HomeMy WebLinkAboutR-1995-181 FootcareRESOLUTION NO. R-95- 181
A RESOLUTION: Authorizing and directing the City Manager
and City Clerk of the City of Yakima to
execute an agreement with the County of
Yakima, Office of Aging and Long Term Care,
for a Geriatric Footcare Program for Senior
Citizens.
WHEREAS, The County of Yakima, Office of Aging and Long Term
Care, has funds available to offer a Geriatric Footcare Program to be
administered by the City of Yakima through its Senior Citizens Center, all
as provided by the attached document, and
WHEREAS, the City Council of the City of Yakima deems it to be in
the best interest of the city that such a program be offered, and that the
attached agreement documents should be executed accordingly, now,
therefore,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF YAKIIVIA:
The City Manager and the City Clerk of the City of
Yakima are hereby authorized and directed to execute an
agreement with the County of Yakima, Office of Aging and Long
Term Care for the purpose mentioned above, a copy of which
agreement is attached hereto and by reference made a part
hereof.
ADOPTED BY THE CITY COUNCIL this 19th day of
December , 1995
ATTEST:
CITY CLERK al
CL, kVA- C.-.
MAYOR
AGREEMENT NUMBER
96-009-291
FUNDING SOURCE PERIOD OF AGREEMENT
Title III -B 01/01/96 - 12/31/96
THIS AGREEMENT is entered into this /2 day of a" ! , 199 by and
between Yakima County, hereinafter denominated the "County", through the
Office of Aging and Long Term Care whose address is P.O. Box 8349, Yakima,
Washington 98908, hereinafter denominated the "Department", and the City
of Yakima, whose address is 129 North 2nd Street, Yakima, WA 98901,
hereinafter denominated the "Contracting Agency", whose duly authorized
representatives are named in documents on file at the Office of Aging and
Long Term Care.
THE PURPOSE of this Agreement is to provide for the delivery of
Geriatric Preventative Foot Care services in accordance with the terms and
conditions set forth in the following provisions:
PROVISIONS PAGES
PART A General Provisions 1 through 13
PART B Payment Provisions 14 through 16
PART C Specific Provisions 17 through 24
PART D Budget Provisions 25 through 25
and such other terms and conditions incorporated by reference herein,
including those set forth in Exhibit(s) None
PAYMENT CATEGORY AMOUNTS SIGNATURES
January 1 - December 31
Title III -B
(CFDA #93.044)
TOTAL OBLIGATION
$7,600.00
CONTRACTING AGENCY
City of Yakima
Agency Name
Authorized Signature
R. A. Zais, Jr., City Manager
(Typed) Name and Title
wwbe.r 4, cos_cirY COlrUcr
Date
YAKIMA COUNTY, Office of Aging and
Long Term Care
$7,600.00 orized Signatur
ATTEST: Helen Bradley, Interim Director
¢j0.,._
Karen 3. Roberts, CMC, City Clerk Date
(Typed) Name and Title
January 4, 1996
CONTRACT AUTHORIZATION:
BOARD OF YAKIMA COUNTY COMMISSIONERS Attest: lerk of the Board
Resolution No: (7019--/996
Approved as to form by Ron Zirkle, October995
GENERAL PROVISIONS - PART A
The County hereby appoints and the Contracting Agency hereby
accepts the Department of Aging and the Department Director as the
County's representatives for the purpose of administering the provisions
of this Agreement, including the County's right to inspection of
facilities and records, to receive and act on all reports and documents
related to this Agreement, to request and receive additional information
from the Contracting Agency, to approve budget revisions and payment
changes, to approve fee schedules for services, to assess the general
performance of the Contracting Agency under this Agreement, to determine
if contracted activities are being performed in accordance with Federal,
State, and local laws, to approve subcontracts, to suspend this
Agreement as provided herein, and to administer any other right granted
to the County under this Agreement not expressly reserved to some other
representative of the County. All actions taken by the Department of
Aging as the County's agent for administering this Agreement shall be
subject to approval of the Board of Yakima County Commissioners. The
County expressly reserves the right to terminate this Agreement as
provided herein, and also expressly reserves the right to commence civil
action for the enforcement of this Agreement. The term "County", as
used herein, shall include its authorized representatives.
I EXTENT OF AGREEMENT: This Agreement contains all the terms and
conditions agreed upon by the parties. No other understandings, oral or
otherwise, regarding the subject matter of this Agreement shall be
deemed to exist or to bind any of the parties hereto.
II COMPLIANCE WITH LAWS: The Contracting Agency, in performance of this
Agreement agrees to comply with all applicable Federal, State, and local
laws, ordinances, rules and regulations.
III NON-DISCRIMINATION IN EMPLOYMENT:
A. Yakima County is an equal opportunity employer.
B. The Contracting Agency agrees that it shall not discriminate
against any person on the grounds of race, creed, color, religion,
national origin, gender, age, marital status, or the presence of
any sensory, mental, or physical handicap, or any other status or
condition now or hereafter protected by the law against
discrimination (RCW chapter 49.60) and the Americans with
Disabilities Act (42.U.S.C. §12101 et seq.). The Contracting
Agency shall take such action with respect to this Agreement as may
be required to ensure full compliance with said acts.
Page 1 of 25
C. The Contracting Agency shall establish a system through which
clients of services under this approved Agreement may present
grievances about the activities of the Contracting Agency or any
subcontractor(s) related to service delivery. The system shall
provide clients with an informal hearing before representatives of
the Contracting Agency. If a client is dissatisfied with a
response to a complaint by the Contracting Agency, the client may
request a hearing by the County (Office of Aging and Long Term
Care). The Contracting Agency shall record and maintain in writing
a separate file of all complaints received regarding quality of
service and denial of service provided under this Agreement. This
file shall include the dates and action taken to resolve the
complaints. All clients have the right to a hearing regarding
service delivery and service satisfaction issues. Clients served
with state funds, Senior Citizens Services Act, must be informed of
their right to a fair hearing regarding service eligibility
specified in WAC 388-08 and under the provisions of the
Administrative Procedures Act, Chapter 34.05 RCW.
1. Clients must be notified by the Contracting Agency of his/her
right to a hearing before the Contracting Agency regarding
service satisfaction or service delivery issues.
2. The Contracting Agency must also notify the client of his/her
right to request a hearing by the ALTC if not satisfied with
the resolution made by the Contracting Agency. The ALTC must
notify the client of his/her right to a hearing by AASA if not
satisfied with the resolution made by the ALTC.
3. All client grievances must be submitted in writing to the
Contracting Agency by the client, his/her representative, or
involved agency. A hearing date must be established within
fifteen (15) days of receipt of the grievance. All parties
who will participate in the hearing shall be notified in
writing of the hearing date within five (5) days of the
hearing. Written response to all parties must be made within
fifteen (15) days after the hearing.
4. All client grievance hearings should be formal; procedures for
hearing grievances, documenting information taken, referring
the grievance to the next level and/or resolving the grievance
should be written clearly and concisely.
IV NON-DISCRIMINATION IN CONTRACTED ACTIVITIES:
A. The Contracting Agency shall not, on the grounds of race, creed,
color, religion, national origin, gender, age, marital status, or
the presence of any sensory, mental, or physical handicap, or any
other status or condition now or hereafter protected by the law
against discrimination:
1. deny any individual any contracted activities or other
benefits consistent with the terms of this Agreement;
2. provide any contracted activities or other benefits to an
individual which are different, or are provided in a different
manner, from those provided to others under this Agreement;
Page 2 of 25
3. subject an individual to segregation or separate treatment in
any manner related to his receipt of any contracted activities
or other benefits provided under this Agreement;
4. deny any individual an opportunity to participate in any
program provided by this Agreement through the provision of
contracted activities or otherwise, or afford him an
opportunity to do so which is different from that afforded
others under this Agreement;
5. utilize criteria or methods of administration which have the
effect of subjecting individuals to such or have the effect of
defeating or substantially impairing accomplishment of the
objectives of this Agreement in respect to such individuals
in determining, (a) the types of contracted activities or
other benefits to be provided, or (b) the class of individuals
to whom or the situation in which such contracted activities
or other benefits will be provided, or (c) the class of
individuals to be afforded an opportunity to participate in
any contracted activities or other benefits.
B. The Contracting Agency shall provide barrier -free access to and
evacuation procedures from facilities, meeting places, and
structures that will enable the use of all program services for the
disabled and shall meet all requirements in this regards of the
Americans with Disabilities Act (42 U.S.C. 12101 et seq.).
C.
If assignment and/or subcontracting has been authorized, said
assignment or subcontract shall include appropriate
against discrimination
in client
services
binding
contractor or subcontractor. The Contracting Agency
safeguards
upon each
shall take
such action as may be required to ensure full compliance with the
provisions of this clause, including sanctions for non-compliance.
V LICENSING AND PROGRAM STANDARDS: The Contracting Agency agrees to
comply with all applicable Federal, State, County, or Municipal
standards for licensing, certification and operation of facilities and
programs, and accreditation and licensing of individuals, and any other
standards or criteria as described in the Agreement to assure quality of
services.
VI INSPECTION:
A. The Contracting Agency agrees that the County or its authorized
representative or other authorized agency or officials of the State
of Washington or the Federal Government may inspect all records and
other material which the County deems pertinent to the Agreement.
Such records shall be made available upon written or oral request
by the County or its duly authorized representative or other
authorized agency or officials of the State of Washington or the
Federal Government.
B. The Contracting Agency agrees that the County or its authorized
representative or other authorized agency or officials of the State
Page 3 of 25
of Washington or the Federal Government may make periodic
inspection of the facilities and general performance of this
Agreement. The Contracting Agency further agrees that such
inspections may be made at times deemed reasonable and proper by
the County, State of Washington, and/or Federal Government. The
County, State of Washington, and/or Federal Government shall make
every effort not to disturb or disrupt any program or activity
beyond that which is necessary to secure relevant data and to make
a reasonable assessment of the Contracting Agency's performance.
C. The Contracting Agency shall make reasonable changes in the
contracted activities as completed or to be completed if said
contracted activities fall below the standards and specifications
set forth in the Specific Provisions Section of this Agreement.
D. The Contracting Agency shall notify the County in advance of any
inspections, audits, or program reviews by any individual, agency,
or governmental unit whose purpose is to review the contracted
activities provided pursuant to this Agreement.
VII SAFEGUARDING OF INFORMATION:
A. The use or disclosure by any party of any identifying information
concerning a recipient or client for any purpose not directly
connected with the County or the Contracting Agency's
responsibilities with respect to services provided under this
Agreement is prohibited except with the informed consent of the
recipient or client, his or her attorney, or his or her responsible
parent or guardian. Consent shall be granted in writing.
B. The County or its service providers may disclose information to
each other or to the State of Washington for purposes directly
connected with the administration of their programs. Such programs
include, but are not limited to, determining eligibility, providing
a service, and participating in an audit.
C. The County or its service providers may disclose information for
research, statistical, monitoring, and evaluation purposes
conducted by appropriate federal agencies and the State of
Washington.
D. Other entities to which information may be disclosed for the
preceding purposes are those agents authorized in writing by the
Department of Social and Health Services and organizations and/or
individuals under contract to the County.
VIII ASSIGNMENT AND/OR SUBCONTRACTING: The Contracting Agency shall not
assign or subcontract any portion of the contracted activities except as
Page 4 of 25
specifically provided within the terms of this Agreement without
obtaining prior written approval from the County. All terms and
conditions of this Agreement shall apply to any approved subcontract or
assignment related to this Agreement except those specifically waived in
writing by the County.
IX STANDARDS FOR FISCAL ACCOUNTABILITY:
A. The Contracting Agency agrees to maintain books, records,
documents, and accounting procedures and practices which accurately
reflect all direct and indirect costs related to the performance of
this Agreement. Such fiscal books, records, documents, reports,
and other data shall be retained in a manner consistent with
generally accepted accounting principles. The Contracting Agency
agrees to report all revenue and expenditures to the County in a
manner consistent with reporting requirements of Budgeting,
Accounting, and Reporting Systems (BARS). The Contracting Agency
further agrees that the County, State of Washington, or Federal
Government shall have the right to monitor and audit the fiscal
components of the Contracting Agency to ensure that actual
expenditures remain consistent with the terms of this Agreement.
Provided, that all hospitals or nursing homes shall retain those
records as prescribed in Chapters 70.41 and 18.51 of the Revised
Code of Washington (RCW), as amended.
The Contracting Agency shall retain all books, records, documents
and other material relevant to this Agreement for a period of seven
years after closeout of this Agreement. If any litigation, claim,
negotiation, audit, or other action involving the records has been
started before the expiration of the seven year period, the records
shall be retained until completion of the action and resolution of
all issues which arise from it, or until the end of the regular
seven year period, whichever is later. The Contracting Agency
agrees that the County or its authorized representative, or
authorized agency or officials of the State of Washington or
Federal Government shall have full access to and the right to
examine any of said materials at all reasonable times during said
period.
B. The Contracting Agency's fiscal management system shall include the
capability to:
1. provide accurate, current and complete disclosure of the
financial status of this Agreement;
2. identify the source and application of all funds for
contracted activities pursuant to this Agreement whether such
contracted activities are funded in whole or in part by this
Agreement, and to distinguish costs of contracted activities
provided under the terms of the Agreement from all other costs
of contracted activities provided and to provide for
accounting separation of all funds received.
Page 5 of 25
X AUDIT REQUIREMENTS: The Contracting Agency is required to do a fiscal
audit of this Agreement after the expiration or termination of this
Agreement. The Contracting Agency agrees to conduct an audit in
accordance with the guidelines for Financial and Compliance Audits of
Federally Assisted Programs, Compliance Supplement for Single Audits of
State and Local Governments, and either OMB Circular A-128, for
government agencies, or OMB Circular A-133, for hospitals and non-profit
organizations. The audit shall state that the examination was made in
accordance with the above mentioned guidelines before it will be
accepted. One copy of the engagement letter, audit report and any
management letters shall be forwarded to the County.
The County has the option to audit this Agreement if major problems were
found during the monitoring performed by the County. The Contracting
Agency agrees to provide all fiscal and programmatic information and
cooperate fully with the County in the completion of this audit.
XI TREATMENT OF ASSETS:
A. Definitions:
1. "Nonexpendable personal property" shall mean tangible personal
property having a useful life of more than one year and an
acquisition cost of $150.00 or more per unit.
2. "Personal property" shall mean property of any kind except
real property.
3. "Acquisition cost" shall mean that amount expended for
property, excluding interest, plus, in the case of property
acquired with a trade-in, the book value (acquisition cost
less amount depreciated through the date of the trade-in) of
the property traded in.
4. The "useful life" of property shall mean that useful service
life as based on the U.S. Department of Treasury, Internal
Revenue Service, policies on depreciation for tax purposes,
unless the Contracting Agency can document to the written
satisfaction of the County some different period.
B. Title to all property furnished by the County with County, State,
or Federal funds shall remain with the County, the State of
Washington, Department of Social and Health Services, or the
Federal Government as their respective interests may appear.
C. Title to all nonexpendable personal property purchased by the
Contracting Agency, the cost of which the Contracting Agency is
entitled to be reimbursed as a direct item of cost under this
Agreement, shall pass to and vest in the County or State of
Washington, Department of Social and Health Services, or Federal
Government as their respective interests may appear, upon delivery
of such property by the vendor.
Page 6 of 25
D. The following provisions shall apply to nonexpendable personal
property described in paragraphs B and C above:
1. Such property shall not be rented, loaned, or otherwise passed
to any person, partnership, corporation, association or
organization without the prior written approval of the County,
State, or Federal Government, or their authorized
representatives.
2. Such property shall be used only for the performance of this
Agreement or any incorporating document (See Budget
Provisions, Part - D Equipment Inventory).
3. As a condition precedent to reimbursement for the purchase of
such property , the Contracting Agency agrees to execute such
security agreements and other documents as shall be necessary
for the County, State, or Federal Government to protect their
respective interests in accordance with the "Uniform
Commercial Code - Secured Transactions" -- RCW 62A.9.
4. The Contracting Agency shall be responsible for any loss or
damage to such property which results from the Contracting
Agency's negligence, willful misconduct, or lack of good faith
to maintain and administer the property in accordance with
sound management practices to ensure that the property will be
returned to the County, State, or Federal Government in as
good condition as it was when the Contracting Agency acquired
it reasonable wear excepted.
5. The Contracting Agency shall notify the County or its
authorized representative thereof of loss, destruction, or
damage to any such property and shall take all reasonable
steps to protect that property from further loss or damage.
6. Upon rescission, termination, or completion of this Agreement,
the Contracting Agency shall surrender all such property to
the County within 30 days after settlement, unless otherwise
mutually agreed between the Contracting Agency and the County.
7. The County may, at its discretion, abandon in place any such
property insofar as permitted by law, rule, or regulation, and
thereupon all rights and obligations of the County, State, or
Federal Government regarding such abandoned property shall
cease.
E. Nonexpendable personal property acquired by the Contracting Agency
with funds provided under this Agreement, shall be subject to the
same constraints, procedures, treatment, handling, and disposition
as specified in paragraph D above. The Contracting Agency shall
take all steps necessary to ensure that the interest of the County,
State, or Federal Government in such property shall be perfected
and safeguarded.
F. In other than firm fixed price contracts, when applicable, the
Contracting Agency agrees to submit appropriate documentation for
the ALTC to complete a UCC -1 Form for all nonexpendable property
with a purchase price of $400.00 or more. Purchase price of
$400.00 or more shall include cost of transportation, installation,
and taxes.
Page 7 of 25
XII STANDARDS FOR PROGRAM ACCOUNTABILITY: The Contracting Agency agrees to
maintain program records and reports including statistical information
and to make such records available for inspection by the County in order
for the County to be assured that contracted activities remain
consistent with the terms of this Agreement and the currently approved
County Plan. The Contracting Agency further agrees to provide such
information as requested by the County within the time limitations
established by the County.
XIII RELATIONSHIP OF THE PARTIES:
A. The Contractor is an independent contractor and not an agent or
employee of the County. Agents, employees, servants, or
representatives of the Contractor shall not be deemed to be
employees, agents, servants, or representatives of the County for
any purpose. Employees of the Contractor are not entitled to any
benefits the County provides for County employees.
B. Communications between the Contracting Agency and the County shall
be mailed to the addresses on Page 1 of this Agreement.
XIV INSURANCE: The Contracting Agency shall carry for the duration of this
Agreement liability and property damage insurance in a combined single
limit (CSL) of $ Self -Insured Certificates of such insurance shall
be provided to the County within thirty (30) days after the execution of
this Agreement.
The Contracting Agency shall either provide professional liability
insurance for the duration of this Agreement or ensure that all
licensed or certified professionals providing any contracted activity
is covered by professional liability insurance.
All such policies shall have a provision requiring written notice to the
Contracting Agency and to Yakima County not less than thirty days prior
to cancellation.
XV BONDING: The Contracting Agency agrees to maintain a fidelity bond in
the amount of $ Self -Insured which covers all individuals
responsible for the administration of funds provided within the terms of
this Agreement. Said fidelity bond shall be procured from a company
authorized to do business in the State of Washington and a copy of said
fidelity bond shall be provided to the County within thirty (30) days
after execution of this Agreement.
XVI INDEMNIFICATION AND HOLD HARMLESS: The Contracting Agency shall
indemnify, defend, and hold harmless the County, its officers, agents,
and employees from all liability, loss or damage they may suffer as a
result of claims, demands, actions, damages, costs or judgments which
Page 8 of 25
result from the activities to be performed by the Contracting Agency,
its agents, employees, or subcontractors pursuant to this Agreement.
This clause shall be included in any subcontracts allowed under this
Agreement.
XVII INCIDENT REPORTING: The Contracting Agency shall, immediately or within
24 hours, report all incidents involving the Agency and/or its
officials, employees, automobiles, property, or clients which might
potentially subject the Agency to claims for damages, investigations, or
publicity.
XVIII MODIFICATION:
A. No change or addition to this Agreement shall be valid or binding
upon either party unless such change or addition is in writing and
executed by both parties.
B. The County reserves the right to renegotiate the terms and
conditions of this Agreement at any time.
C. A Modification Request Packet shall be completed and submitted to
the County no less than thirty (30) calendar days prior to the
desired effective date of the requested modification. The packet
shall be submitted in a complete form, unless a specific written
release is given by the County, for any changes described in this
Agreement.
XIX SEVERABILITY: If any provision of this Agreement is held by a court to
be invalid or illegal, the validity of the remaining provisions shall
not be affected, and the rights and obligations of the parties shall be
construed and enforced as if the Agreement did not contain the invalid
or illegal provision.
If any provision hereof is in conflict with any Federal or State law,
rule or regulation said provision shall be deemed null and void or shall
be deemed modified to conform to such law, rule or regulation.
XX AGREEMENT, SUSPENSION, TERMINATION AND CLOSEOUT: If the Contracting
Agency fails to comply with the terms and conditions of this Agreement,
the County may pursue such remedies as are legally available including,
but not limited to, the suspension or termination of this Agreement in
the manner specified herein.
A. Suspension - If the Contracting Agency fails to comply with the
terms of this Agreement, or whenever the Contracting Agency is
unable to substantiate full compliance with the provisions of this
Agreement, the County may suspend the Agreement pending corrective
action or investigation. Such suspension shall be effective no
less than seven days following written notification to the
Contracting Agency or its authorized representative. The
Page 9 of 25
suspension shall remain in effect until the Contracting Agency has
taken corrective action to the satisfaction of the County and is
able to substantiate its full compliance with the terms and
conditions of this Agreement. No obligation incurred by the
Contracting Agency or its authorized representative during the
period of suspension shall be allowable under this Agreement
except:
1.
reasonable, proper
Contracting Agency
suspension;
and otherwise allowable costs which the
could not avoid during the period of
2. if the Contracting Agency is able to substantiate complete
compliance with the terms and conditions of this Agreement,
allowable costs incurred during the period of suspension will
be allowed.
B. Termination for Cause - If the Contracting Agency fails to comply
with the terms and conditions of this Agreement and the County
deems that this failure is of such scope and nature that the
continuation of this Agreement is substantially detrimental to the
interest of the County, then the County may terminate this
Agreement in whole or in part, and thereupon shall notify the
Contracting Agency of the termination, the reasons therefore, and
the effective date. Such effective date shall not be prior to
written notification to the Contracting Agency. After the
effective date of termination, no charges incurred under any
terminated portions of this Agreement will be allowed, except as
provided in Point D, Subpoint 6 of this Section. There is an
appeals procedure for a contract termination. Contact the Office
of Aging and Long Term Care for a copy of this procedure.
C. Termination at Will - This Agreement may be terminated in whole or
in part by either party hereto upon written notice to the other
party.
1. If by the County, with the consent of the Contracting Agency,
in which case the two parties shall devise by mutual agreement
the conditions of termination including effective date and, in
case of termination in part, the portion to be terminated;
2. If by the Contracting Agency, subject to the approval of the
County, upon sixty (60) days advance written notification
setting forth the reasons for termination, the effective date
and, in the case of termination in part, the portion to be
terminated.
D. Termination for lack of funding- The County reserves the right to
terminate this Agreement in whole or in part in the event expected
or actual funding from the State, Federal, or other sources is
withdrawn, reduced, or limited in any way after the effective date
of this Agreement and prior to completion thereof, subject to
renegotiation under those new funding limitations and conditions.
Such advance notice shall be given as the circumstances allow. In
the event of termination under this clause, the County shall be
Page 10 of 25
liable only for payment in accordance with the terms of this
Agreement for services rendered prior to the effective date of
termination.
Termination for Default - The County may, by written notice,
terminate this Agreement in whole or in part for failure of the
Contracting Agency to perform any of the provisions hereof. In
such event, the Contracting Agency shall be liable for damages,
including excess cost of procuring of similar services from another
source; provided, that, if (a) it is determined for any reason that
the Contracting Agency was not in default or (b) the Contracting
Agency's failure to perform is without the control, fault, or
negligence of the Contracting Agency and/or any subcontractor, the
Contracting Agency shall not be liable for damages (See -- Aging
and Adult Services Administration Policies and Procedures Manual).
1. If the termination is for reason(s) of Contracting Agency
default, the Contracting Agency is not entitled to
compensation for work prior to the termination but not yet
accepted by the County. The amount owed to the Contracting
Agency for all work and services provided by the Contracting
Agency shall be determined by the County.
2. The Contracting Agency shall protect and preserve any property
in which the County or DSHS has an interest but is entitled to
compensation for any expense involved in doing so.
E. Closeout - Upon completion of this Agreement or termination in
whole or in part for any reason, the following provisions shall
apply:
1. upon written request by the Contracting Agency, the County
shall make or arrange for prompt payment to the Contracting
Agency of allowable reimbursable costs not covered by the
previous payment;
2. the Contracting Agency shall immediately refund to the County
any unencumbered balance of the funds paid to the Contracting
Agency but unspent for the program(s) terminated;
3. the Contracting Agency shall submit within thirty (30) days
after the date of expiration or termination of this Agreement,
a closeout, as well as all financial, performance and other
reports required by this Agreement;
4. in the event that there are irreconcilable financial
differences upon closeout of this Agreement, the County
retains the right to withhold a just and reasonable sum from
the final payment to the Contracting Agency, until a closeout
package, as well as, all financial and programmatic reports
are submitted;
5. the Contracting Agency agrees to submit at the closeout of
this Agreement a written review to the County which includes
an evaluation of contracted activities provided and a
financial accounting of receipts and expenditures;
6. if terminated for cause, the County shall, upon written
request of the Contracting Agency, identify in writing all
allowable and reimbursable costs related to the closeout which
are not covered by previous payment. The County shall arrange
for prompt reimbursement of such costs upon receipt of
required documentation related to these costs.
Page 11 of 25
XXI VENUE STIPULATION: This Agreement shall be construed as having been
made and delivered within the State of Washington and shall be governed
by laws of the State of Washington. Venue of all judicial proceedings
for the enforcement of this Agreement or any provisions thereof shall be
in Yakima County, Washington.
XXII PROHIBITION OF POLITICAL ACTIVITY: No funds, materials, property or
contracted activities provided directly or indirectly under the terms of
this Agreement may be used in the performance of this Agreement for any
partisan political activity, or to further the election or defeat of any
candidate for public office.
XXIII CONFLICT OF INTEREST: The Contracting Agency agrees that employees
selected for project staff positions may not be related by blood or
marriage to other project staff, sponsors, officers, Advisory Council,
or members of the Board of Directors, nor have other conflicting
interests unless the Board of Directors is cognizant of the possible
conflict and has reviewed and concurred with the selection. The Board
of Directors shall concur only in unusual circumstances, such as the
inability to find in the community another person having the skills
required. The County shall be notified of this concurrence by the Board
of Directors.
Employees or agents of the Contracting Agency shall not directly or
indirectly coerce or attempt to coerce, command or advise a client to
pay, lend or contribute anything of value to the employee or agent or to
another individual or organization which will in any way materially
benefit said employee or agent.
The County may, by written notice to the Contracting Agency, terminate
the right of the Contracting Agency to proceed under this Agreement if
it is found after due notice and examination by the County, that this
provision has been violated.
XXIV RIGHTS IN DATA: The County may duplicate, use or dispose of all data
delivered under this Agreement in any manner and for any purpose or may
authorize others to do so. The Contracting Agency hereby grants to the
County a royalty -free, non-exclusive, and irrevocable license to
publish, translate, reproduce, deliver, perform, or dispose of all data
not now or hereafter covered by copyright, or to authorize others to do
so. With respect to data not originated in the performance of this
Agreement, such license shall be only to the extent that the Contracting
Agency has the right to grant such license without becoming liable to
pay compensation to others. The Contracting Agency shall exert all
reasonable effort to advise the County of all invasions of the right of
privacy contained therein and of all portions of such data copied from
work not composed or produced in the performance of this Agreement and
Page 12 of 25
not licensed under this clause. The Contracting Agency shall report to
the County, promptly and in written detail, such notice or claim of
copyright infringement received by the Contracting Agency with respect
to all data delivered under this Agreement. The Contracting Agency
shall not affix any restrictive markings upon any data. If such
markings are affixed, the County shall have the right to modify, remove,
obliterate, or ignore such markings.
XXV CODE OF ETHICS: The Contracting Agency agrees to have on file, written
policies containing ethical standards of behavior. Such policies must
be distributed to all employees and each employee must receive training
which will enable the employee to apply these policies into practice.
The purpose of the Code of Ethics policies should be to provide
guidelines and clear directions to employees as they provide services to
vulnerable, frail individuals.
These policies should, at a minimum, address the following:
1 acceptance or usage of a client's money, property, i.e., sharing
living expenses or purchasing bulk items, accepting gifts;
2. purchase of client's property, real and otherwise;
3. selling to client, services, property, investments or anything else
of value;
4. setting parameters of time and relationships, i.e., employees off -
time and employees' friends or relatives performing activities or
services for clients;
5. issues regarding the roles of the employee related to protection of
the client with regard to financial interests, health care
decisions, living arrangements, i.e., when guardianship, power of
attorney or protective payee is indicated and limits on who may be
such a fiduciary;
6. consequences of breaching ethical conduct.
XXVI CONDITION PRECEDENT: This Agreement shall not be binding upon the
County until the signature on behalf of the County is authorized by
Resolution of the Board of Yakima County Commissioners.
Page 13 of 25
PAYMENT PROVISIONS - PART B
I CONSIDERATION: As consideration for services, as described in the
Specific Provisions of this Agreement and in accordance with the Budget
Provisions of this Agreement, the County agrees to pay the Contracting
Agency a sum not to exceed $7,600.00 from available funds as budgeted on
page 25 of this Agreement. This total sum shall be available during the
period January 1, 1996 through December 31, 1996. These funds shall be
used to provide Geriatric Preventative Foot Care services. Payment to
the Contracting Agency for this unit rate price Agreement shall be based
on the unit rate of $4.34 per unit of Foot Care. This unit rate may be
renegotiated between the County and the Contracting Agency if the actual
cost of operation, as determined quarterly, is less than three (3%)
percent of the revenues received. Excess over the three (3%) percent
profit as determined at the end of December, 1996 will be deducted from
the December, 1996 billing. (Some funding sources do not allow profit.)
All profit earned in this contract year must be spent within 365 days of
the end of this contract in the program where the profit was earned. In
the case of multi -county contracts, the profit must be spent in the
county where it was earned. Profit not spent within 365 days must be
returned to the Office of Aging and Long Term Care. The Contracting
Agency must submit a statement of profit expenditures within thirty (30)
days of said expenditures. Clients' donations received in excess of
$5,400.00 will be used to provide additional units of service at the
unit rate of $7.43 per unit of Foot Care or be spent first before the
Office of Aging and Long Term Care funds are used.
Payment shall be based on claims for reimbursement as reported on the
Office of Aging and Long Term Care's invoice and support document and
shall be contingent upon the receipt of all required financial and
program reports by the respectively assigned due dates.
The County shall not be held responsible for any financial loss suffered
by the Contracting Agency as a result of performance of services as
outlined in this Agreement in the mutually agreed budget, service
delivery standards, units of service, and payment standards.
II GENERAL PAYMENT CONDITIONS: The Contracting Agency agrees to the
following standards in satisfactorily performing the terms and
conditions of this Agreement:
A. Payments for contracted activities shall be made by the County on
a reimbursement basis unless otherwise permitted by the funding
source and approved in writing by the County.
B. No payment shall be made for any contracted activity rendered by
the Contracting Agency which is not identified within the terms and
conditions of this Agreement and set forth within a category of the
budget.
Page 14 of 25
C. The Contracting Agency shall submit to the County a written request
for approval of budget revision when:
1. the revision would change the scope or objectives of any
contracted activity category;
2. additional revenue is received for contracted activities
within the terms of this Agreement;
3. the Contracting Agency desires to transfer funds from one
budget category to another. Budget category transfers shall,
for the purpose of this Agreement, be defined as transfers
inclusive of those occurring between sub -object categories
when the cumulative amount of all transfers exceeds four (4%)
percent of the County budgeted amount for administration or
service delivery.
D. Payments shall be based on the County's receipt of all fiscal and
programmatic reports required by this Agreement to substantiate
claims for reimbursement. The County expressly reserves the right
to withhold payment in whole or in part when:
1. the Agency fails to submit all required documentation; or
2. in the County's judgement, additional information is required
to substantiate the basis upon which claims for reimbursement
are made, provided the request for such additional information
is consistent with the requirements of this Agreement; or
3. claims for reimbursement are inconsistent with the terms and
conditions of this Agreement; or
4. claims for reimbursement on unit rate price Agreements exceed
the administrative and service delivery budgets without
in-kind contributions by greater than five (5%) percent of
their respective allotted amount; or
5. claims for reimbursement on line -item cost Agreements exceed
the administrative and service delivery budgets of County
contracted funds by greater than five (5%) percent of their
respective allotted amount.
III REDUCTIONS IN FUNDING: In the event that funding from State, Federal,
or other sources is withdrawn, reduced, or limited in any way after the
effective date of this Agreement, and prior to its normal completion,
the County will summarily terminate this Agreement as to the funds
withdrawn, reduced, or limited, notwithstanding any other termination
provisions of this Agreement. If the level of funding withdrawn,
reduced, or limited is so great that the Board of Yakima County
Commissioners deems that the continuation of the program covered by this
Agreement is no longer in the best interest of the County, the County
may summarily terminate this Agreement in whole notwithstanding any
other termination provision of this Agreement. Termination under this
Section shall be effective upon receipt of written notice by the
Contracting Agency or its representative.
The County agrees to promptly notify the Contracting Agency of any
proposed reduction in funding by State, Federal, or other officials.
The Contracting Agency agrees that upon receipt of such notice it shall
Page 15 of 25
take appropriate and reasonable action to reduce its spending in the
affected funding area so that expenditures do not exceed the funding
level which would result if said proposed reduction became effective.
IV BILLING PROCEDURES:
A. The Contracting Agency shall submit written claims for
reimbursement of contracted activities provided on the appropriate
forms. All payments will be based on contracted activities
provided unless otherwise approved in writing by the County.
B. The County agrees to make payment for contracted activities
provided as approved by the Auditor of Yakima County with County
warrants within twenty (20) working days contingent upon the
availability of funds, following receipt of the Contracting
Agency's claims for reimbursement; provided that claims for
reimbursement are received by the County by the tenth day of each
month following the month during which the services were provided.
No payment shall be made in the month services are rendered unless
otherwise approved by the County. If the fifteenth is on a
Saturday, Sunday, or holiday, payment will be made the next County
working day. Payments at the end of each month will be made on the
last County working day for that month.
V BUDGET SURPLUS: The Contracting Agency agrees that funds determined by
the County to be surplus at the end of this Agreement as contained in
the budget will be subject to cancellation by the County and will be
negotiated if they are to be included in future Agreements.
Page 16 of 25
SPECIFIC PROVISIONS - PART C
I APPLICABLE LAWS AND REGULATIONS: The Contracting Agency agrees that
services contemplated or delivered within the terms of this Agreement
and funds administered in the delivery of the specified services shall
be provided in accordance with all applicable Federal, State, and local
laws and regulations, in particular the following:
A. CFR Title 45, Subtitle A, Part 74, (Administration of Grants),
B. CFR Title 45, Chapter XIII, Subchapter C, Part 1321, (Older
Americans Act),
II PROJECT DEFINITION:
Geriatric Preventative Foot Care services are intended to provide early
detection of existing and potential foot problems as well as alleviate
dry skin problems, and maintenance of healthy nails. Services include
foot inspection and palpation, foot soaks, nail trimming, and
instructions in foot health maintenance. Referrals for follow-up
treatment are made to local physicians and podiatrists.
III PARTICIPANTS: The Contracting Agency agrees that:
A. The target population for geriatric preventative foot care services
is persons age 60 and over who:
1. Need one or more of the program services to avoid additional
health problems or assist with activities of daily living,
thereby reducing the need for other services;
AND
2. Are not eligible for or have exhausted other sources of
payment for similar services (Medicare, Medicaid, insurance)
or similar services are not available.
All persons served should be members of the target population.
B. To the degree feasible, persons served should meet the
vulnerability criteria. A person is considered vulnerable if
he/she meets the following criteria:
1. Is unable to perform one or more of the Activities of Daily
Living (ADL) without assistance due to physical, cognitive,
emotional, psychological or social impairment;
OR
2. Has behavioral or mental health problems that could result in
premature institutionalization, or is unable to perform ADL's
or provide for their own health and safety primarily due to
cognitive, behavioral, psychological/emotional conditions
which inhibit decision-making and threaten the ability to
remain independent;
AND
3. Lacks an adequate informal support system: Has no family,
friends, neighbors or others who are willing and able to
perform the service(s) needed or the informal support system
needs to be temporarily or permanently supplemented.
Page 17 of 25
C. There will be written assessment procedures utilized by the
Contracting Agency to determine if clients meet the program target
population criteria.
D. The indicators used by the Office of Aging and Long Term Care to
assess its effectiveness at targeting services to individuals who
may be vulnerable are:
low-income
75 years of age or older
racial minority
limited or non-English speaking
living alone
Office of Aging and Long Term Care (ALTC) funding should encourage
the effective targeting of services to the vulnerable elderly by
the Contracting Agency. Specific goals to be attained for 1996 are
as follows:
1. At least eleven (11%) percent of all clients receiving foot
care services will be racial or ethnic minorities.
2. At least fifty (50%) percent of all clients receiving foot
care services will be low-income.
3. At least fifty-five (55%) percent of all clients receiving
foot care services will be 75 years of age or older.
4. At least four (4%) percent of all clients receiving foot care
services will be limited or non-English speaking.
5. At least forty (40%) percent of all clients receiving foot
care services will be living alone.
The Contracting Agency must report on clients served in these
categories.
IV SERVICE SPECIFICATIONS: The Contracting Agency agrees that services
provided within the terms of this Agreement shall meet the following
specifications:
A. Efforts will be made to assure access of service to the target
population, to include at least the following:
1. Accessible office or site location;
2. Home visits or home delivery of services (if applicable);
3. Multicultural, bilingual persons to assist multicultural,
bilingual clients in receiving services;
4. Publicity of program through public service announcements,
brochures, etc.;
5. Meeting with other service providers/agencies to explain
services the Contracting Agency provides and how referral can
be made;
6. Ability to serve individuals with disabilities.
Page 18 of 25
B. Foot Care services shall be delivered in accordance with the
Southeast Washington Office of Aging and Long Term Care Foot Care
Program Standards and information submitted in Request for
Proposal. The Contracting Agency acknowledges receipt of a copy of
said standards. Services provided shall comply with said standards
as presently constituted or subsequently modified.
C. Services provided by the health appliance and limited health care
program shall include:
1. Obtaining a health history and a history of problems or
treatments related to the feet.
2. Performing tests and examinations to determine if there are
abnormalities of the feet and whether limited health care is
needed.
3. Treating of the feet to include observation, inspection, and
palpation; alleviation of dry skin problems; and trimming
toenails.
4. Referring to another agency or professional for further health
care treatment, as needed.
5. Teaching an older person how to care for the feet.
6. Clients with open wounds or under podiatric care, or with
recent podiatric surgery must have written consent from their
physician or podiatrist to participate in the program.
Clients who are diabetic or who have known circulatory
problems must also have written consent from their physician
to be accepted into the program.
D. A Participant Intake Form (PIF) or other client tracking
information shall be completed and submitted as required to the
Office of Aging and Long Term Care for each client served.
E. All services of the foot care program should be provided by
qualified staff.
F. A board of local medical professionals will be available to provide
consultation services and act in an advisory capacity.
G. Clinics will be held monthly at each designated facility which will
include, but not be limited to, low-income housing facilities and
senior centers.
H. Participants shall be referred to the Information and
Assistance/Case Management Program as needed.
Page 19 of 25
I. The Contracting Agency shall establish a system through which
clients of services under this approved Agreement may present
grievances about the activities of the Contracting Agency or any
subcontractor(s) related to service delivery. The system shall
provide clients with an informal hearing before representatives of
the Contracting Agency. If a client is dissatisfied with a
response to a complaint by the Contracting Agency, the client may
request a hearing by the County (Office of Aging and Long Term
Care). The Contracting Agency shall record and maintain in writing
a separate file of all complaints received regarding quality of
service and denial of service provided under this Agreement. This
file shall include the dates and action taken to resolve the
complaints. All clients have the right to a hearing regarding
service delivery and service satisfaction issues. Clients served
with state funds, Senior Citizens Services Act, must be informed of
their right to a fair hearing regarding service eligibility
specified in WAC 388-08 and under the provisions of the
Administrative Procedures Act, Chapter 34.05 RCW.
1. Clients must be notified by the Contracting Agency of his/her
right to a hearing before the Contracting Agency regarding
service satisfaction or service delivery issues.
2. The Contracting Agency must also notify the client of his/her
right to request a hearing by the ALTC if not satisfied with
the resolution made by the Contracting Agency. The ALTC must
notify the client of his/her right to a hearing by Aging and
Adult Services Administration (AASA) if not satisfied with the
resolution made by the ALTC.
3. All client grievances must be submitted in writing to the
Contracting Agency by the client, his/her representative, or
involved agency. A hearing date must be established within
fifteen (15) days of receipt of the grievance. All parties
who will participate in the hearing shall be notified in
writing of the hearing date within five (5) days of the
hearing. Written response to all parties must be made within
fifteen (15) days after the hearing.
4. All client grievance hearings shall be formal; procedures for
hearing grievances, documenting information taken, referring
the grievance to the next level and/or resolving the grievance
should be written clearly and concisely.
J. Services shall be provided throughout Yakima County.
V ANTICIPATED SERVICE LEVELS AND EXPENDITURE RATE: The Contracting Agency
agrees that:
A. The level of service to be provided shall be as described in the
Specific Provisions, Section V, Subsection C, Part 3, of this
Page 20 of 25
Agreement, and that failure to meet the service levels as defined
in this Agreement may result in a renegotiation of the funding
levels provided under the terms of this Agreement;
B. The County may unilaterally reduce the Agreement budget within
thirty (30) days of the close of the quarter by the amount of the
projected quarterly expenditures left unspent at the end of that
quarter. The County shall submit to the Contracting Agency
notification of intent to recapture unspent funds and a
modification to the budget reflecting the adjusted changes in the
Agreement.
C. Unit of Service
1. Definition:
A unit of Geriatric Preventative Foot Care service shall
consist of one (1) visit with each client who receives a foot
care treatment.
2. There will be 447 unduplicated individuals served by this
Agreement.
3. Anticipated Service Level by
January - March
April - June
July - September
October - December
Total
4. Anticipated Expenditure Rate
January - March
April - June
July - September
October - December
Total
Quarter:
Units
437
438
437
438
1,750
by Quarter:
$1,900.00
1,900.00
1,900.00
1,900.00
$7,600.00
VI ADMINISTRATIVE AGREEMENTS:
A. Access by the County: The Contracting Agency shall provide access
at all reasonable times for the County to monitor and/or evaluate
the provisions of services under this Agreement. The County may,
with prior permission from the participant and knowledge of the
Contracting Agency, interview a certain percentage of participants
to ascertain their feelings about the program.
B. Records and Reports: The Contracting Agency agrees to:
1. submit the monthly report showing service level provided by
the tenth day of each month following the month during which
the services were provided;
Page 21 of 25
2. submit a quarterly performance report and a quarterly revenue
and expenditure report by the tenth day of the month following
the end of the quarter unless otherwise approved by the
County;
3. complete and submit such additional reports as are required by
the County within the specified time frames, providing the
Contracting Agency is given a written request for the reports
thirty (30) days prior to the due date.
C. Inventory: The Contracting Agency agrees to complete at least once
a year physical inventory, using forms provided by the County, of
all equipment purchased under this Agreement.
D. Hiring Practices: The Contracting Agency shall make a good faith
effort to hire past and/or current Department of Social and Health
Services (DSHS) clients.
E. Contractors Meeting: The Contracting Agency agrees to have a
representative attend meetings of the Office of Aging and Long Term
Care contractors and Long Term Care Planning Committee.
F. Program Publication: The Contracting Agency agrees that:
1. the program shall be publicized on a regular basis, with all
publicity and printed material identifying the Southeast
Washington Office of Aging and Long Term Care as a funding
agency;
2. all material distributed with regards to publicizing the
program contain a statement assuring non-discrimination.
Following is the wording suggested:
The City of Yakima does not discriminate in providing
services on the grounds of race, creed, color, religion,
national origin, gender, age, marital status, or the
presence of any sensory, mental, or physical handicap.
3. materials publicizing the program must be printed in other
appropriate languages in counties that have a specific
minority 60+ population of two (2%) percent or more of the
general 60+ population.
G. Additional Remuneration Prohibited: Neither the Contracting Agency
nor any of its officers, employees, agents or representatives,
shall solicit, impose any fees, or accept any remuneration
whatsoever from clients, friends, relatives, or representatives of
any clients for services performed for that client under this
Agreement other than the client matching monies or donations (see
Section J). In the event that this provision is violated, the
Page 22 of 25
County shall have the right to assert a claim against the
Contracting Agency on its own behalf and/or on behalf of the
client.
H. Private Pay: The Contracting Agency, who offers to the general
public on a private pay basis a service comparable to the service
described in this Agreement, must assure that the County is not
charged more for the service than the private pay fee. The
responsibility lies with the Contracting Agency to justify that a
service provided at a different rate is not comparable to this
service.
I. Maintenance of Funding Sources: The Contracting Agency agrees
that:
1. the County funds are not used to replace funds from any other
existing program funding;
2. it will continue or initiate efforts to obtain support from
private sources and other public organizations for this
service.
3. it will utilize new funding sources for this service if they
become available through the County and it will make any
changes necessary to meet the requirements of the new funding
sources.
J. Fees and Donations: The Contracting Agency agrees that:
1. it will assure that older persons have the opportunity to
contribute to all or part of the cost of the service, but
service will not be denied if participant cannot or does not
wish to contribute;
2. it shall utilize client donations to meet project expenses
before using State or Federal funds. Client donations may be
used to satisfy matching requirements;
3. it shall provide that the methods of receiving fees, donations
and contributions from individuals shall be handled in such a
manner so as not to publicly differentiate among individuals;
4. all project income derived from the provision of services
described herein or incorporated by reference herein or
derived or generated through program fund-raising activities
or profits earned from fixed rate service shall stay with the
project and shall be used to provide increased levels or
improved quality of service to the target population.
K. Monitoring/Assessment Procedures: The Contracting Agency agrees
to:
Page 23 of 25
1. monitor both its fiscal and program status monthly and assess
its performance on program objectives and activities covered
under this Agreement on an ongoing basis;
2. monitor and assess on an ongoing basis the performance of any
subcontracting agencies, and insure that funds made available
are expended only in accordance with the specific provisions
of this Agreement;
3. recognize that the County will monitor and assess the
activities and progress of all programs covered under this
Agreement on an ongoing basis. Said monitoring and assessment
will be accomplished through, but not limited to, review of
program and financial reports, on-site visits (service
delivery and administrative sites), conference with program
administrators and staff, and visits by members of the Office
of Aging and Long Term Care (ALTC) staff and ALTC Advisory
Council. Monitoring may include assessing performance based
on information submitted in Request for Proposal (RFP) . Prior
notice of all such visits will be provided;
4. authorize and/or participate in any program or fiscal
evaluations or studies conducted by the County or DSHS. Prior
notice will be provided as well as final reports of
evaluations or studies;
5. conduct a self-evaluation of the program annually. The self-
evaluation shall include a survey of at least 10% of clients
utilizing the service. The Contracting Agency shall take
steps to correct deficiencies found during the internal
monitoring. Monitoring reports shall be made available to the
County upon request.
Page 24 of 25
1996 CONTRACT EXTENSION BUDGET
SUMMARY BY �������.��U����
CASH/IN-KIND
"~""��~
Ch«of Yakima
Foot Care
-------^--- '
Yakima
DESCRIPTION
CASH
IN-KIND
TOTAL
ALTC
NON-ALTC
10 SALARIES
$1.380
$1,390
ALTC
$7.600
$ 487
$7.600
31 SUPPLIES
$ 987
$ 987
35 MINOR EQUIPMENT
41 PROF. SERVICES
$7.600
$4,213
$11,813
42 COMMUNICATIONS
43 TRAVEL
$ 100
$ 100
44 ADVERTISING
$ 100
$ 100
CLIENTS' DONATIONS
$5.400
$5.400
TOTAL AVAILABLE REVENUE
$7.600
$5.400
$13.000
ADMINISTRATION
DESCRIPTION
CASH
IN-KIND
TOTAL
ALTC
NON-ALTC
10 SALARIES
$1.380
$1,390
20 BENEFITS
$ 487
$ 487
31 SUPPLIES
$ 987
$ 987
35 MINOR EQUIPMENT
41 PROF. SERVICES
$7.600
$4,213
$11,813
42 COMMUNICATIONS
43 TRAVEL
$ 100
$ 100
44 ADVERTISING
$ 100
$ 100
45 RENTALS
46 INSURANCE
47 UTILITIES
48 REPAIRS/MAINT.
49 MISCELLANEOUS
64 MACHINERY/EQUIPMENT
TOTAL ADMINISTRATION
$1.877
$1.877
SERVICE DELIVERY'
DESCRIPTION
CASH
IN-KIND
TOTAL
ALTC
NON-ALTC
10 SALARIES
20 BENEFITS
31 SUPPLIES
$ 987
$ 987
35 MINOR EQUIPMENT
41 PROF SERVICES
$7.600
$4,213
$11,813
42 COMMUNICATIONS
43 TRAVEL
$ 100
$ 100
44 ADVERTISING
$ 100
$ 100
45 RENTALS
46 INSURANCE
47 UTILITIES
48 REPAIRS/MAINT.
49 MISCELLANEOUS
64 MACHINERY/EQUIPMENT
TOTAL SERVICE DELIVERY
CONEXTSM.XLS
Page 25 of 25
BUSINESS OF THE CITY COUNCIL
YAKIMA, WASHINGTON
AGENDA STATEMENT
Item No. oZ U
For Meeting of December 19. 1995
ITEM TITLE: Preventative Footcare Program for Senior Citizens
SUBMITTED BY:
Jerry Copeland, Director of Public Works'()
John Williamson, Parks & Recreation Mana r
CONTACT PERSON/TELEPHONE: Denise Nichols, Recreation Supervisor/575-6020
SUMMARY EXPLANATION:
Attached is a resolution authorizing the City Manager to sign an agreement with the Office of Aging and
Long Term Care to enable the Yakima Senior Citizens Center to continue to provide a Geriatric
Footcare Program for Senior Citizens. Funding for this service will be provided by the Office of Aging
and Long Term Care. This agreement allocates $7,600 for Geriatric Footcare Clinics in 1996.
The goal of this program is to provide early detection of existing and/or potential foot problems among
the elderly. This service involves footcare screening which will include footcare inspection and
massage, foot soaks, nail trimming and instruction on foot health maintenance. Referrals for follow-up
treatments are made to local physicians and/or podiatrists when necessary.
The program objectives are:
1. Early detection and prevention of foot problems.
2. Alleviation of dry skin problems of the feet.
3. Maintenance of well trimmed nails.
4. Increased education of foot health among older persons.
Inasmuch as other contract language remains the same as the previous year, copies have not been
reproduced for this package. The originals are on file in the City Clerk's Office.
Resolution X Ordinance _ Contract — Other (Specify)
Funding Source
APPROVED FOR SUBMITTAL:
City Manager
STAFF RECOMMENDATION: Approve the attached resolution.
BOARD/COMMISSION RECOMMENDATION:
COUNCIL ACTION: Resolution No. R-95-181