INTERAGENCY AGREEMENT For Use of Emergency and Transitional Isolation and Quarantine Facilities For Persons with a Communicable Disease

1. Parties: This Interagency Agreement, dated __________________, 20____ is made by and between Seattle King County Department of Public Health ("Public Health") and ____________________. 2. Purpose: Public Health and ______________ enter into this Agreement pursuant to WAC Chapter 246-100, to provide a facility for isolation and quarantine of persons as the local health officer deems necessary. 2.1. "Isolation" and "Quarantine" are defined as set forth at WAC 246-100-011. 2.2. The Local Health Officer will not knowingly house any terminally ill persons at ______________. 3. Premises: The ______________ facility is located at ____________________, Washington. The Local Health Officer shall request use of the facility based on his or her professional judgment. Public Health may need to locate a self-contained mobile command post outside of the buildings where persons are isolated and/or quarantined. Upon request, ______________ will designate space for this purpose. 4. Commencement of use: 4.1. The Local Health Officer may invoke the provisions of this Agreement by contacting the ___(position title)___ or the ___(position title)___ and requesting the use of the facility. Public Health will provide reasonable notice to ______________ to request implementation of the provisions of this Agreement. If possible, this notice will be provided 48 hours before any placement of persons at the facility. 4.2. ______________ may grant or refuse permission for use at the time of the Local Health Officer request. ______________ will notify the Local Health Officer of its decision to grant or deny use of the facility as soon as possible. 5. Term: The term of the use of the facility pursuant to this Agreement shall be determined by the Local Health Officer at the time of commencement of use and may be extended by the Local Health Officer in his/her discretion during the period of use. This Agreement shall remain in effect until terminated as set forth in Section 15 of this Agreement.


6. Preparation of Premises and Delivery of Possession: As soon as possible after this Agreement is signed, the parties will work together to prepare a written plan for a smooth but expedited transition in occupancy and use of the ______________ facility in the event that an emergency arises. This plan will include agreements about location of a mobile command post, use of ______________ furniture, availability of ______________ personnel, the items listed in Section 8 of this Agreement, Section 10 of this Agreement, and other issues raised during planning. Prior to commencement of Public Health's use of the facility, ______________ shall prepare the facility according to the plan. 7. Consideration: 7.1. Public Health shall provide compensation to ______________ at the rate of $_____ per day per person for any outplacement costs incurred by ______________ to lodge persons outside of the building(s) in use by Public Health. (This section applies if facility is normally occupied.) 7.2. Public Health shall pay this compensation within 60 days of receipt of an invoice from ______________. ______________ may submit invoices during the period of use and at the termination of use. 8. Use and Administration: 8.1. The Local Health Officer will make all administrative and clinical decisions regarding the opening, operation, and closing of the isolation and quarantine facility. 8.2. No person shall enter the isolation or quarantine facility except as authorized by the Local Health Officer pursuant to WAC 246-100-050(1)(b). 8.3. Except as otherwise specifically provided in this Agreement, or as agreed upon by the parties in writing, Public Health will provide all training, personnel, supplies, and services, as necessary, including: 8.3.1. Orientation, pre-event and specific communicable disease training to ______________ or other agency staff who will be on site during the time of the isolation or quarantine; 8.3.2. Medical and administrative personnel to staff the isolation and quarantine facility, including all medical experts; 8.3.3. Medical equipment and supplies for persons at the facility, all telecommunications equipment for isolation and quarantine staffing and persons, any furniture and supplies needed to convert the existing ______________ facility to an isolation and quarantine facility; 8.3.4. Medical care for isolated and quarantined persons;


8.3.5. Services including: laundry, custodial, loading, set up, transportation, security; 8.3.6. Closure/demobilization of the isolation and quarantine facility including cleaning; 8.3.7. Liaison with law enforcement; 8.4. Public Health will manage public information activities during an event. ______________ will coordinate media requests with Public Health. 9. Protected Health Information: Public Health will not disclose any protected health information to ______________ or its employees, except in compliance with state and federal law regarding the disclosure of protected health information. 10. Food Service: ______________ will facilitate a contract with the organization that is providing meals for ______________, to provide three meals per day, seven days per week for the number of persons identified by Public Health. This number will include persons placed into isolation and quarantine. It also may include Public Health employees working at the facility, in accordance with applicable King County policies. The cost of this service will be borne by Public Health, excluding any cost that the organization may charge to ______________ for the difference between the number of persons authorized by Public Health and the number normally provided to ______________. Any specialized food service for persons will be directly arranged by Public Health. (This section may not apply.) 11. Telephone: ______________ will provide one working land line phone in each building in which persons are isolated and/or quarantined. All additional charges for the use of those phones beyond the standard monthly rate will be paid by Public Health. 12. Utilities and Services: ______________ shall provide and pay for electricity, water, sewer, garbage removal, and ground maintenance. 13. Maintenance: During the term of this Agreement, ______________ maintains responsibility for maintenance of the facility. Public Health will notify ______________ of any maintenance issues that come to the attention of Public Health. If a maintenance issue inside a building in use for isolation and/or quarantine requires entry of ______________ staff or contractors, Public Health will authorize entry and provide personal protective equipment and instructions to maintenance personnel. 14. Signs and Fixtures: Public Health may place temporary signs on or about the premises. Public Health shall not make any alterations or additions to the premises, other than signs, without prior written permission of ______________. Within a reasonable time after Public Health has terminated its use of the facility:


14.1. Public Health may remove all fixtures attached solely by it, unless the parties agree that the fixtures shall remain at the facility; 14.2. Subject to 14.1, Public Health will restore the premises to their condition prior to the installation of the fixture, normal wear and tear excepted. 15. Termination: 15.1. If the facility is not currently in use for isolation or quarantine, either party to this Agreement may terminate by giving __ days written notice to the other party. 15.2. If the facility is currently in use for isolation or quarantine, either party to this Agreement may terminate by giving __ days written notice to the other party. ______________ recognizes that it would be extremely difficult for PHSKC to transition persons to other isolation or quarantine facilities after use of the facility begins. If the facility is in use, ______________ will make diligent efforts to accommodate PHSKC’s use for the length of time requested. 16. Indemnity and Hold Harmless: Each party shall protect, defend, indemnify, and save harmless one another, their officers, employees, and agents from any and all costs, claims, judgments, and/or awards of damages, arising out of, or in any way resulting from, its sole negligent acts or omissions and/or that of its their officers, employees, and/or agents, in their performance and/or non-performance of their obligations under this Contract. 16.1. Nothing contained within this provision shall affect and/or alter the application of any other provision contained within this Contract. 16.2. The indemnification, protection, defense and save harmless obligations contained herein shall survive the expiration, abandonment or termination of this Agreement 17. Insurance: Both parties acknowledge, accept and agree that each party is selfinsured and each party will provide proof of such self-insurance upon the request of the other. 18. Dispute Resolution: If a dispute arises out of or relates to this Agreement, or the breach thereof, and if said dispute cannot be settled through direct discussions, the parties agree to first endeavor to settle the dispute in an amicable manner by mediation. Thereafter, any unresolved controversy or claim arising out of or relating to this Agreement, or breach thereof, may be settled by arbitration, and judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. The parties to this Agreement may seek to resolve disputes pursuant to mediation or arbitration, but are not required to do so. 19. Surrender of Premises: At the end of the term of use under this Agreement, Public Health shall peaceably deliver up to ______________ possession of the premises in the


same condition as received, except for ordinary wear and tear and damage by fire, earthquake, act of God or the elements alone, and Public Health shall deliver all keys to the premises to ______________. In addition, Public Health, at Public Health's expense, shall remove Public Health's goods and effects and those of all persons claiming under Public Health, and Public Health shall repair any damage resulting from such removal. 20. Notices: Required notices except legal notices shall be given in writing to the following respective addresses: If to Public Health, to: Seattle-King County, Public Health _____________________________________ _____________________________________ [insert address] _____________________________ _____________________________________ _____________________________________ [insert address] Notices sent by mail shall be deemed to have been given when properly mailed. 21. Anti-Discrimination: In all services or activities, and all hiring or employment made possible by or resulting from this Agreement, there shall be no discrimination against any employee or applicant for employment because of sex, age (except minimum age and retirement provisions), race, color, creed, national origin, marital status, sexual orientation, or the presence of any sensory, mental, or physical handicap, unless based upon a bona fide occupational qualification. This requirement shall apply to but not be limited to the following: employment, advertising, lay-off or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. ______________ shall not violate any of the terms of R.C.W. 49.60, Title VII of the Civil Rights Act of 1964 or King County Code 12.16.020. Any violation of this provision shall be considered a violation of a material provision of this Agreement and shall be grounds for cancellation, termination, or suspension, in whole or in part, of the Agreement and may result in ineligibility for further agreements. ______________ will also comply with other anti-discrimination laws or requirements of any and all jurisdictions having authority. 22. Entire Agreement - Amendments: This Interagency Agreement contains all covenants and agreements between the parties relating in any manner to the use of the premises and Public Health's use of the building and other matters set forth in this Agreement. No prior agreements or understanding pertaining to the same shall be valid or of any force or effect and the covenants and agreements of this Agreement shall not be altered, modified or added to except in writing signed by both parties. The parties may amend this Agreement in writing at any time. 23. Interpretation - State Law: The titles to paragraphs of this lease are for convenience only and shall have no effect upon the construction or interpretation of any part hereof. This Agreement shall be governed by the laws of the State of Washington. The venue of any lawsuit based upon this Interagency Agreement shall be King County.

If to ______________, to:


24. Severability: The unenforceability, invalidity, or illegality of any provision of this Agreement shall not render the other provisions unenforceable, invalid or void. 25. Addenda: Any addendum attached hereto and either signed or initialed by the parties shall be deemed a part hereof. IN WITNESS WHEREOF, the parties have executed this Agreement on the dates specified below. Seattle-King County Dept. of Public Health Executed By: _____________________ Title: ___________________________ Date: ___________________________ APPROVED AS TO FORM: By: _____________________________ _____________________________ By: __________________________ Title: _________________________ Date: _________________________ APPROVED AS TO FORM: By: ___________________________

King County Facilities Management, Real Estate Services Section Executed By: _____________________ Title: ____________________________ Date: ____________________________ APPROVED AS TO FORM: By: ______________________________


To top