The URL can be used to link to this page

Home My WebLink AboutRES 2022-195 interlocal WDOHBOARD OF COUNTY COMMISSIONERS COUNTY OF KITTITAS STATE OF WASHINGTON RESOLUTION No.2o22-Ju11L RESOLUTION TO AUTHORIZE EXECUTION OF'AN INTERLOCAL AGREEMENTAMENDMENT BETWEEN THE KITTITAS COUNTY PUBLIC HEALTHDEPARTMENT.AND THE WASHINGTON STATE DEPARTMENT OF HEALTH WHEREAS, RCW 39.34,the Interlocal Cooperation Act, provides the capability for public agencies to cooperate for mutual advantage; and WHEREAS' Kittitas County, through the Kittitas County Public Health Deparlment (KCpHD), is charged with the preservation, promotion, and improvemeni of health in the County; and WHEREAS, one of the many ways KCPHD preserves and promotes health improvements is by aiding in the COVID-19 response; and WHEREAS, the Washington State Departrnent of Health (DOH) is committed to accomplish the National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Ricial and Ethnii Minority Populations and Rural Communities; and ' WHEREAS' DOH desires to delegate cerlain COVID-l9 activities to KCPHD as detailed in the attached Interagency Agreement that is attached hereto, and hereby incoqporated by this reference; and WHEREAS' KCPHD desires to participate in the COVID-l9 response as detailed in the attached Interagency Agreement. NOW THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Kittitas County, Washington, authorizes execution of an Interagency Agreement with the Washington State Depafiment of Health. DATED this I 8*h day of 2022, at Ellensburg, Washington. BOARD OF COLTNTY COMMISSIONERS , WASHINGTON r Clerk of the ISS Kittitas County Review Form Grants & Contract Agreement Contract/G ra nt I nformation Recommendation for Board of Health Review on Department Head Signature Director Date 0 >t zz Verification the contracting Agency is not suspended/Disbarred: Today's Date s/20/2022 PA Camas Request #: Fund/Department 116-Public Health Asendaoate: [f llb tL0 cy: DoH lnteragency Agreement contract Amendment 1 (GV126649- Health E U Contract /Grant Agen Period Begin Date: March IS,2O2I Period End Date: December 31,2023 Total Grant/Contract Amount: Not to Exceed SSOO,OOO.OOO Grant/Contract Number The purpose of the no-cost amendmenttothe DOH lnteragencyAgreement isto extend the period of performance from May 3L, 2023, to December 31, 2023. The statement of work remains the same as in the original contract and is attached and no increases or decreases in contractual consideration. Contract/Gra nt Su m mary: Kitti tas county Prosecutor, Auditor, and Board of Health Review and comment: APP EDASTOF ORM: 2zW+)o il*r 7- Signature of P utor's Office Date o Signature of Auditor's ce Date I Agency is not suspended/disbarred I Not Checked (reason) Grant/Contract Review Page L Financial lnformation Budget lnformation Pass Throu lnformation Prosecutor Review Total Amount $300,000.000 State Funds $Federal Funds S300,000.000 Percentage County Funds Matching Funds 5 CFDA# ln-Kind S tn ls Equipment being purchased?Who owns equipment? New Personnel bein hired?Contact HR hirin - reporti uirementsre Future impacts or liability to Kittitas County: Budget Amendment Needed?Yes ! attach budget form No E why not No cost amendmentNew Division Created? Revenue Code 7bv,q3 3q, Expense Code Agency to Pass Through Amount to Pass Through Expense Code: Sub-Contract Approved Date: Has the Prosecutor reviewed this agreement?Yes No Coun Departments lmpacted BOCC Approval Needed? Ass nment of Tracki lnformation Auditor Facilities Maintenance lnformation Services Human Resource Prosecutor Treasurer Yes I No El Staff Mem ber Presenting Auditor's Office Human Resource Prosecutor's Office Who Signed the grant application Reviewer Date Grant/Contract Review Page 2 frnw;,;rti;CONTRACT AMENDMENT This document has been approved as to form only by the Assistant Attorney General DOH Anrendnr ent GYL26649 -l Revision 04/2020 I. NAMEOFCONTRACTOR Kittitas County Public Health Department 2 CONTRACT NUMBER GVL26649la. ADDRESS OF CONTRACTOR (STREET) 507 N Nanum St Ste 102 2a. AMENDMENTNUMBER I 1b. CITY, STATE, ZIP CODE EI lensburg, WA 98926 Unique Entity Identifi er wQ23XPBSAU44 3. I rms rrEM AppLrES oNLy ro BTLATERAL AMENDMENTS. The Contract identified herein, including any previous amendments thereto, is hereby amended as set forth in Itern 5 below by mutual consent of all parties hereto. 4. L-I THIS ITEM APPLIES ONLY TO UNILATERAL AM ENDMENTS The Contract identified herein, including any previous amendments thereto, is hereby unilaterally amended as set forth in Item 5 below pursuant to that changes and rnodifications clause as contained therein. 5 DESCRIPTION OF AMENDMENT: The purpose of this no-cost amendment is to extend the Period of Perfonnance from May 3 l, 2023 to December 31 , 2023; to continue the work laid out in the Original Contract. All other Terms and Conditions rernain the same and in full effect. 5a. Statement of Work: Exhibit A is revised in accordance with Exhibit A-1, attached hereto and incorporated herein. 5b. Consideration: This amendment neither increases nor decreases the Contract Consideration; therefore, the maximutn consideration of this contract and all amendments shall remain the same and not exceed $300,000.00. Contractor agrees to comply with applicable rules and regulations associated with these funds. 5c. Period of Performance: is extended through December 31,2023. 5d. The Effective Date of this Amendment: is the Date of Execution. of the original contract and any subsequent amendments thereto6All other terms and conditions remain in full force and effect. 7 . Efnis is a unilateral amendment. Signature of contractor is not required below. I Contractor hereby acknowledges and accepts the terms and conditions of this amendment Signature is required below B.CONTRACTOR SIGNATURE 1also, please print/type your name)DATE helsey (Oct 2 08:46 PDT)Oct28,2022 Chelsey Loeffers Pubtic Health Di Oct28,2022 Frank L Webley,Department of Health Contract Specialist lll 9. DOH CONTRACTING OFFICER SIGNATURE DATE Cfu&LJMT WA Department of Health Contracts Office Page I of4 EXHIBIT A-1, DOH CONTRACT GVL26649-I Sub-recipient Statement of Work KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT Period of Performancefor this Amendment: Date of Execution through December 3l, 2023 Purpose of tlris no-cost Amendment: To extend the Period of Performance from May 31,2023 to December 31,2023. All other Terms and Conditions remain the same and in full effect. Purpose statement: To lead and coordinate efforts to reduce Covid-l9 related health disparities at the community level as described in Centers for Disease Control and Prevention (CDC) Grant National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and (Jnderserved, Including Racial and Ethnic Minority Populations and Rural Communities (CDC-RFA-OT21-2103). Implementation Leads will advance health equity in their communities and collaboratively work to reduce Covid-19 related health disparities, improve and increase testing and contract tracing for rural populations, and improve local capacity and services to prevent and control Covid-l9 infection and transmission alnong populations who are rural and underserved. Work will focus in Kittitas County. See Exhibit C for further detail. Project Period: 311512021 - 12/31/2023 Budget: $300,000 Task # Task/Activity Deliverable/Outcome Due Date I Form and facilitate a local Rural Equity Advisory Tearn (REAT) to inforn project irnplementation and identifr strategies that align with the CDC grant expectations. Advisory team will use data sources including, but not lirnited to:. Local population demograpliicso Covid-19 indicator data and social vulnerability indexo Stakeholder input Documentation of formed advisory team, such as meeting schedule and minutes, shared with DOH program manager. Documentation of local data used to guide selections of strategies shared with DOH program manager. Recommendations from advisory team shared with DOH program manager. Within 90 days after date of execution 2 Upon selection of strategies a workplan and budget will be developed. o Workplan to include objectives, strategies, persons responsible and target dates o DOH Program Manager will provide a budget template. Workplan document Completed budget template 513112023 J Subrecipients will identify, award, and manage subcontractors or subrecipients as needed to implement project activities in alignment with grant expectations.o Subcontracts should include key partnerships with organizations who have existing community or social service delivery programs for Subcontracts in place and managed in accordance with federal guidelines. Copies of subcontracts shared with DOH program manager. Duration of project DOH Amendnr ent GY L26649 -l Revision 04/2020 Page 2 of 4 EXHIBIT A-1, DOH CONTRACT GVL26649-I Sub-recipient Statement of Work KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT Period of Performancefor this Amendment: Date of Execution through December 31, 2023 underserved populations disproportionately impacted by Covid-19 and health disparities 5 Progress and Perfonnance Reporting: Subrecipient will submit a quarlerly progress report using a template provided by DOH rnanager. Progress and Performance reports are submitted in accordance with CDC grant requirements Quarterly 6 Develop a plan for sustainability. Sustainability plan includes but is not lirnited to: o Covid- 19 community recovery strategiesr Emergency preparedness planning Sustainability Plan in place and shared DOH program manager 12/3 1/2023 Special Requirements: This is a federally funded contract. All expenditures incurred and reimbursements made for performance under this contract shall be based on actual, allowable, and allocable costs. See Exhibit C for further detail. For activities that require the purchase of equipment: For purchases of pieces of equipment in which the aggregate unit price of the equipment (including shipping, handling and associated costs) is $5,000 or more, the contractor shall obtain written prior approval from the Washington State Department of Health, and adhere to all federal requirements as referenced in; 2 CFR 200.313, Equipment at: https://www.gpo.gov/fdsys/granule/CFR-2014-title2-voll/CFR-2014- title2-vol l-sec200-3 13, and 2 CFR 200.439, Equipment and other Capilal Expenditures at: httos://www.sno.svs/eranule/CFR-20 I 4-title2-vol I /CFR-20 1 1 -sec200-439 Invoicing must include backup documentation as described in the statement of work deliverables: Billings/invoices shall include copies of backup documentation for all expenses. Backup documentation can include, but is not limited to; receipts, invoices, billing records, work orders, positive time, and attendance records (timesheets), travel vouchers and accounting expense reports.. Additional backup documentation may be requested if needed. Signed A-19 invoices must be received prior to approval and payment. A scanned copy of your A-19 with signature is acceptable. Please email the signed A-l9s and backup documentation to: Washington State Department of Health ATTN: Eileen Kazura Community Health Systems PO Box 47850 Olynpia, WA 98504-7850 Ei leen. kazura@doh.wa. gov DOH Anrendrn ent GYL26649 -| Revision 04/2020 Page 3 of4 EXHIBIT A-1, DOH CONTRACT GVL26649-ISub-recipient Statement of WorkKITTITAS COUNTY PUBLIC HEALTH DEPARTMENTPeriod of Performancefor this Amendment:Date of Execution through December 31, 2023Certifications and Assurances - all requirements imposed on the subrecipient by the federal awarding agency:The contract boilerplate covers all standard certifications and assurances.Are there any additional requirements imposed by the pass-through entity (DOH) to meet its own responsibilities to the awarding agency Yes n No X:If applicable, this is identified by the DOH program staff writing the contract. This can also be found in the "statement of Work" section ofthe contract.All subrecipients are required to make their accounting records available and accessible to the awarding agency.You can find this requirement in the "Records Maintenance" section of the contract.Closeout Requirements:(l) Submit all final billings within 60 days of the end of the contract (This is required per standard contract language)(2) Submit all required program reports and deliverables within 60 days (This is required per standard contract language)(3) Dispose of property purchased with subaward funds and dispose of or retum government-furnished property no longer used for subaward related activities(If applicable DOH must be contacted for disposal requirements)(4) Additional DOH program specific contract closeout requirements: (lf applicable, see SOW for additional closeout requirements)DOH Amendm ent GYL266 49 -lThis table includes only active funding sources.Federal Grant Information SheetKittitas County Health Dept26649DOH Contract Manager:Eileen KazuraApproved Indirect Rate:YesE NonWQ23XPBSAU44 Contact Information: Limiting Indirect Cost Rate? yes n No trStart Date: End Date: dohcon.msmt@doh.wa.sov Research and Development? yes f] No X3t1st202t 12/31/2023National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and EthnicMinority Populations and Rural Communities.Total Amount of FederalFunds Obligated for ThisFundins Source$300,000Amount of FederalFunds Obligated byThis Actions300,000Name of Pass-Through AgencyWashingtonState Departmentof HealthCFDA ProgramTitleCovid 19 HealthDisparitiesCFDA No.93 391Total Amountoff the FederalAward to DOH$29,0 1 5,58 IFederal AgencyNameCDCFederalAward Date5127/2021Subrecipient/Contractor:Contract No.UEI No.Period ofPerformance:Project Description:Federal Award Identifi cationNumber1NH750T000042-01Revision 04/2020Page 4 of 4