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Home My WebLink AboutCon Con Amendment 9Kittitas County Review Form Grants &Contract Agreement Today's Date PA Camas Request #:10/31/2022 Fund/Department Agenda Date:116-Public Health Contract/Grant Information Contract /Grant Agency:Consolidated Contract Amendment 9 Period Begin Date:1/01/2022 Period End Date:12/31/2024 Total Grant/Contract Amount:Increase of $29,934.00 for a revised maximum consideration of $3,673,389.00 Grant/Contract Number: Contract/Grant Summary: The Consolidated Contract Amendment 9 Amends Statements of Work for the following programs: DCHS-ELC COVID 19 Response-Effective January 1,2022 Executive Office of Resiliency and Health Security-PHEP-EffectiveJuly 1,2022 Supplemental Nutrition Assistance Program Education-Effective January 1,2022 Exhibit B-9 Allocations,attached and incorporated by this reference,amends and replaced Exhibit B-8 Allocation as follows: Increase of $29,934.00 for a revised maximum consideration for $3,673,389.00 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: O Agency is not suspended/disbarred O Not Checked (reason) Grant/Contract Review Page 1 Financial Information Total Amount $29,934.00 State Funds $Federal Funds $29,934.00 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 [i]why not New Division Created? Revenu e Code 116.612.94.333.10.56 |612.39.23.333.93.32 Expense Code 51001,51002,50098,53115,54101 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 O County Departments Impacted Auditor Facilities Maintenance Information Services Human Resource Prosecutor Treasurer BOCC Approval Needed? Yes 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:9 PURPOSE OF CHANGE:To amend this contract between the DEPARTMENT OF HEALTH hereinafterreferredto as "DOH",and KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT,a Local Health Jurisdiction,hereinafterreferred 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: L Exhibit A Statements of Work,includes the following statements of work,which are incorporatedby this reference and located on the DOH Finance SharePoint site in the Upload Center at the following URL: https://stateofwa.sharepoint.com/sites/doh-ofsfundineresources/sitepages/home.aspx?-el:9a94688da2d94d3ea80ac7fbc32e4d7e Adds Statements of Work for the following programs: Amends Statements of Work for the following programs: DCHS-ELC COVID-19 Response -Effective January 1,2022 Executive Office of Resiliency and Health Security-PHEP -Effective July 1,2022 Supplemental Nutrition Assistance Program-Education-Effective January 1,2022 Deletes Statements of Work for the following programs: 2.Exhibit B-9 Allocations,attached and incorporated by this reference,amends and replaces Exhibit B-8 Allocations as follows: Increase of $29,934 for a revised maximum consideration of $3.,673.,389. Decrease of for a revised maximum consideration of 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 CONDITIONS of 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-9KittitasCountyPublicHealthDepartmentALLOCATIONSContractNumber:CLH31015ContractTerm:2022-2024Date:October1,2022IndirectRateJanuary1,2022throughDecember31,2022:21%PublicHealthDept&15%CountyCentralSvesDOHUseOnlyBARSStatementofWorkChartofAccountsFundingChartofFederalAwardAssistRevenueLHJFundingPeriodFundingPeriodPeriodAccountsChartofAccountsProgramTitleIdentification#Amend#List#*Code**StartDateEndDateStartDateEndDateAmountSubTotalTotalFFY23IARSNAPEdProgMgnt-Region2NGANotReceivedAmd910.561333.10.5610/01/2209/30/2310/01/2209/30/23529,934$29,934$66,942FFY22IARSNAPEdProgMgnt-Region2207WAWA5Q3903Amd710.561333.105601/01/2209/30/2210/01/2109/30/22($5,900)$37,008FFY22IARSNAPEdProgMgnt-Region2207WAWA5Q3903Amd410.561333.10.5601/01/2209/30/2210/01/2109/30/22$12,090FFY22IARSNAPEdProgMgnt-Region2207WAWA5Q3903AmdI10.561333.10.5601/01/2209/30/2210/01/2109/30/22$30,818CSFRFCTSLHJAllocationNGANotReceivedAmd521.027333.21.0201/01/2212/31/2201/01/22l2/31/22$217,313$217,313$217,313FFY22PHEPBP4LHJFundingNU90TP922043Amd79306933393.0607/01/2206/30/2307/01/2206/30/23$49,133$49,133$78,625FFY2LPHEPBP3LHJFundingNU90TP922043Amd293069333.930601/01/2206/30/2207/01/2106/30/22$29,492$29,492FFY22CDCEHCEHRSupplementalNGANotReceivedAmd1793070333.930701/01/2212/31/2209/0I/2012/31/22$83,000$83,000$83,000FFY20EnvirHealthCapacity-C(CDC)NCENUELEHOOl445Amd293.070333.930701/01/2208/31/2209/01/2008/31/22$14,719$35,719$35,719FFY20EnvirHealthCapacity-C(CDC)NCENUElEHOOL445Amd193.070333.93.0701/01/2208/31/2209/01/2008/31/22$21,000COV1Dl9VaccinesNH23IP922619Amd493.268333.93.2601/01/2206/30/2407/01/2006/30/24$225,1255225,125$225,125COVIDl9VaccinesR4NH23IP922619Amd193268333.93.2601/01/2206/30/2407/01/2006/30/24$359,803$359,803$359,803FFY22VFCOpsNH231P922619Amd393.268333.93.2601/01/2206/30/2207/01/2106/30/22$4,980$4,98054,980FFYl9COVIDCARESNU50CKO00515Amd293323333.93.3201/01/2204/22/2204/23/2007/31/24$174$174$174FFYl9ELCCOVIDEdLHJAllocationNUSOCK000515Amd793.323333.933201/01/2210/18/2205/19/2010/18/22$1,54757,238$7,238FFYl9ELCCOVIDEdLHJAllocationNUSOCK000515Amd493.323333.933201/01/2210/18/2205/19/2010/18/22($8,897)FFYl9ELCCOVIDEdLHJAllocationNU50CKOOO515Amd293323333.93.3201/01/2210/18/2205/19/2010/18/22$14,588FFY20ELCEDELHJAllocationNU50CK000515Amd7,993323333.93.3201/01/2207/31/2301/15/2107/31/24($34,245)$720,249$720,249FFY20ELCEDELHJAllocationNU50CKOOOSl5Amd2,993.323333.93.3201/01/2207/31/23Ol/L5/2107/31/24$754,494FFY22PhysActvty&NutritionProgNGANotReceivedAmd793.439333.93.4309/30/2209/29/2309/30/2209/29/23$80,000$80,000$133,470FFY21PhysActvty&NutritionProgNU58DPOO6504Amd493.439333.934301/01/2209/29/2209/30/2109/29/22$19,470$53,470FFY21PhysActvty&NutritionProgNU58DPOO6504Amd193.439333.93.4301/01/2209/29/2209/30/2109/29/22$34,000FFY23MCHBGLHJContractsNGANotReceivedAmd793.994333939910/01/2209/30/2310/01/2209/30/23$44,196$44,196$79,474FFY22MCHBGLHJContractsB04MC45251Amd493.994333.93.9901/01/2209/30/22[0/01/2109/30/22$2,131$35,278FFY22MCHBGLHJContractsB04MC45251Amd193.994333939901/01/2209/30/2210/01/2I09/30/22533,147GFS-GroupB(FO-E)Amd1N/A334.04.9001/01/2206/30/2207/0I/2106/30/22$25,877$25,877$25,877Page1of2 EXHIBITB-9KittitasCountyPublicHealthDepartmentALLOCATIONSContractNumber:CLH31015ContractTerm:2022-2024Date:October1,2022IndirectRateJanuary1,2022throughDecember31,2022:21%PublicHealthDept&15%CountyCentralSvcsDOHUseOnlyBARSStatementofWorkChartofAccountsFundingChartofFederalAwardAssistRevenueLHJFundingPeriodFundingPeriodPeriodAccountsChartofAccountsProgramTitleIdentification#Amend#List#*Code**StartDateEndDateStartDateEndDateAmountSubTotalTotalFPHS-LHJ-Proviso(YR2)Amd6N/A336.04.2507/01/2206/30/2307/01/2106/30/23$1,018,000$1,018,000$1,623,000FPHS-LHJ-Proviso(YR2)Amd7N/A336.042507/01/2206/30/2307/01/2I06/30/23($605,000)$0FPHS-LHJ-Proviso(YR2)Amd1N/A336042507/01/2206/30/2307/01/2I06/30/23$605,000FPHS-LHJ-Proviso(YRl)Amd1N/A336.042501/01/2206/30/2207/01/2106/30/235605,0005605,000YR24SRF-LocalAsst(LS%)(FO-E)SSAmd4N/A34626.6401/01/2212/31/2207/01/2I06/30/23$1,60055,200$5,200YR24SRF-LocalAsst(15%)(FO-E)SSAmd1N/A346.26.6401/01/2212/31/2207/0L/2106/30/23$3,600SanitarySurveyFees(FO-E)SS-StateAmd4N/A346.266501/01/2212/31/2207/01/2106/30/2351,600$5,200$5,200SanitarySurveyFees(FO-E)SS-StateAmdIN/A346.26.6501/01/2212/31/2207/01/2106/30/23$3,600YR24SRF-LocalAsst(15%)(FO-E)TAAmd4N/A346.26.6501/01/2212/31/2207/01/2106/30/23$1,000$2,000$2,000YR24SRF-LocalAsst(15%)(FO-E)TAAmd1N/A346.26.6501/01/2212/31/2207/01/2106/30/23$1,000TOTAL$3,673,389$3,673,389Totalconsideration:$3,643,455GRANDTOTAL$3,673,389$29,934GRANDTOTAL$3,673,389TotalFed$2,012,112TotalState$1,661,277*CatalogofFederalDomesticAssistance**Federalrevenuecodesbeginwith"333".Staterevenuecodesbeginwith"334"Page2of2