HomeMy WebLinkAboutAmendment AE911 County Basic Service Operations Contract SFY 2017
AMENDMENT
1. CONTRACTOR NAME/ADDRESS : 2 . CONTRACT NUMBER: 3 . AMENDMENT NUMBER:
Kittitas County E17-021 A 205 W 5th Avenue, Room 108
Ellensburg, Washington 98926
4. CONTRACTOR CONTACT, PHONE/EMAIL: 5 . MD STAFF CONTACT, PHONE/EMAIL :
Darlene Mainwaring/509.925.8530 Teresa C Lewis/253-512-7481
mainwaring@kittcom.org teresa.lewis@mil.wa.gov
6 . TIN or SSN : 7 . CATALOG OF FEDERAL DOMESTIC 8 . FUNDING SOURCE NAME/AGREEMENT #:
91-6001349 ASST. (CFDA) #: NONE E911 CountylWSP Contracts
9 . FUNDING AUTHORITY:
Washington State Military Department (DEPARTMENT) and RCW 38.52.510, .540, .545 I WAC 118-66
Enhanced 911
10 . DESCRIPTION/JUSTIFICATION OF AMENDMENT, MODIFICATION, OR CHANGE ORDER:
This amendment adjusts the funds in the Budget Sheet (Attachment E) based on updated expenditures
and projected revenues.
11 . AMENDMENT TERMS AND CONDITIONS :
1. Contract expiration date of August 15, 2017 remains unchanged.
2. Contract performance period of July 1, 2016 through June 30, 2017 remains unchanged.
3 . Change the overall contract amount from $287,631 to $285,631; a decrease of $2,000
4 . Change the overall FY17 funding amount from $287,631 to $285,631; a decrease of $2,000
5 . Change the FY17 CPD funding amount from $41,150 to $39,150; a decrease of $2,000
6 . Change the FY17 Basic Service Operating funding amount from $246,481 to $246,481; remains
unchanged.
7. Replace the original Budget Sheet (Attachment E) with the revised Budget Sheet (Attachment E) attached .
This Amendment is incorporated in and made a part of the contract. Except as amended herein, all other terms
and conditions of the contract remain in full force and effect. Any reference in the original contract or an
Amendment to the "contract" shall mean "contract as amended". The Department and Contractor acknowledge
and accept the terms of this Amendment as identified above, effective on the final date of execution below. By
signing this Amendment, the signatories warrant they have the authority to execute this Amendment.
IN WITNESS , WHEREOF, the parties hereto have executed this amendment as of the date and year last written below :
\ ts THE DEPARTMENT:
~ . ~~ \.D\.~l ~ s:-b)--rl 7~ACT:
4 18 2017
Signature "-Date Si9r1at~ ~
Date
Richard A. Woodruff, Contracts Officer Paul Jewell, Chairperson
Washington State Military DEPARTMENT Kittitas County Board of Commissioners
BOILERPLATE APPROVED AS TO FORM:
Brian Buchholz (signature on file) 6/13/2012
Assistant Attorney General .
Form Date : 10/27/00
BUDGET SHEET
E911 COUNTY CONTRACT -FY2017
July 1, 2016 -June 30, 2017
SEY2.01-7 ,-.original
Coordinator Professional Development $ 41,150
Basic Service Operating (BSO) $ 246,481
TOTAL CONTRACT NOT TO EXCEED $ 287,631
ATTACHMENT E
C S.F Y~mI7 Reylsed
I $ 39,150
I $ 246,481
I $ 285,631
E911 County OPS Contract Page 2 of 2 Kittitas County, E17-021 Amendment A
SI GNATURE AUTHORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
CAMP MURRAY, WASHINGTON 98430-5122
NEW FORM WILL REPLACE PREVIOUS FORMS
NAME OF ORGANIZ,A;TION DATE SUBMITTED
Kittitas County
PRO JECT DESCRIPTION CONTRACT NUMBER
SFY17 E911 County Basic Service Operations E17 -021 Contract
11. AUTHORIZING AUTHORITY
PRINT OR TYPE NAME TITLEfTERM OF OFFICE
Chairman Board of County
Paul Jewell Commissioners, Jan 1, 2017 -
Dec 31,2020
Vice Chair Board of County
Laura Osiadacz Commissioners, Jan 1, 2017 -
Dec 31,2020
PRINT OR TYPE NAME TlTL~ITERM OF OFFICE
Chairman Board of County
Paul Jewell Commissioners, Jan 1, 2017 -
Dec 31,2020
Vice Chair Board of County
Laura Osiadacz Commissioners, Jan 1, 2017 -
Dec 31,2020
13 . AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT (A-19)
SIGNATURE PRINT OR TYPE NAME TITLEfTERM OF OFFICE
Darlene Mainwaring
Judy Pless
Please mplete form with any new contract or any time personnel changes .
Submit on e original to State E911 Office
Director/E911 Coordinator of
KITTCOM, appointed
Kittitas County Budget &
Finance, appointed