HomeMy WebLinkAboutConCon Amendment 1KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT
2022-2024 CONSOLIDATED CONTRACT
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CONTRACT NUMBER: CLH31015 AMENDMENT NUMBER: 1
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, located on the DOH Finance SharePoint site in the Upload Center, and incorporated by this
reference, are amended as follows:
Adds Statements of Work for the following programs:
• Climate & Health Wildfire Smoke Indoor Air Quality Project - Effective January 1, 2022
• COVID-19 Mass Vaccination -FEMA - Effective January 1, 2022
• Foundational Public Health Services (FPHS) - Effective January 1, 2022
• LSPAN-Local Strategies for Physical Activity & Nutrition - Effective January 1, 2022
• Maternal & Child Health Block Grant - Effective January 1, 2022
• Office of Drinking Water Group A Program - Effective January 1, 2022
• Office of Drinking Water Group B Program - Effective January 1, 2022
• Office of Immunization COVID-19 Vaccine - Effective January 1, 2022
• Supplemental Nutrition Assistance Program-Education - Effective January 1, 2022
Amends Statements of Work for the following programs:
Deletes Statements of Work for the following programs:
2. Exhibit B-1 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-0 Allocations as follows:
Increase of $1,805,845 for a revised maximum consideration of $1,805,845.
Decrease of for a revised maximum consideration of .
No change in the maximum consideration of .
Exhibit B Allocations are attached only for informational purposes.
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 Date
APPROVED AS TO FORM ONLY
Assistant Attorney General
EXHIBIT B-1
Kittitas County Public Health Department ALLOCATIONS Contract Number:CLH31015
Contract Term: 2022-2024 Date:January 1, 2022
Indirect Rate as of January 1, 2022: 25.25% Public Health Dept & 12.75% County Central Svcs
BARS Funding Chart of
Federal Award Assist Revenue Period Accounts
Chart of Accounts Program Title Identification #Amend #List #*Code**Start Date End Date Start Date End Date Amount SubTotal Total
FFY22 IAR SNAP Ed Prog Mgnt-Region 2 207WAWA5Q3903 Amd 1 10.561 333.10.56 01/01/22 09/30/22 10/01/21 09/30/22 $30,818 $30,818 $30,818
FFY22 CDC EHC EHR Supplemental NGA Not Received Amd 1 93.070 333.93.07 01/01/22 08/31/22 09/01/20 08/31/22 $83,000 $83,000 $83,000
FFY20 Envir Health Capacity-C (CDC) NCE NUE1EH001445 Amd 1 93.070 333.93.07 01/01/22 08/31/22 09/01/20 08/31/22 $21,000 $21,000 $21,000
COVID19 Vaccines R4 NH23IP922619 Amd 1 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 $359,803 $359,803 $359,803
FFY21 Phys Actvty & Nutrition Prog NU58DP006504 Amd 1 93.439 333.93.43 01/01/22 09/29/22 09/30/21 09/29/22 $34,000 $34,000 $34,000
FFY22 MCHBG LHJ Contracts B0445251 Amd 1 93.994 333.93.99 01/01/22 09/30/22 10/01/21 09/30/22 $33,147 $33,147 $33,147
GFS-Group B (FO-E)Amd 1 N/A 334.04.90 01/01/22 06/30/22 07/01/21 06/30/22 $25,877 $25,877 $25,877
FPHS-LHJ-Proviso (YR2)Amd 1 N/A 336.04.25 07/01/22 06/30/23 07/01/21 06/30/23 $605,000 $605,000 $1,210,000
FPHS-LHJ-Proviso (YR1)Amd 1 N/A 336.04.25 01/01/22 06/30/22 07/01/21 06/30/23 $605,000 $605,000
YR24 SRF - Local Asst (15%) (FO-E) SS Amd 1 N/A 346.26.64 01/01/22 12/31/22 07/01/21 06/30/23 $3,600 $3,600 $3,600
Sanitary Survey Fees (FO-E) SS-State Amd 1 N/A 346.26.65 01/01/22 12/31/22 07/01/21 06/30/23 $3,600 $3,600 $3,600
YR24 SRF - Local Asst (15%) (FO-E) TA Amd 1 N/A 346.26.65 01/01/22 12/31/22 07/01/21 06/30/23 $1,000 $1,000 $1,000
TOTAL $1,805,845 $1,805,845
Total consideration:$0 GRAND TOTAL $1,805,845
$1,805,845
GRAND TOTAL $1,805,845 Total Fed $561,768
Total State $1,244,077
*Catalog of Federal Domestic Assistance
**Federal revenue codes begin with "333". State revenue codes begin with "334".
LHJ Funding Period Funding Period
Chart of AccountsStatement of Work
DOH Use Only
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