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KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT <br />2022-2024 CONSOLIDATED CONTRACT <br />CONTRACT NUMBER: CLH31015 AMENDMENT NUMBER: 21 <br />PURPOSE OF CHANGE: To arnend this contract between the DEPARTMENT OF HEALTH hereinafter refeffed to as "DOH", and <br />KITTITAS COLINTY PUBLIC HEALTH DEPARTMENT, a Local Health Jurisdiction, hereinafter referred to as "LHJ", pursuant to <br />the Modifications/Waivers clause, and to make necessary changes within the scope of this contract and any subsequent amendments <br />thereto. <br />IT IS MUTUALLY AGREED: That the contract is hereby amended as follows: <br />Exhibit A Statements of Work, includes the following statements of work, which are incorporated by this reference and located on <br />the DOH Finance SharePoint site in the Upload Center at the following URL: <br />https://stateofua.sharepoint.com/sites/doh-ofsfundingresources/sitepages/home.aspx?:e1:9a94688da2d94d3ea80ac7fbc32e4d7c <br />X Adds Statements of Work for the following programs: <br />Office of Immunization COVID-19 Vaccine - Effective luly 1,2024 <br />Office of Immunization-Promotion of Immunizations to Improve Vaccination Rates - Effective July 1,2024 <br />Office of Resiliency & Health Security'PHEP - Effective luly 1,2024 <br />X Amends Statements of Work for the following programs: <br />DCHS - ELC COVID- l9 Response - Effective January 1 ,2022 <br />Foundational Public Health Services (FPHS) - Effective luly 1,2024 <br />Maternal & Child Health Block Grant - Effective January 1,2022 <br />Supplemental Nutrition Assistance Program-Education - Effective January l, 2022 <br />n Deletes Statements of Work for the following programs: <br />2. Exhibit B-21 Allocations, attached and incorporated by this reference, arnends and replaces Exhibit B-20 Allocations as follows: <br />X Increase of $1.070.925 for a revised maximum consideration of $7.966.990. <br />n Decrease of <br />- <br />for a revised maximum consideration of <br />-.tr No change in the maximum consideration of _. <br />Exhibit B Allocations are attached only for infonnational 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 and effect. <br />IN WITNESS WHEREOF, the undersigned has affixed his/trer signature in execution thereof. <br />APPROVED AS TO FORM ONLY <br />Assistant Attorney General <br />KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON <br />DEPARTMENT OF HEALTH <br />Signature: <br />Chakqq loefferr <br />Che {rtodlHsrod lr, r0r1 09:r5FDIl <br />Signature: <br />dd*.t' <br />&endaHeidllon @d17,?0?i09xlPDl <br />Date: <br />Oct77,2024 <br />Date: <br />OcLI7,2024 <br />Page I of I