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Agreement CPWI Prevention Services
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2019-11-05 10:00 AM - Commissioners' Agenda
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Agreement CPWI Prevention Services
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Last modified
12/3/2019 9:19:52 AM
Creation date
12/3/2019 9:18:36 AM
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Meeting
Date
11/5/2019
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
h
Item
Request to Approve an Interagency Agreement between HCA and Kittitas County for CWPI Prevention Services
Order
8
Placement
Consent Agenda
Row ID
57663
Type
Agreement
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3.3.2 Contractor's compensation for services rendered will be based on the amounts <br />listed in the Exhibit D, A&R and/or in accordance with the terms outlined in the <br />Fiscal/Program Requirements and Invoices and Payments. In addition, the <br />Contractor must meet the schedule set forth in Schedule A, Statement of Work <br />and additional Exhibits as applicable to the Contractor. <br />3.3.2.1 Total compensation payable to Contractor for satisfactory <br />performance of the work under this Agreement is $220,000. The <br />fund sources and maximums for this Agreement are up to <br />$159,858 from the Substance Abuse Block Grant (SABG) Block <br />Grant, CFDA #93.959; $13,902 from General Fund State; <br />$46,240 Dedicated Marijuana Account (OMA) Funds; $0 <br />Partnership for Success (PFS) 2018 CFDA #93.243; $0 State <br />Opioid Response (SOR) and/or SOR supplemental CFDA <br />#93.788; $0 State Targeted Response (STR) no cost extension <br />CFDA #93.788; and $0 Partnership for Success (PFS) 2013 no <br />cost extension CDFA #93.243. <br />3.3.3 Federal funds disbursed through this Agreement were received by HCA. <br />3.3.3.1 Contractor agrees to comply with applicable rules and regulations <br />associated with these federal funds and has signed Attachment <br />2: Federal Compliance, Certification and Assurances, attached. <br />3.4 INVOICE AND PAYMENT <br />3.4.1 Contractor must submit accurate State Farm A-19 invoices, or other such forms <br />as designated by HCA, to the following address for all amounts to be paid by <br />HCA via e-mail to: A -19D8HR@hca .wa.gov not more than monthly unless <br />approved by HCA. Contractor may bill for cost reimbursement for month of <br />service if appropriate service data is provided in Minerva. The Contractor must <br />include the HCA Agreement number in the subject line of the email, followed by <br />the Prevention System Naming Convention and cc the Agreement Manager or <br />designee when submitting the invoice. <br />3.4.2 Invoices must describe and document to HCA's satisfaction a description of the <br />work performed, the progress of the project, and fees. If expenses are invoiced, <br />invoices must provide a detailed breakdown of each type. <br />3.4.3 HCA shall not be obligated to reimburse the Contractor for any services or <br />activities performed prior to having a fully executed copy of this Contract. <br />3.4.4 The Contractor assures that work performed and invoiced does not duplicate <br />work to be charged to the State of Washington under any other Contract or <br />agreement with the Contractor. <br />3.4.5 If the Contractor claims and HCA reimburses for expenditures under this <br />Washington State <br />Health Care Authority Page 12 of 90 HCA Contract No. K3924
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