|
EXHIBIT B-12
<br />Kittitas County Public Health Department ALLOCATIONS Contract Number: C17114
<br />Contract Term: 2015-2017 Date: May 15, 2017
<br />Indirect Rate as of January 2015 : 40.25%
<br />Indirect Rate as of January 2017: 11.25% County Central Svcs & 29.5% Public Health Dept
<br />BARS Statement of Work Chart of Accounts Funding Chart of
<br />Federal Award Revenue Funding Period Funding Period Period Accounts
<br />C luirt of A "counts Proem Title Jd.enti ~tion # A m end II-CFDA* Code** Start Date End Date Start Date End Date Amount Sub Total Total
<br />FFY16 PPHF Adolescent AFIX INH23IP922562-01-00 Amend 12 93.733 333.93.73 04 /01117 04 130 /17 09 /30 /15 09 /29 /17 $1,000 $1,000 $1,000
<br />FFY15 PPHF liS AFIX NH23IPOOI032-01-O 1 Amend 12 93.733 333.93.73 04/01117 04/30 /17 09 /30 /15 09 /29 /17 ($1,000) $0 $0
<br />FFYI5 PPHF liS AFIX NH23IPOOI032-01-01 Amend 11 93 .733 333.93.73 04 /01 /17 04 /30 /17 09 /30 /15 09 /29 /17 $1,000
<br />FFYI5 MCHBG CBP ConCon B04MC28134 Amend 3 93.994 333 .93.99 01/01115 09/30/15 10/01 /14 09 /30/15 $1,723 $34,870 $34,870
<br />FFYI5 MCHBG CBP ConCon B04MC28134 N/A 93 .994 33 3.93 .99 01101 /15 09 /30 /15 10101 /14 09/30/15 $33,147
<br />FFYI7 MCHBG LHJ & Other Contracts 17B04MC30649 Amend 8 93 .994 333 .93.99 10/01116 09/30/17 10/01/16 09/30 /17 $44,196 $44,196 $88 ,392
<br />FFYI6 MCHBG LHJ & Other Contracts B04MC29364 Amend 3 93 .994 333 .93 .99 10101 /15 09/30 /16 10/01" 5 09 /30 /16 $44,196 $44,196
<br />Drinking Water Group B Amend 10 N/A 334.04.90 07/01117 12/31117 07/01/17 12/31117 $5,000 $5,000 $10,000
<br />Drinking Water Group B Amend 10 N/A 334 .04.90 01 /01 /17 06 /30 /17 01 /01117 06 /30 /17 $5,000 $5 ,000
<br />Drinking Water Group A -SS Amend 10 N/A 346 .26.64 01101115 12/31/17 01101115 12/31/17 $2,800 $9,400 $9,400
<br />Drinking Water Group A -SS Amend 9,10 N/A 346.26.64 01101 /15 12/31 /17 01 /01115 12/31 /17 51,600
<br />Drinking Water Group A -SS Amend 6, 10 N/A 346.26.64 01101 /15 12 /31/17 01 /01 /15 12 /31 /17 52,200
<br />Drinking Water Group A -SS N/A, Amd 6, 10 N/A 346.26.64 01101115 12/31/17 01101115 12/31 /17 $2,800
<br />Drinking Water Group A -SS State Amend 10 N/A 346.26.65 01101115 12 /31117 01 /01/15 12 /31 /17 52,800 59,400 $9,400
<br />Drinking Water Group A -SS State Amend 9,10 N/A 346.26.65 OllOll15 12/31117 01/01115 12/31117 $1,600
<br />Drinking Water Group A -SS State Amend 6 , 10 N/A 346 .26.65 01101/15 12 /31117 01 /01115 12 /31 /17 52,200
<br />Drinking Water Group A -SS State NI A , Amd 6, 10 N/A 346 .26.65 01101115 12 /31117 01101115 12/31117 52,800
<br />Drinking Water Group A -T A Amend II N/A 346.26 .66 01 /01115 12/31117 01101 /15 12/31 /17 ($2,400) $3,000 $3 ,000
<br />Drinking Water Group A -T A Amend \0 N/A 346.26.66 01101115 12/31117 01101 /15 12/31117 $2,000
<br />Drinking Water Group A -TA Amend 9,10 N/A 346.26.66 01101/15 12/31/17 01101115 12/31117 ($1,600)
<br />Drinking Water Group A -T A Amend 6, 10 N/A 346 .26.66 01/01115 12/31 /17 01 /01115 12/31 /17 $1,000
<br />Drinking Water Group A -TA N/A , Amd 6 , 10 N/A 346.26.66 01101115 12 /31117 01 /01 /15 12 /31117 $4,000
<br />TOTAL $358,397 $358,397
<br />Total consideration: $358,397 GRAND TOTAL $358,397
<br />$0
<br />GRAND TOTAL $358,397 Total Fed $326,597
<br />Total State $31,800
<br />Page 2 of3
|