SNSA AGREEMENT WITH STATE FARM (00).PDF

MARTCOPA COUNTY THROUGH ITS DEPARTMENT OF PUBLIC HEALTH OFFICE OF
PREPAREDNESS AND RESPONSE
4041 N. Central Ave., Suite 600 Phoenix, AZ 85012
AGREEMENT TO PROVIDE STRATEGIC NATIONAL STOCKPILE ASSETS
This Agreement is entered into by and between Maricopa County (County), through the Maricopa County
Department of Public Health (MCDPH) and State Farm Insurance ("State Farm") for the purpose of distributing
medications, other medical materials and information to State Farm for dispensing to State Farm employees and
their families (the "Authorized Recipients") in the event of a public health emergency. MCDPH or State Farm
may individually be referred to in this Agreement as a "Party" or the entities collectively as the "Parties."
RECITALS
WHEREAS, pursuant to A.R.S. §36-787, when there is a state of emergency or state of war emergency in
which there is an occurrence or imminent threat of an illness or health condition that threatens the public health,
the Arizona Department of Health Services ("ADHS") has the responsibility for planning and executing public
health emergency assessment, mitigation, preparedness response and recovery for the state, and coordinating
public health emergency response among state, local and tribal authorities; and in furtherance of its responsibility
ADHS has entered into an agreement with Maricopa County through MCDPH to develop and enhance the state's
emergency response capabilities; and
WHEREAS, pursuant to A.R.S. §26-308, Maricopa County and each incorporated city and town has the
responsibility for establishing and providing for emergency management within its jurisdiction in accordance with
state emergency plans and programs; and
WHEREAS, by resolution adopted by the Maricopa County Board of Supervisors, the Maricopa County
Department of Emergency Management defmes authorities and duties regarding emergency plans and programs
related to emergency services, and the Maricopa County Department of Emergency Management has
acknowledged the MCDPH as the Lead County Agency for the Health and Medical Emergency Support Function,
and the Strategic National Stockpile ("SNS") Points of Dispensing ("POD") are integral to a Public Health
Emergency Response; and
WHEREAS, the MCDPH has created the Office of Preparedness and Response ("OPR") to coordinate
and prepare a Health and Medical plan to support the Maricopa County Emergency Operations Plan, and to
respond to a Public Health Emergency in which there is an occurrence or imminent threat of an illness or health
condition caused by a natural event, bioterrorism, an epidemic or pandemic disease or a highly fatal infectious
agent or biological toxin that poses a substantial risk to public health; and
WHEREAS, OPR has been asked by State Farm to provide State Farm with SNS assets at its location,
400 E. Rio Salado Parkway Tempe, AZ 85281, as may be necessary to respond to a public health emergency; and
WHEREAS, MCDPH and OPR wish to cooperate with State Farm by providing State Farm with SNS
assets for distribution to the Authorized Recipients in the event of such a public health emergency;
NOW, THEREFORE, the Parties agree as follows:
1. Delivery of SNS assets
In the event of a public health emergency, MCDPH through OPR will deliver to State Farm
medications, vaccinations, dispensing information or such other SNS materials as available and
may be necessary to respond to a public health emergency, under the conditions specified in this
Agreement. State Farm understands that such SNS assets cannot be provided by MCDPH until
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said assets are released by the Arizona Department of Health Services and the Division of
Strategic National Stockpile Program to OPR. State Farm's responsibilities under this Agreement
are to take custody of the assets for the purpose of dispensing to the Authorized Recipients, and to
cooperate with MCDPH to ensure the accessibility of the State Farm delivery site at 400 E. Rio
Salado Parkway Tempe, AZ 85281, as a delivery point.
1.2 MCDPH will provide State Farm with notice as SOOD as possible when an event triggers the
activities under this Agreement. The State Farm contact for MCDPH is:
Randy Anstine
0: 480-293-6082
C: 480-254-2650
Other: 602-619-3001
randy.anstine.u6or@statefarm.com
Tim Ogg
0: 480-293-6097
C: 602-527-6311
Other: 309-261-1719
tim.ogg.jazbAstatefarm.com
The MCDPH contact will promptly advise the State Farm of MCDPH' s intent to deliver SNS
assets to that location. MCDPH may also contact the delivery site directly if need be. The State
Farm contact will be responsible for coordinating MCDPH's access to the delivery site, for
offloading the SNS assets, and for security and appropriate storage of the SNS assets once
delivered. The Parties agree to exchange whatever information is necessary to facilitate planning
and coordination in preparation for delivery of SNS assets to State Farm.
1.3. MCDPH will deliver sufficient SNS assets to State Farm to serve an estimated targeted
population of 35,000 Authorized Recipients provided appropriate and secure storage facilities for
materials or antibiotics are available. Depending upon the supply, MCDPH may provide more
medical countermeasures, if requested and needed. If SNS assets received by MCDPH are limited
and MCDPH is unable to supply the entire amount required for State Farm, MCDPH will
determine an allocation for State Farm based on an analysis of the current situation. Personnel,
supplies, and equipment needed to dispense to the service population, such as copy machines and
paper, furniture such as tables and chairs, and other items, will be supplied by State Farm.
1.4. State Farm agrees to dispense SNS assets using State Farm personnel or volunteers who have the
appropriate licensure, training, and/or certification to dispense SNS assets, to dispense SNS assets
only to the Authorized Recipients as specified under OPR guidelines, to distribute product
information sheets provided by OPR, to return to OPR any excess SNS assets inventory, to
provide OPR approved documentation of all dispensing, and to reconcile SNS assets received
with those dispensed and those returned to OPR. State Farm agrees not to charge for SNS assets
or for any of the services provided as part of the administration or dispensing of SNS assets
unless agreed upon separately in writing.
1.5. As a condition of this Agreement and prior to the distribution of any SNS assets to State Farm,
State Farm agrees to arrange sufficient time for the personnel who would be involved in SNS
asset distribution at State Farm to participate in an OPR-provided training on the procedures for
dispensing of SNS assets. The minimum number of people to attend the training for State Farm
will be mutually agreed upon.
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1.6 During transfer of custody of SNS assets to State Farm at 400 E. Rio Salado Parkway Tempe,
AZ 85281, State Fann will be responsible for offloading and moving the assets to the storage area
State Farm plans to utilize, and for sufficient security to maintain order and safeguard persons
against bodily injury. The Maricopa County Sheriff's Office is the lead agency for security
during transport and delivery of assets to the State Farm delivery site.
1.7 State Farm agrees to utilize dispensing information, including prophylaxis or treatment
dispensing algorithms, guidelines, and patient information forms, provided by OPR and to
provide OPR with a completed patient information form within 48 hours for each person to whom
SNS assets were dispensed. State Farm agrees to have trained employees (Section 1.5) oversee
the dispensing of SNS assets to the Authorized Recipients.
2. Indemnification. To the fullest extent permitted by law, County shall defend, indemnify, and hold
harmless State Farm, its agents, officers, officials, and employees from and against all claims damages,
losses, and expenses (including but not limited to attorney's fees and court costs) arising from the acts,
errors, mistakes, negligence, omissions, work or service of County, its agents, employees, or volunteers or
any tier of its contractors in the performance of this Agreement. The amount and type of insurance
coverage requirements of the Agreement will in no way be construed as limiting the scope of
indemnification in this Paragraph. The terms of this section survive the termination, expiration, non-
renewal, or rescission of this Agreement. ANYTHING IN THE AGREEMENT TO THE CONTRARY
NOTWITHSTANDING, UNDER NO CIRCUMSTANCES WHATSOEVER SHALL STATE FARM BE LIABLE
TO COUNTY FOR ANY SPECIAL, CONSEQUENTIAL, INDIRECT, PUNITIVE, OR INCIDENTAL
DAMAGES OF ANY KIND WHATSOEVER. IN NO EVENT WHATSOEVER SHALL STATE FARM'S
TOTAL LIABILITY TO COUNTY FOR ANY OTHER DAMAGES WHATSOEVER EXCEED IN THE
AGGREGATE THE SUM OF Twenty five thousand DOLLARS ($ 25,000.00 ).
To the fullest extent permitted by law, State Farm shall defend, indemnify and hold harmless County, its
agents, officers and employees from and against all claims, damages, losses and expenses (including but
not limited to attorney's fees and court costs) arising from the acts, errors, mistakes, omissions, work or
service of State Farm, its agents, employees, or volunteers or any tier of its contractors in the performance
of this Agreement. The amount and type of insurance coverage requirements of the Agreement will in no
way be construed as limiting the scope of the indemnification in this Paragraph. The terms of this section
survive the termination, expiration nonrenewal, or rescission of this Agreement.
3. Insurance. County shall maintain a self-insurance program under the Revised Restated Declaration of
Trust for Maricopa County, Arizona Self-Insured Risk Trust Fund during the term of this Agreement. At
the signing of this Agreement, County shall furnish State Farm with certificates of self-insurance
evidencing the coverages and limits listed below at the following address:
Mike Keller
State Farm Insurance
Manager, Emergency Management, Incident Response
1 State Farm Plaza
Bloomington, Il. 61710-0001
Tel; 309-766-4592
Email; mike.keller.btoo@statefarm.com
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County's insurance must be primary, and any insurance or self-insurance maintained by State Farm shall
not contribute to it. If any part of this Agreement is contracted, these insurance requirements also apply to
all contractors.
Insurance coverage required under this Agreement is as set forth below (or the equivalent coverage with
respect to Maricopa County or any other self-insured entity):
Maricopa County:
3.1. Commercial General Liability insurance with a limit of not less than $2,000,000 per occurrence
for bodily injury, property damage, personal injury, products and completed operations, and
blanket contractual coverage, including but not limited to, the liability assumed under the
indemnification provisions of this Agreement;
3.2. Automobile Liability insurance with a combined single limit for bodily injury and property
damage of not less than $1,000,000 each occurrence with respect to County's owned, hired, and
non-owned vehicles;
3.3. Workers' Compensation insurance with limits statutorily required by any Federal or state law
and Employer's Liability insurance of not less than $1,000,000 for each accident, $1,000,000
disease for each employee, and $1,000,000 disease policy limit; and
3.4. Professional Liability insurance covering acts, errors, mistakes, and omissions arising out of the
work or services performed by County, or any person employed by County, with a limit of not
less than $2,000,000 each claim.
Receiving Agency:
State Farm shall maintain during the term of this Agreement insurance policies described below issued by
companies licensed in the State of Arizona with a current AM Best, Inc. rating of B++ VII or better. In
the alternative, State Farm may submit required coverage under a self-insured program. At the signing of
this Agreement, State Farm shall furnish County with Certificates of Insurance or Self-Insurance
evidencing the required coverages, conditions and limits required by this Agreement.
3.5. Commercial General Liability insurance with a limit of not less than $5,000,000 per occurrence
for bodily injury, property damage, personal injury, products and completed operations, and
blanket contractual coverage, including but not limited to, the liability assumed under the
indemnification provisions of this Agreement;
3.6. Automobile Liability insurance with a combined single limit for bodily injury and property
damage of not less than $1,000,000 each occurrence with respect to State Farm's owned, hired,
and non-owned vehicles;
3.7. Workers' Compensation insurance with limits statutorily required by any Federal or state law
and Employer's Liability insurance of not less than $1,000,000 for each accident, $2,000,000
disease for each employee, and $2,000,000 disease policy limit; and
3.8.
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In the event any insurance policies required by this Agreement are written on a "claims made" basis,
coverage shall extend for two years past expiration of the Agreement and must be evidenced by annual
Certificates of Insurance upon request from County.
4. E-verification of employees:
State Farm warrants that it is in compliance with A.R.S. § 41-4401 and further acknowledges:
4.1 That State Farm and its subcontractors, if any, performing work under this Agreement warrant
their compliance with all federal immigration laws and regulations that relate to their employees
and their compliance with A.R.S. § 23-214, subsection A;
4.2 That a breach of a warranty under subsection 4.1 above, shall be deemed a material breach of this
Agreement that is subject to penalties up to and including termination of the Agreement;
4.3 That County retains the legal right to inspect the papers of State Farm or subcontractor employee
who performs work under this Agreement to ensure that State Farm or subcontractor performing
work under this Agreement is complying with the warranty provided under subsection 4.1 above
and that State Farm agrees to make all papers and employment records of said employee(s)
available during normal working hours in order to facilitate such an inspection.
5. Nothing herein shall make State Farm or any subcontractor an agent or employee of County.
6. Termination. Either party may terminate this Agreement at any time by giving 90 days written notice to
the other party, but in no case after the declaration of a Public Health Emergency, until it has been
determined and declared to be ended.
7. Cancellation. This Agreement is subject to cancellation pursuant to the terms of A.R.S. §38-511.
8. Notices. Any notices hereunder shall be written notices, personally delivered to the other party, except
that in the event of a Public Health Emergency, notice may be given by any means, to be followed by
written, personally delivered notice, as soon as is reasonably practicable. Such personally delivered
notice shall be at the following addresses:
For County:
Program Manager
Maricopa County Department of Public Health
Office of Preparedness and Response
4041 N. Central Avenue, Suite 600
Phoenix, AZ 85012
Tel: 602-506-2651
Email: OPR@maihmaricopa.gov
For State Farm:
Mike Keller
State Farm Insurance
Manager, Emergency Management, Incident Response
1 State Farm Plaza
Bloomington, Il. 61710-0001
Tel; 309-766-4592
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Email; mike.keller.btoo@statefarm.com
9. Use of Name. County shall not use the names or trademarks of State Farm or of any of State Farm's
affiliated entities in any advertising, publicity, endorsement, or promotion unless State Farm has provided
prior written consent for the particular use contemplated. All requests for approval pursuant to this
Section must be submitted to the State Farm at least 5 business days prior to the date on which a response
is needed. The terms of this Section survive the termination, expiration, non-renewal, or rescission of this
Agreement.
10. Amendments. This Agreement may not be amended or modified except in writing signed by both parties
and identified as an amendment to this Agreement.
11. Binding Effect. This Agreement shall be binding upon and inure to the benefit of the parties, their
successors and assigns.
12. Waiver. The failure of either party to complain of any default by the other party or to enforce any of such
party's rights, no matter how long such failure may continue, will not constitute a waiver of the party's
rights under this Agreement. The waiver by either party of any breach of any provision of this Agreement
shall not be construed as a waiver of any subsequent breach of the same or any other provision. No part of
this Agreement may be waived except by the further written agreement of the parties.
13. Entire Agreement. This Agreement together with the Attachments hereto constitutes the entire
agreement between the parties with respect to its subject matter and supersedes all past and
contemporaneous agreements, promises, and understandings, whether oral or written, between the parties.
14. Assignment. This Agreement may not be assigned by either party without the prior written consent of the
other party. Any purported assignment in violation of this clause is void. Such written consent, if given,
shall not in any manner relieve the assignor from liability for the performance of this Agreement by its
assignees.
15. Severability. In the event any provision of this Agreement is held to be invalid or unenforceable, the
remainder of this Agreement shall remain in full force and effect as if the invalid or unenforceable
provision has never been a part of the Agreement.
16. Independent Contractor Status. It is mutually understood and agreed that the relationship between the
parties is that of independent contractors. Neither party is the agent, employee, or servant of the other.
Except as specifically set forth herein, neither party shall have nor exercise any control or direction over
the methods by which the other party performs work or obligations under this Agreement. Further,
nothing in this Agreement is intended to create any partnership, joint venture, lease or equity relationship,
expressly or by implication, between the parties.
17. Counterparts. This Agreement may be executed in any number of counterparts which, when taken
together, will constitute one original, and photocopy, facsimile, electronic or other copies shall have the
same effect for all purposes as an ink-signed original.
18. Representation on Authority of Parties/Signatories. Any individual executing this Agreement on
behalf of a Party represents and warrants to the other Party that they are duly authorized to execute this
Agreement on behalf of such Party, and that upon their signature this Agreement shall be binding upon
the Parties.
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COUNTY: State Farm:
MARICOPA COUNTY BOARD OF SUPERVISORS STATE FARM INSURANCE
Title: Chairman of the Board
ATTEST:
By:
Clerk of the Board
Date:
APPROVED AS TO FORM:
By: By:
Attorney for Marieopa County
Date:
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