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Amendment 17
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2021
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01. January
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2021-01-05 10:00 AM - Commissioners' Agenda
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Amendment 17
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Last modified
2/11/2021 11:48:34 AM
Creation date
2/11/2021 11:47:17 AM
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Meeting
Date
1/5/2021
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
l
Item
Request to Approve and Authorize the Public Health Administrator to Sign Amendment No. 17 to the 2018-2021 Consolidated Contract between the Department of Health and the Kittitas County Public Health Department
Order
12
Placement
Consent Agenda
Row ID
70983
Type
Contract
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AMENDMENT #17Exhibit A, Statements of WorkRevised as ofSeptember 15,2020Paymentlnformationand/or AmountProgram SpecificRequirementsReimbursementfor actual costs,not to exceedtotal contractfunding. SeeProgram SpecificRequirementsDue Date/Time FrameYear l-FFYI8:April 15, 2019 (coveringFebruary 19, 2019-March 30, 201 9)July 15,2019 (coveringMarch 3 l, 201 9-June 29, 2019)October 15, 2019 (coveringJune 30, 2019-September 29,2019)Year 2-FFY19:January 1 5, 2020 (coveringSeptember 30, 201 9 -December 30,2019)April 15, 2020 (coveringDecember 3 l, 2019-March 30, 2020)July 15,2020 (coveringMarch 3 l, 2020-June 29, 2020)October 15, 2020 (coveringJune 30, 2020- September 29,2020)Year 3-FFY20:January 1 5, 202 1 (coveringSeptember 30, 2}2}-December 30,2020)April I 5, 202 I (coveringDecember 3 1, 2020-March 30, 202 1)July 15,2021 (coveringMarch 3 I, 202 I -June 29, 2021)October I 5, 202 I (coveringJune 30,2021- September 29, 2021)Deliverables/OutcomesQuarterly progress reports toDOH via SharePoint site oremail*May Support PHABStandards/MeasuresTask /Activity/DescriptionPROGRAM ADMINISTRATION:Perform administrative duties related toLSPAN.TaskNumber1cPage 12 of 42Contract Number CLHI 8249 -17
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