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Amenment 2
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2017-09-05 10:00 AM - Commissioners' Agenda
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Amenment 2
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Last modified
6/13/2018 12:21:25 PM
Creation date
6/13/2018 12:20:40 PM
Metadata
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Template:
Meeting
Date
9/5/2017
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
k
Item
Request to Approve Amendment No. 2 to Contract No. K763 between the Washington State Health Care Authority and the Kittitas County Public Health Department
Order
11
Placement
Consent Agenda
Row ID
39161
Type
Contract
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Exhibit 03, Budget Tool <br />ABCD Outreach & Case Management Contract Reporting <br />Contract Expenses (estimated) <br />Contract Period: July 1, 2017 through December 31,2017 <br />1st Quarter <br />EXPENSES July 1, 2017· <br />September 30, <br />2017 <br />Staffing/Salary & Benefits-add a column to identify % and hours per week for each year <br />Program Coordinator (x hrs/week = .X FTE) 4\,\ YS I Wtty-"/ O·lofT("7 \ ~0'21 t?1t\ . <br />Outreach Staff (x hrs/week = .X FTE) <br />Program Manager (x hrs/week = .X FTE) <br />Support Staff (clerical, IT, finance, communications/pr staff, other x hrs/week = .X FTE) <br />Administration (x hrs/ week (.X FTE) <br />Salary & Benefits Subtotal \\ij01.C?b <br />Operating Expenses <br />Advertising/Marketing (print, broadcast ads; cable TV time, movie ads, weekly newspaper, <br />billboards, social media) <br />Office Equipment (Copier, Fax) <br />Meeting Expenses (steering committee room, food, etc.) <br />Postag e <br />Printing (Outside Vendors) <br />Professional Services <br />Office Supplies <br />Operating Supplies ,?JI:00'OO <br />Telephone iG,OD <br />ABCD Certification Training/dentists and staff (room, audiovisuals, food, thank you to <br />participating families, promotion, etc.) <br />Travel (Per Diem, Transportation, Mileage/airfare, accommodations as required) for 3x annual <br />ABCD Coordinators meeting - 2 Seattle, 1 Central WA; and for 1x annual Dental Champion(s) <br />travel/expenses to Development Day, Seattle (Coordinator participation in this meeting <br />optional but recommended) <br />Computer SupportfTech Services <br />RenUlnsurance/Janitorial/Maintenance <br />HCA Contract No. «ContracCNumber» Page 11 of 12 <br />2nd Quarter <br />October 1,2017· <br />December 31, <br />2017 <br />1 v.ft?1. 0t) <br />\ \1111·~D <br />D·a:,y- <br />1<0 ,00 @
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