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MEMORANDUM OF UNDERSTANDING Between MARICOPA COUNTY By and through the DEPARTMENT OF PUBLIC HEALTH 4041 N. Central Avenue, #1400, Phoenix, Arizona 85012 And Interfaith Co-Op Ministry (ICM) Food and Clothing Bank 501 S. 9th Ave., Phoenix, AZ 85007 Background Poor oral health can have a detrimental impact on children's quality of life, their performance at school and their success in life. In fact, more than 51 million school hours are lost each year to dental-related illness. The Maricopa County Department of Public Health-Office of Oral Health (MCDPH-00H) requests that Interfaith Co-Op Ministry Food and Clothing Bank (ICM) join MCDPH-00H in partnership to prevent tooth decay and improve the health of their clients. This partnership will bring the First Teeth First Program to 1CM Food and Clothing Bank located at 501 S. 9th Ave., Phoenix, AZ 85007. It will provide free dental screenings and fluoride varnish applications to children 0-5 years and dental screenings for expectant mothers. The First Teeth First Program has been in existence since 2011 and is funded by First Things First. During the 2018-2019 grant period more than 16,000 children were screened throughout Maricopa County and over 2,000 expectant mothers received dental screenings. Dental screenings and fluoride varnish applications are non-invasive and pain free. Fluoride varnish applications are evidence based and have proven safe and effective in the reduction of tooth decay. This MEMORANDUM OF UNDERSTANDING (MOU) is hereby made and entered into by and between the Maricopa County Department of Public Health, hereinafter referred to as MCDPH and the ICM Food and Clothing Bank, hereinafter referred to as ICM. A. PURPOSE The purpose of this MOU is to develop a framework of cooperation and partnership between MCDPH and 1CM to provide The First Teeth First Program to eligible clients for the prevention of tooth decay. B. STATEMENT OF MUTUAL BENEFIT AND INTERESTS The mutual benefit for both parties is the prevention of tooth decay for clients and referral and navigation services to a dental home. C. MCDPH SHALL • Provide registered dental hygienists and bilingual site assistants to conduct basic dental screenings and fluoride varnish applications to children birth through age 5. • Provide basic dental screenings to expectant mothers. • Check State Board of Dental Examiners licensing records on licensed MCDPH dental providers; conduct background checks of all dental providers. • Require all staff to have a current fingerprint clearance card on file with the program. • Provide adequate staffing for shifts assigned to ICM. • Communicate with manager when services will not be provided at food bank. • Bring all necessary dental supplies needed to conduct the dental screening activities while on site. • Provide referral and navigation services to clients in need of a dental home. • Solicit clients in waiting area of food bank. • Provide oral health education materials to staff and clients. • Provide summary reports, which will include number of children screened, varnished, expectant mothers screened, and clients with urgent dental needs. These reports will be provided on a quarterly basis. • Maintain all client information according to confidentiality requirements. • Submit fluoride varnish application claims for children on AHCCCS that receive fluoride varnish applications. D. ICM SHALL • Promote participation in the dental screenings to clients of the food bank. • Provide adequate physical space at the food bank for dental screenings to be delivered to clients of ICM. The space at the food bank will include at a minimum: 1. A room or area large enough to accommodate the First Teeth First staff and clients receiving a screening. 2. Provide a table and four chairs in screening area. 3. Accessible electrical outlet. • Communicate with FTF staff when a ICM client is eligible and interested in FTF services. • Provide Wi-Fi access to first teeth first staff for data entry purposes. E. IT IS MUTUALLY UNDERSTOOD AND AGREED BY AND BETWEEN THE PARTIES THAT: 1. This instrument is neither a fiscal nor a funds obligation document. Any endeavor or transfer of anything of value involving reimbursement or contribution of funds between the parties to this instrument will be handled in accordance with applicable laws, regulations, and procedures including those for Government procurement and printing. Such endeavors will be outlined in separate agreements that shall be made in writing by representatives of the parties and shall be independently authorized by appropriate statutory authority. This instrument does not provide such authority. Specifically, this instrument does not establish authority for noncompetitive award to the cooperator of any contract or other agreement. 2. EFFECTIVE DATE This agreement will begin as of 09:00 A.M. on November 1st, 2019. 2 3. EXPIRATION DATE This agreement will end as of 11:59 P.M. on June 30, 2020 but may be renewable for an additional one year by mutual consent. 4. MODIFICATION OR AMENDMENT Modifications within the scope of the instrument shall be made by mutual consent of the parties, by the issuance of a written modification or amendment, signed and dated by all parties, prior to any changes being enacted. 5. TERMINATION Any of the parties, in writing, may terminate the instrument in whole, or in part, at any time before the date of expiration. 6. CLIENT CONFIDENTIALITY Both parties understand and concur that this agreement is subject to all State and Federal laws protecting client confidentiality. Client/patient confidentiality will be maintained equally for all individuals presenting for services whether being provided by ICM or MCDPH. The use or disclosure by either party of any information concerning an eligible individual served under this agreement is directly limited to the fulfillment of this agreement. 7. LAWS, RULES AND REGULATIONS Both parties understand and concur that this agreement is subject to all State and Federal laws, rules and regulations that pertain hereto. 8. PARTICIPATION IN SIMILAR ACTIVITIES This agreement in no way restricts MCDPH or ICM from participating in similar activities with other public or private agencies, organizations, and individuals. 9. NON-LIABILITY Neither MCDPH, ICM, nor their respective officers and employees shall be liable for any act or omission by the other party or other party's subcontractor, employee, officer, agent, or representative occurring in the fulfillment of this agreement. 10. INDEMNITY MCDPH agrees to indemnify, hold harmless, and defend ICM, its officers and employees from and against any and all claims, damages, suits and proceedings, regardless of the merits, from liability, punitive damages, costs or expense of every type, all or any part thereof arising out of or in connection with or by reason of any negligent act or omission of MCDPH or any subcontractors or anyone directly or indirectly employed by either MCDPH or any subcontractors in the performance of this MOIJ. MCDPH and its subcontractors shall reimburse ICM for its costs, including attorney's fees for defense of any litigation arising from such claim. MCDPH shall include a clause to this effect in all subcontracts inuring to the benefit of ICM. Similarly, ICM agrees to indemnify, hold harmless, and defend MCDPH, its officers and employees from and against any and all claims, damages, suits and proceedings, regardless of the merits, from liability, punitive damages, costs or expense of every type, all or any part thereof arising out of or in connection with or by reason of any negligent act or omission of ICM or any subcontractors or anyone directly or indirectly employed by either ICM or any subcontractors in the performance of this MOU. ICM and its subcontractors 3 shall reimburse MCDPH for its costs, including attorney's fees for defense of any litigation arising from such claim. ICM shall include a clause to this effect in all subcontracts inuring to the benefit of MCDPH and Maricopa County. 11. COMMUNICATION Each party agrees to notify the other, in writing, of changes in policy which may affect this agreement. Notification is to be made • to the attention of the principal contacts identified in Section 12 below. 12. PRINCIPAL CONTACTS The principal contacts for this agreement are: Mar ieopa County, Department of Public Health ICM Food & Clothing Bank First Teeth First Program Coordinator Beth Fiorenza Phone: 602-573-0801 Executive Director E-mail: Berenise.Bauer@maricopa.gov Phone: 602-254-7450 x 3 Email: beth@icritaz.om Grant/Contract Administrator Phone: 602-372-0674 FAX: 602-506-6885 IN WITNESS WHEREOF, the parties agree to the changes indicated herein: FOR AND ON BEHALF OF FOR AND ON BEHALF OF MARICOPA COUNTY ICM Food171.0 ank (4-- By Bill Gates, Chairman, Board of Supervisors /0 / Date Date ATTEST: Office of the Clerk of the Board Date APPROVED AS TO FORM APPROVED AS TO FORM Attorney for Maricopa County DATE: DATE: 4