HomeMy WebLinkAboutPSA between Elmview and KC Amendment 1 (DD PH 002)Today's Date
01/13/2017
Fund/Department
116 -Public Health
Kittitas County
Review Form >--�
Grants & Contract Agreement
Agenda Date
Contract/Grant Information
Contract /Grant Agency: PSA between Elmview and Kittitas County Amendment 1
Period Begin Date: January 1, 2017 1 Period End Date: June 30, 2017
Total Grant/Contract Amount: 32.00 per service hour
Grant/Contract Number: DD PH -001
Contract/Grant Summary:
The Professional Services Agreement Amendment 1 increases the payment rate schedule for Community
Access from 30.00 to 32.00 for the purpose of providing a coordinated and comprehensive local
program of services for persons with developmental disabilities.
Recommendation for Board of Health and Board of Health Review on
Department Head Signature:
Administrator Date:
Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment:
APPROVED AS TO FORM:
Signature of Prosecutor's Office Date
Signature of Auditor's Office
Date
Signature of Board of Health member Date
Financial Information
Total Amount $12,500.00 State Funds $ Federal Funds $
Percentage County Funds Matching Funds $ CFDA#
In -Kind $
Explain
Grant/Contract Review Page 1
Is Equipment being purchased? Who owns equipment?
New Personnel being hired? Contact HR hiring — reporting requirements
Future impacts or liability to Kittitas County:
Budget Information
Budget Amendment Needed?
New Division Created?
Revenue Code
Pass Through Information
Yes ❑ attach budget form No ❑ Why not
Agency to Pass Through
Amount to Pass Through $
Sub -Contract Approved Date:
Prosecutor Review
Has the Prosecutor reviewed this agreement? Yes ❑ No ❑
County Departments Impacted
Submitted
Signature: Date:
Department:
Assignment of Tracking Information
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
Reviewer Date
Grant/Contract Review Page 2
Auditor
Facilities Maintenance
Information Services
Prosecutor
Human Resource
Treasurer
Submitted
Signature: Date:
Department:
Assignment of Tracking Information
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
Reviewer Date
Grant/Contract Review Page 2
BOARD OF COUNTY COMMISSIONERS
COUNTY OF KITTITAS
STATE OF WASHINGTON
RESOLUTION
NO. 2017 -
RESOLUTION TO AUTHORIZE EXECUTION OF AN AMENDMENT TO A
PROFESSIONAL SERVICES AGREEMENT BETWEEN KITTITAS COUNTY AND
ELMVIEW
WHEREAS, Kittitas County, through the Kittitas County Public Health Department (KCPHD),
is charged with the preservation, promotion, and improvement of health in the
County; and
WHEREAS, KCPHD and Elmview entered into a professional services agreement dated, July 1,
2016, for the purpose of providing a coordinated and comprehensive local program
of services for persons with developmental disabilities; and
WHEREAS, the Agreement allows for amendments that are in writing and agreed to by both the
parties; and
WHEREAS, the Parties desire to amend the Agreement by increasing the payment rate
schedule, Attachment E, for Community Access, from $30.00 per service hour to
$32.00 per service hour as detailed in the amendment attached hereto and
incorporated herein by reference.
NOW THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Kittitas
County, Washington, hereby authorizes the Kittitas County Public Health
Department to execute an amendment to a professional services agreement with
Elmview that is attached hereto, and incorporated herein by reference.
DATED this day of , 2017, at Ellensburg, Washington.
BOARD OF COUNTY COMMISSIONERS
KITTITAS COUNTY, WASHINGTON
Paul Jewell, Chair
Laura Osiadacz, Vice -Chair
Obie O'Brien, Commissioner
ATTEST:
Clerk of the Board
PROFESSIONAL SERVICES AGREEMENT
BETWEEN KITTITAS COUNTY AND ELMVIEW
AMENDMENT #1
PH DD 002
The Professional Services Agreement between KITTITAS COUNTY ("County"), a
subdivision of the State of Washington, and ELMVIEW ("Contractor"), to provide a
coordinated and comprehensive local program of services for persons with disabilities,
attached hereto and incorporated by reference, is hereby amended to increase the
community access hourly service rate from $30.00 per hour to $32.00 per hour, effective
January 1, 2017, as evidenced in the amended Attachment E below.
The amendment is mutually agreed to by the parties.
All other items in the original Agreement remain in effect.
Approved this day of
KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
Chairman
Vice -Chairman
Commissioner
ATTEST:
Clerk of the Board
APPROVED AS TO FORM:
Deputy Prosecutor
2017.
CONTRACTOR
Signature
Address
Phone
ATTACHMENT "E"
Program Activity Level and Payment Rate Schedule
Kittitas County -Department of Developmental Disabilities
2016-2017 Contract Rate Schedule
Individual Employment (IE) $70.00 per service hour
Group Supported Employment (GSE) $50.00 per service hour
Community Access (CA) $30.00 per service hour July 1, 2016- December 31, 2016,
32.00 per service hour Januga 1 2017 -June 30 2017