HomeMy WebLinkAboutILA - Washington State Department of Health - COVID-19 Vaccination Site Reimbursements Amendment No. 4DOH Amendment GVL26310-4 Page 1 of 3
Revision December 2021. Ver. 09/13/2022.
CONTRACT AMENDMENT
1. NAME OF CONTRACTOR
CITY OF PASCO
2. CONTRACT NUMBER
GVL26310
1A. ADDRESS OF CONTRACTOR (STREET)
PO BOX 293
2a. AMENDMENT NUMBER
4
1B. CITY, STATE, ZIP CODE
PASCO, WA 99301
3. THIS ITEM APPLIES ONLY TO BILATERAL AMENDMENTS.
The Contract identified herein, including any previous amendments thereto, is hereby amended as set forth in Item 5
below by mutual consent of all parties hereto.
4. THIS ITEM APPLIES ONLY TO UNILATERAL AMENDMENTS.
The Contract identified herein, including any previous amendments thereto, is hereby unilaterally amended as set
forth in Item 5 below pursuant to that changes and modifications clause as contained therein.
5. DESCRIPTION OF AMENDMENT: The purpose of this amendment is to revise the Statement of Work; and
revise the Period of Performance.
5a. Statement of Work: Exhibit A-3 is revised in accordance with Exhibit A-4, attached hereto and incorporated
herein.
5b. Consideration: This amendment does not change the Contract Consideration; therefore, the maximum
consideration of this contract and all amendments remains $3,000,000.00.
Contractor agrees to comply with applicable rules and regulations associated with these funds.
5c. Period of Performance: has been revised to end June 5, 2021 for Mass Vaccination Services Activity and
from July 2, 2022 through June 30, 2023 for documentation gathering activities, as described in Exhibit A-4.
5d. The Effective Date of this Amendment: is October 1, 2020.
6. All other terms and conditions of the original contract and any subsequent amendments thereto remain in full force and
effect.
7. This is a unilateral amendment. Signature of contractor is not required below.
Contractor hereby acknowledges and accepts the terms and conditions of this amendment. Signature is required
below.
8. CONTRACTOR SIGNATURE
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DATE
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9. DOH CONTRACTING OFFICER SIGNATURE
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DATE
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This document has been approved as to form only by the Assistant Attorney General.
Dave Zabell (Sep 14, 2022 17:54 PDT)Sep 14, 2022
Dave Zabell
City Manager
Sep 15, 2022
EXHIBIT A-4
STATEMENT OF WORK
DOH CONTRACT GVL26310-4
CITY OF PASCO
DOH Amendment GVL26310-4 Page 2 of 3
Revision December 2021. Ver. 09/13/2022.
PURPOSE/OBJECTIVE:
The purpose of this agreement is to have the Washington State Department of Health delegate to
the Southeast Washington All Hazard Type 3 Incident Management Team, and the associated
agencies within this agreement the authority to provide Incident Command for the 2019 Novel
Coronavirus Benton County public health mass vaccination site for DOH and for other mass
vaccination sites as assigned thru an addendum to the SEWA Delegation of Authority.
• Provide for the safety of persons in Benton and Franklin counties assigned to the
SEWAIMT3 and all responders assigned to the incident.
• Develop and maintain communication with internal and external stakeholders as it
relates to the mass vaccination point of distribution operations.
• Provide an environment where all response agencies are respected and valued for
their unique and important contributions to the mission.
• Manage the site operations in the most efficient and cost-effective manner
commensurate with established standards and guidelines.
• Coordinate with the Washington State Department of Health, Benton-Franklin
Health District, Benton and Franklin County Emergency Operations/Coordination
Centers, Walla Walla County Health department and Walla Walla County
Emergency Management and other partners as may be assigned in a addendum to the
Delegation of Authority.
• Manage the operations of the mass vaccination site within the framework of law
(Federal, State, and local); city and agency policies of the responding resources, and
the response plans of Benton Franklin Health District/Departments assigned within
the current Delegation of Authority and the Washington State Department of
Health.
• Command Staff will include the Local Health Officer or their designee as a
Medical/Technical Advisor.
• Expenditures shall be run through the WA State Department of Health Finance Section
Chief
(doh-fsc.imt@doh.wa.gov). Reimbursement of indirect cost rates are not applicable
to these funds. Administrative costs can be billed as a direct cost.
• Understand that the Department of Health modeled the State of Washington State Patrol
Fire Mobilization framework to quickly implement and carry out the Mass Vaccination
effort as outlined by FEMA. This process specifically implements contracting with
local jurisdictions once Local Health Jurisdiction capacity is exceeded to effectively
carry out the emergency mission as efficiently, equitably, and quickly as possible on a
Statewide basis.
• Understand that the Southeast Washington All Hazard Type 3 Incident
Management Team and the respective members are considered CONTRACTORS
of DOH, not a subrecipient, for this statement of work. An allocation of funds is
not provided as these FEMA funds are only available as reimbursement of actual
costs incurred as a direct result of the activities performed that are a direct result of
implementation and carrying out the mass vaccination plan of the Benton/Franklin
EXHIBIT A-4
STATEMENT OF WORK
DOH CONTRACT GVL26310-4
CITY OF PASCO
DOH Amendment GVL26310-4 Page 3 of 3
Revision December 2021. Ver. 09/13/2022.
Health District.
• Immediately notify the BFHD representative, or BFHD Safety Officer of any
response worker's possible exposure, illness, injury, death, hospitalization, or
severe disability.
• Complete Incident Action Plans and an ICS 209 form for each operational period as
defined by the local Mass Vaccination site representative.
Period of Performance:
The operational period of performance will be from October 1, 2020 to June 5, 2021 as agreed
by both parties. The financial reporting and documentation gathering activities will be from
October 1, 2020 to December 31, 2022 as amended. Additional work will need to be completed
for documentation: July 2, 2022 through June 30, 2023.
Deliverables:
• Submit at least monthly an invoice for a request for reimbursement of costs to provide
the services outlined in this contract to the WA State Department of Health Finance
Section Chief (doh-fsc.imt@doh.wa.gov). Include the Monthly Cost Summary
Spreadsheet along with the invoice to DOH. Additional documentation (i.e.,
timesheets, reports, purchased materials, etc.) must be maintained and provided to
DOH upon request to substantiate costs invoiced to DOH for this contract.
• Submit Incident Action Plans to the Washington State DOH Incident Management
Team Planning Section Chief (doh-psc.imt@doh.wa.gov), Benton-Franklin Health
District Planning Section Chief, and collaborating agencies until end of operations
period.
Special Requirements:
Additional guidance may be provided by DOH for this contract.