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Deschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-196(
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.on.
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of January 23, 2008
Use "tab" to move between fields, and use as much space as necessary within each field. Do not leave any fields
incomplete. Agenda requests & backup must be submitted to the Board Secretary no later than noon of the Wednesdcii'
prior to the meeting to be included on the agenda.
DATE: January 7, 2008
TO: Deschutes County Board of Commissioners
FROM: Dan Peddycord, 322-7426
TITLE OF AGENDA ITEM:
Consideration and signature of Document # DC -2008-015 - a grant agreement between the Researc I
Corporation of the University of Hawaii and Deschutes County Health Department to provide publi,;
health nursing services to the Western States Genetic Collaborative who is focused on improving
access to genetic services for children.
PUBLIC HEARING ON THIS DATE? No.
BACKGROUND AND POLICY IMPLICATIONS:
This agreement with the University of Hawaii is to provide public health nursing services to The
Western States Genetic Collaborative. This Collaborative is focused on improving access to
genetic services for children with suspected or confirmed metabolic or genetic conditions and
congenital malformations.
This agreement continues the third year of a grant to provide telemedicine consultation to families
in our area. The University of Hawaii began a new grant cycle this year so the agreement was
delayed by the Federal budget process.
A Public Health nurse via telemedicine provides the services at the Health Department to the Child
Development and Rehabilitation Center (CDRC) at the Oregon Health & Science University in
Portland, Oregon. The Public Health nurse will collect records, develop a care plan based on
consultation and coordinate services for the family.
The funding has been reduced to reflect the reduced availability of the Child Development and
Rehabilitation Center (CDRC) Genetics Department to hold these clinics.
Starting Date: August 16, 2007 Ending Date: May 31, 2008
Total Value: $10,000
FISCAL IMPLICATIONS:
The budgeted amount was $11,000 but the contract has been reduced to $10,000 which will be the
actual cost of service. The Health Department shall be reimbursed for expenses incurred by the
project on a monthly or quarterly basis.
RECOMMENDATION & ACTION REQUESTED:
Approval and signature of Document # DC -2008-015, an agreement between the Research
Corporation of the University of Hawaii and Deschutes County Health Department is requested.
ATTENDANCE:
Dan Peddycord, Director, Deschutes County Health Department.
DISTRIBUTION OF DOCUMENTS:
Sylvia M. Au, State Genetics Coordinator, Hawaii Department of Health, 741 Sunset Avenue,
Honolulu, HI 96816, (808) 733-9063, Fax (808) 733-9068; and a copy to Jill Fox (Health Dept..
2577 NE Courtney Dr., Bend, OR 97701).
DESCHUTES COUNTY DOCUMENT SUMMARY
(NOTE: This form is required to be submitted with ALL contracts and other agreements, regardless of whether the document is to be un a
Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board agenda, the
Agenda Request Form is also required. If this form is not included with the document, the document will be returned to the Departme+}t
Please submit documents to the Board Secretary for tracking purposes, and not directly to Legal Counsel, the County Administrator o
the Commissioners. In addition to submitting this form with your documents, please submit this form electronically to the Board
Secretary.)
Date:
Contact Person:
January 7, 2008
Please complete all sections above the Official Review line.
DAN PEDDYCORD
Department: 11-IEALTH DEPARTMENT
Phone #: 322-74261
Contractor/Supplier/Consultant Name: Research Corporation of the University of Hawaii,
Hawaii Department of Health, Sylvia M. Au, State Genetics Coordinator, (808) 733-9063.
Goods and/or Services:
Consideration and signature of Document # DC -2008-015 - a grant agreement between the Research
Corporation of the University of Hawaii and Deschutes County Health Department to provide pub is
health nursing services to the Western States Genetic Collaborative who is focused on improving ccess
to genetic services for children.
Background & History:
This agreement (Document # DC -2008-015) with the University of Hawaii is to provide public
health nursing services to The Western States Genetic Collaborative. This Collaborative is focused
on improving access to genetic services for children with suspected or confirmed metabolic or
genetic conditions and congenital malformations.
This agreement continues the third year of a grant to provide telemedicine consultation to families in
our area. The University of Hawaii began a new grant cycle this year so the agreement was delay,nl
by the Federal budget process.
A Public Health nurse via telemedicine provides the services at the Health Department to the nil(
l(.
Development and Rehabilitation Center (CDRC) at the Oregon Health & Science University in
Portland, Oregon. The Public Health nurse will collect records, develop a care plan based on
consultation and coordinate services for the family.
The funding has been reduced to reflect the reduced availability of the Child Development and
Rehabilitation Center (CDRC) Genetics Department to hold these clinics.
Starting Date: August 16, 2007 Ending Date: May 31, 2008
Total Value: $10,000
Fiscal Implications:
The budgeted amount was $11,000 but the contract has been reduced to $10,000 which will be the
actual cost of service. The Health Department shall be reimbursed for expenses incurred by the
project on a monthly or quarterly basis.
n Insurance Certificate Received (check box) N/A
Insurance Expiration Date:
Check all that apply:
II
RFP, Solicitation or Bid Process
U Informal quotes (<$150K)
X Exempt from RFP, Solicitation or Bid Process (specify — see DCC §2.37)
Funding Source: University of Hawaii (Included in current budget?) X Yes Li No
If No, has budget amendment been submitted? ❑ Yes ❑ No
Departmental Contact: DAN PEDDYCORD Phone #: 322-7426
Title: DIRECTOR
Department Director Approval:
Distribution of Document:
Signatur f Date
Sylvia M. Au, State Genetics Coordinator, Hawaii Department of Health, 741 Sunset Avenue,
Honolulu, HI 96816, (808) 733-9063, Fax (808) 733-9068; and Jill Fox (Health Dept., 2577 NE
Courtney Dr., Bend, OR 97701, 541-322-7478).
Official Review:
County Signature Required (check one): f 'BOCC ❑ Department Director (if <$25K)
❑ Administrator (if >$25 but <$ 0K; if >$150K, BOCC Order No.
Legal Review
Document Number DQ .. 2 0 0 E "° 01
Date
AGREEMENT BETWEEN
THE RESEARCH CORPORATION OF THE UNIVERSITY OF HAWAII
and
DESCHUTES COUNTY HEALTH DEPARTMENT
THIS AGREEMENT, entered into this 24th day of December, 2007 by and between The Research
Corporation of the University of Hawaii, hereinafter called "RCUH", a governmental agency of the State of
Hawaii, whose post office address is 2800 Woodlawn Drive, Suite 200, Honolulu, Hawaii 96822, for the
benefit of the Western States Genetic Services Collaborative, hereinafter called the "Project", and the
Deschutes County Health Department, hereinafter called "SUBCONTRACTOR", whose business
address and tax identification number are as follows: 2577 NE Courtney Drive, Bend, Oregon 97701. -
Tax ID #: 93-6002292.
WITNESSETH THAT:
WHEREAS, the Project and the Funding Agency are parties to Project Number 006627, entitled
"Western States Regional Genetic Services Collaborative", a copy of which is attached hereto as
Attachment 1 and by reference made a part hereof; and
WHEREAS, the Project has requested RCUH to provide administrative services for their benefit in
support of the Grant/Contract referenced above, in accordance with the Internal Agreement between UH
and RCUH, and
WHEREAS, RCUH for the benefit of the Project and the Principal Investigator of said
grant/contract will provide financial support to the SUBCONTRACTOR to provide the Services detailed in
the Statement of Work attached hereto as Attachment 2; and
WHEREAS, RCUH desires to compensate the SUBCONTRACTOR for their Subcontract work in
accordance with the applicable budget attached hereto as Attachment 3 and by reference made a part
hereof; NOW, THEREFORE, in consideration of the mutual covenants and agreements hereinafter
contained, the parties hereto agree:
1. The SUBCONTRACTOR agrees to perform the necessary services for the implementation
and completion of that portion of the contract above referred to as relates to the Project.
2. The SUBCONTRACTOR agrees to conform to all federal rules and regulations that may
apply to the conduct and performance of this Agreement.
3. Period of Agreement and Amount: The period of performance of this Agreement shall be
August 16, 2007 through May 31, 2008. The Project Budget, which is attached hereto as Attachment 3
and made a part hereof by reference, provides that expenditures from monies to be provided by RCUH
pursuant to this Agreement shall not exceed the total amount of TEN THOUSAND and No/100 Dollars
($10,000.00).
4. Method of Payment: RCUH shall reimburse the SUBCONTRACTOR for expenses
incurred by the project on a monthly or quarterly basis. Such reimbursement will be made in accordance
with the submission or completion of required deliverables, monthly billings prepared and submitted by the
SUBCONTRACTOR, broken down by expense categories reflected in the budget, and must be consistent
with the rules and regulations contained in Attachment 1 of this subcontract. Failure to submit invoices on
a timely basis may result in delayed reimbursement. RCUH may withhold reirnbursement payments if
CC
quarterly financial reports are not submitted on a timely basis or if reported cost sharing data is not current
or proportional to the annual estimated obligation.
5. Audit Requirements: The provisions of Office of Management and Budget (OMB) Circular
A-133, "Audits of Institutions of Higher Learning and Other Nonprofit Institutions," apply to this contract.
The SUBCONTRACTOR agrees to submit a copy of its annual A-133 audit and corrective actions to RCUH
within one month of completion and release of the audit report. Failure to submit the audit report and
corrective actions may result in delayed reimbursement to SUBCONTRACTOR for costs incurred under the
contract.
6. Examination of Records: The SUBCONTRACTOR agrees that the U.S. Comptroller
General, University of Hawaii, RCUH, or any of their duly authorized representatives shall have access to,
and the right to inspect or audit any directly pertinent books, documents, papers and records of the
SUBCONTRACTOR involving transactions related to this Agreement during regular business hours
provided reasonable notice is given by RCUH.
7. Termination: Each party shall have the privilege, with or without cause, to cancel or annul
this Agreement at any time upon written notice given thirty (30) days in advance of such termination.
8. Disallowed Costs: The SUBCONTRACTOR shall be responsible for reimbursement to the
prime SUBCONTRACTOR, UH, a sum of money equivalent to the amount of any expenditures disallowed
should the funding agency or an authorized agency rule through audit exception or some other appropriate
means that expenditures from funds allocated to the SUBCONTRACTOR for direct and/or indirect costs
were not made in compliance with the applicable cost principles, regulation of the funding agency, or the
provisions of this Subcontract.
9. Disputes: Any disputes concerning a matter of fact arising under this Agreement, which is
not disposed of by mutual agreement within thirty (30) calendar days, shall be determined by the Executive
Director of RCUH, or said Executive Director's designated representative who shall reduce the decision to
writing and mail or otherwise furnish a copy of the decision to the SUBCONTRACTOR. Pending final
decision of such a dispute, the SUBCONTRACTOR shall proceed diligently with the performance of
services under this Agreement in accordance with RCUH's request.
10. Federal Funds: If this Agreement is payable in whole or in part from federal funds, the
SUBCONTRACTOR agrees that, as to the portion of the compensation under this Agreement to be
payable from federal funds, the SUBCONTRACTOR shall be paid only from such federal funds received
from the federal government, and shall not be paid from any other funds.
11. Ownership Rights and Copyright. RCUH and Children's Hospital and Regional Medical
Center shall have joint ownership of all material, both finished and unfinished, which is developed,
prepared, assembled, or conceived by the SUBCONTRACTOR pursuant to this Agreement, and all such
material shall be considered "works made for hire". Copies of all such material shall be delivered to the
RCUH upon expiration or termination of this Agreement.
12. Indemnification and Defense: Each party in accordance with state law, shall defend,
indemnify, and hold harmless its officers, employees, and agents from and against all liability, loss,
damage, cost, and expense, including all attorneys' fees, and all claims, suits, and demands thereof,
arising out of or under this Agreement. The provisions of this paragraph shall remain in full force and effect
notwithstanding the expiration or early termination of this Agreement.
2
13. Modifications of Agreement: Any modification, alteration, amendment, change, or
extension of any term, provision, or condition of this Agreement shall be made only by written amendments
to this Agreement, signed by both the SUBCONTRACTOR and RCUH.
14. Relationship of Parties; Independent SUBCONTRACTOR Status and Responsibilities:
a. In the performance of services, or delivery of goods, or both, required under this
Agreement, the SUBCONTRACTOR is an "independent SUBCONTRACTOR," with the authority
and responsibility to control and direct the performance and details of the work and services
required under this Agreement; however, RCUH shall have a general right to inspect work in
progress to determine whether, in RCUH's opinion, the services are being performed or the goods
are being provided, or both, by SUBCONTRACTOR.
b. The SUBCONTRACTOR and the SUBCONTRACTOR's employees and agents
are not by reason of this Agreement, agents or employees of RCUH for any purpose, and the
SUBCONTRACTOR and the SUBCONTRACTOR's employees and agents shall not be entitled to
claim or receive from RCUH any vacation, sick leave, retirement, workers' compensation,
unemployment insurance, or other benefits provided to RCUH employees.
c. The SUBCONTRACTOR shall be responsible for the accuracy, completeness,
and adequacy of its performance under this Agreement. Furthermore, the SUBCONTRACTOR
intentionally, voluntarily, and knowingly assumes the sole and entire liability to the
SUBCONTRACTOR's employees and agents, and to any individual not a party to this Agreement,
for all loss, damage, or injury caused by the SUBCONTRACTOR, or the SUBCONTRACTOR's
employees or agents in the course of their employment.
d. The SUBCONTRACTOR shall be responsible for payment of all applicable
federal, state, and county taxes and fees which may become due and owing by the
SUBCONTRACTOR by reason of this Agreement, including but not limited to (i) income taxes, (ii)
employment related fees, assessments, and taxes, and (iii) general excise taxes. The
SUBCONTRACTOR is responsible for obtaining all licenses, permits, and certificates that may be
required in order to perform the Agreement.
e. The SUBCONTRACTOR is responsible for securing all employee-related
insurance coverage for the SUBCONTRACTOR and the SUBCONTRACTOR's employees and
agents that is or may be required by law, and for payment of all premiums, costs, and other
liabilities associated with securing the insurance coverage.
15. General Conditions: The terms, conditions, provisions, and special requirements of the
Prime Grant/Contract will apply to this Agreement and are attached hereto as Attachment 1 and made a
part hereof by reference.
16. Standards of Conduct Declaration. The Standards of Conduct Declaration by
SUBCONTRACTOR, set forth in Attachment 4, is hereby made a part of this Agreement.
17. Federal Provisions. If federal grant or contract funds are expended under this contract,
the SUBCONTRACTOR shall comply with the applicable provisions of Attachment 32a.
18. It is understood that this Agreement represents the sole and entire Agreement between
the parties.
3
IN WITNESSETH WHEREOF, The SUBCONTRACTOR and The Research Corporation of the
University of Hawaii have executed this Agreement at Honolulu, Hawaii on December 24, 2007 with
retroactive effect as of and from the date first above written,
RECOMMENDED BY:
PRINCIPAL INVESTIGATOR OR
PROJECT AUTHORITY
EXECUTED BY:
Date:
SUBCONTRACTOR:
Deschutes County Health Department
0//
Name: Daniel W. Peddycod
Title: Director
Date: l— —D'g
THE RESEARCH CORPORATION OF
THE UNIVERSITY OF HAWAII
Date:
4
Attachment 1 for Sub -Contracts
PROJECT AGREEMENT FOR ADMINISTRATIVE SERVICES BETWEEN THE
STATE OF HAWAII DEPARTMENT OF HEALTH AND THE RESEARCH
CORPORATION OF THE UNIVERSITY OF HAWAII
This Project Agreement, effective August 16, 2007 from the STATE OF HAWAII,
DEPARTMENT OF HEALTH (hereinafter referred to as "DOH"), is entered into between DOM
by its Director of Health (hereinafter referred to as "DIRECTOR") and the RESEARCH
CORPORATION OF THE UNIVERSITY OF HAWAII, (hereinafter referred to as "RCUH")
pursuant to the Master Agreement between the State of Hawaii and RCUH dated April 17, 1995,
(hereinafter referred to as the "Master Agreement") and the First Amendment to Master
Agreement between the State of Hawaii and RCUH dated June 1999 (hereinafter referred to as
the "First Amendment to Master Agreement").
WITNESSETH:
A. The DOH is in need of the administrative services described in this Project Agreement
and its attachments, and has provided the justification and reasons for using the services
of RCUH, as required by the Master Agreement section 2, and as shown in Attachment A
which is attached to and hereby made a part of this Project Agreement.
B. The DOH desires to retain and engage the RCUH to provide the administrative services.
and the RCUH is agreeable to providing said services.
NOW, THEREFORE, the DOH and the RCUH agree as follows:
1. Scope of Services. The RCUH shall, in a proper and satisfactory manner as determined
by the DOH, provide administrative services as described in the Master Agreement
section 5 to support the project being conducted by the DOH which is described in
Attachment 1, and which is attached to and hereby made a part of this Project Agreement.
ADM. SERV. OFFICE 1
LOG NO. 08-149
Attachment 1 for Sub -Contracts
2. Time of Performance. The services required of the RCUH under this Project Agreement
shall be performed and completed in accordance with the "Time Schedule" set forth in
Attachment 2, which is attached to and hereby made a part of this Project Agreement.
3. Compensation. The RCUH shall be compensated for services rendered and costs
incurred under this Project Agreement.
4. DOH Liaison. The designated individual to be principal liaison between the RCUH and
the DOH is Sylvia Au, M.S., representing the DOH as the Principal Investigator (P1).
5. Relationship. For the purposes of this project described in Attachment 1, RCUH is acting
as an agent of the DOH and not as principal.
6. Program Revenue. The project as described in Attachment 1 does not include collection
of program revenues or user fees for and on behalf of the State of Hawaii.
7. Termination. This Project Agreement may be terminated under the terms and conditions
of section 18 of the Master Agreement. In addition, this Project Agreement shall be valid
until terminated without cause by either party by giving the other party 60 days written
advance notice, specifying the effective date of the termination.
8. Applicability. Except as provided in paragraph 10, below, this Project Agreement
constitutes the entire understanding between the parties with respect to the subject matter
hereof and supersedes any and all prior understandings and agreements, oral and/or
written, relating hereto.
9. Amendment. This Project Agreement may be amended at any time only by written
mutual agreement of the parties hereto.
10. Special Conditions. If this Project Agreement is terminated with cause or without cause
or at the scheduled expiration of the time of performance specified in this Agreement, all
ADM. SERV. OFFICE 2
LOG NO. 08-149
Attachment 1 for Sub -Contracts
equipment and unused supplies and materials leased or purchased with funds paid to
RCUH under this Agreement shall become the property of the DOH as it so specifies and
shall be disposed of as directed by the DOH, except, if applicable, as otherwise may be
provided under the Federal Grant.
11. Other Terms and Conditions. The Master Agreement of General Terms and Conditions,
dated April 17, 1995 and the First Amendment to Master Agreement dated June 1999, by
and between the State of Hawaii and the RCUH are hereby made a part of this
Agreement. In the event of a conflict between this Project Agreement and the Master
Agreement, the Master Agreement as amended by the First Amendment to Master
Agreement, shall prevail.
IN WITNESS WHEREOF, the DOH and RCUH have executed this Project Agreement effective
as of the date first above written.
DEPARTMENT OF HEALTH
By Signed by Dr. Fukino on hard copy
Chiyome Leinaala Fukino, M.D.
Title Director of Health
RESEARCH CORPORATION OF THE
UNIVERSITY OF HAWAII
By Signed by Mr. Aiifu on hard copy
Leonard Ajifu
Title Director of Finance
Approved as to form:
Signed by Andrea Armitage on hard copy
Deputy Attorney General, State of Hawaii
ADM. SERV. OFFICE 3
LOG NO. 08-149
Attachment 1 for Sub -Contracts
Attachment 1
SCOPE OF SERVICES
The parties hereto mutually agree, subject to and in accordance with the terms and
conditions of the Master Agreement dated April 17, 1995, and the First Amendment to Master
Agreement dated June 1999, both of which are by reference made a part hereof, that the RCUH
shall provide administrative services and employ staff to coordinate and support the DOH's
Western States Genetic Services Collaborative Project as follows:
a. Plan, develop, test and evaluate practice protocols to improve access to genetic
services for children with suspected or confirmed metabolic conditions or
suspected or confirmed genetic conditions and congenital malformations.
Protocols must include services that can be provided by new technology such as
telemedicine. Activities include:
(1) Conducting literature searches and collecting existing protocols and
information related to regional provision of genetic services;
(2) Developing plan(s) based on information obtained;
(3) Seeking technical assistance from local and national consultants on plan;
(4) Developing evaluation tools;
(5) Implementing protocol and evaluation methods; and
(6) Analyzing and reporting data obtained.
b. Plan develop, test and evaluate practice protocols to improve access to
comprehensive primary care for children with heritable conditions and public
health nurse care coordination services for children with heritable conditions.
Activities include:
ADM. SERV. OFFICE 4
LOG NO. 08-149
Attachment 1 for Sub -Contracts
(1) Conducting literature searches and collecting existing information related
to improving access to primary care providers and public health nursing
coordination;
(2) Developing plan(s) based on information obtained;
(3) Seeking technical assistance from local and national consultants on plan;
(4) Developing evaluation tools;
(5) Implementing protocol and evaluation methods; and
(6) Analyzing and reporting data obtained.
c. Establish a data collection and reporting system to catalog the information
obtained by:
(1) Maintaining the data collection system for existing and new data;
(2) Providing data access data to project participants and consultants using
web -based applications; and
(3) Developing and disseminating a report of the data findings to the project
participants and via the project website.
d. Research third -party reimbursement for genetic services by:
(1) Tracking third -party reimbursements for genetic services including
telemedicine services;
(2) Analyze data;
(3) Develop plan to maximize third -party reimbursement; and
(4) Report on findings.
e. Assist states and Guam to assess and improve genetic and newborn screening
services within their state or territory. Activities include:
ADM. SERV. OFFICE 5
LOG NO. 08-149
Attachment 1 for Sub -Contracts
(1) Assessing genetic and newborn screening services;
(2) Developing plan(s) and budget to improve genetic and newborn screening
services; and
(3) Providing education to improve genetic and newborn screening services.
f. Develop accurate, culturally appropriate, translated, and understandable genetics
and newborn screening educational activities and material.
g. Develop and maintain collaborative efforts among the participating states and
territory (Hawaii, Oregon, California, Washington, Alaska, Idaho, and Guam) in
the project by:
(1) Developing mechanisms to foster the collaborative efforts among the
region's genetic specialists, families, primary care providers, state genetic
programs, state newborn screening programs, Children with Special
Health Care Needs (CSHCN) programs, and others to complete the
collaborative's activities
(2) Creating a website for the project that includes mechanisms to post draft
documents, communicate among the participants, and allow the general
public to comment on activities;
(3) Arranging conference calls, advisory committee and work group meetings;
(4) Developing mailing lists, e-mail lists, and list services to facilitate
communication among the project participants; and
(5) Developing project work groups as determined by the project advisory
committee.
ADM. SERV. OFFICE 6
LOG NO. 08-149
Attachment 1 for Sub -Contracts
Attachment 2
TIME SCHEDULE
1. RCUH shall provide the services required under this Project Agreement from August 16,
2007, to and including May 31, 2008, unless this Project Agreement is extended or
sooner terminated as hereinafter provided.
2. This Project Agreement may be extended subject to the receipt of additional Federal
funds for the project.
ADM. SERV. OFFICE 7
LOG NO. 08-149
Attachment 1 for Sub -Contracts
Attachment A
JUSTIFICATION AND REASONS FOR USING RCUH FOR ADMINISTRATIVE
SERVICES
1. The DOH has determined that the Project is of an intellectual level generally conducted
by the University of Hawaii, and is appropriate for university -level research, as follows:
a. The project requires literature searches, review of professional and lay person
sources, and formulative research for planning, implementation and evaluation of
protocols for regional collaboration for the provision of genetic services and
education.
b. The project requires professional assistance to develop research protocols and
methodology, educational materials and activities development, and evaluation
criteria and methods.
c. The project requires research and collaboration among health professionals in
seven states and one territory (Hawaii, Oregon, California, Washington, Alaska,
Idaho, and Guam).
2. The DOH has determined that the scientific investigation and/or research, which is the
subject of the project is beyond the existing capacity of the DOH, as follows:
a. DOH does not have the qualified or experienced staff to fill all the project
positions in the broad range of states and territory participating in the project.
b. To complete the project activities, the DOH program manager (State Genetics
Coordinator) requires professional assistance from individuals from the public
health and healthcare organizations, academic institutions, and the private sector
ADM. SERV. OFFICE 8
LOG NO. 08-149
Attachment 1 for Sub -Contracts
in the collaborating states and territory. These individuals possess skills and
expertise necessary to complete the research activities of this project.
3. The DOH has determined that contracting with RCUH to provide the services required
for the project is more efficient than performing the services required for the project
directly through a contract with the private sector, as follows:
a. The project involves technical and research -related procurement complexities
including contracting personnel and administration of activities among the seven
states and territory, allowing personnel from the region to attend meetings with
the federal government funding agency and key state personnel, and completing
purchases and contracts with mainland -based companies. Flexibility is required
in order to proceed with and complete the project activities in a timely manner.
b. There are no private sector providers who can carry out the same or similar
activities in Hawaii or elsewhere because the research is based in the public health
program of each state and territory.
c. The federal government funding agency requires the type of administrative
service and efficient fiscal management accountability that RCUH provides to its
research projects.
4. a. The nature of the research or investigation required by this Project Agreement is
at an intellectual level appropriate for university -level research.
b. The Project funds exceed $25,000.00.
c. The Project does not involve classified research.
ADM. SERV. OFFICE 9
LOG NO. 08-149
Attachment 1 for Sub -Contracts
d. The STATE program manager requires professional assistance in the
development of the project scope or the formulation of effective strategies or
approaches in the implementation of the project.
e. Private sector assistance for the project is inappropriate because of the lack of
technical expertise and because the nature of the project is geared towards the
public sector.
By: Sylvia M. Au, M.S., C.G.C.
Title: Genetics Coordinator
Department of Health
Signature: Signed by Patricia Heu for Sylvia Au on hard copy
Date: October 11, 2007
ADM. SERV. OFFICE 10
LOG NO. 08-149
Attachment 2
SCOPE OF SERVICES
The Deschutes County Health Department in Bend, Oregon as part of the Western
States Regional Genetics Collaborative, will work to:
1. Assist in identifying families that may benefit from genetics or metabolic
telemedicine visits and coordinate referrals for telemedicine visits.
2. Assess family needs for assistance prior, during, and after the telemedicine
visit.
3. Coordinate with OHSU and family to set up visit with appropriate specialists
for Telemedicine visit.
4. Coordinate logistics for originating site (Deschutes County) of telemedicine
visit including reserving videoconference equipment.
5. Educate family about what to expect at the telemedicine visit.
6. Attend telemedicine visits and when needed:
• Assist family with telemedicine visit paperwork and ensure it is returned to
the appropriate provider.
• Weigh, measure, and take vital signs of patient.
• Assist specialist on remote site with physical exam.
• Assist dietician with nutrition education activities.
• Assist family with implementing recommendations from telemedicine visit,
e.g. follow-up appointment with primary care provider, laboratory studies,
changes in nutrition plan or health plan, referrals to other specialists, etc.
Facilitate connection with community resources.
• Assure recommendations are coordinated with the other services the child
is receiving.
7. Offer CaCoon services to eligible families not already receiving CaCoon
services.
8. Complete post visit "on-site facilitator" evaluation for each patient.
9. Provide input to project staff about how telemedicine services can be
improved.
5
Attachment 3
Budget
Public Health Nurse's time at a rate of up to $50/hour inclusive of benefits and up to
10% indirect costs. The total, including the indirect costs, shall not exceed the total
amount of TEN THOUSAND and No/100 Dollars ($10,000.00).
6
Attachment 4
STANDARDS OF CONDUCT DECLARATION
For the purposes of this declaration:
"Employee" means any nominated, appointed, or elected officer or employee of the State, including members of boards,
commissions, and committees, and employee under contract to the State or of the Constitutional Convention, but excluding
legislators, delegates to the Constitutional Convention, justices and judges.
"Controlling interest" means an interest in a business or other undertaking which is sufficient in fact to control, whether the
interest be greater or less than fifty per cent.
On behalf of the Deschutes County Health Department, SUBCONTRACTOR, the undersigned does declare, under penalty of
perjury, as follows:
1. SUBCONTRACTOR (is) (is not) a legislator or an employee or a business in which a legislator or an employee has a
"controlling interest".
2. SUBCONTRACTOR has not been assisted or represented by a legislator or employee for a fee or other compensation to
obtain this Agreement and will not be assisted or represented by a legislator or employee for a fee or other compensation
in the performance of the Agreement, if the legislator or employee had been involved in the development or award of the
Agreement.
3. SUBCONTRACTOR has not been assisted or represented for a fee or other compensation in the award of this Agreement
by a RCUH employee, or in the case of the Legislature, by a legislator.
4. SUBCONTRACTOR has not been represented or assisted personally on matters related to the Agreement by a person
who has been an employee of the RCUH within the preceding two years and who participated while in state office or
employment on the matter with which the contract is directly concerned.
5. SUBCONTRACTOR has not been represented or assisted on matters related to the Agreement, for a fee or other
consideration by an individual who, within the past twelve months, has been a RCUH employee.
6. SUBCONTRACTOR has not been represented or assisted in the award of this Agreement for a fee or other consideration
by an individual who, (a) within the past twelve months, served as a RCUH employee, and (b) participated while an
employee on matters related to this Agreement.
Dated:ZGIA- g' , 2008 .
SUBCONTRACTOR
Deschutes County HealthDe artment
Name: Daniel W. PeddycotQ
Title: Director
Attachment 32a
TERMS AND CONDITIONS
APPLICABLE TO CONTRACTS/ SUBCONTRACTS/PURCHASE ORDERS (UNDER FEDERAL FUNDS)
ANTI -KICKBACK ACT. For construction or repair projects of more than $2,000, the contractor/subcontractor/vendor shall
comply with the Copeland Anti -Kickback Act of 1986 (18 U.S.C.874 and 40 U.S.C.276c) as supplemented by Department of
Labor regulations (29 CFR part 3, "Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in
Part by Loans or Grants from the United States).
2. DAVIS-BACON ACT. For construction projects of more than $2,000, the contractor/subcontractor/vendor shall comply with the
Davis -Bacon Act (40 U.S.C.276a to a-7) and as supplemented by Department of labor regulations (29 CFR part 5, "Labor
Standards Provisions Applicable to Contracts Goveming Federally Financed and Assisted Construction").
3. CONTRACT WORK HOLIRS AND SAFETY STANDARDS ACT. For construction projects of more than $2,000 or other projects
of more than $2,500 that involve the employment of mechanics or laborers, the contractor/subcontractor/vendor shall comply
with Sections 102 and 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C.327-333), as supplemented by
Department of Labor regulations (29 CFR part 5).
4. RIGHTS TO INVENTIONS. For the performance of experimental, developmental, or research work, the Federal govemment
and RCUH shall retain rights to any resulting invention in accordance with 37 CFR part 401, "Rights to Inventions Made by
Nonprofit Organizations and Small Business Firms Under Govemment Grants, Contracts and Cooperative Agreements".
5. ANTI -LOBBYING. If this purchase is more than $100,000, the contractor/subcontractor/vendor shall certify that it will not or has
not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or
employee or any agency, a member of Congress, officer or employee or Congress, or an employee of a member of Congress in
connection with obtaining any Federal contract, grant or any other award covered by the Byrd Anti -Lobbying Amendment (31
U.S.C.1352). The contractor/ subcontractor/vendor shall also disclose any lobbying with non -Federal funds that takes place in
connection with obtaining any Federal award.
6. DEBARMENT AND SUSPENSION. In accordance with E.O.s 12549 and 12689, "Debarment and Suspension," no purchase of
more than $25,000 shall be made with a contractor/subcontractor/vendor that is debarred, suspended, or proposed for
debarment. For purchases of more than $25,000, the contractor/subcontractor/ vendor shall certify that it is or is not debarred,
suspended, or proposed for debarment by the Federaf Government.
7. RIGHT TO AUDIT. For all negotiated purchases of more than $100,000, the contractor/subcontractor/vendor agrees that
RCLIH, the Federal awarding agency, the Comptroller General of the United States, or any of their duly authorized
representatives, shall have access to and the right to examine any pertinent books, documents, papers and records of such
contractor/subcontractor/vendor involving transactions related to this purchase.
8. RESTRICTIONS ON CERTAIN FOREIGN PURCHASES. Purchases of more than $2,500 shall be subject to the restrictions of
FAR 52.225-13 as applicable.
9. EQUAL EMPLOYMENT OPPORTUNITY — All contracts shall contain a provision requiring compliance with E.O. 11246, "Equal
Employment Opportunity," as amended by E.O. 11375, "Amending Executive Order 11246 Relating to Equal Employment
Opportunity," and as supplemented by regulations at 41 CFR part 60, "Office of Federal Contract Compliance Programs, Equal
Employment Opportunity, Department of Labor."
10. CLEAN AIR ACT (42 U.S.C. 7401 et. seq.) AND THE FEDERAL WATER POLLUTION CONTROL ACT (33 U.S.C. 1251et.
seq.), AS AMENDED - Contracts and subgrants of amounts in excess of $100,000 shall contain a provision that requires the
recipient to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C.
7401 et. seq.) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251 et. seq.). Violations shall be reported
to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA.)
Revised 0312005