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COUNT
SAN BERNARDINO
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MEMORANDUM OF UNDERSTANDING (MOU)
FOR USE OF A SITE/FACILITY
BETWEEN
San Bernardino County Department of Public Health
Preparedness and Response Program (SBC DPH PRP)
AND
SITE/FACILITY PROVIDER
(Warehouse, Point of Dispensing (POD) or
Government-Authorized Alternate Care Site (GA ACS)
AND
DESIGNATED CITYITOWN
®PRP
This MEMORANDUM OF UNDERSTANDING (MOU) is entered into by and between San
Bernardino County Department of Public Health Preparedness and Response Program (SBC
DPH PRP) and American Baptist Homes hereinafter referred to as the Site/Facility Provider and
_gLity of Redlands , hereinafter referred to as the City/Town, as appropriate.
RECITALS
WHEREAS, the SBC DPH PRP enters into this Agreement along with the City/Town and
Site/Facility to prepare, respond, and provide care and prophylaxis treatment in the event of a
bioterrorism or other public health emergencies, such as pandemic influenza, in the County,
and;
WHEREAS, the County will require the Site/Facility to receive, store, stage, and distribute
medications and other resources (e.g., antibiotics, antidotes, medical supplies, certain controlled
substances, equipment, specialized cargo containers, & portable refrigeration units) received
from the State of California in the event that the Strategic National Stockpile (SNS) or the Cities
Readiness Initiative (CRI) pharmaceutical caches are requested to address possible large-scale
bioterrorism events, or other public health emergencies, such as pandemic influenza; and
WHEREAS, the County will require Points of Dispensing (POD) sites to provide mass
prophylaxis in the event of a bioterrorism event or public health emergency within the County;
and will require Government-Authorized Alternate Care Sites (GA ACS) to evaluate/treat
individuals by providing health care services and/or to prepare the transport of patients to health
care facilities; and
WHEREAS, the Site/Facility Provider has the capability to provide a POD and/or a GA ACS and
the resources that may be used or designated as a warehouse facility for use in receiving,
storing, staging, and distributing medication, and has the resources for hosting a mass
prophylaxis POD and/or a GA ACS for a bioterrorism, or other public health emergencies, such
as pandemic influenza; and
WHEREAS, the City/Town has the personnel and expertise to respond, staff, and support a
POD and/or GA ACS in conjunction with the SBC DPH, utilizing the Incident Command System
and link with the municipality's EOC, including security and other related services in the event of
activation;
NOW, THEREFORE, based on the foregoing recitals, which the parties agree to be true and
correct, it is mutually agreed as follows:
1. PURPOSE:
The purpose of this MOU is to define the distribution of duties between the County, the
City/Town and the Site/Facility Provider, in responding to and preparing for public health
related activities in a possible large-scale bioterrorism, or other public health emergencies
such as pandemic influenza,
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MEN40RANDUM OF UNDERSTANDING(MOU)
For Use of Site/Facility. Revised:October 20,2010 V
I1. AREAS OF AGREEMENT AND COOPERATION:
Now, therefore, it is agreed as follows:
The County, Site/Facility Provider, and City/Town agree to cooperate in the following areas
of endeavor following an incident of large-scale bioterrorism or other public health
emergencies.
A. County agrees to:
1. Implement and comply with any emergency activations under this agreement pursuant to
the California Emergency Services Act, California Government Code, Chapter 7,
Division 1, Title 2, §§ 8550 et.seq. Any emergency activation of a POD or GA ACS
under this agreement shall be preceded by a local emergency proclamation, pursuant to
Government Code § 8630, and/or a County health emergency proclamation, pursuant to
Health & Safety Code § 101080, by a duly authorized San Bernardino County
Government official. This local emergency proclamation shall be countywide or for a
defined geographical area.
2. Provide 24-hour or more advance notice to the Site/Facility Provider of the POD/GA
ACS needed for activation. However, there should be no expectation of adherence to
this provision, as it is understood by the parties that rapid response may require
immediate attention.
3. Provide mass prophylaxis to first responders within 24 hours of the POD/GA ACS
activation in accordance with the SNS Guide.
4. Designate a SBC DPH Liaison Officer to provide operational support to the City/Town
POD Management. The Liaison Officer will be the link between the City/Town and the
SBC DPH Department Operations Center(DOC).
5. Provide the Field Operations Guide (FOG) to be utilized for POD operational procedures
and management. The FOG will include POD organizational charts, job action sheets,
and staff training.
& Utilize Site/Facility's equipment and supplies, such as office and janitorial equipment, in
a manner which is dependent upon the event. If the event requires medications and
resources to be dispensed to every person in the County, it is estimated that the
utilization of the Site/Facility will require at least ten (10) days.
B. Site/Facility Provider agrees to:
1 Grant use of a site/facility for a POD/GA ACS as referenced above. Utilization will be
for the purposes of SBC DPH and its designated staff, California Department of Public
Health (CDPH), Centers for Disease Control and Prevention (CDC), County, State.,
and Federal disaster agencies, employees, contractors, and other authorized
volunteers during a public health emergency-, and grant space, or other enclosed
facility as needed for administrative POD management.
MEMORANDUM OF UNDERSTANDING(MOU)
For Use of Site/Facility. Revised:October 20,2010 V
2. Allow the County use of office,janitorial, and other equipment and supplies as needed,
to implement and activate a POD/GA ACS. The County will make every reasonable
effort to use equipment and supplies from other sources first,
1 Coordinate with SBC DPH, City/Town, and local municipality emergency response for
security and support services.
4. Designate three (3) points of contact, at each Site/Facility, including an alternate
backup for each contact: (See Appendix A)
a Administrative — (Primary point of contact). This person will have authority to
allow access to facility and all the related resources.
• Janitorial — This person will have access to equipment and other site resources,
and allow facility access.
■ Security - This person will have facility access, including all site resources, and
will work with County and local law enforcement in developing and executing
security plans.
5. Participate in SBC DPH PRP disaster drills/exercises and complete the POD training
series to increase understanding of roles and responsibilities during a public health
emergency.
C. City/Town agrees to:
1. Provide emergency and law personnel for the purpose of security and support for the
provision of services. Provide personnel and expertise in conjunction with SBC DPH to
respond to a public health emergency. Utilize the DPH approved staff list to support a
POD and/or GA ACS. This list will be linked with the City/Town Emergency Operation
Center(EOC) in the event of activation.
2. Coordinate with SBC DPH PRP to determine the number of POD/GA ACS sites required
in the event of a public health emergency. The number of sites will be based on the
population served within a given area of a city/town and/or unincorporated area.
1 Participate in SBC DPH PRP disaster drills/exercises and complete the entire POD
training series to increase understanding of roles and responsibilities during a public
health emergency.
Comment: The California Emergency Services Act provides for broad immunity against
liability for person acting within the scope of the Act. Further "extraordinary powers" are
made available to government officials to take necessary actions to mitigate substantial
threats to public safety.
Ill. GENERAL PROVISIONS
A. Mutual Indemnity and Insurance
1. Each party hereto (hereafter, "Indemnifying Party") shall indemnify, defend and hold
harmless the other party, its officers, agents, employees, and volunteers against any
loss, cost, damage, expense, claim, suit, demand, or liability of any kind or character,
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MEMORANDUM OF UNDERSTANDING WOU)
For Use of SitelFacility. Revised:October 20,20110 V
including but not limited to reasonable attorney #*as. arising from or relating to any
negligent or wrongful ad or omission of the Indemnifying Party, its officers, agents, or
employees, which OuuurS in the performance of, or otherwise in connection with, this
K8[}U, but only in proportion to and to the extent such |QSG, oost, damage, expense,
dGimn. Suit' demand, or liability of any kind or character, including reasonable attorney
fe8S, is caused by Or results from the negligent or mnQnQfu| act or omission of the
Indemnifying Party, its officers, 8QeOts. or employees.
2� Site/Facility Provider 8hg/| procure and maintain, at its sole cost and Gnpense, o
cDrnpPBhensh/8 general liability pOUCy, as well as such policies of professional and other
insurance with limits necessary to (i) satisfy requirements of law or (ii) as may be
necessary to insure it and its employees and agents against any claim for damages
occasioned inconnection with performance ofthis K8(}U.
3. County's indemnity ofCdv/Towm and Site/Facility Provider is subject to State or Federal
|ovx, other provisions of this K8OU or any rule. |ovv or regulation giving the Counh/, its
officers, emmp|oyeeG, agents and authorized volunteers immunity when responding to
such disasters, events, or acts.
4. The County and City/Town are se|f-ineured.
B. Appendices
All appendices referenced in this MDU and attached hereto are incorporated by this
reference as ifset forth fully herein.
C. Term and Termination
This Agreement shall become effective upon the execution byauthorized individuals 0fboth
organizations. Either party may terminate this Agreement at any time by giving ninety (90)
days advance written notice tOthe other party.
D, Modification
This K8[]U, or any of its specific prOviaions, may be amended in writing when signed by all
currently authorized representatives of the parties,
E� Notices
All notices required bvthis Agreement will be deemed given when in writing and delivered
personally ordeposited in the United States mail, postage prep8id, return receipt requested,
addressed tothe other party at the address set forth below or at such other address as the
party may designate |OwritiDg:
To the Cityaown or Site/Facifily Provider:
A generic name may be listed, for example, City Clerk orCity Council for the CitylTown.
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MEMORANDUM DFUNDERSTANDING(MOu)
For Use of Site/Facility. Revised:October uO.2o1Q ���y
��
Names for the SitelFacllity Provider will vary based on the given situation and location of an incident.
To the County:
San Bernardino County Department of Public Health
Affm Preparedness and Response Program
247 S. Boyd St.
San Bernardino, CA 92415-0059
Tel. 909-252-4406
AUTHORITY
The persons executing this MOU on behalf of their respective entities hereby represent and
warrant that they have the power, right and legal capacity and appropriate authority to enter
into this MOU on behalf of the entity for which they sign and to bind the entity to its
obligations hereunder.
IV. SIGNATURES
Executed as of the day and year last signed below:
SITE/FACILITY PROVIDER
Name(Authorized Signor): Title:
Date signed:
Site/Facility Address:
CI"T'Y1TOWN PROVIDER
Narne(Authorized Signor): Title: Pete Aguilar, Mayor
Date signed- NoyoqAer 1, 2011
ATTEST: by Sam Irwin, City Clerk
SAN BERNARDIN 0 NTY DEPARTMENT OF PUBLIC HEALTH
PREPAREDNESS AND RESPONSE PROGRAM
Director of Public Health: Date signed:
Program Manager: Date signed:
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MEMORANDUM OF UNDERSTANDING(MOU)
For Use of SitelFacility. Revised:October 20,2010 V
Appendix A
SITE/FACILITY PROVIDER CONTACTS
Administrative (Primary)
Name: Title:
Phone:
Administrative (Backup)
Name: Title:
Phone:
Janitorial (Primary)
Name: Title:
Phone:
Janitorial(Backup)
Name: Title:
Phone:
Security(Primary)
Name Title:
Phone:
Security(Backup)
Name: Title:
Phone-
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MEMORANDUM OF UNDERSTANDING(MOU)
For Use of Site/Facility. Revised-October 20,2010