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HomeMy WebLinkAbout2024-417-E-Health Dept-North Carolina Alliance of Public Health Agencies-Staffing of Health positions North Carolina Alliance of Public Health Agencies (NCAPHA) Staffing Agreement North Carolina Alliance of Public Health Agencies, Inc., entered into effective as of February 1, 2024, with its principal office located at 222 North Person Street, Suite 208, Raleigh, North Carolina 27601 (“Agency”), and Orange County, acting by and through Orange County Health Department, with its principal office located at 300 West Tryon Street, Hillsborough, NC 27278 (“Client”) agree to the terms and conditions set forth in this Staffing Agreement (the “Agreement”). 1. Agency Duties and Responsibilities Agency will: a. Recruit, screen, interview, hire, and assign its employees (“Assigned Employees”) to perform tasks in accordance with Client’s specifications as described to Agency in writing for staffing under Client 's supervision and will be the common law employer of Assigned Employees; b. Pay each Assigned Employee’s wages and provide them with the benefits that Agency offers to them; c. Pay, withhold, and transmit payroll taxes; provide unemployment insurance and workers' compensation benefits; and handle unemployment and workers' compensation claims involving Assigned Employees; d. Require Assigned Employees to sign agreements (in the form of Exhibit A) acknowledging that they are not entitled to holidays, vacations, paid time off, disability benefits, insurance, pensions, or retirement plans, or any other benefits offered or provided by Client; e. Comply with applicable federal, state and local labor and employment laws, including the Immigration Reform and Control Act of 1986; the Internal Revenue Code (“Code”); the Employee Retirement Income Security Act (“ERISA”); the Health Insurance Portability and Accountability Act (“HIPAA”); the Family Medical Leave Act; Title VII of the Civil Rights Act of 1964; the Americans with Disabilities Act; the Fair Labor Standards Act; the Consolidated Omnibus Budget Reconciliation Act (“COBRA”); the Uniformed Services Employment and Reemployment Rights Act of 1994. f. In compliance with Section 420.302(b) of the Medicare regulations, until the expiration of four years after the furnishing of services provided under this Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 2 Agreement, Agency will make available to the Secretary, U.S. Department of Health and Human Services, the U.S. Comptroller General, and their representatives, this Agreement and all books, documents and records necessary to certify the nature and extent of the costs of those services; g. Obtain and keep on file all documentation required by the U.S. Immigration and Naturalization Service to prove legal status to work and reside in the United States; h. At Client's request, provide certificates evidencing general liability and professional liability insurance coverage. i. Provider shall obtain, at its sole expense, General liability of not less than $1,000,000 and Professional amount not less than $1 million per occurrence, $3 million annual aggregate. Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 1.2 Right to Control In addition to Agency’s duties and responsibilities set forth in paragraph 1, Agency, as the common law employer, has the right to review and address, unilaterally or in coordination with Client, Assigned Employee work performance issues and to enforce Agency’s employment policies relating to Assigned Employee conduct at the worksite. The work assignment of Assigned Employee will be terminated by Agency upon receipt of Client’s written request given to Agency at least fifteen (15) days in advance; provided, however, that Client may immediately terminate an Assigned Employee’s work assignment for cause. If Assigned Employee’s work assignment is terminated for cause, Client shall provide Agency with a written statement specifying the cause in reasonable detail promptly following such termination. 2. Client Duties and Responsibilities Client will: a. Properly supervise Assigned Employee’s work performance and be responsible for Client’s business operations, products, services, and intellectual property; b. Properly supervise, control, and safeguard its premises, processes, and systems, and not permit Assigned Employees to operate any vehicle or mobile equipment, or entrust them with unattended premises, cash, checks, keys, credit cards, merchandise, confidential or trade secret information, negotiable instruments, or other valuables without Agency 's express prior written approval or as strictly required by the job description provided to Agency; c. Provide Assigned Employee with a safe work site and provide appropriate information, training, and safety equipment with respect to any hazardous substances or conditions to which Assigned Employee may be exposed at the work site; Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 3 d. Not change Assigned Employee’s job duties without Agency 's express prior written approval; e. Exclude Assigned Employees from Client’s benefit plans, policies, and practices, and not make any offer or promise relating to Assigned Employees' compensation or benefits; f. Reimburse Agency for advertising conducted with respect to recruiting specific personnel, when advertising is done at the request of Client; g. Comply with OSHA Bloodborne Pathogen Exposure Control regulations found under OSHA Standard 29 C.F.R.e.1910. Client certifies that it has developed and follows an Exposure Control Plan in conformance with those regulations. At the time of initial assignment to tasks where occupational exposure may occur, Client will provide Assigned Employee with training in compliance with OSHA Standard 29 C.F.R.e.1910. Client agrees to provide post exposure evaluation and follow-up pursuant to OSHA Standard 29 C.F.R.e.1910, if an exposure incident occurs to any Assigned Employee and to provide copies of all records of post- exposure care to Agency. Client agrees to orient Assigned Employee to Client’s policies, procedures, operations and OSHA/Infection Control procedures, and inform the Agency of training dates and any changes in the Client’s policies and procedures; h. Designate a representative to report to Agency all time worked by each Assigned Employee on a mutually agreed schedule; i. Be responsible for compliance with all relevant safety and health laws and regulations during the period of the Assigned Employee's assignment under Client's supervision, including but not limited to JCAHO regulations relating to orientation and evaluation and HIPAA regulations. Payment Terms, Bill Rates, and Fees 3. Client will pay Agency for its performance as set forth on Exhibit B and will also pay any additional costs or fees set forth in this Agreement. Agency will invoice Client for services provided under this Agreement on a semi-monthly basis. Payment is due on receipt of invoice. Invoices will be supported by the pertinent time sheets or other agreed system for documenting time worked by the Assigned Employees. Information appearing on the invoice shall be deemed accurate and affirmed by Client unless Client notifies Agency in writing within five business days of date of the invoice, specifying the particular error(s), omission(s), or objection(s). Failure to notify Agency within that time shall constitute a waiver of any objection thereto. Agency may impose a finance charge of one and one-half (1 ½) percent per month to all outstanding amounts unpaid by for thirty (30) days or more after date of the invoice. In the event that any action is brought Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 4 to enforce or interpret this Agreement, the prevailing party shall recover its costs and reasonable attorneys’ fees in bringing such action. If a portion of any invoice is disputed, Client will pay the undisputed portion. 4. In addition to the rates specified in Exhibit B of this Agreement, Client will pay Agency the amount of all new or increased labor costs associated with Client’s Assigned Employees that Agency is legally required to pay-such as wages, benefits, payroll taxes, social program contributions, or charges linked to benefit levels-until the parties agree on new rates. Confidential Information 5. Both parties may receive information that is proprietary to or confidential to the other party or its affiliated companies and their clients. Both parties agree to hold such information in strict confidence and not to disclose such information to third parties or to use such information for any purpose whatsoever other than performing under this Agreement or as required by law. No knowledge, possession, or use of Client's confidential information will be imputed to Agency as a result of Assigned Employees' access to such information. Cooperation 6. The parties agree to cooperate fully and to provide assistance to the other party in the investigation and resolution of any complaints, claims, actions, or proceedings that may be brought by or that may involve Assigned Employees. Indemnification and Limitation of Liability 7. To the extent permitted by law, Agency will defend, indemnify, and hold Client and its parent, subsidiaries, directors, officers, agents, representatives, and employees harmless from all claims, losses, and liabilities (including reasonable attorneys' fees) to the extent caused by Agency 's breach of this Agreement; its failure to discharge its duties and responsibilities set forth in paragraph 1; or the negligence, gross negligence, or willful misconduct of Agency or Agency 's officers, employees, or authorized agents in the discharge of those duties and responsibilities. 8. To the extent permitted by law, Client will defend, indemnify, and hold Agency and its parent, subsidiaries, directors, officers, agents, representatives, and employees harmless from all claims, losses, and liabilities (including reasonable attorneys' fees) to the extent caused by Client's breach of this Agreement; its failure to discharge its duties and responsibilities set forth in paragraph 2; or the negligence, gross negligence, or willful misconduct of Client or Client's officers, employees, or authorized agents in the discharge of those duties and responsibilities. 9. Neither party shall be liable for or be required to indemnify the other party for any incidental, consequential, exemplary, special, punitive, or lost profit damages that arise in Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 5 connection with this Agreement, regardless of the form of action (whether in contract, tort, negligence, strict liability, or otherwise) and regardless of how characterized, even if such party has been advised of the possibility of such damages. 10. As a condition precedent to indemnification, the party seeking indemnification will inform the other party within five business days after it receives notice of any claim, loss, liability, or demand for which it seeks indemnification from the other party; and the party seeking indemnification will cooperate in the investigation and defense of any such matter. Term of Agreement 11. The term of this Agreement will be for an entire fiscal year, which runs from July 1 through June 30, for the year of the effective date of this Agreement. The Agreement may be terminated by either party upon thirty (30) days written notice to the other party, except that, if a party becomes bankrupt or insolvent, discontinues operations, or fails to make any payments as required by the Agreement, either party may terminate the Agreement upon written notice. Miscellaneous 12. While Agency follows the guidelines described in Exhibit C and will give each Assigned Employee safety and standards online training relating to safety, universal precautions, occupational exposure to bloodborne pathogens, other safety issues and HIPAA regulations, Client will provide each Assigned Employee with all necessary site-specific training, orientation and evaluations that may be required by federal, state or local occupational safety laws or rules, including JCAHO and HIPAA, for members of Client's workforce. Further, Client will only assign Assigned Employee to work in the clinical specialty areas in which they are professionally qualified and oriented to work. In the event of any actual or threatened claim arising out of or relating to the acts of omissions of the Assigned Employee, Client shall provide Agency written notice of such claim promptly and, in no event, later than 30 days after Client knew, or reasonably should have known of such claim 13. The parties acknowledge that they are equal opportunity employers and agree that they do not and will not discriminate against, harass, or retaliate against any employee or job applicant on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other status or condition protected by applicable federal, state or local laws. Client agrees that it will promptly investigate allegations of discrimination, harassment, and retaliation. Client further agrees that it will report to Agency any suspected discrimination, harassment and/or retaliation either by or against Assigned Employee immediately. 14. Provisions of this Agreement, which by their terms extend beyond the termination or nonrenewal of this Agreement, will remain effective after termination or nonrenewal. Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 6 15. No provision of this Agreement may be amended or waived unless agreed to in a writing signed by the parties. 16. Each provision of this Agreement will be considered severable, such that if any one provision or clause conflicts with existing or future applicable law or may not be given full effect because of such law, no other provision that can operate without the conflicting provision or clause will be affected. 17. This Agreement and the exhibits attached to it contain the entire understanding between the parties and supersede all prior agreements and understandings relating to the subject matter of the Agreement. 18. The provisions of this Agreement will inure to the benefit of and be binding on the parties and their respective representatives, successors, and assigns. 19. The failure of a party to enforce the provisions of this Agreement will not be a waiver of any provision or the right of such party thereafter to enforce each and every provision of this Agreement. 20. 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. 21. Client will not transfer or assign this Agreement without Agency's written consent. 22. All notices, demands, requests or other instruments which may be or are required to be given hereunder shall be in writing and sent to the addresses set forth below, by hand delivery, certified mail – return receipt requested, or via overnight courier, postage prepaid. AGENCY: NC Alliance of Public Health Agencies, Inc. 222 N. Person Street, Ste. 208 Raleigh, NC 27601 CLIENT: Orange County Health Department Attn: Kimberlee Quatrone 300 West Tryon Street Hillsborough, NC 27278 Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 7 The addresses provided herein are conclusively deemed to be valid, and notice given in compliance with this paragraph shall be conclusively presumed to be proper and adequate, unless a written change of address is provided to all Parties. 23. This Agreement will be governed by and construed in accordance with the laws of the State of North Carolina, without reference to any conflicts of law principles thereof. [Signatures on next page] Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 8 Authorized representatives of the parties have executed this Staffing Agreement below to express the parties' agreement to its terms. [CLIENT] North Carolina Alliance of Public Health Agencies, Inc. Signature By: Signature Travis Myren Printed Name Joanne Brassington Printed Name County Manager Title HR Director Title Date Date THIS Agreement has been pre-audited in the manner required by the local Government Budget and Fiscal Control Act. Client Finance Officer: Gary Donaldson Printed Name Chief Financial Officer Title Date Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 7/18/2024 7/26/2024 7/29/2024 9 EXHIBIT A BENEFITS WAIVER FOR ASSIGNED EMPLOYEES AGREEMENT AND WAIVER In consideration of my assignment to Client by NCAPHA, I agree that I am solely an employee of NCAPHA for benefits plan purposes and that I am eligible only for such benefits as NCAPHA may offer to me as its employee. I further understand and agree that I am not eligible for or entitled to participate in or make any claim upon any benefit plan, policy, or practice offered by Client, its parents, affiliates, subsidiaries, or successors to any of their direct employees, regardless of the length of my assignment to Client by NCAPHA and regardless of whether I am held to be a common-law employee of Client for any purpose; and therefore, with full knowledge and understanding, I hereby expressly waive any claim or right that I may have, nor or in the future, to such benefits and agree not to make any claim for such benefits. EMPLOYEE WITNESS Signature Signature Printed Name Printed Name Date Date Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 10 EXHIBIT B COMPENSATION A. SCHEDULE OF RATES. Hourly rates are as set forth below or as otherwise determined by Agency and Client in writing plus a 33% administrative fee. For Salaried Assigned Employee whose annual salary, excluding the administrative fee, is less than $100,000, and works a fixed schedule and receives the same salary each pay period, an administrative fee of 24% will apply after 90 days of employment. For Salaried Assigned Employee whose annual salary, excluding the administrative fee, total more than $100,000, an administrative fee of 19% will apply. Travel and work-related expenses will be based on the approved county travel reimbursement rate. Environmental Health professionals will be compensated for travel, meals and lodging at the approved county travel reimbursement rate. Travel and work-related expenses are exempt from the administrative fee. B. OVERTIME. This Paragraph is only applicable to Assigned Employee who are eligible to receive overtime compensation pursuant to applicable law. Agency will charge Client special rates for premium work time only when an Assigned Employee's work on assignment to Client, viewed by itself, would legally require premium pay and Client has authorized, directed, or allowed the Assigned Employee to work such premium work time. Client's special billing rate for premium hours will be the same multiple of the regular billing rate as Agency is required to apply to the Assigned Employee's regular pay rate. Client will be billed one and one-half (1.5) times the rate set by the Client for time worked by Assigned Employee for all hours worked more than forty (40) hours per week and in accordance with state and federal wage and hours laws. If, during the terms of this Agreement or at any time, any applicable law requires Agency to pay overtime to its Assigned Employee based on any standard other than 40 hours per week, Agency shall bill the overtime rate pursuant to the applicable law. Agency may comply with Client's policies regarding overtime when they follow state and/or federal wage and hours laws and are communicated at the time of the contract or communicated to Agency at least ninety (90) days prior to the effective date of such changes. C. EXPENSES. Travel and other expenses incurred by an Assigned Employee in providing services to Client under this Agreement may be included on the Assigned Employee’s applicable time sheet and reimbursed to the Assigned Employee through the Assigned Employee’s paycheck from, Agent at Client’s expense. D. ACA COMPLIANCE. Agency shall comply with all provisions of the Patient Protection and Affordable Care Act (“ACA”) applicable to Assigned Employees, including the employer shared responsibility provisions relating to the offer of “minimum essential coverage” to “full-time” employees (as those terms are defined in Code §4980H and related regulations) and the applicable employer information reporting provisions under Code §6055 and §6056 and related regulations applicable to Assigned Employee, including the employer shared responsibility provisions relating to the offer of "minimum essential coverage" to "full-time" employees (as those terms are defined in Code §4980H and related regulations) and the applicable employer information reporting provisions Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 11 under Code §6055 and §6056 and related regulations. If the Assigned Employee does not report to work for illness or some other reason outside of Client's control, Client will not be billed for these hours except in the case of salaried Assigned Employee, with leave concession addressed at time of hire. Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 12 EXHIBIT C REQUIREMENT GUIDELINES REQUIRED: Schedule Interpretation Hepatitis B 2 doses, 4 weeks apart; 3rd dose, 5 months after 2nd; booster not necessary Agency’s policy follows CDC recommendations. Documentation of 3 doses of Hepatitis B vaccination (at appropriate intervals), serologic proof of immunity or declination of the series of vaccines signed by the healthcare worker. MMR (Measles, Mumps, Rubella) 2 doses, 4 weeks apart Agency’s policy follows CDC recommendations for healthcare personnel (HCP) born in 1957 or later without serologic evidence of immunity or prior vaccination give 2 doses of MMR, 4 weeks apart. For HCP born prior to 1957, is considered acceptable evidence of measles, mumps and rubella immunity, however Agency follows CDC recommendation that a HCP get a titer but it is not required (unless a work site requirement.) Varicella (chicken pox) 2 doses, 4 weeks apart Agency follows CDC recommendation all HCP who have no serologic proof of immunity, prior vaccination, or history of varicella disease, give 2 doses of varicella vaccine, 4 weeks apart; all HCP be immune to varicella with proof of Titer. HIGHLY RECOMMENDED: [Not Required] Employee must obtain if required by their work site. COVID Fully Vaccinated following CDC guidelines. To be considered fully vaccinated, employee must have received two (2) doses of either the Moderna COVID-19 vaccine or the Pfizer COVID-19 vaccine; or have received one (1) does of the Johnson & Johnson COVID-19 vaccine; or all actual dosages of a COVID-19 vaccine authorized by the FDA for a clinical trial. Influenza Tetanus, diphtheria, pertussis Td booster every 10 years after one Tdap Agency follows CDC recommendation all HCP get a Td booster does every 10 years, following the completion of the primary 3-dose series. Also, All HCP younger than 65 get a 1-time does of Tdap, if they have direct patient contact. Tuberculosis Skin Test Screening Upon Hire –Two step TST; Annual TB skin test for settings classified as medium risk for HCWs who have the potential for exposure to M. Agency’s policy for Tuberculosis screening follows CDC recommendations. Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 13 Tuberculosis through air space shared with persons with TB disease State license, registration or certification (when required) Per state board of nursing or other licensing agency Agency contacts the State Board or other licensing agency prior to the Assigned Employee’s start date to confirm that the license, registration or certification is active and in good standing. Agency will not knowingly employ a professional that has an action against their license. BCLS (CPR) Current Card Agency accepts current BCLS certification from either AHA, Red Cross, or hospital issued cards as long as they are the standard requirements for Assigned Employee. Criminal Background Check Performed upon hire Agency’s policy is to conduct Criminal Background Checks upon hire on all Assigned Employee unless otherwise instructed by client. If there is a gap in employment or the Assigned Employee leaves the company for more than 6 months, a criminal background check will need to be updated prior to the start of the next assignment. OIG Sanctions Check Upon application Agency has a check procedure in place. Each applicant is checked against the OIG database upon application. I-9 Upon hire and if documents expire Agency collects a completed I-9 and the appropriate INS required documentation on every Assigned Employee member prior to their start date. AGENCY participates in E- Verify (As required by law.) Upon hire Agency will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee’s Form I-9 to confirm work authorization. IMPORTANT: If the Government cannot confirm that a new hire is authorized to work, this employer is required to give new hires written instructions and an opportunity to contact DHS and/or the SSA before taking adverse action against you, including terminating their employment. Agency will not use E-Verify to pre-screen job applicants and may not limit or influence the choice of documents new hires present for use on the Form I-9. To determine whether Form I-9 documentation is valid, Agency uses E- Verify’s photo matching tool to match the photograph appearing on some permanent resident cards, employment authorization cards, and U.S. passports with the official U.S. government photograph. E-Verify also checks data from driver’s licenses and identification cards issued by some states. Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 14 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: North Carolina Alliance of Public Health Agencies, Inc. Vendor Contact Person: Joanne Brassington Phone: 919-828-6202 Address: 222 N. Person Street, Suite 208 City Raleigh State: NC Zip: 27601 Department: Health Amount: $60,000 Purpose: Staffing of Health positions Budget Code(s): 10414020-630000-71466 Vendor # 39057 R2 Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 7-1-24 End Date 6-30-25 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 pro ject 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: 0E59BF13-92BC-435C-80CC-36BE088365E0 7/19/2024 7/26/2024 7/26/2024 7/26/2024 1 Kimberlee Quatrone From:Melissa Tegeder Sent:Wednesday, November 29, 2023 2:24 PM To:Kimberlee Quatrone Subject:FW: Orange County - 2023-2024 NCAPHA Staffing Contract You can move forward without the endorsement.     Melissa Tegeder   Risk Management Director     “Human Error is not a cause, it’s a consequence.”    131 W Margaret Street,3rd Floor, Hillsborough, NC 27278 (919) 245-2155 www.orangecountync.gov CONFIDENTIALITY NOTICE: All email messages, including any attachments, generated from or received by this account are the property of Orange County Government and as such are considered public domain and are subject to the North Carolina Public Records Law. Certain confidential information may be transmitted and any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.   From: Joanne Brassington <JBrassington@ncapha.org>   Sent: Tuesday, November 28, 2023 3:14 PM  To: Melissa Tegeder <mtegeder@orangecountync.gov>; Katie Hughes <khughes@ncapha.org>  Cc: Kimberlee Quatrone <kquatrone@orangecountync.gov>  Subject: [EXTERNAL MAIL!] RE: Orange County ‐ 2023‐2024 NCAPHA Staffing Contract    Hi Melissa,    I’ve reached out to our vendor, NCACC and her response is listed below.    Let me know if you  have any other quesƟons.      Joanne      Joanne N. Brassington, MS Human Resources Director Phone: 919-828-6202 222 N. Person St., Suite 208 Raleigh, NC 27601 Web: http://www.ncapha.org/ Email: jbrassington@ncapha.org Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 2       Hey Joanne,    We are very Ɵght on providing the addiƟonal insured (AI) status to anyone for our members, as doing so depletes the  members coverage limits. If reasoning is provided and we will discuss (as the RM team at the CRG) and determine if we  find the reasoning acceptable. However, there are very rare circumstances that we find acceptable when naming and  outside party as AI. We instead advise each party be responsible for themselves.    I hope that helps!    Thanks,      Underwriter  County Risk Group www.ncacc.org        From: Melissa Tegeder <mtegeder@orangecountync.gov>   Sent: Tuesday, November 28, 2023 2:31 PM  To: Katie Hughes <khughes@ncapha.org>; Joanne Brassington <JBrassington@ncapha.org>  Cc: Kimberlee Quatrone <kquatrone@orangecountync.gov>  Subject: Orange County ‐ 2023‐2024 NCAPHA Staffing Contract    Hello,    I am reaching out in reference to the above contract for Orange County and the provided CerƟficate of insurance.     Per the emails received, Orange County can’t be listed as addiƟonally insured. I was hoping we could get some  informaƟon around the reasoning for this?     Melissa Tegeder   Risk Management Director     “Human Error is not a cause, it’s a consequence.”    131 W Margaret Street,3rd Floor, Hillsborough, NC 27278 (919) 245-2155 www.orangecountync.gov CONFIDENTIALITY NOTICE: All email messages, including any attachments, generated from or received by this account are the property of Orange County Government and as such are considered public domain and are subject to the North Carolina Public Records Law. Certain confidential information may be transmitted and any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0 Docusign Envelope ID: 0E59BF13-92BC-435C-80CC-36BE088365E0