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frnw;,;rti;CONTRACT AMENDMENT <br />This document has been approved as to form only by the Assistant Attorney General <br />DOH Anrendnr ent GYL26649 -l <br />Revision 04/2020 <br />I. NAMEOFCONTRACTOR <br />Kittitas County Public Health Department <br />2 CONTRACT NUMBER <br />GVL26649la. ADDRESS OF CONTRACTOR (STREET) <br />507 N Nanum St Ste 102 <br />2a. AMENDMENTNUMBER <br />I <br />1b. CITY, STATE, ZIP CODE <br />EI lensburg, WA 98926 <br />Unique Entity Identifi er <br />wQ23XPBSAU44 <br />3. I rms rrEM AppLrES oNLy ro BTLATERAL AMENDMENTS. <br />The Contract identified herein, including any previous amendments thereto, is hereby amended as <br />set forth in Itern 5 below by mutual consent of all parties hereto. <br />4. L-I THIS ITEM APPLIES ONLY TO UNILATERAL AM ENDMENTS <br />The Contract identified herein, including any previous amendments thereto, is hereby unilaterally <br />amended as set forth in Item 5 below pursuant to that changes and rnodifications clause as <br />contained therein. <br />5 DESCRIPTION OF AMENDMENT: The purpose of this no-cost amendment is to extend the <br />Period of Perfonnance from May 3 l, 2023 to December 31 , 2023; to continue the work laid out in <br />the Original Contract. All other Terms and Conditions rernain the same and in full effect. <br />5a. Statement of Work: Exhibit A is revised in accordance with Exhibit A-1, attached hereto and <br />incorporated herein. <br />5b. Consideration: This amendment neither increases nor decreases the Contract Consideration; <br />therefore, the maximutn consideration of this contract and all amendments shall remain the same <br />and not exceed $300,000.00. <br />Contractor agrees to comply with applicable rules and regulations associated with these funds. <br />5c. Period of Performance: is extended through December 31,2023. <br />5d. The Effective Date of this Amendment: is the Date of Execution. <br />of the original contract and any subsequent amendments thereto6All other terms and conditions <br />remain in full force and effect. <br />7 . Efnis is a unilateral amendment. Signature of contractor is not required below. <br />I Contractor hereby acknowledges and accepts the terms and conditions of this amendment <br />Signature is required below <br />B.CONTRACTOR SIGNATURE 1also, please print/type your name)DATE <br />helsey (Oct 2 08:46 PDT)Oct28,2022 <br />Chelsey Loeffers Pubtic Health Di <br />Oct28,2022 <br />Frank L Webley,Department of Health Contract Specialist lll <br />9. DOH CONTRACTING OFFICER SIGNATURE DATE <br />Cfu&LJMT <br />WA Department of Health Contracts Office <br />Page I of4