PA SUSD IMMUNIZ SUSD FINAL FOR SIGNING.PDF

Maricopa County — Formal (2020-12-09)

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PARTNERSHIP AGREEMENT 
between 
MARICOPA COUNTY 
by and through the 
DEPARTMENT OF PUBLIC HEALTH 
And SCOTTSDALE UNIFIED SCHOOL DISTRICT 
Background 
 
These rather unusual times necessitate a pre-emptive and creative effort with rural and urban communities 
to ensure students are vaccinated and ready for when school resumes. Due to recent events, COVID-19, 
there has been a significant decrease nationally in children receiving their recommended childhood 
vaccines. The collaboration between Maricopa County Department of Public Health (MCDPH) and the 
school districts or school organizations will assist families in accessing necessary childhood vaccines in 
order to attend school and prevent vaccine preventable diseases. Although we encourage parents and 
guardians to contact their child’s pediatrician to schedule well visits and needed vaccines, we know this 
may not be easily attainable. 
 
Federal Vaccine funding changes will affect the way that immunizations are provided in the public sector. 
County Health Departments and all public VFC (Vaccines for Children) providers, such as several fire 
departments, school programs, and other public clinics may no longer use public vaccine for privately 
insured children.  Privately insured children may fall through the cracks if turned away by private 
providers and sent to county health departments or other public providers only to be bounced back to 
private practice.  To assure that children receive the needed vaccines to attend school Maricopa County 
Department of Public Health wishes to enter into an agreement with the school district/organization to 
provide vaccines to children who are eligible for Vaccine for Children vaccines and to children who have 
private insurance with a plan that is contracted with Maricopa County Department of Public Health.  
This AGREEMENT is hereby made and entered into by Maricopa County through the MCDPH and the                
Scottsdale Unified School District, hereinafter referred to as Partner. This agreement will be effective the 
20/21 school year. 
A. 
PURPOSE 
The purpose of this Agreement is to develop a framework of cooperation between MCDPH and 
Partner to provide childhood and the seasonal influenza vaccines to students who are uninsured, 
underinsured, or insured and the seasonal influenza vaccine for adults who are uninsured, 
underinsured, or insured.   
B. 
STATEMENT OF MUTUAL BENEFIT AND INTERESTS   
The mutual benefit for both parties is to assure eligible children receive age appropriate 
immunization to prevent the spread of vaccine preventable diseases.  
C. 
MCDPH SHALL:   
1. Maintain COVID-19 precautions as set forth by the CDC recommendations and State of 
Arizona  
2. Supply MCDPH nurses, staff and volunteers for the event 
3. Coordinate event with Partner’s person of contact (POC) 
4. Provide Partner with flyers and language, in English and Spanish, to assist them with their 
school community outreach

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5. Supply all vaccine, supplies and paperwork 
6. Enter all client consent forms into the Arizona State Immunization Information System 
(ASIIS) 
7. Bill all AHCCCS and privately insured clients for whom Maricopa County has been 
contracted. 
8. Screen and document all patients for the appropriate VFC categories, as follows: 
a. Native American or Alaskan Native 
b. Enrolled in the Arizona Health Care Cost Containment System (AHCCCS) 
c. Has no health insurance 
d. Has health insurance that does not pay for vaccines 
e. Has health insurance that pays for vaccines 
9. For children enrolled in AHCCCS and that have health insurance that pays for vaccines, a 
copy of the health insurance card must be copied, the front and the back, and attached to the 
Immunization Consent Form (Attachment A).  All client’s insurance status must be verified 
using the supplied web portal. 
10. Screen all patients for each vaccine using the guidelines set by the Center for Disease 
Control’s (“CDC”) Advisory Committee on Immunization Practices (ACIP). 
11. Administer all vaccines based on the ACIP guidelines. 
12. Comply with the appropriate immunization schedule, dosage and contraindications 
established by the ACIP unless: (a) in the medical judgment and in accordance with accepted 
medical practice, the provider deems such compliance to be medically inappropriate; or (b) 
the particular requirements contradict the laws in Arizona pertaining to religious or other 
exemptions. 
13. Administer VFC vaccine to children in the following categories: 
a. Native American or Alaskan Native; or  
b. Enrolled in the Arizona Health Care Cost Containment System (AHCCCS); or 
c. Has no health insurance; or 
d. Has health insurance that does not pay for vaccines. 
14. Administer MCDPH purchased vaccine to children in the following categories: 
a. Has health insurance that pays for vaccines; or 
b. Has commercial health insurance that is contracted with Maricopa County. 
15. Distribute current Vaccine Information Statements (VIS). 
16. Report all clinically significant adverse events to the United States Department of Health and 
Human Services Vaccine Adverse Event Reporting System and MCDPH Immunization 
Program. 
17. Not impose a charge for the cost of the VFC vaccine. MCDPH will not hold party responsible 
for denied PPV claims. 
18. Comply with all applicable laws, including but not limited to Arizona Immunization statutes 
and rules regarding childcare and school immunizations. 
 
D. 
PARTNER SHALL:  
1. Provide location on a school campus or district/organization office adequate to maintain 
COVID-19 precautions. 
2. Provide electric and air-conditioning accessibility. 
3. Provide tables and chairs for the events  
4. Provide at least one staff member who can represent their organization. 
5. Conduct school community outreach for the purpose of the events.      
E. 
IT IS MUTUALLY UNDERSTOOD AND AGREED BY AND BETWEEN THE PARTIES 
THAT:  
 
 
1.        MODIFICATION OR AMENDMENT

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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. 
  
2. 
TERM & TERMINATION 
 
The term of this Agreement becomes effective on the date both parties have signed and 
automatically renews annually from this date, unless terminated pursuant to this Paragraph 
2. Either party may terminate this Agreement at any time by giving 90 days written notice 
to the other party. 
 
3. 
APPLICABLE LAW 
This Agreement shall be governed by and construed in accordance with the laws of the 
State of Arizona. 
4. 
CANCELLATION   
This Agreement is subject to cancellation pursuant to the terms of A.R.S. §38-511. 
 
5. 
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 the Partner 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.   
 
5.  
NON-DISCRIMINATION 
Both parties shall comply with Executive Order 75-5 as modified by Executive Order 2009-
09, which mandates that all persons regardless of race, color, religion, sex, age, national 
origin or political affiliation, shall have equal access to employment opportunities, and all 
other applicable State and Federal employment laws, rules and regulations, including the 
Americans with Disabilities Act.  All parties shall take affirmative action to ensure that 
applicants for employment and employees are not discriminated against due to race, creed, 
color, religion, sex, national origin or disability.  
 
6. 
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. 
 
7.  
PARTICIPATION IN SIMILAR ACTIVITIES 
 
This agreement in no way restricts MCDPH or Partner from participating in similar 
 
activities with other public or private agencies, organizations, and individuals. 
 
8.  
NON-LIABILITY 
 
Neither MCDPH, Partner, 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. 
   
 
9. 
INSURANCE   
MCDPH 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. 
 
Partner 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.

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rating of A- VII or better.  In the alternative, Partner may submit required coverage under 
a self-insured program.  At the signing of this Agreement, Partner shall furnish MCDPH 
with Certificates of Insurance or Self-Insurance evidencing the required coverage 
conditions and limits required by this Agreement. 
 
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 MCDPH. 
 
10.1. 
Commercial General Liability insurance with a limit of not less than $2,000,000 
per occurrence and $4,000,000 aggregate 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; 
 
10.2. 
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 owned, hired, 
and non-owned vehicles; 
 
10.3. 
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 
 
10.  
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. 
 
11.  
PRINCIPAL CONTACTS 
 
The principal contacts for this agreement are: 
 
 
Maricopa County Department of Public Health:   
 
Immunization Program 
4041 N Central Avenue, Suite 600 
Phoenix, AZ 85012 
Phone:   602-506-8365 
FAX:  602-506-5506 
 
And: 
Grants/Contracts Unit 
 
4041 N. Central Avenue, Suite 1400 
Phoenix, AZ 85012 
Phone: 602-372-0674 
 
FAX:  602-506-6885 
 
 
 
Scottsdale Unified School District:  
 
 
8500 E. Jackrabbit Road 
Scottsdale, AZ 85250 
480-484-6100 – phone 
480-484-6237 – fax 
Attn:  Leslie Sharp, Lead Nurse 
 
 
 
Michelle Marshall, General Counsel

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FOR MARICOPA COUNTY  
 
 
 
FOR PARTNER: 
 
___________________________________ 
 
 
_______________________________ 
Clint Hickman, Chairman                 Date 
Board of Supervisors 
 
 
APPROVED AS TO FORM: 
 
___________________________________ 
County Attorney                                Date 
 
ATTEST: 
 
 
___________________________________ 
Office of the Clerk of the Board       Date 
 
 
 
 
 
Received by Grants/Contracts Unit:  
 
 
       
 
 
Name:   
 
 
 
 
 
    Date: