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KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT 2022.2024 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH3l0t5 4MENDMENT NUMBER: 4 PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as ,,DOH,,, andKITTITAS COLINTY PUBLIC HEALTH DEPARTMENT, a Local Health Jurisdiction, hereinafter refened to as ..LHJ,,, pursuant tothe Modifications^vaivers clause, and to make necessary changes within the scope ofthis contract and any subsequent amindm"ntsthereto. IT Is MUTUALLY AGREED: That the contract is hereby amended as follows: I Exhibit A Statements of Work, includes the DOH Finance Sharepoint site in the the following statements of work, which are incorporated by this reference and located onUpload Center at the following URL: c n Adds Statements of Work for the following programs: X Amends Statements of Work for the following prog.urnr, COVID-I9 Mass Vaccination-FEMA - Effective January 1,2022 DCHS-ELC COVID-I9 Response - Effective January t,ZOZZ LSPAN-Local Strategies for Physical Activity & Nutition - Effective January 1,2022 Maternal & Child Health Block Grant - Effective January 1,2022 office of Drinking water Group A program - Effective i*u*y r,2022 office of Immunization covlD-lg vaccine - Effective January r',2022 Supplemental Nutrition Assistance program-Education - gffeciive lanu wy 1,2022 D Deletes Statements of Work for the following programs: 2' Exhibit B-4 Allocations, aftached and incorporated by this reference, amends and replaces Exhibit B-3 Allocations as follows X Increase of $254.119 for a revised maximum consideration of $2.g7g.4r1. tr Decrease of _ for a revised maximum consideration of tr No change in the maximum consideration of Exhibit B Allocations are attached only for inEilrrltionul purposes. Unless designated otherwise herein, the efective date of this amendment is the date of execution. ALL OTHER TERMS AND coNDITIoNS of the original contract and any subsequent amendments remain in full force and effect. IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof. APPROVED AS TO FORM ONLY Assistant Attorney General KITTITAS COI.INTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON DEPARTMENT OF HEALTH Signature: 7Vi/en /awb r;r4LrEbttryraDnd aPoD Signature: Szedaguz&at &snd:Hlidko.!{ryre,rorr ralsroo Date: May 79,2022 Date: May 19,2022 Page I ofl