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22-20 Amendment 2 Walla Walla DCH
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2023-08-01 10:00 AM - Commissioners' Agenda
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22-20 Amendment 2 Walla Walla DCH
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Last modified
8/15/2023 4:44:36 PM
Creation date
8/15/2023 4:44:32 PM
Metadata
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Template:
Meeting
Date
8/1/2023
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 2 to Service Agreement #22-20 between the Walla Walla County Dept of Community Health and the Kittitas County Public Health Department (YCCTPP)
Order
15
Placement
Consent Agenda
Row ID
106478
Type
Contract
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Service Agreement #22-20 Amendment # 2 <br />Between <br />WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH <br />And <br />KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT <br />Agrcement 22-20by and between Walla Walla County Depaltment of Community Health, <br />hereinafter "County," and KITTITAS COUNTY PUBLIC HEALTII DEPARTMENT hereinafter <br />"Contractot," is amended as follows and in the attached Exhibit A, Exhibit B, Exhibit C, and Attachment I <br />Anrendment l;Amends Statelnent of Work <br />Extends Period ofPerformance to June 30,2024 <br />Adds $ 16,000 irr funding, for a new total of $48,500 <br />changes billing due date to tlre 25tl' working day following the end of the montlr <br />Attachments Exhibit A - Statenrerrt of Wor.k <br />Exhibit B - Budget <br />Exhibit C - Expenditure Report Form <br />All other conditions of Service agrcement #22-20 and Amendment #l remain in ftrll force and effect. <br />By their signaturcs below, tlre parties agree to the teuns and conditions of this Agreement and all <br />documents incorpomted by refetence. The parties signing below certifi that they al.e authorized to sign <br />this Agreement. <br />IN WITNESS WHEREOF, the parties hereto have signed this Agreement. <br />COUNTY: CONTRACTOR: <br />//-^ g 2 E )3 <br />at ice-Chairman Date <br />Walla Walla County Board of Conrnrissioners <br />c/o Department of Community Health <br />314 W Main Street <br />Chelsey Loeffers, Director <br />Walla Walla, WA 99367 <br />Phone: (509) 524-2650 Fax: (509) 524-2642 <br />Print Name &'fitle of Person Sigrring <br />Telephone Number / Email Address . 509-962'7515 / chelsey.loeffers@co.kittitas.wa.us <br />Mailing Address (Strcel a<tdrcss rcquircd in acldition to pO Box.):507 N. Nanum. #102 <br />Ellensbure. WA 98926.2886 <br />CFDA# (if applicablc): nla UBI#: <br />State lndustrial Account lD # (ifappticabtc): <br />\ <br />By <br />22-20.2 GT&C Kittitas YCCTPP <br />004.093-00 <br />I of I
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