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Amendment 2
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2024
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2024-08-06 10:00 AM - Commissioners' Agenda
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Amendment 2
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Last modified
10/8/2024 3:19:15 PM
Creation date
10/8/2024 3:19:09 PM
Metadata
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Template:
Meeting
Date
8/6/2024
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 2 to Agreement No. 2363-49241 between the Department of Social & Health Services and the Kittitas County Public Health Department
Order
15
Placement
Consent Agenda
Row ID
120774
Type
Agreement
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1 <br />2. <br />3. <br />This Program Agreement between the County and the State of Washington Department of Social and Health <br />Services (DSHS) is hereby amended as follows: <br />The Total Maximum Contract Amount is hereby increased for FY25 in the amount of $BB3,352for a <br />new Contract Amount of $2,001,794 <br />The period of performance end date is extended through 613012025. <br />Section 6. Statement of Work is revised to include the following language: <br />t. Partnership Project. <br />(1) A Job Foundation document will be completed per guidelines for eligible students. Eligible <br />students are DDA clients who were born between: <br />(a) For fiscal year 2021 911100 through 8131101 <br />(b) For fiscal year 2022 gl1l01 through 8131102 <br />(c) For fiscal year 2023 911102 through 8/31/03 <br />(d) For fiscal year 2024 911103 through 8131104 <br />(e) For fiscalyear 2025 911104 through 8/31/05 <br />These students currently attending school and have completed an application to participate in <br />this Value Based Payment (VPB) project. The VBP project application will include the following <br />minimum criteria identified in the sample application found at: <br />httos://www.dshs.wa.qov/sitesldefaulUfiles/DDA/dda/documents/Job%20Foundation%2OApolica <br />tion 040720 o/o20o/o28002o/o29 .docx <br />4. Section B. Billing and Payment Work will be replaced with the following language: <br />Reimbursement for Partnership project: A claim of $3,000 per student for each completed Job <br />Foundation document that is at a satisfactory or above rating will be requested through the AWA <br />system as other monthly cost. <br />o. Job Foundation Administration: The County may bill for administration costs as identified in Exhibit <br />B. Monthly claims for administration cost will be based on the actual expenditures multiplied by <br />10%. King, Snohomish and Pierce Counties will use line item 13, allother participating Counties will <br />use line item 14 (OSPI). <br />5.Exhibit B. Program Agreement Budget is hereby replaced with the following Exhibit 81, Program <br />Agreement Budget. <br />All other terms and conditions of this Program Agreement remain in full force and effect. <br />DSHS Central Contract Services <br />'l769CP Coniract Amendment (6-1 0-24)Page 2
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