HomeMy WebLinkAbout2018-565-E DSS - Medisolutions RN services DocuSign Envelope ID:83953149-A2B0-4F9F-A63C-BE4C32065413
[Departmental Use Only]
TITLE MediSolutions Inc.
FY 2018-19
NORTH CAROLINA
SERVICES AGREEMENT UNDER$90,000.00
NO RFPIR F Q
ORANGE COUNTY
This Services Agreement (hereinafter "Agreement"), made and entered into this 1st day of
July, 2018, (`.`Effective Date") by and between Orange County, North Carolina a political
subdivision of the State of North Carolina (hereinafter, the "County") and MediSolutions Inc.,
(hereinafter,the "Provider").
Wf1rNESSETH:
That the County and Provider, for the consideration herein named, do hereby agree as
follows:
1. Services
a. Scope of Work.
i) This Agreement is for services to be rendered by Provider to County with respect to
(insert type of project): Providing a Registered Nurse to make home visits for the
purpose of conducting RN assessments of beneficiaries of the Community
Alternatives Program for Disabled Adults (CAP/DA) in Grange County and
entering the required data in e-CAP.
ii) By executing this Agreement, the Provider represents and agrees that Provider is
qualified to perfa nn. and fully capable of performing and providing the services
required or necessary under this Agreement in a fully competent, professional and
timely manner.
iii) Time is of the essence with respect to this Agreement.
iv) The services to be performed under this Agreement consist of Basic Services, as
described and designated in Section 3 hereof. Compensation to the Provider for
Basic Services under this Agreement shall be as set forth herein.
2. Responsibilities of the Provider
a. Services to be provided. The Provider shall provide the County with all services
required in Section 3 to satisfactorily complete the Project within the time limitations set
forth herein and in accordance with the highest professional standards.
b. Standard of Care.
i) The Provider shall exercise reasonable care and diligence in performing services
under this Agreement in accordance with the highest generally accepted standards
of this type of Provider practice throughout the United States and in accordance
Revised 10117
1
DocuSign Envelope ID:83953149-A2B0-4F9F-A63C-BE4C32065413
with applicable federal, state and focal laws and regulations applicable to the
performance of these services. Provider is solely responsible for the professional
quality, accuracy and timely completion and/or submission of all work related to
the Basic Services.
ii) Provider shall be responsible for all errors or omissions of its agents, contractors,
employees, or assigns in the performance of the Agreement. Provider shall
correct any and all errors, omissions, discrepancies, ambiguities, mistakes or
conflicts at no additional cost to the County.
iii) The Provider shall not, except as otherwise provided for in this Agreement,
subcontract the performance of any work under this Agreement without prior
written permission of the County. No permission for subcontracting shall create,
between the County and the subcontractor, any contract or any other relationship.
iv) Provider is an independent contractor of County. Any and all employees of the
Provider engaged by the Provider in the performance of any work or services
required of the Provider under this Agreement, shall be considered employees or
agents of the Provider only and not of the County, and any and all claims that may
or might arise under any workers compensation or other law or contract on behalf
of said employees while so engaged shall be the sole obligation and responsibility
of the Provider.
v) If activities related to the performance of this Agreement require specific licenses,
certifications, or related credentials Provider represents that it and/or its
employees, agents and subcontractors engaged in such activities possess such
licenses, certifications, or credentials and that such licenses certifications, or
credentials are current, active,and not in a state of suspension or revocation.
vi) In determining the basic services to be provided, should any documents be
referenced in this Agreement, the terms of this Agreement shall have priority in
any conflict between the terms of referenced documents and the terms of this
Agreement. Should a request for proposals and a proposal be referenced the
terms of.the request for proposals shall have priority over the terms of any
proposal.
3. Basic Services
a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows
(fully describe services to be provided): The Provider will provide a Registered Nurse to
snake home visits for the purpose of conducting RN assessments of beneficiaries of the
Community Alternatives Program for Disabled Adults (CAP/DA) in Orange County and
entering the required data in e-CAP. Assessments will be scheduled by the CAP/DA
case managers in the Adult Services Unit of OCDSS.The Registered Nurse will attend
OCDSS approved training prior to performing any such assessments, and attend any new
training as necessary.
4. Duration of Services
Revised 10/17
2
DocuSign Envelope ID:83953149-A2B0-4F9F-A63C-BE4C32065413
a. Term. The term of this Agreement shall be from July 1, 2018 to June 30,2019.
b. Scheduling;of Services.
i) The Provider shall schedule and perform its activities in a timely manner.
ii) Should the County determine that the Provider is behind schedule, it may require
the Provider to expedite and accelerate its efforts, including providing additional
resources and working overtime, as necessary, to perform its services in
accordance with the approved project schedule at no additional cost to the
County.
iii) The Commencement Date for the Provider's Basic Services shall be July 1, 2018,
5. Compensation
a. Compensation for Basic Services. Compensation for Basic Services shall include all
compensation due the Provider from the County for all services under this Agreement.
The maximum amount payable for Basic Services shall not exceed Fifteen Thousand and
001100 Dollars ($15,000) at a rate of$35 per hour and mileage reimbursement at $0.545
per mile per/hr. Payment for Basic Services shall become due and payable within thirty
(30)days of Provider properly invoicing County. Payment shall be subject to provisions
of Section 5(b).
b. _Disputes. In the event the amount stated on an invoice is disputed by the County, the
County may withhold payment of all or a portion of the amount stated on an invoice
until the parties resolve the dispute. Should Provider fail to perform its duties under the
terms of this Agreement, County may, without fault or penalty, withhold any payment
associated with the work to be performed until such time as said work is completed.
c. Additional Services. County shall not be responsible for costs related to any services in
addition to the Basic Services performed by Provider unless County requests such
additional services in writing and such additional services are evidenced by a written
amendment to this Agreement.
6. Responsibilities of the County
a. Cooperation and Coordination. The County has designated (Kira Lassiter-Fisher) to act
as the County's representative with respect to the Project and shall have the authority to
render decisions within guidelines established by the County Manager and/or the County
Board of Commissioners and shall be available during working hours as often as may be
reasonably required to render decisions and to furnish information,
7. Insurance
a. General Requirements. Provider shall obtain, at its sole expense, Commercial General
Liability Insurance,Automobile Insurance,Workers' Compensation Insurance, and any
additional insurance as may be required by County's Risk Manager as such insurance
requirements are described in the Orange County Risk Transfer Policy and Orange
County Minimum Insurance Coverage Requirements (each document is incorporated
Revised 10117
3
DocuSign Envelope ID:83953149-A2B0-4F9F-A63C-BE4C32065413
herein by reference and may be viewed at '
htt www.oran ecount nc. ov de artments urchasin division contracts. h ). If
County's Risk Manager determines additional insurance coverage is required such
additional insurance shall consist of General Liability Professional that includes
coverage for abuse or sexual misconduct and employee theft(if no additional insurance
required mark NIA as being not applicable), Provider shall not commence work until
such insurance is in effect and certification thereof has been received by the County's
Risk Manager.
S.. Indemnity
a. Indemnity. The Provider agrees, without limitation, to defend, indemnify and hold
harmless the County from all loss, liability, claims or expense, including attorney's fees,
arising out of or related to the Project and arising from property damage or bodily injury
including death to any person or persons caused in whole or in part by the negligence or
misconduct of the Provider except to the extent same are caused b_y, the negligence or
willful misconduct of the County. It is the intent of this provision to require the Provider
to indemnify the County to the fullest extent permitted under North Carolina law.
9. Amendments to the Agreement
a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional
compensation or a change in duration of this Agreement shall be made by a written
Amendment to this Agreement executed by the County and the Provider. The Provider
shall proceed to perform the Services required by the Amendment only after receiving a
fully executed Amendment from the County.
10. Termination
a. Termination for Convenience of the County. This Agreement may be terminated without
cause by the County and for its convenience upon seven (7) days' prior written notice to
the Provider.
b. Other Termination. The Provider may terminate this Agreement based upon the County's
material breach of this Agreement, provided, the County has not taken all reasonable
actions to remedy the breach. The Provider shall give the County seven (7) days' prior
written notice of its intent to terminate this Agreement for cause.
c. Compensation After Termination.
i) In the event of termination, the Provider shall be paid that portion of the fees and
expenses that it has earned to the date of termination, less any costs or expenses
incurred or anticipated to be incurred by the County due to errors or omissions of
the Provider.
ii) Should this Agreement be terminated, the Provider shall deliver to the County
within seven (7) days, at no additional cost, all deliverables including any
electronic data or files relating to the Project.
Revised 10117
4
DocuSign Envelope ID:83953149-A2B0-4F9F-A63C-BE4C32065413
d. Waiver. The payment of any sums by the County under this Agreement or the failure of
the County to require compliance by the Provider with any provisions of this Agreement
or the waiver by the County of any breach of this Agreement shall not constitute a
waiver of any claim for damages by the County for any breach of this Agreement or a
waiver of any other required compliance with this Agreement.
e. Suspension. County may suspend the Basic Services and this Agreement at any time for
County's convenience and without penalty to County upon three (3) days' notice to
Provider. Upon any suspension by County, Provider shall discontinue work on the Basic
Services and shall not resume the Basic Services until notified to proceed by County.
11. Additional Provisions
a. Limitation and Assigpment. The County and the Provider each bind themselves, their
successors, assigns and legal representatives to the terms of this Agreement. Neither the
County nor the Provider shall assign or transfer its interest in this Agreement without the
written consent of the other.
b. Governing Law. This Agreement and the duties,responsibilities, obligations and rights
of respective parties hereunder shall be governed by the laws of the State of North
Carolina. By executing this Agreement Provider affirms that Provider and any
subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter
64 of the North Carolina General Statutes. By executing this Agreement Provider
certifies that Provider has not been identified, and has not utilized the services of any
agent or subcontractor identified, on the list created by the State Treasurer pursuant to
G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not
been identified, and has not utilized the services of any agent or subcontractor identified,
on the list created by the State Treasurer pursuant to G.S. 147-86.81.
c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable
local, state, and federal laws, rules, and regulations including but not limited to all state
and federal non-discrimination laws, policies, rules, and regulations and the Orange
County Non-Discrimination Policy and Orange County Living Wage Policy (each policy
is incorporated herein by reference and may be viewed at
http°Ilwww.oran eg coggtyne.gov/departments/purchasing_division/contracts.nhn.) Any
violation of the Orange County Non-Discrimination Policy is a breach of this Agreement
and County may immediately terminate this Agreement without further obligation on the
part of the County. This paragraph is not intended to limit and does not limit the
definition of breach to discrimination.
d. DiMute Resolution. Any and all suits or actions to enforce, interpret or seek damages
with respect to any provision of, or the performance or nonperformance of, this
Agreement shall be brought in the General Court of Justice of North Carolina sitting in
Orange County,North Carolina. It is agreed by the parties that no other court shall have
jurisdiction or venue with respect to such suits or actions. Binding arbitration may not
be initiated by either Party, however, the Parties may agree to nonbinding mediation of
any dispute prior to the bringing of such suit or action.
Revised 10/17
5
DocuSign Envelope ID:83953149-A2B0-4F9F-A63C-BE4C32065413
e, Entire A eement. This Agreement represents the entire and integrated agreement
between the County and the Provider and supersedes all prior negotiations,
representations or agreements, either written or oral. This Agreement may be amended
only by written instrument signed by both parties. Modifications may be evidenced by
facsimile signatures.
F, Severability. If any provision of this Agreement is held as a matter of law to be
unenforceable, the remainder of this Agreement shall be valid and binding upon the
Parties.
g. Ownership of Work Product. Should Provider's performance of this Agreement generate
documents, items or things that are specific to this Project such documents, items or
things shall become the property of the County and may be used on any other project
without additional compensation to the Provider. The use of the documents, items or
things by the County or by any person or entity for any purpose other than the Project as
set forth in this Agreement shall be at the full risk of the County.
h. Nan-Apnrapriation. Provider acknowledges that County is a governmental entity, and
the validity of this Agreement is based upon the availability of public funding under the
authority of its statutory mandate.
In the event that public funds are unavailable and not appropriated for the performance of
County's obligations under this Agreement, then this Agreement shall automatically
expire without penalty to County immediately upon written notice to Provider of the
unavailability and non-appropriation of public funds. It is expressly agreed that County
shall not activate this non-appropriation provision for its convenience or to circumvent
the requirements of this Agreement, but only as an emergency fiscal measure during a
substantial fiscal crisis.
In the event of a change in the County's statutory authority, mandate and/or mandated
functions, by state and/or federal legislative or regulatory action, which adversely affects
County's authority to continue its obligations under this Agreement, then this Agreement
shall automatically terminate without penalty to County upon written notice to Provider
of such limitation or change in County's legal authority.
i. Signatures. This Agreement together with any amendments or modifications may be
executed electronically. All electronic signatures affixed hereto evidence the consent of
the Parties to utilize electronic signatures and the intent of the Parties to comply with
Article 11A and Article 40 of North Carolina General Statute Chapter 66.
j. Notices. Any notice required by this Agreement shall be in writing and delivered by
certified or registered mail,return receipt requested to the following:
Grange County Provider's Name
Attention:Nancy Coston Robin Creason
P.Q. Box 8181 100 N. Church St., Suite B
Hillsborough,NC 27278 Burlington,NC 27217
[SIGNATURE PAGE TO FOLLOW]
Revised 10117
6
DocuSign Envelope ID:83953149-A2B0-4F9F-A63C-BE4C32065413
IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have
hereunder set their hands and seal, all as of the day and year first above written..
ORANGE COUNTY; PROVIDER.
ocu5igned by: DocuSigned by:
1�6' �" *a+ v5 ErWE4598B7ABS466 66u CYt,a.56tn.
By' 379946755E477... By' ..
County Manager
Robin Creason RN
Printed Name and Title
Revised 10117
7
DocuSign Envelope ID:83953149-A2BO-4F9F-A63C-BE4C32065413
1 DATE(MMIDDYYYY)
A,c° CERTIFICATE OF LIABILITY INSURANCE
F 07/24/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER HAMEACT Angie Cox
Capital Insurance&Financial Services,Inc. M21 EM, 919-571-0685 we No): (919)571-0684
3701 Lake Boone Trail ADDARLss: aoax @ca ital-ins.com
Suite 200 INSURER(S)AFFORDING COVERAGE NAIC N
Raleigh NC 2.7607 INSURERA: Philadel ph is Insurance Corn pa nies
INSURED INSURER B: Travelers
Medisolutions Inc INSURER C
100 N Church St INSURER D
Suite S INSURER E:
BUIRLINGTON NC 27217 INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR POLIO POLICY EXP _ LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER MMIDDYYYY MM+DDYYYY
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
X COMMERCIAL GENERAL LIABILITY P EMISES Ea accuEfence $ 100000
CLAIMS-MADE OCCUR MED EXP(An Yone person) $ 5000
A N N PHPK1742845 11/22/2017 11/22/2018 PERSONAL&ADV INJURY $ 10000DO
GENERAL AGGREGATE $ 2000000
GENTAGGREGATE UMrr APPLIES PER: PRODUCTS-COMPIOP AGG $ 2000000
- POLICY PRO LOC $_C F
AUTOMOBILE LIABILITY Ea aBeeideD SIN GLE LIMIT $
ANYAUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Pa r ace id ard)
AUTOS AUTOS
NON-OWNED YDAMAGE
HIRED AUTOS AUTOS eraccidenl
$
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
DEO RETENTION $
WORKERS COMPENSATION X WC S7ATU- OTH-
AND EMPLOYERS'UABILITY
ANY PRO PRIETORIPARTNERIEXECUIIE YIN
E.L EACH ACCIDENT $ 1 00000
B 0PRCER1IetEMBEREXCLUDED? ® NIA N 115911222017 11/22/2017 11/2212018
(Mandalory in NH) E.L DISEASE-EAEMPLOYE $ 100000
1F s describe under
DESCRIPTION OF0PE RATIO NS below E.L.DISEASE-POLICY LIMIT $ 500000
Professional Liability 1,000,000 each occurrence
A N N PHPK174845 11122/2017 11/22/2018 2,000,000 aggregate
DESCRIPTION OF OPERATIONS I LOCATION SI VEHICLES(Attach AC0RD 1D 1.Additi onal Remarks Schedule,II mare space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Orange Cou my
PO BOX 8181 AUTHORIZED REPRESENTATIVE
Hiilsl oraugh NC 27278 w �-�i�-
ACORD 25(2010/05) 0 1988-2010 ACORD CORPORATION.All rights reserved.
The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID:83953149-A2B0-4F9F-A63C-BE4C32065413
AC DATE(24/201'YYY)
CERTIFICATE OF LIABILITY INSURANCE 7/24124/8
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER NAME: Donald Morgan
Morgan&Associates LLC-GA PHONE, 7708617509 1-866-713-6171
8 AM N®,Ext: (AIC,No);
PO Box 456 ADDRESS: dmorgan rr maginsurance.coin
INSURERS)AFFORDING COVERAGE NAIC#
Kennesaw GA 30156 INSURER A: EVANSTON INS CO 35378
INSURED INSURER 9:
Medisoultion INSURER C;
100 N Church ST INSURER D
INSURER E
Burlington NC 27217 INSURER F;
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY {MMIDOIYYYY) LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X.CLAIMS-MADE OOCCUR PREMISES(Ea occurrence) $ 100,000
MED EXP(Anyone person) S 5,000
A NP343324 07/15/2018 07/25/2014 PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000,000
X
RO
J P _C
ECT
POLICY LOC PRODUCTS-COMPIOP AGG $ 1,000,000
OTHER: Sexual and Physical Abus "� 1,000,000
AUTOMOBILE LIABILITY Ea accident $
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Peraculdent) $
AUTOS ONLY AUTOS
HIRED NON-OWNED $
AUTOS ONLY AUTOS ONLY (Per acdclenl)
S
UMBRELLA LIAR OCCUR EACH OCCURRENCE S _
EXCESS LIAR CLAIMS-MADE AGGREGATE S
DED I I RETENTION$ $
WORKERS COMPENSATION FIER Olti-
AND EMPLOYERS'LIABILITY YIN STATUTE I ER
NY PROPRIETORfPARTNERIEXECUTIVE F7 NIA E.L.EACH ACCIDENT $
1=FICERIMEMDER EXCLUDED? -
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $
f yyes,describe under
ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
A Sexual Misconduct/Molestation/Abuse NP343324 07115/2018 07/15/2014 $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 701,Additional Remarks Schedule,maybe attached If more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Orange County Goverment ACCORDANCE WITH THE POLICY PROVISIONS.
RO,Box 8181 AUTHORIZED REPRESENTATIVE
Fanuld,J Mor�dw
Hillsborough,NC 27278
d 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD