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KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT <br />2018 -2020 CONSOLIDATED CONTRACT <br />CONTRACT NUMBER: CLH18249 AMENDMENT NUMBER: 4 <br />PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as "DOH", and <br />KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT hereinafter referred to as "LHJ", pursuant to the Modifications/Waivers <br />clause, and to make necessary changes within the scope of this contract and any subsequent amendments thereto. <br />IT IS MUTUALLY AGREED: That the contract is hereby amended as follows : <br />I. Exhibit A Statements of Work, attached and incorporated by this reference, are amended as follows: <br />[8J Adds Statements of Work for the following programs: <br />• Office of Emergency Preparedness & Response -Effective July 1, 2018 <br />• Supplemental Nutrition Assistance Program-Education -Effective October 1, 2018 <br />[8J Amends Statements of Work for the following programs: <br />• Childhood Lead Poisoning Prevention Program -Effective January 1, 2018 <br />• Maternal & Child Health Block Grant -Effective January 1, 2018 <br />• OICP-Promotion oflmmunizations to Improve Vaccination Rates -Effective July 1, 2018 <br />• Supplemental Nutrition Assistance Program-Education -Effective January 1, 2018 <br />D Deletes Statements of Work for the following programs: <br />2. Exhibit B-4 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-3 Allocations as follows : <br />[8J Increase of$117,548 for a revised maximum consideration of$281,644. <br />• Decrease of for a revised maximum consideration of __ <br />D No change in the maximum consideration of __ . <br />Exhibit B Allocations are attached only for informational purposes. <br />3. Exhibit C-4 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces Exhibit C-3. <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/her signature in execution thereof. <br />KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT <br />//)~ <br />Date <br />STATE OF WASHINGTON <br />D PARTMENT Or TJEALT H <br />J,uu~b J o [2.itl I~ <br />Date <br />APPROVED AS TO FORM ONLY <br />Assistant Attorney General <br />Page 1 of32