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Approve grant agreement with Providence Health Care Foundation/Centralia, COVID-19 testing BEFORE THE BOARD OF COUNTY COMMISSIONERS LEWIS COUNTY, WASHINGTON IN THE MATTER OF: RESOLUTION NO. 20-241 APPROVING A GRANT AGREEMENT WITH THE PROVIDENCE HEALTH CARE FOUNDATION/ CENTRALIA FOR COVID-19 TESTING CAPABILITIES USING CORONAVIRUS RELIEF FUNDS WHEREAS, the US Treasury has made payments from the Fund to States and eligible units of local government; the District of Columbia and U.S. Territories (the Commonwealth of Puerto Rico, the United States Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands); and Tribal governments (collectively "governments"); and WHEREAS, the CARES Act requires that the payments from the Coronavirus Relief Fund (CRF) only be used to cover expenses that (1) are necessary expenditures incurred due to the public health emergency with respect to the Coronavirus Disease 2019 (COVID- 19); (2) were not accounted for in the budget most recently approved as of March 27, 2020, (the date of enactment of the CARES Act) for the State or government; and (3) were incurred during the period that begins on March 1, 2020, and ends on December 30, 2020; and WHEREAS, Lewis County was the recipient of a CRF Grant in the amount of $4,371,400 through the Washington State Department of Commerce for costs incurred in response to the COVID-19-related public health emergency during the period of March 1, 2020, through October 31, 2020; and WHEREAS, the COUNTY has determined that eligible expenditures include medical expenses for COVID-19-related expenses of public hospitals and measures to increase COVID-19 treatment capacity, costs of providing COVID-19 testing including aerological testing, emergency medical response expenses, including emergency medical transportation related to COVID-19; and WHEREAS, the Providence Health Care Foundation/Centralia has requested a grant using CRF for rapid testing capacity and to provide point of care testing for patients at Providence Centralia Hospital and agrees to test Lewis County residents associated with outbreak investigations as referred to Providence Centralia by Lewis County Public Health and Social Services (LCPHSS). NOW THEREFORE BE IT RESOLVED the BOCC has determined that the activity herein described meets the US Treasury guidelines for use of CRF under the CARES Act, are eligible for reimbursement from the Washington State Department of Commerce and is in the best interest of the general welfare, health and safety of the citizens of the County in preventing the spread of the COVID-19 Virus and approves funding in up to $40,000.00 from the Coronavirus Relief Funds for the purposes stated in the attached agreement. DONE IN OPEN SESSION this 13th day of July, 2020. APPROVED AS TO FORM: BOARD OF COUNTY COMMISSIONERS Jonathan Meyer, Prosecuting Attorney LEWIS COUNTY, WASHINGTON Amber Smith Gary Stamper By: Amber Smith, Gary Stamper, Chair Deputy Prosecuting Attorney ATTEST: •..S,U.DOF:..5,„. Edna J J . Fund ;�, a ',sc:,Edna J. Fund, Vice Chair \g45 lisiti Rieva Lester '•:sy -_ Robert C. Jackson �`-cro- Rieva Lester, Robert C. Jackson, Commissioner Clerk of the Lewis County Board of County Commissioners CORONAVIRUS RELIEF FUNDS GRANT AGREEMENT THIS AGREEMENT is made by and between Providence Healthcare Foundation ("the ORGANIZATION"), and Lewis County ("the COUNTY"), a political subdivision and municipal corporation of the state of Washington. WHEREAS, US Treasury has made payments from the Fund to States and eligible units of local government; the District of Columbia and U.S. Territories (the Commonwealth of Puerto Rico, the United States Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands); and Tribal governments (collectively "governments");and WHEREAS,The CARES Act requires that the payments from the Coronavirus Relief Fund (CRF) only be used to cover expenses that (1) are necessary expenditures incurred due to the public health emergency with respect to the Coronavirus Disease 2019 (COVID-19) (2) were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government; and (3)were incurred during the period that begins on March 1, 2020, and ends on December 30, 2020 ; and WHEREAS, Governor Inslee released a portion of the state's (CRF) to cities and counties with populations under 500,000 that were ineligible to receive direct funding under the CARES Act. Cities and counties below 500,000-population have received a per capita distribution, with a minimum distribution of $250,000 per county and $25,000 for cities and town administered through the Washington State Department of Commerce; and WHEREAS, Lewis County was the recipient of a CRF Grant in the amount of $4,371,400 through the Washington State Department of Commerce for costs incurred in response to the COVID-19-related public health emergency during the period of March 1, 2020 thru October 31, 2020; and WHEREAS, Allowable expenditures under the Department of Commerce CRF Grant include, but are not limited to: medical and public health expenses, payroll expenses for public safety, public health, health care, human services and similar employees whose services are substantially dedicated to mitigating or responding to the emergency, expenses of actions to facilitate compliance with public health measures, expenses associated with the provision of economic support in connection with the emergency and any other COVID-19-related expenses of government that satisfy the CRF's eligibility criteria; and WHEREAS, the COUNTY has determined that eligible expenditures include medical expenses for COVID- 19-related expenses of public hospitals and measures to increase COVID-19 treatment capacity, costs of providing COVID-19 testing including serological testing, emergency medical response expenses, including emergency medical transportation related to COVID-19; and WHEREAS,the ORGANIZATION has requested a grant up to $40,000.00 using CRF for rapid testing capacity and to provide point of care testing for patients at Providence Centralia Hospital; and 1 WHEREAS, the ORGANIZATION agrees to test Lewis County residents as well as those associated with outbreak investigations referred to Providence Centralia Hospital by Lewis County Public Health and Social Services (LCPHSS);and WHEREAS, the Board of County Commissioners (BOCC) has determined that the activity herein described meets the US Treasury guidelines for use of CRF under the CARES Act, are eligible for reimbursement from the Washington State Department of Commerce and are in the best interest of the general welfare, health and safety of the citizens of the COUNTY, and is in the best interests of the COUNTY in preventing the spread of the COVID-19 Virus in Lewis County, the BOCC intends to disburse Coronavirus Relief Funds to the ORGANIZATION for the purposes stated in this agreement and consistent with the US Treasury guidelines, NOW,THEREFORE, in consideration of the premises and mutual benefits and covenants herein contained, it is agreed by and between the parties hereto as follows: 1. FUNDING: Up to $ 40,000.00 is hereby pledged on a reimbursement basis from the COUNTY COVID-19 RESPONSE Fund No. 1410, using CRF in fiscal year 2020, solely for the purpose of bringing on-site and local testing to Providence Centralia Hospital to test Lewis County Residents and those associated with outbreak investigations as referred to Providence Centralia Hospital by LCPHSS. 2. USE OF FUNDS: The ORGANIZATION shall use these COUNTY funds solely to refurbish space at Providence Centralia Hospital which requires relocation of equipment, installation of bio-safety hood, and renovation to accommodate Covid-19 testing and ensures the safety of caregivers. In addition, the grant will also support the purchase of supplies specific to Covid-19 testing, including reagents needed for the BD Max system. 3. PAYMENT PROVISIONS: Once this Agreement is executed, the ORGANIZATION may submit claim vouchers to the Public Health Director at 360 NW North Street, Chehalis, WA 98532 requesting reimbursement solely for eligible expenses and/or for eligible services as identified in Section 2 of this Agreement (Use of Funds) and solely up to the maximum amount specified in Section 1 (Funding). Reimbursement claim shall include the following certificate of authenticity with the dated signature of an authorized representative of the ORGANIZATION: "I, the undersigned, do hereby certify under penalty of perjury that the materials have been furnished and the services rendered as described herein". Within thirty (30) days of receiving a reimbursement claim voucher that meets the requirements of this Agreement and applicable law, the COUNTY, shall remit to the ORGANIZATION a warrant for the approved reimbursement amount. The final claims voucher under this Agreement shall be submitted by the ORGANIZATION no later than October 1, 2020. 4. EVALUATION AND MONITORING: The ORGANIZATION agrees to maintain its books and records and to employ accounting procedures, systems and practices that accurately and timely record and track 2 the expenditures for which reimbursement is sought under this Agreement and provide for full compliance with the requirements of this Agreement. The ORGANIZATION will retain these supporting records for at least three (3) calendar years following the year in which the Agreement expires. The COUNTY and/or the State Auditor and any of their representatives shall have full, timely and complete access to all books, records and other documents and evidence of the ORGANIZATION respecting all matters related to this Agreement and the activities for which reimbursement is sought or made, and shall have the right to examine such during normal business hours as often as the COUNTY and/or the State Auditor may deem necessary.Such representatives shall be permitted to audit, examine and make excerpts of or transcripts from such records, and to audit all contracts, invoices, materials, and records of matters related to this Agreement and the activities for which reimbursement is sought or made. These access and examination rights shall continue for three (3) calendar years following the year in which the Agreement expires. The COUNTY cannot guarantee but intends for its agents to use reasonable security procedures and protections to assure that related records and documents provided by the ORGANIZATION are not erroneously disclosed to third parties. The COUNTY will, however, disclose or make this material available to those authorized in the immediately preceding paragraph or permitted under the provisions of Chapter 42.56 RCW, any other applicable public disclosure law, or order of any court or agency of competent jurisdiction, without notice to the ORGANIZATION. 5. RECAPTURE PROVISION: In the event the ORGANIZATION fails to expend these funds in accordance with state law and/or the provisions of this Agreement or obtains reimbursement of ineligible expenditures, the COUNTY reserves the right to recapture funds in an amount equivalent to the extent of noncompliance. Such right of recapture shall continue for a period of two (2) years following release of any report from an audit conducted by the COUNTY and/or the State Auditor's Office under the Section 4 (EVALUATION AND MONITORING) provisions or the 3-year records retention period required under Section 4 (EVALUATION AND MONITORING), whichever expires later. Repayment by the ORGANIZATION of any funds recaptured under this provision shall occur within twenty (20) days of any demand. In the event the COUNTY is required to institute legal proceedings to enforce this recapture provision, the COUNTY shall be entitled to its costs thereof, including reasonable attorney's fees. 6. NONDISCRIMINATION: The ORGANIZATION shall comply with all federal and state nondiscrimination laws, including but not limited to chapter 49.60 RCW—Washington's Law Against Discrimination, and 42 U.S.C. 12101 et seq. —the Americans with Disabilities Act (ADA). In the event the ORGANIZATION fails or refuses to comply with any federal or state nondiscrimination law, this Agreement may be rescinded, canceled or terminated by the COUNTY in whole or in part. 7. INDEMNIFICATION: Providence Health Care Foundation shall protect, defend, indemnify and hold harmless Lewis County, the BOCC, its officers, agents, and employees, or any of them from and against any and all claims, actions, suits, liability, loss, costs, expenses, and damages of any nature whatsoever, which are caused by or result from the performance of this Agreement by either party.This indemnity and 3 hold harmless agreement shall not apply to acts or omissions of the County's officers, agents, and employees that are not in good faith and are outside the scope of their official duties. 8. DISPUTE RESOLUTION a) If a dispute arises between the parties with regards to the performance of any provision of this agreement or the interpretation thereof, the parties agree to follow the procedure set forth below. It is the goal of the parties to resolve their differences as early and amicably as possible. b) The parties shall first meet to attempt to see if the matter can be informally resolved. This informal resolution attempt may involve more than one meeting but is not required to involve more than one meeting. c) If the parties are unable to resolve their differences, the parties will endeavor to settle the dispute by mediation under such mediation rules as shall be mutually agreeable to the parties. Such mediation shall be non-binding but shall be a condition precedent to having said dispute decided in court by a judge or jury. Mediation shall commence, unless otherwise agreed, within thirty (30) days of a party's written request for mediation of a dispute. Any resolution at this stage shall be reduced to writing and, if it involves an interpretation of the agreement, it shall be considered an addendum to this agreement without the need for formal adoption by the governing bodies of the jurisdictions that are parties to this agreement. Any costs related to mediation shall be shared equally by the parties. 9. ENTIRE AGREEMENT/MODIFICATIONS: This Agreement represents the entire agreement of the parties with respect to the subject matter. No other understandings, oral or otherwise, exist regarding the subject matter of this Agreement or shall be deemed to exist. The COUNTY and the ORGANIZATION may,from time to time, mutually agree to amend this Agreement; however,no such change shall be effective until memorialized in writing and signed by the authorized representatives of the COUNTY and the ORGANIZATION, respectively. 10. AGREEMENT PERIOD: The term of this Agreement shall commence on the 29th day of June and terminate on the 1st day of October, both dates inclusive, unless sooner terminated as provided for herein. For the COUNTY: Lewis County Commissioners 351 NW North St. Chehalis, WA 98532 Telephone: 360-740-1419 For the ORGANIZATION: Providence Health Care Foundation/Centralia 914 South Scheuber Rd. Centralia, WA, 98532 Telephone: 360-827-7940 4 IN WITNESS WHEREOF legal representatives of both the ORGANIZATION and the COUNTY have executed this Agreement on the date(s) so noted below. The parties have caused this Agreement to be executed in duplicate originals this 1341:1 C c_c La) 2.02 � ' PROVIDENCE HEALTH CARE FOUNDATION BOARD OF COUNTY COMMISSIONERS LEWIS COUNTY, WASHINGTON a ci A jj,/ Signature Date Gary Stamper, Chair Peter Brennan • Chief Philanthropy Officer - i�I�`�,i4 / 914 South Scheuber Road Ed . J. Fund, it Ch. Centralia, WA 98531 i / , / R-,bert C.Jac son, Member APPROVED AS TO FORM: Jonathan Meyer, Prosecuting Attorney Y Deputy Proscuting Attorney ATTEST: � * fr a4Le er, Clerk of the Board i 5 CORONAVIRUS RELIEF FUNDS GRANT AGREEMENT THIS AGREEMENT is made by and between Providence Healthcare Foundation ("the ORGANIZATION"), and Lewis County ("the COUNTY"), a political subdivision and municipal corporation of the state of Washington. WHEREAS, US Treasury has made payments from the Fund to States and eligible units of local government; the District of Columbia and U.S. Territories (the Commonwealth of Puerto Rico, the United States Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands); and Tribal governments (collectively "governments");and WHEREAS,The CARES Act requires that the payments from the Coronavirus Relief Fund (CRF) only be used to cover expenses that (1) are necessary expenditures incurred due to the public health emergency with respect to the Coronavirus Disease 2019 (COVID-19) (2) were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government; and (3)were incurred during the period that begins on March 1, 2020, and ends on December 30, 2020 ; and WHEREAS, Governor Inslee released a portion of the state's (CRF) to cities and counties with populations under 500,000 that were ineligible to receive direct funding under the CARES Act. Cities and counties below 500,000-population have received a per capita distribution, with a minimum distribution of $250,000 per county and $25,000 for cities and town administered through the Washington State Department of Commerce; and WHEREAS, Lewis County was the recipient of a CRF Grant in the amount of $4,371,400 through the Washington State Department of Commerce for costs incurred in response to the COVID-19-related public health emergency during the period of March 1, 2020 thru October 31, 2020; and WHEREAS, Allowable expenditures under the Department of Commerce CRF Grant include, but are not limited to: medical and public health expenses, payroll expenses for public safety, public health, health care, human services and similar employees whose services are substantially dedicated to mitigating or responding to the emergency, expenses of actions to facilitate compliance with public health measures, expenses associated with the provision of economic support in connection with the emergency and any other COVID-19-related expenses of government that satisfy the CRF's eligibility criteria; and WHEREAS, the COUNTY has determined that eligible expenditures include medical expenses for COVID- 19-related expenses of public hospitals and measures to increase COVID-19 treatment capacity, costs of providing COVID-19 testing including serological testing, emergency medical response expenses, including emergency medical transportation related to COVID-19; and WHEREAS,the ORGANIZATION has requested a grant up to$40,000.00 using CRF for rapid testing capacity and to provide point of care testing for patients at Providence Centralia Hospital; and 1 WHEREAS, the ORGANIZATION agrees to test Lewis County residents associated with outbreak investigations as referred to Providence Centralia by Lewis County Public Health and Social Services (LCPHSS);and WHEREAS,the BOARD has determined that the activity herein described meets the US Treasury guidelines for use of CRF under the CARES Act, are eligible for reimbursement from the Washington State Department of Commerce and are in the best interest of the general welfare, health and safety of the citizens of the COUNTY, and is in the best interests of the COUNTY in preventing the spread of the COVID-19 Virus in Lewis County, the BOARD intends to disburse Coronavirus Relief Funds to the ORGANIZATION for the purposes stated in this agreement and consistent with the US Treasury guidelines, NOW,THEREFORE, in consideration of the premises and mutual benefits and covenants herein contained, it is agreed by and between the parties hereto as follows: 1. FUNDING: Up to $ 40,000.00 is hereby pledged on a reimbursement basis from the COUNTY COVID-19 RESPONSE Fund No. 1410, using CRF in fiscal year 2020, solely for the purpose of purchasing testing equipment for local and on-site testing at Centralia Providence Hospital to test Lewis County Residents associated with outbreak investigations as referred by LCPHSS and use of funds to modify facility space in order to accommodate testing equipment. 2. USE OF FUNDS:The ORGANIZATION shall use these COUNTY funds solely for the purpose of providing testing equipment for local and on-site testing at Centralia Providence Hospital to test Lewis County Residents associated with outbreak investigations as referred by LCPHSS. 3. PAYMENT PROVISIONS: Once this Agreement is executed, the ORGANIZATION may submit claim vouchers to the Public Health Director at 360 NW North Street, Chehalis, WA 98532 requesting reimbursement solely for eligible expenses and/or for eligible services as identified in Section 2 of this Agreement (Use of Funds) and solely up to the maximum amount specified in Section 1 (Funding). Reimbursement claim shall include the following certificate of authenticity with the dated signature of an authorized representative of the ORGANIZATION: "I, the undersigned, do hereby certify under penalty of perjury that the materials have been furnished and the services rendered as described herein". Within thirty (30) days of receiving a reimbursement claim voucher that meets the requirements of this Agreement and applicable law, the COUNTY, shall remit to the ORGANIZATION a warrant for the approved reimbursement amount. The final claims voucher under this Agreement shall be submitted by the ORGANIZATION no later than October 1, 2020. 4. EVALUATION AND MONITORING:The ORGANIZATION agrees to maintain its books and records and to employ accounting procedures, systems and practices that accurately and timely record and track the expenditures for which reimbursement is sought under this Agreement and provide for full compliance with the requirements of this Agreement. The ORGANIZATION will retain these 2 supporting records for at least three (3) calendar years following the year in which the Agreement expires. The COUNTY and/or the State Auditor and any of their representatives shall have full, timely and complete access to all books, records and other documents and evidence of the ORGANIZATION respecting all matters related to this Agreement and the activities for which reimbursement is sought or made, and shall have the right to examine such during normal business hours as often as the COUNTY and/or the State Auditor may deem necessary. Such representatives shall be permitted to audit, examine and make excerpts of or transcripts from such records, and to audit all contracts, invoices, materials, and records of matters related to this Agreement and the activities for which reimbursement is sought or made. These access and examination rights shall continue for three (3) calendar years following the year in which the Agreement expires. The COUNTY cannot guarantee but intends for its agents to use reasonable security procedures and protections to assure that related records and documents provided by the ORGANIZATION are not erroneously disclosed to third parties. The COUNTY will, however, disclose or make this material available to those authorized in the immediately preceding paragraph or permitted under the provisions of Chapter 42.56 RCW, any other applicable public disclosure law, or order of any court or agency of competent jurisdiction, without notice to the ORGANIZATION. 5. RECAPTURE PROVISION: In the event the ORGANIZATION fails to expend these funds in accordance with state law and/or the provisions of this Agreement or obtains reimbursement of ineligible expenditures, the COUNTY reserves the right to recapture funds in an amount equivalent to the extent of noncompliance. Such right of recapture shall continue for a period of two (2) years following release of any report from an audit conducted by the COUNTY and/or the State Auditor's Office under the Section 4 (EVALUATION AND MONITORING) provisions or the 3-year records retention period required under Section 4 (EVALUATION AND MONITORING), whichever expires later. Repayment by the ORGANIZATION of any funds recaptured under this provision shall occur within twenty (20) days of any demand. In the event the COUNTY is required to institute legal proceedings to enforce this recapture provision, the COUNTY shall be entitled to its costs thereof, including reasonable attorney's fees. 6. NONDISCRIMINATION: The ORGANIZATION shall comply with all federal and state nondiscrimination laws, including but not limited to chapter 49.60 RCW—Washington's Law Against Discrimination, and 42 U.S.C. 12101 et seq. —the Americans with Disabilities Act (ADA). In the event the ORGANIZATION fails or refuses to comply with any federal or state nondiscrimination law, this Agreement may be rescinded, canceled or terminated by the COUNTY in whole or in part. 7. INDEMNIFICATION: Providence Health Care Foundation shall protect, defend, indemnify and hold harmless Lewis County, the Board of County Commissioners, its officers, agents, and employees, or any of them from and against any and all claims, actions, suits, liability, loss, costs, expenses, and damages of any nature whatsoever, which are caused by or result from the performance of this Agreement by either party.This indemnity and hold harmless agreement shall not apply to acts or omissions of the 3 County's officers, agents, and employees that are not in good faith and are outside the scope of their official duties. 8. DISPUTE RESOLUTION a) If a dispute arises between the parties with regards to the performance of any provision of this agreement or the interpretation thereof, the parties agree to follow the procedure set forth below. It is the goal of the parties to resolve their differences as early and amicably as possible. b) The parties shall first meet to attempt to see if the matter can be informally resolved. This informal resolution attempt may involve more than one meeting but is not required to involve more than one meeting. c) If the parties are unable to resolve their differences, the parties will endeavor to settle the dispute by mediation under such mediation rules as shall be mutually agreeable to the parties. Such mediation shall be non-binding but shall be a condition precedent to having said dispute decided in court by a judge or jury. Mediation shall commence, unless otherwise agreed, within thirty (30) days of a party's written request for mediation of a dispute. Any resolution at this stage shall be reduced to writing and, if it involves an interpretation of the agreement, it shall be considered an addendum to this agreement without the need for formal adoption by the governing bodies of the jurisdictions that are parties to this agreement. Any costs related to mediation shall be shared equally by the parties. 9. ENTIRE AGREEMENT/MODIFICATIONS: This Agreement represents the entire agreement of the parties with respect to the subject matter. No other understandings, oral or otherwise, exist regarding the subject matter of this Agreement or shall be deemed to exist. The COUNTY and the ORGANIZATION may,from time to time, mutually agree to amend this Agreement; however, no such change shall be effective until memorialized in writing and signed by the authorized representatives of the COUNTY and the ORGANIZATION, respectively. 10. AGREEMENT PERIOD: The term of this Agreement shall commence on the 29th day of June and terminate on the 1st day of October, both dates inclusive, unless sooner terminated as provided for herein. For the COUNTY: Lewis County Commissioners 351 NW North St. Chehalis, WA 98532 Telephone: 360-740-1419 For the ORGANIZATION: Providence Health Care Foundation/Centralia 914 South Scheuber Rd. Centralia, WA, 98532 Telephone:360-827-7940 4 IN WITNESS WHEREOF legal representatives of both the ORGANIZATION and the COUNTY have executed this Agreement on the date(s) so noted below. The parties have caused this Agreement to be executed in duplicate originals this Click here to enter text. ORGANIZATION BOARD OF COUNTY COMMISSIONERS LEWIS COUNTY, WASHINGTON (Organization name) Click here to enter text., Chair (Authorized representative's signature) Click here to enter text.,Vice Chair (Authorized rep.'s name, printed) Click here to enter text., Member (Authorized representative's title) APPROVED AS TO FORM: (Organization street address) Jonathan Meyer, Prosecuting Attorney (Organization city, state, zip code) By: Deputy Prosecuting Attorney ATTEST: Rieva Lester, Clerk of the Board 5 BOCC AGENDA ITEM SUMMARY Resolution: 20-241 BOCC Meeting Date: July 13, 2020 Suggested Wording for Agenda Item: Agenda Type: Deliberation Approving a grant agreement with the Providence Health Care Foundation/Centralia for COVID-19 testing capabilities using Coronavirus Relief Funds Contact: J.P. Anderson Phone: Department: PHSS - Public Health & Social Services Description: Approving a grant agreement with the Providence Health Care Foundation/Centralia for up to $40,000.00 using Coronavirus Relief Funds. Funding will be used for rapid testing capacity and to provide point of care testing for patients at Providence Centralia Hospital. The Hospital agrees to test Lewis County residents associated with outbreak investigations as referred by Lewis County Public Health and Social Services (LCPHSS). Approvals: Publication Requirements: Publications: User Status Erik Martin Pending PA's Office Approved Tamara Hayes Approved Additional Copies: Cover Letter To: JP Anderson, John Abplanalp, Tamara Hayes, Cecily Clemons 914 South Scheuber Rd. Sandy Andrus, Becky Butler and Stacey Loflin Centralia WA 98531