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HomeMy WebLinkAboutILA - Washington State Department of Health - COVID-19 Vaccination Site Reimbursements Amendment No. 2DOH Amendment GVL26310-2 Page 1 of 4 Revision September 2021 CONTRACT AMENDMENT 1. NAME OF CONTRACTOR City of Pasco 2. CONTRACT NUMBER GVL26310 1A. ADDRESS OF CONTRACTOR (STREET) PO Box 293 2a. AMENDMENT NUMBER 2 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 section on Governance; revise the Statement of Work Exhibit A-1 in accordance with Exhibit A-2; and extend the Period of Performance. 5a. This amendment ratifies the parties’ agreement to continue the contract without a break and carry all terms and conditions of the contract and previous amendments into the extended period of performance as if it were in full force and effect. 5b. GOVERNANCE: Effective with the Date of Execution of this Amendment, the section on contract Governance is replaced in its entirety with the following: This Agreement is entered into pursuant to and under the authority granted by the laws of the State of Washington and any applicable federal laws. The provisions of this Agreement shall be construed to conform to those laws. In the event of an inconsistency in the terms of this Agreement, or between its terms and any applicable statute or rule, the inconsistency shall be resolved by giving precedence in the following order: A. Federal statutes and regulations B. State statutes and regulations C. Agreement amendments D. The Agreement (in this order) 1. Primary document (document that includes the signature page) 2. Exhibit A “Statement of Work” 3. Exhibit D “Contractor Vaccination Certification” (when signed) 5c. Statement of Work: Exhibit A-1 is revised in accordance with Exhibit A-2, attached hereto and incorporated herein. 5d. Consideration: This amendment does not change the Contract Consideration; therefore, the maximum consideration of this contract and all amendments remains $500,000.00. Source of Funds: (FED) $500,000.00; (ST) $0; (Other) $0; Total $500,000.00 Contractor agrees to comply with applicable rules and regulations associated with these funds. DOH Amendment GVL26310-2 Page 2 of 4 Revision September 2021 5e. Period of Performance: has been amended to start January 15, 2021 and extend through December 31, 2021 for Mass Vaccination Services Activity and through June 30, 2022 for Administrative and Billing Activity, as described in Exhibit A-2. 5f. The Effective Date of this Amendment: is January 15, 2021. 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 {{Sig_es_:signer1:signature}} DATE {{Dte_es_:signer1:date}} 9. DOH CONTRACTING OFFICER SIGNATURE {{Sig_es_:signer2:signature}} DATE {{Dte_es_:signer2:date}} This document has been approved as to form only by the Assistant Attorney General. David Zabell (Sep 26, 2021 15:06 PDT)Sep 26, 2021 City Manager David Zabell Sep 27, 2021 EXHIBIT A-2 STATEMENT OF WORK DOH CONTRACT GVL26310-2 City of Pasco Period of Performance: January 15, 2021 through June 30, 2022 DOH Amendment GVL26310-2 Page 3 of 4 Revision September 2021 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 County 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.  Immediately notify the BFHD representative, or BFHD Safety Officer of any response worker's possible exposure, illness, injury, death, hospitalization, or sever 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 January 15, 2021 to December 31, 2021 and the financial reporting and documentation gathering activities will be from January 15, 2021 to June 30, 2022. EXHIBIT A-2 STATEMENT OF WORK DOH CONTRACT GVL26310-2 City of Pasco Period of Performance: January 15, 2021 through June 30, 2022 DOH Amendment GVL26310-2 Page 4 of 4 Revision September 2021 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@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@doh.wa.gov), Tacoma Pierce County Health Department, and collaborating agencies. Special Requirements: See Exhibit B “Mass Vaccination Funding Guidance For IMTs and IMOs” Additional guidance may be provided by DOH for this contract. Billing procedure: Provide the Monthly Cost Summary Spreadsheet along with the invoice to DOH. Additional documentation must be maintained and provided to DOH upon request to support the costs invoiced to DOH for this contract. Records Maintenance: Both parties acknowledge that Contractor is bound by the Public Records Act (PRA), Chapter 42.56 RCW governing release of public records. An injunction filed under the PRA is required to prevent release of public records that do not fall within a clearly defined and applicable statutory exemption, as determined by Contractor.