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PSA Amendment 1 CHCW CYSHCN 2021-2022
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2022-02-15 10:00 AM - Commissioners' Agenda
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PSA Amendment 1 CHCW CYSHCN 2021-2022
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Last modified
2/10/2022 1:04:18 PM
Creation date
2/10/2022 1:01:02 PM
Metadata
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Meeting
Date
2/15/2022
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
f
Item
Request to Approve Amendment No. 1 to the Professional Service Agreement between the Kittitas County Public Health Department and Community Health of Central Washington
Order
6
Placement
Consent Agenda
Row ID
86034
Type
Contract
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<br />Professional Services Agreement <br />Page 1 of 21 <br /> <br /> <br /> <br /> <br />CYSHCN PROFESSIONAL SERVICES AGREEMENT <br />AMENDMENT 1 <br /> <br /> <br /> <br /> This Agreement is made by and between Kittitas County (hereinafter “the County”) <br />and Community Health of Central Washington (hereinafter “Contractor”). The County and <br />Contractor agree as follows: <br /> <br /> General Conditions; Exhibit A (Scope of Work); Exhibit B (Compensation); <br />Exhibit C (Proof of Insurance); Exhibit D (Consolidated Contract CLH31015 <br />between Kittitas County and the Washington State Department of Health); <br />Exhibit E (CYSHCN Quarterly MCHBG Reporting Form); Exhibit F (CYSHCN <br />Annual Reporting Form) <br /> <br />copies of which are attached hereto and incorporated herein by this reference as fully as if <br />set forth herein. <br /> <br /> The following documents and/or laws are incorporated by reference as fully as if set <br />forth herein: <br /> <br />• HRSA - Title V Maternal and Child Health Services Block Grant Program <br /> http://mchb.hrsa.gov/programs/titlevgrants/index.html <br />• Social Security Act Title V Laws: <br />http://www.ssa.gov/OP_Home/ssact/title05/0500.htm <br /> <br /> The term of this Agreement shall commence on October 1st, 2021, and continue until <br />September 30, 2022. Any party may terminate this Agreement by giving thirty (30) days <br />notice in writing either personally delivered or mailed postage-prepaid by certified mail, <br />return receipt requested, to the party's last known address for the purposes of giving notice <br />under this paragraph. <br /> <br /> Contractor acknowledges and by signing this Agreement agrees that the <br />Indemnification provisions set forth in Paragraphs 7 (Independent Contractor), 9 (Taxes), <br />15 (Defense and Indemnity Agreement), 21 (Patent/Copyright Infringement) and 24 <br />(Confidentiality), are totally and fully part of this Agreement and have been mutually <br />negotiated by the parties. <br /> <br />IN WITNESS WHEREOF, the parties have executed this Agreement this ____ day of _____, <br />2022.
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