacts, Roles,
and Responsibilities
• First and second School-to-Work student data forms (Exhibit D).
The following completed forms, as applicable for the student*: $1,441.20 per student
• Job Foundation Report;Job Foundation Executive Summary and
Job Recommendation; School-to Work Assessment; Job Goal;
Next Steps and Team Actions
The following completed form: $720 per student
• Job Seeker Tools(both required tools are complete and shared
with the student and DVR)
The following completed forms: $1,441.20 per student
• Job Offer Details on the page titled"You were offered the job!
Way to go!"
• The third School-to-Work student data form(Exhibit D).
The following completed form: $720 per student
• Page titled"Congratulations,you are employed!"
The following completed forms: $3,603 per student
• Your Supports on the job
• Job Stabilization Report
• Fourth and final student data form(Exhibit D).
• Student Success Story form(Exhibit C)along with associated
release form
Maximum total payment per student under this Agreement. There is $10,088.40 per student
no limit on number of students served during the term of this
contract.
*The main goal of Assessment is to set an employment goal and next steps. If a Job Foundation Report
achieves that goal,no additional assessment is required. If that report was not enough,then further
assessment is required. The student and their team will decide what is needed.
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