HomeMy WebLinkAboutContract Amended Consolidated to BoCCra, ,
DCYF CONTRACT NUMBER:
CONTRACTAMENDMENT
2163-22205
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Consolidated Contract
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Amendment No. 01
This Contract Amendment is between the State of Washington
Program Contract Number
Department of Children, Youth & Families (DCYF) and the Contractor
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identified below.
Contractor Contract Number
CONTRACTOR NAME
CONTRACTOR doing bus now as (DBA)
Kittitas County
CONTRACTOR ADDRESS
WASHINGTON UNIFORM BUSINESS
DCYF INDEX NUMBER
Rm 211 Kittitas Cc Courthouse
IDENTIFIER(UBI)
1225
205 W Fifth St
192-002-673
Ellensburg, WA 98926
CONTRACTOR CONTACT
CONTRACTOR TELEPHONE
CONTRACTOR-AX
CONTRACTORE-MAIL ADDRESS
Katrina Mankus
(509)962-7516
Click here to enter text.
katrina.mankus&o.kittitas.wa.
us
DCYF ADMINISTRATION
DCYF DIVISION
DCYF CONTRACT CODE
Department of Children, Youth, and Families
Children, Youth and Families
2072CS-63
Karena McGovern
1115 Washington St SE
Contract Specialist
OI mia, WA 98504
DCYF CONTACT TELE PH NE DCYF CONTACT FAX DCYF CONTACT E-MAIL ADDRESS
360870-5727 Click hereto enter text. karena.mcgio\ern@dcyf.wa.gov
IS THE GUN IR UI URA SUBRECIPI NT FOR PURPOSE OF THIS CONTRACT? CFDA NUMBERS
No
AMENDMENTSTART DATE. CONTRACT FIND DATE
06/13/2022 06/30/2023
$0.00 $2,000.00 $2,000:00
REASON FOR AMENDMENT;
CHANGE ORCORRECTOTHER: SEE PAGE TWO
ATTACHMENTS. When the box below is marked with an X the following Exhibits are attached and are incorporated into
this Contract Amendment by reference:
® Additional Exhibits (specify): Exhibit D-Concrete Goods Guidance; Exhibit E-Concrete Goods Reporting Template
This Contract Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms
and conditions agreed upon by the parties as changes to the original Contract. No other understandings or
representations, oral or otherwise, regarding the subject matter of this Contract Amendment shall be deemed to exist or
bind the parties. All other terms and conditions of the original Contract remain in full force and effect. The parties signing
below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract
Amendment.
CONTRACTOR SIGNATURE
PRINTED NAME AND TITLE
DATE SIGNED
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DCYF SIGNATURE
PRINTEDNAME qND ITLES
DATE SIGNED
Department of Children, Youth & Families
2024 PF Contract Amendment (8-1-2019) Page 1
This Contract between the State of Washington Department of Children, Youth & Families (DCYF) and the
Contractor is hereby amended as follows:
Purpose. The purpose of this amendment is to increase Contract Consideration by $2,000 to allowfor
Concrete Goods purchases as instructed on Exhibit D and attach Exhibit E.
Concrete Goods Guidance -Exhibit D is included as follows:
Exhibit D
CONCRETE GOODS GUIDANCE
Kittitas County
1. Based on the allowable spending of state contracts, these funds for concrete goods must be spent by
June 30, 2022. Concrete goods purchased by June 30, 2022 should be distributed no later than
September 30, 2022.
2. Contractor will purchase and provide concrete goods to families for the purposes of supporting low-
income families. Goods may be provided directly to families through non-profit partner organizations.
a. Funds allocated in this Contract maybe used for short-term supports, such as: diapers, car
seats, cleaning supplies, hygiene supplies, school supplies, transportation costs (e.g. bus pass),
short-term housing assistance, and grocery gift cards.
i. In distributing gift cards, Contractor must make reasonable efforts to assure gift cards
are not used for the purchase of items that are prohibited from being purchased.
1. If available, Contractor will use gift cards that prohibit the purchase of alcohol,
tobacco and firearms.
ii. Contractor must track each gift card individually, including: retailer, amount, identification
number or other unique identification, and client signature or electronic verification of
receipt.
iii. There is no max amount per family/youth. There is a max of $200 value per item.
Provider can seek approval item of greatervalue than $200 — e.g. gas and grocery
cards.
iv. Appliances are not considered a concrete good.
b. Funds allocated in this Contract may not be used to pay for alcohol, marijuana, tobacco, vaping
supplies, firearms, or other weapons in anyway. They also may not be used for utilities,
extended housing, medical care, medical supplies, or other long-term supports.
3. The Contractor will maintain documentation for these concrete goods purchased by this funding source,
including: how needs were identified for specific supplies, what specific supplies were purchased, and
how many unduplicated families received these supplies.
4. Financial Reporting and Documentation
Compensation is based on reimbursement for actual expenses incurred and approval of all
invoices by DCYF. Contractor must attach back-up documentation to the billing that
demonstrates the actual expenses incurred.
Contractor will submit a properly completed A-19 Voucher, accompanied by the following
documentation of the actual expenses incurred, as described below:
L Invoice documentation supporting payment for concrete goods, including quantity
and cost of each type of good purchased.
ii. If Contractor provides gift cards for concrete goods, a copy of the records
Department of Children, Youth & Families Page 2
2024PF Contract Amendment (8-1-2019)
demonstrating both the purchase and distribution of gift cards have occurred in
accordance with requirements in 2.a. (1).
5. 10%admin fee is authorized for concrete goods.
6. All concrete goods provided by this contract must be purchased by June 30, 2022. Any services after
June 30, 2022 are not billable underthe terms of this Contract. Exhibit E is due by October 31, 2022 in
order to capture all the data for the completed program.
Concrete Goods Reporting Template -Exhibit E is included as follows:
3. Exhibit E will be provided electronically by the DCYF Program Administrator.
All other terms and conditions of this Contract remain in full force and effect.
Departnent of Children, Youth & Families Page 3
2024PF Contract Amendment (8-1-2019)
ADOPTED this day of 2022.
BOARD OF COUNTY COMMISSIONERS
KITTITAS COUNTY, WASHINGTON
Laura Osiadacz, Chairman
Cory Wright, Vice -Chairman
Brett Wachsmith, Commissioner
ATTEST: APPROVED AS TO FORM:
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Douglas R!Mitchell, Deputy Prosecuting Attorney
❑ Clerk of the Board- Julie Kjorsvik
❑ Deputy Clerk of the Board- Mandy Buchholz
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