HomeMy WebLinkAboutAgreements/Contracts - Health DistrictK 19-078 A -
INTERAGENCY
AGREEMENT
Between
GRANT COUNTY HEALTH DISTRICT
And
MOSES LAKE HEALTHY YOUTH PARTNERSHIP 365 (HYP365) COALITION
july 1, 2013—ju a 39, 289 -Amendment #1 May 13, 2019 -June 30, 2019
THIS INTERAGENCY AGREEMENT is made and entered into pursuant to Chapter 39.34 RCW, the Interlocal
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 Moses Lake Healthy Youth Partnership 365 (HYP 365) hereinafter referred to
as "PARTICIPANT", as funded by the Washington State Department of Health.
IT IS THE PURPOSE OF THIS AGREEMENT to provide a mechanism 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 a portion of the North Central Washington Youth Marijuana
Prevention and Education work plan that include community awareness, youth education, policy,
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.
IT IS, 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,
2013 and conclude on June 30, 2019 unless continued by written agreement or terminated sooner as
provided herein.
In consideration whereof:
Upon receipt of a properly executed A-19 Invoice Voucher and complete billing documentation, GRANT
shall pay to PARTICIPANT the reimbursed sum as agreed upon in Exhibit "A". Parties may mutually agree
Interagency Agreement - Moses Lake Healthy Youth Partnership 365 (HYP 365) Amerdfinent r 1
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to additional sums and deliverables as additional funding is available.
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 Reauirements
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:
Interagency Agreement- Moses Lake Healthy Youth Partnership 365 (HYP 365) Amendment #1
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a. Any terms or conditions of employment to include taking affirmative action necessary to
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
PARTICIPANT and GRANT shall each maintain sufficient records to demonstrate that funds allocated 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
requirements.
Background Checks:
PARTICIPANT must provide documentation of background checks to GRANT for individuals in
PARTICIPANT's agency working directly with youth ages 0-17 and those whom PARTICIPANT may
subcontract with who work with youth ages 0-17.
Audit Requirements:
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 payments, etc):
a) Recipients may not use funds for research.
b) Recipients may not use funds for clinical care.
c) Recipients may only expend funds for reasonable program purposes, including personnel, travel,
supplies, and services, such as contractual.
d) Recipients may not generally use funding for the purchase of furniture or equipment. However, if
equipment purchase is integral to a selected strategy, it will be considered. Any such proposed
spending must be identified in the budget and approved by DOH Contract Manager.
e) Recipients may not use funding for construction.
f) Food and beverage purchases must be approved by DOH Contract Manager and should not exceed
federal per diem rates.
g) Reimbursement of pre -award costs is not allowed.
Agreement Alterations and Amendments
GRANT and PARTICIPANT may mutually amend this agreement. Such amendments shall not by binding
unless they are in writing and signed by personnel authorized to bind PARTICIPANT and GRANT.
Interagency Agreement— HeAthy Youth Partnership 365 (HYP 365' ;,nendintnt=--i
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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
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.
Administrator
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.
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
840 Plum Street
Moses Lake, WA 98837
Primary Contact: Courtney Armstrong, 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.
Interagency Agreement- Moses Lake ilealthv Youth P�irtnership 365 (HYP 365) Amendment #1
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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.
Moses Lake Healthy Youth Partnerhsip 365 Grant County Health District
Signature
Signature
Gowrti;ey AFmstFene, ManaeeF Gail Goodwin, Director Theresa Adkinson. Administrator
(Print) (Print)
Date Date
Board of Grant County Commissioners
Grant County, Washington
Signature
Righnrd !;tpye rw-'.- Tom Taylor, Chair
(Print)
4o I k uh C1
Date
Interagency Agreement- tiiosea f ��!<e 1i':du %' Youth P_1rtnetship 365 (HYP 365), An�endml-nm it i
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Signature
Tara T";•'^" "i^^ "^i• Cindy Carter, Vice Chair
(Print)
Date
Signature
Cindy Carter nn,,,,, e* Richard Stevens, Member
(Print)
Date
EXHIBIT "A"
Funding Information:
Chart of Accounts Program
BARS
Funding Period
Current Change
Total
Name or Title
Revenue
(LHJ Use Only)
Consideration Increase
Consideration
Code
Start Date End Date
N
FFY16 Marijuana
334.04.93
07/01/18 06/30/10
5,000 5,000
10,000
TOTALS
5,000 5,000
10,000
Billing Information:
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 attn: Maria Vargas. 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 —Moses Lake Healthy YoUth Partnership 365 (HYP 365) Amendment 41
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Line Item Budget:
Description: HYP 365
12 Months Funding (7.1.18 — 6.30.19) Total
DIRECT:
Due
Salaries
#
Benefits
Deliverables/
Goods & Services
5,000 Matt Bellace Speaker 5,080-10,000
Total Direct Costs:
5,000 5,000
INDIRECT:
Time
Overhead
Strategy #1: Reach out to decision -makers to promote prevention
Total Funding
5,000 S,AAO-$10,000
Funding Source (expiration date)
334.04.93 (expire 6.30.19)
Statement of Work Information:
Task
Task/Activity/Description
Due
#
Deliverables/
Date/
payment
Outcomes
Time
Information and/or
Amount
Strategy #1: Reach out to decision -makers to promote prevention
work
Frame
Monthly
June 30,
Reimbursement for
progress
2019
actual
report by 10th
expenditures, not
1.1
Activity -Assist GCHD in presenting at the Grant County
of the
to exceed total
Board of Health Meeting 1 time during 2018-2019 year.
following
funding
month
consideration.
June 30,
Reimbursement for
Monthly
2019
actual
Activity -Assist in the coordination of the Grant County
progress
expenditures, not
Prevention Network; Quarter meetings, help build agenda,
report by 10th
1.2
arrange logistics, and facilitate meeting.
of the
to exceed total
following
funding
month
consideration.
Monthly
June 30,
Reimbursement for
progress
2019
actual
Activity- Assist GCHD in presenting at, at least one City
report by 10th
expenditures, not
1.3
Council meeting 1 time during 2018-2019 year.
of the
to exceed total
following
funding
month
consideration.
Interagency Agreement— ,�1oses Lake Health"' YOLIth Partnership 365 (}IYP 365) ~'Amendment #1
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Interagency Agreement— •loses 1,aike Healthy Youth Partnership 365 (HYP 365) Amendment #1
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Monthly
June 30,
Reimbursement for
Activity- Participate in legislative day at least one time a
progress
2019
actual
year to speak with representatives in Olympia.
report by 10th
expenditures, not
1.4
• Public Health Legislative Day
of the
to exceed total
• Prevention Legislative Day
following
funding
month
consideration.
Strategy #2: Educate marijuana retailers on the law & potential harms of youth marijuana use.
Monthly
June 30,
Reimbursement for
progress
2019
actual
Activity- Conduct responsible retailer Education at, at least
report by 10th
expenditures, not
2.1
3 marijuana retailers in Grant County.
of the
to exceed total
following
funding
month
consideration.
Monthly
June 30,
Reimbursement for
Activity- Assist GCHD in working with the local liquor and
progress
2019
actual
cannabis Board (LCB) to ensure compliance checks are
report by 10th
expenditures, not
2.2
occurring in local communities.
of the
to exceed total
• Bi-directional feedback loop.
following
funding
month
consideration.
Strategy #3: Educate parents on the law, potential harms of marijuana use, not to use in front of children, and to keep
marijuana inaccessible to kids in the home.
June 30,
Reimbursement for
Monthly
2019
actual
Activity -Participate in 1-2 community sponsored events
progress
expenditures, not
3.1
with the specific intention to educate/ advocate for
10 report by loth
to exceed total
marijuana policy, systems and environmental changes.
of the
funding
following
consideration.
month
June 30,
Reimbursement for
Monthly
2019
actual
Activity- Assist GCHD in Creating social media messages
progressth
by
expenditures, not
3.2
that specifically target parents- offering resources.
report 10
to exceed total
• Example: How to talk to their Youth.
of the
funding
following
consideration.
month
June 30,
Reimbursement for
Monthly
2019
actual
Activity -Assist GCHD in providing signage as needed to
progress loth
report by 10
expenditures, not
3.3
promote state and federal laws that protect youth from
to exceed total
marijuana use in public.
of the
funding
following
consideration.
month
Strategy #4: Advocate for marijuana -free school environments.
Interagency Agreement— •loses 1,aike Healthy Youth Partnership 365 (HYP 365) Amendment #1
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Interagency Agreement— 'loses l.,ike He, lthy Youth P it n i slip 365 (HYP ",))65 ) ',11temiment #1
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Monthly
June 30,
Reimbursement for
2019
actual
Activity-Ensure all schools in Moses Lake have a clear
progress
report by 10th
expenditures, not
4.1
marijuana policy in their student handbook.
of the
exceed total
following
fu
funding
month
consideration.
June 30,
Reimbursement for
Monthly
2019
actual
Activity- Promote and provide assistance with curriculum
progress loth
report by 10
expenditures, not
4.2
implementation to build social skills to live marijuana free
to exceed total
lives.
of the
funding
following
month
consideration.
Strategy #6: Educate youth on the law and potential harms of marijuana use through paid or earned media.
June 30,
Reimbursement for
Monthly
2019
actual
Activity- Assist GCHD in creating social media messages that
progress loth
report by 10
expenditures, not
6.1
specifically target youth- offering resources.
of the
exceed total
funding
fu
following
consideration.
month
June 30,
Reimbursement for
Monthly
2019
actual
Activity- Depending on funding restrictions, assist GCHD in
progress
expenditures, not
securing advertisements of local billboards, radio stations,
report by 10th
6.2
movie theaters and bowling allies.
of the
to exceed total
funding
following
consideration.
month
June 30,
Reimbursement for
Monthly
2019
actual
Activity- create a local (Moses Lake Focused) positive social
progress loth
report by 10
expenditures, not
6.3
to exceed total
norms campaign
of the
funding
following
consideration.
month
Strategy #7: (Innovative Activity) Promote youth leadership and social skill development.
lune 30,
Reimbursement for
Monthly
2019
actual
Activity- Work with local youth coalitions to participate in
progress
expenditures, not
7.1
the Prevention Summit and community Stakeholder
report by 10 to
to exceed total
presentations.
of the
funding
following
consideration.
month
Interagency Agreement— 'loses l.,ike He, lthy Youth P it n i slip 365 (HYP ",))65 ) ',11temiment #1
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Strategy #8: (Innovative Activity) Increase awareness of marijuana advertising through youth -led environmental
assessments of marijuana messaging.
Monthly
June 30,
Reimbursement for
2019
actual
Activity- Assist GCHD in conducting an environmental
progress
report by 10th
expenditures, not
8.1
assessment of marijuana shops and local advertisements.
of the
to exceed total
following
funding
month
consideration.
Monthly
June 30,
Reimbursement for
2019
actual
Activity- In Spring of 2019, assist GCHD in Conducting V-
progress
expenditures, not
8.2
STARS Assessments looking specifically for Marijuana
loth
report by 10
to exceed total
paraphernalia sold in convenient stores.
of the
funding
following
month
consideration.
Strategy #10: Advocate for enforcement of public use bans.
Monthly
June 30,
Reimbursement for
2019
actual
Activity- Assist GCHD in, enhancing policies to include
progress
th
expenditures, not
10.1
marijuana at parks. Ensure there is adequate signage-
report by 10
to exceed total
posted at parks.
of the
funding
following
month
consideration.
Monthly
June 30,
Reimbursement for
Activity- Assist GCHD in utilizing strategies and partnerships
progress
2019
actual
as outlined in Washington State Strategic Highway Safety
report by 10th
expenditures, not
10.2
plan 2016: Target Zero to reduce impaired driving.
of the
to exceed total
following
funding
month
consideration.
Strategy #11: Education public on public -use bans through paid or earned media.
June 30,
Reimbursement for
Monthly
2019
actual
Activity- Depending on funding restrictions, assist GCHD in
progress
expenditures, not
securing advertisements of local billboards, radio stations,
report by 10th
11.1
movie theaters and bowling allies.
of the
to exceed total
following
funding
month
consideration.
Activity- Assist GCHD in Creating social media messages
Monthly
June 30,
Reimbursement for
that specifically target the public on the laws of marijuana
progress
2019
actual
11 2
report by 10th
expenditures, not
use.
of the
to exceed total
following
funding
Interagency Agreement — 5 ! a!:r H:1aftl1V Youth P,irtnt t ship 367 (H Y11 365 Air 1
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Interagency Agreement — doses Lake Healthy Youth Partnership 3b5 (HYP 3h5 ) Amendment 4 1
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month
consideration.
Strategy #13: Promote the Recovery Helpline
June 30,
Reimbursement for
Monthly
2019
actual
Activity- Work to promote the Washington State recovery
progress
expenditures, not
line via Social Media websites, school districts, law
report by 101h
13.1
enforcement agencies, local prevention coalitions,
of the
to exceed total
healthcare and community organizations.
following
funding
consideration.
month
June 30,
Reimbursement for
Monthly
2019
actual
Activity- Work to promote Local resources and local
progress
expenditures, not
recovery line via Social Media, websites, school districts,
report by 1010
13.2
law enforcement agencies, local prevention coalitions,
of the
to exceed total
healthcare and community organizations.
following
funding
consideration.
month
Interagency Agreement — doses Lake Healthy Youth Partnership 3b5 (HYP 3h5 ) Amendment 4 1
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Form State of Washington
A19 -1A INVOICE VOUCHER
(Rev. 5191) 0
Agency Use Only
Agency Location Code P.R. or
No. Auth. No.
AGENCY NAME
Grant County Health District
1038 W Ivy Ave
INSTRUCTIONS TO VENDOR OR CLAIMANT:
Submit this form to claim payment for materials, merchandise or services. Show complete
Moses Lake, WA 98837
detail for each item.
Vendor's Certificate: I hereby certify under penalty of perjury that the items and totals
VENDOR OR CLAIMANT (Warrant is to be payable to)
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) (Date)
Month:
Amount
Salaries
Benefits
Goods & Services
Indirect Costs
Total
Prepared by
Date
Agency Approval
Date
Interagency Agreement— V.n-- Partnership, 3,65 i)'P 365) Anie°ndir,ent 41
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