HomeMy WebLinkAbout2021-337-Health-MedAssist of Mecklenburg-Medassist to donate to Orange County EMS and Health deptNC MedAssist Memorandum of Understanding
Over the Counter (OTC) Medicine
This Memorandum of Understanding (MOU) sets forth the terms and understanding between NC MedAssist and
(“Receiving Agency”).
Background
The volunteer program at NC MedAssist collaborates with Second Harvest Food Bank of Metrolina
(SHFBM) to provide over the counter (OTC) medication to those who cannot afford these medications.
Volunteers sort the product for expiration and then send it to NC MedAssist for distribution. NC
MedAssist in turn provides these medicines at no charge to the agency.
NC MedAssist makes no warranties or guarantee to the product quality or availability. NC MedAssist
uses volunteers to inventory and pack the medication. Reasonable care is given to checking for
expiration dates. However, NC MedAssist receives the products in “as is” condition and provides it to
the collaborating organization in “as is” condition. Should the collaborating organization have any
concerns about the safety of the product, they should not distribute it to the public and dispose of it
properly.
Clinics and non-profits with medical professionals who can oversee the distribution of leftover
medicine may arrange to pick up any remaining medicine after a Mobile Free Pharmacy event.
However, under no circumstances can the agency sell, give as awards, or attach a fee/donation to
the product. The goal of the program is to provide OTC’s to those in need in the communities served
by NC MedAssist.
Duration
This MOU shall become effective upon signature by the authorized officials from the agency and will
remain in effect until modified or terminated. This MOU is at-will and either party may terminate this
MOU without cause This MOU may be renewed on an annual basis upon mutual consent of the parties.
NC MEDASSIST: AGENCY NAME:
MEDASSIST OF
MECKLENBURG, INC.
_________________________
Kinzie Luce Printed Name
Mobile Free Pharmacy
Events & Volunteer Manager
Authorized Signature
Title:
Date: __________________
Bonnie Hammersley
Orange County
Orange County, on behalf of its Emergency Services and Health Departments
DocuSign Envelope ID: 334D2FB9-80AC-4BD8-A50F-0F81F20B370F
County Manager
6/29/2021
Revised 07/20
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Party/Vendor Name: MedAssist of Mecklenburg Party/Vendor Contact Person: Kinzie Luce Contact Phone: 866-
331-1348 Party/Vendor Address: 4428 Taggart Creek Rd., Suite 101 City Charlotte State: NC Zip: 28208
Department: Health Amount: $0 Purpose: MedAssist to donate to Orange County EMS and Health Departments
OTC medication. Budget Code(s): N/A Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes
No Contract Type: (Check one) New Renewal Amendment Effective Date Approved by
Board Yes No Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
Department Director’s Signature ________________________________________ Date: ________
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
Information Technologies
(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer___________________________________ Date: ________
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board __________________________________________Date:_________
DocuSign Envelope ID: 334D2FB9-80AC-4BD8-A50F-0F81F20B370F
6/28/2021
6/28/2021
6/29/2021
6/29/2021