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Amendment 17
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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
Metadata
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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 #17*For Information Onlv:Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting aStandard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at:Exhibit A, Statements of Work page 37 of 42 Contract Number CLHlg249_17Revised as ofSeptember 15,2020Payment lnformationand/or AmountSee paymentinformation asreferenced in tasknumber 1.0.FFY2IDue Date/Time FrameFor the Period:l0l0ll20 to 09130121Due: Monthly - Submitinvoices to DOH no laterthan 30 calendar days afterthe end ofthe precedingmonth. (E.g. October A19invoice submitted no laterthan November 30)o Oct. Invoice due:t'U30t20o November:12130120o December:01130121o January: 02128121o February:03130121o March: 04130121o April: 05130121o May: 06130/21o June: 07130/21o July: 08130121o August: 09130121Final invoice is dueOctober 30,2021, or followclose-out schedule.Or*Ifpre-approved inwriting by DOH, agenciescan submit invoices everytwo months. Upon approval,a list of submission dateswill be provided.Measure (whereapplicable)SNAP-Ed invoices (Al9)with all documented costsand any requiredaccompanying materialsreceived at DOH by duedates required, or byapproved extension date.Delivera bles/OutcomesOn-time delivery of correctcompletion of SNAP-Ed A19invoices, using the current form forthe fiscal year.On-time delivery of detailed ledgersupporting the costs to be reviewedby SNAP-Ed program via the mostcurrent submission procedurebefore approval of payment.Complete documentation of allactual costs incurred shall beaccompanied by the Subrecipient'sfinancial system report. IfSubrecipient does not have afinancial reporting system, theSubrecipient must check with theDOH SNAP-Ed program forfurther guidance.Task/Activity/Descriptio n*See special requirements section -MonitoringSNAP-Ed A19 InvoicesSubrecipients must use the A19invoice form specific to the DOHSNAP-Ed program. This documentwill be sent to all Subrecipients priorto October 31't ofthe current fiscalyear.TaskNumber5.0
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