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Home My WebLink AboutConsolidated Contract Amendment 7 CLH31017Kittitas County Review Form Grants & Contract Agreement Contract/G rant I nformation Recommendation for Board of Health Review on Department Head Signature Director Date q 7t L> Verification the Contracting Agency is not Suspended/Disbarred: I Agency is not suspended/disbarred [] Not Checked (reason) Today's Date 08l3r/zoz2 PA Camas Request #:f/b6 o Fund/Department L16-Public Health Agenda Date Contract lGranl Agency: Consolidated Contract Amendment 7 Period Begin Date: 0L/01,/2022 Period End Date: 1"2/31/2024 Total Grant/Contract Amount: lncrease of 5470,269.00 for a max consideration of $3,643,455.00 Grant/Contract Number: C1H31015 Amendment 7 Contract/G ra nt Su m ma ry: 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 lndoor Air Quality Project, COVID-19 Mass Vaccination-FEMA, DCJS- ELC-COVID-1-9 Response, FPHS, LSPAN, Maternal and Child Health BlockGrant, Supplemental Nutrition Assistance Program Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: APPROVED AS TO FORM: -72---- ( uB \L llAf*C ?/r/r, Signature of Prosey'utor's Office D{re' Signature of Aud s Office Grant/Contract Review Page 1 Financial lnformation Budget lnformation Pass Through lnformation Agency to Pass Through Amount to Pass Through Expense Code Sub-Contract Approved Date Prosecutor Review Total Amount State Funds $Federal Funds $ Percentage County Funds Matching Funds 5 CFDA# ln-Kind $ ls Equipment being purchased?Who owns equipment? New Personnel bein h ired ?Contact HR hiri rting requirements-re Future impacts or liability to Kittitas County: Budget Amendment Needed?Yes f attach budget form No E Why not New Division Created? Revenue Code 672.9 7.333. 10. 5 6, 6 1 2. 88. 3. 33 3, 93.069, 612.39 .27 .333.2t.02, 6L2.39.23.333.93.324, 6 1 2. 3 1.333. 93.439 , 612.22.333.93.994 Expense Code 51001, 52001, 50099, 54L0I, 53115 Has the Prosecutor reviewed this agreement?ves..Z-No ,f(6oo County Departments lm cted BOCC Approval Needed? Yes I NoI Staff Member Presenting Assignment of Tracking lnformation Auditor's Office Human Resource Prosecutor's Office (/ 4 oa4rJ-(*\1r,4 H"_47/t/o- Who Signed the grant application (I Auditor Facilities Maintenance lnformation Services Human Resource Prosecutor Treasurer Reviewer Date Grant/Contract Review Page 2 KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT 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 PIJBLIC HEALTH DEPARTMENT, a Local Health Jurisdiction, hereinafter referred to as "LHJ", pursuant to the ModihcationsAVaivers clause, and to make necessary changes within the scope of this contract and auy subsequent amendments thereto. IT IS MUTUALLY AGREED: That the contract is hereby amended as follows: l. 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: https://stateofwa.sharepoint.corn/sites/doh-ofsfundingresources/sitenagesArome.aspx?:e I :9a94688da2d94d3ea80ac7fbc32e4d7c X Adds Staterrents of Work for the following programs: Executive Office of Resiliency & Health Security-PHEP - Effective July 1,2022 X 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 Matemal & Child Health Block Grant - Effective January 1, 2022 Supplemental Nutrition Assistance Program-Education - Effective January 1,2022 I Deletes Statements of Work for the following programs: 2. Exhibit B-7 Allocations, attached and incorporated by this reference, amends and replaces Exhibit 8-6 Allocations as follows: tr Increase of _ for a revised maximum consideration of _. X Decrease of $470.269 for a revised maximurn consideration of $3.643.455. No change in the maximum consideration of _. Exhibit B Allocations are attached only for informational putposes. Unless designated otherwise herein, the effective date of this amendment is the date of execution. ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force and effect. iN WITNESS WHEREOF, the undersigned has affixed hisftrer signature in execution thereof, APPROVED AS TO FORM ONLY Assistant Attorney Ceneral KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON DEPARTMENT OF HEALTH Signature: (/ze/rau loa,{etr crahryroe6E641(ruxr0tspo! Signature: Avs)a.Hryhkw 8rcnd. Henilk.h lsep a,2o2? uid pDrl Date: Sep27,2022 Date: Sep2I,2022 Page I of 1 EXHIBIT B-7Kittitas County Public Health Department ALLOCATIONSContract Term: 2022-2024IndirectRateJanua'ry1,2022 through December3l,2022:217o PublicHealth Dept& 157o CountyCentralsvcs333.93.06 07/0u22333.93.06 0|0v2206/30t2i 07t01t2206/30122 01t0uzrAmount($s,e00)$ 12,090s30,818$217,313$49,133$29,492$83,000$r4,7 19$2 r ,000s22s,tzs$359,803s4,980$174$r,s47($8,897)$ 14,588(s34,245)q7s1 A{la$80,000$ 19,470$34,000$44,196$2,1 3 r$33,r47Contract Number:Date:FundingPeriodSubTotal$37.0089211.3t3s49,133s29,492$83,000$35,719s22s,125$3s 9,803$4,980$ 174$7,238$720,249$80.000s53,470s44.196$35.278cLH3l0lsAugust l,2022Chart ofAccountsTotal$37,008$217,313$78,625$83,000$3s,7 19s2zs.t2s$359,803$4,980917 4s7,238$720,249$133,470s79,474DOH Use OnlyBARS Statement of Work Chart of AccountsAssist Revenue LHJ Funding Period Funding PcriodList #* 6o6.x* Start Date End Date Start Date End DateChart of Accounts Program TitleFFY22 IAR SNAP Ed Prog Mgnt-Region 2FFY22 IAR SNAP Ed Prog Mgnt-Region 2FFY22 IAR SNAP Ed Prog Mgnt-Region 2CSFRF CTS LHJ AllocationFFY22 PHEP BP4 LHJ FundingFFY2 I PHEP BP3 LHJ FundingFFY22 CDC EHC EHR SupplementalFFY20 Envir Hcalth Capacity-C (CDC) NCEFFY20 Envir Health Capaciry-C (CDC) NCECOVIDI9 VaccinesCOVID19 Vaccines R4FFY22 VFC OpsFFYI9 COVID CARESFFYI9 ELC COVID Ed LHJ AllocationFFY19 ELC COVID Ed LHJ AllocationFFY19 ELC COVID Ed Ltll AllocationFFY20 ELC EDE LHJ AllocationFFY20 ELC EDE LHJ AllocationFFY22 Phys AcMy & Nutrition ProgFFY2I Phys Acn'ry & Nutrition ProgFFY2I Phys Acnty & Nutrition ProgFFY23 MCHBG LHJ ContractsFFY22 MCHBG LHJ ContractsFFY22 MCHBG LHJ ContractsGFS-Group B (FO-E)Federal AwardIdentification #207WAWA5Q3903207WAWA5Q3903207WAWA5Q3903NGA Not ReceivedNU90TP922043NU90TP922043NGA Not RcccivedNUElEHOOI445NUElEHOOI445NH23IP9226 I 9NH23tP9226 I 9NH23IP9226l9NU50CK0005 I 5NU50CK000515NU50CK0005 I 5NU50CK0005 I 5NUs0CK000slsNU50CK0005 r 5NGA Not ReceivedNU58DP006s04NU58DP006504NGA Not Received804NIC45251804MC45251Amend #Amd 7Arnd 4Amd IAmd 5Amd 7Amd 2Amd 2Arnd IAmd 4Amd IAmd 3Amd 2Amd 7Amd 4Arnd 2Amd 7Amd 2Amd 7Amd 4Amd IAmd 7Amd 4Amd Il0.s6l10.56 Ir 0.s6 I333. I 0.s6333. r 0.s6333. r 0.s60l/0u2201/o|220I/0112209t30t2209/30t2209130122l0t0l t2tI0/o1t2tt0/0 t /2109t30t2209/30/2209130t2221.027 333.2t.02 0v0lt22 L2t3Lt22 0vjv22 t2t31t2293.06993.06906t30/2306130/22Amd 1,793.070 333.93.07 0U01t22 t2/3u22 0et0U20 t2/31t2293.070 333.93.07 01t0U22 08t31t22 09t01t2093.070 333.93.07 0u0tt22 08t3v22 09t0'112008/3y22o8/312793.268 333.93.26 0U0U22 06t30124 07t0U20 06/30t2493.268 333.93.26 0v0v22 06t30t24 07/01120 06130t2493.268 333.93.26 01/0v22 06130t22 07t0U2t 06t3012293.323 333.93.32 0v0y22 04t22t22 04/23t20 07/3v2493.32393.32393j23333.93.32333.93.32333.q3.32ot/0u220t/0U2201/0t/22l0/18t2210/18t22t0/r812205n9t2005/19t200549/ZOl0/18122t0/18t22tu18/2207t3lt240713ll2493.32393.323333.93.32 0t/01/22333.93.32 01/0U2212/31122 01t1St2tI2/31122 0t/l5l2t93.439 333.93.43 09t30t22 09t29t23 09/30t2293.439 333.93.43 0t/0v22 09t29t22 09/30t2t93.439 333.93.43 01t01t22 09/29t22 09t30t210et29t2309/29t2209/2912293.99493.99493.994333.93.99333.93.99333.93.99t0/0v220v0t/2201/0U2209/30t2309/30t2209/30t22t0/0v22t0/ol tztl0/ot/2t09/3{r/2309t30t2209/30/22N/A 334.04.90 0t/0U22 06t30t22 07toUzt 06t30t22Amd 1Page I of2gzs,877szs,877$25,877 EXHIBIT B-7Kittitas County Public Health Department ALLOCATIONSContract Term: 2022:2024lndirect Rate January l, 2022 through December 31, 2022t 27%o Public Health Dept & 157o County Central SvcsDOH Use OnlyBARS Statement of Work Chart of AccourtsAmount$1,01 8,000($60s,ooo)$605,000$605,000$ I,600$3,600$1,600$3,600Contract Number:Date:FundingPeriodSubTotal$ 1,0 18,000$0$605,000$5,200$5,200cLH310l5August l,2022Chart ofAccountsTotal$1,623,000s5,200$5,200$2,000$3,643,455$1,982,r78$1,661,277Chart of Accounts Program TitleFPHS-LHJ-Proviso (YR2)FPHS-LHJ-Proviso (YR2)FPHS-LHJ-Proviso (YR2)FPHS-LHJ-Ptoviso (YR1 )YR24 SRF - Local Asst (15%) (FO-E) SSYR24 SRF - Local Asst (15%) (FO-E) SSSanitary Survey Fees (FO-E) SS-StateSanitary Survey Fees (FO-E) SS-StateYR24 SRF - Local Asst (15%) (FO-E) TAYR24 SRF - Local Asst (15%) (FO-E) TATOTALTotal consideration:GRAND TOTAL*Catalog of Federal Domestic Assistance**Federal revenue codes begin with "333"Federal AwardIdentification #$4,113,724(s470,269)$3,643,4ssState revenue codes begin with "334".Assist Revenue LHJ Funding Period Funding PeriodStart Date End Date Start Date End DateAmend #Amd 6Amd 7Amd IAmd IAmd4tund IAmd4Amd IN/AN/AN/AN/AN/AN/ANiAN/A336.04.25336.04.25336.04.25336.04.2s07/0112207/0ltz207101/220v0v2206t30/2306t30t2306/30t2306130t2207101/2107tou2t07t0U2l07/0U2t06/30t23o6t30t2306130/2306130t23346.26.64 01t01t22346.26.64 01/0v22tz/31t22 07tou2tt2/31/22 07/0U2r06/30t2306/30/23346.26.65 01/0U22346.26.65 0t/01t22l2/3U22 07/01/21t2/3U22 07/0t/2t06/30/2306130123Amd 4Arnd IN/AN/A346.26.65 0l/0U22346.26.65 01/0v22t2/31t22 07/01/2rl2/31122 07/0U21$2,000$3,643,4ss $3,643,455GRAND TOTALTotal FedTotal State06/30t2306/30/23s r,000$ 1,000Page 2 of 2