HomeMy WebLinkAboutRequest to Purchase - Facilities & Maintenance (002)INTERAGENCY AGREEMENT
Between
GRANT COUNTY HEALTH DISTRICT
And
Grant Integrated Services
July 1, 2020—lune 30, 2021
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 Grant Integrated Services 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 PARTICIPANTwill develop and implement a portion ofthe 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"
herein. Unless otherwise specified, PARTICIPANT shall be responsiblef
responsibilities as set forth in Exhibit "A."
Terms and Conditions
All rights and obligation ofthe parties to this contract shall be subject
terms and conditions contained in the text of this agreement.
Period of Performance
Subject to its other provisions, the period of performance of this agi
2020 and conclude on June 30, 2021 unless continued by written a
provided herein.
In consideration whereof:
Upon receipt of a properly executed A-19 Invoice Voucher and coml
shall pay to PARTICIPANT the reimbursed sum as agreed upon in Exhibit "A". Parties may mutually agree
to additional sums and deliverables as additional funding is available.
Interagency Agreement — Grant Integrated Service, 6/30/2020
Page 1
RECEIVED
GRANT COUNTY COMMISSIONERS,
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.
Anoroved 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 I nwgrated Services 6/30/2020
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
PARTICIPANT and GRANTshall 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 (S) 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. 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 forthe 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 or other capital expenditures.
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 - Griot Inte�_rated Srrcire; 6/30/2020
Page 3
Indemnifiratinn
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.
Debarment:
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
840 Plum Street
Moses Lake, WA 98337
Interagency Agreement— (. rant InLe;gratetl St-rki, 6130/2020
Page 4
Primary Contact: Dell Anderson, Director
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 memberto 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 Grant County Health District
Signature
Dell Anderson Director
(Print)
C Tt
Daie
Board of Grant County Commissioners
Grant County, Wash' ton
(—U,
Signature
Cindy Carter, Chair
Signature
Theresa Adkinson Administrator
(Print)
Date
Interagency Agreement — (t i 6/30/2020
Page 5
(Print)
q -(1-q,-) ZAD
Date
Signature
Tom Taylor, Vice Chair
(Print)
Date
iv
rer
Signature
Richard Stevens. Member
(Print) n
q��� l�
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
SFY21 Marijuana
334.04.93
07/01/20 ; 06/30/21 10,000
10,000
TOTALS 10,000
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 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 Servic,_ 6/30/2020
Page 6
Line Item Budget(s):
Moses Lake Community Coalition Budget
July 1, 2020 —June 30, 2021
Description
Budget
DIRECT:
Sector: Schools & Colleges
Salaries
$1,500.00
Benefits
_
Travel
$3,500.00
Goods & Services
$3,500.00
Total Direct Costs:
$5,000.00
INDIRECT:
INDIRECT: -_
-- — - ---
Overhead
_
Total Funding
$5,000.00
Quincy Partnership for Youth Budget
July 1, 2020 —June 30, 2021
Description
Budget
DIRECT:
Sector: Schools & Colleges
Salaries
Benefits
$1,500.00
Travel
_
Goods & Services
$3,500.00
Total Direct Costs:
$5,000.00
INDIRECT:
Overhead
Total Funding
$ 5,000.00
Statement of Work Information:
Moses Lake Community Coalition PSE Plan
Deliverables/
Outcomes
Due
Date/Time
Frame
Payment
Information
an--d/or Amount
Sector: Schools & Colleges
PSE Priorities: Community Norms
Tactics Description
Interagency Agreement — Grant Integrattd Services 6/30/2020
Page 7
Youth
I Support youth group led activities
Monthly
June 30,
Reimbursement
Empowerment
and training in NCW through TA
progress
2021
for actual
and by sharing YMPEP resources
report by 10th
expenditures,
and facilitating collaboration
of the
not to exceed
across the region.
following
total funding
month
consideration.
PSE Priorities: School Systems Policy & Procedures _
Decision-
Partner with school systems to
Monthly
June 30,
Reimbursement
maker
advocate for equity and best
progress
2021
for actual
engagement
practices in discipline policy and
report by 10"'
expenditures,
supportive interventions such as
of the
not to exceed
trauma informed schools, SEL,
following
total funding
screen and refer, restorative
month
consideration.
justice, PBIS with fidelity ect.
Sector: Government and Community
PSE Priorities: Community Norms
Partner
Participate in local community
Monthly
June 30,
Reimbursement
engagement
events to build program capacity
progress
2021
for actual
and awareness and engage
report by 10th
expenditures,
partners and influential adults.
of the
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
2021
for actual
support YMPEP PSE activities and
report by 10th
expenditures,
priorities.
of the
not to exceed
following
total funding
month
consideration.
Decision-
Share and present NCW youth M1
Monthly
June 30,
Reimbursement
maker
data to partners and decision-
progress
2021
for actual
engagement
makers to increase support for
report by 10th
expenditures,
YMPEP program objectives
of the
not to exceed
following
total funding
month
consideration.
Sector: Home & family
PSE Priorities: Community Norms
Media
Utilize YMPEP media campaigns
Monthly
June 30,
Reimbursement
and other approved
progress
2021
for actual
campaigns/materials to share
report by 10th
expenditures,
youth marijuana prevention
of the
not to exceed
messages
following
total funding
month
consideration.
Sector: Retailers
PSE Priorities: Retailer
Norms
Engage with LCB around youth Monthly June 30, Reimbursement
Partner
engagement
marijuana prevention topics such progress 2021 for actual
as packaging/labeling, report by 10t" expenditures,
of the not to exceed
Interagency Agreement— ('r_i, ! Intd Servi, 6/30/2020
Page 8
Quincy Partnership for Youth PSE Plan
enforcement, and point of
following
Payment
total funding
Outcomes
purchase campaigns.
month
consideration.
Sector: Business and Workplace
PSE Priorities: Business Norms_
Partner
Participate in statewide YMPEP
Monthly
June 30,
Reimbursement
engagement
collaborative work groups
progress
2021
for actual
progress
(retailer ed, youth empowerment,
report by 10"
expenditures,
report by 10th
rural communities, advocacy ect.)
of the
not to exceed
of the
to further statewide collaboration
following
total funding
following
and represent NCW.
month
consideration.
Training
Attend at least 2 YMPEP
Monthly
June 30,
Reimbursement
Monthly
sponsored trainings either in
progress
2021
for actual
progress
person or online per quarter (as
report by 10th
expenditures,
report by 10th
offered)
ofthe
not to exceed
of the
following
total funding
following
month
consideration.
Quincy Partnership for Youth PSE Plan
Deliverables/
Due
Payment
Outcomes
Date/Time
Information
Frame
and/or Amount
Sector: Business and Workplace
PSE Priorities: Business Norms
Tactics Description
Partner
Participate in statewide YMPEP
Monthly
June 30,
Reimbursement
engagement
collaborative work groups
progress
2021
for actual
(retailer ed, youth empowerment,
report by 10th
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
2021
for actual
person or online per quarter (as
report by 10th
expenditures,
offered)
of the
not to exceed
following
total funding
month
consideration.
Sector: Retailers
PSE Priorities: Retailer Norms
Partner
Engage with LCB around youth
Monthly
June 30,
Reimbursement
engagement
marijuana prevention topics such
progress
2021
for actual
as packaging/labeling,
report by 10th
expenditures,
enforcement, and point of
of the
not to exceed
purchase campaigns.
following
total funding
month
consideration.
Sector: Home and Family
PSE Priorities: Community Norms
Interagency Agreement — (,i wl; Integrated Servic 6/30/2020
Page 9
Media
Utilize YMPEP media campaigns
Monthly
June 30,
Reimbursement
and other approved
progress
2021
for actual
campaigns/materials to share
report by 10"
expenditures,
youth marijuana prevention
of the
not to exceed
messages
following
total funding
month
consideration.
Sector: Schools and Colleges
PSE Priorities: Community Norms
Youth
Innovative project: Provide
Monthly
June 30,
Reimbursement
Empowerment
educational youth marijuana
progress
2021
for actual
prevention training to middle
report by 10"
expenditures,
school athletes
of the
not to exceed
following
total funding
month
consideration.
Presentations
Present on program specifics to
Monthly
June 30,
Reimbursement
& engagement
school board/coalition meeting to
progress
2021
for actual
gain support for system policy
report by 10`h
expenditures,
change within school athletes and
of the
not to exceed
health
following
total funding
month
consideration.
Youth
Support youth group activities in
Monthly
June 30,
Reimbursement
Empowerment
NCW through TA and by sharing
progress
2021
for actual
YMPEP resources and facilitating
report by 10"
expenditures,
collaboration across the region.
of the
not to exceed
following
total funding
month
consideration.
PSE Priorities: School Systems Policy and Procedures
Decision-
Partner with school systems to
Monthly
June 30,
Reimbursement
maker
advocate for equity and best
progress
2021
for actual
engagement
practices in discipline policy and
report by 10'h
expenditures,
supportive interventions such as
of the
not to exceed
trauma informed schools, SEL,
following
total funding
screen and refer, restorative
month
consideration.
justice, PBIS with fidelity ect.
i
Sector: Government & Community _
PSE Priorities: Community Norms
Partner
Participate in local community
Monthly
June 30,
Reimbursement
engagement
events to build program capacity
progress
2021
for actual
and awareness and engage
report by 10t'
expenditures,
partners and influential adults.
of the
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
2021
for actual
support YMPEP PSE activities and
report by 10"'
expenditures,
priorities.
of the
not to exceed
following
total funding
Interagency Agreement — .:ted Seri ices 6/30/2020
Page 10
month
consideration.
Decision- Share and present NCW youth MJ Monthly
June 30,
Reimbursement
maker data to partners and decision- progress
2021
for actual
engagement makers to increase support for report by 10"
listed herein are proper charges for materials, merchandise or services furnished to the
expenditures,
YMPEP program objectives of the
not to exceed
following
national origin, handicap, religion, or Vietnam era or disabled veterans status.
total funding
month
consideration.
Agency Use Only
Form State of Washington
A19 -1A INVOICE VOUCHER Agency Location Code P.R. or
(Rev. 5/91) 4 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
Interagency Agreement— grant 1,i�egratecl Services 6/30/2020
Page 11
Prepared by Date Agency Approval Date
Interagency Agreement— Grant Integrated Servi 6/30/2020
Page 12