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WA ST Health Care Authority HCA Contract K5885
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2023-08-15 10:00 AM - Commissioners' Agenda
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WA ST Health Care Authority HCA Contract K5885
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Last modified
9/12/2023 7:40:50 AM
Creation date
9/12/2023 7:40:43 AM
Metadata
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Template:
Meeting
Date
8/15/2023
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
Item
Request to Acknowledge an Amendment to the Contract Between Kittitas County and Washington State Healthcare Authority
Order
13
Placement
Consent Agenda
Row ID
107456
Type
Grant
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DocuSign Envelope lD: 7 C237 4F6-A621 -4812-836E-C9F031 F54785 <br />3.7.8 Attachment 4: Certificate of Destruction; <br />3.7.9 Schedule A: Statement of Work; <br />3.7.'lO Schedule A-1: Statement of Work (July 1 ,2022-June 30, 2OZ3); <br />3.7.1'l Schedule A-2: Statement of Work (July 1, 2023-June 30,2O24): <br />3.7.12 Exhibit A: HCA RFA #2021HCA42 for Medication for Opioid Use Disorder (MOUD) in Jails <br />Program, dated December 29,2021; <br />3.7.13 Exhibit B: Contractor's Response dated January 20,2022; and <br />3.7.14 Any other provision, term or material incorporated herein by reference or otherwise incorporated <br />4. Schedule A-2, Statement of Work, effective July 1 ,2023 through June 30, 2024 is attached hereto and <br />incorporated herein. <br />5. This Amendment will be effective July 1 , Z0Zg ("Effective Date'). <br />6. All capitalized terms not otherwise defined herein have the meaning ascribed to them in the Contract. <br />7. All other terms and conditions of the Contract remain unchanged and in full force and effect. <br />The parties signing below warrant that they have read and understand this Amendment and have authority to <br />execute the Amendment. This Amendment will be binding on HCA only upon signature by both parties. <br />CONTRACTOR <br />-[t"*"^;- l*o.^l^* <br />PRINTED NAME AND TITLE <br />4/4'l /rYeks, sl/EAu>F <br />DATE SIGNED <br />9-e -4t <br />PRINTEP.MME AND TITLEAnona Howenon <br />Deputy Contracts Administri <br />DATE SIGNED <br />8t16t2023 <br />tor <br />HCA Contract No. K5885-02 Page 2 of7
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