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Amendment 4
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2018
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10. October
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2018-10-16 10:00 AM - Commissioners' Agenda
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Amendment 4
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Entry Properties
Last modified
11/2/2018 11:16:48 AM
Creation date
11/2/2018 11:16:13 AM
Metadata
Fields
Template:
Meeting
Date
10/16/2018
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
g
Item
Request to Approve Amendment 4 to the 2018-2020 Consolidated Contract between the Department of Health and the Kittitas County Public Health Department
Order
7
Placement
Consent Agenda
Row ID
48517
Type
Agreement
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Kittitas County Public Health Department <br />Indirect Rate as of January 2018: 29.50% Public Health Dept & 12.50% County Central Svcs <br />Chart of Accounts Prognm Title <br />Sanitary Survey Fees (FO-E) SS-State <br />YR 20 SRF -Local Asst (15%) (FS) TA <br />YR 20 SRF -Local Asst (15%) (FS) TA <br />YR 21 SRF -Local Asst (15%) (FS) TA <br />TOTAL <br />Total consideration: <br />GRAND TOTAL <br />•Catalog of Federal Domestic Assistance <br />Federal Award <br />Identification # <br />$151,121 <br />$117,548 <br />$268,669 <br />••Federal revenue codes begin with "333". State revenue codes begin with "334", <br />Amcnd,/1 <br />NIA, Amd 3 <br />Amd3 <br />NIA, Amd 3 <br />Amd3 <br />EXHIBIT 8-4 <br />ALLOCATIONS <br />Contract Term: 2018-2020 <br />BARS Statement of Work <br />Revenue Funding Period <br />oou tlse.O,~· <br />~hllr'f of Acc.ou:dt.r; :.-. _,,__ ~ ,._. <br />Jilfnding Berfod <br />CFDA* Code** Start Date End Date S1::trt tf>a~ _En,d Oak <br />NIA 346.26.65 01101118 12131118 Wf'.i1 111:; U6'31:111 19 <br />NI A 346.26.66 01/01/18 12131118 ()1/01 11~ tilat/1~ <br />NIA 346.26.66 01 101118 12131/18 01i(J JI IS ll/3•11 I8 <br />NIA 346.26.66 01101118 12131/18 Q:7/lJJ'/17 o..&38119 <br />Page2 of2 <br />AmoUJTl <br />$2,400 <br />($2,000) <br />$2,000 <br />$2,000 <br />$268,669 <br />Contract Number: <br />Date: <br />Funding <br />Period <br />Sub Total <br />$2,400 <br />$0 <br />$2,000 <br />$268,669 <br />GRAND TOTAL <br />Total Fed <br />Total State <br />CLH18249 <br />July 16, 2018 <br />Chart of <br />Accounts <br />'roraJ <br />$2,400 <br />$0 <br />$2,000 <br />$268,669 <br />$201,369 <br />$67,300
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