HomeMy WebLinkAboutAgreements/Contracts - GRIS (002)ME
INTERAGENCY AGREEMENT
Between
GRANT COUNTY HEALTH DISTRICT
And
Grant Integrated Services
July 1, 2021 — June 30, 2022
THIS INTERAGENCY AGREEMENT is made and entered into pursuant to Chapter 39.34 RCW, the |ntedoca|
Cooperation Act by and between the Grant County Health District, hereinafter referred to as "GRANT"
acting as the Regional Lead Organization (RLO) to coordinate the Youth Marijuana Prevention and
Education Program and the Grant, Integrated Senjices hereinafter referred to as "PARTICIPANT", as funded
bythe Washington State Department ofHealth.
IT|STHE PURPOSE OFTHIS AGREEMENT toprovide amechanism for the collaborative work, completion
of deliverables, and transfer of funds necessary to carry out the priority health improvement initiatives
associated with the North Central Washington Youth Marijuana Prevention and Education Program.
The PARTICIPANT will develop and implement aportion ofthe North Central Washington Youth Ma Marijuana
Prevention and Education work plan that include community awareness, youth education, -oUcK
environmental strategies, and systems change that reduce initiation and use of marijuana by youth(ages
12-20) and among populations most adversely affected by marijuana throughout the North Central
Washington region.
[T|S.,THEREFORE, MUTUALLY AGREED THAT:
Statement of Work
PARTICIPANT shall furnish the necessary personnel and services and otherwise do all things necessary for
or incidental to the performance of the work set forth in Exhibit "A" attached hereto and incorporated
herein. Unless otherwise specified., PARTICIPANT shall be responsible for performing all fiscal and program
responsibilities as set forth in Exhibit "A."
Terms and Conditions
All rights and obligation of the parties to this contract shall be subject to and governed by the special
terms and conditions contained in the text of this agreement.
Period of Performance
Subject to its other provisions, the period of performance of this agreement shall commence on July 1,
2021. and conclude on June 30 2022 unless continued by written agreement or terminated sooner as
provided herein.
In consideration whereof:
Upon receipt of a properly executed A-19Invoice Voucher and complete billing documentation, GRANT
shall pay toPARTICIPANT the reimbursed sum asagreed upon inExhibit "A" Parties may mutually agree
toadditional sums and deliverables asadditional funding isavailable.
Services and Reporting Requirements
PARTICIPANT will report to GRANT on any services and/or reporting requirements that may be required
under this agreement.
PARTICIPANT must submit all Spanish translated documents to GRANT to be reviewed by a GRANT
certified Spanish translator before purchasing and printing materials.
Approved Expenses
Allowable expenses are for reasonable program purposes, including personnel, travel, supplies and
services such as contractual. The primary recipient must perform a substantial role in carrying out project
objectives and not merely serve as a conduit for an award to another party or provider who may be
ineligible. No expenses will be reimbursed for any lobbying efforts of any kind or for any clinical care. Any
type of equipment purchase must be pre -approved by GRANT.
Indirect Costs and Line Item Budget Requirements
Indirect costs are limited to the PARTICIPANT's approved overhead rate. If PARTICIPANT wishes to bill
indirect costs they must first send GRANT a copy of their indirect rate approved by their cognizant agency.
Otherwise they are limited to 10 percent of direct costs for their allowable indirects.
PARTICIPANT need not amend the budget if they anticipate going over in any line item by less than 10
percent of total direct charges. However, if they anticipate going over by more than 10 percent of total
direct charges for any line item they will be required to amend their budget before being refunded for
costs that exceed 10 percent in respective line items.
Monitoring of fund allocation spending
There will be two check-in points (1) mid -year and (2) two months before contract end date:
(1) At mid -year, GRANT will evaluate how much of the PARTICIPANT funds have been spent. If less
than 30% of the funds have been billed,. GRANT reserves the right to amend the contract and
reduce the funding allocation.
(2) Two months before the end of the contract, GRANT will evaluate how much PARTICIPANT funds
have been spent. If less than 80% of the funds have been billed and if the PARTICIPANT doesn't
have a reasonable explanation for how they will use the remainder of the funds, GRANT reserves
the right to amend the contract and reduce the funding allocation.
Non -Discrimination
In the performance of this agreement, PARTICIPANT shall not discriminate on the grounds of race, color,
national origin, sex, religion, marital status, age, creed, Vietnam era and disabled veterans status, or the
presence of any sensory, mental, or physical handicap in;
a. Any terms or conditions of employment to include taking affirmative action necessary to
Interagency Agreement — Grant Integrated_ Services ,6%303/2021
Page 2
accomplish the objectives of this part; and
b. Denying an individual the opportunity to participate in any program provided by this
agreement through the provision of services, or otherwise afforded others.
Records Maintenance
PARTICIPANTand GRANTshall each maintain sufficient recordsto demonstrate thatfundsallocated under
this contract have been expended in accordance with the terms and conditions of the State Youth
Marijuana Prevention and Education Program (YMPEP) statement of work and any other state
Background Checks:
PARTICIPANT must provide documentation of background
PARTIOPAN7s agency working directly with youth ages O-Dand those whom PARTICIPANT may
subcontract with who work with youth ages 0-17.
checks to GRANT for individuals in
All duly authorized auditors or their representatives of the State of Washington and of the RLO,, GRANT,
shall have full access and the rights to examine any materials during the grant period., subject to
confidentiality laws and regulations. These records shall be retained for five (5) years.
Restrictions on Funds (what funds can be used for which activities, not direct _paVments,, etc):
a) Recipients may not use funds for research.
b) Recipients may not use funds for clinical care.
d Recipients may only expend funds for reasonable program purposes, including personnel, travel,
supplies, and services, such as contractual. Recipients may not use funds to buy marijuana products
or paraphernalia used in the consumption and/or use of marijuana products.
d\ Recipients may not generally use funding for the purchase of furniture or equipment. However, if
equipment purchase isintegral bzaselected strategy, itwill beconsidered. Any such proposed
spending must be identified in the budget and approved by DOH Contract Manager.
e) Recipients may not use funding for construction or other capital expenditures.
f) Food and beverage purchases must be approved by DOH Contract Manager and should not exceed
federal per them rates.
g) Reimbursement of pre -award costs is not allowed.
Agreement Alterations and Amendments
GRANT and PARTICIPANT may mutually emend this agreement. Such amendments shall not by binding
Interagency Agreement -Grant Integrated Services '�'/3'0/20*21
Indemnification
Each party shall defend, protect and hold harmless the other party from and against all claims, suits and/or
actions arising from any negligent or intentional act or omission of that party's employees, agency and/or
authorized subcontractor (s) while performing this contract.
Termination
Except as otherwise provided in this agreement, either party may terminate this agreement upon 90 days
Y
written notification. If this agreement is so terminated, the termination party shall be liable only for
performance in accordance with the terms of this agreement for performance rendered prior to the
effective date of termination.
Adminic.trntnr
Pursuant to RCW 39.34.030(4)(a), the administrator for this agreement shall be Theresa Adkinson of the
Grant County Health District. Nothing in this agreement shall be deemed to establish a separate legal
entity to conduct the cooperative undertaking described herein.
Property
Unless otherwise specifically agreed by the parties in writing, all property, personal and real, utilized by
the parties hereto in the execution of this Agreement shall remain the property of that party initially
owning it.
Deharmpnt--
The participant, by signature to this award, certifies that they the participant are not presently debarred,
suspended, proposed for debarment, declared ineligible, or voluntarily excluded in any State or Federal
agency from participating in transactions. The participant shall immediately notify the District if, during
the term of this award, the participant becomes debarred.
Notice
All notices, reports, and correspondence to the respective parties of this Agreement shall be sent to the
following:
To GRANT: Grant County Health District
1038 W. Ivy St.
Moses Lake, WA 98837
Primary Contact: Theresa Adkinson, Administrator
To PARTICIPANT: Grant integrated Services
84.0 Ply. M Street
Moses Lake, WA 98837
Interagency Agreement — Grant Integrated Services :6%30/2021
Page 4
Primary Contact: Dayana Ruiz, Manager
Savings
In the event that funding from state funds is withdrawn, reduced, or limited in any way after the effective
date of this contract and prior to normal completion, GRANT may terminate the contract under the
"termination" clause, or reduce to the new funding limitations and conditions.
Disputes
In the event that a dispute arises under this agreement, it shall be determined in the following manner:
GRANT shall appoint a member to the Dispute board. PARTICIPANT shall appoint a member to the Dispute
board. GRANT and PARTICIPANT shall jointly appoint a member to the Dispute Board. The Dispute Board
shall evaluate the dispute and make a determination of the dispute. The determination of the Dispute
Board shall be final and binding on the parties hereto.
All Writings contained herein
This agreement contains all the terms and conditions agreed upon by the parties. No other
understandings, oral or otherwise, regarding the subject matter of this agreement shall be deemed to
exist or to bind any of the parties hereto.
IN WITNESS WHEREOF, the parties have executed this agreement.
Grant Integrated Services
�Y
.may
Signature
Dell Anderson, Director
(Print)
Date
Board of Grant County Commissioners
Grant County, Washington
R
IIS'
I'A
Signature
Cindy Carter, Chair
Grant County Health District
J
Signature
Theresa Adkinson, Administrator
(Print)
Date
Interagency Agreement — Grant Integrated Services 0/30/2021
Page 5
(Print)
Date
L,
Signature
Danny E. Stone, Vice Chair
(Print)
Date
Signer e
Rob Jones, Member
(Print)
Date
8041 RIT «o„
Funding Information:
Chart of Accounts Program
BARS
Name or Title
Revenue
Code
SFY22 Marijuana
334.04.93
TOTALS
Billing Information:
Funding Period
(LHJ Use Only)
Start Date End Date
07/01/21 06/30/22
urrent Change
onsideration Increase
10,000
10,000
Tota I
Consideration
10,000
10,000
All A-19 Invoice billings with original signatures and detailed documentation attached are to be sent to
Grant County Health District 1038 W Ivy Ave Suite 1, Moses Lake WA 98837 Email:
accountant@granthealth.org. Please indicate the costs for each separate component on your A-19.
Billings should be submitted monthly within 30 days after the close of a month. Exception: For the
month after a funding source's expiration date please have the billing submitted within 25 days after the
close of the month.
Interagency Agreement - Grant Integrated. Services `6
./30/2021
Page 6
Line Item Budget(s);
Moses Lake C.dmfflunity Cowiffibn Budget
July 1, 2021 — June 30, 2022
Description
Budget
DIRECT:
Salaries
$1,500.00
Benefits
Travel
Goods & Services
$3.,500.00
Total Direct Costs:
$5.,000.00
INDIRECT:
Overhead
Total Funding
$5.0000.00
QuIncy Partnersh' fiDr Youth Budget
W
July 1, 2021 - June 30, 2022
Description
Budget
DIRECT:
Salaries
$1,500.00
Benefits
Travel
Goods & Services
$3,500.00
Total Direct'Costs:
$5,000.00
INDIRECT:
Overhead
Total Funding
$5.0000.00
Statement of Work Information:
Interagency Agreement - Grant Integrated Services ;6/30/2021
Page 7
Youth Support youth group led activities
Monthly
June 30,
Reimbursement
Empowerment and training in NCW through TA
progress
2022
for actual
and by sharing YMPEP resources
report by
loth
expenditures,
and facilitating collaboration
ofthe
not to exceed
across the region.
following
total funding
I
month
consideration.
� 4�ti
S t ems ts
Decision- Partner with school systems to
Monthly
June 30, Reimbursement
maker advocate for equity and best
progress
2022 for actual
engagement practices in discipline policy and
report by
loth expenditures,
supportive interventions such as
ofthe
not to exceed
trauma informed schools, SEL,,
following
total funding
screen and refer, restorative
month
consideration.
justice., PBIS with fidelity ect.
or�' d t
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Partner Participate in local community
Monthly
June 30,. Reimbursement
engagement events to build program capacity
progress
2022 for actual
and awareness and engage
report by
I oth expenditures,
partners and influential adults.
ofthe
not to exceed
following
total funding
month
consideration.
Data gathering
Review and analyze HYS, OSPI,
Monthly
June 30,
Reimbursement
& research
and other relevant data to
progress
2022
for actual
support YMPEP PSE activities and
report by
1 oth
expenditures,
priorities.
ofthe
not to exceed
following
total funding
month
consideration.
Decision-
Share and present NCW youth MJ
Monthly
June 301
Reimbursement
maker
data to partners and decision-
progress
2022
for actual
engagement
makers to increase support for
report by
loth
expenditures,
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ofthe
not to exceed
following
totalfunding
month
consideration.
:'Set or e::-&. F "a m''if Y
It W,
Media
Utilize YMPEP media campaigns
Monthly
June 30,
Reimbursement
and other approved
progress
2022
for actual
campaigns/materials to share
report by
I oth
expenditures,
youth marijuana prevention
ofthe
not to exceed
messages
following
total funding
month
consideration.
ector.
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'el 169� a is
d rM
Partner
Engage with LCB around youth
Monthly
June 30,
Reimbursement
engagement
marijuana prevention topics such
progress
2022
for actual
as packaging/labeling,
report by
loth
expenditures,
ofthe
not to exceed
Jill 111111.11 Nil
30/2021
Interagency Agreement - Grant Integrated Services ;,6/''
Page 8
enforcement, and point of following total fu-n—ding
purchase campaigns. month consideration.
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t p -I; 1';i�
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Partner
Participate in statewide YMPEP
Monthly
June 30,
Reimbursement
engagement
collaborative work groups
progress
2022
for actual
(retailer ed, youth empowerment,
report by loth
expenditures,
Partner
rural communities., advocacy ect.)
ofthe
June 30,
not to exceed
engagement
to further statewide collaboration
following
2022
total funding
and represent NCW.
month
June 30,
consideration.
Reimbursement
Training
Attend at least 2 YMPEP
Monthly
sponsored trainings either in
progress
2022
for actual
person or online per quarter (as
report by loth
and represent NCW.
expenditures,
offered)
ofthe
Monthly June 30,
not to exceed
sponsored trainings either in
progress 2022
following
person or online per quarter (as
total funding
expenditures.,
offered)
month
not to exceed
consideration.
QU1'rWy Partnersh/1") for Youth PS E P I a n
Deliverables/ Due
Payment
Outcomes Date/Time
Information
Frame
and/or Amount
ec o U n ss:..ar
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n J t i e"" s`-�, s. J n e ts
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Partner
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Monthly
June 30,
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engagement
collaborative work groups
progress
2022
for actual
(retailer ed, youth empowerment,
report by loth
expenditures,
rural communities, advocacy ect.)
of the
not to exceed
to further statewide collaboration
following
total funding
and represent NCW.
month
consideration.
Training Attend at least 2 YMPEP
Monthly June 30,
Reimbursement
sponsored trainings either in
progress 2022
for actual
person or online per quarter (as
report by 1 oth
expenditures.,
offered)
of the
not to exceed
following
total funding
month
consideration.
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for actual
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following
total funding
month
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ector.,Hom'- 'an f
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driti, 'M IS ... .. . . .
WIN
Interagency Agreement - Grant Integrated Services 6/30/2021
Page 9
Media Utilize YMPEP media campaigns Monthly June 30, Reimbursement
and other approved progress 2022 for actual
campaigns/materials to share report by 10th expenditures,
youth marijuana prevention of the not to exceed
messages following total funding
month consideration.
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'
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progress
2022
for actual
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report by 10th
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month
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2022
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ursement
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Partner
Participate in local community
Monthly
June 301
Reimbursement
engagement
events to build program capacity
progress
2022
for actual
and awareness and engage
report by loth
expenditures,
partners and influential adults.
of the
not to exceed
following
total funding
month
consideration.
Data gathering
Review and analyze HYS, OSPI,
Monthly
June 301
Reimbursement
& research
and other relevant data to
progress
2022
for actual
support YMPEP PSE activities and
report by 10th
expenditures,
priorities.
of the
not to exceed
following
total funding
Interagency Agreement — Grant Integrated Services 6/30/2021
Page 10
Decision- Share and present NCW youth MJ
maker data to partners and decision -
engagement makers to increase support for
YMPEP program objectives
Form �r.STAii, Mate of Washington
Al9-1A
(Rev. 5/91) = ;
r.
<f INVOICE VOUCHER
` 1i9° "`'
Grant County Health District
1038 W Ivy Ave
Moses Lake, WA 98837
Month:
Salaries
Benefits
Goods & Services
(Warrant is to be payable to)
Amount
month
consideration.
Monthly
June 30,
Reimbursement
progress
2022
for actual
report by 10th
expenditures,
of the
not to exceed
following
total funding
month
consideration.
Agency Use Only
Agency Location Code
No.
P.R. or
Auth. No.
INSTRUCTIONS TO VENDOR OR CLAIMANT:
Submit this form to claim payment for materials, merchandise or services. Show complete
detail for each item.
Vendor's Certificate: I hereby certify under penalty of perjury that the items and totals
listed herein are proper charges for materials, merchandise or services furnished to the
State of Washington, and that all goods furnished and/or services rendered have been
provided without discrimination because of age, sex, marital status, race, creed, color,
national origin, handicap, religion, or Vietnam era or disabled veterans status.
(Signature)
By,
(Title)
Indirect Costs
Total
Interagency Agreement - Grant IntegrateServices '0'-":`!/30/2021 . 3 2021
(Date)
Page 11
Prepared by Date Agency Approval ----TDate
Interagency Agreement - Grant Integrated Services .6/30/2021
Page 12