HomeMy WebLinkAboutCon Con Amendment 9Kittitas County
Review Form
Grants & Contract Agreement
Today's Date Agenda Date
07/17/2019
Fund/Department
116 -Public Health
Contract/Grant Information
Contract /Grant A
: Consolidated Contract Amendment 9
Period Begin Date: 01/01/2018
Period End Date: 12/31/2020
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Total Grant/Contract Amount: Increase of $11,829.00 for a revised maximum consideration of
$347,483.00
Grant/Contract Number: CLH18249
Contract/Grant Summary:
The Consolidated Contract Amendment 9 amends the following:
Adds Statements of Work for the following programs
e OICP-Promotion of Immunizations to Improve Vaccination Rates: Effective July 1, 2019
• Zoonotic Disease Program-WNV Mosquito Surveillance- Effective June 1, 2019
Amends Statements of Work for the following:
■ Office of Drinking Water Group A Program -Effective January 1, 2018
• Supplemental Nutrition Assistance Program -Education: Effective October 1, 2018
Exhibit B-8 Allocations amends and replaces Exhibit B-7 allocations as follows:
• Increase of $11,829.00 for a revised maximum consideration of $347,483.00
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
Grant/Contract Review Page 1
Financial Information
Total Amount $ 11,829
State Funds $5,800
Federal Funds $ 6,029
Percentage County Funds _
Matching_ Funds $ CFDA# 10.561 & 93.268
In -Kind $
Explain
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 E]attach budget form No F-1Whynot
New Division Created?
Revenue Code 116.612.94.333.10.56 $ 429 Snap -Ed
116.612.32.3.333.93.268 $ 5,600 VFC Ops
116.615.05.334.04.91 $ 971 Zoonotics-GFS (June 2019)
116.615.05.334.04.91 $ 4,029 Zoonotics-GFS 07/01/19-06/30/21
116.615.2.2.346.26.64 $ 400 Group A Water (FS) SS Federal
116.615.2.2.346.26.65 $ 400 Group A Water SS State
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 ❑
County Departments Impacted
Auditor Facilities Maintenance
Information Services Human Resource
Prosecutor Treasurer
Submitted_
Signature:
Department:
Assignment of Tracking Information
Auditor's Office
Grant/Contract Review Page 2
Human Resource
Prosecutor's Office
Who Signed the grant application
Reviewer Date
Grant/Contract Review Page 3
KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT
2018 — 2020 CONSOLIDATED CONTRACT
CONTRACT NUMBER: CLH18249
AMENDMENT NUMBER: 9
PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as
"DOH", and KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT hereinafter referred to as "LHJ", pursuant to the
Modifications/Waivers clause, and to make necessary changes within the scope of this contract and any subsequent
amendments thereto.
IT IS MUTUALLY AGREED: That the contract is hereby amended as follows:
1. Exhibit A Statements of Work, attached and incorporated by this reference, are amended as follows:
® Adds Statements of Work for the following programs:
• OICP-Promotion of Immunizations to Improve Vaccination Rates - Effective July 1, 2019
• Zoonotic Disease Program-WNV Mosquito Surveillance - Effective June 1, 2019
® Amends Statements of Work for the following programs:
Office of Drinking Water Group A Program - Effective January 1, 2018
Supplemental Nutrition Assistance Program -Education - Effective October 1, 2018
❑ Deletes Statements of Work for the following programs:
2. Exhibit B-9 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-8 Allocations as
follows:
® Increase of 811.829 for a revised maximum consideration of &347.483.
❑ Decrease of for a revised maximum consideration of
❑ No change in the maximum consideration of
Exhibit B Allocations are attached only for informational purposes.
3. Exhibit C-8 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces
Exhibit C-7.
Unless designated otherwise herein, the effective date of this amendment is the date of execution.
ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force
and effect.
IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof.
KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON
DEPARTMENT OF HEALTH
Date
APPROVED AS TO FORM ONLY
Assistant Attorney General
Page 1 of 20
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