HomeMy WebLinkAboutMINUTES - 08081995 - C48 To: BOARD OF SUPERVISORS (�`
FROM:' 1 Mark Finucane, Health Services Director Contra
10 Costa
DATE: July 27, 1995 County
SUBJECT: Approve Standard Agreement #29-392-6 with the State
Emergency Medical Services Authority
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chair, Board of Supervisors, to execute
on behalf of the County, a Statement of Compliance, the required
Drug-Free Workplace Certification and Standard Agreement #29-392-6
(State #EMS-4043) with the State Emergency Medical Services
Authority, in the amount of $80, 000, for the period June 25, 1995
through June 24, 1996 for the Regional Medical Disaster Planning
Project.
II. FINANCIAL IMPACT:
Approval of this agreement by the State will result in $80, 000 of
State funding for the Regional Medical Disaster Planning Project.
No County funds are required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On January 10, 1995, the Board of Supervisors approved State
Standard Agreement #29-392-5 for the Regional Medical Disaster
Planning Project. Standard Agreement #29-392-6 continues State
funding for Medical Disaster Planning Project services through
June 24, 1996, and allows staff to enhance the County' s disaster
preparedness by improving coordination between Counties, cities,
hospitals, Emergency Medical Services and the State Emergency
Medical Services Authority, in the event of an earthquake or other
disaster.
The Board Chair should sign nine copies of the agreement. Eight
signed copies of the agreement and three sealed/certified copies of
this Board Order should be returned to the Contracts and Grants
Unit for submission to the State Emergency Medical Services
Authority.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
i
ACTION OF BOARD ONAPPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
_ZUNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
Contact: Art Lathrop (646-4690) _
CC: Health Services (Contracts) ATTESTED `J
State EMS Authority Phil Batchelor, Jerk of the lioard of
SupenrisQts gad GwIty Administrates
M382/7-63 BY DEPUTY
STATE OF CALIFORNIA
STANDARD AGREEMENT—' APPROVED BY THE
ATTORNEY GENERAL CONTRACT NUMBER AM.NO.
STO.2(REV.S91)
EMS-4043
25 June 95 TAXPAYERS FEDERAL EMPLOYER IDENTIFICATp" W°MeE;
THIS AGREEMENT,made and entered into this day of
in the State of California,by and between State of California,through its duly elected or appointed,qualified and acting
TITLE OF OFFICER ING FOR STATE AGENCY
birector Emergency Medical Services Authority
hereafter called the State,and
CONTRACTOR'S NAME
Contra Costa County EMS Agency 29 w392 - 6 ,hereafter called the Contractor.
WITNESSETH: That the Contractor for and in consideration of the covenants,conditions,agreements,and stipulations of the State hereinafter expressed,
does hereby agree to furnish to the State services and materials as follows: (Set forth service to be rendered by Contractor,amount to be paid Contractor,
time for performance or completion,and attach plans and specifications,if any.)
1. The Contractor shall complete the objectives as identified in the Section entitled
"Objectives." These are made a part of this agreement by this reference.
2. The period of this Agreement shall be from June 25, 1995 through June 30, 1996.
3. The total amount payable by the State to the Contractor shall not exceed $80,000.
4. The attachment entitled "Budget" is made a part of this Agreement by this reference.
CONTINUED ON SHEETS,EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER.
The provisions on the reverse side hereof constitute a part of this agreement.
IN WITNESS WHEREOF,this agreement has been executed by the parties hereto,upon the date fust above written.
STATE OF CALIFORNIA CONTRACTOR
AGENCY Emergency Medical Services Authority CONTRACTOR(tf oe w N+an an rndmdua(state wheow a wfpard)on•Partnership,ete.)
BY(AUTHORIZED S! TURF) BY(AUTHOR SIGNAPURE)
D
PRINTED NAME Q jq+ gVlorales, M.D. PRI T NAME D TITLE OF PERSONS YYG
Chair, Board of Supervisors
TITLE Director ADDRESS
651 Pine Street, Martinez CA 94553
AMOUNT ENCUMBERED BY THIS PAOGAAMiCATEGORY(ADE AND TOE) � FUND TITLE Federal Department of General Services
DOCUMENT
$ 80,000 Use only
(OPT USE) ..�
PRIOR AMOUNT ENCUMBERED FOR a�I
THIS CONTRACT Nt/�� ✓✓✓VVV
$ ITEM 4120-101-890 E sTATiITFn4 I "S` m
TOTAL AMOUNT ENCUMBERED TO 1��
DATE OBJECT TITLE)
0010-702-50000
$
$
!hereby Cetify upon my own personal knowledge that budgeted funds T.B.A.NO. B.R.NO,
are avar7able for the period and purpose of the expenditure stated above.
SIGNATURE Of NTNq OFFICER DATE
CONTRACTOR STATE AGENCY DEPT.OF GEN.SER, a CONTROLLER
i
5. The Contractor may make changes in any individual line item in the budget without,
prior authorization, provided that such changes in the aggregate as to any tine item
shall not exceed $2,000. If changes exceed $2,000, the Contractor must submit an
explanation of the need for' such excess and specifically identify the line item(s) to be
reduced in order to increase the excess line item(s) and provided further that the State
reserves the right to deny any such claim for any excess reimbursement on any item.
It is further understood that in no event shall the maximum amount specified in
Paragraph 3 of this Agreement be exceeded.
6. In consideration of duties performed in a manner acceptable to the State, the State
shall reimburse the Contractor, upon submission of an invoice, stating the time period
covered and the contract number, for actual expenditures in accordance with the
Budget (as shown at Exhibit F) to: State EMS Authority, 1930 Ninth Street, Suite
100, Sacramento, CA 95814.
7. Pursuant to the Public Health Services Act, Title XIX Part A, Section 1905(c)(6), with
respect to the activities to be supported by this grant, the local EMS agency agrees to
maintain local expenditures for those activities at a level that is not less than the
average level of such expenditures maintained by the local EMS agency for those
activities for the 2-year period preceding the fiscal year for which the local agency is
applying to receive payments.
8. Pursuant to Health and Safety Code Section 1797.11.0, the State may pay up to twenty-
five percent (25%) of the total amount payable under this Agreement in advance upon
request of the Contractor. This advance payment will appear as a credit to the
contracting agency's account, and costs incurred by the contracting agency will be
deducted from the credit until the advance funds are exhausted or the contract period
expires. In the event there is a credit surplus at the end of the term of this Agreement,
or in the event there is a credit surplus and the Agreement is canceled by either party,
the Contractor will reimburse the credit to the State.
% The content and language of State Standard Form 17A (Nondiscrimination Clause), as
shown at Exhibit A, is adopted and is fully effective for all operations and services
called for in performance of this contract.
10. The content and language of State Standard Form 19 (Nondiscrimination Compliance
Statement), as shown at Exhibit B, is adopted and is fully effective for all operations
and services called for in performance of this Agreement.
11. The content and language of State Standard Form 21 (Drug-Free Workplace
Certification), as shown at Exhibit C, is adopted and is fully effective for all
operations and services called for in performance of this Agreement.
12. Exhibit D entitled "Federal Contract Funds" is made a part of this agreement by this
reference.
Standard Agreement
Page 2
13. The Contractor agrees to abide with the following policies and procedures:
A. The Contractor shall allow the EMS Authority, or its duly authorized
representatives, (a) to inspect or otherwise evaluate the quality, -appropriateness,
and timeliness of services performed under this Agreement, (b) to inspect,
evaluate, and audit any and all books and records maintained by Contractor or
any subcontractor pertaining to such services at any time during normal
'business hours. Books and records shall include, but are not limited to, all
physical records originated or prepared pursuant to performance under this
Agreement including working papers, reports, financial records, and books of
account. Upon request, at any time during the period of this Agreement, the
Contractor shall furnish any such records, or copies thereof, to the State EMS
Authority. Any reproduction costs which result from such a request will be
paid by the Contractor.
B. The Contractor shall prepare and maintain such books and records as may be
necessary to disclose the manner in which it discharged its obligations under
this Agreement. These books and records shall include records of employee
time devoted to work under this Agreement, the amount of payment made for
that time, the services performed by subcontractors, and the manner and
amount of payment made for those services.
Such books and records shall include, but are not limited to, all physical
records originated or prepared pursuant to the performance under this
Agreement, including working papers and financial records. These.books and
records shall be maintained for a minimum of three (3) years from the
termination date of this Agreement, or in the event the Contractor has been
duly notified that the EMS Authority has commenced an audit or investigation
of the Agreement, or such time as the matter has been resolved, whichever is
later.
C. All subcontracts entered into by the Contractor to carry out the terms of this
Agreement shall be in writing and contain all of the following:
1. Full disclosure of the method and amount of compensation or other
consideration to be received by the subcontractor from the Contractor;
2. specification of the services to be provided;
3. a statement that the subcontract shall be governed by and construed in
accordance with all laws, regulations, and contractual obligations
binding on the Contractor;
4. subcontractor's agreement to submit reports as required by the
Contractor; and,
S. the provisions of Exhibit A, 8,C, and D of this Agreement.
Standard Agreement
Page 3
14. Subcontracts over $10,000 must contain language stating that they meet the
requirements of Public Contracts Code Sections 10115 et seq. This section requires
state contracts to have participation goals of not less than 15 percent for minority
business enterprises and not less than °5 percent for women business enterprises.
15. A subcontract entered into shall not become effective until it has been approved by the
EMS Authority in writing, unless the State has acknowledged receipt of the proposed
subcontract and has failed to approve or disapprove the proposed subcontract within
thirty (30) days of receipt. Subcontract amendments shall be submitted to the EMS
Authority for prior approval at least forty-five (45) days before the effective date of
any proposed changes. Any such amendment'shall become effective unless the EMS
Authority expressly disapproves in writing such amendment and written notice thereof
is received by the Contractor within said 45-day period.
16, Subcontracts entered into by the Contractor pursuant to this Agreement and all
information received in accordance with this section shall be public records on file
with the EMS Authority.
17. The Contractor shall secure the agreement of any subcontractor to make all of its
books and records, pertaining to the goods and services furnished under the terms of
the subcontract, available for inspection, examination or copying by State, as follows:
at all reasonable times at the subcontractor's place of business, or at such other
mutually agreeable location in California; in a form maintained in accordance with the
general standards applicable to such books or record keeping; and for a term of at least
three (3) years following the close of the calendar year in which the subcontract was
terminated. Further, any agreement with a subcontractor shall also contain:
subcontractor's agreement that assignments or delegation of the contract shall be void
unless prior written approval is obtained by Contractor from the EMS Authority;
subcontractor's agreement to maintain and make available to the EMS Authority upon
request, copies of all written subcontracts and make applicable items 13-C-1 through
13-C-5, hereinabove to its subcontractors; and subcontractor's agreement to hold
harmless State in the event Contractor will not pay for services performed by the
subcontractor pursuant to the subcontract.
18. The Contractor agrees to abide by all policies and procedures as stated in the "Funding
of Emergency Medical Services Agencies With Federal Block Grants" (January 1995,
SMSA #105).
19. The Contractor or subcontractors shall not be authorized to copyright any documents
related to this project without written approval of the Director of the EMS Authority.
20. Publication rights to any documents produced as a result of this Agreement are
reserved to the EMS Authority.
Standard Agreement
Page 4
21. All materials and information collected or prepared under this Agreement shall become
the joint property of the EMS Authority and the Contractor. The EMS Authority shall
have access to information collected as a result of this Agreement.
22. Any printed materials or videos developed for distribution with grant money awarded
by the EMS Authority must include the following statement: "Funding provided by
the State of California Emergency Medical Services (EMS) Authority under Special
Project Grant #EMS-2028."
23. No equipment may be purchased by the Contractor for this project without prior
approval from the EMS Authority. All equipment purchased with funds received
through this contract will become the property of the State of California.
24. This Agreement may be terminated at any time for breach and the EMS Authority may
terminate unilaterally and without cause upon thirty (30) working days written notice
to the Contractor. All work performed pursuant to the Agreement and prior to the date
of termination may be claimed for reimbursement.
25. The Contractor shall not assign or transfer interest in this Agreement without the prior
written consent of the EMS Authority.
26. This Agreement may be canceled at any time by either party, by giving thirty (30)
days advance written notice to the other party.
27. The Contractor agrees that, in the interest of enhancing public participation and
knowledge, meetings of it's governing authority will be open to the public. Meetings
which deal with legal or personnel matters shall be exempt. Notice of each public
meeting shall be in accordance with Government Code Sections 54950 through 54961.
28. The Contractor agrees to maintain a mailing list of interested individuals and
organization.contacts. If there is a reduction in federal funds supporting the program
under which this Agreement is financed, the Contractor agrees to inform these
individuals and organization contacts of the funding reduction.
29. In addition to the final project report required in Section II of the "Funding of
Emergency Medical Services Agencies With Federal Block Grants," the Contractor
shall, within sixty days following the end of the contract period, submit to the,EMS
Authority, a Project Abstract Report. This separate report shall be 10 to 15 pages,
double spaced and submitted on an IBM compatible computer disc (WordPerfect
format preferred). This document shall be suitable for reprint/publication for
distribution to all appropriate EMS constituents. This report shall include all of the
.following sections: Introduction, Project Description; Tasks/Methodology; General
Discussion; Results and; Conclusions.
NONDISCRIMINATION CLAUSE (OCP-1) Exhibit A
STD.17A(REV.2-471
1. During the performance of this contract,contractor and its subcontractors shall not unlawfully discriminate,
harass or allow harassment, against any employee or applicant for employment because of sex,race,color,
ancestry, religious creed,national origin,physical disability('including HIV and AIDS),trental disability,
medical condition (cancer), age (over 40),marital status, and denial of family care leave. Contractors and
subcontractors shall insure that the evaluation and treatment of their employees and applicants for
employment are free from such discrimination and harassment_Contractor and subcontractors shall comply
with the provisions of the Fair Employment and Housing Act(Government Code,Section 12900 et seq.)and
the applicable regulations promulgated thereunder(California Code of Regulations,Title 2,Section 7285.0
et seq.). The applicable regulations of the Fair Employment and Housing Commission implementing
Government Code,Section 12990(a-f),set forth in Chapter 5 of Division 4 of Title 2 of the California Code
of Regulations are incorporated into this contract by reference and made a part hereof as if set forth in full.
Contractor and its subcontractors shall give written notice of their obligations under this clause to labor
organizations with which they have a collective bargaining or other agreement.
2. This contractor shall include the nondiscrimination and compliance provisions of this clause in all
subcontracts to perform work under the contract.
NVIVu)JVr 11V11NA 11UN UVMNL1ANIt t: J I A I LMLN 1 Exhibit B
STD.19(REV.391)
CCMPANY NAME
The company named above (hereinafter referred to as "prospective contractor") hereby certifies,
unless specifically exempted, compliance with Government Code Section 12990 and California
Code of Regulations, Title 2, Division 4, Chapter 5 in matters relating to the development,
implementation and maintenance of a nondiscrimination program_ Prospective contractor agrees
not to unlawfully discriminate against any employee or applicant for employment because of race,
religion, color, national origin, ancestry, physical handicap, medical condition (cancer related),
marital status, sex or age (over forty).
CEATIFCATION
I, the official named below, hereby swear that I am duly authorized to legally bind the prospecti,:e
contractor to the above described certification.I am fully aware that this certification,executed on
the date and in the county below, is made under penalty of perjury under the laws of the State of
California.
OFF➢C:ALS NAME
DATE EXECUTED EXECUTED IN rHE COUNTY Or
PROSPECT NTAACTORS SANATURE
PROSPECTIVE CCNTRACTOR'S TITLE U
PROSPECTIVE CONTRACTCR'S FEDERAL EMPLOYER ICENTIFiCATICN NUMaER
SM.21(NEW 11.90 Exhibit C
COMP",Y/ORGANIZ1TJCN NAME
The contractor or grant recipient named above hereby certifies compliance with Government Code
Section 8355 in matters relating to providing a drug-free workplace. The above named contractor or
grant recipient will:
1. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation,
possession,or use of a controlled substance is prohibited and specifying actions to be taken against
employees for violations, as required by Government Code Section 8355(a).
2. Establish a Drug-Free Awareness Program as required by Government Code Section 8355(b), to
inform employees about all of the following.
(a) The dangers of drug abuse in the workplace,
(b) The person's or organization's policy of maintaining a drug-free workplace,
(c) Any available counseling,rehabilitation and employee assistance programs,and
,'(d) Penalties that may be imposed upon employees for drug abuse violations.
3. Provide as required by Government Code Section 8355(c),that every employee who works on the
proposed contract or grant.
(a) Will receive a copy of the company's drug-free policy statement,and
(b) Will agree to abide by the terms of the company's statement as a condition of employment on
the contract or grant.
CERTIFICATION
I, the official named below,hereby swear that I am duly authorized legally to bind the contractor or
grant recipient to the above described certification.I am fully aware that this certification,executed on
the date and in the county below, is made under penalty of perjury under the laws of the State of
California.
OFFiCtAL:S NAME
DATE EXECUTED EXECUTED IN THE COUNTY OF
CONTRA .CR or GRANT REO' IENT SIGNATL Re
Ti
FEDERAL LD.NUMBER
91 SOM3
Exhibit D
FEDERAL CONTRACT FUNDS
1. It is mutually understood between the parties that this contract may have been written
before ascertaining the availability of congressional appropriation of funds for the
mutual benefit of both parties in order to avoid program and fiscal delays which
would occur if the contract were executed after that determination was made.
2. This contract is valid and enforceable only if sufficient funds are made available to
the State by the United States Government for the purposes of this program. . In
addition, this contract is subject to any additional restrictions, limitations, or
conditions enacted by the Congress or any statute enacted by the Congress which may
affect the provisions, terms, or funding of this contract in any manner.
3. It is mutually agreed that if the Congress does not appropriate sufficient funds for the
program, this contract shall be amended-to reflect any reduction in funds.
4. The Department has the option to void the contract under the 30-day cancellation
clause or to amend the contract to reflect any reduction of funds.
Contra Costa County 510646 4379 06/21/9S 14:56:53 Page 3 of 11
Region II RDMHC Proposal, P,,ad 612ii95
While the Region 19 RDMHC has not, up until this time, taken on the optional role of
coordinating intra-regional mutual aid, Contra Costa County EMS has, through its RDMHC
grant funding, provided staffing to the Bay Area Medical Mutual Aid (GAMMA) committee
of the Bay Area Regional EMS Council. BAMMA has developed an "EMS Mutual Aid and
Disaster Medical References" manual containing EMS 24-hour contacts, ambulance mutual
aid procedures, and a resource directory.
In response to SB 1841 passed in 1992, the State Office of Emergency Services, in
coordination with other State agencies involved in emergency response, established by
regulation the Standardized Emergency Management System (SEMS). The SEMS Regula-
tions, which took effect in September 1994, require that medical and health mutual aid be
coordinated at the regional rather than State level for the impacted county(ies). To comply
with SEMS, the role of the Region H RDMHC will need to be expanded to include those
functions which were previously considered to be optional. The RDMHC will function as an
agent of the State in coordinating medical and health mutual aid requested by any county
impacted by a disaster.
The major risk factors for a disaster with major medical and health consequences
within Region II include earthquake, hazardous materials release, seismic sea wave,
widespread flooding, major transportation accident, conflagration, nuclear accident, and
terrorist activity. Because of the presence of the well know San Andreas and Hayward faults
and the potential devastation of a great earthquake, a major earthquake has been use as the
archetypical disaster event for planning purposes.
H. Project Description
This project will provide staff to the Region H RDMHC to develop, in cooperation
with the Region II counties, a Region II Medical/Health Mutual Aid Plan. The project staff
will include (1) a Project Coordinator who is Contra Costa County's EMS Trauma Coordina-
tor
oordinafor and (2) a Disaster Planner who is a Senior Disaster Planner in Contra Costa County's
Office of Emergency Services. Each staff person will be assigned to the project on a 45
percent time basis, but both are full time County employees and will be available to handle
telephone calls and attend meetings as needed. Both are experienced in disaster planning and
are experienced in RDMHC planning and operations.
In addition to preparing the region's medical/health mutual aid plan, the project staff
will develop appropriate checklists and forms for use by the RDMHC and by the county
disaster medical/health coordinators; will set up and equip an RDMHC work area in the
Contra Costa County EOC; will meet with county disaster medicalthealth coordinators to
conduct orientation and training in the medical/health mutual aid system; will establish
linkage with appropriate regional OES, State SMSA, and State DHS staff; will establish a
regional health/medical facilities, equipment, and personnel directory; and will conduct
periodic training exercises.
2
Contra Costa County 510646 4379 06/21/95 14:58:05 Page 4 of 11
Region H RDMHC Proposal,R,.*.d 6nt1ss
In the event of activation of the Region II medical/health mutual aid system, the
RDMHC Project Coordinator will respond to the designated regional operating center and
will be exclusively dedicated to the regional coordinating function.
M. Project Objectives
Objective l: To designate and orient staff to serve as Project Coordinator and as RDMHC
staff in the event of a disaster requiring RDMHC activation; designate and orient Disaster
Planner, provide SEMS introductory level training to RDMHC and Project staff.
Evaluation Resources hP�
Actiti*ylrask Methods Needed tation owcome
Schedule
1.1 Designate and orient Pmject staff desig- RDMHC; 7131/95 Project Coo rdina-
RDMHC Project Staff naffed to SMSA Project coordnnator for available
1.2 Provide SEMS intro- Course completion Project Coordinator; 7131/95 RDMHC,Project
dwwry level course to record Course materials; staff trained in
RDMHC and Project Instructor SEMS
staff
Ob)_ective 2: To obtain state SMSA, DHS, and OES mutual aid procedures relevant to
medical/ health mutual aid.
Evaluation Resources hVn-
Aeti*ylrask Methods Needed talion Oxtcrrme
Schedule
2.1 Obtain procedures Procedures obtained Project coordinator; 8131195 Mutual aid proce-
and on file Disaster planner; dures available to
Relevant plans and RDMHC
Procedures
Obiective 3: To develop interim medical/health mutual aid procedures for Region H
consistent with state procedures.
Evaluarion Re ourcGs n-
Actitritylrask Methods prem tation outcome
Schedule
13.1 Prepare draft interim Draft document Project coordinator; 9,129/95 Draft interim
procedures available Disaster planner; plan available
State plans;
3.2 Draft procedures re- Response from Interim plan; 10/13/95 Concurrence of
viewed by SMSA, agencies that prose. Reviewing personnel; key individuals
OES Region Il dures were reviewed RDMHC on interim plan
3
Contra Costa County 510646 4379 06/21/95 14:59:00 Page 5 of 11
Region H RDMHC Proposal,Re,,.a 6B/l9s
3.3 Disseminate draft Mailing completed; Completed interim 10/20/95 Interim plan
procedures to Region communications plan available to
II county medical exercise county coordina-
thealth coordinators tors
Objective 4: To identify operational area medical/health coordinators within Region II and to
provide them appropriate orientation to State policies and procedures, including SEMS, and
to the interim mutual aid procedures developed for Region H.
Evaluation Resources bVn
Aetivzty/fw�C Methods Needed tadca Outcome
Schedule
4.1 Identify operational Updated list avail- Project coordinator; 11/22/95 Operational area
area medical/health able containing County coordinators coordinators
coordinators names,titles,ad- designated and
dresses,routine identified
contact numbers,
and emergency
contact numbers
(fax and voice)
4.2 Provide SEMS intro- Course completion SEMS introductory 11/30/95 Operational area
ductory course to record course materials; coordinators
operational anew coor- Disaster planner; SEMS trained
dinatoms
4.3 Provide orientation to Attendance record Project coordinator; 11130/95 Operational area
State policies and Disaster planner; coordinators
procedures and to Region I1 interim trained in use of
Region It interim plan plan; interim plan
State plan
Objective 5: To identify an alternate RDMHC from another county and to set up alternate
sites from which the RDMHC can operate; e.g., OES Region H office, alternate county site.
Evaluation Resources Lnpten en-
Acth*y?ask Methods Needed tatlnn outeonte
Schedule
5.1 Establish criteria for Criteria established RDMHC; 12/15/95 Criteria establ-
alternate RDMHC by agreement of Project coordinator; ished
county coordinators Disaster planner;
County coordinators;
5.2 Designate alternate Latter of designadun RDMHQ 12/29/95 Alternate
RDMHC and notification to Alternate RDMHC RDMHC desig-
EMSA designee; nated from
Alternate RDMHC another county
site
4
Contra Costa County 510646 4379 06/21/95 14:59:56 Page 6 of 11
Region H RDMHC Proposal, R,.,,d Q2j1z
5.3 Provide appropriate Materials available State medicallhealth 1/5/96 Alternate
materials for alternate at alternate RDM- disaster plan; RDMHC opera-
RDMHC HC she Region II interim tional
plan;contact list;
forms
Objective 6: To identify and to meet with persons assigned to regional and state positions
with which the RDMHC would need to work in the event of a disaster.
Ami`, EvaliuitiOn Resources
Methods Needed
Owcome
Schedule
6.1 Prepare list of key con- List compiled Project c:oonlinatur; 9!29/95 State/rogional
tacts at the regional Disaster planner contact list
and state levels to be available
used by the RDMHC
in the event of a disas-
ter
6.2 Meet with key individ Meetings completed Project coordinator; 212/96 Face-to-face
uals to identify and re- with notes identify- Disaster planner; familiarity
solve coordination ing issues and areas Regional coordinat- established;
issues of agreement ors; problem areas
State personnel identified and
resolved
Objective 7: To begin development of mutual aid agreements which would serve as the basis
for a medicallhealth mutual aid plan for the region.
Evaluation Resources bnplemen-
Actildty/Task Methods Needed tation Outcome
Schedule
7.1 Identify functional Areas identified per Project coordinator; 3!1/96 Consensus on
areas in which mutual memorandum or Disaster planner; areas to be
aid agreements would meeting summary County coordinators; addressed in
be beneficial State plan; mutual aid
Region Il interim agreements
plan;
Model agreements
7.2 Identity responsibilities Responsibilities Project coordinator; 311/96 Consensus on
of identified per mem- Disaster planner; areas to be
(a) requesting jurisdic- orandum or meeting County coordinators; addressed in
tion swninary State plan; mutual aid
(b) sending jurisdiction Region 11 interim agreements
(c) vendors plan;
Model agreements
5
Contra Costa County 510646 4379 06/21/9S 15:00:51 Page 7 of 11
Region 17 RDMHC Proposal,Revised 6121193
7.3 Draft model mutual aid Draft model mutual RDMHC; 5!31/96 Draft model
agreement aid agreement avail- Disaster planner; agreement
Able available
Obkctive 8: To conduct a minimum of two regional exercised per each contract year to
provide training for operational area participants, to test and to refine procedures, and to
promote preparedness._
Eralanlion Resources Implemen-
Acth*y/Task Methods Needed kition Outcome
Schedule
8.1 Hold one table-top Exercise held RDMHC; 311/96 Training
exercise to train/lost Project coordinator;
roles and responsibiili- Disaster planner;
ties in the EOC County coordinators;
Interim plan
8.2 Initial planning meeting Exercise scenario RDMHQ 3!1/96 Exercise sched-
for functional exercise and date agreed Project coordinator; Wed
upon Disaster planner;
County coordinators;
Interim plan
8.3 Hold one functional Exercise critique RDMHC; 6!30/96 Training
exercise to train,test Project coordinator; Evaluation of
and!or integrate other Disaster planner; interim plan
plan elements(ie., County coordinators; Identification of
State response plans, EMSA rep; problems areas
hospitals,CCPs,etc. CIES Regional rep;
Interim plan
Objective 9: To identify and facilitate training for operational area personnel in the State
Emergency Management System by June 1996. Training should be made available to all
staff commensurate with their responsibilities as identified by the Operational Area Disaster
Medical/Health Response Plan and SEMS Guidelines.
Evaluation Resources hnplernen
Activity/Task Methods Needed talion Outcome
Schedule
9.1 Identify region- List completed Project coordinator; 12/1,196 List of
al/operational area County coordinators; training
training needs Operational Area Response needs by
Plans; position,
SEMS Guidelines training
level,and
county
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Region H RDMHC Proposal,mad c✓ri/ss
9.2 Assist operational area Document Project coordinator; 6/1196 Assistance
staff in developing the assistance provided County 000tdinators• provided to
appropriate level of by RDMHC to Operational Area operational
SEMS training local staff Disaster area staff
Medical/Health
Response Plans;
SEMS Guidelines
Objective 10: To survey appropriate Region II operational area and State disaster planning
officials to identify communications resources available for use between operational areas,
Region II, and the State in the event normal modes of communication have been disrupted.
EtiWwaon Resources IraPleme�
'ictiwlty/la& Methods Needed tation Oxrcaync
Schedule
1.1 Identify existing State Communications Disaster planner; 8j31/95 Existing plans
and Regional disaster plans documented. State and regional disseminated to
communications pleas. disaster State,regional,
communications and operational
plans; area personnel
1.2 Survey appropriate Communications Disaster planner 12131/95 Communications
personnel to identify resources resource listing
additional documented. distributed.
communications
resources.
IV. Implementation Timetable and Milestones
The scheduled completion date for each objective and component is shown under
Section V, above.
V. Project Evaluation
The successful completion of the stated objectives will be used as the performance
indicators. Ongoing progress will be measured by adherence to the stated timetable and by
feedback obtained from the county disaster medicanealth coordinators.
Data to be use in the evaluation of the project will include:
(1) Completed RDMHC documents including the Region It Interim Disas-
ter Medical/Health Mutual Aid Plan; related forms, procedures, and
contact lists; and the draft model medical/health mutual aid agreement.
(2) Records of interviews and meetings conducted by project staff.
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Region H RDMHC Proposai, Re,aed 612t195
(3) Evaluations of the RDMHC functional exercise.
The project will be considered successful if the written plans, checklists, forms and
other materials are developed for the Region II RDMHC and operational area medical/health
coordinators, if an alternate RDMHC in a county other than Contra Costa is established, if a
successful functional exercise is conducted, if a start is made in developing medical/health
mutual aid agreements, and if the operational area medical health coordinators feel more
prepared to deal with a disaster.
The project evaluation will be prepared by the project coordinator under the direction
of the RDMHC.
In additional to the regular project evaluation, SMSA and the Region II RDMHC will
evaluate performance based on meeting contract objectives and intent as of December 31,
1995. At that time either SMSA or the Region II RDMHC may initiate negotiations on the
use of the two RDMHC staff positions. If either EMSA or the Region II RDMHC
determines contract objectives of the contract intent is not being met with the use of two
primary project staff, the contract may be amended to replace the two positions with one for
the duration of the contract period.
VI. Statement of Intent
Contra Costa County has demonstrated its commitment to regional disaster prepared-
ness through the.service of its health officer as the Region ll RDMHC for over five years
and the commitment of significant staff time to medical health disaster preparedness during
this period. Contra Costa County, through its Health Service Department and EMS staff, is
committed to continued support of disaster medical/health preparedness and to support of the
RDMHC concept. Contra Costa is committed in principle to the "Regional Disaster Medical
and Health Coordinator Grant Objectives, FY 95/96 and FY 96/97" transmitted to the
County from EMSA on June 1, 1996.
VU. Budget
A. Budget Categories
Budget Categories Block Cram Funds ht-kind Total
Salaries 28,136 18,666 46,802
Fringe Benefits 9,004 5,973 14,977
Travel 10,000 - 10,000
Equipment - - 0
Supplies 2,860 - 2,860
Contractual 30,000 - 30,000
TOTAL DIRECT COSTS 80,000 1 24,639 104,639
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Region H RDMHC Proposal,Revised 6121195
Indirect/Administrative Casts - 13,080 13,080
TOTALS su,000 37,719 117,719
B. Budget Deta,1
Budget Categorler Block Grant Funds to-kind rota!
PersartneL-
RDMHC(0.05 FTE) - 5,600 5,600
Projuvt Dirtictur(0.10 FTE) - 6,740 6,740
Project Coordinator(0.45 FTE) 28,136 - 28,136
Project Secretary(0.20 FTE) - 6,326 6,326
TOTAL SALARIES 28,136 18,666 46,802
Fringe Benefits 0 32% 9,UU4 5,973 14,977
TOTAL PERSONNEL 37,140 24,639 61,779
Services awl Supplies:
Travel 10,000 - 10,000
Equipment - - 0
Office Supplies 2,860 - 2,860
Contractual 30,000 30,000
TOTAL SERVICES AND 42,860 0 42,860
SUPPLIES
TOTAL DIRECT COSTS 80,000 24,639 104,639
Indirect/Administrative Costs 13,080 13,080
TOTALS 80,000 37,719 117,719
C. Budget Narrative
1. Salaries. Salaries include the County Health Officer who is the designated
RDMHC at 5.0 percent time, the EMS Director who is the designated Project Director at
10.0 percent time, and the EMS Trauma Coordinator who is the designated Project
Coordinator at 45.0 percent time. The RDMHC and Project Director time is provided as
"in-kind." Only the Project Coordinator is charged to project funds.
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Region H RDMHC Proposal,&vise&21/95
2. Fringe benefits. Fringe benefits are calculated at 32.0 percent salary.
3. Travel. Travel allocation includes $1,500 each for travel reimbursements
(mileage and limited hotel) for participants attending four quarterly RDMHC meetings and
$4,000 for staff travel expenses and mileage at $0.30/mile.
4. Equipment. No equipment purchase is anticipated.
5. Supplies. Allocation is for printing, postage, and miscellaneous supplies.
6. Contractual. Allocation is charge from County OES to cover services of a Senior
Planner on a 45.0 percent time basis for one year.
7. Indirect%Administrative Costs. indirect costs are calculated at 12.5 percent of
total direct costs and are part of the County "in-kind" contribution for this project.
10