HomeMy WebLinkAboutAwareness Consulting & Training LLC - PSA for Behavioral Health Services PERSONAL SERVICES AGREEMENT
BEHAVIORAL HEALTH SERVICES
THIS AGREEMENT is made and entered into between the City of Pasco, a Washington
Municipal Corporation, hereinafter referred to as "City", and Awareness Consulting and Training
LLC,hereinafter referred to as "Consultant," on the��day of �;�� ����.c�.� , 2022.
RECITALS
WHEREAS, Consultant has the capability and capacity to provide an Outreach
Coordinator and Psychiatric Advanced Registered Nurse Practitioner to the existing Pasco
Resource Navigator Team detailed in the Statement of Work attached hereto as Exhibit A; and
the City desires to have certain services and/or tasks performed as set forth below requiring
specialized skills, training, equipment, and other supportive capabilities; and
WHEREAS, City desires to retain Consultant to provide the said services, and Consultant
is willing to perform such services under the tertns and conditions hereinafter set forth; the
Consultant represents that it is qualified and possesses sufficient skills,experience, equipment,and
necessary capabilities, including: technical and professional expertise, when required, to perform
the services andlor tasks as set forth in this Agreement upon which the City is relying.
NOW, THEREFORE, in consideration of the mutual covenants, and performances
contained herein, the parties agree as follows:
1. Scoue of Services. The Consultant shall perform such services and accomplish such tasks,
including the furnishing of all labor, materials, facilities and equipment necessary for full
performance thereof, as identified and designated as Consultant's Responsibilities
throughout this Agreement, and as more particularly described in Scope of Work detailed
in Exhibit A, attached hereto and incorporated herein (the "Project").
2. Term. This Project shall begin on the execution date listed above and shall continue
thereafter until the completion of Services under all Statements of Work for a period of 5
years unless sooner terminated pursuant to Section 13.
3. Compensation and Pavment.
3.1 Payment for services provided hereunder shall be made following the performance
of such services. Such payment shall be full compensation for work performed or
services rendered, and for all labor, materials, supplies, equipment, and incidentals
necessary to complete the Project.
3.2 No payment shall be made for any services rendered by the Consultant except for
services identified and set forth in this Agreement except as may be authorized by
a written supplemental agreement approved by the City.
Personal Services Agreement—Awareness Consulting and Training, LLC-Pasco Resource Navigator Program
Page 1 of 9
33 The City shall pay the Consultant for work performed under this Agreement upon
timely submitted invoices detailing work performed and expenses for which
reimbursement is sought. The City shall approve all invoices before payment is
issued. Payment shall occur within thirty (30) days of receipt and approval of an
invoice.
3.4 The City shall pay the Consultant for all work performed and expenses incurred
under this Agreement, as follows.
� Such rates as identified on Exhibit A.
4. Reports and Inspections.
4.1 The Consultant at such times and in such forms as the City may require, shall
furnish to the City such statements, records, studies, surveys, reports, data, and
information as the City may request pertaining to matters covered by this
Agreement.
4.2 The Consultant shall, at any time during normal business hours and as often as the
City or the Washington State Auditor may reasonably deem necessary, make
available for examination all of its records and data with respect to all matters
covered, directly or indirectly, by this Agreement and shall permit the City, or its
designated authorized representative to audit and inspect other data relating to all
matters covered by this Agreement. The City shall receive a copy of all audit
reports made by the agency or firm as to the Consultant's activities. The City may,
at its discretion, conduct an audit at its expense, using its own or outside auditors,
of the Consultant's activities which relate, directly or indirectly,to this Agreement.
Consultant shall be provided a copy of such reports.
4.3 The Consultant, during the term of this Agreement, shall obtain all permits and
registration documents necessary for the performance of its work and for the
execution of services at its own expense, and shall maintain its validity. Upon
request,the Consultant shall deliver to the City copies of these licenses,registration
documents, and permits or proof of their issuance or renewal.
4.4 Consultant shall maintain books, records and documents, which sufficiently and
properly reflect all direct and indirect costs related to the performance of this
Agreement,and shall maintain such accounting procedures and practices as may be
necessary to assure proper accounting of all funds paid pursuant to this Agreement.
These records shall be subject, at all reasonable times, to inspection, review, or
audit as provided above.
4.5 The Consultant shall retain all books,records,documents or other material relevant
to this Agreement for three(3)years after its expiration. Consultant agrees that the
City, or its designee, sha11 have full access and right to examine any of said
materials at all reasonable times during this period.
Personal Services Agreement—Awareness Consulting and Training, LLC-Pasco Resource Navigator Program
Page 2 of 9
5. Ownershiu and Use of Documents.
5.1 All research,tests,surveys,preliminary data,information,drawings and documents
made, collected, or prepared by the Consultant for performing the services subject
to this Agreement, as well as any fmal product, collectively referred to as "work
product,"shall be deemed as the exclusive property of the City,including copyright
as secured thereon. Consultant may not use them except in connection with the
performance of the services under this Agreement or with the prior written consent
of the City. Any prior copyrighted materials owned by the Consultant and utilized
in the performance of the services under this Agreement, or embedded in with the
materials, products and services provided thereunder, shall remain the property of
the Consultant subject to a license granted to the City for their continued use of the
products and services provided under this Agreement. Any work product used by
the Consultant in the performance of these services which it deems as
"confidential," "proprietary,"or a"trade secret" shall be conspicuously designated
as such.
5.2 In the event of Consultant's default, or in the event that this Agreement is
terminated prior to its completion, the work product of the Consultant, along with
a summary of the services performed to date of default or termination,shall become
the property of the City, and tender of the work product and summary shall be a
prerequisite to final payment under this Agreement. The summary of services
provided shall be prepared at no additional cost, if the Agreement is terminated
through default by the Consultant. If the Agreement is terminated through
convenience by the City, the City agrees to pay Consultant for the preparation of
the summary of services provided.
6. Public Records.
6.1 Consultant acknowledges that the City is an agency subject to Chapter 42.56 RCW
"Public Records Act." All preliminary drafts or notes prepared or gathered by the
Consultant, and recommendations of the Consultant are exempt prior to the
acceptance by the City or public citation by the City in connection with City action.
6.2 If the Consultant becomes a custodian of public records of the City and request for
such records is received by the City, the Consultant shall respond to the request by
the City for such records within five (5) business days by either providing the
records, or by identifying in writing the additional time necessary to provide the
records with a description of the reasons why additional time is needed. Such
additional time shall not exceed twenty (20) business days unless extraordinary
good cause is shown.
6.3 In the event the City receives a public records request for protected work product
of the Consultant within its possession, the City shall, prior to the release of any
protected work product or as a result of a public records request or subpoena,
Personal Services Agreement—Awareness Consulting and Training, LLC-Pasco Resource Navigator Program
Page 3 of 9
provide Consultant at least ten(10)business days prior written notice of the pending
release and to reasonably cooperate with any legal action which may be initiated
by the Consultant to enjoin or otherwise prevent such release.
7. Independent Contractor Relationship.
7.1 The parties intend that an independent contractor relationship is created by this
Agreement. The Ciiy is interested primarily in the results to be achieved; subject
to the scope of services and the specific requirements of this Agreement, the
implementation of services will lie solely with the discretion of the Consultant. No
agent, employee, officer or representative of the Consultant shall be deemed to be
an employee, agent, officer, or representative of the City for any purpose, and the
employees of the Consultant are not entitled to any of the benefits or privileges the
City provides for its employees. The Consultant will be solely and entirely
responsible for its acts and for the acts of its agents, employees, officers,
subcontractors or representatives during the performance of this Agreement.
7.2 In the performance of the services provided in this Agreement, Consultant is an
independent contractor with full authority to control and direct the performance of
the details of the work,however, the results of the work contemplated herein must
meet the approval of the City and shall be subject to the City's general rights of
inspection and review to secure the satisfactory completion thereof.
7.3 The Consultant shall comply with all State and Federal laws including, but not
limited to:
7.3.1 The definition requirements of RCW 50.04.140 (Employment Security).
7.3.2 RCW 51.08.195 (Industrial Insurance).
7.3.3 Obtain a City of Pasco business license.
7.4 The City may,at its sole discretion,require the Consultant to remove any employee,
agent or servant from employment on this Project who,in the City's sole discretion,
may be detrimental to the City's interest.
S. Indemnification.
8.1 The Consultant shall defend, indemnify, and hold hartnless the City, its officers,
officials, employees, and volunteers hartnless from any and all claims, injuries,
damages, losses or suits including attorney fees, arising out of or resulting from the
acts, errors or omissions of the Consultant in performance of this Agreement,
except for injuries and damages caused by the sole negligence of the City.
8.2 However, should a court of competent jurisdiction determine that this Agreement
is subject to RCW 4.24.115, then, in the event of liability for damages arising out
Personal Services Agreement—Awareness Consulting and Training, LLC-Pasco Resource Navigator Program
Page 4 of 9
of bodily injury to persons or damages to property caused by or resulting from the
concurrent negligence of the Consultant, and the City, its officers, officials,
employees, and volunteers, the Consultant's liability, including the duty and cost
to defend,hereunder shall be only to the extent of the Consultant's negligence. It is
further specifically and expressly understood that the indemnification provided
herein constitutes the Consultant's waiver of immunity under Industrial Insurance,
Title 51 RCW, solely for purposes of this indemnification. This waiver has been
mutually negotiated by the parties. The provisions of this section shall survive the
expiration or termination of this Agreement.
8.3 No liability shall attach to the City by reason of entering into this Agreement except
as expressly provided herein.
8.4 This indemnification shall include damages, penalties and attorney fees sustained
as a result of Consultant's delayed or failed performance of Section 6 above.
9. Insurance. The Consultant shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to property which may arise
from or in connection with the performance of the work hereunder by the Consultant, its
agents, representatives, employees, or subcontractors. The Consultant's maintenance of
insurance as required by the Agreement shall not be construed to limit the liability of the
Consultant to the coverage provided by such insurance, or otherwise limit the City's
recourse to any remedy available at law or in equity.
9.1 Minimum Scope of Insurance. Consultant shall obtain insurance of the types and
coverage described below:
9.1.1 Automobile Liability insurance covering all owned, non-owned, hired and
leased vehicles. Coverage shall be at least as broad as Insurance Services
Office (ISO) form CA 00 O1.
9.1.2 Commercial General Liability insurance shall be at least as broad as ISO
occurrence form CG 00 O1 and shall cover liability arising from premises,
operations, stop-gap independent contractors and personal injury and
advertising injury. The City shall be named as an additional insured under
the Consultant's Commercial General Liability insurance policy with
respect to the work performed for the City using an additional insured
endorsement at least as broad as ISO endorsement form CG 20 26.
9.1.3 Workers' Compensation coverage as required by the Industrial Insurance
laws of the State of Washington.
9.1.4 Professional Liability insurance appropriate to the Consultant's profession.
9.2 Minimum Amounts of Insurance. Consultant shall maintain the following
insurance limits:
Personal Services Agreement—Awareness Consulting and Training, LLC-Pasco Resource Navigator Program
Page 5 of 9
9.2.1 Automobile Liability insurance with a minimum combined single limit for
bodily injury and property damage of one million IIS dollars(1,000,000.00)
per accident.
9.2.2 Commercial General Liability insurance shall be written with limits no less
than:
� two million US dollars (2,000,000.00) each occurrence;
� two million US dollars (2,000,000.00) general aggregate; and
❑ two million US dollars (2,000,000.00) products completed
operations aggregate limit
9.2.3 Professional Liability insurance shall be written with limits no less than:
� two million US dollars (2,000,000.00)per claim; and
0 two million tIS dollars (2,000,000.00)policy aggregate limit;
9.3 Other Insurance Provision. The Consultant's Automobile Liability, Professional
Liability, and Commercial General Liability insurance policies are to contain, or be
endorsed to contain that they shall be primary insurance as respect the City. Any
insurance, self-insurance, or self-insured pool coverage maintained by the City
shall be excess of the Consultant's insurance and shall not contribute with it.
9.3.1 The Consultant's insurance shall be endorsed to state that coverage shall not
be cancelled by either party,except after thirty(30)days prior w�itten notice
by certi�ed mail, return receipt requested, has been given to the City.
9.4 Acceptability of Insurers. Insurance is to be placed with insurers with a current
A.M. Best rating of not less than A: VII.
9.5 Verification of Covera�e. Consultant shall furnish the City with original
certificates and a copy of the amendatory endorsements, including, but not
necessarily limited to,the additional insured endorsement,evidencing the insurance
requirements of the Agreement before commencement of the work.
9.6 Notice of Cancellation. The Consultant shall provide the City with written notice
of any policy cancellation within two (2) business days of their receipt of such
notice.
9.7 Cit�Full Availability of Consultant Limits. If the Consultant maintains higher
insurance limits than the minimums shown above, the City shall be insured for the
full available limits of Commercial General and Excess or Umbrella liability
maintained by the Consultant,irrespective of whether such limits maintained by the
Consultant are greater than those required by this Agreement or whether any
Personal Services Agreement—Awareness Consulting and Training, LLC-Pasco Resource Navigator Program
Page 6 of 9
certificate of insurance furnished to the City evidences limits of liability lower than
those maintained by the Consultant.
9.8 Failure to Maintain Insurance. Failure on the part of the Consultant to maintain the
insurance as required shall constitute a material breach of contract, upon which the
City may, after giving five (5)business days notice to the Consultant to correct the
breach, immediately terminate the Agreement 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 City on demand, or at the sole discretion of
the City, offset against funds due the Consultant from the City.
10. Nondiscrimination. In the performance of this Agreement, the Consultant will not
discriminate against any employee or applicant for employment on the grounds of race,
creed, color,national origin, sex,marital status, age or the presence of any sensory, mental
or physical handicap; provided that the prohibition against discrimination in employment
because of handicap shall not apply if the particular disability prevents the proper
performance of the particular worker involved. The Consultant shall ensure that applicants
are employed, and that employees are treated during employment in the performance of
this Agreement without discrimination because of their race, creed, color, national origin,
sex, marital status, age or the presence of any sensory, mental or physical handicap.
Consultant shall take such action with respect to this Agreement as may be required to
ensure full compliance with local, State and Federal laws prohibiting discrimination in
employment.
11. Covenant A�ainst Contin�ent Fees. The Consultant warrants that it has not employed
nor retained any company, firm, or person, other than a bona fide employee working
exclusively for the Consultant, to solicit or secure this Agreement; and that it has not paid
or agreed to pay any company, person or firm, other than a bona fide employee working
exclusively for the Consultant, any fee, cominission, percentage, brokerage fee, gift, or
other consideration contingent upon or resulting from the award or making of this
Agreement. For breach or violation of this warranty, the City shall be relieved of its duties
and obligations under this agreement which shall terminate immediately upon notice to the
Consultant.
12. Assi�nment and Subcontractin�.
12.1 The City has awarded this Agreement to the Consultant due to its unique
qualifications to perform these services. The Consultant shall not assign (or
subcontract other than as specifically identified in Exhibit A its performance under
this Agreement or any portions of this Agreement without the prior written consent
of the City, which consent must be sought at least thirty(30) days prior to the date
of any proposed assignment.
12.2 Any work or services assigned or subcontracted hereunder shall be subject to each
provision of this Agreement including Section 6, Public Records; Section 10,
Personal Services Agreement—Awareness Consulting and Training, LLC-Pasco Resource Navigator Program
Page 7 of 9
Nondiscrimination;proper bidding procedures where applicable;and all local, State
and Federal statutes, ordinances and guidelines.
12.3 Any technical or professional service subcontract not listed in this Agreement,must
have prior written approval by the City.
13. Termination.
13.1 Termination for Convenience. Either party may terminate this Agreement for any
reason upon giving the other party no less than ten(10)business days written notice
in advance of the effective date of such termination.
13.2 Termination for Cause. If the Consultant fails to perform in the manner called for
in this Agreement, or if the Consultant fails to comply with any other provisions of
this Agreement and fails to correct such noncompliance within five (5) business
days of written notice thereof, the City may terminate this Agreement for cause.
Termination shall be effected by serving a notice of termination on the Consultant
setting forth the manner in which the Consultant is in default. The Consultant will
only be paid for services and expenses complying with the terms of this Agreement,
incurred prior to termination.
13.3 Immediate Termination. If the Consultant breach relates to violation of the
prohibition against contingent fees this agreement shall terminate immediately at
the City's sole discretion and upon receipt of notice by consultant.Receipt of notice
includes email, facsimile or letter to the address noted below in 14.3.2.
14. General Provisions.
14.1 For the purpose of this Agreement, time is of the essence.
14.2 Notice. Notice provided for in this Agreement shall be sent by:
14.2.1 Personal service upon the Project Administrators; or
14.2.2 Certified mail to the physical address of the parties, or by electronic
transmission to the e-mail addresses designated for the parties below.
14.3 The Project Administrator for the purpose of this Agreement shall be:
14.3.1 For the City: P.O. Box 293, Pasco, WA 99301
Attention: Robert Gear, Fire Chief
14.3.2 For the Consultant: 1610 W 52"d Ave, Kennewick, WA 99337
Attention: Cameron Fordmeir, Member
Personal Services Agreement—Awareness Consulting and Training, LLC-Pasco Resource Navigator Program
Page 8 of 9
15. Disnute Resolution.
15.1 This Agreement has been and shall be construed as having been made and entered
into and delivered within the State of Washington and it is agreed by each party
hereto that this Agreement shall be governed by the laws of the State of
Washington.
15.2 In the event of a dispute regarding the enforcement, breach, default, or
interpretation of this Agreement, the Project Administrators, or their designees,
shall first meet in a good faith effort to resolve such dispute. In the event the dispute
cannot be resolved by agreement of the parties, said dispute shall be resolved by
arbitration pursuant to RCW 7.04A,as amended,with both parties waiving the right
of a jury trial upon trial de novo, with venue placed in Pasco, Franklin County,
Washington. The substantially prevailing party shall be entitled to its reasonable
attorney fees and costs as additional award and judgment against the other.
16. Nonwaiver. Waiver by the City of any provision of this Agreement or any time limitation
provided for in this Agreement shall not constitute a waiver of any other similar event or
other provision of this Agreement.
17. Inte�ration. This Agreement between the parties consists in its entirety of this document
and any e�ibits, schedules or attachments. Any modification of this Agreement or change
order affecting this Agreement shall be in writing and signed by both parties.
18. Authorization. By signature below, each party warrants that they are authorized and
empowered to execute this Agreement binding the City and the Consultant respectively.
IN WITNESS WHEREOF,the parties have caused this Agreement to be executed on the
date first written above.
CITY OF PASCO,WASHINGTON CONSULTA T
� ' ,
Dave Zabell, er Carnero 'Fordmeir, Member of Awareness
Consulting and Training LLC
ATTEST:
���-
Debra C. Barham, City lerk
APPROVED AS TO F RM:
Kerr Fer , LC, City Attorney
Personal Services Agreement—Awareness Consulting and Training, LLC-Pasco Resource Navigator Program
Page 9 of 9
Exhibit A
Project Description-Statement of Work
Pasco Fire Department and Awareness Consulting & Training LLC
Overview•
The partners above have committed to adding a Outreach Coordinator and Psychiatric Advanced
Nurse Practitioner to the existing Pasco Resource Navigator(PRN) Program. The PRN program
has identified risk factors that may result in overutilization of emergency departments and first
responder services. The addition of a behavioral health clinician and psychiatric nurse
practitioner(ARNP) can provide clinical oversight of the existing PRN staff and coordinate
services with existing crisis services, therapeutic courts, diversion programs, case management,
and co-responder models. The psychiatric nurse practitioner will be available for medication
consultation, case review, and emergency prescription of non-addictive psychiatric medication as
needed. A PRN program consisting of peer support, a behavioral health clinician, and a
medication management provider allows for a well-rounded team that provides proactive, boots
on the ground approach to community stabilization without further burdening first responders
and emergency departments.
Back�round•
While many communities address this issue through the development of a Community
Paramedic Program, our approach to this work arose from leveraging the already existing strong
partnerships and current efforts underway by many stakeholders in our community to address
this shared concern. The over consumption of resources, in most cases, are due to underlying
Social Determinants of Health (SDOH) and the expanded use of Community Health Workers is a
more cost-effective and efficient option in the setting of strong clinical oversight and close
partnership with emergency personnel.
Tvne of Contract:
Fixed contract of$150,000.00 per year, paid monthly by invoice. This contract can be
automatically renewed for up to 5 years if mutually agreed upon by the Pasco Fire Department
and Awareness Consulting & Training LLC
Place of work•
All work will be performed within the City of Pasco and surrounding areas of Franklin County at
the location determined and agreed upon by all parties. Office location will be within the desired_
Pasco Fire Station of choice. To support the necessary collaboration between the PRN team and
the City of Pasco Fire Department staff, it is expected that the primary place of work will be the
Fire Station assigned. While there may be times that the PRN team must attend specific
meetings, trainings, or special events on request of the contractor,the PRN team should report to
their primary work site at the start of every workday,unless the PFD leadership has been
informed ahead of time and agrees.
It is understood that most of the workday may be spent in the field,but the assigned workstation
should be returned to at the end of the day,unless otherwise reported to leadership.
Participants/Tar�eted Risk Factors:
The PRN program will target those individuals who are high utilizers of first responder and
emergency department services with emphasis placed on Social Determinants of Health(SDOH)
and the local Community Health Improvement Plan (CHIP). The PRN program will aid with
basic needs,unsafe living environments,personal safety, access to medication/healthcare,poor
health literacy, barriers to treatment, and coordination of existing or new behavioral health and
medical services. Any future program iterations may expand to include participants with other
needs or built to support other intended outcomes. Participation in the program is short term and
intended to connect individuals to existing resources in the community.
Referrals•
All referrals will be reviewed and agreed upon by the behavioral health clinician,ARNP, and
Pasco Fire Department. Determination of services will be based on the individuals use of
responder services, emergency department visits, community safety, impact on city resources,
and unique needs of the individual. Referrals will be made from Fire/EM5, emergency
departments, primary care physicians, community agencies, and crisis providers when
appropriate.
Safetv and Equipment:
PRN staff will be equipped with a radio and cell phone provided by Pasco Fire Department and
follow all existing safety protocols. The peer and behavioral health clinician will respond in-
tandem to ensure community and staff safety when applicable. Calls to dispatch will be made
before and after contact when engaging with individuals in the community and living settings.
PRN staff attire will consist of a Pasco Fire Uniform and badge that clearly identifies staff as a
representative of the City of Pasco. A Pasco Fire Department vehicle will be provided to PRN
staff for use during work hours only. Other equipment provided at the office location of choice
will consist of a computer or laptop to document referrals, calls, contacts, follow-up, and
dispositions.
Any reasonable requests by citizens to modify their residence for any reason must be
documented and submitted to leadership for approval.
The PRN staff must use the provided equipment to protect themselves from any risk of infection
or injury. Staff must report any concerns immediately to both Pasco Fire Department and
contractor supervisors. It is not the intent to provide personal care to any participant.
Clinical Oversi�ht and Communication:
The behavioral health clinician will provide day to day clinical oversight of the Peer positions
and work closely to review cases, current treatment plan, and ensure warm hand-offs to
2
appropriate services are made to prevent referrals from falling through the cracks. Clinical
oversight and supervision of the behavioral health clinician will be performed by the contractor
and ARNP in parmership with Pasco Fire Department. PRN staff will meet weekly with Pasco
Fire Department to go over referrals and review current courses of action. Monthly and/or
quarterly meetings will be held with City of Pasco Fire Department Leadership, contractor
leadership, and PRN team to continually evaluate and evolve the program to meet the unique
needs of the city and population served.
Documentation•
Documentation will consist of standard demographics, relevant behavioral health/medical
history,risk factors,protective factors, current presentation, disposition, and outside referrals
made. Date and length of service will be included on all contacts along with monthly reports that
detail number of participants, new referrals, current presentation/program involvement, and those
graduating/completing current treatment goals.
SPECIFIC MANDATORY TASKS AND ASSOCIATED DELIVERABLES
Task 1: Assess all participants that have been referred into the program using a
standardized assessment tool that:
• Collects standard demographic information(name, address, gender, date of
birth)
• Identifies risks and populates a problem list that includes the primary medical
issues, contributing risk factors and SDOH concerns.
Deliverable 1: Monthly report that reflects required demographic information for all new and
current referrals per above requirements.
Deliverable 2: Monthly report that outlines the number of new referrals that were received in the
previous month, and of those, the percentage and number of cases that were started/engaged, the
percentage and number pending and the percentage and number that refused services or were
unable to be reached, including any documented reasons or details available.
Deliverable 3: Monthly report that includes the characteristics of all participants currently in the
program by primary medical issue (if present), and risk factors/SDOH. For example, the report
should reflect the number of individuals with food insecurity, homelessness, significant SUD,
and other key risk factors.
Deliverable 4: Complete and upload into the records management system(s) (RMS) all required
consents for program participation as required by both the contractor and PFD.
Task 2: Documentation of an Action Plan that addresses the identified problems and includes
the anticipated length of service in the program.
3
Deliverable 1: Monthly report that includes all active participants in the program, along with
their start date and expected completion date. This should include length on program for all
current participants.
Deliverable 2: If requested,provide a participant's Action Plan that clearly defines the goals
associated with the individual's participation in the program.
Task 3: Implementation of an Action Plan that documents the application of all interventions,
along with the time required to deliver the interventions.
Deliverable 1: Monthly aggregated report that reflects all interventions applied to program
participants,by category. For example, the total number of housing associated interventions,
food bank trips, care coordination for medical appointments or other related interventions.
Deliverable 2: Monthly report that reflects the total number of hours spent per month and the
average per day on the application of interventions for program participants.
Deliverable 3: Monthly report that reflects the number of home visits made the previous month.
Deliverable 4: Monthly report that reflects the total amount of resources (monetary, food boxes,
bus passes) distributed to program participants. If outside grant funds are utilized,the associated
expenditures and details should be recorded and reported according to any Grant requirements.
Task 4: Collaboration with Agency staff: Outreach and develop relationships with Pasco Fire
Department staff and leadership.
Deliverable 1: Establish a consistent schedule for visiting all fire stations within the City of
Pasco at least monthly and provide an update to leadership at the end of every month,recapping
visits.
Deliverable 2: Attend and participate in morning briefings with City of Pasco Fire Department
staff and leadership.
Deliverable 3: Identify, report and pariner with City of Pasco Fire Department leadership in
addressing community issues that impact program participants.
Deliverable 4: Take ownership of and participate in weekly cross agency meetings to review
participant census.
Deliverable 5: Participate in monthly PFD Staff Meetings to provide highlights of activities and
referral status for the current month of the Staff Meeting.
Task 5: Other pocumentation
Utilize the City of Pasco RMS for documentation and collection of information.
Deliverable 1: Complete required trainings for all agency sponsored IT systems.
Deliverable 2: Complete any required documentation timely.
Schedule for Deliverables:
4
All deliverables should be received by the l Oth of every month.
Chan�es to Statement of Work:
Any changes to this SOW will be authorized and approved only through written correspondence
or email communication between PFD and the contractor.
5