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Home My WebLink Aboutcontract amendment DCYFCONTRAGT AMENDMENT Consolidated Contract DCYF CONTRACT NUMBER 2163-22205 Amendment No. 01 This Contract Ame ndment is between the State of Washington Departnnnt of Children, Youth & Families (DCYF) and the Contractor identified below. Program (jontract Num ber {l}i*h i:ilt* lr} *iltr::r'i'i:sl Contractor Contract Num ber Kittitas County CONTRACTOR NAME CONTRACTOR doi ng busi nessas (DBA) UQN I KAG I OR AIJIJRTSS Rm 211 Kittitas Co Courthouse 205 W Fifth St Ellensburg, WA 98926 WASHING I ON UNIFORM BUSINESS TDENTIFIER (UBr) 192-002-673 DCYF INDEX NUMI]ER 1225 CONTRACTOR CONTACT Katrina Mankus CONIRACIOR]ELEPHONE (509) 962-7516 CONTRACTOR FAX CON I RACTOR E.MAIL ADDRESS katri na. mank us@co.kittitas.wa. US DCYF ADMINISTRATION Depadment of Children, Youth, and Families DCYF DIVISION Children, Youth and Families DCYF CONTRACT CODE 2072C5-63 LJUYF UONIAOI NAMTAND IITLE Karena McGorern Contract Specialist IJUYF L;ON I AC I AI]DRT,SS 11 15 Washington St SE Olympia, WA 98504 IJCYI- CONTACT TELEPHONE (360)870-5727 I]CYF CONTACT FAX {;iii:h ir*:e i{} +*l{*;'l#xt karena.m cgolern@dcyf.wa.gov DCYF CONTACT E-MAIL ADDRESS IS THE CONTRACTORA SUBRECIPIENT FORPffi No CFDA NUMI]ERS AMENDMENTSTART DATE 06113t2022 CON"IRACT ENO DAIE 06t30t2023 rKIUK IVIA IIVIUM UUN I KAU I AMOUN T $0.00 AMUUN I OF INURTAST OR DECREASE $2,000.00 I \J I AL IVIAAIIVIUIV U(JN I KAgI AMUUN I $2,000.00 CHANGE OR CORRECTOTHER: SEE PAGE TWO REASON I.OR AM ENDN/ ENT; anges to the origi subject matter of gAmendment,I Exhibits an cuments incorporat reference, con NS the termsand conditions agreed upon by the parties as ch nal Contract. No other understandi ngs orrepresentations, oral or othenrrise, regarding the this Contract Amendment shall be deemed to exist orbind the parties. All other terms and conditions of the original Contract remain in full force and effect. The parties sign ingbelow warrant that they har,e read and understa nd this Contract Amendment, and haw authority to enter i nto this ContractAmendment CONTRACTOR SIGNATURE €.-t{ Pr< s.PrrbSJra*day Ca'&,-Wi 5-+< PRINTED NAIVE AND TITLE L .L 6. R-s DATE SIGNED r">7>4 PRINTED NAME AND-TITLE v DATE SIGNED V- tY.-7D A DeparhTent of Children, youh & Families 2024P F Conlract Amend ment (B-1 -20 1 9) hn+t*,*t 7f>"-q'"-); I l( I Page 1 This Contract between the State of Washington Department of Children, Youth & Families (DCYF)and the Contractor is hereby amended as follorrys: ,l 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: 2. 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 partnerorganizations. a. Funds allocated in this Contract may be 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. ln 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. lf 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, iden tification 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 9200 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 any way. They also may not be used for utilities, extended housing, medical care, medical supplies, or other long-term supporls.3. The Contractor will maintain documentation for these concrete goods purchased by this funding source, including: howneeds were identified for specific supplies, what specific supplies were purchased, and how many unduplicated families received these supplies. 4. Financial Reporting and Documentation a. Compensation is based on reimbursementfor actual expenses incurred and approval of all invoices by DCYF. Contractor must attach back-up documentation to the billing thatdemonstrates the actual expenses incurred. b. Contractor will submit a properly completed A-19 Voucher, accompanied by the followingdocumentation of the actualexpenses incuned, as described belovyi' lnvoice documentation supporting payment for concrete goods, including quantity and cost ofeach type ofgood purchased.ii. lf Contractor provides gifi cards for concrete goods, a copy of the records DepartTent of Children, youtr & Families 2024PF Conlract Amend ment (8-1 -201 9)Page 2 demonstrating both the purchase and distribution of gift cards have occurred in accordance with requ irements in 2.a. (1 ). 5. 1O% 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 31,2OZ2in 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. Deparfnent of Children, Youfr & Families 2024PF Contract Amendment(B-1 -201 9)Page 3 .FClerk of the Board- Julie Kj n Deputy Clerk of the Board- day of U,,2022 BOARD OF COUNTY COMMISSIONERS KITTITAS COU NTY, WASHINGTON acz, Chairman ABSENT ht, vi SM th, Commissioner APPROVED AS TO FORM t 7a9 +t Douglas R Mitchell, Deputy Prosecuting Attorney orsvik Mandy Buchholz \-l-ttADOPTED this T.T C /lllillil ?a*r. \