HomeMy WebLinkAboutContract Amendment with Judge's SignatureAm<"
DCYF CONTRACT NUMBER:
CONTRACT AMENDMENT
2163-24529
4r
i-ACT and EET Program
Amendment No. 01
Development
This Contract Amendment isbetweentheState ofWashington
Program Contract Number
DepartmentofChildren,Youth& Families(DCYF)andtheContractor
Click heretoentNutext.
identified below.
ContractorContract Number
CONTRACTORNAME
CONTRACTOR doing business as (DBA)
Kittitas County
Kittitas County Juvenile Court
CONTRACTORADDRESS
WASHINGTON UNIFORM BUS I NESS
DCYF INDEX NUMBER
Juvenile Court Services Department
IDENTIFIER(UBI)
1225
205 West 5th Ave Suite 211
192-002-673
Ellensburg, WA 98926-
CONTRACTOR CONTACT
CONTRACTOR TELEPHONE
CONTRACTORFAX
CONTRACTOR E-MAIL ADDRESS
Katdna Markus
(509)962-7516
Click hereto enter text.
I
katrina.mankus&o.kittitas.wa.
us
DCYF ADMINISTRATION
DCYF DIVISION
DCYF CONTRACT CODE
Department of Children, Youth, and Families
I Children, Youth and Families
2000CC-63
Karena McGovern
1115 Washington St SE
Contract Specialist
OI m ,
iaFAXWA 98504
DCYF CONTACT TELEPHONE DCYF CONTACT DCYF CONTACT EMAIL-ADDRESS
660 870-5727 Click hereto enter text. karena.mc overn do fwa. ov
T HE CONT RACTOR ASUBRECIPIENIF FOR PU POSES OF THIS CONT RACT?
CFDA NUMBERS
No
AMENDMENTSTART DATE
CONTRACT END: DATE
09/01/2022
06/30/2023
$33,261.00
$0.00 $33,261.00
REASON FOR AMENDMENT;
CHANGE OR CORRECTCONTRACT TERMS OR SOW, SEE PAGE TWO
ATTACHMENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into
this Contract Amendment by reference:
❑ Additional Exhibits (specify):
This,Contract Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms
and conditions agreed upon by the parties as changes to the original Contract. No other understandings or
representations, oral or otherwise; regarding the subject matter of this Contract Amendment shall be deemed to exist or
bind theparties. All other terms and conditions of the original Contract remain in full force and effect. The parties signing
below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract
Amert0went.
CO RACTO SIG URE
PRINTED NA EAND TITLE
DATESIGNED
u ti�vLowf[sLd, �udgc
PRINTEDNAMEANDTITLE
�o-7-((
DATE SIGNED
DCYF SIGNATURE
Department of Children, Youth & Families Page 1
2024 PF Contract Amendment (8-1-2019)
This Contract between the State of Washington Department of Children, Youth & Families (DCYF) and the
Contractor is hereby amended as follows:
Purpose. The purpose of this Amendment is to update the Statement of Work to include Education
and Employment Training.
Special Terms and Conditions are amended as follows:
2. Section 1, Definitions add Subsection c. to read as follows:
c. "EET means Education and Employment Training.
Statementof Work -Exhibit B is amended as follows:
3. Section 1. Subsection b. Service Delivery is added to read as follows:
b. The Contractor shall provide statewide program consultation and development for the EET program.
Services shall include, but are not limited to:
(1) Providing group and individual consultation to Education and Employment Specialists (EES)
throughout the state;
(2) Developing, participating, and providing EET training;
(3) Monitoring by direct observation, video, or audio recordings of Job Readiness Training
sessions, and individual EES sessions for adherence and compliance to EET program
standards;
(4) Reporting monitoring results to the JR EET Quality Assurance Specialist on a monthly basis;
(5) Providing assistance with individual EES improvement plans; and
(6) Participating in implementation and ongoing program development meetings.
4. Section 2. Subsection a. Deliverables is amended to read as follows:
a. Monthly Reporting
The Contractor shall provide monthly activity and monitoring summary reports (i -ACT and EET) to
the JR Juvenile Court Program Administrator.
All other terms and conditions of this Contract remain in full force and effect.
Department of Children, Youth & Families Page 2
2024PF ContractAmendment(8-1-2019)
ADOPTED this day of 2022.
BOARD OF COUNTY COMMISSIONERS
KITTITAS COUNTY, WASHINGTON
Laura Osiadacz, Chairman
Cory Wright, Vice -Chairman
Brett Wachsmith. Commissioner
ATTEST: APPROVED AS TO FORM:
Douglas . Mitchell, Deputy Prosecuting Attorney
❑ Clerk of the Board- Julie Kjorsvik
❑ Deputy Clerk of the Board- Mandy Buchholz