RECEIVED AUG 0 9 2024 .Fuxchany ORIGINAL Board ofCommissioners Agenda Item Transmittal Form Procurement/ContractTransmittal Form Type ofcontract: 1yearx Multi-yearD Single Event D Contract #: BOCApproval Date: Submission Information Contact Name: Mary Lou Snow Department: Government, Affairs Vendor Information Vendor Name: Georgia Department of Behavioral Health and Development Disabilities Address: 200 Piedmont Avenue Address: Atlanta, GA: 30303 Email: timothy.grifin@dbhdd.ga.gov Phone #:404-657-2383 Contact:Timothy Griffin Project Title: DBHDD- Staffing for Diversion Center Funding Account Number: Contract amount: $280,471.01 NOMATCH Contract Type: Goods 0 Services0) Labor0) Contract. Action: New (x) Renewal0) Change Order0) Original Contract) Number: GRANT Finance Director SEMETTESI Ihaver reviewed the attached contract, and the amountis Term of contract: 7/A/2024-6/30/2025 Procurement Manager Signature Ihave reviewed the: attached contract, andi itisi in compliance with Purchasing Policies of Rockdale County. CAuefletnu approved for processing. yocnulle Signature: Signature: Date: Chyag B/28/2024 Bat24 Detailed Summary of Contract: Disabilities grant. New contract from the Stepping Up Initiative with the Georgia Department of Behavioral Health and Development No MATCH Department Head/Elected Official Signature: 9m Date: 8l8/20a4 203421487 DBHDD- Rockdale County FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) STATE OF GEORGIA CONTRACT DEPARTMENT OF BEHAVIORAL HEALTH, ANDI DEVELOPMENTAL DISABILITIES DEPARTMENTAL ADMINISTRATIVE INFORMATION Expense: X Total Obligation: Federal: State: Match: DBHDD CONTRACT# 44100906.CMA0004P41 Contractor's FEI#: 56-6000882 Contractor's FY End Date: 12-31 Contractor's Entity Type: Public $ $ $ $ 280,471.01 280,471.01 0.00 0.00 NIGP Code: 95262 CFDA#: 93.959 SECTIONIGENERAL CONTRACTF PROVISIONS PARA#101 CONTRACT BETWEEN: SECTIONIA (101)05/02/2016 This contract is made and entered into by and between the Department of Behavioral Health and Developmental Disabilities, an agency of the State of Georgia legally empowered to contract pursuant to the Official Code of Georgia Annotated, Section 37-1-20, and hereinafter referred to as DBHDD or the DEPARTMENT; AND ROCKDALE COUNTY 9581 Milstead Ave Conyers, GA3 30012 legally empowered to contract pursuant to the laws oft the State of Georgia, and! hereinafter referred to as the CONTRACTOR. This Contract may not be assigned, iny whole ori inp part, to any other person or entity, nor pledged as security or collateral for any obligation or debt of the Contractor, without the express written permission of DBHDD executed by a principal of DBHDD authorized to execute This contract is deemed to be made under and shall be construed and enforced in every respect according to the laws of the State of Georgia. Any lawsuit or other action based on a claim arising from this Contract shall be brought in a court or other forum of competent Itis the policy of the State of Georgia that minority business enterprises shail have the maximum opportunity to participate in the Slate purchasing: and contracting process. Therefore, the State of Georgia encourages allr minority business enterprises to compete for contracts for goods, services, and construction. Also, the State encourages all companies to sub-contract portions of any State contract tor minority business enterprises. Contraclors who utilize qualifiedr minority subcontractors may qualify for a State of Georgia income tax deduction for Nothing contained int this contract shall be construed to constitute the Contractor or any of its employees, agents, or subcontractors as a partner, employee, or agent off the Department, nor shall either party tot this contract have any authorily to bind the otheri in any respect, it contracts for DBHDD. jurisdiction within Fulton County, State of Georgia. qualified payments made to minority subcontractors. See O.C.G.A: Section 48-7-38. beingi intended thate each: shallr remain ani independent contractor. PARA #102 PERIOD OF CONTRACT: (102C)05/01/2019 A. This contract has an effective beginning date of the 1st day of July, 2024, and shall terminate on the 30th day of June, 2025, B. Department reserves the right; ati its sole option andi ini its sole discretion; to extend the term oft this contract if; by thet termination date;t the Contractor hast noty yet billed for all funds allocatedi tot this Contract. lfthe Department: so extends the term oft this contract, and if the Department and Contractor enteri into another contract for the same kind of services which commences prior to the amendedt termination date oft this Contract; then the Contractor shall continue tot bill fors services deliveredp pursuanti tot this Contract until (1) thef funds allocated to this Contract have been exhausted; or () this Contract terminates; whichever comes first. Except as expressly statedi int this subparagraph (B); the Department's exercise ofi its option to extend the term oft this Contract shall: not be construed asi ini any way amending any tomms oft this Contract (other than thet termination date); including! but not limited to the unless terminated earlier under other provisions oft this contract. payment provisions of Section Ill oft this Contract. 1 DBHDD- Rockdale County (103)05/02/2014 FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) PARA#103 DEPARTMENT AND CONTRACTOR CONTACTI INFORMATION: A. Mailing Addressos: The mailing addresses, telephone numbers, and contact persons listed below for the Department and the Contractor may be changed during the term of this contract by written notification tot the other party byt the Department ork by the Contractor. 1. Thel Department's mailing address and telephone number for correspondence, reports, and other matters relative tot this contract, except as otherwise indicated, are: Division of Behavioral Health Attn: Vonshurii Wrighten 2001 Piedmont. Avenue Atlanta, GA: 30303 Telephone #: 404-416-5225 E-mail vonshuri.wighten@dbhdd.ga.gov. contract are: Rockdale County Attn: Michelle Irizarry 9581 Milstead Ave Conyers, GA3 30012 Telephone #: 770-278-7547 B. Mailing Address for Contract Payments: Georgia Department of Behavioral Health and Developmental Disabilities 2. The Contractor's mailing address and telephone number for correspondence, reports, and other matters relative tot this E-mail: anbsmenepementerokanrauntyagol. mghela.inzary@rockalecouniyga.ox The Contractor's mailing address for contract payment checks or remittance advice (for electronic funds transfer only)i is: Rockdale County 9581 Mistead Ave Conyers, GA: 30012 PARA #104DEFINITIONS As usedi int this CONTRACT: (104)04/29/2020 "Provider Manual" means any. Community Provider Manual published by DBHDD which is applicable to the type of services that Contractor is delivering under this Contract and which is in effect at the fime of service delivery. Information about the applicability of "Subcontractor" (whether or not the term is capitalized) means a person or entity whoi is not an employee of Contractor and who is delivering services tol Individuals on Contractor's behalf which Contractor is obligated to deliver under this Contract. Contractor staff who arei independent contractors rather than employees (for example, as staffr member who receives anl IRS Form 1099 instead of a Form W-2) are aiso "subcontractors' under this definition. A subcontract" is the agreement between Contractor and a subcontractor, and 'subcontracting" is the act of entering into subcontracts with subcontractors. Note that not all Contracts.permit Contractors to subcontract services, and the ferms of this Contract and applicable DBHDD Policies and Provider Manuals should be reviewed to determine whether the Contractor 's permitted tos subcontract services under this Contract. There are also specific provisions throughout fhis Contract which "Administrative Services Organization", alsor referred to as' "ASO", refers to an organization that is an: authorized agent of DBHDD that isc contracted to perform certain administrative functions such as, but not limited to, quality reviews of service delivery, compliance audits, utilization management and utilization review, claims processing, operation of the crisis and access line, and other activities in support of Provider Manuals and! how they may be accessed isp providedi in Paragraph #105 of this Contract. "Individual" means aj persont tov whom Contractor is providing services pursuant tot this Contract. apply to any Contractor who is utilizing subcontractors. DBHDD: and its provider nelwork. PARAI #105 COMPLIANCE WITH DBHDD POLICIES AND PROVIDER MANUALS: (105)04/19/2021 A. DBHDD sets policies with which community service Providers are required to comply at all times. All DBHDD policies are accessible through the DBHDD PolicyStat website atl aspioitoA, This website includes a link to thel DBHDDI PolicyStat Index which will assist Contractorin identilying the applicable policies for Community Providers. Contractor agrees to comply with the DBHDD, policies applicablet to Contractor, ast from time tot time amended, whether or not anys such policy is specifically referenced in this Contract. 2 DBHDD Rockdale County FY2025 Staffing for Diversion Centeri for Substance Use Disorder (SUD) B. DBHDD and the Department of Community Health (DCH) also maintain Provider Manuals for Communily Behavioral Health Services: andf for Community Developmental Disabilities services with which community services providers are required to comply at allt times. Contractor agrees to comply with the DBHDD and DCHI Provider Manuals applicable to Contractor,whether. or nota a specific Provider Manual requirement is specifically referenced in this Contract. All DBHDD and DCH Provider Manuais are accessible through the DBHDD PolicyStat website at pathaloalatoa Bye execution of this Contract, Contractor Provider Manuals are applicable depending upon the type of services aj provider is approved by! DBHDD to provide. 1. For Behavioral Health services, the applicable Provider Manual is the DBHDD Provider Manual for Community Behavioral Health Providers and is found within DBHDD Policy Provider Manual for Community Behavioral Heallh Providers.01-112 2. For Developmental Disabilities services, the applicable DBHDD Provider Manuals are the DBHDD Provider Manual for Community Developmental Disabilities Providers (for NOW: and COMP waiver services) and, whent the provider is providing State-funded services, the DBHDD Provider Manual for Community Developmental Disabilities Providers of State-Funded Developmental Disabilities Services. Links to the current version of these manuals is found in DBHDD Policy! Provider Manuals for Community Developmental Disabilities Providers, 02-1201 and! NOW and COMP Waivers for Community 3. Forl Developmental Disabilities services funded through the NOW: and COMP waivers, the applicable DCH Provider Manuals (to be used in addition to the DBHDD Provider Manuals) are found at DCH's MMIS website: tppamoadagw, All NOW and COMP waiver service providers must comply with the DCH manual Part I Policies and Procedures for MedicaidPeachcare: for Kids. All NOW: and COMP waiver service providers must also comply with the applicable Part Il and Part II DCH manuals, as required ands specified! by! DCH. Ford convenience, DBHDDI has listed the applicable Part lla and Part Ill manuals in the DBHDD policy! NOW and COMP Waivers for Community Developmenta Disability Sorvices, 02-1202; howover, the Provider has ani independent duly to confirm which DCHI manuals are applicable. D. Each Provider Manual is updated periodically (generally in January, April, July, and October ofe eachy year), and! the Contractor is E. Each Provider Manual contains definitions and descriptions of the various services which DBHDD may authorize Contractors to deliver. Contractor agrees tor maintain a record of which of those services DBHDD has authorized Contractor to deliver under this Contract, and Contractor shall deliver those services ina accordance with the service definitions and descriptions in the Provider certifies that Contractor has accessed and reviewed the applicable Provider Manual. Developmentat Disability Services, 02:1202. responsible for complying with the Provider Manual as amended. Manual, as well as with the other requirements and standards set forth int the Provider Manual. PARA #106 APPROVED SERVICES AND LOCATIONS: (106)06/02/2020 A. DBHDD's Office of Provider Enrollment approves Contractors to deliver specific services atp particular physical addresses andi for specified counties of coverage. The only services that may be provided under this Contract are those for which Contractor has B. Contractor may request andy will be provided with the Provider, Approved. Locations and Services document from the Office of Provider Enrollment at anyt time, and a copyi is provided att the initiation or renewal of each Contract. DBHDD will provide written notification to Contractor of subsequent changes to approved locations or services, as appropriate, throughout the term of this Contracior agrees that the services covered by this Contract will be provided only in the counties and from thes site locations at thep physical addresses that are approved! byt the DBHDD Office of Provider Enrollment. Services the Contractor are not approved too deliver and services delivered in unapproved locations are not covered by this Contract and are not reimbursable. Submission received specific approval to deliver from DBHDD's Office of Enrollment. Contract. of claims for services delivered inu unapproved locations may resulti int termination of this Contract. PARA#107 NONDISCRIMINATION BY CONTRACTORS AND SUBCONTRACTORS: (104A)06/22/2022 A. NONDISCAMNATIONNI EMPLOYMENT PRACTICES: The Contractor agrees to comply with federal and state! laws, rules and regulations, and the Department's policy relative to nondiscrimination in employment practices because of political affiliation, religion, race, color, sex, handicap, age, creed, veteran status or national origin. Nondiscrimination in employment practices is applicable to employees, applicants for employment, promotions, demotions, dismissal, and other elements affecting B. NONDISCRMNATIONINCONSUMERCISTOMERCIENTCONSUMERACUSTOMERCLENTE SERVICEI PRACTICES: The Contractor agrees to comply with federal and state laws, rules and regulations, and the Department's policy relative to nondiscrimination in consumeraisomercdient and coneumer/aisomercient service practices because of political affiliation, religion, race, color, sex, handicap, age, creed, veteran status or national origin. Neither shall anyi individual be excluded from participation in, denied the benefits of, or otherwise be subjected to discrimination under any program or activity conducted or C. COMPLIANCEWITHAPPLICABLE PROVISIONS OF THE AMERICANSWIHDISABLITESACT The Contractor agrees to complyy witha all applicable provisions of the Americans with! Disabilities Act (ADA), 42U.5.C.5121014 ets seq., andi its implementing regulations (including but notl limited to 28C.F.R. Part 36), 291 U.S.C. $701 ets seq., and any relevant federal and statel laws, rules employmenlemploypes. supported! by the Department. 3 DBHDD- Rockdale County FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) and regulations regarding employment practices toward individuals with disabilitios and the valablilyacossbilyo'; programs, D. The Contractor agrees to require anys subcontractor performing services funded through this contract too comply with all provisions activities, or services for omsumenslastomeridlemnis with disabilities. oft thet federal ands statel laws, rules, regulations and policies described int this paragraph. PARA #108 CONFIDENTIALITY OF INDIVIDUAL INFORMATION: (105)03/08/2017 A. The Contractor agrees to abide, and to ensure thati its subcontractors (if subcontracting is permitted under this Contract) abide, bya all State and Federall laws, rules andi regulations regarding confidentiality of every Individual's records, including but notl limited to Federal regulations regarding Confidentiality of Alcohol and Drug Abuse Patient Records at 42 G.F.R. Part 2; the Health Insurance Portability and. Accountability Act of 1996 and regulations (Privacy Rule and Security Rule) at 45 C.F.R. Parts 160, 162, and 164; and the Georgia Mental Health Code at O.C.G.A. Title 37, specifically O.C.G.A. SS 37-3-166, 37-4-125, and: 37-7- B. Contractor further agrees not to divulge anyi information concerning any Individual toa any unauthorized person without the written consent of the Individual, org guardian.ofthe.p porsonotanindwadal,.epamnloroutapontidastidanalanotaminoc.indiwdual. Contractor acknowledges that some maierial and information that may come intoi its possession or knowledge in connection with this Contract, or the performance hereof, may consist of confidential and private information, and that the disclosure of such information to or use ofs suchi information by third parties mayb be damaging. Contractor therefore agrees tol hold suchr material and information in strictest confidence, not tor make uset thereof other than asi is necessary, for performance of this Contract, and not D. Contractor hereby expressly agrees to immediately remove its employees or subcontractors from performing any work in connection with this Contract upon DBHDD giving notice thats suche employee or subcontractor has failed tor meett the confidentiality obligations ors standards of this Contract. Some services performed for DBHDD may require that Contractor sign ar nondisclosure agreement. Contractor understands and agrees that refusal or failure to sign sucha a nondisclosure agreement, if required, may E. Contractor agrees that, int the event itr receives a request for information pursuant tot the Georgia Open! Records Act, which request seeks information thati is confidential, privileged and/or protected health information under any applicable! law or regulation, ilwill inform DBHDD inv writing withint iwo (2)business days oft the receipt oft ther request. Contractort furlher willi informt the Open! Records Act requestor that ity will provide documents or information in response to the request no earlier than two (2) weeks following Contractor'sreceipt: oft the request,inorder to: allow! DBHDD the opportunityt torepresent, ati its own expense, itsi interests regarding any potential disclosure of confidential, privileged or protected health information that may be responsive to the request. Contractor. shall not release the requested information tot the requesting party until two (2) weeks following Contractor's receipt of 166, all as amended! hereafter, as applicable. as applicable. tor release or disclose any information to any other parly except as may! be required by law. resulti int termination of the Contract. ther request, unless DBHDD expressly authorizes ane earlier release in writing. PARA #109 CONFLICT OF INTEREST: (111)04/19/2021 The Contractor and the Department cerlify that the provisions of the Official Code of Georgia Annotated, Section 45-10-20 et seq., as amended, which prohibit and regulate certain transactions between certain state officials or employees andt the State of Georgia, haver not been violated and will not bey violated in any respect. PARA #110 CONTRACT MOOFCATONALTERATOAE (107)04/29/2020 A. Nomodification: or alteration oft thet terms and conditions of this Contract, willl be validor effective unless suchr modification isi made iny writing and signed by both parties and affixed to this Contract as an amendment indicating the DBHDD agreement number involved, the original contracting parties and the original effective date of the Contract and the paragraph(s) being modified or B. In the event that either of the sources of reimbursement for services under this Contract (appropriations from the General Assembly of the State of Georgia, or the Congress of the United States of America) is reduced during the term of this Contract, DBHDD has the absolute right to make financial and other adjustments to this Contract and to notify the Contractor accordingly. Such adjustment(s) may require a Contract amendment or a termination of the Contract. The certification by the Commissioner of DBHDD of the occurrence of either the reductions stated above or termination of this Contract shall be Int thee event that as state ofe emergency (including, butr noti limitedt to, aj publich health emergency)t for ori including the State of Georgia is declared by the President of the United States or the Govemor of Georgia during the term of this Contract, DBHDDI has the absolute right, ini its sole discretion, to make financial and other adjustments tot this Contract, and/or to modify other terms of this superseded, except as statedi ins subparagraph B or Ci immediately below. conclusive. Contraci, unilaterally, and to notifyt the Contractor accordingly. 4 DBHDD. Rockdale County FY2025 Staffing for Diversion Center for Substance Usei Disorder (SUD) PARA#111 DEPARTMENT'S RIGHT TO SUSPEND CONTRACT: (108)04/08/2013 The Department reserves the right to suspend the contract/sub-grant in whole or in part under this contract provision ifit appears to the Department that the Contractor is failing tos substantiallys comply with the quality ofs service ort thes specified completion schedule ofi its duties required under this contract. Alternatively or additionally, the Department may require further proof of reimbursable expenses prior to payment thereof, and/or require improvement, at the discretion of and to the satisfaction of the Department, in the programmatic performance or service delivery. PARAI #112 NOTIFICATION OF BREACH ORI FAILURE TO PERFORM. AND OPPORTUNITY TO CURE: (206)03/08/2017 A. Int the event DBHDD determines that the Contractor has breached or failed to perform any oft the terms of this Contract, DBHDD may,i ini its sole discretion, withinar reasonable time afler determinationofs suchbreach orf failurel by Contractor, nolify the Contractor of thel breach or failure to perform by e-mail or by U.S. mail. The notice may, at the discretion of DBHDD, inform the Contractor of any opportunily to cure the breach or failure top perform, toi include development: andi implementation ofa corrective action plan (CAP), andi in such event will further provide the time period for the completion of such cure or plan. DBHDDi is not required to B. Corrective Action Plan: Upon noticet tot the Contractor of af failure to perform or breach oft the terms of this Contract, DBHDD: may require andlor permit the Contractor to develop and implement a Corrective Action Plan (CAP). The CAP must be developed by the Contractor within the! time periods specifiedby! DBHDD and must bes submitted: tot DBHDDI for approval. ACAPn must bes specific and must, at a minimum, include provisions aimed toward correction of the deficiencies, indicate reasonable compietion dates, fully describe ther methodology tol be used to accomplish complete and permanent corrective action, and describe methods for ensuring full compliance with the CAP. Failure to comply with as submitted CAPI may result in actions outlinedi in the Contract or in DBHDD policy. DBHDD may require the Contractor, as a part of a CAP, to participate in a program of technical assistance provided by or on! behalf of DBHDD, any cost of which, when applicable, shall be bome byt the Contractor. provide notice or opportunity to cure. PARA #113 SEVERABILITY: (109)05/01/2015 Any section, subsection, paragraph, term, condition, provision or other part (hereinafter collectively referred to as' "part") of this Contract that isj judged, held, found, or declared to! be voidable, void, invalid, illegal or otherwise not fully enforceable: shall not affect any other part oft this Contract, and the remainder of this Contract shall continue to be of full force and effect. Any agreement oft the parties to amend, modify, eliminate, or otherwise change any part of this Contract shall not affect any other part of this Contract, and the remainder of this Contract shall continue tol be of fullf force and effect. PARAI #114 TERMINATION: (110B)05/22/2024 This Contract may be terminated by either parly without cause: however, the parly seeking to terminate the Contract must give written notice of its intention to do so to the other party at least 60 days prior to the effective date of the termination. This Contract may be terminated for cause, in whole or in part, at any time by DBHDD for failure of the Contractor to perform any of the provisions hereof or failure ofi the Contractor to ensures subcontractors perform all oft thep provisions hereof. Shouldt termination occur, notice oft termination: shall beinwriting ands specify the reasonf for termination and terminations date. The Contractmay! bei immediately! terminated upont thec occurrence A. The Contractor or any subcontractor fails to protect the health, safety and welfare of any Individual served pursuant to this B. The Contractor, any of its subcontractors, any employee or owner principal of the Contractor, or any employee or owner or principal of any subcontractor, violates orf fails to comply with any! law or reguiation, ori is convicted of violating orf failingt to comply with anyl law or regulation (whether or not such conviction is appealed or otherwise contested, andi regardless of whent the acts on which the conviction is based took place), during the term of this Contract. Laws and regulations contemplated by this subparagraph (B)i include, buta are not limited to, laws and regulations prohibitingt the abuse, neglect, or exploitation of Individuals, and laws and regulations prohibiting! Medicaid fraud and/or fraud against the State of Georgia or the federal government. The Contractor is excluded from participation in the Medicaid or Medicare program or the Contractor's Medicaid Provider D. The Contractor or any subcontractor provides any fraudulent or misleading information to DBHDD, or to agents or contractors of DBHDD who monitor the Contractor's service delivery or who monitor any! Individual served by the Contractor (including, but not limited to, support coordination contractors and thes support coordinators employed byt them, auditors or reviewers employed by DBHDD, ASO employees who conduct inspections or reviews oft the Contractor, etc.), ort toi individuals or other consumers/clients E. The Contractor cannot meeti its financial obligations, including but not limited top payroll, staffing, rents, repairs, utilities, insurance, F. The Contractor or any subcontractor of Contractor has a sanction, restriction, suspension or revocation ofal license, certification, ora accreditation required by DBHDD or byt the Department of Community Health for providing services under this Contract. ofany oft thet following: Contract. Enroliment Number is terminated. of Contractor, or lo other state or federal government: agencies. etc. 5 DBHDD Rockdale County FY2025: Staffing for Diversion Center for Substance Use Disorder (SUD) The Contractor fails ori is unable tor meeta andi maintain full credentialing status with DBHDD ori its designee. H. The Contractor fails to comply with! DBHDD Policy including, butr not limited to, any applicable DBHDD Provider Manual. The Contractor fails to comply with audit, review, staffing, or accreditation requirements as set forth in DBHDD policies Noncompliance with Audit Performance. Staffing. and Accreditation Requirements for Community Behavioral Health Providers. 01-113 or Accreditation and Compliance Review Requirements for Providers of Developmental. Disabilities Services, 02-703. J. Contractor becomes insolvent or liquidation or dissolution or a sale of the Contractor's assets begins. K. Ana assignment is made by the Gontractor for the benefit of creditors. - Aproceedingi for the appointment ofa a receiver, custodian, trustee, or similar agent isi initiated with respect tot the Contractor. M. DBHDD deems that such termination is necessary ift the Contractor or anys subcontractor fails to protect or potentially threatens the health or safety of any Individual and/or to prevent or protect against fraud or otherwise protect the State of Georgia's personnel-lndividuals, fadlites,Orservives- 1. anatural person (i.e. nota al business entity) or contemplated byt this Contract. N. Ifthe Contractor is: 2. al LLC, corporation, or other entity, in which only one natural person performs or carries out the substantive services then the Department mayi immediately terminate this contract ift the Department or another government: agency concludes, after an investigation, that thes saidi natural person has, in thec course of employment or contract with another DBHDD contractor or DBHDD- enrolled provider agency, abused, neglected, exploited, or significantly failed to protect or more individuals served by that other contractor or provider agency. PARA #115 COOPERATION IN TRANSITION OF SERVICES: (111)05/25/2021 A. IfContractor terminates services to an Individual, Contracior shall give atl least 30 days' notice priort tos sucht leminationofsenices: to the DBHDD Regional Office for the service area in which Individual has been receiving services, Whenever Contractor's services tol Individuals are ceasing or willl be ceasing (whether duet tot thet teminationor expiration oft this Contract, the Contractor's cessation of services, or for any other reason), the Contractor andt the new service provider shall cooperale with each other and with DBHDD and DBHDD's agents in coordinating the transition of the Individual. In any event, the original Contractor shall continue top provide services to thel Individual until transition is complete, inc order to ensure continuity of care and maintenance of health and safety, for the individual; and the coordination of transition will include, but not be limited to, the transfer of the Individual's records, personal belongings andt funds, andi the Contractor shall be compensated, at the rate contemplated byt this B. Contractor further agrees that should it go out of business or cease to operate for any reason (including but not limited to suspension or termination of this Contract, either by Contractor or by DBHDD), itwillf follow ther requirements containedi in! DBHDD policies Actions Necessary upon Closure, Suspension of Services, or Termination of a DBHDD Community Services Provider, Contract, for services properly delivered tot the Individual priort tot the completion oft the transition. 04-119 and Maintenance of Records for Closed Providers. 04-117. PARA#116 FORCE MAJEURE: (112)05/01/2015 Each partywilll be excused from performance undert this Contract tot the extent that itis prevented from performing, inwhole ori in substantial part, due to delays caused by an act of God, civil disturbance, civil or military authority, war, court order, or acts ofay public enemy, and nonperformance for those reasons will not be a default under this Contract nor al basis for termination for cause. If the services to be provided under this Contract: arei interrupted! by ana act of God, civil disturbance, civil or military authority,war, court order, or acts of ap public enemy, DBHDD will be entitled to an equitable adjustment to the fees and other payments due under this Contract. Nothing in this paragraph shall be deemed tor relieve the Contractor from its liability for work performed by any subcontractor. Nothing in this paragraph shall be deemed to prevent or restrict DBHDD from taking any measures DBHDD may ini its discretion deem necessary to ensure the health and safety of the Individuals served byt the Contractor; and such measures may include, but are not! limited to, the transition or re- assignment of any or all of those! Individuals to other Contractors. PARA #117 EMERGENCY PREPAREDNESS AND DISASTERI RESPONSE: (154)06/23/2022 Contractor shall comply with DBHDD policy! Disaster Preparedness, Response, and Disaster Recovery Requirements for Community Providers, 04-102. PARA #118 ACCESS TO RECORDS AND INVESTIGATION: (113)05/22/2024 A. State and Federal government agencies, including but not limited to DBHDD; the Department of Human Services, including the Division ofF Family and Children Services andi its office of AdultF Protective Services; and the Department of Community! Health and 6 DBHDD Rockdale County FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) its authorized agents, shall havet full and complete access to alll Individual records, electronicl health records system and audit trail logs, administrative records, financial records, pertinent books, documents, papers, corospondenoglnaludin, e-mails), management reports, memoranda, audio and video recordings, and any other records of the Contractor andi iis subcontractors! in electronic or other form, as well as full and complete access to employees and subcontractors (and employees ofs subcontractors) of Contractor outside the presence of other persons and without recording or monitoring by Contractor, for the purpose of conducling reviews, audits, investigations, or examinations of delivery ofs services by Contractor, or of delivery of services by any other agency/provider who has provided services authorized by DBHDD, or of any other conduct of Contractor or any other agency/provider affecting the Individuals served by the Contractor. Contractor and subcontractor record retention requirements are seven (7) years from submission off final expenditure report. Ifanyl litigation, claim, or auditi is started before the expiration of the: seven-year period, the records shall be retained until ail litigations, claims, or audit findings involving the records have been B. Nolwithslanding any law to the contrary, to ensure the quality and integrity of Individual care, Contractor shall be required to provide DBHDD or authorized agents, uponr request, complete access to, including but not limited' to authorization to examine and reproduce (and to remove reproductions from Contractor's premises), any records in electronic or other form required to be maintained in accordance with this Contract and any subcontracts, the HIPAA Business Associate Agreement if applicable, The Contractor agrees that DBHDD or authorized agents have full authority to investigate any allegation of misconduct in performance of duties arising from this Contract made against an employee of the Contractor or subcontractor. The Contractor agrees to cooperate fully in suchinvestigations by providing DBHDD full access toi its records and the records of subcontractors, and to allow its employees to be interviewed by DBHDD investigators, outside the presence of D. DBHDD and its authorized agents shall have the right to monitor and inspect the operations of the Contractor and any subcontractor for compliance with the provisions oft this Contract and all applicable Federal and Statel laws and regulations, with orv without notice, ata any time duringt thet term of this Contract. The Contractor agrees to cooperate fullyy witht these monitoring and inspection activities, and to ensuret the cooperation ofi its subcontractors. Suchr monitoring andi inspection activities may include, without! limitation: onsitel health ands safety inspections; financial and qualitylclinical audits; review of anye electronicor other records developed directly ori indirectly as ar result oft this Contract; review ofe electronich healthrecord: systems and associated system audit trail! logs for records of Individuals covered under this Contract; review of management systems, policies and procedures; review ofs service authorization and utilization activities; and review ofa any other areas, activities or materials relevant to or pertaining to this Contract ort the HIPAAE Business. Associate. Agreementi ifapplicable. DBHDD may require the Contractor to develop corrective action plans as appropriate. DBHDD may require such corrective action plans to include requiring the Contractor to make changes and/or ensure changes by any subcontracior in service authorization, utilization practices, and/or any activily deemed resolved. standards, or rules and regulations of DBHDD or pursuant to State laws and regulations. other persons, during such investigations. necessary by DBHDD. PARA! #119 MAINTENANCE OF INDIVIDUAL RECORDS: (209)05/02/2016 The Contractor agrees ton maintaini records ofs service provision fore each! Individual ina accordance with all applicable laws, rules, regulations, Provider Manuals developed by! DBHDD, DBHDD policies, and all applicable Medicaid Policies and Procedures and! Medicaid waivers. A. The Contractor will maintain Individual records in a manner which will distinguish the Individuals whose services are delivered pursuant to this Contract from other Individuals receiving services from Contractor. The Contractor agrees top permit and assist as requested in ai random sampling of Individual records by DBHDD's staff or designee to verify the eligibility of Individuals served B. The Contractor agrees top protect from unauthorized disclosure alli information, records and data collected pertainingt to Individuals under this Contract. Confidentiality and security shall be strictly maintained as required by State and Federal laws and The Contractor agrees tor maintain sufficient records to showf fiscal and program responsibilities and tor maintain sufficient books, records and ledgers for the purpose of inspection, monitoring and auditing. Financial records will accurately account for expenditures of State and Federal funds in accordance with the accounting procedures as specified in Provider Manuals under this Contract. requirements. developed by DBHDD and applicable tot the Contractor. PARA#120 COORDINATION OF CARE: (118)05/01/2015 Int the event that an Individual needs: services outside the array of services provided by Contractor under this Contract, Contraclor further agrees to contact the Georgia Crisis and Access Line at (800) 715-4225 (24/7/365 availability) for referral information to other services to helpt the Individual. PARA #21COLLECTION. OF/ AUDITI EXCEPTIONS: (118)03/08/2017 The Contractor agrees that DBHDD or its authorized agent may withhold net payments (voucher deduction) equal to the amount of any overpayment, improper payment, or permissible recoupment which! has! beeni identified! by an audit, nolwithstandingi the fact thats such audit exception is made against a prior or current contract or subcontract. The Contractor may aiso, in DBHDD's discretion, repay DBHDD1 for the total exception by check. 7 DBHDD Rockdale County (115B)03/08/2017 FY2025: Staffing for Diversion Center for Substance Use! Disorder (SUD) PARA: #122 SUBCONTRACTS: A. Except as specifically permitted by DBHDD Policy or an Annex to this Contract, Contractor may not subcontract the services B. Int the event subcontracting is permitted, Contractor agrees to provide DBHDD a list of all subcontractors. Thel list shali include, atar minimum, the following information for each subcontractor: the disability or behavioral health group or groups served; the services provided; and the expected annual cost of services. The list will be submitted to DBHDD at the time this Contract is signed. The Contractor further agrees to provide an updated list of subcontractors to DBHDD: att the end of each quarter or upon implementation of any changes to subcontract arrangements (including, but not limited to, Contractor's entering into any new G. Any subcontract of the Contractor for the provision ofl Individual services and/or operational services addressed! iny whole ori inp part bya Provider Manual will incorporate a verification tol be signed by the subcontractor indicating the subcontractor has received and will comply with the applicable Provider Manuals and Policies. The Contracior specifically agrees to be responsible for the performance ofa any subcontractors and for subcontractors compliance with applicable provisions oft this Contract andt the! Provider Manual and- Policies. The- Gontractor will- ensure that the subeontractors both understand- and abide by- the provisions of this Contract, all relevant provisions oft the Provider Manual and Policies, all standards, guidelines, DBHDD-issued advisories, and D. Anys subcontract of the Contractor will clearly state, inv writing, thes service or product being acquired through said subcontract, with The Contractor agrees tor reimburse DBHDD or anyo other applicable agencies for any Federal or State audit disallowances arising froma anys subcontracto's performance or non-performance of duties undert this Contract which are delegatedt tot the subcontractor. F. Ifthe Contractor subcontracts for the provision of any deliverables pursuant tot this Contract, the Contractor must require ine each subcontract, thatt thes subcontractor(s) is required to adhere to each provision oft this Contract related to the quality and quantily of the deliverables, compliance with State and Federal laws and regulations, confidentiality, including a Business Associate G. The Contractor shall promptly pursue, at its own expense, appropriate legal and equitable remedies against any subcontractor whof failst toa adheret tot the Contractrequiremenis, includingbutn not limited toc compliance witht the Provider Manual or any: applicable DBHDD or DCH policy. The Contractor's failure to proceed against a subcontractor will constitute a separate breach by the Contractor in which case DBHDD may pursue appropriate remedies as a result of such breach, including but not limited to H. IfContractor is a HIPAA Business Associate of DBHDD, Contractor must obtain a Business Associate Agreement with any and alls subcontractors that create, receive, maintain or transmit protected healthi information (PHI) onl behalf of Contractor for the work oft this Contract. Such Business Associate Agrooment shall be in compliance with the requirements of HIPAA regulations at 45 CFR Parts 160 and 164. Contractor shall provide copies of all such Business Associate Agreements to DBHDD upon request, ands shall retain copies ofs such Business Associate Agreements and related documentation of compliance with HIPAA: for no! less than six (6) years following the termination of this Contract, the Business Associate Agreement with the subcontractor, or the Whenever the Contractor is utilizing the services of ap person or entity whoi is not Contractor's employee to provide reimbursable services covered byt this Contract, the Contractor shall obtain a verification form signed by that person or entity affirming that the Contractor has reviewed the requirements of this Contract and all applicable DBHDD Policies and Provider Manuals with that person or entily and has instructed that person or entily as to how to access the electronic versions of DBHDD Policies and Provider Manuals. This requirement is applicable to all subcontractors, independent contractors, employees of staffing agencies, students, intems, and volunteers, and any and all others who are not employees of the Contractor. The Contractor will ensure that any such person or entity both understands and abides by all pertinent provisions of the Contract, all relevant provisions of thel Provideri Manual, all standards, guidelines, DBHDD-issued: advisories, and! laws and regulations applicable to the work oft that person ore entity. The Contractor shall maintain these forms andy will make them available uponr request tol DBHDD ori its authorized covered under this Contract. subcontract, ort thet termination or expiration of any subcontract).. laws and regulations applicable to thes subcontractor. detailed description of cost. Agreement where applicable, auditing, including access to records, and contract administration. termination of this Contract. conclusion of all activily under such contracts: and agreements, whichever is! latest. agent. PARA #123 PUBLICITY: (116)05/22/2024 Contractors must ensure that any publicity given to the program or services provided herein identifies DBHDD as a sponsoring agency. Publicity materials include, but are not limited to, signs, notices, information pamphlets, press releases, brochures, radio or television announcements, or similar information prepared by or fort the Contractor. Prior approval for ther materials must! be received from DBHDD's managing programmatic division/oftice. All media and public information materials must also be approved by DBHDD Office of Communications. In addition, the Contractor shall not display DBHDD's name or logoi in any manner, including, butr not limited to, display on Contractor's! letterhead or physical plant, without thep priorv written authorization oft the Office of Communications. Publicity materials shall not include photographs ori identifying information of any individual unless the individual has given prior valid written authorization, which authorization shall be available tot the Department uponr request. 8 DBHDD Rockdale County (124)05/02/2014 FY2025 Staffing for Diversion Centeri for Substance Use Disorder (SUD) PARA #124INVENTIONS. PATENTS, COPYRIGHTS, INTANGIBLE! PROPERTY, AND PUBLICATIONS: Any documents, electronic data ord otherr material prepared ori int the process ofl being! prepared by Contractori inc connection with Contractor's performance oft the Services shalll be deemed properly oft the Department: and all right, title, and ownership! interesti in any such documents shall vest int the Department immediately upon their creation and Contractor further agrees to execute any and all documents or to take A. Inventions and patents. The Contractor agrees if patentable items, patent rights, processes, or inventions are produced in the course of work supported and funded by this contract, to report such facts in writing promptly and fully to thel Department. The federal agency and the Department: shall determine whether protection of thei invention or discovery shalll be sought. The federal agency and Department will aiso determine how the rightst tot the invention or discovery, including rights under any patent issued thereon, shall be allocated and administered! inc order toy prolect the public interest consistent with Government. Patent Policy. B. Copyrights. Except as otherwise provided in the terms and conditions of this contract, the author or the Department is free to copyright any books, publications, or other copyrightable materials developedi in the course of, or under this contract. Should any copyright materials be produced as ai result of this contract, the federal agency and the Department shall reserve ar royalty-free nonexclusive and- irrevocable right-to reproduce, modifypublish, or otherwise- use and- to authorize- others- to- use- the work for- C. Publications: All publications, including pamphlets, arfwork, and reports shall be submitted to the Department on disk or any additional actions thati may be necessary in the future to fully effectuate this provision. govemment and Departmentai purposes. electronically. PARA #125 CONSULTANTSTUDY CONTRACT: (118)06/23/2022 A. The Contractor agrees not tor release anyi information, findings, research, reports, recommendations, or other material developed or utilized during or as a result of this contract until such time as the information has been provided to the Department, appropriately presented tot the Board of Behavioral Health and Developmental Disabilities, and made a matter of public record. B. The Contractor further agrees that any research, study, review, or analysis of the Individuals/customers/clients served under this contract by any outside individual or organization must be conducted in conformance with Department of Behavioral Health and Developmental Disabilities Policy 25-101, Research, Protection of Human Subjects, and Institutional Review Board (IRB) and Policy 25-102, Submission, Approval. and Oversight of Research Projects using DBHDD Datasets. C. All products developedcolected including raw data, databases, including code specifications, shall be the properly of the Department: andi may! bes subject to review andy validation by the Depariment prior to complotion of study. PARA #126 CONTRACTORISUBCONTRACTOR LICENSE REQUIREMENTS: (119)05/01/2015 A. The Contractor agrees to maintain any required city, county and State business licenses and any other special licenses required for the periormance of this Contract, prior to and during the performance of this Contract. Contractor shall submit all current and renewed licenses to DBHDD. The Contractor will immediately notify DBHDD of any deficiencies noted when its B. The Contractor is responsible to ensure that subcontractors and all employees and personnel of subcontractors are Contractor agrees toi immediately notify DBHDDi ifa any license of Contractor or any subcontractor is suspended or revoked. A. IfContractor is a natural person (ie. not a corporation or other entily), he or she! hereby certifies that he or she will not engage in the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana during the B. fContractor is ane entity other than a natural person (e.g. if Contractor is a corporation, limited liability company, etc.) ), Contractor hereby certifies thati ity wil comply with the Drug-Free Workplace Act of 1988 (Public Law 100-690, Title' V, Subtitle D; 41 U.S.C. 1. Adrug-froe workplace will be provided for the Contractor's employees during the performance of this Contract; and 2. Ity will secure from anys subcontractor hired to worki ina drug free workplace the following written certification: "As part oft the subcontracting agreement with (Contractor's Name), (Subcontractor's Name), certifies to (Contractor's Name) that a drug- free workplace willl be provided for the employees of (Subcontracto's! Name) duringt they performancec oft this Contract pursuant facilities or programs are reviewedi or surveyed by anyl licensing agency or authority. appropriately licensed. PARA #127 DRUGFREE WORKPLACE: (120)06/23/2022 performance of this Contract. $8102 et seq.) and that: top paragraph7 of subsection B of Code Section 50-24-3 oft the Official Code of Georgia." C. Contractor may be suspended, terminated, or debarred ifiti is determined that: 1. The Contractor has made false certification! hereinabove; or 9 DBHDD Rockdale County FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) 2. The Contractor has violated: sucho certification byf failure to carry outt the requirements of Official Code of Georgia Section 50- 24-3. PARA #128 TOBACCO AND SMOKE FREE ENVIRONMENT: vehicles used tot transport individuals/customers/clients. PARA#1291 NONSMOKING POLICY FOR CHILDREN SERVICES: (126)03/08/2017 Itis the policy of the Department to provide a tobacco and smoke free environment in all its facilities where services are provided to! individuals/customers/clients. Contractor agrees that it and its employees, agents, subcontractors, and employees and agents of subcontractors shall not use any tobacco product or smoke in and/or on the grounds ofa any Department facilities and/ori in: all Department (127)06/23/2022 The Contractor agrees to comply with Public Law 103-227, Title X, Part C, also! known as the Pro-Children Act of 1994, as codified at 20 U.S.C.A. $7183, as well as with the Act's implementing regulations, which require that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by the Contractor and used routinely orr regularly for the provision ofh health care, day care, early childhood development: services, education or library services to children under the age of 18. Failure to comply with the provisions oft the law may result int the imposition of a civil monetary penalty for each violation and/or the imposition of an administrative compliance order on the Contractor. PAPAFIBOFEDERALAND: DEPARIMENTAL! PROHIBITIONS ANDI REQUIREMENTS RELATED TOLOBBYING: A. Pursuant to Section 1352 of Public Law 101-121, the Contractor agrees that: (136B)04/30/2001 1. Not federally appropriatedi funds! have been paid or willl be paid, by or on! behalf oft the Contractor, toa any person fori intluencing or attempting to influence an officer or employee of any federal agency, ar member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, oF modification of anyf federal contract, grant, loan, or cooperative agreement. 2. As acondition ofr receipt of any federal contract, grant, loan, or cooperative agreement exceeding $100,000, the Contractor shall file with the Department a signed' Certification Regarding Lobbying," atlached hereto as AnnexA. 3. If any funds other than federally appropriated funds have been paid or will be paid to any person for influencing or attempting toi influence an officer or employee of any agency, ar member of Congress, an officer or employee of Congress, or and employee of ar member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the Contractor shall complete and submit Standard Form-LLL, Disclosure Form to Report Lobbying," in accordance with its 4. Adisclosuref form will be filed at the end of each calendar quarter in which there occurs any event that requires disclosure ort that materially affects the accuracy of the infonmation contained in any disclosure form previously filed by Contractor under subparagraphs (b) or (c) of this paragraph. An event that materially affects the accuracy of the information reported A. A cumulative increase of $25,000 or more in the amount paid or expected to be paid for influencing or attempting B. Achangei int the person(s)ori indwidualg)nluencing or attempting toinfluence a covered federal action; or C. A change in the officer(s), employee(s), or member(s) contacted to influence or attempt to influence a covered Any Contractorw who makes ap prohibited expenditure orv who failst tof file or amend the disclosure: form, as required, shall be subject An imposition of a civil penally! under this section does not prevent the United States from seeking any other remedy that may The Contractor shall require that the prohibitions and requirements of this paragraph bei includedi int the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and 1. No part of any federal funds contained in this contract shall be used, other than for normal and recognized execulive- legislative relationships, for publicity or propaganda purposes, for the preparation, distribution or use of any kit, pamphlet, booklet, publication, radio, television, or video presentation designed to support or defeat legislation pending before the Congress or any Statel legislature, excepti in presentation tot the Congress ora any State legislature itself. instructions, copies of which may! be obtained from the Department includes: toir influence a covered federal action; or federal action. toac civil penally of not less than $10,000 and not more than $100,0001 for eachs such expendilure. apply tot thes same conduct thati is the! basis for the imposition of such civil penally. thata all sub-recipients shall certify and disclose accordingly. B. Contractor further agrees thati in accordance with the federal appropriations act: 10 DBHDD Rockdale County FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) 2. No part of any federal funds contained int this contract shall be used to payt the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed toi influence legislation or appropriations pending G. Contractor further agrees that noy part ofs statef funds contained int this contract shall be used fort the preparation, distributionoruse ofa any kit, pamphlet, booklet, publication, radio, television, Internet, or video presentation designed to: support or dofeat legislation pending before the General Assembly or any committee thereof, or the approval or veto ofl legislation by the Govemor or for: any PARA#131 ÇRIMINAL HISTORY RECORDS CHECKSI REQUREMENTFOR CONTRACTOR/ AND SUBCONTRACTOR: (153)06/23/2022 Contractor shall comply, and shall ensure that all of Contractor's subcontraclors comply, with DBHDD policy: Criminal History Records before the Congress or any Statel legislature. other related purposes. Check for DBHDD Network Provider Applicants, 04-104. PARA #132 AIDS POLICY: (123) 03/08/2017 A. Contractor agrees, as acondition to provision of services to Individuals pursuant tot this Contract, nott to discriminate against any cumadomaderaan who may have AIDS or be infected with Human Immunodeficiency Virus (HIV). The Contractor is encouraged to provide or cause to! be provided appropriate AIDS training toi its employees andt to seek AIDS technical advice and assistance from the appropriate division or office of the Department, as the Contractor deems necessary. The Contractor further agrees to refer those consumers/customersialients/patients requesting additional AIDSI related services or information to B. Contractor agrees to comply with all laws and regulations of the state of Georgia regarding confidentiality of AIDS confidential C. Notwithstanding subparagraph A above, ift the Contractor is a county board of healthi ita agrees to comply with the Joint Advisory Notice, entiled"Protection. Against Occupationall Exposure to! Hepatitis BVirus (HBV)andHuman ImmunodeliciencyVins: (HIV)," dated October 30, 1987, from the Department of Labor/Department. of Health and Behavioral Health and Developmental Disabilities and which has been made available to the board. The board further agrees that in the implementation of the Department's programs ity will follow those standard operation procedures developed. and identified by the appropriate program division of the Department as applicable tot the specific programs and as provided tot the board! byt the program division. A. Tot the extent allowed byl law, Contractor hereby waives, releases, relinquishes, discharges and agrees toi indemnify, protect and save harmless the State of Georgia (including the Slate Tort Claims Trust Fund), DBHDD, the Department of Community! Health, the Department of Administrative Services, their officers and employees (collectively indemnitees") of and from any and all claims, demands, liabilities, loss, costs or expenses for any! loss or damage for bodily injury (including but not limited to death), personal injury, properly damage, attomeys' fees caused by, growing out of, or otherwise happening in connection with this Contract, due to any act or omission on the part of Contractor, its agents, employees, subcontractors, or others working at the direction of Contractor or on Contracior's behalf; or due to any breach of this Contract by Contraclor (collectively, the "Indemnity Claims"). This indemnification extends to the successors and assigns of the Contractor, and this indemnification and release survives the termination oft this Contract and the dissolution or, tot the extent allowed! byl law, the bankruptcy of the Contractor, B. lfandt tot thes extent such damage orl loss as covered by thisi indemnitication is covered by the State Tort Claims Fund or any other sell-insurance funds maintained by the Department of Administrative Services (collectively, the' "funds"), the Contractor. agrees to reimburse the Funds for such amounts paid out by the Funds. To the full extent permitted byt the Constitution and the! taws oft the State of Georgia and the terms of thel Funds, the Contractor and its insurers waive any right of subrogation against the State of Georgia, the Indemnitees, andt the! Funds andi insurers participating thereunder, to the full extent of this indemnificalion. Contractor shall, at its expense, be entitled to and shall have the duly to participate in the defense of any; suit against the indemnitees. No settlement or compromise of any claim, loss or damage asserted against Indemnitees shall be binding upon the appropriate county health department. information, including but notl limited tot those al O.C.G.A. $2 24-12-20 and 24-12-21. PARA #1331 INDEMNIFICATION: (124)03/08/2017 Indemnitees unless expressly approved inv writing by thel Indemnitees. PARAJ #134 DEBARMENT: (140) 06/23/2022 Ina accordance with! Executive Order 12549, Debarment and Suspension, including any applicable implementing regulations at 45CFRPart 76, 100-510 or elsewhere in the Code of Federal Regulations, Contractor certifies bys signing Annex B that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this contract by any federal department or agency. Contractor further agrees that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility, and' Voluntary Exclusion - Lower Tier Covered Transaction," without modification, in alll lower tier transactions and in all solicitalions for lower tier coveredi transactions. PARA #135 CONTRACTOR. ACCREDITATIONTIERSTANDARDS REQUIREMENTS: (119)05/02/2016 The Coniractor agrees to maintain or obtain the required accreditation as outlined in Accreditation and Slandards Compliance Requirements for Providers of Bohavioral Health Services. 01-103 (and comply with thes standards foundi in Communily/Medicaid Provider 11 DBHDD Rockdale County FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) (CMP) Standards for Georgia's Tier 2 Behavioral Health Services, 01-230) necessary to provide services prior to and during the performance of this contract. Contractor agrees thati ifitl loses or fails to obtain any required accreditation or standards compliance that this contract may! be terminated immediately in whole or inp part. PARA #136 QUALITY IMPROVEMENT PROGRAM, PROGRAMMATIC DATA, ANDI REVIEWS: (204)05/01/2015 A. The Contractor agrees to follow the provisions of DBHDD's Quality Management Plans and Quality Improvement and Risk Management: standards foundi int the applicable Provider Manuai(s) and Policies. The Contractor agrees tokeep ont file tobe reviewed upon audit or upon the request of DBHDD, the current Quality Improvement (QI) Program! Plan and QI policy of the Contractor and other supporting documentation as necessary. Such program must address methods too conduct andi incorporate the results of assessment of quality of services delivered, outcome-based evaluation, and satisfaction with services by the B. The Contractor agrees to participate in DBHDD's quality and! performance management, programs. and processes which may be modified during the course of the Contract period. Participation includes, but is not limited to, providing all key performance and outcome indicators of service quality and contract compliance and other required programmatic data reports within required timeframes and deadlines and facilitating DBHDD access to individuais served, program staff, treatment records, and- C. The Contractor agrees top participate in all mandatory Contractor meelings, training and technical assistance events as specified by DBHDD. This mayi involve training or technical assistance provided to all Contractors, to Contractors of certain services, ort to ani individual Contractor. This training andt technical assistance isr not limitedt toi instancesi inwhicha a deficiency has beeni identified. individuals served. incident/injury data. PARA #137 NOTICE OF LEGAL ACTION: (152)06/2312022 The Contractor agrees toy provide written notice to DBHDD, att the address listedi in Paragraphi #103 oft this Contract, of any legal action or adverse notice listed below, within ten (10) calendar days following the date the Contractor initiates or receives such notice. The noticet to DBHDD shall be accompanied by a complete copy of all documents, filings, or notices filed by or received by the Contractor, and any A. Any action, proposed action, suit or counterclaim filed by or filed against Contractor, relating in any way to this Contract or to B. Any administrative or regulatory action or! proposed action regarding its business or operations; C. Any denial of or withdrawal of Contractor status from Medicaid or Medicare or any payback required by Medicaid; D. Any claimr made against the Contractor bya an! Individual, subcontractor or supplier, orr made! byt the Contractor against an! Individual, subcontractor or supplier, having the potential to result inl litigation related ina any wayt tot this Contract; E. The filing ofa a petition in bankruptcy by the Contractor or by or against aj principal subcontractor, or thei insolvency of a principal F. The conviction of () any person who has an ownership or controlling interest in the Contractor, (i): any subcontractor or supplier of Contractor, or (i) any person who is an agent or managing employee of any subcontractor or supplier of Contractor, ofa criminal offense related tot thatp person'si involvementi in any program under! Medicare, Medicaid, or Title: XXof the Social Security G. The sale of assets, merger, or change of control of the Contractor or assignment of some or all of the Contractor's corporate functions or services. In such an event, Contractor must also comply with any applicable requirements in the Department of Community Health Medicaid Policies and Procedures manuals conceming sale of assets, merger, change of control, or assignment of corporate functions or services, including but not limited to Section 105.9oft the Parti Policies and Procedures for Medicaid/Peachcarei for Kidsr manual (maintained byt the Department of Community Health), as from timet tot time amended oF re- actions, including but not limited to thef following would necessitate a notice: services delivered pursuant tot this Contract; subcontractor; Act; or numbered. PARA# #138 REPORTING CRITICAL INCIDENTS, COMPLAINTS AND GRIEVANCES: (403)06/23/2022 Contractor shall ensure that Individuals served are protected from abuse, neglect and exploitation and treated with dignity and respect at Contractor shall comply, and shall ensure that its subcontractors (if subcontracting is permitted hereunder) comply, with DBHDD policies Reporting Deaths and Other Incidents in Community Services 04-106 and Complaints and Grievences Regarding Community all times. Services, 19-101. PARA #1391 INSURANCE: (125)06/2312022 The following requirements shall be adhered to by Contractor throughout the duration of the Contract, anda as may otherwise be specified herein. Contractor shall procure and maintain insurance that shall protect the Contractor and DBHDD from any claims for bodily injury, property damage, orp personal injury that may arise outo of operations under the Contract. Confractor shall procure thei insurance policies at 12 DBHDD Rockdale County FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) its own expense and shall furnish DBHDD an insurance certificate of the coverage required in this section listing DBHDD as certificate holder. In addition, the insurance certificate must provide the name and address of the insured, name, address, telephone number and signature of the authorized agent; the name of the insurance company (licensed to operate in Georgia); a description of the coverage in detaileds standard terminology (including policy period, limits ofl liability, exclusions and endorsements); and, an acknowledgment. thatr notice ofc cancellation ist required to! be given tol DBHDD. Contractori is required to obtain and maintain the following types ofi insurance coverage A. Workers Compensation Insurance (Occurrence)! int the amounts oft thes statutoryli limits established by the General Assembly of the State of Georgia in Chapter 9 of" Title 34 of the Official Code of Georgia Annotated. (A self-insurer must submit a certificate from the Georgia Board of Workers Compensation stating that Contractor qualifies to pay its own workers compensation claims). In addition, Contractor shall require all subcontractors occupying the premises or performing work under this Contract to obtain an B. Commercial General Liability Policy (Occurrence), to include contractual liabilily. The Commercial General Liability Policy shall have dollar limits sufficient to ensure there is no gap in coverage between this policy and the Commercial Umbrella Policy C. Business Auto Policy (Occurrence) toi include butr not bel limited tol liability coverage on any owned, non-owned and hired vehicle used by Contractor or Contractor's personnel in the performance of this Contract, The Business Automobile Policy shall have dollar limits sufficient to ensure that therei isr no gapi in coverage betweent this policy and the Commercial Umbrella Policy required D. Commercial Umbrella Policy (Occurrence), which must provide the same or broader coverage than those provided for in the above Commercial General Liability and Business. Auto Policies. Policy limits for the Commercial Umbrella Policy shall have an E. Contractor must maintain, or must ensure that each licensed professional employed or contracted by Contractor maintains, MapracicaPolessonal Liability Policy (Claims Based) with EDP, Errors and Omissions Coverage. Each such policy must provide liability limits of $1,000,000.00 per occurrence for eachl licensed professional insured by! the policy. For eachs such policy, Thet foregoing policies shall contain aj provision that coverage afforded under the policies will not be canceled, or not renewed or allowed tol lapse for: anyr reason until atl least 60 daysp prior written nolice has beeng givent toD DBHDD. Certilicates ofl Insurance: showing such coverage tob bei in force shall bet filedy with DBHDD prior to commencement of any work under this Contract. The foregoing policies shall be obtained fromi insurance companies licensed to dol business in Georgia and shall be with companies: acceptable! tol DBHDD. All such coverage shall for the duration of the Contract: insurance certificate showing proof of Workers Compensation Coverage. described below. int this Contract. annual aggregate limit of $3,000,000.00. Contractor musts submitt to DBHDD certificates complying with the requirements of this paragraph. remain int full force and effect during thei initial term of the Contract and any renewal or extension thereof. PARA #140 STATEWIDE SEXUAL HARASSMENT PREVENTION POLICY: (156)05/22/2024 The State of Georgia promotes respect and dignity and does not tolerate sexual harassment in the workplace. The State is committedt to providing a workplace and environment free from sexual harassment for its employees and for all persons who interact with state govemment. All State of Georgia employees are expected and required toi interact with all persons including othere employees, contractors, and customers ina a professional manner that contributes to ai respectful work environment free from sexual harassment. Furthermore, the State of Georgia maintains ane expectation thati its contractors and their employees ands subcontractors will interact with entities oft the State of Georgia, their customers, and other contractors of the Statei in aj protessional manner that contributes to ar respectful work environment Pursuant tot the State of Georgia's Statewide Sexual Harassment Prevention Policy (the" SSHP Policy"), all contractors who are regularly on State premises or who regularly interact with State personnel must complete sexual harassment prevention training on an annual Ac contractor, including its employees and subcontractors, who have violated the SSHP Policy, including but not limited to engaging in sexual harassment and/or retaliation may be subject to appropriate corrective action. Such action may include, but is not limited to, notification to the employer, removal from State premises, restricled access to Stale premises and/or personnel, lemination of contract, free from sexual harassment. basis. andlor other corrective action(s) deemed necessary byt the State. A. IfContractori is ani individual, Contractor certifies that: 1. Contractor has received, reviewed, and agreed to comply with the State of Georgia's Statewide Sexual Harassment htps/Idoas.a.ovilesefauvleslassals/iuman20Resourcesk20Adminsinaton/sexuak20Harasmen'é20Prevent: on'é20Policy/Stalewewde20Sexalka20Harassmen'szreventions20Polsy0andk20linvestigatene20Procedures"a2 2. Contractor has completed sexual harassment prevention trainingi int the! last year; orv willo complete the Georgia Depariment of at! htps/Awww.youlube.conlembedNMODDng2s7el0 prior to accessing State premises and prior to interacting with Prevention Ov.2.pdf; Administrative Policy located at Services' sexual harassment prevention training located Department employees; and on ana annuall basis thereafter; and, 13 DBHDD- Rockdale Counly FY2025 Staffing for Diversion Centeri for Substance Use Disorder (SUD) 3. Upont request byt the Department, Contractor wili provide documentation: substantiating the completion of sexual harassment 1. Contractor will ensuret thats such employees ands subcontractors haver received, roviewed, and agreed toc comply witht the State tis/doas.43-00Vslesdelautnesnsals/umanv20esourcesw20Admnstralon'sexual-20Harnsmentya20Prevent on*s20Palix/SlalemideX2DSeNRk2PHarssments20Prgentionk2Paigs2lans,0linstgatenka20Pocadues*, 2. Contractor has provided sexual harassment prevention trainingi in the! last year to such employees and subcontractors and will continue to do sO on an annual basis; or Contractor will ensure thats such employees and subcontractors complete the Georgia Department of Administrative Services' sexual harassment prevention training located at this direct link! htps/wwwyoulube.comembedNVONIV0DDnc2s7r-0 prior to accessing Department premises and prior to interacting 3. Uponi request ofthe Department, Contractor wil provide documentation substantiating such employees and subcontractors acknowledgment oft the State of Georgia's Statewide Sexuall Harassment Prevention Policy: and: annual completion ofs sexual training. , fContractor has employees or subcontractors, Contractor certifies that: of Georgia's Ov.2.pdf; Statewide Sexual Harassment Prevention Policy located at with Department amployees; and on an annual basis thereafter; and harassment prevention training. PARA #141 REQUESTS FORI FINANCIAL INFORMATION: (1288)05/22/2024 The Contractor/Provider shal! fully and promptly comply with all reporting requirements and requests fori information issuedi by the Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) or its authorized designee. The Contractor/Provider shall provide suchi informationi int thet format requested by DBHDD. The Contractor/Provider: shall ensure thati its staff comply wholly andp promplly witha all requestsi fori information. The Contractor/Provider: shall comply promptly with requests by DBHDDori itsa authorized: agent fort financial information, records, and documents relatedi to evaluating the costs of programs and services. Requested information and documentation mayi include, buti isi not limited! to,i information and documentation regarding () the Contraclora/Plowider's contractual agreements, (i) the ContaclorsPlowiders porsonnel costs, (i) the Contaclors/Prowiders operating costs, and (iv) any party providing services that will or may! be paid for by the Contractor/Provider with funds received from DBHDD, including, but not limited to, management and consulting services rendered tot the Contractor/Provider. SECTIONIISPECIAL TERMS AND CONDITIONS PARA; #201 DEPARTMENT AND CONTRACTOR. AGREEMENTS: SECTIONI IIA 201)03/17/2003 WITNESSETH: AND WHEREAS, the Department! has a need for and desires to provide treatment for substance use disorder ina a criminal justice system. WHEREAS, the Contractor has represented tot thel Department its willingness and abilily to provide the sorvices and/or products identified NOW, THEREFORE, in consideration of the mutual covenants herein set forth, iti is agreed bya and! belween the parties hereto as follows: A. The Contractor agreest thal the proposal, approvedI by thel Department, ist by referencer madea ap pari oft this contract, andi is attached herein. hereto as Annexc. AND B. The Department will provide overall contract management: and technical assistance SECTIONI HI CONTRACTPAYMENT PROVISIONS PARA #301 DEPARTMENT PAYMENT TO CONTRACTOR: 301C)05/01/2019 The total approved budget for this contract is $280,471.01. The Department will make payments to the Contractor based upon reimbursement for actual expenses incurred which are within the approved budget. Total contract reimbursement: for expenses shall not exceed $280,471.01. PARAI #302 CONTRACTI BUDGET ANNEX: (303)02/23/996 A. The budget attached tot this contract as Annex Di is made a part of this contract. provide any service other than those specified int this contract. B. The Contractor agrees that the Department will be provided a cost allocation plan as part of the budget should the Contractor 14 DBHDD- Rockdale County FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) C. Any fee or program income generated as a result of this contract activity shall be expendedi in compliance with the reference indicated below byt the (X): Deduction. Altemative Cost Sharing ori Matching Alternative Additional Cost Altemative XNo Foe or Program Income Authorized PARA#3031 BUDGETLMITATION: 304B)02/23/1996 A. Thet budget total may not be exceeded. However, aj plus or minus deviation of 10.00% within! budget line itemsi is authorized. B. In the event that expenditures for al line item are expected to exceed these limits, a budget revision must be submitted and approved! by thel Department! ina advance. Reimbursement will only! bet madei ifthet budget revision wast filed anda approvedinwriting prior tot the expenditure oft thei funds. PARA: #304 PROGRAMMATIC REPORT: (305)03/03/1986 The Contractor agrees to submit a monthly progammatcparomano statistical report not later than the 31st working day after the end of eachi month duringt thel term oft this contract. Ther report form tol be usedi is attached' tot this contract as AnnexE. PARA #305 EXPENDITURE REPORT SUBMISSION: (306A)03/01/1992 The Contractor agrees to submit ar monthly expenditure report notl later than the 31s working day following the end of each month during the term oft this contract. The Contractori further agrees to submit thet finals supplemental expenditure report ont this contract, ifrequired, not later than 45 days following the contract termination date. Any reimbursement: request submitted after said 45 days will not bey paid! byt the SECTION IV COMPLIANCE WITH SPECIFIC STATE ANDI FEDERAL LAWS, RULES, REGULATIONS AND STANDARDS Contractor agrees that all work done as pari oft this Contract will comply fully with all administrative and other requirements established: by applicable Federal and State laws, rules and regulations, and assumes responsibility for full compliance with all such laws, rules and regulations, and agrees tot fully reimburse DBHDD for any loss of funds or resources: resultingi from non-compliance by the Contractor, its staff, agents, or subcontractor as revealed in any subsequent audits or investigations. Contractor understands that the following items A. Any rules and regulations promulgated by the Centers for Medicare and Medicaid Services or the Georgia Department of Community Health Division of Healthcare Facility Regulation that are applicable to the services offered byt the Contractor under Uponr request by! DBHDD, the Contractor agrees top provide tot the DBHDD Office of Information Technology (OIT)a secure nelwork connection allowing electronic access to all Contractor's facilities that receive, transmit, store or process DBHDD electronic data. Contractor agrees to provide: such connection within five (5) business days of a request from DBHDD OIT, or within fewer daysi if required by Federal or State law or regulation, in order for DBHDD to conduct risk analysis, risk management and information system activily reviews with regard! tos security of DBHDD's electronic data, as defined int the! HIPAA Security. Rule, 45 CFR: Section C. 45CFR Part 75; as usedi in this Contract the word Contractor is synonymous with the word: Sub-recipient as usedi in the Code of D. Contractors shall conduct business praclices in conformity with Title XIX of the Social Security Act, 42 U.S.C. section The Contractor agrees to complyi ina allr respects with the Governor's Executive Orders concerning ethics malters, including, but not limitedt tol Executivel Order dated/ April 1, 2021 (Establishing Code of Ethics for Executive Branch Officers and Employees, including provisions governing former officers and employees) and Executive Order dated October 1, 2003 (Providing for the Registration and Disclosure of lobbyist employed or retained by vendors to State agencies). in this regard, the Contractor certifies that any lobbyist engaged to provide services has both registered and made the disclosures required by the Executive Orders. 1. The Contractor agrees that throughout the performance of all applicable worki int this Contract itv will remaini in full compliance with all Federal and Statei immigration laws, including but not limited to provisions of 8U.S.C. S 1324a and O.C.G.A.S1 13- 10-90 et.seq, legal Immigration Refomm and Enforcement. Act of 2011, regarding the verification of employment eligibility of Department. The report form to be usedi is attached tot this contract as AnnexD. PARA #401 STATE AND FEDERAL LAWS, RULES, REGULATIONS AND STANDARDS: (401G)05/6/2023 specifically apply tot this Contract, but do not exclude any other applicable Federal or Statel laws or requirements: this Contract. B. Compliance with Security Management Process: 164,308 (a)(1). Federal Regulations. 1396a(a)30)(A). Compliance with Executive Orders Conceming Ethics andi Lobbyist Registration: F. Compliance with Federal and State Immigration Laws: 15 DBHDD- Rockdale County FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) employees under the Immigration Refomm and Control Act of1 1986. Contractor wille ensure that only persons who are citizens or nationals oft thel United States orr non-citizens authorized under Federal immigration! laws are employed to perform services under this Contract or any subcontract or sub-subcontract (fsub-subcontracting! is permitted)! hereunder. Contractor shall notr retaliate against ort take any adverse action against any employee or any subcontractor for reporting, or 3. Further, Contractor agrees toi include the provisions contained int the foregoing paragraphs in each subcontract for services hereunder and tor require subcontractors toi include such provisions in alls sub-subcontracts (if sub-subcontracts: are permitted G. The Federal cost principles for determining allowable costs for this Contract is the OMB Supercircular "Uniform Administrative Requirements, Cost Principles, and/ Audit Requirements for Federal Grants," codified at2C.F.R. Part 200, including Appendix' VII for contracts with State and local governments. Indirect Costs charged to programs reimbursed" with State or Federal Funds must be supported. by an Indirect Cost plan approved by, and ont file with DBHDD or an! Indirect Cost Rate approved by the Contractor's Federal cognizant agency. Contractor isr responsible for notifying DBHDD of any significant changes to the plan, once approved. The federal cost principles for determining allowable costs for this contract is the OMB Supercircular "Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Grans/codlmadat2CFR. Part2 200, including Appendix VII K. Title XIX, Part B- Block Grants Regarding Mental Health and Substance Abuse, Section 1921-1 1935, 1941-1956 (93.959) All DBHDD Contractors are required to comply with the financial reporting requirements set forth External Entities Audit Standards, 16- Contractor further agrees to submit the required audit or financial statements in the quantities set forth below, within 180 days after the attempting tor report av violation(s) regarding applicable immigration laws. hereunder) for services hereunder. H. Comply with all State and Federall laws, rules and regulations regarding eachl Individual's nghts for contracts withs state and local governments. J. Fair Labor Standards. Act of 1938, as amended. PARA #402 AUDITS AND FINANCIAL REPORTING REQUIREMENTS: (402A)05/17/2023 101. Itis the responsibility of the Contractor to understand. and comply with these requirements as prescribed. close of the Contractor's fiscaly year: One (1)€ electronic copyt to: DBHDD Office of! Internal Audit 200 Piedmont Avenue, S.E. 5th Floor, West Tower Atlanta, Georgia 30334-9026 Additional Financial Reporting Requirements State Reporting (htps/dbhddapps.dbhdd.ga.gowden) One (1) copyt to: State Department of Audits and Accounts Nonprofit and Local Govemment Audits Division 270' Washington Street, S.W.; Suite 1-156 Atlanta, Georgia 30334-8400 Contractor will protect the confidentiality of all protected health information and confidential consumer clinical record information from disclosure to auditors where reasonably possible. If such disclosure to an auditor (other than auditors employed by DBHDD or the, ASO) is neçessary for the audit to be conducted Contractor will obtain a Business Associate Agreement with the auditor which agreement complies with the Health Insurance Portability and Accountability Act of 1996 andi its regulations (the' Privacy Rule"), 45 CFR Parts 160 and 164, to protect the confidentiality of protected health information and clinical record information. Contractor will comply with requirements of the Privacy Rule to report to the Regional Field Office any known unauthorized disclosure or redisclosure of protected health information or clinical recordi information arising out of or relating to any audit required hereunder and mitigate damages pursuant Contraclor understands that according to the provisions of this contract and as described in the Department's External Entities Audit Standards 16-101 policy, failuret to complyv with the above: audit andf financial reporting requirements couldt be cause for DBHDD tos suspend payments, to terminate this contract, to require a refund of all monies received under this contract and to prohibit the Contraclor from receiving funds from any State organization for a period of twelve (12) months from the dale of notification by DBHDD or the State Contractor understands that according to the provisions of this contract, failure to comply with the above audit and financial reporting tot the Privacy Rule. Department of Audits and Accounts. requirements could be causei for DBHDD tos suspend payments and/or terminate this contract. PARA #403 NO AMENDMENT TO CONTRACT: (156)04/19/2021 This Contract is being presented to Contractor for execution and will be returned to DBHDD for the signature of authorized DBHDD personnel. Subsequent tot the transmission of this Contract by! DBHDD to Contractor: for Contractor's execution, no amendment, addition, ora alteration tot this Contract made by Contractor or by any other person shall be effective! to amend thei terms of this Contract unless such amendment, addition, or alteration is specifically and expressly accepted in writing by an authorized representative of DBHDD. The signature of this Contract by DBHDD, inj itself, shall not constitute specific and express acceptance of any such amendment, addition, or 16 DBHDD. Rockdale County FY2025 Stafling for Diversion Center for Substance Use Disorder (SUD) alteration. By executing this Contract, Contractor cerlifies that Contractor has not made any amendment, addition, or alteration to this Contract as further evidenced by Contractor certification on AnnexF. PARA#404ENTRE UNDERSTANDING, CONDITIONS OF ACCEPTANCE, ANDI MISCELLANEOUSI PROVISIONS: (404)04/29/2020 This Contract together with the annexes and all other documents incorporated by reference, represents the complete and final understanding oft thej parties tot this Contract. No other understanding, oral or written regarding the subject matter oft this Contract, mayb be Contractor's acceptance of this Contract must be manifested by () execution of this Contract by Contractor, and (i) the return of this Contract tol DBHDD: along with documentation, asr requested! by DBHDDI in correspondence accompanying DBHDD's offer of this Contract, evidencing Contractor's compliance with insurance, licensing, credentialing, and other requirements as set forth in this Contract andi in DBHDD policies andr manuals. Priort tot the execution oft this Contract by DBHDD, DBHDD: may revokei its offer of this Contract ifContractor fails tot timely execute and retum this Contract, or if Contractor relurns this Contract without the requested documentation. The section litles usedi int this Contract arei for reference purposes only ands shall not! be deemed a part of this Contract. deemed to exist or tot bind the parties at the time ofe execution. Time is of the essence oft this Contract. SECTIONV PARA: #501 CONTRACT, ANNEX INCLUSION: 501)04/29/2020 This contract includes annexes: as listed below, which are hereto attached: Annex A Annex B Annex C Annex D Annex E Annex F Certification Regarding Lobbying Debarment Certification Contract Deliverables (Proposal) Contract Budget and Cumulative Expenditure Report Programmatic Report Contractor Verification Form 17 DBHDD- Rockdale County FY2025 Staffing for Diversion Center for Substancel Use Disorder (SUD) SIGNATURES TO CONTRACT BETWEEN THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES AND ROCKDALE COUNTY INWITNESS WHEREOF, the parties have hereunto affixed signatures the day and yearf first above written. the undersigned commissioner of Rockdale County, certify that this contract is entered into Book No. Page No_ oft the official minutes oft the Commission of Rockdalé County. CONTRACTOR EXECUTION: DEPARTMENTAL EXECUTION: For the Commissioner oft the Department ofBehavioral Health: andI Developmental Disabilities Signature Date signed by Contractor Osborn Nesbitt Sr. "Typedr name ofi individual signing Chairman, Commission of Rockdale Date: Attestor's Signature Jennifer Rutledge Attestor's typed name Executive Director/ County Clerk **Title ofA Attestor Commissioner or Authorized Designee Date signed by the Department County *Must be Chairman or sole Commissioner **Must be Clerk of Commission 18 DBHDD- Rockdate County FY2025 Staffing for Diversion Centert for Substance Use Disorder (SUD) ANNEXA CERTIFICATION REGARDING LOBBYING Certificationi for Contracts, Grants. Loans, and Cooperative Agreements The undersigned certifies, tot the best of! his or her knowledge and! belief, that: 1. No federal appropriated funds havel been paid or willl be paid, by or on behalf of the undersigned, lo any person fori influencing or attempting toi influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress inc connection with the awarding of any federal contract, the making of any federal grant, the making of any federal! loan, the enteringi into of any cooperative agreement, and the extension, continuation, renewal, 2. Ifanyf funds other thanf federal appropriated" funds havel beenp paid or will be paidt to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee ofa ar member of Congress in connection witht thisf federal contract, grant, loan, or cooperative agreoment, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form toi Report Lobbying," in accordance withi itsi instructions. 3. The undersigned shall require that thel language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all This certificationi is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission oft this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any persony who fails tof file the required certification shalli bes subject to a civil penalty of not less than $10,000: and not more than $100,000 amendment, orJ modification of anyf federal contract,grant, Joan, or cooperative agreement. subrecipients shall certify and disclose accordingly. for each suchf failure. By Date: (Signature of Official Authorized to Sign) 19 DBHDD- Rockdale County FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) ANNEXB CERTIFICATION REGARDING LOWER TIER COVERED TRANSACTION DEBARMENT, SUSPENSION, INELIGIBILITY, AND VOLUNTARY EXCLUSION 1) The prospective lowor tier participant certifies, by submission oft this proposal, that neither itr nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal 2) Where the prospectivel lower lier participant is unablet to certify to any ofthes statements int this certification, such prospective participant department or agency. shall attach ane explanation tot this proposal. sborn NekkS, Name and Title of Authorized Signature Date k INSTRUCTIONS FOR CERTIFICATION 1. Bys signing and submitting this proposal, thep prospective lowert tier participant is providing the certification set out below. 2. The certification int this clause is a material representation of fact upony which reliance was placed when this transaction was entered into. Ifiti is later determined that the prospective lower lier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Govemment, the department or agency with which this transaction originated may pursue 3. The prospectivel lowert tier participant shall provide immediate written notice tot the person tov whomi this proposal is submitted if ata any time the prospective lower tier participant leams that its certification was erroneous when submitted or has become erroneous by 4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower lier covered transaction," participant," "person," "primary covered transaction," "principal," "proposal," and' "voluntarily excluded," as used int this clause, have the meanings set outi in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to whom this The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into,i it: shall not knowingly enteri into any! lower lier covered transaction with a person whoi is debarred, suspended, declared ineligible, or voluntarily excluded from participation ini this covered transaction, unless authorized byt the department or agency with which this 6. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled' "Certification Regarding Debarment, Suspension, Ineligibility and' Voluntary Exclusion- Lower Tier Covered Transactions," without modification, in 7. Ap participant in a covered transaction may rely upon a certification of ap prospective participant ina al lower tier covered transaction that itis not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless itk knows that the certification is erroneous. Aparticipant: may decide the method and frequency by whichi ito determines the eligibility ofi its principals. Each participant 8. Nothing contained int the foregoing shall be construed tor require establishment ofa a system of records in order tor render in good faith the certificationrequiredi byt this clause. Thel knowledge andi information ofay participanti is not requiredt to exceedt thaty whichi isr normally 9. Except for transactions authorized under paragraph 5 of these instructions, ifay participant in a covered transaction knowingly enters intoak lower tier covered transaction with a person who is suspended, debarred,i ineligible, or voluntarily excluded from participationin this transaction, in addition to other remedies available to the Federal Govemment, the department or agency with which this available remedies, including suspension and/or debarment. reason of changed circumstances. proposal is submitted: for assistance inc oblaining a copy of those regulations. transaction originated. alll lower tier covered transactions andi in all solicitations for lowert tier covered transactions. may, buti is not required to, check the Nonprocurement List (Telephone 202/245-0729). possessed by a prudent personi int the ordinary course ofl business dealings. transaction originated may pursue available remedies, including suspension andlor debarment. 20 DBHDD Rockdale Counly FY2025 Staffing for Diversion Center for Substance Use Disorder (SUD) ANNEXC CONTRACT DELIVERABLES (PROPOSAL) DBHDD Project Budget Year Two Planning- Strong partnerships and collaborative efforts, advancing health equity, creating interlocks and collaborative practices and developing consortium of nonprofits will help build trust leadership coalition for collaborative decision-making. DBHDDExpense Calegory ProjectLine item Description- Amount $15,763.00 Amount $30,000.00 $71,044.00 100% ofA Adm-I nistraliveh Manager (TIME)salary of $45,461.7 71and$19,526.: 30Benetitst toprovide Costt toprovidet trainingt thati includes butisn not Imitedt tor moded oft transportk lodging. meals. parking. mileage andor registration andor TechCare GoCrisis Responsel isamoblles sofiware $60.000.00 solution designed tos supporto coresponder team, promote collaboration between countya and community resourcesb byc connectionl Individualsi in TechCare God Crisis Responsel isa amobile: sofiware promote collaboration! between countys and communily resources byconnectioni individualsin Oflices supplies for outreach messaging. printing. paper. adc costs. basic oflices supplies ando other Consultants! tol heu used! toe engaget thes siralegic planningprocessa and OBHDD approved Bsindirecto costt thati is applied toc county operations $3,719.87 anda activities performed onb behalfo ofthisg grant. Total Personnel Personne! Regular Operating Regular Operating Regular Operaling Supples Per Diemfees-Contrad TotalD Direct Cost Administrative! Manager Salary adminisirative oversite. Adminlsirativel Manager- Fringe Fringe at4 43: Traininga andl Travel! Crisis Response System Developmentr. implementalion' Yr2 Olfice Supplies Coneullants Coordily Care Coordination solution designed tos support corespondert team. $19,844.03 $55, 100 $25,000.00 Administrative Overheadindi IndirectFeeDeminimnus $154,426.90 $126,044.11 Total Revised Budget $280,471.01 21