HomeMy WebLinkAboutE16-216 AE911 County Equipment Contract SFY 2016/17
AMENDMENT
1. CONTRACTOR NAME/ADDRESS: 2 . CONTRACT NUMBER: 3. AMENDMENT NUMBER:
Kittitas County E16-216 A 205 W 5th Avenue, Room 108
Wenatchee, Washington 98801
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 is necessary to adjusts the funds in the Budget Sheet (Attachment D) 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, 2015 through June 30, 2017 remains unchanged.
3. Change the overall contract amount from $468 ,984 to $514,490; an increase of $45,506
4 . Change the overall FY16/17 funding amount from $468,984 to $514,490; an increase of $45,506
5. Replace the original Budget Sheet (Attachment D) with the revised Budget Sheet (Attachment D) 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 WITN~EREOF' Ihe parties herelo have execuled Ihis amendmenl as of Ihe date and year lasl wriHen below
FOR THE :::!t~~ 1~/f7f. ~TO R :
UJ LiP /IT
Signatur e ", I~' Date V Signature Date
Dan Swisher, Chief Finan I Officer Paul Jewell, Chairman
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
ATTACHMENT 0
BUDGET SHEET
E911 COUNTY EQUIPMENT -SFY 2016/17
July 1, 2015 -June 3D, 2017
SFY 20t6/17 O riginal
Capital Equipment $ 468,984
TOTAL CONTRACT NOT TO EXCEED $ 468,984
r SFY20f611l7 Re.v i.secf
I $ 514,490
I $ 514 ,490
E911 County EQUIPMENT Contract, SFY16/17 Page 2 of 2 Kittitas County, E16-216 Amendment A
SIGNATURE AUTHORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
CAMP MURRAY, WASHINGTON 98430-5122
NEW FORM WILL REPLACE PREVIOUS FORMS
N AME O F ORGANI ZATION
Kittitas County
PROJECT DESCRIPTION
SFY17 E911 County Basic Service Operations
Contract
AUTRORIZ1NG AUTHORITY
PRINT O'R TYPE NAME
Paul Jewell
Laura Osiadacz
AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS
PRINT OR TYPE NAME
Paul Jewell
Laura Osiadacz
13. AUTHOR IZED TO' SIGN REQUESTS FO'R REIMBURSEMENT (A-19 )
DATE SUBMITTED
CONTRACT NUMBER
E17 -021
TITLEITERM OF OFFICE
Chairman Board of County
Commissioners, Jan 1, 2017-
Dec 31,2020
Vice Chair Board of County
Commissioners, Jan 1, 2017 -
Dec 31,2020
TITLEITERM O'F OFFICE
Chairman Board of County
Commissioners, Jan 1, 2017 -
Dec 31,2020
Vice Chair Board of County
Commissioners, Jan 1, 2017 -
Dec 31,2020
s;:-' PRINT OR TYP E NAME T ITLEITERM OF OFFICE
DI Q,~ll(V vl. ~l:\)f'f (\ i-I'/IW _-t~_Do:::::;a:::-r_le_ne_M _ai_nw_a_r_in_g _--1I--D_ir_e_ct_or_/E_9_1_1 _c _oo_r_di_na_to_r_o_f ~I ~ ~ \.l W \"v U KITTCOM, appointed
i8 Judy Pless
Plea com plete form with any new contract or any time personnel changes .
Submit one original to State E911 O'ffice
Kittitas County Budget &
Finance, appointed
Attn: Kelly Van Drasek, Contracts
WA Military Department
1 Militia Drive/ MS: TA-20
Camp Murray, WA 98430-5092
Included in this packet are two Equipment Contract amendments signed by all the Kittitas County
individuals. We just need the Contract signed by Dan Swisher.
1. Please mail via USPS one signed amendment to:
Kittitas County Board of County Commissioner
205 W 5th Ave, Suite 108
Ellensburg, WA 98926
2. Please scan and email one signed amendment to me: mainwaring(a)kittcorn .org
Thank you,
Darlene Mainwaring, E911 Coordinator/Director
EMERGENCY SERVICES D I SPATCH FOR POLICE, Flfl E & EMS 509/925·8534 • FAX 509/925·8540