HomeMy WebLinkAboutKing County Public HealthA- 13
Contract, Procurement and Real Estate Services (CPRES) Public. Health '
401 Fifth Avenue, suite 1300 Seattle &King County -
Seattle, WA 98104-1818
206 - 263 -6747 Fax 206 - 296 -0629
TTY Relay_ 711
www.kingcounty.gov/health
April 23, 2014
Enclosed is a copy of your agreement with King County Health Department. VSe have
retained a copy for our records. Please contact Allen Cantara at (206) 263 -8744 if you have
questions.
Public Health
Seattle & King County
King County Contract #
Federal Taxpayer ID #
Federal Sub - recipient -
EMS3474
91- 6001228
YES
This form is available in alternate formats for people with disabilities upon request.
2014 COMMUNITY SERVICES CONTRACT WITH OTHER GOVERNMENT, INSTITUTION,
OR JURISDICTION
THIS CONTRACT is entered into by KING COUNTY (the "County "), and City of Auburn (the
"Contractor"), whose address is 25 W Main St.,Au burn, Wash ington,98001 -4998. The County
department overseeing the work to be performed in this Contract is the Seattle -King County Department
of Public Health (aka, Public Health - Seattle & King County, "PHSKC ").
Contract Summary
PHSKC Division: Emergency Medical Services
Project Title: Project Rampart
Contract Amount: $4,401.00
Contract Start Date: 01/0112014 Contract End Date: 12131/2014
Fund Source Information
FEDERAL. $ COUNTY $4,401 00 STATE. $
Specific Funding Details (Award number, CFDA # Amounts Effective Dates)
1) EMS Property Tax Levy
OTHER.$
WHEREAS, the County has been advised that the foregoing are the current funding sources, funding
levels and effective dates, and
WHEREAS, the County desires to have certain services performed by the Contractor as described in this
Contract, and as authorized by the 2014 Annual Budget.
NOW THEREFORE, in consideration of payments, covenants, and agreements hereinafter mentioned,
to be made and performed by the parties hereto, the parties mutually agree as follows-
Incorporation of Exhibits
The Contractor shall provide services and comply with the requirements set forth in the following
attached exhibits, which are incorporated herein by reference.
Program Exhibits and Requirements
• Exhibit A.
Scope of Work
• Exhibit B
Budget
• Exhibit C
Invoice
• Exhibit D
CPR INSTRUCTOR REPORTING FORM
• Exhibit E.
Contractor's Certificate of Insurance and Additional Insured Endorsement
II Term and Termination
Contract # EMS3474 Page # 1 of 9
A This Contract shall commence on 1/1/2014, and shall terminate on 12/31/2014
unless extended or terminated earlier, pursuant to the terms and conditions of the Contract.
B This Contract may be terminated by the County or the Contractor without cause, in whole or in
part, prior to the date specified in Subsection II.A. above, by providing the other party thirty (30)
days advance written notice of the termination. The Contract may be suspended by the County
without cause, in whole or in part, prior to the date specified in Subsection II.A. above, by providing
the other party thirty (30) days advance written notice of the suspension.
C The County may terminate or suspend this Contract, in whole or in part, upon seven (7) days
advance written notice in the event: (1) the Contractor materially breaches any duty, obligation, or
service required pursuant to this Contract, or (2) the duties, obligations, or services required herein
become impossible, illegal, or not feasible. If the Contract is terminated by the County pursuant to
this Subsection II C (1), the Contractor shall be liable for damages, including any additional costs
of procurement of similar services from another source.
If the termination results from acts or omissions of the Contractor, including but not limited to
misappropriation, nonperformance of required services, or fiscal mismanagement, the Contractor
shall return to the County immediately any funds, misappropriated or unexpended, which have
been paid to the Contractor by the County
D If County or other expected or actual funding is withdrawn, reduced, or limited in any way prior to
the termination date set forth above in Subsection II.A., the County may, upon written notification
to the Contractor, terminate or suspend this Contract in whole or in part.
If the Contract is terminated or suspended as provided in this Section (1) the County will be liable
only for payment in accordance with the terms of this Contract for services rendered prior to the
effective date of termination or suspension; and (2) the Contractor shall be released from any
obligation to provide such further services pursuant to the Contract as are affected by the
termination or suspension.
Funding or obligation under this Contract beyond the current appropriation year is conditional upon
appropriation by the County Council of sufficient funds to support the activities described in the
Contract. Should such appropriation not be approved, this Contract will terminate at the close of
the current appropriation year
If the Contract is suspended as provided in this Section the County may provide written
authorization to resume activities.
E Nothing herein shall limit, waive, or extinguish any right or remedy provided by this Contract or law
that either party may have in the event that the obligations, terms, and conditions set forth in this
Contract are breached by the other party
III Compensation and Method of Payment
A The County shall reimburse the Contractor for satisfactory completion of the services and
requirements specified in this Contract, payable upon receipt and approval by the County of a
signed invoice in substantially the form of the attached Invoice Exhibit which complies with the
attached Budget Exhibit.
B The Contractor shall submit an invoice and all accompanying reports as specified in the attached
exhibits not more than 60 working days after the close of each indicated reporting period. The
County shall make payment to the Contractor not more than 30 days after a complete and
accurate invoice is received.
C The Contractor shall submit its final invoice and all outstanding reports within 90 days of the date
this Contract terminates. If the Contractor's final invoice and reports are not submitted by the day
specified in this subsection, the County will be relieved of all liability for payment to the Contractor
of the amounts set forth in said invoice or any subsequent invoice.
Contract # EMS3474 Page # 2 of 9
D When a budget is attached hereto as an exhibit, the Contractor shall apply the funds received from
the County under this Contract in accordance with said budget. The Contract may contain
separate budgets for separate program components. The Contractor shall request prior approval
from the County for an amendment to this Contract when the cumulative amount of transfers
among the budget categories is expected to exceed 10% of the Contract amount in any Contract
budget. Supporting documents necessary to explain fully the nature and purpose of the
amendment must accompany each request for an amendment.
E If travel costs are contained in the attached budget, reimbursement of Contractor travel, lodging,
and meal expenses are limited to the eligible costs based on the following rates and criteria.
1 The mileage rate allowed by King County shall not exceed the current Internal Revenue
Service (IRS) rates per mile as allowed for business related travel. The IRS mileage rate
shall be paid for the operation, maintenance and depreciation of individually owned vehicles
for that time which the vehicle is used during work hours. Parking shall be the actual cost.
When rental vehicles are authorized, government rates shall be requested. If the Contractor
does not request government rates, the Contractor shall be personally responsible for the
difference Please reference the federal web site for current rates: http: / /www gsa.gov
2 Reimbursement for meals shall be limited to the per diem rates established by federal travel
requisitions for the host city in the Code of Federal Regulations, 41 CFR § 301, App.A.
Please reference http: / /www gsa.gov for the current host city per diem rates.
3 Accommodation rates shall not exceed the federal lodging limit plus host city taxes. The
Contractor shall always request government rates.
4 Air travel shall be by coach class at the lowest possible price available at the time the
County requests a particular trip. In general, a trip is associated with a particular work activity
of limited duration and only one round -trip ticket, per person, shall be billed per trip Any air
travel occurring as part of federal grant must be in accordance with the Fly America Act.
IV Internal Control and Accounting System
The Contractor shall establish and maintain a system of accounting and internal controls which complies
with applicable, generally accepted government accounting standards (GAGAS)
V Debarment and Suspension Certification
Entities that are debarred, suspended, or proposed for debarment by the U S Government are excluded
from receiving federal funds and contracting with the County The Contractor, by signature to this
Contract, certifies that the Contractor is not presently debarred, suspended, or proposed for debarment
by any Federal department or agency The Contractor also agrees that it will not enter into a subcontract
with a contractor that is debarred, suspended, or proposed for debarment. The Contractor agrees to
notify King County in the event it, or a subcontractor, is debarred, suspended, or proposed for debarment
by any Federal department or agency
VI Maintenance of Records /Evaluations and Inspections
A The Contractor shall maintain accounts and records, including personnel, property, financial, and
programmatic records and other such records as may be deemed necessary by the County to
ensure proper accounting for all Contract funds and compliance with this Contract.
In accordance with the nondiscrimination and equal employment opportunity requirements set forth
in Section XIV below, the Contractor shall maintain the following:
1 Records of employment, employment advertisements, application forms, and other pertinent
data, records and information related to employment, applications for employment or the
administration or delivery of services or any other benefits under this Contract, and
2 Records, including written quotes, bids, estimates or proposals submitted to the Contractor
by all businesses seeking to participate on this Contract, and any other information
Contract # EMS3474 Page # 3 of 9
necessary to document the actual use of and payments to subcontractors and suppliers in
this Contract, including employment records.
The County may visit the site of the work and the Contractor's office to review the foregoing
records. The Contractor shall provide every assistance requested by the County during such
visits. In all other respects, the Contractor shall make the foregoing records available to the
County for inspection and copying upon request. If this Contract involves federal funds, the
Contractor shall comply with all record keeping requirements set forth in any federal rules,
regulations or statutes included or referenced in the contract documents.
C Except as provided in Section VII of this Contract, the records listed in A and B above shall be
maintained for a period of six (6) years after termination hereof unless permission to destroy them
is granted by the Office of the Archivist in accordance with Revised Code of Washington (RCW)
Chapter 40 14
D Medical records shall be maintained and preserved by the Contractor in accordance with state and
federal medical records statutes, including 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.
E The Contractor agrees to cooperate with the County or its agent in the evaluation of the
Contractor's performance under this Contract and to make available all information reasonably
required by any such evaluation process. The results and records of said evaluations shall be
maintained and disclosed in accordance with RCW Chapter 42.56
F 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
VII Compliance with the Health Insurance_ Port_abilitit-and Accountability Act of 1996 ( HIPAA)
The Contractor shall not use protected health information created or shared under this Contract in any
manner that would constitute a violation of HIPAA and any regulations enacted pursuant to its
provisions. Contractor shall read and certify compliance with all HIPAA requirements at
http: / /www.kingcounty gov /healthservices /health /partnerships /contracts
VIII Audits
A If the Contractor is a municipal entity or other government institution or jurisdiction, it shall notify
the County in writing within 30 days of when its annual report of examination /audit conducted by
the Washington State Auditor has been completed.
B Additional audit or review requirements which may be imposed on the County will be passed on to
the Contractor and the Contractor will be required to comply with any such requirements.
IX Corrective Action
If the County 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 the County deems said breach to warrant corrective
action, the following sequential procedure will apply,
A The County 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 the County, at its sole discretion, specifies in writing an extension in
the number of days to complete the corrective actions;
Contract # EMS3474 Page # 4 of 9
B The County will notify the Contractor in writing of the County's determination as to the sufficiency
of the Contractor's corrective action plan. The determination of sufficiency of the Contractor's
corrective action plan shall be at the sole discretion of the County;
C In the event that the Contractor does not respond within the appropriate time with a corrective
action plan, or the Contractor's corrective action plan is determined by the County to be
insufficient, the County may commence termination or suspension of this Contract in whole or in
part pursuant to Section II.C.,
D In addition, the County may withhold any payment owed the Contractor or prohibit the Contractor
from incurring additional obligations of funds until the County is satisfied that corrective action has
been taken or completed; and
E Nothing herein shall be deemed to affect or waive any rights the parties may have pursuant to
Section II. Subsections B, C, D, and E
X Dispute Resolution
The parties shall use their best, good -faith 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
under this section.
XI Hold Harmless and Indemnification
A In providing services under this Contract, the Contractor is an independent Contractor, and neither
it nor its officers, agents, employees, or subcontractors are employees of the County 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
County employee under state or local law
The County assumes no responsibility for the payment of any compensation, wages, benefits, or
taxes by, or on behalf of the Contractor, its employees, subcontractors and /or others by reason of
this Contract. The Contractor shall protect, indemnify, and save harmless the County, 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 other 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 the County 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, or subcontractors. This duty to repay the County shall not be
diminished or extinguished by the prior termination of the Contract pursuant to the Term and
Termination section.
C The Contractor shall defend, indemnify, and hold harmless the County, 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 or non - performance of its obligations under this
Contract. In the event the County incurs any judgment, 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 The County shall defend, indemnify, and hold harmless the Contractor, 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 County, its officers, employees, or
agents in its performance or non - performance of its obligations under this Contract. In the event
Contract # EMS3474 Page # 5 of 9
the Contractor incurs any judgment, 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 County
E Claims shall include, but not be limited to, assertions that use or transfer of software, book,
document, report, film, tape, or sound reproduction or material of any kind, delivered hereunder,
constitutes an infringement of any copyright, patent, trademark, trade name, and /or otherwise
results in unfair trade practice.
F Nothing contained within this provision shall affect and /or alter the application of any other
provision contained within this Contract.
G The indemnification, protection, defense and save harmless obligations contained herein shall
survive the expiration, abandonment or termination of this Contract.
XII Insurance Requirements
By the date of execution of this Contract, the Contractor shall procure and maintain for the duration of
this Contract, insurance against claims for injuries to persons or damages to property which may arise
from, or in connection with, the performance of work hereunder by the Contractor, its agents,
representatives, employees, and /or subcontractors. The costs of such insurance shall be paid by the
Contractor or subcontractor The Contractor may furnish separate certificates of insurance and policy
endorsements for each subcontractor as evidence of compliance with the insurance requirements of this
Contract. The Contractor is responsible for ensuring compliance with all of the insurance requirements
stated herein. Failure by the Contractor, its agents, employees, officers, subcontractors, providers,
and /or provider subcontractors to comply with the insurance requirements stated herein shall constitute a
material breach of this Contract. Specific coverages and requirements are at
http / /www.kingcounty gov /healthservices /health /partnerships /contracts; contractors shall read and
provide required insurance documentation prior to the signing of this Agreement.
XIII Assianment/Subcontractina
A The Contractor shall not assign or subcontract any portion of this Contract or transfer or assign
any claim arising pursuant to this Contract without the written consent of the County Said consent
must be sought in writing by the Contractor not less than fifteen (15) days prior to the date of any
proposed assignment.
B "Subcontract" shall mean any agreement between the Contractor and a subcontractor or between
subcontractors that is based on this Contract, provided that the term "subcontract" does not
include the purchase of (1) support services not related to the subject matter of this Contract, or (2)
supplies.
C The Contractor shall include Sections III.D., III.E., IV, V, VI, VII, XI, XII, XIII, XIV, XV, XVI, and
XVII,XVIII, XXIV, XXV, XXVI, XXVII, and the Funder's Special Terms and Conditions, if attached,
in every subcontract that relates to the subject matter of this Contract.
D The Contractor agrees to include the following language verbatim in every subcontract, for
services which relate to the subject matter of this Contract:
"Subcontractor shall protect, defend, indemnify, and hold harmless King County, 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 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 King County is a third party beneficiary to this Contract and
shall have the right to bring an action against subcontractor to enforce the provisions of this
paragraph."
XIV Nondiscrimination and Equal Employment Opportunity
The Contractor shall comply with all applicable federal, state and local laws regarding discrimination,
including those set forth in this Section
Contract # EMS3474 Page # 6 of 9
During performance of the Contract, the Contractor agrees that it will not discriminate against any
employee or applicant for employment because of the employee or applicant's sex, race, color, marital
status, national origin, religious affiliation, disability, sexual orientation, gender identity or expression or
age except by minimum age and retirement provisions, unless based upon a bona fide occupational
qualification. The Contractor will make equal employment opportunity efforts to ensure that applicants
and employees are treated, without regard to their sex, race, color, marital status, national origin,
religious affiliation, disability, sexual orientation, gender identity or expression or age. Additional
requirements are at http: / /www.kingcounty gov /healthservices /health /partnerships /contracts; contractors
shall read and certify compliance.
XV Conflict of Interest
A The Contractor agrees to comply with applicable provisions of K.0 C 3 04 Failure to comply with
such requirements shall be a material breach of this contract, and may result in termination of this
Contract pursuant to Section II and subject the Contractor to the remedies stated therein, or
otherwise available to the County at law or in equity
B The Contractor agrees, pursuant to KCC 3 04 060, that it will not willfully attempt to secure
preferential treatment in its dealings with the County by offering any valuable consideration, thing
of value or gift, whether in the form of services, loan, thing or promise, in any form to any County
official or employee. The Contractor acknowledges that if it is found to have violated the
prohibition found in this paragraph, its current contracts with the County will be cancelled and it
shall not be able to bid on any County contract for a period of two years.
C The Contractor acknowledges that for one year after leaving County employment, a former County
employee may not have a financial or beneficial interest in a contract or grant that was planned,
authorized, or funded by a County action in which the former County employee participated during
County employment. Contractor shall identify at the time of offer current or former County
employees involved in the preparation of proposals or the anticipated performance of Work if
awarded the Contract. Failure to identify current or former County employees involved in this
transaction may result in the County's denying or terminating this Contract. After Contract award,
the Contractor is responsible for notifying the County's Project Manager of current or former
County employees who may become involved in the Contract any time during the term of the
Contract.
XVI Equipment Purchase, Maintenance, and Ownership
A The Contractor agrees that any equipment purchased, in whole or in part, with Contract funds at a
cost of $5,000 per item or more, when the purchase of such equipment is reimbursable as a
Contract budget item, is upon its purchase or receipt the property of the County and /or
federal /state government. The Contractor shall be responsible for all such property, including the
proper care and maintenance of the equipment.
B The Contractor shall ensure that all such equipment will be returned to the County or federal /state
government upon termination of this Contract unless otherwise agreed upon by the parties.
XVII Proprietary Rights
The parties to this Contract hereby mutually agree that if any patentable or copyrightable material or
article should result from the work described herein, all rights accruing from such material or article shall
be the sole property of the party that produces such material or article. If any patentable or
copyrightable material or article should result from the work described herein and is jointly produced by
both parties, all rights accruing from such material or article shall be owned in accordance with US
Patent Law Each party agrees to and does hereby grant to the other party, irrevocable, nonexclusive,
and royalty -free license to use, according to law, any material or article and use any method that may be
developed as part of the work under this Contract.
The foregoing products license shall not apply to existing training materials, consulting aids, checklists,
and other materials and documents of the Contractor which are modified for use in the performance of
this Contract.
Contract # EMS3474 Page # 7 of 9
The foregoing provisions of this section shall not apply to existing training materials, consulting aids,
checklists, and other materials and documents of the Contractor that are not modified for use in the
performance of this Contract.
XVI11 Political Activity Prohibited
None of the funds, materials, property, or services provided directly or indirectly under this Contract shall
be used for any partisan political activity or to further the election or defeat of any candidate for public
office.
XIX King County Recycled Product Procurement Policy
In accordance with King County Code 18.20, the Contractor shall use recycled paper and both sides of
sheet of paper whenever practicable, when submitting proposals, reports, and invoices, if paper copies
are required.
XX Future Support
The County makes no commitment to support the services contracted for herein and assumes no
obligation for future support of the activity contracted herein except as expressly set forth in this
Contract.
Ml Entire Contract/Waiver of Default
The parties agree that this Contract is the complete expression of the terms hereto and any oral or
written representations or understandings not incorporated herein are excluded. Both parties recognize
that time is of the essence in the performance of the provisions of this Contract. Waiver of any default
shall not be deemed to be a waiver of any subsequent default. Waiver or breach of any provision of the
Contract shall not be deemed to be a waiver of any other or subsequent breach and shall not be
construed to be a modification of the terms of the Contract unless stated to be such through written
approval by the County, which shall be attached to the original Contract.
XXII Contract 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.
XXIII Notices
Whenever this Contract provides for notice to be provided by one party to another, such notice shall be
in writing and directed to the chief executive office of the Contractor and the project representative of the
County department specified on page one of this Contract. Any time within which a party must take some
action shall be computed from the date that the notice is received by said party
XXIV Services Provided in Accordance with Law and Rule and Regulation
The Contractor and any subcontractor agree to abide by the laws of the state of Washington, rules and
regulations promulgated thereunder, and regulations of the state and federal governments, as
applicable, which control disposition of funds granted under this Contract, all of which are incorporated
herein by reference.
In the event that there is a conflict between any of the language contained in any exhibit or attachment to
this Contract, the language in the Contract shall have control over the language contained in the exhibit
or the attachment, unless the parties affirmatively agree in writing to the contrary
XXV Applicable Law
This Contract shall be construed and interpreted in accordance with the laws of the State of Washington.
The venue for any action hereunder shall be in the Superior Court for King County, Washington
XXVI No Third Party Beneficiaries
Except for the parties to whom this Contract is assigned in compliance with the terms of this Contract,
there are no third party beneficiaries to this Contract, and this Contract shall not impart any rights
Contract # EMS3474 Page # 8 of 9
enforceable by any person or entity that is not a party hereto
XXVIIContractor Certification
By signing this Contract, the Contractor certifies that in addition to agreeing to the terms and conditions
provided herein, the Contractor certifies that it has read and understands the contracting requirements
on the PHSKC website (http. / /www.kingcounty gov /health /contracts), and agrees to comply with all of the
contract terms and conditions detailed on that site, including EEO /Nondiscrimination, HIPAA, Insurance,
and Credentialing, as applicable.
IN WITNESS WHEREOF, the parties hereby agree to the terms and conditions of this Contract.
KING COUNTY
(i(/) j FOR
King my Executive
Date ���i�
James Fogarty
Division Director
Emergency Medical Services
Approved as to Form,
OFFICE OF THE KING COUNTY PROSECUTING ATTORNEY
CONTRACTOR
%u .
Signature
v^ a- -e& � 4 U-0-5 �
Name (Please type or print)
Date
3/2y
Contract # EMS3474 Page # 9 of 9
Contract# EMS3474
Exhibit A — Scope of Work
Public Health — Seattle and King County
Emergency Medical Services Division
Project RAMPART - Auburn
Regional Approach to Municipal Public AED Registry and Training
PURPOSE OF RAMPART: To fund a regional approach to Municipal Public Access Defibrillation Programs.
Funding can support Automated External Defibrillator (AED) purchases and city employee training and
encourages registration of AEDs in the King County PAD (Public Access Defibrillation) Registry
TIME PERIOD FOR GRANT- Funds must be used by Dec 31, 2014 Contracts may be amended with
additional funding available in 2014 Funds are provided via a reimbursement contract.
Purchases /expenditures are reimbursed quarterly Funding may be used for the purchase of AEDs for public
facilities and municipal employee training. A project plan /budget has been approved by King County Any
changes must be approved by the AED /CPR Program Manager, Anne Curtis.
Project Mission:
To provide incentives for King County and select municipalities to promote the placement and registration of
Public Access Defibrillators in public facilities and other settings at high risk for cardiac arrest events, and to
promote training of your city workforce.
Specific Objectives of the Project:
1) Provide an incentive and guidelines for purchase and most efficient placement of AEDs in higher
incident /higher risk locations.
2) Promote better inclusion of AEDs in the PAD Registry used by EMS and dispatch agencies (911 call
centers), as required by state law (RCW 70 54 310).
3) Promote training of city employees in the use of AEDs.
4) Encourage municipalities to partner with King County EMS on the Shockingly Simple Campaign to promote
PAD awareness in your communities
Deliverables:
1) Provide a Project Rampart liaison to coordinate with King County EMS
2) Provide training in CPR /AED to 200 city employees and volunteers. This training can be reimbursed by
Project Rampart as follows:
A maximum of $46 00 per hour and no more than 1 instructor per class (exceptions must be
approved by the CPR /AED Program Manager):
• 3 hour maximum for Basic CPR Training,
• 2 hour maximum for Refresher Training (every 2 years);
3) Additional cost for training above these caps must be paid for by The Agency and are not reimbursable
under this Contract.
4) Coordinate your city Public Access Defibrillation efforts.
5) Ensure that all newly placed AEDs within your city government facilities are registered with King County
PAD Registry
6) Provide AED site coordination activities related to proper placement, training and maintenance of the
AEDs for all the AEDs in public facilities.
7) Coordinate any private foundation, sponsorship, donation, and /or volunteer activities related to the
purchase and placement of AEDs and AED training in private residences or private facilities within your
city
8) Coordinate contract activities with EMS to receive RAMPART funding. Submit quarterly invoices for
reimbursement, including original Invoices using Exhibit C for all purchases and workforce training reports.
Public Health — Seattle & King County, Emergency Medical Services Division, will:
1) Provide a Project Rampart Program Manager liaison to coordinate with each Municipality
2) Provide training to King County employees.
3) Coordinate the KC Public Access Defibrillation Program. Conduct PAD Public Awareness Campaign as
directed in the EMS 2008 — 2013 Strategic Plan.
4) Maintain King County PAD Registry Ensure that all AEDS in King County government facilities are
registered with the King County PAD Registry
5) Provide AED site guidance activities related to proper placement, training and maintenance of the
AEDS for all KC government AEDS in public facilities.
6) Provide incentive funding to Municipalities via contract. Funding allocation to be based on city public
employee count and number of public AEDs registered.
7) Pay quarterly invoices.
8) Send Quarterly PAD Registry Reports to City Fire Departments. Provide cardiac arrest data for trending
and identification of high risk locations.
Contract Reporting Requirements:
The agency shall comply with the following reporting requirements during the contract period:
A. Invoices shall be submitted for reimbursement of Project RAMPART expenses quarterly, and no
later than July 15' ", Sept. 15'^ and December 151h
B. Documentation of Instructor Fees
1) A course roster (Exhibit D) for each CPR/AED course taught to city employees must be
submitted with the RAMPART invoice. The course roster must include a) instructor name, b)
date of class, c) type of class taught, d) number of class participants, and e) the number of
hours of instruction taught.\
2) This training can be reimbursed at a maximum of $46 per hour for one instructor If course size
is over 15 students, one additional instructor may be brought in for the 2nd or 3'0 hour of the
class for practical work on manikins. If payment of instructors must exceed $46 per hour, the
agency must pay the extra cost.
C AED Purchases
1) You must purchase AEDs using pricing from the WA State contract #01710 More information
and price lists are available on www.des.wa.gov Just put the contract # on your Purchase
Order for the vendor of your choice and you should get reduced pricing. After delivery, include
the original vendor invoice with your RAMPART invoice for reimbursement. At minimum, we
recommend purchase of 1 wall mount, 1 carrying case and 1 extra set of pads for each AED
purchased. We do not recommend buying an extra battery at the time of AED purchase,
because they have a life of about 4 years. You may buy batteries for Project RAMPART for
AEDs purchased in previous years.
D Miscellaneous Equipment/Supplies and CPR /AED Training Supplies
1) Provide an itemized list of all equipment and supplies purchased and list the price of each item.
Include an original vendor invoice attached to the RAMPART invoice
The Project RAMPART contract is a reimbursable contract and all purchases and services must be completed
prior to invoicing King County Invoices must be mailed to Anne Curtis, CPR /AED Program Manager, King
County EMS, 401 Fifth Ave. Suite 1200, Seattle, WA 98104 All required reports described above must
accompany the invoice. Invoices are due no later than 15 calendar days following the end of 2ntl and 31d
calendar quarter and due on December 15"' for the 40 calendar quarter.
Contract# EMS3474
King County EMS Division
Project RAMPART Program Plan and Budget -2014 - Auburn
Annual RAMPART Funding allowance: $4,401
A) Purchase AEDs
Manufacturer
Number
Cost per AED, include
Total Cost
and Model*
of AEDs
wall mount & extra
For AED(s)
pads **
Phillips On- 2
$965.61 w -carry case &
$1931.22
site (HS1)
extra pads
Tax (9.5%)
183.46
Shipping
$36.00
Total
(Approximate)
AED Cost
(A)
Total Cost, including Tax
and Shipping
1 $2150.68
$2150.68
*Must purchase using WA State Contract 401710 (approx. 30% discount): Philips, Cardiac science, Physio - Control,
Zoll). * *We do not recommend buying an extra battery at time of purchase because batteries last 4+ years.
B) Training
Estimated #
Estimated
Estimated number of
Hourly
Total
of Employees
# of
total class hours
instructor wage
Training
to be trained
CPR /AED
(# Basic classes X 3 hrs) +
(max = $46.00
Cost
classes to
(# Refresher classes X 2)
hour)
(B)
be held
Maximum allowable CPR /AED
4 employees trained as
$150 /each +tax for
$
class hours
instructors. They will train
instructor training =
Basic Class = 3 hrs
estimated 200 employees
$164.25 x 4 = $657
Refresher Class = 2 hours
and volunteers
Instructor training
$1137.00
90 6
16 class hours
12 @ $35 =$420
4 @ $15 =$60
C) Training
Type of
Number
Cost
Total Cost of
Supplies
Supply
of Items
Training
Supplies
Includes:
AED Trainer
1
$198.51
$198.51
• AHA cards,
• AED Trainers;
CPR
6
$60470
$60470
• Batteries;
Mannequins
• Pads;
• CPR Training supplies
(5 adult, 1
infant)
CPR shields
500
$134.90
$134.90
Tax
$89.12
Shipping
$86.09
Total
(Approximate)
supply
Cost
(C)
Total Cost, including Tax
$1113.32
$1113.32
and Shipping
Grand Total
Budget(A +B +C)
$4401.00
Revised 11 -24 -13
Contract# EMS34/4
Public Health — Seattle & King County
Emergency Medical Services Division
Project RAMPART
EXHIBIT C — INVOICE AND BUDGET SUMMARY
P,GENCY. City of Auburn DATE.12 /6/13
nuuuin ,yvrt yov_v_q P.HONE.253- 876 -1g87
"PLEASE COMPLETE BOTH SECTIONS"
Accomplishment Re ort
TYPE OF ACTIVITY
CONTRACT
ITEM/
FUNDS
TOTALFUNDS
TOTAL FUNDS
BUDGET CATEGORIES
BUDGET
DESCRIPTION
EXPENDED THIS
EXPENDED TO DATE
REMAINING
funds (King County Contract funds
REPORT
include current report)
Instructor Fees
registered in KC PAD Registry
AED Purchases
Access Defibrillation In your community
Misc Equipment (pads, batteries,
all mounts cabinets etc. ) Attach list
CPR /AED Training Supplies
Includes AHA cards Attach list
Other describe
TOTAL
Accomplishment Re ort
TYPE OF ACTIVITY
GOAL
CURRENT REPORT
TOTAL TO DATE
(include current report)
Number of city employees trained
Requisition
Number of AEDs purchased with RAMPART
Receipt
funds (King County Contract funds
Number of new AEDs placed In your city and
registered in KC PAD Registry
Dollar amount of fundraising efforts for Public
Access Defibrillation In your community
CERTIFICATION FOR PAYMENT
I, the undersigned, do hereby certify that the materials have been furnished, the services rendered or the labor performed
as described herein, and that the claim is a just, due and unpaid obligation against King County, and that I am authorized
to authenticate and certify to said claim.
Agency Representative Signature
Date
Print Name Title
APPROVED
FOR SEATTLE -KING COUNTY DEPARTMENT OF PUBLIC HEALTH USE ONLY
Program Manager
PO
CPA
Invoice #
Requisition
Invoice DATE
Receipt
Amount to be
Paid
Revised 30/13
Date
Submit to: King County Emergency Medical Services
401 Fifth Ave Suite 1200,
Seattle, WA 98104
ATTN: Anne Curtis
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