HomeMy WebLinkAboutCLH31015 Kittitas Amend 2 - unsignedKITTITAS COUNTY PUBLIC HEALTH DEPARTMENT
2022-2024 CONSOLIDATED CONTRACT
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CONTRACT NUMBER: CLH31015 AMENDMENT NUMBER: 2
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, includes the following statements of work, which are incorporated by this reference
and located on the DOH Finance SharePoint site in the Upload Center at the following URL :
https://stateofwa.sharepoint.com/sites/doh-ofsfundingresources/sitepages/home.aspx?=e1:9a94688da2d94d3ea80ac7fbc32e4d7c
Adds Statements of Work for the following programs:
DCHS-ELC COVID-19 Response - Effective January 1, 2022
ELC COVID-19 - Effective January 1, 2022
Emergency Preparedness, Resilience & Response-PHEP - Effective January 1, 2022
OI-Promotion of Immunizations to Improve Vaccination Rates - Effective January 1, 2022
Amends Statements of Work for the following programs:
Climate & Health Wildfire Smoke Indoor Air Quality Project - Effective January 1, 2022
Deletes Statements of Work for the following programs:
2. Exhibit B-2 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B -1 Allocations as
follows:
Increase of $813,467 for a revised maximum consideration of $2,619,312.
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-2
Kittitas County Public Health Department ALLOCATIONS Contract Number:CLH31015
Contract Term: 2022-2024 Date:February 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
FFY21 PHEP BP3 LHJ Funding NU90TP922043 Amd 2 93.069 333.93.06 01/01/22 06/30/22 07/01/21 06/30/22 $29,492 $29,492 $29,492
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 2 93.070 333.93.07 01/01/22 08/31/22 09/01/20 08/31/22 $14,719 $35,719 $35,719
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
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
FFY19 COVID CARES NU50CK000515 Amd 2 93.323 333.93.32 01/01/22 04/22/22 04/23/20 07/31/24 $174 $174 $174
FFY19 ELC COVID Ed LHJ Allocation NU50CK000515 Amd 2 93.323 333.93.32 01/01/22 10/18/22 05/19/20 10/18/22 $14,588 $14,588 $14,588
FFY20 ELC EDE LHJ Allocation NU50CK000515 Amd 2 93.323 333.93.32 01/01/22 12/31/22 01/15/21 07/31/24 $754,494 $754,494 $754,494
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 $2,619,312 $2,619,312
Total consideration:$1,805,845 GRAND TOTAL $2,619,312
$813,467
GRAND TOTAL $2,619,312 Total Fed $1,375,235
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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