Washington County ~ IG224001 ~ Washington County - Tigard- Crisis Clinicians - Mental Health Response Team (MHRT) DocuSign Envelope ID:C2B4B2E8-9774-4280-9567-F6777FF8B181
WASHINGTON COUNTY OREGON Contract No:21-1033
INTERGOVERNMENTAL AGREEMENT
This Agreement is entered into,by and between Washington County,a political subdivision of the State of
Oregon, and City of Tigard
WHEREAS ORS 190.010 authorizes the parties to enter into this Agreement for the performance of any or all
functions and activities that a party to the Agreement has authority to perform.
Now,therefore,the parties agree as follows:
1) The effective date is: July 1,2021 , or upon final signature,whichever is later.
The expiration date is: June 30,2022 ;unless otherwise amended.
2) The parties agree to the terms and conditions set forth in Attachment A,which is incorporated herein,
and describes the responsibilities of the parties,including compensation, if any.
3) Each party shall comply with all applicable federal, state and local laws; and rules and regulations on
non-discrimination on the grounds of race, color, ancestry,national origin,religion, gender, sexual
orientation,marital status, age, or disability.
4) Each party is an independent contractor with regard to each other party(s)and agrees that the
performing party has no control over the work and the manner in which it is performed. No party is an
agent or employee of any other.
5) No party or its employees is entitled to participate in a pension plan,insurance,bonus, or similar
benefits provided by any other party.
6) This Agreement may be terminated,with or without cause and at any time,by a party by providing
thirty(30) days written notice of intent to the other party(s).
7) Modifications to this Agreement are valid only if made in writing and signed by all parties.
8) Subject to the limitations of liability for public bodies set forth in the Oregon Tort Claims Act, ORS
30.260 to 30.300, and the Oregon Constitution, each party agrees to hold harmless, defend,and
indemnify each other,including its officers, agents, and employees,against all claims, demands, actions
and suits(including all attorney fees and costs)arising from the indemnitor's performance of this
Agreement where the loss or claim is attributable to the negligent acts or omissions of that party.
9) Each party shall give the other immediate written notice of any action or suit filed or any claim made
against that party that may result in litigation in any way related to this Agreement.
10) Each party agrees to maintain insurance levels or self-insurance in accordance with ORS 30.282, for the
duration of this Agreement at levels necessary to protect against public body liability as specified in
ORS 30.269 through 30.274.
1of2
2019 WASHINGTON COUNTY INTERGOVERNMENTAL AGREEMENT
DocuSign Envelope ID:C2B4B2E8-9774-4280-9567-F6777FF8B181
11) Each party agrees to comply with all local, state and federal ordinances, statutes, laws and regulations
that are applicable to the services provided under this Agreement.
12) This Agreement is expressly subject to the debt limitation of Oregon Counties set forth in Article XI,
Section 10 of the Oregon Constitution, and is contingent upon funds being appropriated therefore.
13) This writing is intended both as the final expression of the Agreement between the parties with respect
to the included terms and as a complete and exclusive statement of the terms of the Agreement.
14) If federal grant or other specialty funds are used to fund this IGA,then the provisions of
Attachment are required and shall be met by the recipient of federal
grant funds through this IGA.
❑0 Applicable � Not applicable
WHEREAS, all the aforementioned is hereby agreed upon by the parties and executed by the duly authorized
signatures below.
City of Tigard
DocuSig,Apo.Sdiction
Sftk"- �VK V' 7/6/2021 1 06:25 PDT
Authorized Signature Date
Steve Rymer City Manager
Signatory Printed Name Title
13125 SW Hall BLVD Tigard, OR 97223
Address:
WASHINGTON COUNTY
DocuSigned by:
&"..a 7/7/2021 1 15:52 PDT
OU u onzed Signature Date
Deputy county Administrator
Signatory Printed Title
Address:
2of2
2019 WASHINGTON COUNTY INTERGOVERNMENTAL AGREEMENT
DocuSign Envelope ID:C2B4B2E8-9774-4280-9567-F6777FF8B181
INTERGOVERNMENTAL AGREEMENT
This Agreement is entered into by and between Washington County, a political subdivision of the
State of Oregon, and the City of Tigard, City of Tualatin, City of Sherwood, and City of King City,
Oregon.
ATTACHMENT A-
I. Scope of Work:
Crisis Clinicians— Mental Health Response Team (MHRT):
Effective July 1, 2021 through and including June 30, 2022, Washington County, acting through its
Department of Health and Human Services, will provide one crisis mental health clinician on the
Washington County Mental Health Response Team (MHRT)to be paired with the Cities of Tigard, Tualatin,
Sherwood, and King City. The parties acknowledge Washington County will provide services through a
subcontract with Lifeworks, Inc., and Washington County may change subcontractors in its sole discretion.
The subcontract arrangement does not modify Washington County's duties and obligations under the IGA.
The Washington County MHRT is a collaboration between law enforcement and behavioral
health crisis services. Service consists of co-locating contracted crisis mental health clinicians
with a team of law enforcement officers to respond to mental health emergencies dispatched by
the Washington County Consolidated Communications Agency (911) and through coordination
with the Washington County Sheriff's Office. The team may also provide follow up and outreach
services to individuals identified by non-MHRT law enforcement officers and other law
enforcement agencies. As time allows, follow up and outreach may be provided to individuals
identified by Emergency Medical Services.
The cities of Tigard, Tualatin, Sherwood, and King City will jointly fund an additional forty hours
per week of mental health clinician capacity to MHRT. Funds will be used to compensate the
additional clinician capacity in general. Shifts may be filled by multiple mental health clinicians
and not any specific individual. Funds are not reimbursement tied to a specific position.
Services performed by the mental health clinicians will include face-to-face crisis assessment
and evaluation as a qualified mental health professionals; consultation with families, other
professionals, or community partners such as law enforcement and community members;
referral for medication evaluation, if needed; psychiatric consultation; hospital diversion;
stabilization services/follow-up care, as needed; referral to appropriate services; flexible funding
to assist with emergency housing, transportation or other unmet needs contributing to the crisis
episode; and language/culturally specific services.
Minimum Qualifications:
The mental health clinicians shall be Masters Level Clinicians (Qualified Mental Health Professional—
QMHP) and will be required to undergo and pass comprehensive background checks.
DocuSign Envelope ID:C2B4B2E8-9774-4280-9567-F6777FF8B181
The mental health clinicians in MHRT must receive training in radio communications and attend
defensive tactics training provided by the Washington County Sheriff's Office, as available. The
mental health clinicians in MHRT will wear a ballistic vest at all times while riding with officers
and deputies, as they may be exposed to volatile and dangerous situations.
II. Additional Terms and Conditions:
Payment:
Washington County will provide the mental health clinicians. The total cost for forty (40)
additional hours per week of mental health clinician coverage for the term of the Agreement(one
year)is $10,847 per month for a total not to exceed amount of$130,164 for the year.
Washington County shall issue monthly invoices to the cities of Tigard, Tualatin, and
Sherwood individually. Each City is responsible for payment of its share, based on population
served, as follows:
1. Tigard—$5,482.00 per month, which represents 50% of the total invoice;
2. Tualatin - $3,838.00 per month, which represents 35% of the total invoice; and
3. Sherwood - $1,527.00 per month, which represents 15% of the total invoice.
4. King City -As payment for services received, and in lieu of payment by population, King
City Police Department shall cover the monthly cost of a Police Radio through WCCCA
and provide safety equipment for the Clinician (i.e. Ballistic vest, earpiece, etc.)
Invoices will begin no sooner than July 1, 2021, or the date at which Washington County
identifies having adequate staffing to support an additional 40 hours per week of MHRT
capacity, and last through to June 1, 2022. Each invoice is payable within 30 days of receipt.
The cities shall not be required to continue reimbursement as provided in this subsection if
the Agreement is sooner terminated under Section 6 of the Agreement.
At the end of the fiscal year, Washington County will reconcile the amount spent on MHRT in
Health and Human Services with the budget for the fiscal year and third-party contributions to
the program. If the overall expenditures are less than 95% of the total budgeted amount due
to clinician vacancies, Washington County will reimburse the cities on a pro-rata basis the
amount that was collected from all parties participating in the MHRT program.
Payments by the cities to Washington County will be mailed to Washington County
Department of Health and Human Services (HHS)Administration, Attn: Tara Mullin, 155 N.
First Avenue, Suite 160, MS 4A I Hillsboro, OR 97124
Supervision and Discipline:
Washington County is responsible for overall supervision of the mental health clinicians. The
Cities may provide periodic feedback to Washington County and the crisis services contractor
DocuSign Envelope ID:C2B4B2E8-9774-4280-9567-F6777FF8B181
about the work of the mental health clinicians.
If there are discipline or performance issues regarding any mental health clinician, the cities shall contact
the mental health clinician's supervisor and Washington County.
Reporting:
Washington County is responsible for any required compliance reporting relating to the mental
health clinicians, including workplace safety reports.
Schedule:
Washington County and the crisis service contractor will coordinate with Tigard Police
Department, Tualatin Police Department and the Washington County Sheriff's Office, on a
schedule for when the mental health clinicians will be working.
Devices and Office Space:
Mental health clinicians will be provided a computer and cellphone (devices) by their employer's
organization. The Cities will not have ownership of the devices and are not responsible for the
maintenance and repair or replacement of the devices.
Tualatin Police Department shall provide the mental health clinicians with office space, internet connectivity,
desk, and chair. The King City Police Department will provide a police radio, earpiece, and Kevlar vest.
The mental health clinicians are paired with law enforcement officers assigned to MHRT in a patrol car
supplied and operated by the law enforcement agency.
Law enforcement officers assigned to MHRT will be provided key card access to Hawthorn Walk-In Center and
have access to workspace and breakroom when needed.
Records:
The mental health clinicians shall use devices provided by their organization to create and store records.
Washington County is responsible for retaining those records consistent with applicable privacy laws, including
HIPAA, and Washington County's public records policy and retention schedule.
The mental health clinicians will file clinical records in the Washington County Behavioral Health electronic
medical record system.
The mental health clinicians may access records from law enforcement systems in order to perform their
duties under this Agreement but may not modify records or create new records.
DocuSign Envelope ID:C2B4B2E8-9774-4280-9567-F6777FF8B181
For Administrative Use Only—Z99999
Supplier Name: City of Tigard
Actual Contract Number(CustomText4):21-1033
Department(Location):HHS-OHP Mental Health
Contract Type: 8 Agreements
Contract Sub Type(Custom2Code): IGA:Intergovernmental Agreement
Minute Order Date:
Minute Order Number:
Master Contract Number(CustomTextl): 21-1033
Bid/RFP#(BidRFP):
BPO Number(CustomlCode): Revenue Contract
SHIP TO(LocShipTo):HHS-OHP Mental Health
BILL TO(LocBillTo): HHS-OHP Mental Health
Project Number(CustomText2):
Chargeable Program Number(ChargeProgram):
Contract Admin(Administrator): Jay Auslander
2019 WASHINGTON COUNTY-ARCHIVE RECEIPT
DocuSign
Certificate Of Completion
Envelope Id:C2B4B2E8977442809567F6777FF8B181 Status:Completed
Subject: Please DocuSign:Contract#21-1033:City of Tigard
Source Envelope:
Document Pages:6 Signatures:2 Envelope Originator:
Certificate Pages:5 Initials:0 Kassie Denney
AutoNav: Enabled 155 N. First Ave,Suite 270
Envelopeld Stamping: Enabled MS28
Time Zone: (UTC-08:00)Pacific Time(US&Canada) Hillsboro,OR 97124-3087
Kassandra_Denney@co.washington.or.us
IP Address:204.147.152.15
Record Tracking
Status:Original Holder:Kassie Denney Location: DocuSign
7/2/2021 9:39:58 AM Kassa ndra_Denney@co.washington.or.us
Security Appliance Status:Connected Pool:StateLocal
Storage Appliance Status:Connected Pool:Washington County Location: DocuSign
Signer Events Signature Timestamp
Steve Rymer ED—Sig-d by: Sent:7/2/2021 9:49:55 AM
stever@tigard-or.gov ftvu_ �MW Viewed:7/6/2021 6:24:32 AM
City Manager FFD6C326B2CD43A Signed:7/6/2021 6:25:56 AM
Security Level: Email,Account Authentication
(None),Access Code Signature Adoption: Pre-selected Style
Using IP Address:208.71.205.129
Electronic Record and Signature Disclosure:
Accepted:7/6/2021 6:24:32 AM
ID:5f77ae53-d685-4c7a-b49c-3b877f84513a
Ruth Osuna S'g dnv: Sent:7/6/2021 6:25:58 AM
ruth_osuna@co.washington.or.us "' '""" Viewed:7/7/2021 3:51:59 PM
De ut Count Administrator ED
8o1C62C28o8C4F1 Signed:7/7/2021 3:52:07 PM
Deputy Y 9
Washington County,Oregon
Signature Adoption: Pre-selected Style
Security Level: Email,Account Authentication
(None),Access Code Using IP Address:204.147.152.5
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Lisa Shaw Sent:7/6/2021 6:25:58 AM
Lisa.Shaw@tigard-or.gov
ED
Security Level: Email,Account Authentication
(None),Access Code
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 7/2/2021 9:49:55 AM
Certified Delivered Security Checked 7/7/2021 3:51:59 PM
Signing Complete Security Checked 7/7/2021 3:52:07 PM
Completed Security Checked 7/7/2021 3:52:07 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on: 1/18/2019 1:30:30 PM
Parties agreed to:Steve Rymer
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, Carahsoft OBO SHI OBO Washington County(we, us or Company) may be
required by law to provide to you certain written notices or disclosures. Described below are the
terms and conditions for providing to you such notices and disclosures electronically through the
DocuSign system. Please read the information below carefully and thoroughly, and if you can
access this information electronically to your satisfaction and agree to this Electronic Record and
Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to
`I agree to use electronic records and signatures' before clicking `CONTINUE' within the
DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. You will have the ability to download and print documents we send
to you through the DocuSign system during and immediately after the signing session and, if you
elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to
send you paper copies of any such documents from our office to you, you will be charged a
$0.00 per-page fee. You may request delivery of such paper copies from us by following the
procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to
receive required notices and consents electronically from us or to sign electronically documents
from us.
All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSign system all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure,we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process,please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
How to contact Carahsoft OBO SHI OBO Washington County:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: tina—hartmeier@co.washington.or.us
To advise Carahsoft OBO SHI OBO Washington County of your new email address
To let us know of a change in your email address where we should send notices and disclosures
electronically to you, you must send an email message to us
at tina_hartmeier@co.washington.or.us and in the body of such request you must state: your
previous email address, your new email address. We do not require any other information from
you to change your email address.
If you created a DocuSign account, you may update it with your new email address through your
account preferences.
To request paper copies from Carahsoft OBO SHI OBO Washington County
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an email
to tina_hartmeier@co.washington.or.us and in the body of such request you must state your
email address, full name, mailing address, and telephone number. We will bill you for any fees at
that time, if any.
To withdraw your consent with Carahsoft OBO SHI OBO Washington County
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to tina_hartmeier@co.washington.or.us and in the body of such request you
must state your email, full name, mailing address, and telephone number. We do not need any
other information from you to withdraw consent.. The consequences of your withdrawing
consent for online documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The
current system requirements are found here: haps://support.docusi n�guides/signer-_uide-
signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you,please confirm that you have
read this ERSD, and(i) that you are able to print on paper or electronically save this ERSD for
your future reference and access; or(ii)that you are able to email this ERSD to an email address
where you will be able to print on paper or save it for your future reference and access. Further,
if you consent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check-box next to `I agree to use electronic records and signatures' before
clicking `CONTINUE' within the DocuSign system.
By selecting the check-box next to `I agree to use electronic records and signatures', you confirm
that:
• You can access and read this Electronic Record and Signature Disclosure; and
• You can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
• Until or unless you notify Carahsoft OBO SHI OBO Washington County as described
above, you consent to receive exclusively through electronic means all notices,
disclosures, authorizations, acknowledgements, and other documents that are required to
be provided or made available to you by Carahsoft OBO SHI OBO Washington County
during the course of your relationship with Carahsoft OBO SHI OBO Washington
County.