2018-02-06 10:00 AM - Commissioners' Agenda
6/13/2018 12:32:18 PM
6/13/2018 12:32:06 PM
205 West 5th Room 109 - Ellensburg
Meeting document type
Fully Executed Version
Request to Approve Amendment 3 to an Agreement with the Health Care Authority
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HCA Contract No .: K763 <br />Wa shington State AUti CONTRACT <br />Healt h Care ut hority AMENDMENT Amendment No .: 03 <br />For <br />ABCD Dental Services <br />Kittitas County <br />THIS AMENDMENT TO THE CONTRACT is between the Washington State Health Care Authority <br />and the party whose name appears below, and is effective as of the date set forth below . <br />CONTRACTOR NAME CONTRACTOR CONTACT <br />Kittitas County Public Health Network Kasey Knutson <br />CONTRACTOR ADDRESS CONTRACTOR CONTACT EMAIL ADDRESS <br />507 North Nanum Street, Suite 201, email@example.com <br />Ellensburg, WA 98926 <br />WHEREAS, HCA and Contractor previously entered into a Contract for utilization of dental services <br />early in life, improved oral health, and Apple Health/Medicaid cost savings, and; <br />WHEREAS, HCA and Contractor wish to amend the Contract pursuant to Section 4 Consideration and <br />Section 5 Term, and ; <br />NOW THEREFORE, the parties agree the Contract is amended as follows: <br />1. Section 4. Special Terms and Conditions. Consideration. The consideration is increased by the <br />same amount allocated from the previous contract period . Maximum consideration is hereby <br />increased for this amendment by $4,750. <br />2. Section 5. Special Terms and Conditions. Term. The period of performance is hereby <br />extended from January 1, 2018 through June 30, 2018. <br />3. This Amendment will be effective January 1 J 2018 ("Effective Date"). <br />4. All capitalized terms not otherwise defined herein have the meaning ascribed to them in the <br />Contract. <br />5. All other terms and conditions of the Contract remain unchanged and in full force and effect. <br />The parties signing below warrant that they have read and understand this Amendment and have <br />authority to execute the Amendment. This Amendment will be binding on HCA only upon signature by <br />HCA. <br />HCA Contract No.«Contract_Number» <br />TITLE <br />t L I +l~it~ls1tt~ <br />James W. Gayton <br />Contracts Administrator <br />Page 1 of 1
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