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Home My WebLink AboutAmend 1 Contract C1600148DEPARTM ENT OF ECOLOGY State of Washington AMENDMENT NO.1 TO CONTRACT NO. C1600148 BETWEEN THE STATE OF WASHINGTON DEPARTMENT OF ECOLOGY AND KIITITAS COUNTY PUBLIC HEALTH DEPARTMENT Ilt..r:-. ...... , ; •• , I ... PURPOSE: To amend the Agreement between the state of Washington, Department of Ecology, hereinafter referred to as "ECOLOGY," and Kittitas County Public Health Department, hereinafter referred to as "KCPHD" or "CONTRACTOR." WHEREAS, it is mutually agreed that Kep HD's request for flexibility within the budget, with Ecology's prior written approval, is beneficial and should therefore be permitted. IT IS MUTUALLY AGREED the Agreement is amended as follows: 1) BUDGET The budget has been amended TO ALLOW FOR A SHIFT OF UP TO $8,000 BETWEEN Payroll items and non- payroll items, subject to Ecology's written approval, see Project Budget Table: APPENDIX A, PROJECT BUDGET PROJECT BUDGET, APRIL 1, 2016--JUNE 30, 2017 Expenses ~ Amount ' " ~_ ,0.' " " Desc6ption -' . . -1 c 1 -I' _", r; .. STAFF EH Supervisor -6.5 hours per week at 52 weeks (l year) = 338 hours SALARIES·· $ 30,900 AQ Specialist -20 hours per week at 52 weeks = 1040 hours BENEFITS * * $ 12,200 Estimated benefit costs INDIRECT 40.25% of salaries (per federally approved indirect cost allocation plan, actual percentage may be I COSTS** $12,500 different in 2016-2017) NON PAYROLL $2,500 $1200 travel costs, $800 registration fees, $500 supplies and miscellaneous ITEMS TOTAL $58,100 ** With prior written consent from Ecology, Kep HD may shift up to $8,000 from "Payroll Items" (Staff Salaries/Benefits/Indirect Costs) to "Non-Payroll Items, " In Kind !' .~' ~ 'c' ~ -' -....... ---:1' ~ ~ [A I" "r • . -., -~ - Amount ~ .. ' , .,.. -. Description -, -~ Contributions t I , , .:-, I. I -,I I 't .• - Advisory Committee $2,625 Ihrlmonth x 15 months=12 hours x 5 people at $351hour Members Health Promotion $992.50 15 hrl15 month = salary, benefit and indirect costs (Press Releases, media communication, Supervisor monitoring Ecology messaging and disseminating to list serv) Assessment $992.50 15 hrl15 month = salary, benefit and indirect costs (using survey data to mold messaging for Press Coordinator Releases and educational messaging) Salaries, benefits and indirect costs related 4/1/16 -711//2016 (chairperson of committee, EH Supervisor $4,500 presentation to local and regional organizations on non-attainment issues, providing educational material to neighborhoods identified by complainants) TOTAL $9,110 All other tenns and conditions of the original Agreement including any other Amendments remain in full force and effect, except as expressly provided by this Amendment. This Amendment is signed by persons who represent that they have the authority to execute this Amendment and bind their respective organizations to this Amendment. This Amendment is effective on June 5, 2017. IN WITNESS WHEREOF: the parties below, having read this Amendment in its entirety, including all attachments, do agree in each and every particular and have thus set their hands hereunto. State of Washington Department of Ecology By: Signature Stuart A. Clark Air Quality Program Manager Approved as to form only. Assistant Attorney General Kittitas County Public Health Department Prin t Name: Nnu/1 ~rJ S1tvM- Title: Kittitas County Review Form Grants & Contract Agreement Today's Date Agenda Date 6/aoh l-06/08/2017 Fund/Department 116-Public Health Contract/Grant Information Contract /Grant Agency: Amendment 1 to the State of Washington DOE and KCPHD agreement Period Begin Date: June 5, 2017 I I Period End Date: June 30, 2017 Total Grant/Contract Amount: $58,100.00 Grant/Contract Number: C1600148 Contract/Grant Summary: The Department of Ecology Amendment 1 allows for a shift of up to $8,000.00 between payroll items and non-payroll items, subject to ecology's written approval per budget table provided. Recommendation for Board of Health and Board of Health Review on Department Head Signatu ~. :d~~~====::::= Administrator Date:~(ll Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: APPROVED AS TO FORM: 1-:;:. Date Date Signature of Board of Health member Date Financial Information Total Amount $58,100.00 State Funds $58,100.00 Federal Funds $ . Percentage County Funds Matching Funds $ CFDA# In-Kind $ Explain Is Equipment being purchased? Who owns equipment? Grant/Contract Review Page 1 New Personnel being hired? I Contact HR hiring -reporting requirements Future impacts or liability to Kittitas County: Budget Information Budget Amendment Needed? Yes 0 No []I Why not New Division Created? Total grant isn't changing, just expend shift Revenue Code 116-615.08.04.334.03.10.3 -$58,100.00 . Pass Through Information Agency to Pass Through Amount to Pass Through $ Sub-Contract Approved Date: Prosecutor Review I Has the Prosecutor reviewed this agreement? I Yes 0 No 0 County Departments Impacted Auditor Facilities Maintenance Information Services Human Resource Prosecutor Treasurer Submitted I Signature: Department: I Date: Assignment of Tracking Information Auditor's Office Human Resource Prosecutor's. Office Who Signed the grant application I Reviewer I Date Grant/Contract Review Page 2 STATE OF WA SHINGTON DEPARTMENT OF ECOLOGY PO Box 47600 • Olympia, WA 98504-7600 • 360-407-6000 BY: CEIVED JUL 07 2017 711 for Washington Relay Service • Persons with a speech disability can call 877-833-6341 June 26, 2017 Candi Blackford Administrative Supervisor Kittitas County Public Health Department 507 N Nanum Street #102 Ellensburg, WA 926 Dear Candi Blackford: Enclosed is one (1) executed agreement between Kittitas County Public Health Department and Ecology . Ecology received three originally signed documents from KCPHD . Per the instructions we provided to Holly Meyers, Ecology would only be sending one original back to KCPHD, as Ecology maintains two originals . One is for our fiscal department and the other is maintained in the Air Quality program. Please let me know if there is anything further I can do to assist. Otherwise, thank you for your partnership and feel free to contact me with any questions. Sincerely, Enclosure ®.