Loading...
HomeMy WebLinkAboutAgreements/Contracts - New Hope DV/SAEXHibi i z5. vvnentne iDox oeiow Is mare cl with an X,he t I following Exhibits are attached and are -incorporated into this County Program Agreement by reference: Exhibits (specify): EXhibit A — Statement of Work (SOW); Ex h-liblit B — Program Requirements- ch1bit C — I . nfoNet Data Requirements; Exhibit D — Budget By their signatures below, the parties agree to the terms and conditions of this CountyProgram Agreement and all documents incorporated by reference. No other understandings or representations, oral or otherwise, regarding the et matter of this-RJog am Acireement shall be deemed to exist or bind the parties. The parties signing below certify hat th*e ge au*or*zeo\to sign this faro, rami Agree ent. 1COU TY I AT PRINTED NAME(S) AND TITLES ) DATE(S) SIGNED Cindy Carter, BOCC Chair Danny E Stone, Vice -Chair ember DSHS81GNATURE Rob Jones, M PRINTED NAME AND TITLE DATE SIGNED Caleb Clark, Contracts Officer DSHS/ESA - Community Services Division DSHS Central Contracts and Legal Services 3089CS Emergency Domestic Violence Shelter and Supportive Services County Program Agreement (05-17-2021) RE EI VEE GR41T COUNTY COMMUSSIONILE-RS', 27J U L2021 Page 1 COUNTY r" viss-blagloff State nient of Social PROGRAM AGREEMENT DSHS Agreement Number H'�e a"ith servnkes community -Based Domestic violence Program 2163-21532 Transforming fives Emergency Shelter & Supportive Services This Program Agreement is by and between the State of Washington Administration or Division Department of Social and Health Services (DSHS) and the County identified Agreement Number below, and is issued in conjunction with a County and DSH-S Agreement On 1701 General Terms and Conditions, which is incorporated by reference. County Agreement Number DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER DSHS CONTRACT CODE Economic Services Community Services Division 1221-63 3089CS Administration I DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Maureen Kelly PO Box 45710 Program Manager til ymp'18,WA 98504 DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL (360)790-3245 Click here to enter text, maureen.kelly@doh s.wa, ov COUNTY NAME COUNTY ADDRESS Grant County PO Box 37 Ephrata WA 98823-0037 COUNTY FEDERAL EMPLOYER IDENTIFICATION COUNTY CONTACT NAME NUMBER SuziFode COUNTY CONTACT TELEPHONE COUNTY CONTACT FAX - ------- COUNTY CONTACT E-MAIL (509) 764-8402 sfodeaQ,rantcou I ntywa. go - IS THE, COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS ------------- AGREEMENT? Yes 16.575; 93.671 PROGRAM AGREEMENT START DATE PROGRAM AGREEMENT END DATE MAXIMUM PROGRAM AGREEMENT AMOUNT .07/01/2021 $515,888.00 EXHibi i z5. vvnentne iDox oeiow Is mare cl with an X,he t I following Exhibits are attached and are -incorporated into this County Program Agreement by reference: Exhibits (specify): EXhibit A — Statement of Work (SOW); Ex h-liblit B — Program Requirements- ch1bit C — I . nfoNet Data Requirements; Exhibit D — Budget By their signatures below, the parties agree to the terms and conditions of this CountyProgram Agreement and all documents incorporated by reference. No other understandings or representations, oral or otherwise, regarding the et matter of this-RJog am Acireement shall be deemed to exist or bind the parties. The parties signing below certify hat th*e ge au*or*zeo\to sign this faro, rami Agree ent. 1COU TY I AT PRINTED NAME(S) AND TITLES ) DATE(S) SIGNED Cindy Carter, BOCC Chair Danny E Stone, Vice -Chair ember DSHS81GNATURE Rob Jones, M PRINTED NAME AND TITLE DATE SIGNED Caleb Clark, Contracts Officer DSHS/ESA - Community Services Division DSHS Central Contracts and Legal Services 3089CS Emergency Domestic Violence Shelter and Supportive Services County Program Agreement (05-17-2021) RE EI VEE GR41T COUNTY COMMUSSIONILE-RS', 27J U L2021 Page 1 Special Terms and Conditions also provide community education and prevention efforts. Domestic violence programs that are under the auspices of, or the direct supervision of, a court, law enforcement or prosecution agency, or the child protective services section of the department as defined in RCW 26.44.020 are not considered CBDVPs. "Community Education" means information that is provided in community settings about domestic violence and services related to victims of domestic violence. Community education activities include: training, presentations, outreach to specific communities or geographic areas, community events, and media events. j. "Compliance Agreement" means a written plan approved by DSHS which identifies deficiencies in Contractor's performance, describes the steps Contractor must take to correct the deficiencies, and sets forth timeframes within which such steps must be taken to return Contractor to compliance with the terms of the Contract. k. "Confidential Communication" means all information, oral, written or nonverbal, that is transmitted between a victim of domestic violence and an employee or volunteer of a domestic violence program in the course of their relationship and in confidence, which means that the employee or volunteer will not disclose the information to a third person unless authorized in writing by the victim. "Confidential Information" includes, but is not limited to, any information, advice, notes, reports, statistical data, memoranda, working papers, records or the like, made or given during the relationship between a victim of domestic violence and a domestic violence program, however maintained. Confidential information includes personally identifying information (see definition below) and other information that would personally identify a victim of domestic violence who seeks or has received services from a domestic violence program. M. "Crisis Hotline" or "Crisis Helpline" means a designated telephone line of the domestic violence program that operates twenty-four (24) hours a day, three hundred sixty-five (365) days a year. A hotline/helpline provides crisis intervention, safety planning, information, and referral services. n. "Crisis Intervention" means services provided to an individual in crisis to stabilize an individual's emotions, clarify issues, and provide support and assistance to help explore options for resolution of the individual's immediate crisis and needs. o. "Culturally Specific Supportive Services and Prevention Efforts" means services and prevention efforts created by and for specific cultural populations that have been historically underserved or unserved. Services and prevention efforts are typically designed by and with individuals from the specific culture who are cognizant of the specific community generated risks and protective characteristics and often utilize the language and settings familiar to the population served. p. "Domestic Violence" means the infliction or threat of physical harm against an intimate partner, and includes physical, sexual, and psychological abuse against the partner, and is a part of a pattern of assaultive, coercive, and controlling behaviors directed at achieving compliance from or control over that intimate partner. It may include, but is not limited to, a categorization of offenses, as defined in RCW 10.99.020, committed by one intimate partner against another. q. "Domestic Violence Program" means an agency, organization, or program with a primary purpose and history of effective work in providing advocacy, safety assessment and planning, and self-help DSHS Central Contracts and Legal Services 3089CS Emergency Domestic Violence Shelter and Supportive Services County Program Agreement (05-17-2021) Page 3 Special Terms and Conditions services for domestic violence victims in a supportive environment, and includes, but is not limited to, a CBDVP, emergency shelter, or domestic violence transitional housing program. r. "Emergency Shelter" means a place of supportive services and safe, temporary lodging offered on a twenty-four hour, seven-day per week basis to victims of domestic violence and their children. Domestic violence programs may use hotels and motels for victims who need safe shelter, but the domestic violence program must also have an emergency shelter that meets the requirements of Washington Administrative Code (WAC) 388-061A. The mere act of making a referral to emergency shelter is not itself considered provision of emergency shelter. s. "Intimate Partner" means a person who is or was married, in a state registered domestic partnership, or in an intimate or dating relationship with another person at the present or at some time in the past. An intimate partner is also any person who has one or more children in common with another person, regardless of whether they have been married, in a domestic partnership with each other, or lived together at any time. t. "Job Shadowing" means a work experience where an individual observes and learns about a job, activity, or activities by walking through the work day as a shadow to a skilled and competent employee. The experience is planned for and structured with the goal of observing behavior and situations, engaging in interactive questions and answers, and experiencing the link between learning and practice. Job shadowing may be anywhere from a few hours, to a day, week, or more, depending on the job or activity. U. "Legal Advocacy" means personal support and assistance with victims of domestic violence to ensure their interests are represented and their rights upheld within the civil and criminal justice systems, including administrative hearings. It includes educating and assisting victims in navigating the justice systems; assisting victims in evaluating advantages and disadvantages of participating in the legal processes; facilitating victims' access and participation in the legal systems; and promoting victims' choices and rights to individuals within the legal systems. V. "Legal Advocate" means a person employed by a domestic violence program or court system to advocate for victims of domestic violence, within the civil and criminal legal systems and administrative hearings, by attending court proceedings, assisting in document and case preparation, and ensuring linkage with the community advocate. w. "LEP" means Limited English Proficiency, and indicates an individual's need for additional support and assistance in comprehending the English language. X. "Live Training" means events that are held at a specific time and not prerecorded, where participants have the opportunity to ask questions and hear the questions of others in real time. Examples of live training include events that are in person, teleconferences, and interactive. y. "Lodging Unit" means one or more rooms used for a victim of domestic violence including rooms used for sleeping or sitting. Z. "Match" means the Contractor's share of the contracted program costs. Match may either be "in- kind" or "cash." Cash match includes actual cash spent by the Contractor to support the contracted services such as non-federal money contributions from public agencies and private organizations or individuals, such as donations. In-kind match includes the value of donated goods and services used to support the contracted services. In-kind contributions can include such things as donations of expendable equipment; office supplies; workspace; and the monetary value of time contributed DSHS Central Contracts and Legal Services 3089CS Emergency Domestic Violence Shelter and Supportive Services County Program Agreement (05-17-2021) Page 4 Special Terms and Conditions by professionals, technical personnel, and other skilled and unskilled labor (volunteer), so long as the donated services provided are an integral part of the funded program. All match shall be documented. aa. "Personally Identifying Information" means individually identifying information for or about an individual including information likely to disclose the location of a victim of domestic violence, regardless of whether the information is encoded, encrypted, hashed, or otherwise protected, including, but not limited to: (1) First and last name; (2) Home or other physical address; (3) Contact information (including postal, email or Internet protocol address or telephone or facsimile number); (4) Social security number; (5) Driver's license number, passport number, or student identification number; (6) Religious affiliation; (7) Date of birth; (8) Nine digit postal (ZIP) code; (9) Physical appearance of; (10) Case file or history; and (11) Other information that would personally identify a victim of domestic violence who seeks or has received services from a domestic violence program, or such other information which, taken individually or together with other identifying information, could identify a particular individual. bb. "Prevention" means efforts that are designed to ultimately eradicate domestic violence through the promotion of healthy, respectful, and nonviolent relationships. Successful domestic violence prevention efforts address change at both the individual and community levels, and tailor messages to diverse populations. Characteristics of promising prevention practices include working to decrease risk factors for perpetration of abuse as well as victimization, while at the same time promoting positive factors that protect individuals from perpetrating or experiencing abuse. (1) Domestic violence prevention includes strategies, policies and programs that focus on at least one (1) of the following: (a) Increasing community dialogue about the root causes of intimate partner violence (b) Shifting cultural norms (c) Building skills for healthy relationships (d) Promoting respectful and healthy relationship DSHS Central Contracts and Legal Services 3089CS Emergency Domestic Violence Shelter and Supportive Services County Program Agreement (05-17-2021) Page 5 Special Terms and Conditions (2) Examples of activities that are not considered prevention include: (a) Community education as defined in this Contract; (b) Transformative and restorative justice efforts; (c) Single session or one-time activities, such as trainings, presentations, or events; (d) Activities that focus on defining domestic violence, or teaching data, dynamics, and the impacts of domestic violence; (e) Providing information on how to access domestic violence services or how to help others in accessing services; (f) Support groups as defined in this Contract (support groups are considered a supportive service); and (g) Activities that focus on improving responsiveness to domestic violence survivors by community members or system partners. cc. "Resident" means a client of the domestic violence program who is residing in a shelter as defined in this Contract. dd. "Safety Planning" means a process of thinking through with the victim how to increase safety for both the victim of domestic violence and any children of the victim. Safety planning addresses both immediate and long term risks, barriers, or concerns regarding the victim and any dependent children in the context of their communities and in relationship with the domestic violence perpetrator. It is based on knowledge about the specific pattern of the domestic violence perpetrator's tactics and the protective factors of the victim and any dependent children. Safety planning can be done formally, informally, in writing or orally, or in any other conversational process between the victim and advocate. ee. "Secretary" means the department secretary or the secretary's designee. ff. "Self -study" is a form of study in which one is, to a large extent, responsible for one's own instruction. Examples of self -study include reading articles, books, academic journals, training materials, engaging in online learning opportunities, and prerecorded webinars. Self -study content must be current or have historical relevance to the domestic violence advocacy field. gg. "Shelter" means temporary lodging and supportive services, offered by a CBDVP to victims of domestic violence and their children. hh. "Staff' means trained persons who are part of a domestic violence program and are paid or volunteer to provide services to clients. ii. "Subcontractor" means an individual or entity to perform all or a portion of the duties and obligations that the Contractor is obligated to perform pursuant to this Contract. The Contractor shall have a written subcontract for any service required by the contract that is performed for a fee by an entity who is not an employee of the contracted program. Subcontracting for certain services may be necessary for the Contractor, but in all cases shall require prior written approval by DSHS. Any subcontractor shall meet the same contractual requirements as the Contractor. DSHS Central Contracts and Legal Services 3089CS Emergency Domestic Violence Shelter and Supportive Services County Program Agreement (05-17-2021) Page 6