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KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT <br />2022-2024 CONSOLIDATED CONTRACT <br />CONTRACT NUMBER: CLH31015 AMENDMENT NUMBER: 16 <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 referred <br />to as "LHJ", pursuant to the Modifications/Waivers clause, and to make necessary changes within the scope of this <br />contract and any subsequent amendments thereto. <br />IT IS MUTUALLY AGREED: That the contract is hereby amended as follows: <br />1. 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/sitesldah-afsfu din resource site a es/homa.as x?=e1:9a94.688da2d94d3ea80ac7fbc32cLd7c <br />❑ Adds Statements of Work for the following programs: <br />® Amends Statements of Work for the following programs: <br />COVID-19 LHJ Gap Funding - Effective July 1, 2023 <br />Executive Office of Resiliency & Health Security-WFD LHJ - Effective July 1, 2023 <br />Office of Drinking Water Group A Program - Effective January 1, 2022 <br />Office of Immunization COVID-19 Vaccine - Effective January 1, 2022 <br />Supplemental Nutrition Assistance Program -Education - Effective January 1, 2022 <br />❑ Deletes Statements of Work for the following programs: <br />2. Exhibit B-16 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-15 Allocations <br />as follows: <br />® Increase of $238,815 for a revised maximum consideration of $5,926,202. <br />❑ Decrease of for a revised maximum consideration of <br />No change in the maximum consideration of <br />Exhibit B Allocations are attached only for informational purposes. <br />Unless designated otherwise herein, the effective date of this amendment is the date of execution. <br />ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force <br />and effect. <br />IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof. <br />KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON <br />DEPARTMENT OF HEALTH <br />Signature: Signature: <br />Date: Date: <br />APPROVED AS TO FORM ONLY <br />Assistant Attorney General <br />Page I of 1 <br />