HomeMy WebLinkAboutAmendment 1 to PSA between WISE and KCPHDToday's Date
04/29/2019
Fund/Department
116 -Public Health
Kittitas County
Review Form
Grants & Contract Agreement
Agenda Date
Contract/Grant Information
Contract /Grant Agency: Amendment 1 PSA between WISE and Kittitas County
Period Begin Date: May 1, 2019 Period End Date: June 30, 2020
Total Grant/Contract Amount: Not to exceed $35,000.00
Grant/Contract Number:
Contract/Grant Summary:
Ee
Amendment 1 to PSA between WISE and Kittitas County is established to update address and add a
activity fee sheet in the attachment.
Recommendation for Board of Health and Board of Health Review on
Department Head Signature: Administrator Date:
L
Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment:
APPR VED AS TO FORM:
Signatu e a rosecutor' ffice Date
Sig�a�tr6f�Auclitor's Office Date
Signature of Board of Health member Date
Financial Information
Total Amount $35,000 (no change) State Funds $ 0 Federal Funds $ 0
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?
New Division Created?
Yes ❑ attach budget form
Revenue Code n/a (no changes)
Expense Code 105.568.54101
Pass Through Information
No ❑ Why not
DD Professional Services
Agency to Pass Through
Auditor
Amount to Pass Through
$
Sub -Contract Approved
Date:
Prosecutor Review
=Has Prosecutor reviewed this agreement? j Yes El No U
County Departments Imoacted
Submitted
Signature:
Department:
Assignment of Tracking Information
Auditor's Office
Human Resource_
Prosecutor's Office
Who Signed the grant application
Date:
Reviewer 7Date
Grant/Contract Review Page 2
Auditor
Facilities Maintenance
Information Services
Human Resource
Prosecutor
Treasurer
Submitted
Signature:
Department:
Assignment of Tracking Information
Auditor's Office
Human Resource_
Prosecutor's Office
Who Signed the grant application
Date:
Reviewer 7Date
Grant/Contract Review Page 2
Amendment No.1 to the Professional Service Agreement
between WISE and Kittitas County
May 1, 2019- June 30, 2020
The Professional Services Agreement between WISE and Kittitas County, is hearby
amended to update the most current address in addition to the WISE activity fee sheet
as follows (Attachment "A"):
® Consulting, Webinar, and Third Party Brokering Services
All other terms and conditions of the agreement remain in full force and effect.
IN WITNESS WHEREOF, the parties have executed this Agreement this
2019.
ENTRUST
Signature of Signatory
(Date
Print Name of Signatory
APPROVED:
BOARD OF COUNTY COMMISSIONERS
KITTITAS COUNTY, WASHINGTON
Cory Wright, Chairman
Brett Wachsmith, Vice -Chairman
Laura Osiadacz, Commissioner
Professional Services Agreement Amendment No.1
Page 1
day of
Contractor Address:
WISE
16040 Christensen Road#212
Tukwila, WA 98188
Project Contact:
Brandi Monts
TA and Training Director
Attest
❑ Julie Kjorsvik
❑ Mandy Buchholz
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"
Technical Assistance and Training Fee Schedule: 2019 — 2020
Hourly Consulting Rates for training and technical assistance services are as
follows:
® Program Manager - $110 per hour, plus travel expenses
® Senior Program Manager and Directors - $125 per hour, plus travel expenses
Executive Director and Assistant Executive Director - $135 per hour, plus travel
expenses
Individual Technical Assistance (ITA) services in WA State - $125 per hour, plus
expenses
o Includes Behavior Analysis services and Wise Associates in WA State
International projects - $175 per hour, plus travel expenses
Additional Consulting Rates for training and technical assistance services are as
follows:
A daily rate of $1500 per staff member may be used in lieu of hourly rates, plus
travel expenses
Hourly rates including travel expenses on a case by case basis (requires approval
by Ex. Director)
o Program Manager - $130 per hour
o Senior Program Manager and Directors - $150 per hour
o Executive Director and Assistant Executive Director- $175 per hour
Webinar Fees:
1. Webinar presentations of up to 2 hours: $1,000 per presenting staff member
(includes prep time) and hourly rates for follow up
2. Webinar support: $500 for webinar platform use, help desk and facilitator
3. Marketing, registration and certificates: $250
*User registration fees to cover some or all of these costs may be negotiated on a
case by case basis.
Expenses: Per State or Federal Travel regulations
On a reimbursable basis and mileage billed at the then current IRS rates
Special considerations:
Professional Services Agreement Amendment No.1
Page 3
The above rates do not include cost of venues, interpreters, alternative formats for
documents or other accommodation costs, the cost of supplying food, refreshments
or supplies to participants in a training or technical assistance. These expenses will
be negotiated and proposed in addition to training and technical assistance hourly or
daily rates.
® An all-inclusive rate per day of training up to 50 people may be negotiated on a case
by case basis.
Third Party Brokering Services:
A 15% Brokering Fee will be charged on any third -party invoice brokered through Wise.
For any contracts brokered that exceed $35,000 in a fiscal year the Brokering Fee will
then be reduced to 10%.
The Brokering Fee includes the development of the subcontract, contract compliance
monitoring, insurance, fiscal oversight, auditing services, fiscal reporting to the
contractor and IRS.
Third party consultants may be brokered within the Wise rate range per hour unless
otherwise approved by the Executive Director, and/or the funder.
Professional Services Agreement Amendment No.1
Page 4