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Kittitas County Public Health 2022-2024 Consolidated Contract Amendment 16 CLH31015
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2023-12-05 10:00 AM - Commissioners' Agenda
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Kittitas County Public Health 2022-2024 Consolidated Contract Amendment 16 CLH31015
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Last modified
12/7/2023 12:12:39 PM
Creation date
12/7/2023 12:12:31 PM
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Meeting
Date
12/5/2023
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 Approve Amendment 16 to the 2022-2024 Consolidated Contract between the Department of Health and the Kittitas County Public Health Department
Order
10
Placement
Consent Agenda
Row ID
111743
Type
Agreement
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EXHIBIT B-16 <br />Kittitas County Public Health Department ALLOCATIONS <br />Con tract T er m:. 2022-2024 <br />Indirect Rate January 1, 2022 throtgh December 31, 2022:2lo/o Public Health Dept & 15% County Central Svcs <br />Indirect Rate January l,2023 through December 31, 2023:34.30o/o <br />Contract Number: <br />Date: <br />Funding <br />Period <br />SubTotal <br />cLH3l01s <br />October 1,2023 <br />Chart of <br />Accounts <br />Total <br />Federal Award <br />Identification # <br />Assist <br />List #* <br />BARS <br />Revenue <br />Code** <br />DOH tlse Only <br />Statement of Work Chart of Accounts <br />LHJ Funding Period Funding Period <br />Start Date End Date Start Date End DateChart ofAccounts Title <br />YR 25 SRF - Local Asst (15%) TA <br />YR24 SRF - Local Asst (15%) (FO-E) TA <br />YR24 SRr'- Local Asst (15%) (FO-E) TA <br />TOTAL <br />Total consideration: <br />GRAND TOTAL <br />*Catalog of Federal Domestic Assistance <br />x*Federal revenue codes begin with "333" <br />Amend # <br />Amd 12 <br />Arnd,4, 12 <br />Amd 1, 12 <br />346.26.66 0U0v23 <br />346.26.6s 0t/0v22 <br />346.26.65 0t/0t/22 <br />N/A <br />N/A <br />N/A <br />t2/31D3 <br />t2/3t/22 <br />t2/3122 <br />0l/0t/23 <br />07l0v2t <br />07/012t <br />t2l3U23 <br />06t30D3 <br />06/30/23 <br />Amount <br />$2,000 <br />$1,000 <br />$ 1,000 <br />$2,000 <br />$2,000 <br />$4,000 <br />s5,926,202 <br />82,444,447 <br />$3,481,755 <br />ss,687,387 <br />$238,81s <br />s5,926,202 <br />State revenue codes begin with "334" <br />ss,926,202 5s,926,202 <br />GRAND TOTAT <br />Total Fed <br />Total State <br />Page 3 of3
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