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Home My WebLink About2023-598-E-Health Dept-UNC Healthcare System -Perform tubal ligations for uninsured womenRev 6/23 NORTH CAROLINA ORANGE COUNTY [Departmental Use Only] TITLE UNC Sterilization FY 2023-2024 UNC STERILIZATION SERVICES AGREEMENT UNDER $90,000.00 NO RFP/RFQ This Services Agreement (hereinafter “Agreement”), made and entered into this 4th day of October 2023, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and UNC Health Care System, on behalf of its affiliated entities UNC Hospital and the University of North Carolina at Chapel Hill for its School of Medicine, (hereinafter, the "Provider"). WITNESSETH: 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): the performance of tubal ligations for uninsured women referred by Orange County Health Department. ii)By executing this Agreement, the Provider represents and agrees that Provider is qualified to perform 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 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 throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the DocuSign Envelope ID: AC3FC88F-D497-4F0A-B96D-9CCC574BB74B Rev 6/23 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)Provider agrees that Provider, its employees, agents and its subcontractors, if any, shall be required to comply with all federal, state and local antidiscrimination laws, regulations and policies that relate to the performance of Provider’s services under this Agreement. vi)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. vii)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. Provider will provide professional services to perform tubal ligations for uninsured women referred by the County. Each procedure will be scheduled within 30 days of the referral and will be performed at UNC Hospital in Hillsborough. The County shall compensate Provider for such Basic Services in accordance with Section 5(a). 4.Duration of Services a.Term. The term of this Agreement shall be from October 10, 2023 to June 30, 2024. DocuSign Envelope ID: AC3FC88F-D497-4F0A-B96D-9CCC574BB74B Rev 6/23 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. c.The Commencement Date for the Provider's Basic Services shall be October 10, 2023. 5.Compensation a.Compensation for Basic Services. The County shall compensate Provider for all Basic Services provided to the County as follows: OCHD will reimburse for CPT codes 58600 or 58671 $3,855 (the total hospital charges per case) as well as 100% of Medicaid allowable expense for all professional charges. OCHD will reimburse pre-op visits in the amount of $102 for hospital services, as well as 100% of Medicaid allowable expenses for pre-op physician services. The maximum amount payable for Basic Services shall not exceed Ten Thousand Dollars ($10,000). Payment for Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Provider shall send invoices to: Orange County Health Department ATTN: Kimberlee Quatrone 300 W. Tryon Street Hillsborough, NC 27278 Payments to Provider for Basic Services shall clearly identify the patient name and date of service. 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 (Alvina Long) to act as the County's representative with respect to this Agreement and shall have the authority to DocuSign Envelope ID: AC3FC88F-D497-4F0A-B96D-9CCC574BB74B Rev 6/23 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. The Provider will be responsible for the negligence of its employee and agents working under this Agreement to the extent of the North Carolina Tort Claims Act. Further, the Provider shall provide adequate professional liability insurance for the Provider and its personnel who provide services described in this Agreement. The insurance limits will be stated in a Confirmation of Insurance submitted at the time this Agreement is commenced. The professional liability insurance shall cover personal injury and property damage claims arising out of or related to the performance under this Agreement by the persons designated as providing this Service under this Agreement in the amount of at least $1 million, per occurrence, $2 million aggregate. b. Evidence of Insurance. Evidence of such insurance shall be furnished to the County, together with evidence that each policy provides the County with not less than thirty (30) days prior written notice of any cancellation, non-renewal or reduction of coverage. 8.Indemnity a.Indemnity. The Provider will be responsible for the negligence of its employees and agents to the extent of the North Carolina Tort Claims Act. 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 either Party and for its convenience upon thirty (30) days’ prior written notice to the other Party. 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. DocuSign Envelope ID: AC3FC88F-D497-4F0A-B96D-9CCC574BB74B Rev 6/23 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 Services, to the extent permitted under applicable law. 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 Assignment. 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 and Priority: Both parties agree that this Agreement shall be governed by the laws of the State of North Carolina and Orange County. 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 anti-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://www.orangecountync.gov/departments/purchasing_division/contracts.php.). Any violation of this requirement 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. 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. By executing this Agreement Provider affirms Provider is and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. In determining the basic services to be provided, should any documents be referenced in or attached to this Agreement, the terms herein shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. DocuSign Envelope ID: AC3FC88F-D497-4F0A-B96D-9CCC574BB74B Rev 6/23 c.Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance 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. d.Entire Agreement. 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. e.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. f.Non-Appropriation. 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. g. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. h.Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Orange County Health Department Attention: Kimberlee Quatrone 300 W. Tryon Street Hillsborough, NC 27278 DocuSign Envelope ID: AC3FC88F-D497-4F0A-B96D-9CCC574BB74B Rev 6/23 UNC Health Care System Legal Department 101 Manning Drive Medical Wing E, 2nd Floor Chapel Hill, NC 27514 Attn: Allyson Lawless, Esq. With copy to: UNC Health Care System Managed Care Department 5221 Paramount Parkway, Suite 420 Morrisville, NC 27560-5491 Attn: VP, Managed Care [SIGNATURE PAGE TO FOLLOW] DocuSign Envelope ID: AC3FC88F-D497-4F0A-B96D-9CCC574BB74B Rev 6/23 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: By: Bonnie Hammersley, County Manager By: Scott Trott, MHA, System VP, Managed Care DocuSign Envelope ID: AC3FC88F-D497-4F0A-B96D-9CCC574BB74B UNC Health Care System Sterilization FY23-24 Final Audit Report 2023-10-04 Created:2023-10-04 By:Kathryn Grant (kathryn.grant@unchealth.unc.edu) Status:Signed Transaction ID:CBJCHBCAABAAWqSmdwK4axTaOFWxbKCW0G2pTK0gsPll "UNC Health Care System Sterilization FY23-24" History Document created by Kathryn Grant (kathryn.grant@unchealth.unc.edu) 2023-10-04 - 1:24:02 PM GMT- IP address: 204.85.253.243 Document emailed to Scott Trott (scott.trott@unchealth.unc.edu) for signature 2023-10-04 - 1:24:37 PM GMT Email viewed by Scott Trott (scott.trott@unchealth.unc.edu) 2023-10-04 - 7:07:29 PM GMT- IP address: 204.85.253.253 Document e-signed by Scott Trott (scott.trott@unchealth.unc.edu) Signature Date: 2023-10-04 - 7:07:41 PM GMT - Time Source: server- IP address: 204.85.253.253 Agreement completed. 2023-10-04 - 7:07:41 PM GMT DocuSign Envelope ID: AC3FC88F-D497-4F0A-B96D-9CCC574BB74B Revised 04/23 1 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: UNC Healthcare System Vendor Contact Person: Kathryn Grant Phone: 984-974-1274 Address: 5221 Paramount Parkway, Suite 420 City Morrisville State: NC Zip: 27560 Department: Health Amount: $10,000 Purpose: Perform tubal ligations for uninsured women Budget Code(s): 10414020-630000-71400 Vendor # 30892 Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 10-10-23 End Date 6-30-24 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: ); Made or Administered by Signature Authority - BOCC Express Delegation (Agenda Date: ) - Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 - Budget Policy Section XV (Capital Improvement Project: ) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) Department Affirmation 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. Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services 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 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: Received for record retention: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: AC3FC88F-D497-4F0A-B96D-9CCC574BB74B 10/17/2023 10/19/2023 10/19/2023 10/19/2023 CERTIFICATE OF COVERAGE Certificate Holder: To Whom This May Concern Insurer: State of North Carolina Authorization: Public Officers & Employee Liability Insurance Commission of North Carolina and the General Statutes of North Carolina, Chapter 143, Articles 31 to 31D, Sections §143-291 to §143-300. Period: February 01, 2023 until February 01, 2024 Coverage: A) Tort Claims against Departments, Agencies, and Employees B) Excess Liability for State Employees Ambridge Partners, LLC - Policy # PK1035823 Kinsale Insurance Company - Policy # 01000154762-2 C) Workers’ Compensation Limits A) $1,000,000 for Tort claims against the State B) $2,000,000 per employee/$10,000,000 aggregate for claims against state employees C) Statutory Limits for Workers’ Compensation Description: UNC Hospitals and its employees, officers, agents, as covered by the Defense of State Employees as per NCGS § 143 300.2. Administrator: Department Insurance - Risk Management Division Public Officers & Employees Liability Insurance Commission 1202 Mail Service Center, Raleigh, NC 27699-1202 Note: This Certificate is for informational purposes only and does not alter any provision of the Tort Claims or Defense of State Employees General Statutes of the State. Verified By: Latarsha Y. Silver, CRM Risk Manager UNC Hospitals DocuSign Envelope ID: AC3FC88F-D497-4F0A-B96D-9CCC574BB74B