HomeMy WebLinkAboutContract 41220STATE OF TEXAS §
CITV SECRETARY,
CONTRACT NO. "1 I opta0
Closed POD Site Agreement with the
COUNTY OF TARRANT § City of Fort Worth
AGREEMENT
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This Agreement is made and entered into by and between the City of Fort Worth
("City") and the County of Tarrant, acting through the Tarrant County Public Health
Department ("Department"), of Tarrant County, State of Texas, witnessed:
WHEREAS, the Department is a local Health Department under Chapter 121 of
the Health and Safety Code;
WHEREAS, the Department has received a grant from the Texas Department of
Health to make preparations for public health emergencies;
WHEREAS, the Department will need the City serve as closed Point of
Dispensing ("POD") site in an Event, as defined below;
WHEREAS, this POD sites will enable the City of Fort Worth to dispense
medications and vaccines to its employees and the employees' household members;
WHEREAS, the Department has concluded that the City possesses the facilities
and personnel necessary to be a Closed POD site; and
WHEREAS, this Agreement serves a public service.
I
POD DESIGNATION
In the event of a public health emergency, the City agrees to provide a closed POD
site(s), to staff the site, and to dispense the prescribed prophylaxis to its employees and
household members. The City agrees to make its facilities and personnel available for
mass immunization or medication of its employees and their household members as a
closed POD site(s). Vaccine or medications will come from available supply sources.
II
PUBLIC HEALTH EMERGENCY
This Agreement becomes operational in an Event, defined as:
a. A public health emergency is legally declared by the applicable local, state or
national health officials with such authority; and
_
I
OFFICIAL RECORD
CITY SECRETAR
FT. WORTH, TX
1
b. The local health authority declares that large scale immunization or treatment
is necessary.
III
OBLIGATIONS OF THE DEPARTMENT
(a) The Department will provide site screening at City's POD site to determine
immunization participation suitability.
(b) The Department will assist the City with its site dispensing plan, including but not
limited to supply lists, POD layouts, fact sheets, dispensing algorithms.
(c) The Department will arrange for all equipment, vaccine, and medicine, if
available, to the extent necessary to administer the vaccine or medication in
accordance with the City's Mass Prophylaxis Plan.
(d) The Department will coordinate with the Department of State Health Services for
transporting the City's allotment of medication from the Department of State Health
Services storage site to the City POD Site.
(e) During an Event, as defined in Section II above, provide consultation and
assistance as able.
(f) Provide to the City information updates as necessary and as requested by City.
(g) The Department will train City employees to operating dispensing sites under the
County's Medical Reserve Corps Program.
(h) The Department will collect any unused medication and medical documentation,
including specific immunization recipient screening information
(i) The Department will provide after -action consultation to City.
IV
OBLIGATIONS OF THE CITY OF FORT WORTH
(a) City will serve as a Closed POD and dispense medications to only employees and
their household members.
(b) The City will write a dispensing plan for the facility serving as a dispensing site.
(c) The City will supply and arrange for all equipment and personnel necessary for
staffing, security, crowd control and other tasks necessary to dispense the prescribed
prophylaxis to employees and their household members.
(d) The City shall designate the following individuals:
1. An administrator who will serve as the primary point of contact for the
Department.
2. A medical staff point of contact for the Department.
3. A security point of contact that will interact with the Department regarding
security plans.
4. A Medical Reserve Corps Liaison who will coordinate training and
coordination of corporate Medical Reserve Corps members.
(e) The City will provide the Department with a list containing the number of
employees and their household members.
(f) The City will designate one or more representatives that will have the authority to
sign for receipt of medication from the Department
(g) The City will provide security during transport of the medication from the
Department distribution site to the City's point of dispensing.
(h) The City will be responsible for disposal of medical waste, and may engage a
contractor to do so.
(i) The City will be responsible for inventory management during an Event
V
TERM
This Agreement becomes effective when approved by the governing body of the
County. It may be canceled by either party by giving thirty (30) days notice to the
other party, otherwise it remains in effect for five (5) years and may be renewed by
mutual agreement.
[SIGNATURES APPHAR ON FOLLOWING PAGh]
COUNTY OF TARRANT
NT COLT JUDGE
APPROVED AS TO FORM*
ASSISTANT
RICT ATTORNEY
*By law, the district Attorney's Office may only advise or approve contracts or legal documents on behalf of its clients. It
may not advise or approve contracts or legal documents on behalf of other parties. Our view of this document was conducted
solely for the benefit of our client. Other parties should not rely on this approval and should seek review and approval by their
own respective attorney(s)
ATTEST:
MARTY HEND
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CITY OF FORT WORTH, TEXAS
X, City Secretary
BY
Charles Daniels
AWsistant City Manage
APPROVED AS TO FORM:
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As'itant City Attorn
4
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y
NO
C REQUIRED
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORT WORTH
INTEROFFICE MEMO
TO: Carlos Gomez, Emergency Management Office
FROM: Allison Tidwell, City Secretary's Office
DATE: November 4, 2010
SUBJECT: AGREEMENT FOR CITY OF FORT WORTH TO BECOME CLOSED POD
SITE (NO M&C NEEDED)
These documents are being forwarded to you for original signatures from Tarrant County Public
Health Department. All signed copies of the contract must be returned with original signatures for
final processing.
Failure to return the documents will delay the final processing of the contract. Once we have
received all of the documents, we will assign a contract number. Thank you in advance for your
cooperation.
If you have any questions, please call me at 817-392-6090.
Attached: 3 sets
NOTE: In the future, please include a routing slip. Thanks!
STATE OF TEXAS
COUNTY OF TARRANT
CITY SECRETARY
CONTRACT NO.__
Closed POD Site Agreement with the
City of Fort Worth
AGREEMENT
This Agreement is made and entered into by and between the City of Fort Worth
("City") and the County of Tarrant, acting through the Tarrant County Public Health
Department ("Department"), of Tarrant County, State of Texas, witnessed:
WHEREAS, the Department is a local Health Department under Chapter 121 of
the Health and Safety Code;
WHEREAS, the Department has received a grant from the Texas Department of
Health to make preparations for public health emergencies;
WHEREAS, the Department will need the City serve as closed Point of
Dispensing (` POD") site in an Event, as defined below;
WHEREAS, this POD sites will enable the City of Fort Worth to dispense
medications and vaccines to its employees and the employees' household members;
WHEREAS, the Department has concluded that the City possesses the facilities
and personnel necessary to be a Closed POD site; and
WHEREAS, this Agreement serves a public service.
I
POD DESIGNATION
In the event of a public health emergency, the City agrees to provide a closed POD
site(s), to staff the site, and to dispense the 'prescribed prophylaxis to its employees and
household members. The City agrees to make its facilities and personnel available for
mass immunization or medication of its employees and their household members as a
closed POD site(s). Vaccine or medications will come from available supply sources.
II
PUBLIC HEALTH EMERGENCY
This Agreement becomes operational in an Event, defined as:
a. A public health emergency is legally declared by the applicable local, state or
national health officials with such authority; and
10-29-10 PO4:44 IN
1
Page 1 of 2
Tidwell, Allison
From: Guzman, Leann
Sent: Wednesday, November 03, 2010 1:52 PM
To: Tidwell, Allison
Cc: Gomez, Carlos E
Subject: FW: Tarrant County Public Health Contract
Importance: High
Allison:
This agreement does not require an M&C because it is not an interlocal agreement. We are not performing a
governmental function, but are acting as a distributor for vaccines for our employees, just like companies like Alcon do
under similar agreements with the County.
Leann D. Guzman
Assistant City Attorney II
City of Fort Worth
1000 Throckmorton
Fort Worth, Texas 76102
Ph: (817) 392-8973
Fax: (817) 392-8359
From: Gomez, Carlos E
Sent: Wednesday, November 03, 2010 1:51 PM
To: Guzman, Leann
Subject: FW: Tarrant County Public Health Contract
Importance: High
Per your request. Thank you!
Carlos E. Gomez
Emergency Management Officer I
City of Fort Worth
817-392-6162
From: Tidwell, Allison
Sent: Wednesday, November 03, 2010 12:42 PM
To: Gomez, Carlos E
Subject: Tarrant County Public Health Contract
Importance: High
Carlos,
We have a contract in our office that arrived with no cover page or M&C Leann Guzman indicated that the
contract belonged to you. You will need to come and pick up the contract until you provide us with a hard copy
of the M&C that approved the contract.
They will located in the outbox on the front counter of the City Secretary's Office customer service area.
Thanks!
12/13/2010
Page 2 of 2
csattaten iaet
Administrative/Records Technician
City Secretary's Office
Phone: (817) 392-6090
Fax: (817) 392-6196
www.fortworthgov.org/csec
12/13/2010