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Home My WebLink AboutCon Con Amendment 7 (2)Kittitas County Review Form Í [KITilTM fiHTTT Grants &Contract Agreement Today's Date PA Camas Request #:08/31/2022 Fund/Department 116-Public Health Agenda Date: Contract/Grant Information Contract /Grant Agency:Consolidated Contract Amendment 7 Period Begin Date:01/01/2022 Period End Date:12/31/2024 Total Grant/Contract Amount:Increase of $470,269.00 for a max consideration of $3,643,455.00 Grant/Contract Number:CLH31015 Amendment 7 Contract/Grant Summary: The con con Amendment 7 ADDS Statements of Work for the following: Executive Office of Resiliency and Health Security-PHEP-Effective July 1,2022 AMENDS Statements of Work for the following programs (Effective January 1,2022): Climate and health Wildfire Smoke Indoor Air Quality Project,COVID-19 Mass Vaccination-FEMA,DCJS- ELC-COVID-19 Response,FPHS,LSPAN,Maternal and Child Health Block Grant,Supplemental Nutrition Assistance Program 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 State Funds $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 why not New Division Created? 612.91.333.10.56,612.88.3.333.93.069,612.39.27.333.21.02,Revenue Code 612.39.23.333.93.324,612.31.333.93.439,612.22.333.93.994 Expense Code 51001,52001,50098,54101,53115 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 Staff Member Presenting: Assignment of Tracking Information Auditor's Office Human Resource Prosecutor's Office Who Signed the grant application Reviewer Date Grant/Contract Review Page 2 KITTITAS COUNTY PUBLIC HEALTHDEPARTMENT 2022-2024 CONSOLIDATED CONTRACT CONTRACT NUMBER:CLH31015 AMENDMENT NUMBER:7 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: httos://stateofwa.sharepoint.com/sites/dch-ofsfundineresources/sitepages/home.aspx?=el;9a94688da2d94d3ea30ac7fbc32e4d7e Adds Statements of Work for the following programs: Executive Office of Resiliency &Health Security-PHEP -Effective July 1,2022 Amends Statements of Work for the following programs: Climate &Health Wildfire Smoke Indoor Air Quality Project -Effective January 1,2022 COVID-19 Mass Vaccination-FEMA -Effective January 1,2022 DCHS-ELC-COVID-19 Response -Effective January 1,2022 Foundational Public Health Services (FPHS)-Effective January 1,2022 LSPAN-Local Strategies for Physical Activity &Nutrition -Effective January 1,2022 Maternal &Child Health Block Grant -Effective January 1,2022 Supplemental Nutrition Assistance Program-Education -Effective January 1,2022 Deletes Statements of Work for the following programs: 2.Exhibit B-7 Allocations,attached and incorporated by this reference,amends and replaces Exhibit B-6 Allocations as follows: Increase of for a revised maximum consideration of Decrease of $470,269 for a revised maximum consideration of $3,643,455. 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 CONDITIONSof 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. STATE OF WASHINGTONKITTITASCOUNTYPUBLICHEALTHDEPARTMENTDEPARTMENTOFHEALTH Signature:Signature: Date:Date: APPROVED AS TO FORM ONLY Assistant Attorney General Page 1 of 1 EXHIBITB-7KittitasCountyPublicHealthDepartmentALLOCATIONSContractNumber:CLH31015ContractTerm:2022-2024Date:August1,2022indirectRateJanuary1,2022throughDecember31,2022:21%PublicHealthDept&15%CountyCentralSvcsDOHUseOnlyBARSStatementofWorkChartofAccountsFundingChartofFederalAwardAssistRevenueLHJFundingPeriodFundingPeriodPeriodAccountsChartofAccountsProgramTitleIdentification#Amend#List#*Code**StartDateEndDateStartDateEndDateAmountSubTotalTaggyFFY22IARSNAPEdProgMgnt-Region2207WAWA5Q3903Amd710.561333.10.5601/01/2209/30/2210/01/2109/30/22($5,900)537,008537,008FFY22IARSNAPEdProgMgnt-Region2207WAWA5Q3903Amd410.561333.10.5601/01/2209/30/22LO/01/2l09/30/22512,090FFY22IARSNAPEdProgMgnt-Region2207WAWA5Q3903Amd1LO.56|333.10.5601/01/2209/30/2210/01/2109/30/22$30,818CSFRFCTSLHJAllocationNGANotReceivedAmd521.027333.21.0201/01/2212/31/2201/01/2212/31/22$217,313$217,3135217,313FFY22PHEPBP4LHJFundingNU90TP922043Amd793.069333.93.0607/01/2206/30/2307/01/2206/30/23549,133$49,133$78,625FFY21PHEPBP3LHJFundingNU90TP922043Amd293.069333.93.0601/01/2206/30/2207/01/2106/30/22$29,492$29,492FFY22CDCEHCEHRSupplementalNGANotReceivedAmd1,793.070333.93.0701/01/2212/31/2209/01/2012/31/22$83,000583,000583,000FFY20EnvirHealthCapacity-C(CDC)NCENUElEHO01445Amd293.070333.93.0701/01/2208/31/2209/01/2008/31/22$14,719$35,719$35,719FFY20EnvirHealthCapacity-C(CDC)NCENUElEHOOl445Amdl93.070333.93.0701/0l/2208/31/2209/01/2008/31/22$21,000COVIDl9VaccinesNH23IP922619Amd493.268333.93.2601/01/2206/30/2407/01/2006/30/245225,1255225,1255225,125COVIDl9VaccinesR4NH23IP922619Amd193.268333.93.2601/01/2206/30/2407/01/2006/30/24$359,803$359,803$359,803FFY22VFCOpsNH23IP922619Amd393.268333.93.2601/01/2206/30/2207/01/2106/30/22$4,980$4,98054,980FFYl9COVIDCARESNU50CKOOO515Amd293.323333.93.3201/01/2204/22/2204/23/2007/31/24$174$174$l74FFY19ELCCOVIDEdLHJAllocationNU50CK000515Amd793.323333.93.3201/01/2210/18/2205/19/2010/18/22$1,54757,238$7,238FFYl9ELCCOVlDEdLHJAllocationNU50CKOOO515Amd493.323333.93.3201/01/2210/18/2205/19/2010/18/22($8,897)FFYl9ELCCOVIDEdLHJAllocationNU50CKOOO515Amd293.323333.93.3201/01/2210/18/2205/19/2010/18/22$14,588FFY20ELCEDELHJAllocationNU50CK000515Amd793.323333.93.3201/01/2212/31/2201/15/2107/31/24($34,245)$720,249$720,249FFY20ELCEDELHJAllocationNU50CK000515Amd293.323333.93.3201/01/2212/31/2201/15/2107/31/24$754,494FFY22PhysActvty&NutritionProgNGANotReceivedAmd793.439333.93.4309/30/2209/29/2309/30/2209/29/23$80,000$80,0005133,470FFY2lPhysActvty&NutritionProgNU58DP006504Amd493.439333.93.430L/01/2209/29/2209/30/2109/29/22$19,470553,470FFY21PhysActvty&NutritionProgNU58DPOO6504Amd193.439333.93.4301/0L/2209/29/2209/30/2I09/29/22534,000FFY23MCHBGLHJContractsNGANotReceivedAmd793.994333.93.9910/01/2209/30/2310/01/2209/30/23$44,196$44,196$79,474FFY22MCHBGLHJContractsB04MC45251Amd493.994333.93.9901/01/2209/30/2210/01/2109/30/22$2,131$35,278FFY22MCHBGLHJContractsB04MC45251Amd193.994333.93.9901/01/2209/30/2210/01/2109/30/22$33,147GFS-GroupB(FO-E)AmdIN/A334.04.9001/01/2206/30/2207/01/2106/30/22$25,877525,877$25,877PageIof2 EXHIBITB-7KittitasCountyPublicHealthDepartmentALLOCATIONSContractNumber:CLH31015ContractTerm:2022-2024Date:August1,2022IndirectRateJanuary1,2022throughDecember31,2022:21%PublicHealthDept&15%CountyCentralSvcsDOHUseOnlyBARSStatementofWorkChartofAccountsFundingChartofFederalAwardAssistRevenueLHJFundingPeriodFundingPeriodPeriodAccountsChartofAccountsProgramTitleIdentification#Amend#List#*Code**StartDateEndDateStartDateEndDateAmountSubTotalTotalFPHS-LHJ-Proviso(YR2)Amd6N/A336.04.2507/0L/2206/30/2307/01/2106/30/23$1,018,000$1,018,000$1,623,000FPHS-LHJ-Proviso(YR2)Amd7N/A336.04.2507/01/2206/30/2307/01/2106/30/23($605,000)$0FPHS-LHJ-Proviso(YR2)Amd1N/A336.04.2507/01/2206/30/2307/01/2106/30/23$605,000FPHS-LHJ-Proviso(YRl)Amd1N/A336.04.2501/01/2206/30/2207/01/2106/30/23$605,000$605,000YR24SRF-LocalAsst(15%)(FO-E)SSAmd4N/A346.26.6401/01/2212/31/2207/01/2106/30/2351,60055,20055,200YR24SRF-LocalAsst(15%)(FO-E)SSAmd1N/A346.26.6401/01/2212/31/2207/01/2106/30/23$3,600SanitarySurveyFees(FO-E)SS-StateAmd4N/A346.26.6501/01/2212/31/2207/01/2106/30/23$1,600$5,20055,200SanitarySurveyFees(FO-E)SS-StateAmd1N/A346.26.6501/01/2212/31/2207/01/2106/30/23$3,600YR24SRF-LocalAsst(IS%)(FO-E)TAAmd4N/A346.26.6501/01/2212/31/2207/01/2106/30/235L,000$2,000$2,000YR24SRF-LocalAsst(15%)(FO-E)TAAmd1N/A346.26.6501/01/2212/31/2207/01/2106/30/23$1,000TOTAL$3,643,455$3,643,455Totalconsideration:$4,113,724GRANDTOTAL$3,643,455(5470,269)GRANDTOTAL$3,643,455TotalFed$1,982,178TotalState$1,661,277*CatalogofFederalDomesticAssistance**Federalrevenuecodesbeginwith"333".Staterevenuecodesbeginwith"334".Page2of2