HomeMy WebLinkAboutUW NEXUS AmendmentKittitas County
Review Form KITTIT.45 flHT IT
Grants &Contract Agreement
Today's Date PA Camas Request #:7/22/2022
Fund/Department Agenda Date:116-Public Health
Contract/Grant Information
Contract /Grant Agency:University of Washington Nexus Amendment
Period Begin Date:9/30/2020 Period End Date:9/29/2022
Total Grant/ContractAmount:$20,481.00 for a new total amount of $197,438.00
Grant/Contract Number:
Contract/Grant Summary:
The amendment is established to correct for contract mistake to allow KCPHD to access previously
guaranteed rollover funds from the projects first program year.
Recommendation for Board of Health Review on
Department Head Signature:,Director Date:
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
Verification the Contracting Agency is not Suspended/Disbarred:
Agency is not suspended/disbarred O Not Checked (reason)
Grant/Contract Review Page 1
Financial Information
Total Amount $20,481.00 State Funds $20,481.00 Federal Funds $
Percentage County Funds Matching Funds $CFDA#
In-Kind $
Explain
Is Equipment being purchased?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 [X]why not
New Division Created?Already Budgeted
Revenue Code 116.612.40.3.334.04.910
Expense Code 116.612.40.3
Pass Through Information
Agency to Pass Through
Amount to Pass Through Expense Code:
Sub-Contract Approved Date:
Prosecutor Review
Has the Prosecutor reviewed this agreement?Yes No
County Departments Impacted
Auditor Facilities Maintenance
Information Services Human Resource
Prosecutor Treasurer
BOCC Approval Needed?
Yes O No O
Staff Member Presenting:Chelsey Loeffers
Assignment of Tracking Information
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
Reviewer Date
Grant/Contract Review Page 2
UWSC12491
AMD #2
Research Subaward Agreement
Amendment
Prime Recipient Subrecipient
University of Washington (UW)County of Kittitas
UW Principal Investigator (PI):Subrecipient Principal Investigator (PI):
Sara Glick Chelsey Loeffers
Award No:Awarding Agency:Subaward No.:
5 NU65PS923685-03-00 CDC UWSC12491
Project Title:
National Harm Reduction Technical Assistance and Syringe Services Program Monitoring and Evaluation
Subaward Period of Performance:Amount Funded This Action:Amendment No:Purchase Order No:
Slart Date:9/30/2020 End Date:9/29/2022 $20,481.00 |2 BPO60033
AmendmentEffeelive Date:Total Amountof Funds Obligated to dale:Subject to FFATA
07/21/2022 $197,438.00 E Yes O No
Amendment(s)to Original Terms and Conditions
This Amendment revises the above-referenced Research Subaward Agreement as follows:
Action:
The Subaward Amount Funded this Action is increased $20,481.
The cumulative total of $176,957 should be changed to $197,438.
The amount presently available for payment is $101,502 for the budget period 09/30/2021 through 09/29/2022.
Carryforwardof funds from previous period is restricted and requires prior approval.
The revised cumulative budget with the increased funding included is attached and hereby appendedto this
Amendment as Attachment 5.
All other terms and conditions of this Subaward Agreement remain in full force and effect.
By an Authorized Official of Prime Recipient:By an Authorized Official of Subrecipient:
Name:Date:Name:Date:
Title:Title:
UW Research Version JAN 2019
UWSC12491
ATTACHMENT 5
AMD #2
Cost Reimbursement Research Subaward Agreement
Budget
Direct Costs $79,305
indirect Cost Rate (IDC)of 38%Ü TDC MTDC Other Indirect Costs $22,197
De Minimis rate applied?(check if YES)TOTAL COSTS $101,502
Salaries $58,413
Employee Benefits $10,742
Equipment $0
Travel $0
Supplies $900
Other Direct Costs $9,250
Total Direct Costs $79,305
Indirect Cost 38%of Salaries &Wages*$22,197
GRAND TOTAL $101,502
*Indirect costs at 38%in accordance with Subrecipient negotiated rates approved 12/31/2019.
UW Research Budget Template SEP 2016