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EXHIBIT B-5
<br />Kittitas County Public Health Department ALLOCATIONS Contract Number: CI7114
<br />Contract Term: 2015-2017 Date: November 16,2015
<br />Indirect Rate as of January 2015: 40.25%
<br />DOH Use Only
<br />BARS Statement of Work Cbart of Accounts Funding Chart of
<br />Federal Award Revenue F unding Period Funding Period Period Accounts
<br />Chart of Accounts Program Title Identification # Amend # CFDA* Code** Start Date End Date Start Date End Date Amount Sub Total Total
<br />FFYI4 EPR LHJ Funding U90TPOOOSS9 Amend 2 93.069 333.93.06 OIlO II1 S 06/30/lS 07/01/14 06/30/15 $528 $23,574 $23 ,S74
<br />FFYI4 EPR LHJ Funding U90TPOOOSS9 N/A 93.069 3339306 OI/OII1 S 06/30 /l S 07/01/14 06 /30115 $23 ,046
<br />FFYIS EPR PHEP BP4 LHJ Funding U90TPOOOSS9 Amend 4 93.069 333.93.06 07 /01 /i S 06/30 /16 07/01115 06130116 $S ,OOO $SS ,OOO $55 ,000
<br />FFYIS EPR PHEP BP4 LHJ Funding U90TPOOOSS9 Amend 3 93.069 333.93.06 07 /0 1l1S 06/30/16 07/01115 06/30116 1 $SO ,OOO
<br />FFYI4 EPR Planning & Exercises U90TPOOOSS9 Amend I 93.069 3339306 OIlO II1 S 06 /30l1S 07/01114 06/30115 $24,078 $24,078 $24,078
<br />FFY16 317 Ops H23IPOO0762 Amend 5 93.268 333.93.26 0110 1/16 12/3 1116 01101116 12/31116 1 $1,232 $1,232 $2,685
<br />FFYIS 317 Ops H231POO0762 Amend I 93.268 333.93.26 OI /OI /I S 12/3 1/1S 01101115 12/31115 $193 $1,453
<br />FFYIS 317 Ops H231POO0762 N/A 93.268 333.93.26 OIlO II1S 12 /3 1/1S 011011 15 12131115 $1,260
<br />FFYI6 AFIX H23IPOO0762 AmendS 93.268 333.93.26 0 1/0 1/16 12 /3 1116 01/01116 12/31116 $4,293 $4,293 $9,306
<br />FFYIS AFIX H231POO0762 N/A 93.268 333.93.26 OIlOI I1S 12 /31 /1S 01101115 12131115 $S ,013 $S ,013
<br />FFYI6 VFC Ops H23IPOO0762 Amend 5 93.268 333.93.26 0 1/0 1/16 12/3 1/16 01/01/16 12/31/16 $828 $828 $2,337
<br />FFY 15 VFC Ops H231POO0762 Amend I 93.268 333.93 .26 OIlO II1S 12/3 1/1S 01l01/1S 12/31115 $380 $1 ,S09
<br />FFYIS VFC Ops H231POO0762 N/A 93.268 333.93.26 OIlO II1S 12/3 1/1S 01/01115 12/31115 $1 ,129
<br />FFY16 VFC Ordering H23IPOO0762 Amend 5 93.268 333.93.26 0 1/0 1/16 12/3 1/16 01/01116 12/31116 1 $1,400 $1,400 $2 ,554
<br />FFY IS VFC Ordering H231POO0762 N/A 93.268 333.93.26 OI /O I /I S 12/3 1/1S 01101115 12/31115 $1 ,IS4 $1 ,IS4
<br />FFYI4 Enhance lIS and VTrckS H23IPOOO922 Amend 5 93.733 333.93.73 12/0 1/i S 08 /3 1/16 09/30/14 09129116 $1,087 $1,087 $1,087
<br />FFY IS MCHBG CBP ConCon B04MC28134 Amend 3 93.994 333.93.99 OIlO II1S 09 /30l1S 10101/14 09/30/15 $1 ,723 $34,870 $34,870
<br />FFYIS MCHBG CBP Con Con B04MC28134 N/A 93 .994 333.93.99 OI /OI I1S 09/30l1S 10/01114 09130/15 . $33 ,147
<br />FFYI6 MCHBG LHJ & Other Contracts B04MC29364 Amend 3 93.994 333.93.99 1010 1/iS 09/30116 10/01115 09130/16 1 $44,196 $44,196 $44,196
<br />Drinking Water Group A -SS N/A N/A 346.26.64 OIlO II1S I2 ntl lS I 07101113 121311 ~ $2 ,800 $2 ,800 $2 ,800
<br />Drinking Water Group A -SS State N/A N/A 346.26.6S OI /OI /I S 12 /3 1/1S 07/01113 12/31115 $2 ,800 $2 ,800 $2 ,800
<br />Drinking Water Group A -TA N/A N/A 346.26.66 OIlO II1S 12/3 111S .....Q1101 LIL.l2LliLI 5 $4 ,000 $4,000 $4 ,000
<br />TOTAL $209,287 $209,287
<br />Total consideration: $200,447 GRAND TOTAL $209,287
<br />$8,840
<br />GRAND TOTAL $209,287 Total Fed $199,687
<br />Total State $9,600
<br />*Catalog of Federal Domestic Assistance
<br />**Federal revenue codes begin with "333". State revenue codes begin with "334".
<br />Page I of I
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