HomeMy WebLinkAboutPSA Entrust Amend 1Amendment No.1 to the Professional Service Agreement
between Entrust and Kittitas County
June 1, 2019-June 30, 2019
The Professional Services Agreement between Entrust and Kittitas County, is hearby
amended to amend the activity service rate for employment day activities for the
Developmental Disabilities Program as follows (Attachement "A"):
• Individual Employment (IE) $75.00 per service hour
•· Group Supported Employment (GSE) $53.00 per service hour
• Community Inclusion (CA) $35.00 per service hour
All other terms and conditions of the agreement remain in full force and effect.
IN WITNESS WHEREOF, the parties have executed this Agreement this )8~ day of
XJa 4(1V , 2019. u .
APPROVED :
ENTRUST BOARD OF COUNTY COMMISSIONERS
KITTITA.:U; WASHINGTON
~)
Corr y Wright, Chairman
ABSENT
Print Name of Signatory Brett Wachsmith, Vice-Chairman
Professional Services Agreement Amendment No.1
Page 1
Contractor Address:
ENTRUST
PO BOX 9727 P.-A.L? .;i 1a s : 11 tt-,_,,'--
..:1e1e So 36 th Ave
Yakima, WA 989'01-
P. roject ContaRt ~ ~ &a u I j::J)_.,
.S helif.e I eaoon Df!;(.£,,-r
Chief Executive 8il'eetQr
Clerk of the Board
County's Address:
Kittitas County
205 West 5th Avenue, Suite 108
Ellensburg, WA 98926
Project Contact:
Kasey Knutson
County Coordinator
Professional Services Agreement Amendment No.1
Page 2
ATTACHMENT "A"
Program Activity Level and Payment Rate Schedule
Kittitas County-Department of Developmental Disabilities
2018-2019 Contract Rate Schedule
Individual Employment (IE) $75.00 per service hour
Group Supported Employment (GSE) $53.00 per service hour
Community Inclusion (CA) $35.00 per service hour
Professional Services Agreement Amendment No.1
Page 3
Kittitas County
Review Form
Grants & Contract Agreement
Today's Date Agenda Date ~ I Jf?/Jq 05/02/2019
Fund/Department
116-Public Health
Contract/Grant Information
Contract /Grant Agency: Amendment to PSA between Entrust and Kittitas County
-ftL/lt2 l{J
Period Begin Date: June 1,2019 l I Period End Date: June 30, 2019
Total Grant/Contract Amount: $To Be Determined (based on clients served)
Grant/Contract Number:
Contract/Grant Summary:
The amendment is entered between the contractor and county to update the activity service rates for
employment and day activities for the Developmental Disabilities Program.
Recommendation for Board of Health and Board of Health Review on
Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment:
APPROVED AS TO FORM: D .. 2,\ ,t"@
c.5-1
Date
Signature of Board of Health member Date
Financial Information
Total Amount$ TBD State Funds$ TBD 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? ! Contact HR hiring -reporting requirements
Future impacts or liability to Kittitas County:
Bu dget Information
Budget Amendment Needed? YesD attach budget form No D Why not
New Division Created?
Revenue Code 105.568.334.04.68
Pass Th rough Information
Agency to Pass Through
Amount to Pass Through $
Sub-Contract Approved Date :
Prosecutor Review
[ Has the Prosecutor reviewed this agreement? ] YesD No 0
County Departments Im pacted
Auditor Facilities Maintenance
Information Services Human Resource
Prosecutor Treasurer
Submitted I Signature:
Department :
I Date:
Assignment of Tracki ng Information
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
[ Reviewer I Date
Grant/Contract Review Page 2