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HomeMy WebLinkAboutFinal Con Con Amend 15Today's Date 11/06/2018 Fund/Department 116 -Public Health Kittitas County Review Form Grants & Contract Agreement I Agenda Date I i i/ ty rrras i�„ �7, Contract/Grant Information Contract /Grant Agency: Con Con Amendment 15 Period Begin Date: 01/01/2018 1 1 Period End Date: 12/31/2020 Total Grant/Contract Amount: Increase of $63,977 for a revised maximum of $844,192.00 Grant/Contract Number: CFH18249 Contract/Grant Summary: The Amended Consolidated Contract Adds a Statement of Work for the following: ■ ELC-COVID 19- Effective June 1, 202 • OICP-Promotion of Immunizations to Improve Vaccine Rates- Effective July 1, 2020 Exhibit B-15 Allocations amends and replaces Exhibit B-14 Allocations as follows: • Increase of $63,977 for a revised maximum of $844.192.00 Recommendation for Board of Health and Board of Health Review on Department Head Signature: Kittitas County Prosecutor, Auditor, and Board of Hea APPROVED AS TO FORM: Signature of Prosecutor's Office Date Signature of Auditor's Office Date Signature of Board of Health member Date Administrator Date: Financial Information Total Amount $ Estate Funds $ Federal Funds $ Grant/Contract Review Page 1 Percentage County Funds Matching Funds $ CFDA# In -Kind $ Explain Is Equipment being purchased? Who owns equipment? New Personnel being hired? I Contact HR hiring — reporting requirements Future impacts or liability to Kittitas County: Budget Information Budget Amendment Needed? Yes ❑ New Division Created? Revenue Code Pass Through Information Agency to Pass Through Amount to Pass Through Sub -Contract Approved 61 Date: attach budget form No ❑ Why not 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 _L Human Resource Prosecutor's Office Who Signed the grant application Date: Reviewer Date Grant/Contract Review Page 2 KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT 2018 — 2020 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH18249 AMENDMENT NUMBER: 15 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: ELC-COVID-19 - Effective June 1, 2020 OICP-Promotion of Immunizations to Improve Vaccination Rates - Effective July 1, 2020 ® Amends Statements of Work for the following programs: • LSPAN-Local Strategies for Physical Activity & Nutrition - Effective February 19, 2019 ■ Supplemental Nutrition Assistance Program -Education - Effective October 1, 2018 ❑ Deletes Statements of Work for the following programs: 2. Exhibit B-15 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-14 Allocations as follows: ® Increase of 563,977 for a revised maximum consideration of $844,192. ❑ 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-12 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces Exhibit C-11. 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. 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