Iowa Department of Public Health (IDPH) Childhood Lead Poisoning and Healthy Homes Funding Agreement with the Visiting Nurse Association (VNA) and the Dubuque County Board of HealthCity of Dubuque
City Council Meeting
Consent Items # 011.
Copyrighted
August 15, 2022
ITEM TITLE: Iowa Department of Public Health (IDPH) Childhood Lead Poisoning
and Healthy Homes Funding and Agreement with the Visiting Nurse
Association (VNA) and the Dubuque County Board of Health
SUMMARY: City Manager recommending City Council approval to execute the
subcontract with the Dubuque County Board of Health and the agreement
with the Dubuque Visiting Nurse Association on behalf of the City of
Dubuque.
SUGGESTED Suggested Disposition: Receive and File; Approve
DISPOSITION:
ATTACHMENTS:
Description Type
Iowa Department of Public Health (IDPH) Childhood
Lead Poisoning and Healthy Homes Funding and City Manager Memo
Agreement with the Visiting Nurse Association (VNA)
and the Dubuque County Board of Health-MVM Memo
Iowa Department of Health Childhood Lead Poisoning
and Healthy Homes Funding and Agreement with the Staff Memo
Visiting Nurse Association and Dubuque County Board
of Health
Lead subcontract with County Board of Health Supporting Documentation
Lead subcontract with VNA for the HH & CLPP Supporting Documentation
THE CITY OF
Dubuque
DUB TEE1.
All -America City
Masterpiece on the Mississippi
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TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Iowa Department of Public Health (IDPH) Childhood Lead Poisoning and
Healthy Homes Funding and Agreement with the Visiting Nurse
Association (VNA) and the Dubuque County Board of Health
DATE: August 10, 2022
Public Health Director Mary Rose Corrigan is recommending City Council approve the
contract with the Dubuque County Board of Health and the Iowa Department of Public
Health (IDPH) for continued funding of the Childhood Lead Poisoning Prevention
Program (CLPPP), a renewed agreement with the VNA for services related to the
CLPPP and Healthy Homes Program and authorize the City Manager to sign.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
Mic ael C. Van Milligen
L [yTI L WA
Attachment
cc: Crenna Brumwell, City Attorney
Cori Burbach, Assistant City Manager
Mary Rose Corrigan, Public Health Director
THE CITYF
DUijB- El
Masterpiece on the Mississippi
TO: Michael C. Van Milligen, City Manager
Dubuque
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2007-2012.2013
2017*2019
FROM: Mary Rose Corrigan, Public Health Director
SUBJECT: Iowa Department of Public Health (IDPH) Childhood Lead Poisoning and
Healthy Homes Funding and Agreement with the Visiting Nurse
Association (VNA) and the Dubuque County Board of Health
DATE: August 1, 2022
INTRODUCTION
This memorandum provides information regarding a contract with the Dubuque County
Board of Health and the Iowa Department of Public Health (IDPH) for continued funding
of the Childhood Lead Poisoning Prevention Program (CLPPP), a renewed agreement
with the VNA for services related to the CLPPP and Healthy Homes Program.
BACKGROUND
Since 1994, the City Council has approved grant agreements authorizing the Health
Services Department to contract with the Iowa Department of Public Health via
subcontract with the Dubuque County Health Department for environmental follow-up
and medical case management for children with lead poisoning according to the Iowa
Department of Public Health guidelines. The original funding contract has been
renewed annually. The latest contract ended June 30, 2022.
DISCUSSION
The Iowa Department of Public Health contracts with local Boards of Health for
distribution of their funds. This allows local Boards of Health to monitor public health
funding, avoid duplication of services and assure community health needs are
addressed (see attached contract).
The subcontracted funds will allow the Health and Housing Services Departments to
provide additional follow-up of lead poisoned children through contracted nursing
services provided by the Dubuque Visiting Nurse Association, education for employees,
and monies to do outreach and education in targeted neighborhoods regarding lead
poisoning and healthy homes activities.
The contract also includes program performance standards, which we currently strive to
achieve through our existing protocols and outreach programs. The grant funds will be
reimbursed based on the specific activities outlined in the budget.
BUDGETIMPACT
The FY23 budget anticipated funding of $8,808. The contract is for $8,808, the same
as the FY21 and FY22 award. The sub -agreement with the VNA will be paid utilizing
funds from the IDPH grant.
RECOMMENDATION
It is recommended that the City Manager sign the attached subcontract with the
Dubuque County Board of Health, and the agreement with the Dubuque Visiting Nurse
Association on behalf of the City of Dubuque.
SUBCONTRACT FOR HEALTHY HOMES AND CHILDHOOD LEAD POISONING
PREVENTION SERVICES
BETWEEN
DUBUQUE COUNTY BOARD OF HEALTH
AND
THE CITY OF DUBUQUE
WHEREAS, the Dubuque County Board of Health (County Board), as Contractor,
has entered into an Agreement (the Agreement) wit the Iowa Department of Public
Health to perform childhood lead poisoning prevention services as set forth in the
Agreement (Contract # 5881 LP03), a copy of which is attached hereto; and
WHEREAS, County Board desires to enter into a subcontract with the City of
Dubuque (City) to perform the services required by the Agreement and City desires to
provide such services through its Health Services Department.
NOW, THERFORE, IT IS AGREED BY AND BETWEEN THE PARTIES AS
FOLLOWS:
1. City shall perform all of the services required of the Contractor in the
Agreement.
2. County Board shall pay City for its services in the same manner as County
Board as Contractor will be paid for its services under the Agreement.
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Signed and dated the �� day of 2022.
Samantha Kloft
Dubuque County Board of Health
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Michael C. V n Milli en
City Manager
SUBCONTRACT
BY AND BETWEEN
THE CITY OF DUBUQUE, IOWA,
AND
THE DUBUQUE VISITING NURSE ASSOCIATION
FOR THE
HEALTHY HOMES AND CHILDHOOD LEAD POISONING PREVENTION PROGRAM
This Subcontract by and between the City of Dubuque, Iowa and The Visiting Nurse
Association is dated for reference purposes the 1 st day of July, 2022.
WHEREAS, Dubuque County, Iowa (Contractor) has entered into Contract
5881 LP03 with the Iowa Department of Public Health for Public Health (the Department) for
the Healthy Homes (HH) and Childhood Lead Poisoning Prevention Program (CLPPP) (the
Contract), a copy of which is attached hereto, pursuant to which Contractor will provide the
work and services described in the Contract in accordance with the Special Conditions
therein, and the General Conditions, a copy of which is attached hereto; and
WHEREAS, the City of Dubuque, Iowa (City) is the Contract Administrator of the
Contract between Contractor and the Department; and
WHEREAS, it is necessary for City to subcontract for certain work and services; and
WHEREAS, City now desires to enter into this Subcontract with the Visiting Nurse
Association (VNA) to provide the work and services described herein upon the terms and
conditions set forth herein.
NOW, THEREFORE, IT IS AGREED BY AND BETWEEN CITY AND VNA AS
FOLLOWS:
SECTION 1. WORK AND SERVICES. City and VNA agree to provide the following work
and services (the Work and Services)-
1. 1. City's Responsibilities. City agrees that it will provide the following Work and
Services for the HH & CLPPP:
(1) Submit reports/vouchers and other reporting requirements as required by the
Iowa Department of Public Health (IDPH), the Centers for Disease Control and
Prevention (CDC), and the Department of Housing and Urban Development (HUD).
(2) Provide for environmental investigations and environmental case
management for lead abatement\lead hazard reduction and healthy homes
interventions in housing units in the city of Dubuque, Iowa, and Dubuque County as
referenced in the Contract.
(3) Provide compensation to the VNA during the term of this Subcontract not to
exceed Eight Thousand Dollars ($8,000.00) for the performances of VNA's
responsibilities as set forth herein.
(4) Oversee and direct medical case management and educational/outreach
activities through verbal and written direction.
1.2. VNA's Responsibilities. VNA agrees to provide the following Work and Services for
Healthy Homes (HH) & Childhood Lead Poisoning Prevention (CLPPP) during the term of
this Subcontract for the agreed compensation:
(1) Provide written quarterly reports and billing on lead and healthy homes
activities utilizing the Iowa Quarterly Report Narrative Outline and the billing
form approved by City.
(2) Provide electronic documentation of medical case management and related
activities into City's lead and healthy homes database systems, Healthy
Homes and Lead Poisoning Surveillance System (HHLPSS), and of
educational activities performed for each month by the 10th of the following
month.
(3) Provide for blood lead testing, medical case management, data
management, and community education outreach as referenced in the
attached Contract, dated July 1, 2022-June 30, 2023 using a form agreed to
by City and VNA.
(4) Enroll as a Medicaid provider so that elevated blood level (EBL) inspection
services provided by City can be recovered under Medicaid as
reimbursement and used as program income reimbursed to City.
(5) Support City's efforts to be a viable, livable, and equitable community, and to
advance equity and inclusion. City will provide opportunities to demonstrate
this support by inviting the Executive Director of VNA and any employees
working on services covered by this Subcontract to participate professional
development opportunities and supporting activities such as:
a. The opportunity to be active and engaged participants in Inclusive
Dubuque peer learning opportunities and strategic efforts;
b. The opportunity to attend intercultural and equity workshops offered
by City, including workshops that focus on developing an intercultural
team with a strategic plan for advancing equity and inclusion within
VNA and through VNA's work; and
C. Assistance in creating status reports that demonstrate the ways in
which VNA's efforts are advancing equity and inclusion and access to
the City's equity toolkit.
SECTION 2. CONTRACT POLICIES AND REQUIREMENTS. In providing the Work and
Services, VNA agrees to comply with the requirements in the Contract, including the
Special Conditions, and the General Conditions, to the extent applicable to the Work and
Services.
SECTION 3. ACCESS TO BOOKS AND RECORDS. VNA agreed to provide access,
upon reasonable notice, for the purpose of audit and examination, to its documents,
papers, and records, to the extent such documents, papers, and records are related to the
Work and Services, to the Department, Contractor, City, or any of their duly authorized
representatives.
SECTION 4. COSTS TO BE REIMBURSED. Cost reimbursed will be based on
performance measures and outcomes as outlined in the Contract using a form agreed to by
City and VNA.
SECTION 5. INCORPORATION OF THE CONTRACT. VNA agrees that all of the
provisions of the Contract, including audit requirements, are incorporated herein by this
reference and VNA shall have all of the same requirements, obligations and conditions as
Contractor with respect to VNA's Work and Services.
SECTION 6. PERIOD OF PERFORMANCE. Unless terminated as provided herein, the
Period of Performance for the Work and Services shall be from the the 1st day of July
2022, through the 30th day of June 2023.
SECTION 7. TERMINATION. Either party may terminate this Subcontract for any reason,
with or without cause, upon ten (10) days written notice delivered to the other party. In the
event of termination, City shall compensate VNA for its Work and Services rendered
through the date of termination.
SECTION 8 INDEMNIFICATION.
(1) VNA agrees to defend, indemnify, and hold the Department, City and
Contractor, and their officers, and employees harmless from and against any and all
claims of any kind arising out of or related to VNA's negligence in the performance
of the Work and Services pursuant to this Subcontract.
(2) City agrees to defend, indemnify, and hold VNA and its officers, and
employees harmless from and against any and all claims of any kind arising out of
or related to City's negligence in the performance of the Work and Services
pursuant to this Subcontract.
SECTION 9. INSURANCE. VNA shall at its expense maintain insurance in compliance
with City Insurance Schedule J, attached as Exhibit A.
CITY OF DUBUQUE, IOWA
By.
Mi ael C. Van Miliigen
City Manager
VISITING NURSE ASSOCIATION
Administrative Director
EXHIBIT A
INSURANCE SCHEDULE J
shall furnish a signed certificate of insurance to the City of Dubuque, Iowa for
the coverage required in Exhibit I prior to commencing work and at the end of the project if the
term of work is longer than 60 days. Contractors presenting annual certificates shall present a
certificate at the end of each project with the final billing. Each certificate shall be prepared on
the most current ACORD form approved by the Iowa Department of Insurance or an equivalent
approved by the Director of Finance and Budget. Each certificate shall include a statement under
Description of Operations as to why the certificate was issued. Eg: Project # or Project
Location at or construction of
2. All policies of insurance required hereunder shall be with an insurer authorized to do business in
Iowa and all insurers shall have a rating of A or better in the current A.M. Best's Rating Guide.
3. Each certificate shall be furnished to the Finance Department of the City of Dubuque.
4. Failure to provide coverage required by this Insurance Schedule shall not be deemed a waiver of
these requirements by the City of Dubuque. Failure to obtain or maintain the required insurance
shall be considered a material breach of this agreement.
5. Contractors shall require all subconsultants and sub-subconsultants to obtain and maintain during
the performance of work insurance for the coverages described in this Insurance Schedule and
shall obtain certificates of insurances from all such subconsultants and sub-subconsultants.
Contractors agree that they shall be liable for the failure of a subconsultant and sub-
subconsultant to obtain and maintain such coverages. The City may request a copy of such
certificates from the Contractor.
6. All required endorsements shall be attached to certificate of insurance.
7. Whenever a specific ISO form is listed, required the current edition of the form must be used, or
an equivalent form may be substituted if approved by the Director of Finance and Budget and
subject to the contractor identifying and listing in writing all deviations and exclusions from the
ISO form.
8. Contractors shall be required to carry the minimum coverage/limits, or greater if required by law
or other legal agreement, in Exhibit I. If the contractor's limits of liability are higher than the
required minimum limits then the provider's limits shall be this agreement's required limits.
9. Contractor shall be responsible for deductibles and self -insured retention for payment of all policy
premiums and other cost associated with the insurance policies required below.
10. All certificates of insurance must include agents name, phone number, and email address.
11. The City of Dubuque reserves the right to require complete, certified copies of all required
insurance policies, including endorsements, required by this Schedule at any time.
12. The City of Dubuque reserves the right to modify these requirements, including limits, based on
changes in the risk or other special circumstances during the term of the agreement, subject to
mutual agreement of the parties.
INSURANCE SCHEDULE J (continued)
Exhibit I
A) COMMERCIAL GENERAL LIABILITY
General Aggregate Limit $2,000,000
Products -Completed Operations Aggregate Limit $1,000,000
Personal and Advertising Injury Limit $1,000,000
Each Occurrence $1,000,000
Fire Damage Limit (any one occurrence) $50,000
Medical Payments $5,000
1) Coverage shall be written on an occurrence, not claims made, form. The general
liability coverage shall be written in accord with ISO form CG 00 01 or business
owners form BP 00 02. All deviations from the standard ISO commercial general
liability form CG 00 01, or business owners form BP 00 02, shall be clearly
identified.
2) Include endorsement indicating that coverage is primary and non-contributory.
3) Include Preservation of Governmental Immunities Endorsement. (Sample
attached).
4) Include additional insured endorsement for:
The City of Dubuque, including all its elected and appointed officials, all its
employees and volunteers, all its boards, commissions and/or authorities and
their board members, employees and volunteers. Use ISO form CG 20 26.
5) Policy shall include Waiver of Right to Recover from Others endorsement.
B) AUTOMOBILE LIABILITY
Combined Single Limit $1,000,000
Coverage shall include all owned, non -owned, and hired vehicles. If the Contractor's
business does not own any vehicles, coverage is required on non -owned and hired
vehicles.
1) Policy shall include Waiver of Right to Recover from Others endorsement.
C) WORKERS' COMPENSATION & EMPLOYERS LIABILITY
Statutory Benefits covering all employees injured on the job by accident or disease as
prescribed by Iowa Code Chapter 85.
Coverage A Statutory —State of Iowa
Coverage B Employers Liability
Each Accident $100,000
Each Employee -Disease $100,000
Policy Limit -Disease $500,000
Policy shall include Waiver of Right to Recover from Others endorsement
Coverage B limits shall be greater if required by the umbrella/excess insurer.
OR
INSURANCE SCHEDULE J (continued)
If, by Iowa Code Section 85.1A, the Contractor is not required to purchase Workers'
Compensation Insurance, the Contractor shall have a copy of the State's Nonelection of
Workers' Compensation or Employers' Liability Coverage form on file with the Iowa
Workers' Compensation Insurance Commissioner, as required by Iowa Code Section
87.22. Completed form must be attached.
D) UMBRELLA/EXCESS LIABILITY $1,000,000
The General Liability, Automobile Liability and Workers Compensation Insurance
requirements may be satisfied with a combination of primary and Umbrella or Excess
Liability Insurance. If the Umbrella or Excess Insurance policy does not follow the form of
the primary policies, it shall include the same endorsements as required of the primary
policies including Waiver of Subrogation and Primary and Non-contributory in favor of the
City.
E) PROFESSIONAL LIABILITY $1,000,000
If the required policy provides claims -made coverage:
1) The Retroactive Date must be shown and must be before the date of the
agreement.
2) Insurance must be maintained and evidence of insurance must be provided for at
least five (5) years after completion of the work or services.
3) If coverage is canceled or non -renewed and not replaced with another claims -
made policy form with a Retroactive Date prior to the date of the agreement, the
contractor must provide "extended reporting" coverage for a minimum of five (5)
years after completion of the work or services.
F) CYBER LIABILITY/BREACH $1,000,000
x Yes No
Coverage for First and Third Party liability including but not limited to lost data and
restoration, loss of income and cyber breach of information.
Please be aware that naming the City of Dubuque as an additional insured as is required by this
Insurance Schedule may result in the waiver of the City's governmental immunities provided in Iowa Code
sec. 670.4. If you would like to preserve those immunities, please use this endorsement or an equivalent
form.
PRESERVATION OF GOVERNMENTAL IMMUNITIES ENDORSEMENT
1. Nonwaiver of Governmental Immunity. The insurer expressly agrees and states that the purchase
of this policy and the including of the City of Dubuque, Iowa as an Additional Insured does not waive any
of the defenses of governmental immunity available to the City of Dubuque, Iowa under Code of Iowa
Section 670.4 as it is now exists and as it may be amended from time to time.
2. Claims Coverage. The insurer further agrees that this policy of insurance shall cover only those
claims not subject to the defense of governmental immunity under the Code of Iowa Section 670.4 as it
now exists and as it may be amended from time to time. Those claims not subject to Code of Iowa
Section 670.4 shall be covered by the terms and conditions of this insurance policy.
3. Assertion of Government Immunity. The City of Dubuque, Iowa shall be responsible for asserting
any defense of governmental immunity, and may do so at any time and shall do so upon the timely written
request of the insurer.
4. Non -Denial of Coverage. The insurer shall not deny coverage under this policy and the insurer
shall not deny any of the rights and benefits accruing to the City of Dubuque, Iowa under this policy for
reasons of governmental immunity unless and until a court of competent jurisdiction has ruled in favor of
the defense(s) of governmental immunity asserted by the City of Dubuque, Iowa.
No Other Change in Policy. The above preservation of governmental immunities shall not otherwise
change or alter the coverage available under the policy.
SPECIMEN
(DEPARTMENT MANAGER: FILL IN ALL BLANKS AND CHECK BOXES)