ECEAP-Head Start Data Share - Snohomish County

More documents

Recommendations

Info

1.2 Each party shall notify the other party in writing within ten days of any changes of the name and contact information regarding either party's designated Contract Manager. 2. EXHIBITS AND ATTACHMENTS Attached hereto and incorporated herein as though set forth in full are the following exhibits and attachments: Exhibit A - STATEMENT OF WORK Exhibit B - GENERAL TERMS AND CONDITIONS 6 Exhibit C - Data Share Requirements Attachment 1 - Nondisclosure of Confidential Data form Attachment 2 - Certification of Data Disposition Attachment 3 - Description of Data The parties agree that the exhibits and attachments listed in this paragraph shall be enforceable against the parties and are a part of this Contract. 3. STATEMENT OF WORK The parties agree that the Contractor shall perform the activities and obligations as set forth and described in Exhibit A, STATEMENT OF WORK, attached hereto and incorporated herein as though set forth in full. The Contractor shall also furnish the necessary personnel, equipment, material and/orservice(s) and otherwise do all things necessary for or incidental to the performance of the work as set forth and described in Exhibit A, STATEMENT OF WORK. The Contractor agrees to provide the services, products and activities at the costs set forth in this Contract. 4. PERIOD OF PERFORMANCE Subject to OFM approval requirements and the requirements of this Contract, the period of performance of this Contract shall commence on the date of execution and be completed on or before June 30, 2017, unless terminated sooner as provided herein. 5. SIGNATURES THIS CONTRACT, including the exhibits and attachments described in Paragraph 2, is executed by the persons signing below who warrant they have read and understand this Contract and the exhibits and attachments. The persons signing below further represent that they have the authority to execute this Contract. CONTRACTOR: / 7 , ' GN PRINTED NAME AND TITLE: DATE SIGNED: DEL: Debby Carr DEL Contract Administrator Retelved FEB 02 2012 Depertrnent of Early Learning Contract Number: 12-1180 Printed Date: 1/13/2012 Page 2 of 9
\k-7-: Washington State Department of Early Learning 1. DELIVERABLE Exhibit A - STATEMENT OF WORK DEL Contract Number: 12-1180 Contractor Contract Number: Title: DEL ECEAP-Head Start Data Share DEL will provide the Contractor with contact information for children who are potentially eligible for the Early Childhood Education and Assistance Program (ECEAP) and/or the federal Early Head Start and Head Start programs, to be used solely for recruitment and enrollment purposes for these programs. 2. BACKGROUND AnranrrwAn+ ‘&11....+111,1 ECEAP, Early Head Start and Head Start are comprehensive programs that provide education, health and family support services to eligible children and their families. The goal of these programs is to support child development and prepare children for success in school and in life. Children are eligible for these programs based on their age, family income, and developmental or environmental risk factors. Each ECEAP, Early Head Start and Head Start provider (hereafter Contractor) is charged with recruiting families within their service areas who would most benefit from these services. The Department of Social and Health Services (DSHS) serves many of the same families. Therefore, the Department of Earl y Learning (DEL) has entered into an agreement with DSHS to obtain confidential client contact information (hereafter Confidential Data) for families receiving DSHS services who have potentially-eligible children. DELprovides this Confidential Data to ECEAP, Early Head Start and Head Start providers to facilitate enrollment of eligible participants into the programs and support our mutual goals of full enrollment. The Confidential Data includes the data elements listed in Attachment 3 Description of Data. 3. PROCESS a. To obtain the Confidential Data, Contractors must: Annually, by February 1, submit a data collection form to DEL, using the form provided by DEL, This form shall include the birth date ranges for eligible children, zip codes of service delivery areas, and the name of the contact person responsible for managing data access and destruction at the end of the recruitment period. Annually, by March 1, submit to DEL a signed Nondisclosure of Confidential Data Form, attachment 1 of this Contract, for each person who will have access to the data. Download the Confidential Data within 13 days of email notice from DEL that it is in your secure transfer protocol file. It will be deleted from the secure file after 13 days. b. To facilitate enrollment of eligible participants into the ECEAP, Early Head Start and Head Start programs, DEL must: Provide the data collection and non-disclosure forms to current ECEAP, Early Head Start and Head Start providers, By March 30 of each year this Contract is in effect, and if requested by the Contractor in accordance with section 2a, deliver Confidential Data to the Contractor using a secure file transfer protocol. Contract Number: 12-1180 Printed Date: 1/13/2012 Page 3 of 9
Page 1: [01 - "/*: Washington State Departm
Page 5 and 6: CIM: Washington State Department of
Page 7 and 8: 8. ENTIRE AGREEMENT This Contract,
Page 9 and 10: in this Contract are carried forwar
Page 11 and 12: DEL ECEAP-Head Start Data Share Agr
Page 13 and 14: EXHIBIT C DATA SHARE REQUIREMENTS 1
Page 15 and 16: take corrective action as soon as p
Page 17 and 18: (4) Portable media includes, but is
Page 19 and 20: , Wasi-lington State Deoartrwnt of
Page 21: DEL FrPAP-H ad Start Data Share Agr

ECEAP-Head Start Data Share - Snohomish County

Create successful ePaper yourself

Delete template?

Save as template?