19-33 Amend 2 Kittitas YMPEP - Laserfiche WebLink

Home Browse Search

#19-33 Amend 2 GT&C Kittitas County Public Health Yr 4 YMPEP 1 of 1 Service Agreement # 19-33 Amendment # 2 Between WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH And KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT Agreement 19-33 by and between Walla Walla County Department of Community Health, hereinafter “County,” and Kittitas County Public Health Department hereinafter “Contractor,” is amended as follows and in the attached Exhibit E (Expenditure and Budget Workbook): Amendment 2: Add funding for July 2020 to June 2021 and extend Performance Period. Attachments: Exhibit A – Statement of Work Exhibit B - Budget Exhibit E – Budget and Expenditure Workbook All other conditions of Service agreement #19-33 remain in full force and effect. By their signatures below, the parties agree to the terms and conditions of this Agreement and all documents incorporated by reference. The parties signing below certify that they are authorized to sign this Agreement. IN WITNESS WHEREOF, the parties hereto have signed this Agreement. COUNTY: CONTRACTOR: Chairman/Vice-Chairman Date Walla Walla County Board of Commissioners c/o Department of Community Health 314 W Main Street Authorized By Date Walla Walla, WA 99362 Phone: (509) 524-2650 Fax: (509) 524-2642 Print Name & Title of Person Signing Telephone Number / Email Address: Mailing Address (Street address required in addition to PO Box.): Social Security or Business Tax ID#: CFDA# (if applicable): UBI#: State Industrial Account ID # (if applicable):