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Home My WebLink AboutPSA between Kittitas County and Youth Services Amendment No. 2Today's Date 05/30/2019 Fund/Department 116 -Public Health �F Kittitas County Review Form Grants & Contract Agreement Agenda Date Contract/Grant Information Contract /Grant Agency: PSA between Kittitas County and Youth Services Amendment No. 2 Period Begin Date: 04/01/2018 1 1 Period End Date: 06/30/2019 Total Grant/Contract Amount: $28,151.88 Grant/Contract Number: Contract/Grant Summary: The Amendment to the PSA changes the spending categories as outlined in "Exhibit B" of the original document and attached to the amendment. 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 $ 28,151.88 State Funds $ 28,151.88 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? Yes ❑ attach budget form No ❑ why not New Division Created? Revenue Code 116.612.47.04 DMA (Dedicated Marij Acct) Division Behaviorial Health Recovery See reallocation expense 116.612.47.04.54122 Pass thru Contracted Services Pass Through Information Agency to Pass Through Amount to Pass Through $ Sub -Contract Approved Date: Prosecutor Review Has the Prosecutor reviewed this agreement? Yes❑ No ❑ Countv Departments Impacted Submitted Signature: Department: Assignment of Tracking Information Auditor's Office Human Resource Prosecutor's Office Who Signed the grant application Reviewer I Date Grant/Contract Review Page 2 Auditor Facilities Maintenance Information Services Prosecutor Human Resource Treasurer Submitted Signature: Department: Assignment of Tracking Information Auditor's Office Human Resource Prosecutor's Office Who Signed the grant application Reviewer I Date Grant/Contract Review Page 2 CONTRACT AMENDMENT NO. 2 to the Professional Service Agreement Between Kittitas County Public Health Department & Youth Services of Kittitas County APRIL 1, 2018 to JUNE 30, 2019 Amendment No. 2 to the Professional Services Agreement between Kittitas County Public Health Department (*hereinafter "the County") and Youth Services of Kittitas County (hereinafter "Contractor"), is hereby amended under the provisions of the Modifications clause and by the mutual consent of all parties hereto, as follows: This amendment changes the spending categories as outlined on the Contractors General Conditions: Exhibit B (Compensation) 4-2018 Through 6-30-2019 chart to realign expenses through the end of contract period. ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT REMAIN IN FULL FORCE AND EFFECT. IN WITNESS WHEREOF, the parties have executed this Amendment this day of , 2019. APPROVED: Youth Services of Kittitas County BOARD OF COUNTY COMMISSIONERS KITTITAS COUNTY, WASHINGTON Signature of Signatory (Date Print Name of Signatory Cory Wright, Chairman Brett Wachsmith, Vice -Chairman Laura Osiadacz, Commissioner Professional Services Agreement Amendment No. 2 Page 1 ^ Contractor Address: Youth Services of Kittitas County P.O. Box 523 213 West 3rd Avenue Ellensburg, WA 98926 Project Contact: Crystal Church Attest: Clerk of the Board ❑ Julie Kjorsvik ❑ Mandy Buchholz County's Address: Kittitas County 205 West 5th Avenue, Suite 108 Ellensburg, WA 98926 Project Contact: Kasey Knutson Professional Services Agreement Amendment No. 2 Page 2 COMPENSATION As full compensation for satisfactory performance of the work, the County shall pay Contractor compensation not to exceed $28,151.88 according to the table below ($6,881.48 must be spent prior to June 30, 2018). The Contractor agrees to: • Submit invoices, at least quarterly, to the County within thirty (30) days following the last day of the month or quarter being invoiced. • Submit invoices for actual expenses incurred during the billing period. (The County will not pay invoices for an equal monthly or quarterly amount based on full contract compensation.) Service costs incurred must be within the period of performance of this contract. • Provide detail of expenses being billed for, and supporting documentation for those expenses. Supporting documentation can include, but is not limited to, receipts, invoices, or purchase orders. For payroll expenses, supporting documentation needs to show exact salary and benefit expenses and/or timesheets from the billing period. • Stay within 10% of the amounts budgeted in the table below. Budget variances of more than 10% must receive prior approval and must be requested at least 1 month (30 days) in advance. • Funds may not be used for food or refreshments. Administrative costs are also not allowed. • Any funds not spent during the duration of this agreement may not be carried fo rwa rd. • Kittitas County reserves the right to withhold reimbursements to the Contractor if reporting obligations are not met. • If the Contractor claims and is reimbursed for expenditures that are later found to be claimed in error or found to be unallowable costs, the County shall recover those costs with the full cooperation of the Contractor. • Only one source of funding may be used at any given time. At no time may the same expense be billed through more than one funding source. Work performed and invoiced may not be charged to any other contract or fund source. Funding for this contract is from the Dedicated Marijuana Account—Fund 315—State, BARS code 334.04.6X, state fiscal years 2018 (7/1/17-6/30/18) and 2019 (7/1/18-6/30/19) from the Division of Behavioral Health and Recovery of the Department of Social and Health Services. Contractor DUNS number: 927664052 Professional Services Agreement Amendment No. 2 Page 3 4-1-2018 through 6-30-2019 Youth Services of Kittitas County Expenditure Description Salary, benefits and payroll taxes Amount Salary 7,456.49 Stipend _Stipend _ Media targeting the CPWI area. 13,339.98 _ Professional Services 2440.12 Program Supplies Supplies directly used for the program, 787.80 Printing Copies, paper, ink, etc. 3223.11 Travel Mileage 904.38 28,151.88 Professional Services Agreement Amendment No. 2 Page 4