Bannock County | agenda | meeting 2026-08-11 | Information Packet source: https://www.bannockcounty.gov/wp-content/uploads/2026/08/20260811-BOCC-Business-Meeting-Information-Packet.pdf BANNOCK COUNTY COMMISSIONERS’ – MEETING Commissioners' Agenda The Board of County Commissioners (BOCC) is comprised of the three elected County Commissioners: Ernie Moser (District 1), Jeff Hough (District 2, Chair), and Ken Bullock (District 3). The BOCC generally meets twice weekly: Tuesdays & Thursdays at 9:00 a.m. Unless otherwise noted, meetings are generally held in the Commissioner's Chambers at 624 E Center, Room 212, Pocatello, Idaho. During these public meetings, the BOCC may approve contracts, expend funds, hear testimony, make decisions on land use cases, and take care of other County matters. Times are subject to change within 15 minutes of the stated time. Tuesday, August 11, 2026 9:00 AM Work Session and Claims Meeting (action items) Agenda:  Indigent Business may require an Executive Session pursuant to Idaho Code §74-206(1)(d) to consider records exempt from public disclosure (action item) BOARD OF AMBULANCE DISTRICT  Kristy Pincock, City of Pocatello Fire, requesting approval to write-off balance due on Deceased patients; 28 accounts totaling $8025.36 (requested 5 minutes) (action item)  Shane Grow, Ambulance District, requesting signature on a proposal to purchase two (2) ambulances (requested 5 minutes) (action item) BOARD OF COUNTY COMMISSIONERS  Matthew Phillips, HR & Risk Management, requesting ratification on special event policy with liquor liability endorsement quote for a concert (requested 5 minutes) (action item)  Todd Mauger, Juvenile Probation Director, requesting a signature on an affiliation agreement with Idaho State University for the Community Health Worker Training Program (requested 5 minutes) (action item) 1 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 CONSENT AGENDA (action items): · Manual Checks · Alcohol Licenses and Catering Permits · Certificate of Residency Approval · Personnel Actions with potential Executive Session under Idaho Code §74-206(1)(a),(b)&(d) for personnel actions or personnel records exempt from disclosure with potential action following adjournment of Executive Session · Mileage and Travel Approvals · Minutes: 2 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 3 BOARD OF BA\ Tuesday, August 11, 2026 —————————— - BANNOCK CouNTy COMMISSIONERS 624 E. Center, Pocatello, ID 83201 Phone: (208) 246-7210 ¢ Fax: (208) 232-7363 Ernie Moser Jerr HoucGH ‘Terre N. Tovey Comrnissioner Commissioner Commisstoner Ist District 2nd District 3rd District AGENDA REQUEST FORM The Board of Bannock County Commissioners business meetings are generally held on Tuesday in the Commissioners’ Chambers in the Bannock County Courthouse, 624 E. Center, Room 212, Pocatello, Idaho, or as noticed 48 hours prior to the meeting at hittps:/Avww.bannockcounty.us/commissioners/. Agenda times are subject to change within 15 minutes of scheduled time. Any person(s) needing special accommodations to participate in public meetings should contact the Commissioner’s Office at 208-236-7210, three to five working days before the meeting. E-mail this completed form and any supporting documents to agendarequest@bannockcounty.us by NOON on the Thursday prior to the scheduled meeting. Name/Department: Kristy Pincock / Bannock County Ambulance District Item to be considered/background: Request approval to write-off balance due on Deceased patients; 21 accounts totaling $5363.58 How much time will be needed? 5 minutes Does this item involve a contract, agreement, external funding application or award acceptance? YES [| NO Have all supporting documents been included with this form? YES NO [ List of attendees: Kristy Pincock Please include any supporting documents with your Work Session Request Form. Commissioner Office Only: . Date: Time: BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 Bannock County Ambulance District Billing and Collections 408 E. Whitman Pocatello, ID 83201 208-234-6200 Date: August 5, 2026 To: Board of County Commissioners Re: Request to Write-off Balance on Deceased Patient Accounts The Bannock County Ambulance District would like to present the following list of accounts for deceased patients to request the Board’s permission to write-off the remaining balance due. Number of Accounts: 28 Total Balance Due: $ 8,025.36 All patients on the attached list are deceased and no others means of payment for the Emergency Medical Services received have been identified. Collection efforts by the Bannock County Ambulance District have been exhausted. { Phone: ¢ raph. enter, Pocatello, ID 8Syaot (i-7210 © Fax: (208) 252-7963 BOARD OF Tuesday, August 11, 2026 BANNOCK CouNTY COMMISSIONERS te \ Ernie Moser Jere HouGH — Ken BuLLock Commission: Commissions Clonnissiones Ist District 2nd District Srd District AGENDA REQUEST FORM The Board of Bannock County Commissioners business meetings are generally held on Tuesday at 9:00 AM in the Commissioners’ Chambers in the Bannock County Courthouse, 624 E. Center, Room 212, Pocatello, Idaho, or as noticed 48 hours prior to the __ meeting _at__https://www.bannockcounty.us/commissioners/, Agenda _ times are subject to change within 15 minutes of scheduled time. Any person(s) needing special meetings should contact the Commissioner's Office at 208-236-7210, three to five working days before the meeting. E-mail this completed form and any supporting documents to agendarequest@bannockcounty.us by NOON on the Thursday prior to the scheduled meeting. Name/Department: BCAD Item to be considered/background: PSS Ambulance Pricing and Proposal for two Horton Ambulances How much time will be needed? Meeeting date requested: 5 min 8/11/26 Does this item involve a contract, agreement, external funding application or award acceptance? YES [/] no[ ] Have all supporting documents been included with this form? YES NO [] List of attendees: Chief Grow Please include any supporting documents with your Agenda Session Request Form. Sere rater TEST Commissioner Office Only: Date: Time: POE ET STEEL RTI ELIS 9S BPE A BOARD OF BAN STE] COMMISSIONERS Tuesday, August 11, 2026 Om EPARr Se Cet “e470 408 EAST WHITMAN POCATELLO, ID 83201 208.234.6201 FAX: 208.233.4043 © “4 wy wx WeNock cova’ LANCE DIS Ryan O'Hearn - Fire Chief TO: BANNOCK COUNTY COMMISSIONERS FROM: DEAN BULLOCK SUBJECT: CAPITAL PURCHASE —- AMBULANCE DATE: AUGUST 11, 2026 CC: KRISTI DAVENPORT, ISRISTI KLAUSER, SHANE GROW, AUTUMN BAKER The Bannock County Ambulance District requests approval to enter into an agreement with Professional Sales & Service, L.C. (PSS) for the purchase of two Horton ambulances. The attached agreement will put us on the production list and establish our place in line. The funding for these ambulances was requested in the FY2027 capital budget. It is estimated that at least one of the ambulances will be completed and delivered in FY2027, and the second may come in the beginning of FY2028. If that delay occurs, we will request that the remaining funding for that second ambulance be approved to move from the FY27 budget into the FY28 budget during that budget build cycle. BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 P AY AY PROFESSIONAL SALES AND SERVICE, L.C. Quality Emergency Vehicles Since 1974 August 7, 2026 Bannock County Ambulance District 624 E Center St, Room 104 Pocatello, ID 83201 To Whom It May Concern: Professional Sales and Service, LC respectfully provides the Bannock County Ambulance District the following proposal for a new ambulance vehicle. We appreciate the opportunity to work with you now and look forward to helping you with your ambulance needs in the future. The following proposal reflects New Type I ambulances the proposal is as follows: Two 2027 Horton 603 Type I 4x4 Custom Ambulances Mounted on 2027 Ford F-550 4x4 Diesel Chassis The module body will be 167” long and have an interior height of 74” inches. It will be mounted on a 2027 Ford F-550 4X4 with a Diesel Motor dual rear wheel cab/chassis. This proposal includes Horton’s electrical system: The most advanced electrical system available which incorporates solid-state electronics with Multiplexing technology. It also includes weight saving all-aluminum module body, NO-wood construction, aluminum cabinetry, electrical system diagnostic testing, digital computer consoles, privacy windows, LED lighting package and much more. Full specification attached. Take a look at Horton Emergency Vehicles (HEV) and you will see why they are so well regarded in the ambulance industry and among the finest available anywhere. A Horton emergency vehicle is BUILT TO WITHSTAND the rigors of ambulance service. Horton ambulances are tested and engineered to be incredibly structurally sound which provides the EMS crew and patient with aSAFER WORKING ENVIRONMENT. They are currently the only manufacturer with an ongoing crash simulation testing program to test things like cabinet mounting stability, door structure & latching strength, and body mounting solidity. ALUMINUM CABINETS SAVE PAYLOAD and are much more DURABLE than wood. An ambulance built to a higher quality standard will provide REDUCED OPERATING COSTS over the many years the vehicle is in service!! When it comes to quality, durability, customization, and safety, Horton continues to be a leader in the ambulance manufacturing industry. PSS SHowROOM 1720 Indiana Ave, Salt Lake City, UT 84104 (801) 977-3961 Phone <> (801) 977-3969 Fax BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 P Ss AY PROFESSIONAL SALES AND SERVICE, L.C. Quality Emergency Vehicles Since 1974 PRICING PAGE PROPOSAL CONDITIONS F.O.B. POINT: Pocatello, ID 83201 DELIVERY: Do to current and ongoing national supply chain issues specifically in regard to chassis availability. We will be providing estimated delivery times only. Currently Horton standard lead time is approximately 24-28 months (pending chassis).Please note all delivery times are quoted barring any delays due to strikes, availability of component parts (including chassis), or acts of God SERVICE: Professional Sales & Service has been selling and servicing ambulances since 1975. We have factory trained technicians and a large inventory of parts, so you know that in the unlikely event of a problem we are only a phone call away. PSS. SHOWROOM 1720 Indiana Ave, Salt Lake City, UT 84104 (801) 977-3961 Phone <> (801) 977-3969 Fax BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 P y y PROFESSIONAL SALES AND SERVICE, L.C. Quality Emergency Vehicles Since 1974 PAYMENT TERMS: Payment due upon delivery and acceptance of vehicle by the Bannock County Ambulance District. ** Pre-Payment discounts available upon request. WARRANTY: Horton Emergency Vehicles feature one of the most progressive, no- nonsense warranties around. Horton does not pro rate their warranties so there are no surprises should you ever need it. Unless accepted within Sixty (60) days from the above date, the right to withdraw this proposal is reserved. If there are any additions/deletions to our bid, please contact me for pricing details or credits. We are confident you will be completely satisfied with the quality Horton ambulance and the service which PSS provides. Respectfully Submitted, Professional Sales and Service, LC Fragen 7. Petirsen Braxton T. Peterson, General Manger Bannock County Ambulance District agrees to purchase the vehicle detailed in this proposal, from Professional Sales and Service, L.C. and understands and agrees with the terms specified within these documents. Authorized by (Print name) Signed Date Please let us know if you have any questions regarding this proposal. We are happy to assist you in any way that we can. PSS SHOWROOM 1720 Indiana Ave, Salt Lake City, UT 84104 (801) 977-3961 Phone <> (801) 977-3969 Fax 10 OMMISSIONERS Tuesday, August 11, 2026 BANNOCK County COMMISSIONERS Zz : —_ \ Ernie Moser = Jere HouGu KEN BULLOCK G2, FB, Phone: (208) 25 ( fi-7210 © Fax: (208) er, Pocatello, 1D Bya0) AGENDA REQUEST FORM The Board of Bannock County Commissioners meetings are generally held on Tuesdays and Thursdays at 9:00 AM in the Commissioners' Chambers in the Bannock County Courthouse, 624 E. Center St. Room 119, Pocatello, Idaho, or as noticed 48 hours prior to the meeting at https:/www.bannockcounty.gov/commissioners. Agenda times are subject to change withing 15 minutes of scheduled time. Any person(s) needing special meeting accommodations should contact the Commissioners' Office at 208-236-7210, five working days before the meeting. Email this completed form and any supporting documents to: agendarequest@bannockcounty.gov Meeting Date Requested: 98/11/2026 Requestor Name: Matthew K. Phillips Department: HR & Risk Management Item to be considered/background: Requesting ratification on special event policy with liquor liability endorsement quote for 08/13/26 Jason Bonhams' Led Zepplin Evening concert. Action Requested: Decision Amount of Time Requested: 5 Minutes Financial Impact (Total Cost/Funding Source): $766.00 for special event liability and $393.00 liquor liability from BC events line item for concerts. Does this item involve a contract, agreement, external funding application, or award acceptance? P Contract Has the item been reviewed by Risk Management? [vlvEs NO [INA Are all supporting documents included? | y [YES NO [INA Has the item been reviewed by Auditing? Ly |YES NO List of additional attendees: Has the item been submitted to/reviewed by Legal? | y YES ~ Please include any supporting documents with your Agenda Session Request Form. Commissioner Office Only: Date: Time: Commissioner Comirissiones Clonpmnissioner Ist District 2nd District 3rd District 11 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 P HILADELPHIA One Bala Plaza, Suite 100 ar , Bala Cynwyd, Pennsylvania 19004 eatin INSURANGE COMPANIES 610.617.7900 Fax 610.617.7940 A Sauber of the Tukia Marine Gros PHLY.com PROPOSAL FOR INSURANCE Proposal Number:4183266 Proposal Date: 07/29/2026 Named Insurad and Mailing Address: Producer: Mutual insurance Bannock Caunty dba Portneuf Health Trust Amphithaatre 1875 Baldy 624 E Center Street Rm 214 Pocatello, ID 83201 Pocatello, ID 83201 : Contact: Jayson Meline : Agency Number; 28790 Phone: 208-2379696 Insurer: Philadelphia Indemnity insurance Company Underwriter: Jaclyn St. Galals Policy Period From: 08/13/2026 To: 08/14/2026 Proposal Valid Untit 08/12/2026 at 12:01 A.M, Standard Time al your malling address shown above Product: Special Events Submission Type; New Business Commission 10% IN RETURN FOR THE PAYMENT: OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO EXTEND INSURANCE AS STATED IN THIS-PROPOSAL. THIS PROPOSAL CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM [8 INDIGATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT, PREMIUM Commercial General Liability Coverage Part — - woe vies $766.00. - The Total Premium includes Federal Terrorism Risk Insurance Act Premium in the amount of $0.00 TOTAL $766.00 12 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 P HILADELPHIA One Bala Plaza, Suite 100 " ; " Bala Cynwyd, Pennsylvania 19004 Gehan INSURANCE COMPANIES 610.617.7900 Fax 610.617.7940 AMeasbur ab she Tokia Marie Grenays PHLY.com Proposal Date: 07/29/2026 Proposal Number: 4183266 The producer placing this policy may receive commission and additional underwriting profit share Incentives. These Incentlves are based on the undenwtiting performance of this producer's book of business, Any questions about the nature of this compensation should be directed to the producer: In order to complete the underwriting process, we require that you send us the additional information requested In the “conditlons” section of this proposal. We are not required to bind coverage prior lo our receipt, review and underwriting approval, of said additional information, However, if wa do bind coverage, it shall be for a temporary period of not more than 30 days: Such temporary binding of coverage shall be vold ab Initio ("trom the baginning’) If we have not received, reviewed and approved In writing such materials within 15 days from the effective date of the temporary binder. This 30 day temporary conditional binder may be extended only in writing signed:by the Insurer, Payment of premium shall not operate to extend the binding period or nullify the automatic voiding as described above. This quotation is strictly conditioned upon no material change in the risk occurring betwean the date of this proposal and the Inception date of the proposed polley (including any claim or notice of ciroumstances that which may reasonably expected to give rise to. a claim under any policy of which the polley being proposed by this letter is a renewal or replacement). In the event of such change in risk, the Irisurer may in its sole discretion, whether or not this quotation has been already ‘accepted by the Insured, modify and/or withdraw this quotation. Subject to the tars and conditions outlined above and prior to the quote expiration date, this quote may be bound by signing and dating below and by inifialing, on the previous page, the option to be bound. This form wilt then act as the binder of coverage for 30 days from the date signed and may be distinguished by the Quotation number on page 1. This binder is only valid for 30 days. No coverage is afforded or implied unless shown in this proposal. This proposal does not constitute a binder of insurance. This proposal is strictly limited to the terms and conditions herein. Any other coverage extensions, deletions or changes requested in the submission are hereby rejected. Signature of Authorized Insurance Representative Date 13 BOARD OF BANNOCK COUNTY COMMISSIONERS Philadelphia Indemnity Insurance Company Locations Schedule ‘ Proposal Number: 4183266 Frems. Bldg. No, No, Address ono 0004 2375 Olympus Drive, Pocatello, ID 63201 Page 1 of 4 Tuesday, August 11, 2026 14 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 Philadelphia Indemnity Insurance Company Form Schedule — Policy Proposal Number: 4483266 Forms and Endorsements applying to this Coverage Part and made a part of this policy at time of issue: Form Edition BIPL9O1 1298 PP2020 0220 CPDPIC 0614 Location Schedule 0100 PICME1 1009 1L00241 0908 ILO017 1198 1L0204 0908 Description Commercial Lines Policy Jacket Privacy Poticy Notice Common Policy Declarations Location Schedule Crisis Management Enhancement Endorsement Nucleer Energy Liability Exclusion Endorsement Commion Policy Conditions Idaho Changes ~ Cancellation and Nonrénewal Page 1 of 1 15 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 Philadelphia Indemnity Insurance Company Form Schedule ~ General Liability Proposal Number: 4183266 Forms and Endorsements applying to this Coverage Part and made a part of this policy at time of issue: Form Edition Description Gen Liab Dec 1004 Commercial General Liabillty Coverage Part Dectaration ean bap 0100 General Liability Schedule CGo001 0413 Commercial General Liability Coverage Form CG2100 0798 &xclusion - All Hazards in Connection With Designated Premises CG2101 1185 ~~ Exclusion - Athletic ar Sports Participants CG2106 0s14 Exclusion ~ Access or Disclosure of Confidential or Personal Information and Data-Related Liability With Limited Bodlly Injury Exception CG2109 0615 Exclusion - Unmanned Afreraft CG2116 0413 = Exclusion - Dasignated Professional Services CG2132 0509 Communicable Disease Exclusion CG2133 1185 ~—- Exclusion - Designated Products €G2135 1001 ‘Exclusion - Coverage C ~ Medical Payments €62144 0417 Limitation of Coverage to Designated Premises, Project or Oparation CG2147 1207 Employmant-Related Practices Exclusion CG2153 0196 = Exclusion - Designated Ongolng Operations CG2167 1204 = Fung! or Bacterla Exclusion CG2173 O115 Exclusion of Certifled Acts of Terrorism CG2404 0509 = Waiver of Transfer of Rights of Recovery Against Others to Us PIACLOOL 0120 =©Absolute Cyber Liabillty and Electronic Exclusion PIASOOS 4113 Limitation of Coverage to a Specified Event and Event Date PIASOUG 0404 = Exclusion - Pyrotechnicians/Fireworks PIASOO? 0404 Exclusion ~ Performer(s) Additional Insured: Qwners and/or L r i PIASO10 aaoa AO arena ns 2wners and/or Lessors of Premises, Lessors of Leased Equipment, Sponsors PIASOIZ3 0404 ~— Exclusion ~ Miscellaneous Activities and Devices PIASO14 0404 — Earned Premium Endorsement (Fully Earned Premium) -PIGLOO1 0894 = Exclusion - Lead Liability PIGLO02 0894 ~=Exclusion - Asbastos Liability PIGLO18 0536 Absolute Liquor Liabitity Exclusion PISAMO06 0117 Abuse or Molestation Exclusion PISEOOS 1111 Exetusion » Assault or Battery PISE0O7 1111 Additional Insured Primary and Non-Contributory Insurance Page 1 of 1 16 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 Philadelphia indemnity Insurance Company COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Proposal Number: 4183266 Agent # 28790 See Supplemental Schedule . LIMITS OF INSURANGE $ 4,000,000 General Aggragate Limit (Other Than Products — Completed Operations) $ 4,000,000 Products/Completed Operations Aggregate Limit (Any One Person Or Organization) $ 2,000,900 Personal and Advertising Injury Limit $ 2,000,000 Each Occurrence Limit $ 300,000 Rented To You Limit $ 0 Medical Expense Limit (Any One Person) FORM OF BUSINESS: Other Business Description: Special Events Location of All Premises You Own, Rent ar Occupy: SEE SCHEDULE ATTACHED AUDIT PERIOD, ANNUAL. UNLESS OTHERWISE STATED: This policy is not subject to premium audit. nescence enemas eames Raton ~~ Advanced Premiums Clasalfleations Code Na. Premium Basls Prem./Gps. ProdJGomp. Prom./Ops P row ‘ comp. — _ : TOTAL PREMIUM FOR THIS COVERAGE PART: RETROACTIVE DATE (CG 00 02 ONLY) This insurance does not apply to “Bodily Injury’, “Property Damage", or ’Personat and Advertising Injury” which occurs before-the retroactive date, if any, shown below, Retroactive Date: =. .FORM{§) AND ENDORSEMENT (S) APPLICABLE TO THIS COVERAGE PART: o Forms Schedul BSLV Data 17 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 ENDORSEMENT #1 This endorsement, issued by Mount Vernon Fire Insurance Company to BANNOCK COUNTY forms a part of Policy Number SE 2036411 effective on 8/13/2026 (MO, DAY YR.) at 12:01 A.M. Add Event In consideration of an additional fully earned premium of $385 it is hereby agreed and understood that coverage for the location(s), event(s), and date(s) is Description GL Class Code Liq. Class Code = Start Date End Date Concerts - Alternative Rock (applicant is the host of the event) 00402 08/13/2026 08/13/2026 Additional Locations TOTAL CHARGES: Additional Premium: $385.00 Surplus Lines Tax $6.00 Stamping Fee $2.00 Total: $393.00 Subject to the terms and conditions of this policy, coverage is provided for a maximum of twenty-four (24) hours after the scheduled end date of an event shown above. if the end date shown above exceeds the current policy period, the policy period is amended to expire twenty-four (24) hours after the scheduled end date of an event shown above. All other terms and conditions of this Policy remain unchanged. Wiles Alyy 8 6 (2036 AP) () 0 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 In the Matter of AUTHORIZING THE ) R.S. No. 2026-30 DELEGATION OF AUTHORITY ) May 12, 2026 TO THE RISK MANAGEMENT ) DIRECTOR TO BIND INSURANCE ) POLICIES AS NEEDED ) RESOLUTION WHEREAS, the Amphitheater, Portneuf Wellness Complex, and Event Center hold many events throughout the year, such as community events, Independence Day Celebration, or concerts; and WHEREAS, some events have contractual and risk requirements that require adequate alcohol and/or special event liability insurance that, from time to time, have accelerated deadlines, late quotes, or other timing factors that prevent seeking Board approval before the event; and WHEREAS, pursuant to Idaho Code §31-602, due to the nature of the business for events, the Board of County Commissioners desires to delegate the authority to bind insurance policies for events to Matthew Phillips, HR/Risk Management Director; and WHEREAS, after binding of policies by the Risk Management Director, the insurance policies should be sent for ratification by the Board, with consideration under executive session if needed, and a copy remitted to the Bannock County Auditing office upon submission and approval; NOW, THEREFORE, BE IT RESOLVED that Matthew Phillips, HR/Risk Management Director, is delegated the authority to bind insurance policies necessary to ensure adequate alcohol and special event liability insurance as needed, and forwarded for ratification and copied to Auditing. The delegation of authority must be reviewed and redelegated annually. This authority is effective through May 12, 2027. ATTEST: 19 BOARD OF OMMISSIONERS Tuesday, August 11, 2026 BANNOCK County COMMISSIONERS ag - _ Ernte Moser Jerk Houcu — Ken Buttock Gay FE, Center, Pocatello, ID Syaat i Commissioner Cotimmissiones Cotimissic Phone: (208) 2yfi-y210 © Fax: ( mies Ist District 2nd Distriet 3rd District AGENDA REQUEST FORM The Board of Bannock County Commissioners business meetings are generally held on Tuesday at 9:00 AM in the Commissioners’ Chambers in the Bannock County Courthouse, 624 E. Center, Room 119 Pocatello, Idaho, or as noticed 48 hours prior to the meeting at https://www.bannockcounty.gov/commissioners. Agenda times are subject to change within 15 minutes of scheduled time. Any person(s) needing special meeting accommodations should contact the Commissioner's Office at 208-236-7210, five working days before the meeting. E-mail this completed form and any supporting documents to agendarequest@bannockcounty.gov Meeting Date Requested: 08/11/2026 Requestor Name: Todd Mauger Department: Bannock County Juvenile Jt Item to be considered/background: Idaho State University, Community Health Worker Training Program Affiliation Agreement Action Requested: Signature Only Amount of Time Requested: 5 Minutes Financial Impact (Total Cost/Funding Source): There is no financial impact Does this item involve a contract, agreement, external funding application, or award acceptance? . Agreement Has the item been submitted to/reviewed by Legal? Has the item been co Has the item been reviewed by Risk Management? reviewed by Auditing? Are all supporting documents included? List of additional attendees: Jacia Snyder, Matthew Phillips Please include any supporting documents with your Agenda Session Request Form. Commissioner Office Only: Date: Time: Docusign Envelope ID: 14CC9D4D-0ACF-8319-8108-D01CC01CDO0E 20 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 Idaho State University AFFILIATION AGREEMENT This Affiliation Agreement (“Agreement”) between Idaho State University, on behalf of its Community Health Worker Training Program, located at 1291 E Terry Street Pocatello, ID 83209 (the "Program") and Bannock County located at 345 North 5" Street Pocatello ID 83201 (the "Facility") (each individually, a “Party,” and collectively, (the “Parties’), takes effect on 8/4/2026 (“Effective Date’). Background Program is a higher education institution having enrolled students (whether singular or plural, “Student”) who have need for clinical education experiences (whether singular or plural, “Experience”). The Parties desire each Program-selected Student to obtain clinical education experiences at the Facility. Agreement 1. Mutual Responsibilities and Coordination. 1.1. Exchange and Review. Each Party retains a privilege to exchange visits and review materials relevant to a Student's Experience. 1.2. Non-discrimination. The parties agree that no part of this Agreement shall be performed in a manner which illegally discriminates against any person on the basis of race, sex, sexual orientation, gender identity, color, national origin, religion, age, mental or physical disability, veteran status, or any other protected class under applicable law. 1.3. Organization. The Parties must cause the ACCE (defined below) to cooperate with Facility’s clinical coordinator (or other designee) in arranging each Experience’s schedule, content, objectives and goals. 2. Definitions. 2.1. “HIPAA” means CFR parts 160 and 164 and HITECH (Title XIII of the American Recovery and Reinvestment Act of 2009) as amended. 2.2. “ACCE” means Program’s academic coordinator of clinical education 3. Program Responsibilities. 3.1. Provide a statement to the Facility that describes the philosophy, goals, objectives, and schedule of: 3.1.1. The Program’s curriculum generally; and 3.1.2.Each Experience in particular; 3.2. Ensure that each Student appropriately is assigned to the Experience, including: 3.2.1.Evaluating the Student’s competence and knowledge before the Experience begins; 3.2.2.Assessing Student's health before Experience begins; and OGC Approved - NTJR- 7.19.23 Page 1 of 7 Docusign Envelope ID: 14CC9D4D-0AGF-8319-8108-D01CC01CDO00E 21 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 3.2.3.Requiring the Student to carry appropriate general and professional liability insurance; 3.3. Ensure that the Student is knowledgeable concerning and has prepared for: 3.3.1. Transportation needed to fulfill responsibilities at the Facility; 3.3.2.Room and board concurrently with the Experience; and 3.3.3.Scheduling arrival at and departure from the Facility; 3.4. Ensure Students are made aware of and are directed to comply with Facility’s applicable rules, regulations, policies, procedures, and requirements during their Experiences; 3.5. Ensure that the Student has been made aware of each Program requirement and regulation for clinical education, including professional practice standards; 3.6. Facilitate communication between the Parties, including: 3.6.1.Appointing a member of Program's faculty to serve as ACCE; 3.6.2.Notifying the Facility in writing of the identity of the ACCE and any Program-designated Program director; 3.6.3.Notifying the Facility annually of each then-current academic year's clinical education schedule; 3.6.4. Notifying the Facility of each specific Student assignment no later than ten working days before the Student's arrival, subject to the arrangement set forth below in Sections 5.2 and 5.3; and 3.6.5.Describing to the Facility specific Student outcome objectives for each assigned Student's Experience; _~ 3.7. Direct Students to comply with and participate in all of Facility’s required trainings and orientations --~ segarding Facility’s policies and procedures governing any use or disclosure of individually identifiable _ health information under federal law, specifically including HIPAA; and 3.8. Ensure at Facility’s request that each Student signs and delivers to Facility before the Experience begins a copy of a Confidentiality Understanding (attached and incorporated into this Agreement as Attachment A). 4. Facility Responsibilities. 4.1. Accept a mutually agreed upon number of Students which the Program has selected for an Experience period; 4.2. Provide any applicable annually updated information that is necessary to complete Program’s Clinical Education Center Information form; 4.3. Notify the Program - no later than fifteen working days before a clinical assignment - of any change in Facility's ability to accept the Student; OGC Approved - NTJR- 7.19.23 Page 2 of 7 Docusign Envelope ID: 14CC9D4D-0ACF-8319-8108-D01CC01CDO0E 22 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 4.4, Provide the Student a clinical schedule averaging no more than forty (40) hours per week; 4.5. Complete and return each Student evaluation according to the Program’s guidelines and schedule; 4.6. Recognize the right of Student’s to work and earn in an environment free from sexual harassment and agree that sexual harassment will not be tolerated in the Facility. 4.7. Inform and train the Student regarding Facility’s applicable rules, regulations, policies, procedures, and schedules, including HIPAA-related policies and practices; 4.8. Facilitate communication between the Parties, including appointing a member from Facility to serve as clinical coordinator and notifying the Program of the member's identity; 4.9. Certify itis either a hospital as defined by the Idaho No Public Funds for Abortion Act or is otherwise not an abortion provider and disclose if it or an affiliate is or becomes an abortion provider per Idaho Code § 18-8701 et seq. 5. Student Experience Characteristics. 5.1. No Employment relationship to Either Party, unless previously specified. 5.1.1.1n General. Facility’s rules and regulations apply to each Student which Program assigns to an Experience. 5.1.2.Liability. The Student is not considered an officer, employee, agent, representative, or volunteer of either Party for any purpose, including, but not limited to, liability, but instead is a Student engaged in educational Experiences as a part of the Program’s curriculum. 5.1.2.1. In the event the student is employed by Facility prior to the educational experience, 5.1.2, and 5.1.3 does not apply, and is considered an employee of Facility. > 5.1.3.HIPAA: The Student specifically is not and must not be considered to be Facility’s employee. But the ~= -§tudent is considered to be a member of the Facility’s workforce, when engaged in any Agreement activity: 5.1.3.1. Solely for the purpose under HIPAA to define the Student's role in relation to using and disclosing Facility’s protected health information; and 5.1.3.2. As workforce is defined under 45 CFR 160.103. 5.2. Short-Notice Assignment. In an emergency circumstance, Program has a right to assign a Student to an Experience upon less than ten days’ notice to Facility. The Facility reserves a right to accept or reject that assignment. 5.3. Short-Notice Cancellation. Program retains a right to cancel a Student’s Experience assignment for academic or other good cause upon less than ten days’ notice to Facility, with no duty to designate another Student as a replacement. QGC Approved ~ NTJR- 7.19.23 Page 3 of 7 Docusign Envelope ID: 144CC9D4D-0ACF-8319-8108-D01CCO1CDO0E 23 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 5.4. Assignment Refusal. Facility retains a right for good cause to refuse any clinical assignment upon less than fifteen working days’ notice. 5.5. Withdrawal. Each Party is entitled at any time to withdraw the Student from the Facility after assignment for any of the following reasons that the Party must document: 5.5.1.The Student’s unprofessional or unethical behavior; 5.5.2. The Facility’s staff's unprofessional or unethical behavior that directly affects the Student's Experience; 5.5.3. The Student's failure to meet Program’s prerequisite academic requirements; or 5.5.4.Any good cause, including but not limited to, any medical emergency. 6. Effective Duration. 6.1. Term. The Agreement's term begins on Effective Date and is continuous with automatic one-year renewals on each successive anniversary of the Effective Date. 6.2. Termination. Each Party has a right at any time to terminate the Agreement upon no later than sixty (60) days’ advance written notice to the other Party. 6.3. In the event of termination of this Agreement by either party, Students currently assigned to clinical experiences at Facility at the time of notice of termination will be given the opportunity to complete their Experience at Facility, unless withdrawn as set forth in Student Experience Characteristics Withdrawal Section above. 7. Liability. 7.1, Program Commitment. 7.1 1.dnsurance. Program at its own expense shall provide adequate liability insurance and/or self-funded coverage for its officers, employees, and agents. Program must ensure that its liability insurance has an claims-made form. Program, at Facility’s request, will deliver a certificate of financial! responsibility to Facility. 7.1.2.Program Responsibility: 7.1.2.1, To the extent permitted by applicable law, including, but not limited to, the Idaho Tort Claims Act (1.C. § 6-901 et seq.), Program will be responsible for damage to persons or property resulting from the negligence on the part of itself, its officers, employees, or agents. Neither party will be considered the agent of the other and neither party assumes responsibility to the other party for the consequences of any act or omission of any person, firm, or corporation not a party to this Agreement. Program shall not be responsible for the acts or omissions of Facility its officers, employees, or agents. The Program will provide Workers Compensation coverage for, and be responsible for injuries or illness timely reported by Students that are OGC Approved - NTJR- 7.19.23 Page 4 of 7 Docusign Envelope ID: 144CC9D4D-0ACF-8319-8108-D01CC01CDO0E 24 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 incurred in the course of their authorized assignment(s) at the Facility, except for instances when the Student is also employed by the Facility during their practicum assignment and then the obligation for Worker's Compensation coverage will be the responsibility of the Facility. 7.1.2.2. Any claim which involves a Student shall be the responsibility of the Student insurance carrier. 7.2. Facility Commitment. 7.2.1.Insurance, Facility at its own expense shall provide adequate liability insurance coverage for its officers, employees, and agents. Facility, at Program's request, will deliver a certificate of insurance to Program. 7.2.2.Facility Responsibility. 7.2.2.1, To the extent of Facility’s preceding insurance coverage and permitted by applicable law, the Facility will be responsible for damage to persons or property resulting from the negligence on the part of itself, its officers, employees, or agents. Neither party will be considered the agent of the other and neither party assumes responsibility to the other party for the consequences of any act or omission of any person, firm, or corporation not a party to this Agreement. Facility shall not be responsible for the acts or omissions of Program. 7.3. Student Insurance. 7.3.1.Student Requirement. Student is required to have general and professional liability insurance with limits of liability of $1,000,000 per occurrence and $3,000,000 aggregate before the Student begins the assignment, and to remain-in-force for the entire time period of their assignment at the Facility.. 7.3.2.Program Duty. The Program ensures that the 7.3.1 general and professional liability insurance coverage for any Student assigned to the Facility has been obtained before Program has assigned the Student. The Program, at Facility’s request, will deliver a certificate of insurance to the Facility listing the Facility on the certificate along with Program. 7.3.3,.Auto Insurance. An intern may only be covered under the Facility's automobile liability insurance when given prior authorization and permission by the County to drive its vehicles, and within the course and scope of the Student's assigned duties, but no coverage is represented or provided for unauthorized vehicle use, operation outside of assigned duties, or for physical damage to a County vehicle except as expressly provided by the applicable County insurance policy. 8. Immunities. The Parties agree Program shall retain all of its governmental immunities and protections under applicable law, including, but not limited to, the Idaho Tort Claims Act (I.C. § 6-901 et seq.), which shall apply to the terms of this Agreement and any claims brought against Program. If Facility is a governmental entity, Facility shall atso retain all of its governmental immunities and protections under applicable law. 9. Confidentiality. The Facility agrees to treat Student records as confidential and shall not disclose any Student records to a third-party without the prior express written consent of Student, unless such disclosure is otherwise required or permitted by applicable law. OGC Approved — NTJR- 7.19.23 Page 5 of 7 Docusign Envelope ID: 14CC9D4D-0ACF-8319-8108-D01CC01CDO00E 25 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 10. Amendment. Any change to this arrangement requires a written amendment executed by both Parties, 11. Notices. Each Party must send any notice under this agreement in writing either hand-delivered or mailed by certified mai! to the addresses set forth below. 12. Binding Authority. Each Party has authorized an undersigned individual to sign this Agreement on behalf of that Party. To express the parties’ intent to be bound by the terms of this Agreement they have executed this document on the dates set forth below. Signature page to follow. Program Notification Address: Facility Notification Address: Idaho State Universit Matthew K. Phillips General Counsel HR and Risk Director 921 S. 8" Ave., Stop 8410 624 E. Center, Ste #214 Pocatello, ID 83209-8410 Pocatello, ID 83201 Idaho State University Bannock County exiSignodiby: By; Rex Force Jeff Hough ~~ Title: VP DHS - Title: Bannock County Commissioner Chairman pate: 12026 Date: _ OGC Approved - NTJR- 7.19.23 Page 6 of 7 Docusign Envelope ID: 144CC9D4D-0ACF-8319-8108-D01CC01CDO0E 26 BOARD OF BANNOCK COUNTY COMMISSIONERS Tuesday, August 11, 2026 ATTACHMENT A Confidentiality Understanding By signing and dating this Confidentiality Understanding, the undersigned Student indicates an understanding of, and agrees to be bound by, a certain Affiliation Agreement between_____ (“Facility”) and Idaho State University, on behalf of its Community Health Worker Training Program (“Program”). As a material part of any consideration that Student provides to Facility in exchange for Facility allowing the Student's clinical education at Facility, Student confirms that any patient information acquired during the clinical education is confidential, and Student at all times must maintain the confidentiality of and not disclose this information, whether during the clinical education or after it has ended. Student further must abide by the applicable rules and policies of both Facility and Program while at Facility. Student understands that, in addition to other available remedies, Facility immediately may remove the Student and terminate the Student’s clinical education if Facility considers the Student to endanger any patient, breach patient confidentiality, disrupt Facility’s operation, or not to comply with any request by Facility including its supervisory staff. | have read and understand the Affiliation Agreement, and | agree to abide by this Confidentiality Understanding. Student's Signature Date Student's Name (Print) SU's Program Witness (Signature) | Date ISU's Program Witness Name and Title (Print) OGC Approved — NTJR- 7.19.23 Page 7 of 7