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Home My WebLink AboutCHOICE Regional Health Network Amendment # 5 CHOICE Regional Health Network JUL 2 9 2020 CONTRACT AMENDMENT MC Contract#20-062 1 A.NAME OF SUBCONTRACTOR 2A. CONTRACT NUMBER Mason County Public Health Dept. N21896-17-5 1 B. ADDRESS OF CONTRACTOR 2B.AMENDMENT 415 N 6`h St #5 1C. CITY, STATE,ZIP CODE Shelton, WA 98584 3. Z THIS ITEM APPLIES ONLY TO BILATERAL AMENDMENTS The Contract identified herein, including any previous amendments thereto, is hereby amended as set forth in item 5 below by mutual consent of all parties hereto. 4. El THIS ITEM APPLIES ONLY TO UNILATERAL AMENDMENTS The Contract identified herein, including any previous amendments thereto, is hereby unilaterally amended as set forth in item 5 below pursuant to the changes and modifications clause as contained therein. 5. DESCRIPTION OF AMENDMENT: Subcontractor Name and CHOICE Regional Health Network have entered into the Youth Marijuana Prevention and Education Program Agreement executed in 2016.All,terms and conditions set forth in that Agreement remain in full force and effect,except to the extent that such terms and conditions are modified or in conflict with the provisions of this Amendment, in which case this Amendment shall prevail. The purpose of this amendment is to revise the following: i. Extend the period of performance from July 1,2020 to June 30,2021. ii. The Monthly Activity Reports are to be submitted to CHOICE by the 5th day of each month for the previous month's activity, and the Expenditure Report and Request for Reimbursement must be provided to CHOICE by the 15`h day of the month for the previous month's activity, in order to receive reimbursement for the previous month. If CHOICE does not receive the Monthly Expenditure Report and Request for Reimbursement form by the end of the month, CHOICE may withhold approval and payment, at its discretion,until the 30th of the month following submittal. a. Subcontractor will submit all reimbursement forms to finance ciierhn.ore and to YMPEP Program Manager. b. Reimbursement requests must include supporting documentation such as approved timesheets, payroll records,receipts for equipment, goods,services, related travel,and payments to sub-contractors. c. Subcontractor will produce a required final 6-month expenditure plan by January 31S',2021 to CHOICE YMPEP Program Manager explaining in • detail how the remaining YMPEP funds will be spent by June 30`h,2021. If CHOICE YMPEP Program.Manager does not receive a final 6-month • expenditure plan by January 3151,2021 and/or the funds are not 50%spent by this date, CHOICE reserves the right to reduce funding for this contract year. iii. CHOICE will provide$25,000 Not-to-Exceed compensation for year 6 deliverables. iv. Termination for Withdrawal of Funding CHOICE Regional Health Network Amendment#5 Contract N21896-17 Page 1 a. In the event that state government cancels or modifies funding,or if the authority of CHOICE to perform any of its duties is withdrawn,reduced,or limited in any way then CHOICE may immediately terminate this Contract by • providing written notice to the Contractor.The termination will be effective on the date specified in the termination notice.CHOICE agrees to notify Contractor of such withdrawal of authority at the earliest possible time.No penalty will accrue to CHOICE in the event the termination option in this section is exercised. v. Subcontractor will provide verification that background checks have been completed for any staff and volunteers who will work with youth(ages 0-17).Verification must be sent to the CHOICE Program Manager prior to the individual's start date.Please send a signed attestation with the individual's name,title and start date stating a criminal background check was completed on(date background check was performed)with no record found. CHOICE reserves the right to audit statements of attestations without prior notice. Please do not forward a copy of the background check unless in compliance with the WA Criminal Records Privacy Act,Chapter 10.97 RCW. Secondary dissemination of criminal history records is prohibited. vi. Revises the Subcontractor's Exhibit A—Statement of work July 2020-June 2021: a. Community collaborations: Serve as a community-level content expert to the YMPEP Program Manager.Participate in scheduled monthly YMPEP Work Group meeting preparation and/or meeting attendance.This will include in- person meetings,teleconference meetings,and e-mail correspondence as needed. b. Maintain and expand relationships: Will work with CHOICE Program Manager to maintain,engage with,and fill gaps in participation of current regional marijuana prevention programs,Drug Free Community Coalitions, and Community Prevention and Wellness Coalitions in county and region. c. Professional development: Will help promote regional professional development trainings within subcontractor's own network,and will attend YMPEP trainings organized by CHOICE Program Manager. d. Work plan activities: Will work with CHOICE Program Manager and regional partners to implement the specified activities in the work plan as outlined in the YMPEP 5-Year Strategic Plan in the following categories: i. Key influencer event.Host Dr.Kilmer for I event.Invite parents, teachers,council members,other key influencers to attend.Focus of outreach on Primary and Priority populations.Engage youth in inviting and gathering key influencers for Dr.Kilmer events. Distribute materials at Dr.Kilmer events including marijuana toolkit, Under the Influence of You(UTI)material. ii. Evaluation of data and presentations to decision makers.Work with CHOICE Program Manager to use analyzed Healthy Youth Survey and Census data to create presentations for community members and decision makers,with focus on priority and primary populations. Work with youth to deliver presentations to community members and decision makers and present material. iii. Media campaign.Using UTI and You Can media materials,do targeted campaigns on social media,posters,vinyl banners, bookmarks at libraries,food bags,and other appropriate venues,with focus on Priority and Primary populations. Work with youth to disseminate UTI and You Can materials in community through CHOICE Regional Health Network. Amendment#5 Contract N21896-17 Page 2 i i relationship building,handing out posters, packing food bags, encouraging schools to use vinyl banners at games. iv. Retailer scan and education. Complete a scan of selected cannabis retailers focused on lock box/bag education for consumers.Ensure retailers located near Priority and Primary populations are included in scan if possible. Develop talking points for retailers to encourage ; adoption of lock box/bag education for consumers.Develop materials for retailers to use when engaging customers. Begin conversations with retailers on how to encourage use of boxes/bags by consumers. Help retailers with FAQs, barriers to adoption especially among Primary/Priority populations. v. Park signage.Determine which agencies need to be consulted to collect information on park signage ordinances in each county, gather all info necessary to initiate signage change. Evaluate park signage information and determine next steps for updating/changing signage to reflect current marijuana smoking laws. Meet with decision makers to change or update park signage policy if necessary, and help implement changes. Engage with youth to develop messaging for decision makers on parlc•signage change. Work with partners including media to write about changes to local park signage. vii. This Amendment's Effective Date shall be July 1, 2020. 6. ❑ This is a unilateral amendment. Signature of contractor is not required below. ® Contractor hereby acknowledges and accepts the terms and conditions of this amendment. Signature is required below. IN WITNESS WHEREOF, CHOICE and the Subcontractor have signed this agreement. SUBCONTRACTOR SIGNATURE DATE ......,..147.-er1.- 7/7/�o Cl(DICE REGIONAL HEAL I NETWORK SIG . RE DATE C--- 0_,/AAA CY Ldj(-- is CHOICE Regional Health Network Amendment/5 Contract N21896-17 Page 3