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HomeMy WebLinkAboutMINUTES - 01051993 - 1.65 1 . 65 TO: BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director Contra By: Elizabeth A. Spooner, Contracts AdministratoCOS+a DATE: December 18, 1992 County SUBJECT:Approval of Hospital Agreement #24-660 with First Hospital Corporation (dba First Hospital Vallejo) 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, Hospital Agreement #24-660, with First Hospital Corporation (dba First Hospital Vallejo) , for the period January 1, 1993 through June 30, 1993 in the amount of $25, 000 for psychiatric hospitalization of children and adolescents. This document contains provision for a six-month automatic extension through December 31, 1993 in the amount of $25, 000. II. FINANCIAL IMPACT: The funding for this Contract has been included in the Department's Fiscal Year 1992-93 Budget (Org. #5952) . Utilization will vary, depending upon the availability of hospital beds, the unique treatment needs of each minor, and the availability of alternative sources of health care coverage (e.g. , Medicare or private insur- ance) . This Contractor will be used only as a last resort when no other financial resources are available. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: Under the Statutes of 1987 (Assembly Bill 1362, Bronzan) , Welfare and Institutions Code Section 5751.7 establishes a prohibition against minors being admitted for psychiatric treatment into the same treatment ward as certain adults which might present-a threat to the physical safety of minors, except when a waiver has been granted by the State under special circumstances. Approval of this Contract will provide purchase of fixed price beds for acute inpatient psychiatric hospital services for mentally-ill children and adolescents so that minors need not be hospitalized on the adult psychiatric units at Merrithew Memorial Hospital. In addition, this Contract will help fill the need created by the closing of Oakgrove Hospital and the elimination of the adolescent unit of East Bay Hospital. CONTINUED ON ATTACHMENT: YES SIGNATURE: , 09 ISM— RECOMMENDATION OF COUNTY ADMINISTRATORRECOMMEN A ON OF BOARD MMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS UNANIMOUS (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 Contact: Patricia Roach (313-6411) OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED ,,- S � Risk Management Phil IiWihelor,Cleri Of the Board of Auditor-Controller Supervisors and County Administrator Contractor n /n p M382/7-63 BY Y- (Y. DEPUTY Cont"a Costa County 1 . .6 5 Number 24-660 HOSPITAL AGREEMENT Fund/Org # 5952 (Psychiatric Facilities) Account # 2320 1. Contract Identification. Other # Department: Health Services - Mental Health Division Subject: Purchase of Fixed Price Beds for Acute Inpatient Psychiatric Hospital Services for Mentally-Ill Children and Adolescents 2. Parties. The County of Contra Costa, California (County) , for its Department named above, and the following named Contractor (Hospital) mutually agree and promise as follows: Contractor: FIRST HOSPITAL CORPORATION dba First Hospital Vallejo (hereinafter referred to as "Hospital" Capacity: Private-for-Profit Virginia corporation Taxpayer ID #68-0014618 Address: 240 Corporate Boulevard, Northfolk, Virginia 23502 Mailing Address: 525 Oregon Street, Vallejo, California 94596 3. Payment Limit. County's total payments to Contractor under this Contract shall not exceed $25.000. 4. Term. The effective date of this Contract is January 1. 1993 and it terminates June 30. 1993 unless sooner terminated as provided herein. 5. County's Obligations. County shall make to the Hospital those payments described in the Payment Provisions attached hereto which are incorporated herein by reference, subject to all the terms and conditions contained or incorporated herein. 6. Hospital's Obligations. Hospital shall provide those services and carry out that work described in the Service Plan attached hereto which is incorporated herein by reference, subject to all the terms and conditions contained or incorporated herein. 7. Conditions. This Contract is subject to the General Conditions and Special Conditions (if any) attached hereto, which are incorporated herein by reference. 8. Project. This Agreement implements in whole or in part the following described Project, the application and approval documents of which are incorporated herein by reference: Policy and Procedure Statement for Prohibiting the Inpatient Psychiatric Treatment of Minors on the Same Treatment Wards as Adults, approved by the County Board of Supervisors on February 14, 1989, a copy of which is on file in the administrative office of County's Mental Health Division. 9. Legal Authority. This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code Section 5751.7; and California Government Code Sections 26227 and 31000. 10. Signatures. These signatures attest the parties' agreement hereto: COUNTY OF CONTRA COSTA. CALIFORNIA ATTEST: Phil Batchelor, Clerk of the Board BOARD 9F SUPERVISORS of Supervisors and County Administrator By By 0 (�� ✓y� � Chairman/Designee D puty HOSPITAL aJ`� By _ _ _ By (Designate business capacity A) (1&e sigfiate business capac t� Note to Contractor: For corporations (profit or nonprofit), the contract oust be signed by two officers. Signature A must be that of the president or vice-president and Signature B sant be that of the secretary or assistant secretary (Civil Code Section 1190 and Corporations Code Section 313). All signatures mast be acknowledged as set forth on page two. Contra Costa County Standard Form 1/87 APPROVALS/ACKNOWLEDGEMENT Number 24-660 APPROVALS RECOMMENDED BY DEPARTMENT FORM APPROVED By By C � Designee APPROVED: COUNTY ADMINISTRATOR By ACKNOWLEDGEMENT State of California ACKNOWLEDGEMENT (By Corporation, Partnership, or Individual) County of SO\Cs.N C The person(s) signing above for Contractor, personally known to me in the individual or business capacity(ies) stated, or proved to me on the basis of satisfactory evidence to be the stated individual or the representative(s) of the partnership or corporation named above in the capacity(ies) stated, personally appeared before me today and acknowledged that he/she/they executed it, and acknowledged to me that the partnership named above executed it or acknowledged to me that the corporation named above executed it pursuant to its bylaws or a resolution of its board of directors. Dated: ��� 'LCQ.��YL xz�--� [Notarial Seal] \ ` 07ALSM Notary Public/ AlS-' V.GUENTHER NC':=.,"UC-CALFOM SOUNO COIN(fY Nh Gomm.Exvues FeO.21.1945 `��C Contra Costa County Standard Form 6/90 PAYMENT PROVISIONS (Fee Basis Contracts) Number 24-660 1. Payment Amounts. Subject to the Payment Limit of this Contract and subject to the following Payment Provisions, County will pay Contractor the following fee as full compensation for all services, work, expenses or costs provided or incurred by Contractor: [Check one alternative only. ] [ ] a. $ monthly, or [ ] b. $ per unit, as defined in the Service Plan, or [ ] c. $ after completion of all obligations and conditions herein. [X] d. As set forth in the attached Service Plan which is incorporated herein by reference, subject to the Payment Limit set forth in Paragraph 3. (Payment Limit) of the Agreement. 2. Payment Demands. Contractor shall submit written demands. Said demands shall be made on County Demand Form D-15 and in the manner and form prescribed by County. Contractor shall submit said demands for payment no later than 30 days from the end of the month in which the contract services upon which such demand is based were actually rendered. Upon approval of said payment demands by the head of the County Department for which this Contract is made, or his designee, County will make payments as specified in Paragraph 1. (Payment Amounts) above. 3. Penalty for Late Submission. When Contractor fails to submit to County a timely demand for payment as specified in Paragraph 2. (Payment Demands) above, and as a result of Contractor's late submission the County is unable to obtain reimbursement from the State of California or otherwise; to the extent the County's recovery of funding is prejudiced, County shall not pay Contractor for such services, even though such services were fully provided. 4. Right to Withhold. County has the right to withhold payment to the Contractor when, in the opinion of the County expressed in writing to the Contractor, (a) the Contractor's performance, in whole or in part, either has not been carried out or is insufficiently documented, (b) the Contractor has neglected, failed or refused to furnish information or to cooperate with any inspection, review or audit of its program, work or records, or (c) Contractor has failed to sufficiently itemize or document its demand(s) for payment. 5. Audit Exceptions. Contractor agrees to accept responsibility for receiving, replying to, and/or complying with any audit exceptions by appropriate County, State or Federal audit agencies occurring as a result of its performance of this Contract. Contractor . also agrees to pay to the County within 30 days of demand by County the full amount of the County's obligation, if any, to the State and/or Federal government resulting from any audit exceptions, to the extent such are attributable to the Contractor's failure to perform properly any of its obligations under this Contract. Initials:/,�.,- Vvv� ontractor ounty Dept. SERVICE PLAN Number 24-660 1. Purpose. This Agreement allows County to provide acute inpatient psychiatric services, outside County-operated psychiatric facilities, for certain mentally-ill children and adolescents, subject to the terms and conditions set forth herein. 2. Hospital's Obligations. a. Provision of Services. At the request of County's Mental Health Director, or his/her designee(s) , and subject to bed availability, and to patients' clinical appropriateness as determined by First Hospital Vallejo's Medical Director or his designee(s) , Hospital shall provide inpatient psychiatric hospital services for certain County-authorized children (age 5 through 12) and adolescents (age 13 through 17) , excluding minors admitted to Hospital beds under Medi-Cal, Medicare, or other public or private insurance. Said hospital services shall include, but are not limited to, the following: room, bed, meals, structured 24-hour treatment program, professional fees charged by the attending psychiatrist, 24-hour registered nurse coverage, general staffing by a multi- disciplinary team of licensed professionals, and such other ancillary services as are included in the daily fixed-price bed rate set forth in Paragraph 3. below. b. Provision of Fixed-Price Beds. Hospital will make available to County beds for County-authorized children and adolescents (also called "patients") , excluding beds which are available to patients when the minor is eligible for Medi-Cal, Medicare, or other insurance coverage. Provision of fixed-price beds will be based upon bed availability and clinical appropriateness of patients. c. Special. Non-Routine Services. Hospital shall also provide special, non-routine diagnostic and physician consultation and medical treatment services and procedures within its facility which are needed and are incidental to the inpatient psychiatric care provided hereunder, but only after Hospital has obtained prior oral authorization from County's Mental Health Director, or one of his/her two designees (Medical Director of Mental Health Services or Program Chief, Child/Adolescent Mental Health Services) . Examples of special, non-routine services for which Hospital must request such prior authorization include, but are not limited to, the following: Computerized Axial Tomography Psychological Tests Photon Emission Tomography OB/GYN Consultations Electroencephalography In an emergency when County's Mental Health Director or his/her designees cannot be reached, Hospital may obtain such prior oral authorization from the Lead Clinician on duty at County's Psychiatric Emergency Service (E Ward) at Merrithew Memorial Hospital. Hospital shall charge County for such special, non-routine services and procedures under this Hospital Agreement only when Hospital is unable to bill such costs to any other source, such as private health insurance or Medi-Cal, and only when Hospital has obtained a written confirming letter from the County as set forth in Paragraph 3.b. (2) below. Initials�� Hospital County Dept. 1 SERVICE PLAN Number 24-660 3. County's Obligations. a. Authorization for Use of Fixed Price Beds. County's Mental Health Director, or his/her designees, and County's Psychiatric Emergency Services (E Ward and Richmond Crisis Unit) staff shall refer and authorize child and adolescent patients for admission to Hospital under this Hospital Agreement. Authorization shall be accepted by telephone from the designated County staff, with written confirmation to follow within one week. b. Fixed Price Beds, Fees and Payments. (1) Daily Bed Rate and Covered Services. County shall pay Hospital for fixed- price beds at the rate of $500.00 per patient per hospital day for authorized children and adolescents, including the first day of admission but excluding the day of discharge from the Hospital. Said daily bed rate covers all services rendered to the patient by Hospital staff, including professional fees charged by the attending psychiatrist, ancillary services, group or milieu therapies, and standard evaluation modalities. This rate does not cover psycho- logical testing, or non-routine diagnostic procedures or medical procedures. County will not pay the daily bed rate for patients who are found to be eligible for Medi-Cal, Medicare, or other health insurance coverage for these services, and Hospital will not bill County for such patients. For all patient days that County has already paid Hospital and that subsequently are found to be covered by any public or private health insurance, Hospital shall refund the payments to County. If medical eligibility for Medi-Cal, Medicare, or other health insurance coverage is established more than 90 days after discharge and payment is denied by the public or private health insurance agency because of a delay in submission for payment, then the party responsible for the delay is responsible for the bill. (2) Special, Non-Routine Services. Hospital shall provide special, non-routine diagnostic and physician consultation and medical treatment services and procedures within its facility which are needed and are incidental to the inpatient psychiatric care provided hereunder, but only after Hospital has obtained prior oral authorization from County's Mental Health Director, or one of his/her two designees (Medical Director of Mental Health Services or Program Chief, Child/Adolescent Mental Health Services) . County shall follow such oral authorization with a written confirming letter specifying the special service or procedure to be provided for an authorized patient and the price or fee rate to be paid to Hospital by County for the special service or procedure under this Hospital Agreement. Hospital shall include a copy of said written confirming letter with its itemized Payment Demand in order to be paid for any special service or procedure hereunder. County retains the right to obtain and provide any needed special, non-routine services or procedures separately from this Hospital Agreement, including the provision of services at Merrithew Memorial Hospital. County shall be responsible for transporting its patients to and from Merrithew Memorial Hospital. Hospital shall notify County's Mental Health Director, or his/her two designees named above, in advance of the need for any special services or procedures which are not covered by the daily bed rate set forth above. Hospital or its attending psychiatrist shall not order for patients any diagnostic or treatment services that will result in a cost to County over and above the daily bed rate, until prior oral authorization is given by County's Mental Health Director, or one of his/her two designees (Medical Director of Mental Health Services or Initials,%�` Hds" p� County Dept. 2 SERVICE PLAN Number 24-660 Program Chief, Child/Adolescent Mental Health Services) . Hospital shall inform its attending psychiatrists and physicians of these provisions. 4. Medical Treatment at Other Facilities. Except for the special, non-routine services which are authorized by County and provided within Hospital's facility as specified above, this Hospital Agreement does not cover non-psychiatric medical care or treatment. If a patient being treated under this Agreement becomes medically ill and in need of non- psychiatric medical care or treatment, including emergency medical care, Hospital shall notify the patient's parents or legal guardian and arrange for transfer to an appropriate medical facility for treatment. County and Hospital understand and agree that such medical care will be paid for by the patient's parents, private health insurance, Medi-Cal, or other forms of medical coverage which the patient may have available or be eligible for. If the patient is indigent and without financial means or medical coverage, Hospital may contact County's Psychiatric Emergency Service (E Ward) and attempt to arrange transportation to transfer the patient to the Emergency Room of County's Merrithew Memorial Hospital, subject to any required parental consent. County shall provide and be responsible for the cost of transporting such indigent patients to Merrithew Memorial Hospital, when authorized by patient's parents or guardian and by County's E Ward staff. Hospital shall notify County within 48 hours of any emergency medical treatment. Initials a� Hospital County Dept. 3 SPECIAL CONDITIONS Number 24-599 1. Insurance. General Conditions Paragraph 19 (Insurance) is hereby replaced in its entirety by the following paragraph: "19. Insurance. During the entire term of this Agreement and any extension or modification thereof, the Hospital shall keep in effect insurance policies meeting the following insurance requirements. a. General Liability Insurance. During the term of this Contract, the Hospital shall provide and keep in effect a policy or policies of comprehensive liability insurance, including coverage for owned and non-owned automobiles, with a minimum combined single limit coverage of $5,000,000 for all damages, including consequential damages, due to bodily injury, sickness or disease, or death to any person or damage to or destruction of property, including the loss of use thereof, arising from the act or omission of Hospital, its directors, officers, employees, and agents. Said policies shall constitute primary insurance as to the County and State and Federal Governments, and their officers, agents, and employees, so that other insurance policies held by them or their self-insurance program(s) shall not be required to contribute to any loss covered under the Hospital's insurance policy or policies. b. Professional Liability Insurance. During the entire term of this Contract and any extension or modification thereof, Hospital shall provide and keep in effect a policy or policies of professional liability insurance with a minimum combined single limit coverage of $5,000,000 for all damages or losses because of error, omissions or malpractice arising from the provision of professional services under this Contract. Said policy or policies shall constitute primary insurance as to the County, and its officers, agents, and employees, so that other insurance coverage held by the County shall not be required to contribute to any loss covered under Hospital's insurance policy or policies. Hospital shall provide County with a copy of its professional liability insurance policy or policies specified above. c. Workers' Compensation. The Hospital shall provide workers' compensation insurance coverage for its employees. d. Certificate of Insurance. The Hospital shall provide the County with a certificate(s) of insurance evidencing liability and workers' compensation insurance as required herein no later than the effective date of this Agreement. If the Hospital should renew the insurance policy(ies) or acquire either a new insurance policy(ies) or amend the coverage afforded through an endorsement to the policy(ies) at any time during the term of this Agreement, then Hospital shall provide (a) current certificate(s) of insurance. e. Additional Insurance Provisions. The Hospital agrees to provide the County not less than thirty (30) days written notice prior to any material change or cancellation of insurance coverage." 2. Automatic Contract Extension. Notwithstanding Paragraph 4. (Term) of this Contract, unless this Contract is terminated by either party pursuant to Paragraph 5. (Termination) of Initials• Hospital County Dept. 1 SPECIAL CONDITIONS Number 24-599 the General Conditions prior to June 30, 1993, the term of this Contract shall be automatically extended from June 30, 1993 through December 31, 1993. During its extended term, this Contract is nevertheless subject to all the terms and conditions applicable during its initial term, including but not limited to General Conditions Paragraph 5. (Termination) , except as to payment for services rendered during the extended term. The purpose of this automatic six-month extension is to allow for continuation of services as specified in this Contract, to avoid interruption of payment to Contractor, and to allow County time in which to complete a novation or renewal contract for Contractor and County Board of Supervisors approval. As to any such six-month extension: a. The Contract Payment Limit specified in Paragraph 3. (Payment Limit) of this Contract, is increased by $25,000 (the six-month Payment Limit) and County's total payments to Contractor for said six-month extension shall not exceed this six-month Payment Limit, subject, nevertheless, to the aforesaid novation or renewal contract. b. County shall continue to pay Contractor in accordance with Paragraph 3.b. of the Service Plan, subject to the six-month Payment Limit specified above. c. Contractor shall continue to provide services as set forth in the Service Plan, subject to any amendments thereto. d. This six-month contract extension shall be subject to any further agreement (novation) which Contractor and County may enter into covering the provision of services during the contract period immediately following the contract period specified in Paragraph 4. (Term) , in accordance with Contra Costa County's current revision of the project specified in Paragraph 8. (Project) . Initials: �./'b Hospital County Dept. 2 Contra Costa County Standard Form 1/87 GENERAL CONDITIONS (Purchase of Services) 1. Compliance with Law. Contractor shall be subject to and comply with all Federal, State and local laws and regulations applicable with respect to its performance under this Contract, including but not limited to, licensing, employment and purchasing practices; and wages, hours and conditions of employment, including nondiscrimination. 2. Inspection. Contractor's performance, place of business and records pertaining to this Contract are subject to monitoring, inspection, review and audit by authorized representatives of the County, the State of California, and the United States Government. 3. Records. Contractor shall keep and make available for inspection and copying by authorized representatives of the County, the State of California, and the United States Government, the Contractor's regular business records and such additional records pertaining to this Contract as may be required by the County. a. Retention of Records. The Contractor shall retain all documents pertaining to this Contract for five years from the date of submission of Contractor's final payment demand or final Cost Report; for any further period that is required by law; and until all Federal/State audits are complete and exceptions resolved for this contract's funding period. Upon request, Contractor shall make these records available to authorized representatives of the County, the State of California, and the United States Government. b. Access to Books and Records of Contractor. Subcontractor. Pursuant to Section 1861(v) (1) of the Social Security Act, and any regulations promulgated thereunder, Contractor shall, upon written request and until the expiration of four years after the furnishing of services pursuant to this Contract, make available to the Secretary of Health and Human Services or to the Comptroller General, or any of their duly authorized representatives, this Contract and books, documents, and records of Contractor that are necessary to certify the nature and extent of all costs and charges hereunder. Further, if Contractor carries out any of the duties of this Contract through a subcontract with a value or cost of $10,000 or more over a twelve-month period, such subcontract shall contain a clause to the effect that upon written request and until the expiration of four years after the furnishing of services pursuant to such subcontract, the subcontractor shall make available, to the County, to the Secretary or to the Comptroller General, or any of their duly authorized representatives, the subcontract and books, documents, and records of the subcontractor that are necessary to verify the nature and extent of all costs and charges thereunder. This special condition is in addition to any and all other terms regarding the maintenance or retention of records under this Contract and is binding on the heirs, successors, assigns and representatives of Contractor. 4. Reporting Requirements. Pursuant to Government Code Section 7550, Contractor shall include in all documents or written reports completed and submitted to County in accordance with this Contract, a separate section listing the numbers and dollar amounts of all contracts and subcontracts relating to the preparation of each such document or written report. This section shall apply only if the payment limit under this Contract exceeds $5,000. 1 Contra Costa County Standard Form 1/87 GENERAL CONDITIONS (Purchase of Services) 5. Termination. a. Written Notice. This Contract may be terminated by either party, at their sole discretion, upon thirty-day advance written notice thereof to the other, and may be cancelled immediately by written mutual consent. b. Failure to Perform. The County, upon written notice to Contractor, may immediately terminate this Contract should the Contractor fail to perform properly any of its obligations hereunder. In the event of such termination, the County may proceed with the work in any reasonable manner it chooses. The cost to the County of completing Contractor's performance shall be deducted from any sum due the Contractor under this Contract, without prejudice to the County's rights otherwise to recover its damages. C. Cessation of Funding. Notwithstanding Paragraph 5.a. above, in the event that Federal, State, or other non-County funding for this Contract ceases, this Contract is terminated without notice. 6. Entire Agreement. This Contract contains all the terms and conditions agreed upon by the parties. Except as expressly provided herein, no other understanding, oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or to bind any of the parties hereto. 7. Further Specifications for Operating Procedures. Detailed specifications of operating procedures and budgets required by this Contract, including but not limited to, monitoring, evaluating, auditing, billing, or regulatory changes, may be developed and set forth in a written Informal Agreement between the Contractor and the County. Such Informal Agreements shall be designated as such and shall not be amendments to this Contract except to the extent that they further detail or clarify that which is already required hereunder. Such Informal Agreements may not enlarge in any manner the scope of this Contract, including any sums of money to be paid the Contractor as provided herein. Informal Agreements may be approved and signed by the head of the County Department for which this Contract is made or his designee. 8. Modifications and Amendments. a. General Amendments. This Contract may be modified or amended by a written document executed by the Contractor and the Contra Costa County Board of Supervisors or, after Board approval, by its designee, subject to any required State or Federal approval. b. Administrative Amendments. Subject to the Payment Limit, the Payment Provisions and the Service Plan may be amended by a written administrative amendment executed by the Contractor and the County Administrator or his designee, subject to any required State or Federal approval, provided that such administrative amendments may not materially change the Payment Provisions or the Service Plan. 9. Disputes. Disagreements between the County and Contractor concerning the meaning, requirements, or performance of this Contract shall be subject to final determination in writing by the head of the County Department for which this Contract is made or his designee or in accordance with the applicable procedures (if any) required by the State or Federal Government. 2 Contra Costa County Standard Form 1/87 GENERAL CONDITIONS (Purchase of Services) 10. Choice of Law and Personal Jurisdiction. a. This Contract is made in Contra Costa County and shall be' governed and construed in accordance with the laws of the State of California. b. Any action relating to this Contract shall be instituted and prosecuted in the courts of Contra Costa County, State of California. 11. Conformance with Federal and State Regulations and Laws. Should Federal or State regulations or laws touching upon the subject of this Contract be adopted or revised during the term hereof, this Contract shall be deemed amended to assure conformance with such Federal or State requirements. 12. No Waiver by County. Subject to Paragraph 9. (Disputes) of these General Conditions, inspections or approvals, or statements by any officer, agent or employee of the County indicating the Contractor's performance or any part thereof complies with the requirements of this Contract, or acceptance of the whole or any part of said performance, or payments therefor, or any combination of these acts, shall not relieve the Contractor's obligation to fulfill this Contract as prescribed; nor shall the County be thereby estopped from bringing any action for damages or enforcement arising from any failure to comply with any of the terms and conditions of this Contract. 13. Subcontract and Assignment. This Contract binds the heirs, successors, assigns and representatives of Contractor. The Contractor shall not enter into subcontracts for any work contemplated under this Contract and shall not assign this Contract or monies due or to become due, without the prior written consent of the County Administrator or his designee, subject to any required State or Federal approval. 14. Independent Contractor Status. This Contract is by and between two independent contractors and is not intended to and shall not be construed to create the relationship between the parties of agent, servant, employee, partnership, joint venture or association. 15. Conflicts of Interest. Contractor, its officers, partners, associates, agents, and employees, shall not make, participate in making, or in any way attempt to use the position afforded them by this Contract to influence any governmental decision in which he or she knows or has reason to know that he or she has a financial interest under California Government Code Sections 87100, et seq. , or otherwise. 16. Confidentiality. Contractor agrees to comply and to require its officers, partners, associates, agents and employees to comply with all applicable State or Federal statutes or regulations respecting confidentiality, including but not limited to, the identity of persons served under this Contract, their records, or services provided them, and assures that: a. All applications and records concerning any individual made or kept by Contractor or any public officer or agency in connection with the administration of or relating to services provided under this Contract will be confidential, and will not be open to examination for any purpose not directly connected with the administration of such service. 3 Contra Costa County Standard Form 1/87 GENERAL CONDITIONS (Purchase of Services) b. No person will publish or disclose or permit or cause to be published or disclosed, any list of persons receiving services, except as may be required in the administration of such service. Contractor agrees to inform all employees, agents and partners of the above provisions, and that any person knowingly and intentionally disclosing such information other than as authorized by law may be guilty of a misdemeanor. 17. Nondiscriminatory Services. Contractor agrees that all goods and services under this Contract shall be available to all qualified persons regardless of age, sex, race, religion, color, national origin, or ethnic background, or handicap, and that none shall be used, in whole or in part, for religious worship or instruction. 18. Indemnification. The Contractor shall defend, indemnify, save, and hold harmless the County and its officers and employees from any and all claims, costs and liability for any damages, sickness, death, or injury to person(s) or property, including without limitation all consequential damages, from any cause whatsoever arising directly or indirectly from or connected with the operations or services of the Contractor or its agents, servants, employees or subcontractors hereunder, save and except claims or litigation arising through the sole negligence or sole willful misconduct of the County or its officers or employees. Contractor will reimburse the County for any expenditures, including reasonable attorneys' fees, the County may make by reason of the matters that are the subject of this indemnification, and if requested by the County will defend any claims or litigation to which this indemnification provision applies at the sole cost and expense of the Contractor. 19. Insurance. During the entire term of this Contract and any extension or modification thereof, the Contractor shall keep in effect insurance policies meeting the following insurance requirements unless otherwise expressed in the Special Conditions: a. Liabilitv Insurance. The Contractor shall provide comprehensive liability insurance, including coverage for owned and non-owned automobiles, with a minimum combined single limit coverage of $500,000 for all damages, including consequential damages, due to bodily injury, sickness or disease, or death to any person or damage to or destruction of property, including the loss of use thereof, arising from each occurrence. Such insurance shall be endorsed to include the County and its officers and employees as additional insureds as to all services performed by Contractor under this agreement. Said policies shall constitute primary insurance as to the County, the State and Federal Governments, and their .officers, agents, and employees, so that other insurance policies held by them or their self- insurance program(s) shall not be required to contribute to any loss covered under the Contractor's insurance policy or policies. b. Workers' Compensation. The Contractor shall provide workers' compensation insurance coverage for its employees. C. Certificate of Insurance. The Contractor shall provide the County with (a) certificate(s) of insurance evidencing liability and worker's compensation insurance as required herein no later than the effective date of this Contract. If the Contractor should renew the insurance policy(ies) or acquire either a new insurance policy(ies) or amend the coverage afforded through an endorsement to the policy at any time during the term of this Contract, then Contractor shall provide (a) current certificate(s) of insurance. d. Additional Insurance Provisions. The insurance policies provided by the Contractor shall include a provision for thirty (30) days writtennotice to County before cancellation or material changes of the above specified coverage. 4 Contra Costa County Standard Form 1/87 GENERAL CONDITIONS (Purchase of Services) 20. Notices. All notices provided for by this Contract shall be in writing and may be delivered by deposit in the United States mail, postage prepaid. Notices to the County shall be addressed to the head of the County Department for which this Contract is made. Notices to the Contractor shall be addressed to the Contractor's address designated herein. The effective date of notice shall be the date of deposit in the mails or of other delivery, except that the effective date of notice to the County shall be the date of receipt by the head of the County Department for which this Contract is made. 21. Primacy of General Conditions. Except for Special Conditions which expressly supersede General Conditions, the Special Conditions (if any) and Service Plan do not limit any term of the General Conditions. 22. Nonrenewal. Contractor understands and agrees that there is no representation, implication, or understanding that the services provided by Contractor under this Contract will be purchased by County under a new contract following expiration or termination of this Contract, and waives all rights or claims to notice or hearing respecting any failure to continue purchase of all or any such services from Contractor. 23. Possessory Interest. If this Contract results in the Contractor having possession of, claim to or right to the possession of land or improvements, but does not vest ownership of the land or improvements in the same person, or if this Contract results in the placement of taxable improvements on tax exempt land (Revenue & Taxation Code Section 107) , such interest or improvements may represent a possessory interest subject to property tax, and Contractor may be subject to the . payment of property taxes levied on such interest. Contractor agrees that this provision complies with the notice requirements of Revenue & Taxation Code Section 107.6, and waives all rights to further notice or to damages under that or any comparable statute. 24. No Third-Party Beneficiaries. Notwithstanding mutual recognition that services under this Contract may provide some aid or assistance to members of the County's population, it is not the intention of either the County or Contractor that such individuals occupy the position of intended third-party beneficiaries of the obligations assumed by either party to this Contract. 25. Copyrights and Rights in Data. Contractor shall not publish or transfer any materials produced or resulting from activities supported by this agreement without the express written consent of the County Administrator. If any material is subject to copyright, the County reserves the right to copyright such and the Contractor agrees not to copyright such material. If the material is copyrighted, the County reserves a royalty- free, nonexclusive, and irrevocable license to reproduce, publish, and use such materials, in whole or in part, and to authorize others to do so. 5