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Consolidated Contract Amend 1
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2018-04-03 10:00 AM - Commissioners' Agenda
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Consolidated Contract Amend 1
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Last modified
6/13/2018 12:35:17 PM
Creation date
6/13/2018 12:34:39 PM
Metadata
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Template:
Meeting
Date
4/3/2018
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
e
Item
Request to Approve Amendment No. 1 to the 2018-2020 Consolidated Contract between the Department of Health and the Kittitas County Public Health Department
Order
5
Placement
Consent Agenda
Row ID
43585
Type
Agreement
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EXHIBIT B-1 <br />Kittitas County Public Health Department ALLOCATIONS Contract Number: CLHI8249 <br />Contract Term : 2018-2020 Date: January 16,2018 <br />Indirect Rate as of January 2018: 11.25% County Central Svcs & 29.5% Public Health Dept <br />DOli Use Only <br />BARS Statement of Work Chart of ACCOUDts Funding Chart of <br />Federal Award Revenue Funding Period FUDding Period Period Accounts <br />Chart of Accounts Pro~am Title Identification # Amend # CFDA* Code** Start Date End Date Start Date Eud Date Amount SubTotal Total <br />FFYI8 CSS IAR SNAP ED Program Mgnt NGA Not Received N/A 10.561 333.10.56 01/01118 09/30/18 10/01117 09/30/18 $8,830 $8,830 $10 ,302 <br />FFY17 CSS 1AR SNAP ED Program Mgnt CF NGA Not Received N/A 10.561 333.10.56 Ol I O 1/18 09 /30/18 10/01/\7 091301\8 $1,472 $1,472 <br />FFYI7 EPR PHEP BPI LHJ Funding NU90TP92 I 889-0 I N/A 93.069 333.93.06 0 110 1/18 06/30/18 07101/17 07/02118 $1 9 ,833 $19 ,833 $19,83 3 <br />FFYI7 317 Ops 5NH23IPOO0762-0S-00 N/A 93 .268 333.93.26 01 /01 /18 06 /30118 04101117 06/30/18 $6 16 $616 $6 16 <br />FFY17 AFIX 5NH23IPOO0762-05-00 N/A 93.268 333 .93 .26 01 /0 1/18 06 /30 /18 04101/17 06130118 $2,226 $2,226 $2,226 <br />FFYI7 YFC Ops 5NH23IPOO0762-05-00 N/A 93.268 333.93.26 0 110 1/18 06/30/18 04/01117 06130/18 $1 ,11 4 $1,114 $1,114 <br />FFYI8 MCHBG LHJ Contracts B04MC31524 N/A 93.994 333.93 .99 Ol i O 1/1 8 09 /30 /18 1O101l17 09/30118 $33,147 $33,147 $33,147 <br />GFS -Group B (FO-E) N/A N/A 334.04.90 01101118 06130118 07101/17 06/30/19 $5,000 $5,000 $5,000 <br />SFYI Lead Environments of Children Amdl N/A 334.04.93 0 1101118 06/30/18 07/01117 06130/18 $2,00 0 $2,000 $2,000 <br />YR 20 SRF -Local Asst (15%) (FS) SS N/A N/A 346.26 .64 0 1/01/18 12/3 1/20 07/01115 12131120 $2,400 $2 ,400 $2,400 <br />Sanitary Survey Fees (FO-E) SS-State N/A N/A 346.26.65 01/01/1 8 12/3 1/20 07101117 12/31120 $2,400 $2,400 $2,400 <br />YR 20 SRF -Local Asst (15%) (FS) T A N/A N/A 346.26.66 01101 /18 12/31120 07101/15 12/31120 $2,000 $2,000 $2,000 <br />TOTAL $81,038 $81 ,038 <br />Total consideration: $79,038 GRAND TOTAL $81,038 <br />$2,000 <br />GRANDTOTAL $81,038 Total Fed $67,238 <br />Total State $13,800 <br />*Catalog of Federal Domestic Assistance <br />**Federal revenue codes begin with "333". State revenue codes begin with "334". <br />Page 1 of 1
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