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HomeMy WebLinkAboutILA - Benton Franklin Health District - Community Services ContractCOMMUNITY SERVICES CONTRACT Between BENTON-FRANKLIN HEALTH DISTIRCT And CITY OF PASCO This Community Services Contract, hereinafter referred to as the Contract, by and between Benton -Franklin Health District (BFHD) and the City of Pasco (Contractor), and collectively known as the "Parties" is being executed for the purpose of providing an emergency response to the Covid-19 pandemic through community testing and related services as a counter measure against the pandemic. EFFECTIVE DATE: JANUARY 1, 2022 — MARCH 31, 2022 Benton -Franklin Health District Phone: (509) 460.4200 7102 W. Okanogan Place Fax: (509) 460-4590 Kennewick, WA 99336 TltlefResponsibility Contact Name Phone Fax Email Administrator/Signature Authority Jason Zaccaria 509-460.4567 509-460-4590 Jasonz Zbfhd.Wa.Qoy Fire Chief — Primary Contact Contracts Manager Bonnie Hall 509-460-4553 509.460-0590 BonniehOtifhd.wa.cio EOC Incident Commander Rick Dawson EOC Incident Commander Carla Prock 509539.1791 509-539-0874 509-460-4515 509-460-4515 Rickd &bfhd.wa.gov Caday(a),bfhd.wa.gov —Accounts Payable Kyle Phillips Contractor Contacts City of Pasco Phone: (509) 545.3426 1011 E. Ainsworth Ave. Fax: (509) 5435717 Pasco, WA 99301 Duns #: Responsibility Contact Name Phone Email Signature Authority — City Manager Dave Zabell 509-545-5404 zabelld asco-wa. ov Fire Chief — Primary Contact Bob Gear Gearb sco-wa. ov Site Command Craig Patterson _ 509-539-1976 509-5445065 Craimpatterson0charter.nat Finance Director Rlcha Si dg el si eir asco-wa, ov Finance Mane erDarc Buckle 509-545-3432 bucklevd@casco-wa.Qov Admin —Fire Department Rhonda Riggle 509-5435709 d ler asco-wa. ov Whereas, the aforementioned Parties desire to enter into this agreement in which they intend to work together towards the goals and objectives set forth; And Whereas, the Parties are desirous to enter an understanding, thus setting out all necessary working arrangements that both Parties agree shall be necessary to complete this partnership; City of Pasco- Fire Department 2022 Page 11 MISSION The relationship under this agreement has been established with the following intended mission of collaboration to provide testing and/or response efforts for Covid-19 to the citizens of Benton and Franklin counties with the purpose of protecting the health of the public, to support the Governor's Safe Start Washington Plan, and to provide Covid-19 testing as a counter measure against the pandemic. PURPOSE AND SCOPE The Parties intend for this Contract to provide the cornerstone and structure for the activities outlined in this agreement and any further binding Contracts or amendments, which may be related to this partnership. INDEPENDENT CONTRACTOR The parties intend that an independent Contractor relationship will be created by this Contract. The Contractor and its employees or agents performing under this Contract are not employees or agents of the District. The Contractor, employees, or agents performing under this Contract will not hold himself/herself out as, nor claim to be, an officer or employee of the District by reason hereof, nor will the Contractor, his or her employees, or agent make any claim to right, privilege or benefit that would accrue to such officer or employee. RESPONSIBILITIES OF THE PARTIES The specific roles and responsibilities of each party are identified below as a starting point, and it is recognized that the scope of work related to this agreement is a response effort to the Covid-19 pandemic and therefore a fluid situation. It is anticipated that the needs for the response effort could evolve or change rapidly and therefore each party is committed to working collaboratively to fulfill the joint mission. As the need may arise, specific details of support to be furnished by each of the participants may be developed by amendment to this Contract or separately from this agreement in a specific, mutually acceptable manner subject to the availability of funds and resources. The parties will work together to Identify appropriate time and press for decommission. It Is the desire and wish of the Parties that this agreement allow the Parties to work together in such a manner that would promote a genuine atmosphere of collaboration and alliance through means of the following individual services: SENTON-FRANKLIN HEALTH DISTRICT agrees to provide the following services: • Test site selection and securing appropriate Contracting documentation with site owner • Infection control protocols, initial inventory of PPE and establishment of a system for on-going inventory management of PPE • Long term procurement of supplies -- Ongoing Specimen Collection Kits, PPE • Local procurement of technology/tents/tables/supplies to operate test site (as needed) • Logistics support — as needed to support the IMT • Patient communication design Including multi-lingual patient handouts and scripts that incorporate language accessibility • Provide signage • Ordering Physician unless otherwise provided by EMS Medical Command • Lab Courier Service as provided by agreement with University of Washington Lab • Set up notification process / customer service for positive patients (consider Contract / partnering with local agency) • Provide access to Language line for on-site staff to support non-English speaking customers CITY OF PASCO — FIRE DEPARTMENT agrees to provide the following services: • Facilitate on-site staff access to interpreters or Language line for non-English speaking customers • Local test site command (scheduling/daily operations) • Sub -Contract with Columbia Safety to run daily test site operations • Ensure Local test site is suppliedlorganized to operation requirements • Monitor and maintain supplies to ensure adequate inventory of materials • Create and maintain a site plan including an agreed upon traffic flow with local jurisdiction City of Pasco — Fire Department 2022 P a g e 12 • Supervise and assure safety for all personnel while onsite • Monthly financial activity reports detailing expenditures for which reimbursement is requested • Monthly labor reports to BFHD for direct payment (Fire District name, employee name, date(s), hours worked and any other documentation to assist DOH with validation of Invoices to reimburse Fire Districts for operational labor support) • Maintain additional financial backup documentation such as payroll and general ledger and provide upon request • Other reporting as requested by DOH • A positive patient experience TERM OF CONTRACT The term of this Contract shall start on January 1, 2022 and be in effect until March 31, 2022 unless extended or terminated by written mutual agreement of both Parties. AUDIT REQUIREMENT A non -Federal entity that expends $750,000 or more during the non -Federal entity's fiscal year in Federal awards must have a single or program -specific audit conducted for that year In accordance with 2 CF R 200.501. If a single or program -specific audit is conducted for the funding of this agreement, Contractor shall meet the audit requirements as described in 2 CFR Part 200 Subpart F. FUNDING The expected source of funding for this contract is ELC — (Epidemiology and Laboratory for Infectious Disease) and is federally funded through the CDC and is subject to 2CRF Part 200 —Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. • BARS Code 333.93.32 • CFDA# 93.323 • Federal Award ID# NU50CK000515 COMPENSATION AND METHOD OF PAYMENT The maximum consideration for this contract is $ 790.000.00. BFHD will reimburse the City of Pasco for satisfactory completion of the services and requirements specified in this Contract, payable upon receipt and approval of a signed invoice of actual allowable costs based on monthly invoices submitted by City of Pasco to the Health District. Invoices to be submitted by the 20th of the following month by email, fax or mail to the BFHD Accountant and Contracts Manager listed on page one of this agreement. Monthly Invoices shall include agency name, employee name, dates, hours worked and any other documentation to assist BFHD with validation of invoices to reimburse City of Pasco - Fire District for operational labor support. Materials and supply purchases in the amount of $1000 or greater, require copies of the receipts included with the monthly invoice to the District. City of Pasco to retain financial backup documentation such as payroll and general ledger records, and sub -Contractor records and provide upon request. FEMA workbook completion may be required if FEMA funds will be accessed. Final Invoice are due within 20 days of the end of the Contract. If final invoices and reports are not submitted within 20 days of the close of the Contract, the Health District will be relieved of all liability for payment to the City of Pasco of the amounts set forth in said invoices. In-kind services are not reimbursable expenses under this agreement. DEBARMENT AND SUSPENSION CERTIFICATON This Contract is federally funded entities that are debarred, suspended, or proposed for debarment by the US Government are excluded from receiving federal funds. The following acts by individuals or entities may result City of Pasco — Fire Department 2022 P a g e 13 in permissive exclusions. This list is not all-inclusive. For a complete list refer to section 1128A Ll of the Social Security Act: a. License revocation or suspension b. Fraud, kickbacks or other prohibited activities c. Entities controlled by a sanctioned individual Cl. Making false statements or misrepresentation of material Background checks: Contractor will ensure that all staff working in activities funded by this Contract have passed a Washington State Patrol background check upon hire and retain proof of such to be made available to District upon request. System for Award Management (SAM) site registration: Contractor shall acquire a Statewide Payee Number by registering at www.sam.00v . DUNS number: To comply with the Federal Funding Accountability and Transparency Act and be eligible to perform the activities in this Statement of Work, Contractor agrees to register for and provide the District with its DUNS number. The Contractor, by signature of this agreement certifies that Contractor is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency from participating in transactions (debarred). The Contractor also agrees to notify the District immediately by providing written notice if Contractor becomes debarred during the term of this agreement. INTERNAL CONTROLS AND ACCOUNTING SYSTEM The Contractor shall establish and maintain a system of accounting and internal controls which complies with generally accepted accounting principles in accordance with the Financial Accounting Standards Board (FASB), the Governmental Accounting Standards Board (GASB) or both as applicable to the Contractors form of incorporation. ETHICS CERTIFICAITON Contractor certifies that they are now and shall remain, in compliance under Chapter 42.52RCW, Ethics in Public Service, throughout the term of this Contract. DATA USE, OWNERSHIP AND DISCLOSURE Information provided to BFHD by Contractor will be used for all necessary public health efforts as outlined in WAC 246-101. This will include sharing PHI as provided for by law for the purpose of protecting the health of the public as well as congregate data for public disclosures including publishing case counts. Any data, records or files taken off site in the course of Contractor personnel activities are to be returned to BFHD upon completion of task or upon termination of volunteer tenure with BFHD, whichever event occurs first. The Contractor agrees that all information, records, and data collected in connection with this Contract shall be protected from unauthorized disclosure in accordance with applicable state and federal law. MAINTENANCE OF RECORDS/EVALUATIONS AND INSPECTIONS The Contractor will maintain accounts and records, including personnel, property, financial, and Contracts and other such records as deemed necessary to ensure proper accounting for all Contract funds and compliance with this Contract. Medical records shall be maintained and preserved by the Contractor in accordance with state and federal medical records statues, included but not limited to RCW 70.41.190, 70.02.160, and standard medical records practice. If the Contractor ceases operations under this Contract, the Contractor shall be responsible for the disposition and maintenance of such medical records. City of Pasco— Fire Department 3022 Page 14 HIPAA AND HITECH COMPLIANCE To the extent applicable to this Agreement, Contractor agrees to comply with the Health Information Technology for Economic and Clinical Health Act of 2009 ("HITECH ACT'), the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996, as codified at 42 USC § 1320d through d-8 ("HIPAA") and any current and future regulations promulgated under either the HITECH Act or HIPAA including without limitation the federal privacy regulations contained in 45 C.F.R. Parts 160 and 164 (the "Federal Privacy Regulations"), the federal security standards contained in 45 C.F.R. Parts 160, 162 and 164 (the "Federal Security Regulations") and the federal standards for electronic transactions, all as may be amended from time to time, and all collectively referred to herein as "HIPAA Requirements". Contractor agrees not to use or disclose any Protected Health Information (PHI) (as defined In 45 C.F.R. § 164.501) or Individually Identifiable Health Information (as defined in 42 USC § 1320d), other than as permitted by HIPAA Requirements and the terms of this Agreement. Contractor will and will cause their personnel to enter into any further agreements as necessary to facilitate compliance with HIPAA Requirements. CORRECTIVE ACTION If BFHD determines that a breach of Contract has occurred, that is, the Contractor has failed to comply with any terms or conditions of this Contract, or the Contractor has failed to provide in any manner the work or services agreed to herein, and if BFHD deems said breach to warrant corrective action, the following sequential procedure will apply: a. BFHD will notify the Contractor in writing of the nature of the breach; The Contractor shall respond in writing within three (3) working days of its receipt of such notification, which response shall indicate the steps being taken to correct the specified deficiencies. The corrective action plan shall specify the proposed completion date for bringing the Contract into compliance, which date shall not be more than ten (10) days from the date of the Contractor's response, unless BFHD specifies in writing and extension of time. b. BFHD will notify the Contractor in writing of their determination as to the sufficiency of the Contractor's corrective action plan. c. If the Contractor does not respond within the appropriate time with a corrective action plan, the Contractor's corrective action plan will be determined by BFHD to be insufficient, and the Health District may commence termination or suspension of this Contract as provided for herein. d. In addition, BFHD may withhold any payment owed the Contractor or prohibit the Contractor from Incurring additional obligations of funds until BFHD is satisfied that corrective action has been taken or completed. DISPUTE RESOLUTION The parties shall use their best efforts to cooperatively resolve disputes and problems that arise in connection with this Contract. Both parties will make a good faith effort to continue without delay to carry out their respective responsibilities under this Contract while attempting to resolve the dispute. HOLD HARMLESS AND INDEMNIFICATION a. In providing services under this Contract, the Contractor is an Independent Contractor, and neither it nor its officers, agents, or employees are employees of BFHD for any purpose. The Contractor shall be responsible for all federal and/or state tax, industrial insurance, and Social Security liability that may result from the performance of and compensation for these services and shall make no claim of career service or civil service rights which may accrue to a BFHD employee under state or local law. BFHD assumes no responsibility for the payment of any compensation, wages, benefits, or taxes, by, or on behalf of the Contractor, its employees, and/or others by reason of this Contract. The Contractor shall City of Pasco — Fire Department 2022 P a g e 15 protect, indemnify, defend and save harmless BFHD, Its officers, agents, and employees from and against any and all claims, costs, and/or losses whatsoever occurring or resulting from (1) the Contractor's failure to pay any such compensation, wages, benefits, or taxes, and/or (2) the supplying to the Contractor of work, services, materials, or supplies by Contractor employees or suppliers in connection with or support of the performance of this Contract. b. The Contractor further agrees that it is financially responsible for and will repay BFHD all indicated amounts following an audit exception which occurs due to the negligence, intentional act, and/or failure, for any reason, to comply with the terms of this Contract by the Contractor, its officers, employees, agents, and/or representatives. This duty to repay BFHD shall not be diminished or extinguished by the prior termination of the Contract pursuant to the Terms and Termination section. c. The Contractor shall protect, defend, indemnify and save harmless BFHD, its officers, employees, and agents from any and all costs, claims, judgments, and/or awards of damages, arising out of, or in any way resulting from, the negligent acts or omissions of the Contractor, its officers, employees, subcontractors and/or agents, in its performance and/or non-performance of Its obligations under this Contract. The Contractor agrees that its obligations under this subparagraph extend to any claim, demand, and/or cause of action brought by, or on behalf of, and of its employees or agents. For this purpose, the Contractor, by mutual negotiation, hereby waives, as respects BFHD only, any immunity that would otherwise be available against such claims under the Industrial Insurance provisions of Title 51 RCW. In the event BFHD incurs any judgement, award, and/or cost arising therefrom including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from the Contractor. d. BFHD shall protect, defend, indemnify, and save harmless the Contractor, its officers, employees, and agents from any and all costs, claims, judgements, and/or awards of damages, arising out of, or in any way resulting from, the negligent acts or omissions of BFHD, its officers, employees, and/or agents, in its performance and/or non-performance of its obligations under this Contract. BFHD agrees that its obligations under this subparagraph extend to any claim, demand, and/or cause of action brought by, or on behalf of, any of its employees or agents. For this purpose, BFHD, by mutual negotiation, hereby waives, as respects the Contractor only, any Immunity that would otherwise be available against such claims under the Industrial Insurance provisions of Title 51 RCW. In the event the Contractor incurs any judgement, award, and/or cost arising therefrom including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from BFHD. e. Nothing contained within this provision shall affect and/or alter the application of any other provision contained within this Contract. f. The Indemnification, protection, defense and save harmless obligations contained herein shall survive the expiration, abandonment or termination of this Contract. INSURANCE REQUIREMENTS Contractor shall procure and maintain for the duration of this Contract the following insurance coverage: General Liability Coverage General Liability Insurance, or Business Liability Insurance, Including coverage for bodily injury, property damage, and Contractual liability, with the following minimum limits: Each Occurrence- $1,000,000; General Aggregate - $2,000,000. The policy shall include liability arising out of premises, operations, independent Contractors, products -completed operations, personal injury, advertising injury, and liability assumed under an insured Contract. Business Auto Liability Insurance (BAL) Qty of Pasco — Fire Department 2022 P a g e 16 The Contractor shall maintain a Business Automobile Policy on all vehicles used in the performance of work under this Contract, including vehicles hired by the Contractor orowned bythe Contractor's employees, volunteers or others,withthe following minimum limits: $1,000,000 per accident combined single limit. Professional Liability Insurance (PL) The Contractor shall maintain Professional Liability Insurance or Errors & Omissions insurance, including coverage for losses caused by errors and omissions, with thefollowing minimum limits: Each Occurrence - $1,000,000; Aggregate- $2,000,000. Worker's Compensation The Contractor shall comply with all applicable Worker's Compensation, occupational disease, and occupational health and safety laws and Regulations under Title 51 RCW by the Contractor or its employees under such laws and Regulations. Employees and Volunteers Insurance required of the Contractor underthe Contract shall include coverage for the acts and omissions of the Contractor's employees and volunteers. Inaddition, the Contractor shall ensure that all employees and volunteers who use vehicles to transport clients or deliver services have personal automobile insurance and current driver's licenses. Separation of Insureds All insurance policies shall include coverageforcross liability and contain a "Separation of Insureds"provision. Insurers The Contractor shall obtain insurance from insurance companies identified assn admitted insurer/carrier in the State ofWashington, with a Best's Reports'rating of B++, Class VII, orbetter. Surplus Lines insurance companies will have a rating of A-, Class VII, or better. The Contractor's membership in the Washington Cities Insurance Authority, a self-insured, governmental risk pool shall satisfy all conditions set forth in the Insurance section of this Agreement. Evidence of Coverage The Contractor shall submit to District documentation evidencing the insurance requirements of the Contractor before commencement of the work. LIMITATION OF UABILITY BFHD and its local partners, including City of Pasco — Fire Department, are working together to develop and implement a community testing site as a counter measure against the Covid-19 pandemic and is therefore covered under the PREP Act attached hereto as Exhibit D which provides immunity to covered person for certain activities as defined in the PREP Act and delineated in the PREP ACT declaration issued by the Secretary of Health and Human Services. ASSIGNMENT/SUBCONTRACT Contractor may not assign or transfer all or any portion of this Contract or any of its rights hereunder, or delegate any of its duties hereunder without the prior written consent of the District. Any permitted assignment will not operate to relieve Contractor of any of its duties and obligations hereunder, or will such assignment affect any remedies available to the District that may arise from any breach of the provisions of this Contract. Contractor agrees to include the following language verbatim in every subcontract for services which relate to the scope of work in this Contract: City of Pasco —Fire Department 2022 P a g e 17 "Subcontractor shall protect, defend, Indemnify, and hold harmless Benton -Franklin Health District (BFHD), its officers, employees and agents from any and all costs, claims, judgements, and/or awards of damages arising out of, or In any way resulting from the negligent act or omissions of subcontractor, Its officers, employees, and/or agents In connection with or in support of this Contract. Subcontractor expressly agrees and understands that BFHD is a third party beneirciary to this Contract and shall have the right to bring an action against subcontractor to enforce the provisions of this paragraph'. NONDISCRIMINATION Contractor shall not discriminate against anyone in providing services under this Agreement on the grounds of race, color, sexual orientation, gender identity, religion, national origin, creed, marital status, age, Vietnam era or disabled veterans' status, or the present of any sensory, mental or physical disability. GENERAL PROVISIONS The Parties acknowledge and understand that they must be able to fulfill their responsibilities under this Contract in accordance with the provisions of the law and regulations that govern their activities. Nothing In the agreement is intended to negate or otherwise render ineffective any such provisions or operating procedures. The Parties assume full responsibility for their performance under the terms of this Contract. If at any time either party is unable to perform their duties or responsibilities under this Contract consistent with such party's statutory and regulatory mandates, the affected party shall immediately provide written notice to the other party to establish a date for resolution of the matter. CHANGES OR MODIFICATIONS The District may, at any time, by written notification to Contractor, make changes within the general scope of the services to be performed under this Agreement. Both parties shall execute a Contract amendment reflecting such change and an equitable adjustment of cost, period of performance or both will be made if required by the changes. CONTRACT SUSPENSION • For Investigation: In the event Contractor or any of its partners, employees, officers is investigated by a local, county, state or federal agency for a matter which the District feels may adversely affect the delivery of services under this Contract, the District may, without notice suspend the delivery of services or disallow the person(s) involved in the allegation from providing services pending final resolution of the investigation. • For Suspension of Funding and work: Because the District receives both state and federal funds occasionally the District's funding source may enact a Contract suspension due to sequestration, loss of budget appropriation, or other causes. When this occurs, the District may exercise Its right to suspend this Contract until the District's funding has resumed and approval to continue work has been received. At that time, the District will notify the Contractor that they may resume work. All notice to suspend or reinstate work will be in writing. Any expenses incurred during the suspension of this Contract may not be reimbursed later unless it is specifically approved at the time the Contract is reinstated. TERMINATION OF AGREEMENT • For Convenience: This Contract may be terminated by either party for convenience with 14 days written notice. If this Contract is so terminated, the parties are only liable for performance rendered or costs incurred in accordance with this Contract prior to the effective date of termination. qty of Pasco — Flre Department 2022 P a g e 18 By Mutual Agreement: This Contract may be terminated at any time by mutual agreement of both parties. Termination for Default: In the event the District determines the Contractor has failed to comply with the terms and conditions of this Contract, the District hasthe rightto suspend orterminatethis Contract. District shall notify the Contractor in writing of the need totake corrective action. If corrective action isnot taken Within ten (1Q) Business Days, this Contract may beterminated. District reserves the rightto suspend all or part of this Contract, withhold further payments, or prohibit the Contractorfrom incurring additional obligations offunds during investigation ofthe alleged compliance breach and pending corrective action by the Contractororadecision by the Districtto terminate this Contract. For Non -Allocation of Funds: The District's ability to make payments is contingent on the availability of its various funding sources. In the event funding from state, federal, or other funding sources is withdrawn, reduced, limited or suspended during the course of this Contract, the District at its sole discretion may elect to terminate this agreement in whole or in part or to renegotiate this Contract subject to new funding limitations or conditions. GOVERNING LAW This Contract shall be governed by and construed in accordance with the laws of the State of Washington. SEVERABILITY If any term or condition of this Contract is held invalid by any court, the reminder of this Contract remains valid and in full force and effect. ENTIRE AGREEMENT This Contract contains all the terms and conditions agreed upon by the parties. No other understandings, oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or to bind either of the parties. AMENDMENTS Either party may request changes to this Contract. Proposed changes which are mutually agreed upon shall be incorporated by written amendments to this Contract. NOTICE Any notice or communication required or permitted under this Contract shall be sufficiently given if delivered in person, by email, or certified mail, return receipt requested to Contracts Manager with a copy to the District Administrator at the addresses set forth on page one (1) of this Contract. AUTHORIZATION AND EXECUTION By signature of this agreement, both parties agree to adhere to the terms and conditions set forth herein. BENTON-FRANKLIN HEALTH DISTRICT Jason accaria—Administrator Date CITY OF PASCO Dave Zabell ity Manager ate City of Pasco— Fire Department 2022 P a 6 e 19 Remit To Benton -Franklin Health District Attn: Accounts Payable 7102 W Okanogan Place Kennewick WA 99336 Phone # Email Invoice for services rendered under this contract for the period of: Salaries/Wages REG OT REGULAR PAY EMPLOYEE POSITION HRS/WK/MO HRS/WK/MO RATE OT PAY RATE TOTAL Incident Command 0.00 0.00 $0.00 $0.00 $0.00 Operation/Safety Chief 0.00 0.00 $0.00 $0.00 $0.00 Finance Section Chief 0.00 0.00 $0.00 $0.00 $0.00 Planning Section Chief 0.00 0.00 $0.00 $0.00 $0.00 Logistics Chief 0.00 0.00 $0.00 $0.00 $0.00 On Site Supervisor 0.00 0.00 $0.00 $0.00 $0.00 Clinician 0.00 0.00 $0.00 $0.00 $0.00 Clinician 0.00 0.00 $0.00 $0.00 $0.00 Clinician 0.00 0.00 $0.00 $0.00 $0,00 Clinician 0.00 0.00 $0.00 $0.00 $0.00 Clinician 0.00 0.00 $0.00 $0.00 $0.00 Clinician 0.00 0.00 $0.00 $0.00 $0.00 RT- Lead 0.00 0.00 $0.00 $0.00 $0.00 RT 0.00 0.00 $0.00 $0.00 $0.00 RT 0.00 0.00 $0.00 $0.00 $0.00 RT 0.00 0.00 $0.00 50.00 $0.00 RT 0.00 0.00 $0.00 $0.00 $0.00 RT 0.00 0.00 $0.00 $0.00 $0.00 RT 0.00 0.00 $0.00 $0.00 $0.00 Parking Enforcement 0.00 0.00 $0.00 $0.00 $0.00 Traffic Civilian 0.00 0.00 $0.00 $0.00 $0.00 Total Salaries/Wages $0.00 Total Benefits -Fringe $0.00 Supplies & Equipment Description Amount Office Supplies Medical Supplies Minor Equipment Other: Total Supplies & Equipment $0.00 TOTAL EXPENDITURES $0.00 Vendor's Certificate: I hereby eertity under penalty of penury that the items and totals listed herein are proper charges for materials. merchandise or services furnished and that all goods famished andfor services rendered have been provided wWxmt discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion, or Vietnam era or disabled veterans status. Print Name & Tide Signature Date City of Pasco - Fire Department 2022 Page 110