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Contract Agreement Review Form
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2025-02-18 10:00 AM - Commissioners' Agenda
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Contract Agreement Review Form
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Last modified
2/21/2025 2:25:16 PM
Creation date
2/21/2025 2:25:13 PM
Metadata
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Template:
Meeting
Date
2/18/2025
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 1 to the 2025-2027 Consolidated Contract between the Washington State Department of Health and the Kittitas County Public Health Department
Order
6
Placement
Consent Agenda
Row ID
127511
Type
Contract
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KITTITAS COUNTY PUBLIC HEALTH <br />2025-2027 CONSOLIDATED CONTRACT <br />CONTRACT NUMBER: CLH32055 AMENDMENTNUMBER: I <br />PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as "DOH", and <br />KITTITAS COUNTY PUBLIC HEALTH, a Local Health Jurisdiction, hereinafter referred to as "LHJ", pursuant to the <br />Moclifications/Waivers clause, ancl 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 arnended as follows <br />Exhibit A Staternents of Worl<, includes the following statelnents of work, which are incorporated by this reference and located on <br />the DOH Finance ShalePoint site in the Upload Center at the following URL: <br />https://stateofua.sharepoint.com/sites/doh-ofsfundineresourcesisitepages/home.aspx?:e I :9a94688da2d94d3ea80ac7fbc32e4d7c <br />X Adds Statements of Work for the following programs: <br />DCHS - ELC COVID-I9 Response - Effective January 1,2025 <br />Foundational Public Health Services (FPHS) - Effective January 1,2025 <br />Infectious Disease-Syndemic Plevention Services-SSP - Effective January 1,2025 <br />Injury & Violence Plevention-LHJ Opioid Carnpaign Proviso - Effective January 1,2025 <br />Maternal & Child Health Block Crant - Effective January 1,2025 <br />Office of Drinking Water Group A Program - Effective Januaty 1,2025 <br />Office of Drinking Water Group B Program - Effective January 1,2025 <br />Office of Resiliency & Health Security-PHEP - Effective January I,2025 <br />Supplernental Nutrition Assistance Plogram-Education - Effective January 1,2025 <br />I Amends Statements of Work for the following programs: <br />tr Deletes Statements of Work for the following progralns: <br />2. Exhibit B-l Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-0 Allocations as follows: <br />X lncrease of $1"989.627 for a revised maximum consideration of $I.989,627. <br />n Decrease of <br />- <br />for a revised maximum consideration of <br />-.No change in the maxirnum consideration of <br />-. <br />Exhibit B Allocations are attached only for inforrnational purposes. <br />3. Exhibit C Federal Grant Awarcls Index, incorporatecl by this reference, and located in the ConCon, Funding & BARS library at <br />the URL provided above. <br />Unless designated otherwise herein, the effective date of this amendtnent is the date of execution. <br />ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force and effect. <br />IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof. <br />APPROVED AS TO FORM ONLY <br />Assistant Attorney General <br />KITTITAS COUNTY PUBLIC HEALTH STATE OF WASHINGTON <br />DEPARTMENT OF HEALTH <br />Signature: <br />Chplrpu baf{err <br />chd(r todrd! &h Iq F:5 k Ytsn <br />Signature: <br />$,raa-+"*".- <br />Date: <br />Feb 20,2025 <br />Date: <br />Feb 20,2025 <br />Page I of I
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