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KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT <br />2022.2024 CONSOLIDATED CONTRACT <br />CONTRACT NUMBER: CLH310I5 AMENDMENT NUMBER: 5 <br />PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as <br />"DOH", and KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT, a Local Health Jurisdiction, hereinafter refered <br />to as "LHJ", pursuant to the ModificationsMaivers clause, and to make necessary changes within the scope of this <br />contract and any subsequent ameudments thereto. <br />IT lS MUTUALLY AGREED: That the contract is hereby amended as follows: <br />Exhibit A Statements of Work, includes the following statements of work, which are incorporated by this reference <br />and located on the DOH Finance SharePoint site in the Upload Center at the following URL: <br />https://stateofwa.sharepoint.com/sites/doh-ofsfundingresources/sitepases/home.aspx?:e I :9a94688da2d94d3ea80ac7{bc32e4d7c <br />I Adds Statements of Work for the following progralns: <br />Amends Statements of Work for the following programs: <br />COVID-19 Mass Vaccination-FEMA - Effective January 1,2022 <br />DCHS-ELC COVID-19 Response - Effective January 1,2022 <br />Deletes Statements of Work for the following programs: <br />2. Exhibit B-5 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-4 Allocations as <br />follows: <br />X Increase of $217.313 for a revised maximum consideration of $3.095.724. <br />n Decrease of <br />- <br />for a revised maximum consideration of <br />-.l-l No change in the maximum consideration of <br />-. <br />.-- Exhibit B Allocations are attached only for inforrnational purposes. <br />Unless designated otherwise herein, the effective date of this atnendment is the date of execution. <br />ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent atnendments remain in full force <br />and effect. <br />IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof. <br />APPROVED AS TO FORM ONLY <br />Assistant Attorney General <br />X <br />n <br />KITTITAS COUNTY PUBLIC HEALTH <br />DEPARTMENT <br />STATE OF WASHINGTON <br />DEPARTMENT OF HEALTH <br />Signature: <br />Chelreq /tegetr <br />chdsryLo€f6lAuR5,16x 16 l3 Porl <br />Signature <br />2.*)".sqnlw. <br />Br.ndr Heniik3D. lAug3, 20210723 PDIl <br />Date: <br />Aug5,2022 <br />Date: <br />AugB,2022 <br />Page I of I