RFP CONTRACT RE PH REPORTING LINE SVC WITH BANNER PDIC.PDF
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CONTRACT PURSUANT TO PH RFP 15-031
CONTRACT #: 860-15-031
This Contract is entered into this l' t day of January, 2016 by and between Maricopa County ("County"), a political
subdivision of the State of Arizona, and Banner Poison and Drug Information Center, ("Contractor") for the
purchase of Public Health Reporting Line services.
1.0 CONTRACT TERM:
1.1 This Contract is for a term of three (3) years, beginning on the 1st day of January, 2016 and ending
the 31. st day of December, 2018.
1.2 The County may, at its option and with the agreement of the Contractor, renew the term of this
Contract for additional terms up to a maximum of two (2) additional years, (or at the County's
sole discretion, extend the contract on a month-to-month basis for a maximum of six (6) months
after expiration). The County shall notify the Contractor in writing of its intent to extend the
Contract term at least thirty (30) calendar days prior to the expiration of the original contract term,
or any additional term thereafter.
2.0 FEE ADJUSTMENTS:
Any request for a fee adjustment must be submitted sixty (60) days prior to the current Contract annual
anniversary date. Requests for adjustment in cost of labor and/or materials must be supported by
appropriate documentation. If County agrees to the adjusted fee, County shall issue written approval of the
change. The reasonableness of the request will be determined by comparing the request with the
(Consumer Price Index) or by performing a market survey.
3.0 PAYMENTS:
3.1 As consideration for performance of the duties described herein, County shall pay Contractor the
sum(s) stated in Exhibit "A."
3.2 Payment shall be made upon the County's receipt of a properly completed invoice.
3.3 INVOICES:
3,3.1 The Contractor shall submit one (1) legible copy of their detailed invoice before
payment(s) can be made. At a minimum, the invoice must provide the following
information:
• Company name, address and contact
• County bill-to name and contact information
• Contract serial number
• County purchase order number
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CONTRACT #: 860-15-031
• Invoice number and date
• Payment terms
• Date of service or delivery
• Quantity
• Contract Item number(s)
• Description of service provided
• Pricing per unit of service
• Extended price
• Total Amount Due
3.3.2 Problems regarding billing or invoicing shall be directed to the County as listed on the
Purchase Order.
3.3.3 Payment shall be made to the Contractor by Accounts Payable through the Maricopa
County Vendor Express Payment Program. This is an Electronic Funds Transfer (EFT)
process. After Contract Award the Contractor shall complete the Vendor Registration
Form located on the County Department of Finance Vendor Registration Web Site
(http://www.maricopa.gov/FinanceNendors.aspx)
3.3.4 EFT payments to the routing and account numbers designated by the Contractor will
include the details on the specific invoices that the payment covers. The Contractor is
required to discuss remittance delivery capabilities with their designated financial
institution for access to those details.
3.4 APPLICABLE TAXES:
3.4.1 Payment of Taxes: The Contractor shall pay all applicable taxes. With respect to any
installation labor on items that are not attached to real property performed by Contractor
under the terms of this Contract, the installation labor cost and the gross receipts for
materials provided shall be listed separately on the Contractor's invoices.
3.4.2 State and Local Transaction Privilege Taxes: Maricopa County is subject to all
applicable state and local transaction privilege taxes. To the extent any state and local
transaction privilege taxes apply to sales made under the terms of this contract it is the
responsibility of the seller to collect and remit all applicable taxes to the proper taxing
jurisdiction of authority.
3.4.3 Tax Indemnification: Contractor and all subcontractors shall pay all Federal, state, and
local taxes applicable to its operation and any persons employed by the Contractor.
Contractor shall, and require all subcontractors to hold Maricopa County harmless from
any responsibility for taxes, damages and interest, if applicable, contributions required
under Federal, and/or state and local laws and regulations and any other costs including
transaction privilege taxes, unemployment compensation insurance, Social Security and
Worker's Compensation.
3.5 TAX: (SERVICES)
No tax shall be levied against labor. It is the responsibility of the Contractor to determine any and
all taxes and include the same in proposal price.
4.0 AVAILABILITY OF FUNDS:
4.1 The provisions of this Contract relating to payment for services shall become effective when funds
assigned for the purpose of compensating the Contractor as herein provided are actually available
to County for disbursement. The County shall be the sole judge and authority in determining the
availability of funds under this Contract. County shall keep the Contractor fully informed as to the
availability of funds.
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CONTRACT #: 860-15-031
4.2 If any action is taken by any state agency, Federal depaitu ent or any other agency or
instrumentality to suspend, decrease, or terminate its fiscal obligations under, or in connection
with, this Contract, County may amend, suspend, decrease, or terminate its obligations under, or in
connection with, this Contract. In the event of termination, County shall be liable for payment
only for services rendered prior to the effective date of the termination, provided that such services
are performed in accordance with the provisions of this Contract. County shall give written notice
of the effective date of any suspension, amendment, or termination under this Section, at least ten
(10) days in advance.
5.0 DUTIES:
5.1 The Contractor shall perform all duties stated in Exhibit "B", or as otherwise directed in writing
by the Procurement Officer.
5.2 During the Contract term, County shall provide Contractor's personnel with adequate workspace
for consultants and such other related facilities as may be required by Contractor to carry out its
contractual obligations.
6.0 TERMS and CONDITIONS:
6.1 INDEMNIFICATION:
To the fullest extent permitted by law, and to the extent that claims, damages, losses or expenses
are not covered and paid by insurance purchased by the Contractor, the Contractor shall defend
indemnify and hold harmless the County (as Owner), its agents, representatives, agents, officers,
directors, officials, and employees from and against all claims, damages, losses, and expenses
(including, but not limited to attorneys' fees, court costs, expert witness fees, and the costs and
attorneys' fees for appellate proceedings) arising out of, or alleged to have resulted from the
negligent acts, errors, omissions, or mistakes relating to the performance of this Contract.
Contractor's duty to defend, indemnify, and hold harmless the County, its agents, representatives,
agents, officers, directors, officials, and employees shall arise in connection with any claim,
damage, loss, or expense that is attributable to bodily injury, sickness, disease, death or injury to,
impairment of; or destruction of tangible property, including loss of use resulting there from,
caused by negligent acts, errors, omissions, or mistakes in the performance of this Contract, but
only to the extent caused by the negligent acts or omissions of the Contractor, a subcontractor, any
one directly or indirectly employed by them, or anyone for whose acts they may be liable,
regardless of whether or not such claim, damage, loss, or expense is caused in part by a party
indemnified hereunder.
The amount and type of insurance coverage requirements set forth herein will in no way be
construed as limiting the scope of the indemnity in this paragraph.
The scope of this indemnification does not extend to the sole negligence of County.
6.2 INSURANCE.
Lessee, its contractors and subcontractors at Lessee's or its contractors' and subcontractors' own
expense, shall purchase and maintain the herein stipulated minimum insurance from a company or
companies duly licensed by the State of Arizona and possessing a current A.M. Best, Inc. rating of
1344 6. In lieu of State of Arizona licensing, the stipulated insurance may be purchased from a
company or companies, which are authorized to do business in the State of Arizona, provided that
said insurance companies meet the approval of Lessor. The form of any insurance policies and
forms must be acceptable to Lessor. All insurance required herein shall be maintained in full force
and effect until all work or service required to be performed under the terms of the Lease is
satisfactorily completed and formally accepted and until the use of the Premises as contemplated
in this Lease has been terminated. Failure to do so may, at the discretion of Lessor, constitute a
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CONTRACT #: 860-15-031
material breach of this Lease. Lessee's insurance shall be primary insurance as respects Lessor,
and any insurance or self-insurance maintained by Lessor shall not contribute to it. Any failure to
comply with the claim reporting provisions of the insurance policies or any breach of an insurance
policy warranty shall not affect the Lessor's right to coverage afforded under the insurance
policies. The insurance policies may provide coverage that contains deductibles or self-insurance
retentions. Such deductible and/or self-insurance retentions shall not be applicable with respect to
the coverage provided to Lessor under such policies. Lessee shall be solely responsible for the
deductible and/or self-insurance retention and Lessor, at its option, may require Lessee to secure
payment of such deductibles or self-insurance retentions by a surety bond or an irrevocable and
unconditional letter of credit. Lessor reserves the right to request and to receive, within 10
business days, certified copies of any or all of the herein required insurance policies and/or
endorsements. Lessor shall not be obligated, however, to review such policies and/or
endorsements or to advise Lessee_of any deficiencies in such policies and endorsements, and such
receipt shall not relieve Lessee from, or be deemed a waiver of, Lessor's right to insist on strict
fulfillment of Lessee's obligations under this Lease. Lessee and its contractors' and
subcontractors' insurance policies required by this Lease, except Workers' Compensation, shall
name Lessor, its agents, representatives, officers, directors, officials and employees as Additional
Insureds. Lessee and its contractors' and subcontractors' insurance policies required hereunder,
except Workers' Compensation, shall contain a waiver of transfer of rights of recovery
(subrogation) against Lessor, its agents, representatives, officers, directors, officials and
employees for any claims arising out of Lessee's work or service or use or maintenance of the
Premises.
6.2.1 Commercial General Liability.
Commercial General Liability insurance and, if necessary, Commercial Umbrella
insurance with a limit of not less than $2,000,000 for each occurrence, $4,000,000
Products/Completed Operations Aggregate, and $4,000,000 General Aggregate Limit.
The policy shall include coverage for premises liability, bodily injury, broad form
property damage, personal injury, products and completed operations and blanket
contractual coverage, and shall not contain any provisions which would serve to limit
third party action over claims. There shall be no endorsement or modifications of the
COL limiting the scope of coverage for liability arising from explosion, collapse, or
underground property damage.
6.2.2 Automobile Liability.
Commercial/Business Automobile Liability insurance and, if necessary, Commercial
Umbrella insurance with a combined single limit for bodily injury and property damage
of not less than $1,000,000 each occurrence with respect to any of the Lessee's owned,
hired, and non-owned vehicles assigned to or used in performance of the Lessee's work
or services or use or maintenance of the Premises under this Lease.
6.2.3 Workers' Compensation.
Workers' Compensation insurance to cover obligations imposed by federal and state
statutes having jurisdiction of Lessee's employees engaged in the performance of the
work or services under this Lease; 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.
Lessee, its contractors and its subcontractors waive all rights against Lessor and its
agents, officers, directors and employees for recovery of damages to the extent these
damages are covered by the Workers' Compensation and Employer's Liability or
commercial umbrella liability insurance obtained by Lessee, its contractors and its
subcontractors pursuant to this Lease.
6.2.4 Errors and Omissions (Professional Liability) Insurance.
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CONTRACT #: 860-15-031
Errors and Omissions (Professional Liability) insurance and, if necessary, Commercial
Umbrella insurance, which will insure and provide coverage for errors or omissions or
professional liability of the CONTRACTOR, with limits of no less than $2,000,000 for
each claim.
6.3 FORCE MAJEURE
6.3.1 Neither party shall be liable for failure of performance, nor incur any liability to the other
party on account of any loss or damage resulting from any delay or failure to perform all
or any part of this Contract if such delay or failure is caused by events, occurrences, or
causes beyond the reasonable control and without negligence of the parties. Such events,
occurrences, or causes will include Acts of God/Nature (including fire, flood, earthquake,
storm, hurricane or other natural disaster), war, invasion, act of foreign enemies,
hostilities (whether war is declared or not), civil war, riots, rebellion, revolution,
insurrection, military or usurped power or confiscation, terrorist activities,
nationalization, government sanction, lockout, blockage, embargo, labor dispute, strike,
interruption or failure of electricity or telecommunication service.
6.3.2 Each party, as applicable, shall give the other party notice of its inability to perform and
particulars in reasonable detail of the cause of the inability. Each party must use best
efforts to remedy the situation and remove, as soon as practicable, the cause of its
inability to perform or comply.
6.3.3 The party asserting Force Majeure as a cause for non-performance shall have the burden
of proving that reasonable steps were taken to minimize delay or damages caused by
foreseeable events, that all non-excused obligations were substantially fulfilled, and that
the other party was timely notified of the likelihood or actual occurrence which would
justify such an assertion, so that other prudent precautions could be contemplated.
6.3.4 The County shall reserve the right to terminate this Contract and/or any applicable order
or contract release purchase order upon non-performance by Contractor. The County
shall reserve the right to extend the Contract and time for performance at its discretion.
6.3.5 Certificates of Insurance.
6.3.5.1 Prior to commencing work or services under this Contract, Contractor
shall have insurance in effect as required by the Contract in the form
provided by the County, issued by Contractor's insurer(s), as evidence
that policies providing the required coverage, conditions and limits
required by this Contract are in full force and effect. Such certificates
shall be made available to the County upon 48 hours notice. BY
SIGNING THE AGREEMENT PAGE THE CONTRACTOR
AGREES TO THIS REQUIREMENT AND UNDERSTANDS THAT
FAILURE TO MEET THIS REQUIREMENT WILL RESULT IN
CANCELLATION OF THIS CONTRACT.
6.3.5.1.1In the event any insurance policy (ics) required by this
Contract is (are) written OD a "claims made" basis,
coverage shall extend for two (2) years past completion and
acceptance of Contractor's work or services and as
evidenced by annual. Certificates of Insurance.
6.3.5.1.2If a policy does expire during the life of the Contract, a
renewal certificate must be sent to County fifteen (15) days
prior to the expiration date.
6.3.6 Cancellation and Expiration Notice.
Insurance required herein shall not be permitted to expire, be canceled, or materially
changed without thirty (30) days prior written notice to the County.
6.4 NOTICES:
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CONTRACT 4: 860-15-031
All notices given pursuant to the terms of this Contract shall be addressed to:
For County:
Maricopa County
Department of Public Health
Attn: Cheryl Rentscheler, Procurement Officer
4041 N. Central Avenue, 41400
Phoenix, AZ 85012
(602) 506-6886
cherylrentscheler©mail.maricopa.gov
For Contractor:
Banner Poison and Drug Information Center
Attn: Sharyn Welch, Managing Director
901 E. Willetta Street, 42701
Phoenix, AZ 85006
6.5 Suspension of Work
The Procurement Officer may order the Contractor, in writing, to suspend, delay, or interrupt all or
any part of the work of this contract for the period of time that the Procurement Officer determines
appropriate for the convenience of the County. No adjustment shall be made under this clause for
any suspension, delay, or interruption to the extent that performance would have been so
suspended, delayed, or interrupted by any other cause, including the fault or negligence of the
Contractor. No request for adjustment under this clause shall be granted unless the claim, in an
amount stated, is asserted in writing as soon as practicable after the termination of the suspension,
delay, or interruption, but not later than the date of final payment under the contract.
6.6 Stop Work Order
The Procurement Officer may, at any time, by written order to the Contractor, require the
Contractor to stop all, or any part, of the work called for by this contact for a period of 90 days
after the order is delivered to the Contractor, and for any further period to which the parties may
agree. The order shall be specifically identified as a stop work order issued under this clause.
Upon receipt of the order, the Contractor shall immediately comply with its terms and take all
reasonable steps to minimize the incurrence of costs allocable to the work covered by the order
during the period of work stoppage. Within a period of 90 days after a stop-work is delivered to
the Contractor, or within any extension of that period to which the parties shall have agreed, the
Procurement Officer shall either-
6.6.1 Cancel the stop-work order; or
6.6.2 Terminate the work covered by the order as provided in the Default, or the Termination
for Convenience of the County, clause of this contract.
6.6.3 The Procurement Officer may make an equitable adjustment in the delivery schedule
and/or contract price, or otherwise, and the contract shall be modified, in writing,
accordingly, if the Contractor demonstrates that the stop work order resulted in an
increase in costs to the Contractor.
6.7 UNCONDITIONAL TERMINATION FOR CONVENIENCE:
Maricopa County may terminate the resultant Contract for convenience by providing sixty (60)
calendar days advance notice to the Contractor.
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CONTRACT #: 860-15-031
6.8 TERMINATION FOR DEFAULT:
• 6.8.1 In addition to the rights reserved in the Contract, the County may terminate the Contract
in whole or in part due to the failure of the Contractor to comply with any term or
condition of the Contract, to acquire and maintain all required insurance policies, bonds,
licenses and permits, or to make satisfactory progress in performing the Contract. The
Procurement Officer shall provide written notice of the termination and the reasons for it
to the Contractor.
6.8.2 Upon termination under this paragraph, all goods, materials, documents, data and reports
prepared by the Contractor under the Contract shall become the property of and be
delivered to the County on demand.
6.8.3 The County may, upon termination of this Contract, procure, on terms and in the manner
that it deems appropriate, materials or services to replace those under this Contract. The
Contractor shall be liable to the County for any excess costs incurred by the County in
procuring materials or services in substitution for those due from the Contractor.
6,8.4 The Contractor shall continue to perform, in accordance with the requirements of the
Contract, up to the date of termination, as directed in the termination notice.
6.9 TERMINATION BY THE COUNTY:
If the Contractor should be adjudged bankrupt or should make a general assignment for the benefit
of its creditors, or if a receiver should be appointed on account of its insolvency, the County may
terminate the Contract. If the Contractor should persistently or repeatedly refuse or should fail,
except in cases for which extension of time is provided, to provide enough properly skilled
workers or proper materials, or persistently disregard laws and ordinances, or not proceed with
work or otherwise be guilty of a substantial violation of any provision of this Contract, then the
County may terminate the Contract. Prior to termination of the Contract, the County shall give the
Contractor fifteen- (15) calendar day's written notice. Upon receipt of such termination notice, the
Contractor shall be allowed fifteen (15) calendar days to cure such deficiencies.
6.10 STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST:
Notice is given that pursuant to A.R.S. §38-511 the County may cancel this Contract without
penalty or further obligation within three years after execution of the contract, if any person
significantly involved in initiating, negotiating, securing, drafting or creating the contract on
behalf of the County is at any time while the Contract or any extension of the Contract is in effect,
an employee or agent of any other party to the Contract in any capacity or consultant to any other
party of the Contract with respect to the subject matter of the Contract. Additionally, pursuant to
A.R.S §38-511 the County may recoup any fee or commission paid or due to any person
significantly involved in initiating, negotiating, securing, drafting or creating the contract on
behalf of the County from any other party to the contract arising as the result of the Contract
6.11 OFFSET FOR DAMAGES;
In addition to all other remedies at law or equity, the County may offset from any money due to
the Contractor any amounts Contractor owes to the County for damages resulting from breach or
deficiencies in performance under this contract,
6,12 ADDITIONS/DELETIONS OF SERVICE:
The County reserves the right to add and/or delete products and/or services provided under this
Contract. If a requirement is deleted, payment to the Contractor will be reduced proportionately to
the amount of service reduced in accordance with the proposal price. If additional services and/or
products are required from this Contract, prices for such additions will be negotiated between the
Contractor and the County.
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CONTRACT #: 860-15-031
6.13 RELATIONSHIPS:
In the performance of the services described herein, the Contractor shall act solely as an
independent contractor, and nothing herein or implied herein shall at any time be construed as to
create the relationship of employer and employee, partnership, principal and agent, or joint venture
between the District and the Contractor.
6,14 SUBCONTRACTING:
The Contractor may not assign this Contract or subcontract to another party for performance of the
terms and conditions hereof without the written consent of the County, which shall not be
unreasonably _withheld. All correspondence authorizing subcontracting must reference the
Proposal Serial Number and identify the job project.
6.15 AMENDMENTS:
All amendments to this Contract shall be in writing and approved/signed by both parties. The
Public Health Procurement Officer and/or the Office of Procurement Services' Chief Procurement
Officer shall be responsible for approving all amendments for Maricopa County.
6.16 ACCESS TO AND RETENTION OF RECORDS FOR THE PURPOSE OF AUDIT AND/OR
OTHER REVIEW:
6.16.1 In accordance with section MCI 367 of the Marieopa County Procurement Code the
Contractor agrees to retain all books, records, accounts, statements, reports, files, and
other records and back-up documentation relevant to this Contract for six (6) years after
final payment or until after the resolution of any audit questions which could be more
than six (6) years, whichever is latest. The County, Federal or State auditors and any
other persons duly authorized by the Department shall have full access to, and the right to
examine, copy and make use of, any and all said materials,
6.16.2 If the Contractor's books, records, accounts, statements, reports, files, and other records
and back-up documentation relevant to this Contract are not sufficient to support and
document that requested services were provided, the Contractor shall reimburse Maricopa
County for the services not so adequately supported and documented.
6.16.3 If at any time it is determined by the County that a cost for which payment has been made
is a disallowed cost, the County shall notify the Contractor in writing of the
disallowance. The course of action to address the disallowance shall be at sole discretion
of the County, and may include either an adjustment to future claim submitted by the
Contractor by the amount of the disallowance, or to require reimbursement forthwith of
the disallowed amount by the Contractor by issuing a check payable to Maricopa County.
6.17 AUDIT DISALLOWANCES:
If at any time, County determines that a cost for which payment has been made is a disallowed
cost, such as overpayment, County shall notify the Contractor in writing of the disallowance.
County shall also state the means of correction, which may be but shall not be limited to
adjustment of any future claim submitted by the Contractor by the amount of the disallowance, or
to require repayment of the disallowed amount by the Contractor.
6.18 SEVERABILITY:
The invalidity, in whole or in part, of any provision of this Contract shall not void or affect the
validity of any other provision of this Contract.
6.19 RIGHTS IN DATA:
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CONTRACT #: 86045-031
The County shall own have the use of all data and reports resulting from this Contract without
additional cost or other restriction except as provided by law. Each party shall supply to the other
party, upon request, any available information that is relevant to this Contract and to the
performance hereunder.
6.20 NON-DISCRIMINATION:
CONTRACTOR agrees to comply with all provisions and requirements of Arizona Executive
Order 2009-09 including flow down of all provisions and requirements to any subcontractors.
Executive Order 2009-09 supersedes Executive order 99-4 and amends Executive order 75-5 and
may be viewed and downloaded at the Governor of the State of Arizona"s website
http://www.azgovernor.gov/dms/upload/E0 2009 09.pdf_which_is _hereby incorporatecLinto_this_
contract as if set forth in full herein. During the performance of this contract, CONTRACTOR
shall not discriminate against any employee, client or any or any other individual in any way
because of that person's age, race, creed, color, religion, sex, disability or national origin.
6.21 INTEGRATION:
This Contract represents the entire and integrated agreement between the parties and supersedes
all prior negotiations, proposals, communications, understandings, representations, or agreements,
whether oral or written, express or implied.
6.22 VERIFICATION REGARDING COMPLIANCE WITH ARIZONA REVISED STATUTES §41-
4401 AND FEDERAL IMMIGRATION LAWS AND REGULATIONS:
6.22.1 By entering into the Contract, the Contractor warrants compliance with the Immigration
and Nationality Act (INA using e-verify) and all other federal iimnigration laws and
regulations related to the immigration status of its employees and A.R.S. §23-214(A). The
contractor shall obtain statements from its subcontractors certifying compliance and shall
furnish the statements to the Procurement Officer upon request. These warranties shall
remain in effect through the term of the Contract. The Contractor and its subcontractors
shall also maintain Employment Eligibility Verification forms (I-9) as required by the
Immigration Reform and Control Act of 1986, as amended from time to time, for all
employees performing work under the Contract and verify employee compliance using the
E-verify system and shall keep a record of the verification for the duration of the
employee's employment or at least three years, whichever is longer. 1-9 forms are available
for download at US CIS .GOV.
6.222 The County retains the legal right to inspect contractor and subcontractor employee
documents performing work under this Contract to verify compliance with paragraph
6.22.1 of this Section. Contractor and subcontractor shall be given reasonable notice of the
County's intent to inspect and shall make the documents available at the time and date
specified. Should the County suspect or find that the Contractor or any of its subcontractors
are not in compliance, the County will consider this a material breach of the contract and
may pursue any and all remedies allowed by law, including, but not limited to: suspension
of work, termination of the Contract for default, and suspension and/or debarment of the
Contractor. All costs necessary to verify compliance are the responsibility of the
Contractor.
6.23 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO
INFORM EMPLOYEES OF WHISTLERBLOWER RIGHTS.
6.23.1 The Parties agree that this Contract and employees working on this Contract will be
subject to the whistleblower rights and remedies in the pilot program on contractor
employee whistleblower protections established at 41 U.S.C. § 4712 by section 828 of the
National Defense Authorization Act for Fiscal Year 2013 (Pub. L. 112-239) and section
3.908 of the Federal Acquisition Regulation;
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CONTRACT #: 860-15-031
6.23.2 Contractor shall inform its employees in writing, in the predominant language of the
workforce, of employee whistleblower rights and protections under 41 U.S.C. § 4712, as
described in section 3.908 of the Federal Acquisition Regulation. Documentation of such
employee notification must be kept on file by Contractor and copies provided to County
upon request
6.23.3 Contractor shall insert the substance of this clause, including this paragraph (c), in all
subcontracts over the simplified acquisition threshold ($150,000 as of September 2013).
6.24 CERTIFICATION REGARDING DEBARMENT AND SUSPENSION
6.24.I_The undersigned (authorized official_siguing for the Contractor) certifies to the best of his
or her knowledge and belief, that the Contractor
6.21.1.1 is not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any Federal
Department or agency;
6.21.1.2 have not within 3-year period preceding this Contract been convicted of or
had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or
performing a public (Federal, State or local) transaction or contract under a
public transaction; violation of Federal or State antitrust statues or
commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property;
6.21.1.3 are not presently indicted or otherwise criminally or civilly charged by a
government entity (Federal, State or local) with commission of any of the
offenses enumerated in paragraph (2) of this certification; and
6.21.1.4 have not within a 3-year period preceding this Contract had one or more
public transaction (Federal, State or local) terminated for cause of default.
6.24.2 The Contractor agrees to include, without modification, this clause in all lower tier
covered transactions (i.e. transactions with subcontractors) and in all solicitations for
lower tier covered transactions related to this Contract.
6.25 GOVERNING LAW:
This Contract shall be governed by the laws of the state of Arizona. Venue for any actions or
lawsuits involving this Contract will be in Maricopa County Superior Court or in the United States
District Court for the District of Arizona, sitting in Phoenix, Arizona
6,26 ORDER OF PRECEDENCE:
In the event of a conflict in the provisions of this Contract and Contractor's license agreement, if
applicable, the terms of this Contract shall prevail.
6.27 AUDIT REQUIREMENTS
6.27.1 If the Contractor expends $500,000 or more from all contracts administered and/or
funded via County, and/or receives $500,000 or more per year from any federal funding
sources, the Contractor may be subject to Federal audit requirements per P.L. 98-502
"The Single Audit Act". The Contractor shall comply with OMB Circulars A-128, A-
110, and A-133 as applicable. The audit report shall be submitted to the Maxicopa
County Department of Public Health for review within the twelve months following the
close of the fiscal year. The Contractor shall take any necessary corrective action to
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CONTRACT #: 860-15-031
remedy any material weaknesses identified in the audit report within six months after the
release date of the report. Maricopa County may consider sanctions as described in OMB
Circular A-128 for contractors not in compliance with the audit requirements. All books
and records shall be maintained in accordance with Generally Accepted Accounting
Principles (GAAP).
6.27.2 The Contractor shall schedule an annual financial audit to be submitted to County for
review within twelve months following the close of the program's fiscal year. Contractor
understands that failure to meet this requirement may result in loss of current funding and
disqualification from consideration for future County-administered funding.
6.27.3 The Contractor shall comply with the requirement of the Federal Office of Management
and Budget (OMB) Circular A-133. The Contractor is responsible for having an audit
performed in accordance with, and when required, by OMB Circular A-133, and for
sending a copy of_the report issued as a results of the audit to the COUNTY within_3_0_
days of issmnce. The County reserves the right to engage an auditor, at the Contractor's
expense, to perform an OMB Circular A-133 audit of the Contractor in the event that the
Contractor shall fail to engage an auditor or the County shall reject or disapprove of the
auditor engaged by the Contractor.
6.27.4 The Contractor must also comply with the following OMB Circulars:
1.0 A-102 Uniform Administrative Requirements for Grants to State and Local
Government.
2.0 A-110 Uniform Administrative Requirements for Grants and Agreement with
Institutions of Higher Education, Hospitals and other non-profit organizations.
3.0 A-122 Cost Principles for Non-Profit Organizations.
4.0 A-87 Cost Principles for State and Local Governments.
5,0 A-21 Cost principles for Education Institutions.
6.28 INFLUENCE
As prescribed in MCI-1202 of the Maricopa County Procurement Code, any effort to influence an
employee or agent to breach the Maricopa County Ethical Code of Conduct or any ethical conduct,
may be grounds for Disbarment or Suspension under MC1-902.
An attempt to influence includes, but is not limited to:
6.28.1 A Person offering or providing a gratuity, gift, tip, present, donation, money,
entertainment or educational passes or tickets, or any type valuable contribution or
subsidy,
6.28.2 That is offered or given with the intent to influence a decision, obtain a contract, garner
favorable treatment, or gain favorable consideration of any kind.
If a Person attempts to influence any employee or agent of Maxicopa County, the Chief
Procurement Officer, or his designee, reserves the right to seek any remedy provided by the
Maricopa County Procurement Code, any remedy in equity or in the law, or any remedy provided
by this contract.
6.29 PUBLIC RECORDS:
All Offers submitted and opened are public records and must be retained by the Records Manager
at the Office of Procurement Services. Offers shall be open to public inspection after Contract
award and execution, except for such Offers deemed to be confidential by the Office of
Procurement Services. If an Offeror believes that information in its Offer should remain
confidential, it shall indicate as confidential, the specific information and submit a statement with
its offer detailing the reasons that the information should not be disclosed. Such reasons shall
include the specific harm or prejudice which may arise. The Records Manager of the Office of
Procurement Services shall determine whether the identified information is confidential pursuant
to the Maricopa County Procurement Code.
6.30 INCORPORATION OF DOCUMENTS:
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CONTRACT #: 860-15-031
The following are to be attached to and made part of this Contract;
6.30.1 Exhibit A, Pricing;
6.30.2 Exhibit B, Scope of Work
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CONTRACT #: 860-15-031
IN WITNESS WHEREOF, this Contract is executed on the date set forth above.
CONTRACTOR
AUTHORIZED SIGNATURE
PRINTED NAME AND TITLE
ADDRESS
DATE
MARICOPA COUNTY
CHAIRMAN, BOARD OF SUPERVISORS DATE
ATTESTED:
CLERK OF THE BOARD DATE
APPROVED AS TO FORM:
LEGAL COUNSEL DATE
Page 13 of 20
CONTRACT 4: 860-15-031
EXHIBIT A
PRICING SHEET
BIDDER NAME: Banner Poison and Drug Information Center
F.I.D.NENDOR #:
BIDDER ADDRESS: 901 E. Willetta Street, Phoenix, AZ 85006
BIDDER PHONE 4:602-839-3260_
BIDDER FAX #: 602-839-6243
COMPANY WEB SITE: www.bannerhealth.com/poisoncenter
COMPANY CONTACT (REP): Sharyn Welch
E-MAIL ADDRESS (REP): Sharymwelch@bannerhealth.com
PAYMENT IERMSTBIDDER IS REQUIRED TO SELECT ONE OF THE-FOLLOWING:
TERMS WILL BE CONSIDERED IN DETERMINING LOW BID.
FAILURE TO CHOOSE A TERM WILL RESULT IN A DEFAULT TO NET 30.
BIDDER MUST INITIAL THE SELECTION BELOW.
NET 10
NET 15
NET 20
NET 30 X
NET 45
NET 60
NET 90
2% 10 DAYS NET 30
I% 10 DAYS NET 30
2% 30 DAYS NET 31
I% 30 DAYS NET 31
5% 30 DAYS NET 31
COMPENSATION/FEES: RATE
PUBLIC HEALTH DISEASE/EMERGENCY REPORTING LINES (3) $100,000 per year
CONTINGENCY RATE FOR NURSES $ 62.00/per hour
CONTINGENCY RATE FOR MEDICAL DOCTORS $ 150.00/per hour
(As defined herein) (Please fill in)
Respondent's signature below indicates understanding and agreement to perform the services outlined in the Request
for Proposal indicated above for the total rates listed above.
Signature (REQUIRED) Date
Page 14 of 20
CONTRACT #: 860-15-031
EXHIBIT B
SCOPE OF WORK
Original Scope of Work from RFP:
2.1 24-Hour Public Health Emergency Reporting and Response Line
The purpose for this line of service is to provide 24/7 contact for MCDPH partners and stakeholders
reporting the occurrence of diseases of public health concern or emergency situations requiring a public
health response. Distribution of the phone number associated with this service is limited to selected
MCDPH partners and stakeholders. Hours of operations shall be 24-hours a day; seven (7) days a week.
2.1.1 On behalf of the County, the Contractor will staff and maintain a telephone reporting line
with live trained nurses to receive calls from community partners, healthcare providers
and the public to provide general county information and to accept disease and public
health emergency reports. These reports will be transmitted to the designated public
health staff via day or after-hour telephone numbers or fax as specified in the protocol.
The line will be staffed by at least one live trained nurse available to answer calls 24
hours a day, seven (7) days a week. The reporting line will not to be advertised to the
general public because it is primarily for community partners and healthcare providers.
However, calls from the public are acceptable. The reporting line may be published for
the public in a public health emergency.
2.1.2 County Will:
2.1.2.1 Provide a manual listing the general County information and after-hour
telephone numbers that is to be provided to the public and health care providers.
2.1.2.2 Provide telephone contact numbers to County public health personnel and
backup personnel to ensure the transfer of pre-identified reports or inquiries that
must be handled within 24 hours.
2.1.2.3 Provide a County 24-hour Reporting System Manual and applicable protocols.
2.1.2.4 Provide training to Contractor staff.
2.1.2.5 Provide materials relative to performance of services.
2.1.2.6 Provide a County contact name and number for questions and to confer as
necessary regarding information provided to the public.
2.1.2.7 Provide County personnel to confer with the Contractor at such times as may be
mutually agreed upon to evaluate the personnel answering service contract.
2.1.2.8 Prohibit the release for publication of any material relative to the performance of
this Contract without prior written approval by both parties.
2.1.2.9 Provide regular updates of activities that might generate calls for the reporting
line.
2.1.3 Contractor will:
2.1.3.1 Train all staff members who will be staffing line - so they know protocols and
where to locate appropriate resources.
2.1.3.2 Receive telephone calls from healthcare providers, first responders, laboratories,
other public health agencies, and community partners and the public 24-hours a
day, seven (7) days a week regarding disease reporting and public health
emergencies.
2.1.3.3 Provide telephone system and incoming lines based on the above scope of work.
2.1.3.4 Telephonically transfer pre-identified disease reports or Inquiries to
County designated personnel.
2.1.3.5 Maintain and provide a log documenting each call received, action taken, and
additional information as required (i.e. CDR, notification to appropriate
agency/party).
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CONTRACT #: 86045-031
2.1.3.6 Data reporting frequency: Each business day, submit copies of all
records documenting each report logged and calls received using the weed
upon method.
2.1.3.7 When available, electronically transmit to the County daily reports of all
calls received. Send staff to attend surveillance meetings as scheduled (two
times per month minimum); meetings and attendance included at no additional
cost to the County or Contractor.
2.1.3.8 Send staff to trainings as applicable to performance of contract
requirements; trainings and attendance included at no additional cost to the
County or Contractor.
2.2 24-Hour Public Information Line MIL)
The purpose for this line of service is provide a 24/7 contact number for various MCDPH community
partners and/or the general public to receive event or disease-specific information and guidance. Specific
tasks may include, but are not limited to, delivering questionnaires, surveys, or other information gathering
tools. Distribution of the phone number associated with this service may include a limited number of
community groups or the public at large, depending on the size and scope of the event. Hours of operations
shall be 24-hours a day; seven (7) days a week.
2.2.1 On behalf of the County, the Contractor will staff and maintain the PIL with trained
nurses. Contractor staff may receive calls from community partners such as schools,
daycare facilities and healthcare providers. Contractor staff may also receive and manage
calls from the general public during specific public health incidents.. Staffing will be
available to answer calls 24 hours a day, seven (7) days a week during designated special
event periods, natural or man-made emergencies or disaster occurrences, and exercises.
Call reports will be transmitted to the designated public health staff via day or after-hour
telephone numbers as appropriate.
2.2.2 On behalf of the County, the Contractor will provide trained nurses to deliver
questionnaires to the general public in response to community food or water-borne
outbreaks, infectious disease occurrences and other PH events when needed by the
Department.
2.2.3 On behalf of the County, the Contractor will provide trained nurses to communicate with
members of the health care community on an ad hoc basis by delivering a survey or other
information gathering tools.
2.2.4 County will;
2.2.4,1 Prior to releasing the Contractor telephone number for any outbreak-related
response, County will coordinate all details with the Contractor including
relevant fact sheets and information that should be released.
2.2.4.2 Provide training on disease control investigations.
2.2.4.3 Provide training to Contractor staff on any survey or outreach information
needed by the departinent including all survey material and relevant timelines.
2.2.4.4 Provide a County contact name and number for questions and to confer
necessary guidance regarding information provided to the public.
2.2.4.5 Prohibit the release for publication of any material relative to the performance of
this Contract without prior written approval by both parties.
2.2.5 Contractor will:
2.2.5,1 Have trained nurses available to the county 24 hours a day seven (7) days a
week to assist with responding to public health emergencies and/or outbreaks.
2.2.5.2 Provide telephone system and incoming lines based on the above scope of
work.
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CONTRACT #: 860-15-031
2.2.53 When needed, provide staff to conduct surveys among the healthcare
community.
2.2.5.4 When needed conduct outbreak surveys among the general public.
2.2.5.5 Maintain and provide a log documenting each call received or made, action
taken, and additional information as required by the protocol.
22.5.6 As needed, within two hours of a disaster event, make available sufficient staff
to manage telephone surge reports and information delivery.
2.2.5.7 When needed, respond to public inquiries regarding specific outbreaks such as
in a school or day care.
2.3 Pandemic or Disaster Triage and Treatment Line
The purpose for this line of service is to enable the Contractor to act as an agent of MCDPH for the
emergency telephone triage and treatment of Maricopa County Citizens affected by pandemics or disasters.
The anticipated setting for activation of this service includes diseases or exposures requiring immediate
receipt of life-saving medical interventions during events when access to care in traditional settings is
unavailable or severely limited. Hours of operations shall be 24-hours a day; seven (7) days a week.
2.3.1 County will:
2.3.1.1 Provide the medico-legal framework for performance of services by the
Contractor including requests for mission-specific language in state and local
emergency declarations, receiving guidance from state medical, nursing and
pharmacy boards and other licensing agencies, and engagement with the
Contractor and Maricopa County counsels to determine appropriate liability
protections for all parties.
2.3.1.2 Provide technical guidance for triage and treatment including, at a minimum:
clinical care information, event-specific algorithms, frequently asked questions,
patient information, and medication fact sheets.
2.3.1.3 Determine the mechanism for distribution of medical interventions at local
pharmacies and other county sponsored locations.
2.3.1.4 Provide support for expanded Contractor operations within the auspices of the
Incident Command such as security, public information messaging, facility
logistics, and ongoing situational awareness.
2.3.2 Contractor will:
2.3.2.1 Provide telephone system and incoming lines based on the above scope of
work.
2.3.2.2 Have trained nurses and staff including Medical Doctors, available to the
county 24 hours a day seven (7) days a week to assist with administering triage
and treatment protocols.
2.3.2.3 Utilize only MCDPH approved materials and algorithms for MCDPH specific
events/activities.
2.3.2.4 Maintain and provide a log documenting each call received or made, action
taken, and additional information as required by the protocol.
2.3.2.5 Within four hours of request for activation, make available sufficient staff to
manage triage and treatment protocols.
2.4 Performance of Services Above Contractor Capacity
Some emergency events may dictate a significant increase in call volume beyond the normal capacity of the
Contractor to perform the services as outlined in the SOW. If this should occur, MCDPH may approve a
Contingent Rate of Pay to offset the increase in staffing required to fulfill the SOW. Compensation above
the Standard Rate will only be authorized when:
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CONTRACT #: 860-15-031
I. Staffing levels for services required by MCDPH exceed the Contractors baseline capacity;
and
2. Are pre-approved by MCDPH.
2.5 COMPENSATION:
Compensation/Rate of Pay
All rates are subject to availability of grant funds.
Standard Rate: an annual not to exceed rate of $100,000 shall be paid at a monthly prorated not to
exceed amount of $8,333.33.
Contingency Rate: a contingency rate of $xxxx/hour per nurse staff and $xx.xx/hour per medical
doctor may be paid if events dictate a need for additional staff beyond that of the Contractors
baseline capacity and are pre-approved by MCDPH. Contractors are to submit what their
requested contingency rate is on the Pricing Sheet (Attachment A).
2.6 PAYMENT SCHEDULE:
Contractor will submit invoices by the 15 th of each month. Each invoice must be accompanied by
a log of the number of calls received each day and/or tasks completed on behalf of MCDPH.
Personal identifying information should not be documented or included with the log or list.
• Submit Monthly invoice for services by hard copy or electronically. Electronic submissions
may be sent to OPR@mail.maricopa.gov .
• On-Call Contingency Rate: Submit separate invoices to MCDPH by hard copy or
electronically identifying the type of staff and the number of hours during the period covered.
Supporting documentation, such as time sheets, may be requested.
2.7 Send all invoices to the following address:
MAR1COPA COUNTY DEPTARTMENT OF PUBLIC HEALTH
OFFICE OF PREPAREDNESS & RESPONSE SUITE 600
4041 N CENTRAL AVE
PHOENIX AZ 85012
2.8 Submit and address all invoice inquiries to the OPR Program Accountant at:
Phone: 602-372-2691/Fax: 602-372-2656;
Email: OPR@mail.maricopa.gov
Contractor's Response:
3.20.1 Proposal
24-Hour Public Health Emergency Reporting and Response Line
The BPC currently has a separate line and an established phone number in place dedicated for service for
24/7 contact with MCDPH partners and stakeholders reporting the occurrence of diseases of public health
concern or emergency situations requiring a public health response. The BPC hours of operation for this
line shall remain 24-hours a day; seven (7) days a week. The BPC will continue to provide at least one live
trained nurse available to answer calls 24 hours a day, seven (7) days a week. The BPC Educator and
Clinical Manager, serves as our MCDPH Liaison, will continue to train all staff members who will be
operating the line-so they remain current with protocols, guidelines, policies and appropriate resources.
Live nurses will continue to receive telephone calls from healthcare providers, first responders,
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CONTRACT #: 86015-031
laboratories, other public health agencies, and community partners and the public 24-hours a day, seven (7)
days a week regarding disease reporting and public health emergencies. The BPC will utilize the current
telephone system and designate separate Public Health Emergency Reporting and Response Line based on
the defined scope of work. Nurses will telephonically transfer pre-identified disease reports or inquiries to
County designated personnel following provided guidelines. Staff will maintain and provide a log
documenting each call received, action taken, and additional information as required (i.e. CDR, notification
to appropriate agency/party). The BPC will report data daily by submitting copies of all
records documenting each report logged and calls received by electronically faxing cases to the given
MCDPH designation. BPC RN Manager will attend surveillance meetings as scheduled (two times per
month minimum) and provide staff for training as applicable to performance of contract requirements.
24-Hour Public Information Line (PIL)
BPC will staff and maintain PM with live trained nurses acting on behalf of the County 24 hours a day
seven (7) days a week to assist with responding to public health emergencies and/or outbreaks. BPC
utilizing the current telephone system; currently has a separate PIL line in place which is designated to
receive calls from the public and MCDPH community stakeholders on a defined scope of work. When
needed, BPC will provide trained nurses to deliver questionnaires to the general public in response to
community food or water born outbreaks, infectious disease occurrences and other Public Health events.
EPC will provide trained nurses to assist with delivering surveys or other information gathering tools when
needed.
The BPC will continue to maintain and provide a log documenting each call received or made, action
taken, and additional information as required by the protocol. The current remote capabilities of the BPC
allow staff to respond within two hours of a disaster event, and make available sufficient staff to manage
telephone surge reports and information delivery. Nurses will continue to respond to public inquiries
regarding specific outbreaks such as in a school or day care as information is provided by the County.
The BPC will continue to maintain a separate line of service for emergency telephone triage and treatment
of Maricopa County Citizens affected by pandemics or disasters. Trained nurses and staff, including
Medical Doctors, are available to the 13PC and county 24 hours a day seven (7) days a week to assist with
administering triage and treatment protocols. Staff will utilize only MCDPH approved materials and
algorithms for MCDPH specific events/activities. Nurses will maintain and provide a log documenting each
call received or made, action taken, and additional information as required by current guidelines. The BPC
currently has a disaster plan in place to make sufficient staff available within two hours of request of
activation, to assist with managing telephone surge and information delivery. BPC staff will respond to
general public inquiries regarding specific outbreaks such as might occur in schools or daycare centers.
Pandemic or Disaster Triage and Treatment Line
BPC currently utilizes an Automated Call Distribution (ACD) system that has Interactive Voice Response
(IVA) capabilities with nine available lines in addition to our poison center lines. An ACD system allows
for callers to be held in a que until the next available nurse can answer the next incoming call. Que
capacity is determined by the number of ports the system has. 13PC currently has 8 ports with the ability to
add an additional 16 ports if needed.
Currently three lines are dedicated to MCDPH for health care providers calling to report disease; public
health information line dedicated for residents of Maricopa County to provide telephone triage and
treatment on behalf of MCDPH and a line dedicated for emergency telephone triage, and treatment for
Maricopa County residents if needed for an emergency public health event. October, 2014, Banner Poison
Center in collaboration with MCDPH officials saw a potential need for an Ebola Virus Disease Public
Information Line to assist with questions and concerns from the Maricop a County community; this line is
still currently active.
The above lines have trained nurses available to the county 24 hours a day seven (7) days a week to assist
with responding to public health emergencies and/or outbreaks. On-call physician back is available to
Poison Center nurses 24 hours a day seven (/) days a week. BPC Medical Director and other physicians are
available to assist MCDPH with administering triage, developing treatment protocols and assist with
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CONTRACT #: 860-15-031
coordination of patient care and follow-up through our parent health care system or other health care
systems throughout Maricopa County.
BPC will continue to maintain and provide a log documenting each call received or made, action taken, and
additional information as required by the protocol. The current remote capabilities of the BPC allow staff to
respond within two hours of a disaster event, and make available sufficient staff to manage telephone surge
reports and information delivery. Nurses will continue to respond to public inquiries regarding specific
outbreaks such as in a school or day care as information is provided by the County. Medical Director for
BPC is available to assist with disaster protocol development and community debriefing.
BPC assisted MCDPH and local health care providers during the 2009-2010 H1N1 influenza pandemic
when MCDPH was experiencing a surge in telephone calls from local health care providers. Staffing was
easily increased by 2.0 FTEs to assist managing incoming calls._During a two week time frame an
additional 50 calls per day were seen. BPC saw an opportunity to participate in a national pandemic pilot
project and is currently in its second year. This pilot involves a select number of poison control centers
across the United States working in collaboration between the Centers for Disease Control (CDC),
American Association of Poison Control Centers (AAPCC), Association of State and Territorial Health
Organization (ASTHO), National Association of County and City Health Officials (NACCHO) and United
Way Worldwide 211. This pilot project is known as Flu on CaI1TM in which the objective is to establish a
national response network capable of supporting the country during a severe influenza pandemic-
(Attachment 5). BPC can play an important role in assisting with a local influenza pandemic or other
public health event/disaster utilizing MCDPH approved protocols for these events. Additional RN staffing
needs for a public health event would be assisted by Banner Staffing Services (BS S) and Paramedic
students from Arizona Academy of Emergency Services (AAES) to assist with staffing for surge on phone
BPC currently has 33 work stations available, both on-site and remote, with plans to continue to add
more remote workstations before the end of 2015.
BPC has similar experiences with assisting with other health events in Maxicopa County which have
included hepatitis, E-coli outbreaks, wildfires, mercury spills and West Nile Virus. BPCC has assisted in
hospital preparedness drills and also with disaster planning exercises with MCDPH with the most recent
being the Super Bowl in February 2015.
BPC staff is fully capable to assist with emergency events that may cause an increase in call volumes
beyond what our normal capacity is. We have been preparing for these types of events with the Flu on
CallTM pilot which calls for our call center to be able to increase staffing and manage up to 250% of normal
call volumes. We have included a copy of our Year one Pilot Operations Plan for Flu on Ca1ITM Report--
(Attachment E).
Quality Assurance and Staff Training
Quality assurance is carried out hi-weekly by Management staff which include reviewing all calls received
on lines designated for MCDPH; all reports reviewed; reports logged weekly and random case reviews of
call recordings done. If a particular issue is noted further education will be given to staff by Clinical
Manager or RN Clinical Educator.
All training for RNs answering calls for MCDPH is given during orientation by Clinical Manager and RN
Clinical Educator; DRL and PIL is part of staff's annual competencies. BPC has also had staff from
MCDPH come on-site and give staff in-services on a variety of public health topics.
3.20.2 Proposal Exceptions-None
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