Laserfiche WebLink
Service Agreement #ZZ-20 Amendment# 1 <br />Between <br />WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH <br />And <br />KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT <br />Agrcent-ent 22-20 by and between Walla Walla County Department of Community Health,hereinafter "county," and KITTITAS couNTy puBLIc HEALTI{ DEPARTMENTheleinafter "Conttactor," is amended as follows and in the attached Exhibit A Statement ofwork, Exhibit B Budget, arrd Exhibit F Repofting Requirements. <br />Amendment l:Arnends Statement of WorJr and Budget eligible tasks <br />Adds $14,000 in funding, for a new total of $32,500 <br />Replaces Exhibit E Report Forrn with Exhibit F <br />Attachments: Exhibit A - Statement of Work <br />Exhibir B - Budget <br />Exhibit F - Reporting Requ ircments <br />Exhibit G - YCCTPP Z0Z2-Z3Implementation Guide, page 2g <br />All otheL conditions of Selvice agreement #22-20 remain in full force and effect. <br />By theil signaturcs below, theparties agrce to the tenns and conditions of this Agreement and alldoouments incotporated by re6rence. the parties signing below certiry that theiare authorizedto sign this Agrcement. <br />IN wITNEss WHEREOF, the parties hercto have signed this Agrecment.COUNTY: C9NTRACToR: <br />2L <br />Walla Walla County Board of Cornnrissioners <br />c/o Departnrent of Conrrnuuity I{ealth <br />314 W Main Street <br />Date <br />Director <br />E <br />Walla Walla, WA 99362 <br />Phone: (509) 524-2650 Fax: (509) 524-2642 <br />Namc & <br />Telephone Nurnber / Ernail Address: 509'962-7515 / chelsey.loeffors@co.kittitas.wa,us <br />Mailing Address (srrccr addrus rcquircd iu addirion to po Box.): 507 N, Nanurn, #102 <br />CFDA#(fapplicablc): n/a <br />Ellensburg, WA 98926-2886 <br />UBI#: <br />22-20,1 GT&C Kittitas YCCTPP <br />State Industlial Account ID # (ifappticabte):004.093.00 <br />I of I