ORAL HEALTH PA WITH CHILD CRISIS PE.PDF

CHILD CRISIS ARIZONA EARLY HEAD START 0 402 N. 24T" STREET, PHOENIX, AZ 85008/ PH: 602-889-6165/FAX: 602-889-6173
Community Partnership Agreement
Community Partner: Maricopa County by and through its Department of Public Health, Oral Health, First Teeth First
Address: 1645 E. Roosevelt Street Phoenix, AZ 85006
Telephone: (602) 527-0612 (cell) Fax: (602) 506-3081 Website: www.firstteethfirst.org
Child Crisis Arizona Early Head Start Program and Maricona County, First Teeth First are entering into an agreement
to better serve the children and families in our community.
Child Crisis Arizona Early Head Start Program agrees to:
• Distribute materials to our clients regarding services with First Teeth First.
• Refer clients to First Teeth First for fluoride varnish treatment every 6 months.
• Invite First Teeth First to their semi-annual pancake breakfast to set up an information booth and distribute
fliers and or pamphlets to our clients.
• Invite FTF to Parent Meetings to talk about the importance of dental hygiene and fluoride treatment.
• Child Crisis Arizona Early Head Start will share annual report with community partner which includes school
readiness goals and overview of child assessment information.
The Community Partner, Maricopa County, First Teeth First, agrees to:
• Inform community about Child Crisis Arizona Early Head Start and Preschool Programs
• Provide basic oral health screening and fluoride varnish treatments to children enrolled in the Early Head Start
and Preschool Program.
• Provide oral health trainings for parents and staff of Child Crisis Arizona Early Head Start and Preschool
Program when schedule and availability permits.
• Refer patients living in the following two zip codes: 85008 and 85006 for the Child Crisis Arizona Early Head
Start Program
Child Crisis Arizona Early Head Start Program and Community Partner agree to maintain open communication in the
partnership. Both partners agree to Requirements as set out in Attachment A and to review their collaboration
agreement once a year and if necessary, adjust to current program changes or needs via amendment**.

Attachment A
IN
1. County agrees to indemnify, hold harmless, and defend Partner, its officers and employees from and
against any and all claims, damages, suits and proceedings, 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 act or omission of
County or any subcontractors or anyone directly or indirectly employed by either County or any
subcontractors. County and its subcontractors shall reimburse Partner for its costs, including attorney's fees
for defense of any litigation arising from such claim. County shall include a clause to this effect in all
subcontracts inuring to the benefit of the Partner.
2. Similarly, Partner agrees to indemnify, hold harmless, and defend County, its officers and employees from and
against any and all claims, damages, suits and proceedings, 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 act or omission of
Partner or any subcontractors or anyone directly or indirectly employed by either Partner or any
subcontractors. Partner and its subcontractors shall reimburse County for its costs, including attorney's fees
for defense of any litigation arising from such claim. Partner shall include a clause to this effect in all
subcontracts inuring to the benefit of County.
INSURANCE
A The Partner shall have in effect at all times during the term of this Contract insurance or comparable
self-insurance that is adequate to protect the County, its officers, employees, property, and equipment
against the losses set forth below. The Partner shall provide the County with a certificate of insurance
or a certified copy of the insurance policy naming the County as an additional insured, or, if the Partner
is self-insured, shall provide the County with a letter indicating that it is self-insured.
B. The following types and amounts of insurance are required as minimums:
1.) Workers' Compensation and Unemployment Insurance as required by law.
2.) Unemployment Insurance as required by Arizona Law.
3.) Public liability, bodily injury, and property damage policies that insure against claims for liability
for the Contractor's negligence or maintenance of unsafe vehicles, facilities, or equipment
brought by clients receiving services pursuant to this Agreement and by lawful visitors of such
clients. The limits of the policies shall not be less than $2,000,000 per occurrence and
$4,000,000 aggregate.
C. Automobile and Truck Liability, Bodily Injury and Property Damages:
1.) General Liability, each occurrence; $1,000,000.00
2.) Property Damage; $1,000,000.00
3.) Combined single limit; $1,000,000.00

Standard minimum deductible amounts are allowable. Any losses applied against insurance deductible
are the sole responsibility of the Partner.
E. Professional Liability:
1.) Insurance for the Partner and its Agents, Employees, and other Partner Staff shall be maintained
with coverage limits of one million dollars ($1,000,000) per person, three million dollars
($3,000,000) per occurrence.
2.) The Partner agrees that in the event it, or any of its Agents, Employees, or other Partner Staff
working under this Contract, is named as a defendant in litigation ; or is identified in a written
notice of claim wherein professional misconduct is alleged, the Partner shall promptly notify
the Director in writing. The duty to notify under this paragraph applies whether or not the
County is claimed to be involved, is named as a party to the matter, or could be potentially liable
as a party.
F. The Partner shall immediately inform the Director in writing of any cancellation or its insurance or any
decrease in its lines of coverage at least thirty (30) days before such action takes place.

ATTACHED TO AND A PART OF:
Community Partnership Agreement
MCDPH, Community Health Action, Oral Health, with
Child Crisis Arizona Early Head Start
C-86-17-
IN WITNESS WHEREOF, the parties agree to enter into this Agreement and its Amendments:
FOR AND ON BEHALF OF MARICOPA COUNTY (Partner")
By
Denny Barney Date
Chairman, Board of Supervisors
ATTEST:
Clerk of the Board Date
APPROVED AS TO FORM:
Attorney for Maricopa County Date
Child Crisis Arizona Early Head Start Program Representative: Nadia Wetzel LI'Sa_ A . cc-k_ , ) c Fo
Signature: 400Th (Let-0_10A_ Date**:
** Effective upon full execution; no expiration date; 30 day cancellation by either party