BFHD Contract-Kittitas Tobacco Prevention Amend 1 2019

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FUNDING SOURCE The funding for this contract comes from WA State Department of Health Youth Tobacco Vapor Products. (Bars Revenue Code 334.04.93). Funding for this contract must adhere to the following restrictions: ■ Funds may only be used for evidence -based tobacco control interventions, strategies, and activities. • Funds are generally not allowed to purchase furniture or equipment. Funds may not be used to provide direct cessation services or other direct services other than those through the evidence -based quite line services. • Funds may not be used to purchase nicotine replacement therapy or other products used for cessation. • Funds may not be used to purchase K-12 school curricula. BILLING INSTRUCTIONS The Benton -Franklin Health District receives it's funding for this contract through a Department of Health (DOH) grant. Because the District must adhere to specific requirements in order to access these funds, the following billing and invoice requirements must be met by the Contractor in order to be reimbursed for services performed under this contract: Payment must be based on reimbursement for allowable costs only. Itemized invoices must be received within 20 days of the close of the month in which services were provided. • Invoices must include expenditure object/category information for each program (i.e. salaries, benefits, travel, equipment, goods and services, etc.). A summary sheet of expenditures by category must be included along with a copy of a system -generated report (e.g. trial balance, expenditure report, general ledger report) from your accounting system supporting the summary. Expenditure categories to be included are: o Salaries o Benefits o Equipment o Supplies o Travel o Administrative/Indirect/Overhead o Other Supporting documentation to be made available to the District upon request. Invoices can be sent electronically as a PDF attachment to an email (preferred method) to the Accounts Payable contact listed on page one, or the original invoice with appropriate supporting documentation can be mailed. If you choose to provide electronic copies of invoices, please retain the original signed invoice in your files. CONTRACTOR NOT AN EMPLOYEE OF THE DISTRICT Contractor and its employees or agents performing under this contract are not employees or agents of the District. Kittitas County LHJ Tobacco contract 2019 Page 3