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Con Contract Amend 5
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2018
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12. December
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2018-12-04 10:00 AM - Commissioners' Agenda
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Con Contract Amend 5
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Last modified
12/19/2018 9:33:31 AM
Creation date
12/19/2018 9:33:17 AM
Metadata
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Template:
Meeting
Date
12/4/2018
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
j
Item
Request to Approve Amendment #5 to the 2018-2020 Consolidated Contract between the Department of Health and the Kittitas County Public Health Department
Order
10
Placement
Consent Agenda
Row ID
49668
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 Pro&ram Tille <br />YR 21 SRF -Local Asst (15%)(FS) SS <br />Sanitary Survey Fees (FO-E) SS-State <br />YR 20 SRF -Local Asst (I 5%) (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 />ldcn.tification #c <br />$268,669 <br />$885 <br />$269,554 <br />••Federal revenue codes begin with "333". State revenue codes begin with "334". <br />,._ <br />Amend Ii <br />Amd3 <br />NIA, Amd 3 <br />Amd3 <br />NIA, Amd 3 <br />Amd3 <br />EXHIBITB-5 <br />ALLOCATIONS <br />Contract Tenn: 2018-2020 <br />BARS Statement of Work <br />Revenue Funding Period <br />l>Oll ll~b (?DI) <br />CJtiu1 or l\1:i:oOJ1' <br />_ Fu111Jt,n_g l~IW <br />CFDA* Code*., Start Date Eud Due Star4 l>ate End U:1~ <br />NIA 346.26.64 01/01/18 12/31/18 07l01'1 <br />NIA 346.26.65 01/01118 12/31/18 U7tOl/l <br />NIA 346.26.66 01101/18 12/31/18 0711)1/J':5 12la-Utl> <br />NIA 346.26.66 01/01/18 12131/18 07/0111'5 IWW8 <br />NIA 346.26.66 01101118 12/31/18 1)71'1Jl'17 <br />Page2 of2 <br />Amount <br />$2,400 <br />$2,400 <br />($2,000) <br />$2 ,000 <br />$2,000 <br />$269,554 <br />Contract Number: <br />Date: <br />Funding <br />Period <br />Sub Total <br />$2,400 <br />$2 ,400 <br />$0 <br />$2,000 <br />$269,554 <br />GRANDTOTAL <br />Total Fed <br />Total State <br />CLH18249 <br />September 17, 2018 <br />Chart of <br />Accounts <br />Total <br />$2,400 <br />$2,400 <br />$0 <br />$2,000 <br />$269,554 <br />$202,254 <br />$67,300
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