HomeMy WebLinkAboutAmendment - University of Washington NexusResearch S ubaward Agreement
Amendment
Universi n
Prime Reclpienl
of Washi
Subreclpient
of KittitasP.lnchtal Subroclplont lnvosll0atot
Awa rd No I
Awardlng Agoncy:Subasard No,l
Prorect Tllle:
lHarm ction T cal Assistance and Services anc
Sl€rl Dalo:
Subaward Porlod ot P6rtormancoi
913012020 Endoatq: gl2gl2o22
Amounl Fundod Thls Aolloni
1.00
Amondment No:Purchase Ordot No:
8PO60033Amondmonl Eftocllve Oale:
07121t2022
Tolel Amounl ot Fund6 Obllgated todate:
197
Srb,scl to FFATA
El Yes D No
ment as follows:
A mendme to Termsinal ant(s Orig nd nsConditlo
AmThls revisesendment the above-referenced Research Subawa rd
Actlon:
The Subaward Amount Funded this Action is increased $20,4g1.
The cumulative totat of $176,9b7 should be changed to $197,43A,
The amount presentlv avallable for payment is $101,502 for ilre budget period ogt3.olzozl through ogl2gt2o22.carryfonivard or funds rrom pieviouip'eriof id rJri;;iil;; iliq,ii,t?iii", approvar.
I[il?"jrT,l,:111l3lili"3Htg:'with the increased fundins inctuded ls atrached and hereby appended to this
condltions of thls SubawardAll other terms and reement remain in full force and effect.
By an Authorized Official of Subrecipient;
Name:Date:
By an Authorized Oflicial of prime Recipient:
uwsc12491
AMD #2
oe a en
Tlle: Subaward Adminishator, OSP
-07'00'
Dale:
UW Research Verslon JAN 2019
uwsc124S1
AMD #2ATTACHMENT 5
Cost Relmbursement Research Subaward Agreement
Budget
lndirect Cost Rate (lDC) of 38%fJ roc
{check ifyEs)
I uroc
De Minimis rate applied? El TOTAL COSTS 5101,502
Salaries
$58.413
Employee Benefits
$1 0,742
Equipment
$o
Travel $o
Supplies
$e00
Other Direct Costs $9,250
TotalDirect Costs $79,305
-
lndirect Cost 38% of Salaries & Wages*197
GRAND TOTAL
$1 0,t ,542
*lndirect costs at 38% in accordance with subrecipient negotiated rates approved 1213112019
Direct Costs
E Oth., lndirect Cos:s
$zg,gos
s22,t97
a
UW Research Budget Template SEp 2016
Kittitas County
Review Form
Grants & Contract Agreement
Contract/G ra nt I nformation
Recommendation for Board of H ealth Review on
Department Head Signature Director Date 5 1S ZL
verification the contracting Agency is not suspended/Disbarred:
Today's Date
7 /22/2022 PA Camas Request #:
Fund/Depa rtment
116-Public Health Agenda Date:
Contract /Grant Agency University of Washington Nexus Amendment
Period Begin Date: 9/30 /2020 Period End Date: 9/29/2OZz
T ota G ra c o tn ctra mAnt/uo nt 0 4 0081 rfo na W5z atot a om u nt of 9I 437s 008.
Grant/Contract Number
The amendment is established to correct for contract mistake to allow KCpHD to access previouslyguaranteed rollover funds from the projects first program year.
Contract/G ra nt Sum mary:
Kittitas County Prosecutor, Audit or, and Board of Health Review and Comment:
APPR AS TO
41^?_"
gna reofP secutor's Date
\/
Signature of S ce D
E Agency is not suspended/disbarred ! Not Checked (reason)
Grant/Contract Review Page 1
Financial lnformation
Budget lnformation
Pass Throu gh lnformation
Prosecutor Review
Total Amount S20,481.00 State Funds 520,+gt.OO Federal Funds $
Percentage County Funds Matching Funds S CFDA#
ln-Kind $
atnEX
ls Equipment being purchased?Who owns equipment?
New Personnel bein g hired?Contact HR hirin - reporti requirements
Future impacts or I iability to Kittitas County
Bud t Amendment Needed?
New Division Created?
Yes I attach budget form No E Why not
Already Bud geted
Revenue Code 11,6.6L2.40.3.334, 04. 910
Expense Code 1"16.612.40.3 ./
Agency to Pass Through
Amount to Pass Throu gh Expense Code:
Sub=Contract Approved Date
osecutor reviewed this agreement?Has the Pr Yes No
County Departments lm pacted
BOCC A roval Needed?
Assignment of Tracki ng lnformation
Auditor Faci lities Maintenance
lnformation Services Human Resource
Prosecutor Treasurer
Yes I No[]
Staff Member presenting: Chelsey Loeffers
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
Reviewer Date
Grant/Contract Review Page 2