HomeMy WebLinkAboutConsolidated Contract Amendment 18Ch rc�PFM__ 0
Kittitas County
Review Form
Af 'fE f"1ti 1"�11'�"11'
Grants & Contract Agreement
Today's Date
01/27/2021
Fund/Department
116 -Public Health
Contract/Grant Information
Agenda Date
i
Contract /Grant Agency: Consolidated Contract Amendment 18
Period Begin Date: 01/01/2018
Period End Date: 12/31/2021
Total Grant/Contract Amount: Increase of $125,582.00 for a new revised maximum of $2,434,985.00
Grant/Contract Number:
Contract/Grant Summary:
The Consolidated Contract Amendment 18 amends the following:
Exhibit A Statements of Work, attached and incorporated by this reference, are amended as follows:
Adds Statements of Work for the following programs:
M Climate & Health Wildfire Smoke Indoor Air Quality Pilot Study - Effective September 1, 2020
Statements of Work for the following programs:
0 COVID-19 Coordinated Response - Effective July 1, 2020
0 Division of Emergency Preparedness & Response COVID-19 - Effective January 20, 2020
IN ELC COVID-19 - Effective June 1, 2020
0 Emergency Preparedness & Response COVID-19 Local CARES - Effective March 1, 2020
M Foundational Public Health Services (FPHS) - Effective July 1, 2019
Exhibit B-18 Allocations, attached and incorporated by this reference, amends and replaces Exhibit
B-17 Allocations as follows: Increase of $125,582 for a revised maximum consideration of
$2,434,985.
Recommendation for Board of Health and Board of Health Review on
Department Head Signature:
Administrator Date:
Grant/Contract Review Page 1
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
Financial Information
Total Amount $125,582 State Funds $ Federal Funds $125,582; $252,036
Percentage County Funds Matching Funds $ CFDA# 93.070; 93.268; 21.019
In -Kind $
Explain
Is Equipment being purchased? I 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 ❑ attach budget form No ❑ why not
New Division Created?
Revenue Code 116.615.08.04.333.93.07 - $111,000 116.39.21.333.21.01- $252,036
FFY20 Envir Health Capacity -C (CDC); BITV-COVID Ed LHJ Allocation -CARES
116.612.39.24.333.93.26 - $14,582 (combines Amd 16 & 18 removing
FFY21 COVID-19 Vaccine Services -CARES; FEMA -75 COVID LHJ Allocation)
Pass Through Information
Agency to Pass Through
Amount to Pass Through $
Sub -Contract Approved Date:
Prosecutor Review
Has the Prosecutor reviewed this agreement? Yes El No ❑
County Departments Impacted
Auditor Facilities Maintenance
Grant/Contract Review Page 2
Information Services
Prosecutor
Submitted
Signature:
Department
Assignment of Tracking Information
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
Human Resource
Treasurer
Date:
Reviewer I Date
Grant/Contract Review Page 3
KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT
2018 - 2021 CONSOLIDATED CONTRACT
CONTRACT NUMBER: CLH18249
AMENDMENT NUMBER: 18
PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as "DOH", and
KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT, a Local Health Jurisdiction, 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:
■ Climate & Health Wildfire Smoke Indoor Air Quality Pilot Study - Effective September 1, 2020
® Amends Statements of Work for the following programs:
• COVID-19 Coordinated Response - Effective July 1, 2020
• Division of Emergency Preparedness & Response COVID-19 - Effective January 20, 2020
• ELC COVID-19 - Effective June 1, 2020
• Emergency Preparedness & Response COVID-19 Local CARES - Effective March 1, 2020
• Foundational Public Health Services (FPHS) - Effective July 1, 2019
❑ Deletes Statements of Work for the following programs:
2. Exhibit B-18 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-17 Allocations as follows:
® Increase ofi2S� 5,582 for a revised maximum consideration of $2,434,985.
❑ 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-15 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces Exhibit C-14.
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 34
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