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Home My WebLink AboutGrants and Contract Agreement 54947Kittitas County Review Form Grants & Contract Agreement Contract/G ra nt I nformation Recommendation for Board of Health Review on verification the contracting Agency is not suspended/Disbarred: ! Agency is not suspended/disbarred I Not Checked (reason) Today's Date 10/31./2022 PA Camas Request #t)T Fund/Department 1L6-Public Health Agenda Date Contract /Grant Agency: Consolidated Contract Amendment 9 Period Begin Date: L/0L /2022 Period End Date: 12/3L/2024 Total Grant/Contract Amount: lncrease of 529,934.00 for a revised maximum consideration of S3,673,389.00 Grant/Contract N umber: Contract/G ra nt Su m mary: The Consolidated Contract Amendment 9 Amends Statements of Work for the following programs: DCHS-ELC COVID 1-9 Response- Effective January L,2022 Executive office of Resiliency and Health security-pHEp-Effective July r,2022 Supplemental Nutrition Assistance Program Education- Effective January L,2022 Exhibit B-9 Allocations, attached and incorporated by this reference, amends and replaced Exhibit B-g Allocation as follows: lncrease of S29,934.00 for a revised maximum consideration for $3,673,399.00 Department Head Signature:Director Date:r>l>r lzz Kittitas county Prosecutor, Auditor, and Board of Health Review and comment: APPROVED TO FORM latBt\ #)44 !(.rfv >L Signature of or's Office Date \>>>r- Signature of ditor's Office Date Grant/Contract Review Page L Financial lnformation Bu lnformation Pass Thro lnformation Prosecutor Review Total Amount 529,934.00 State Funds $Federal Funds S29,934.00 Percentage County Funds Matching Funds S CFDA# ln-Kind $ Explain ls Equipment being purchased?Who owns equipment? New Personnel being hired?Contact HR hiring - reporting requirements Future impacts or liability to Kittitas County Budget Amendment Needed? New Division Created? Yes I attach budget form No El why not Revenue Code 116.6L2.94.333. 10.s6 / 6L2.39.23.333.93.32 Expense Code 51001, 5IOO2,50099, 5311"5, 54101 Agency to Pass Through Amount to Pass Through Expense Code: Sub-Contract Approved Date: Has the Prosecutor reviewed this agreement?Yes LJ No Cou De artments lmpacted BOCC Approval Needed? Yes !NoE Staff Member Presenting: Assignment of Trackin lnformation Auditor Facilities Maintenance lnformation Services Human Resource Prosecutor Treasurer Auditor's Office Human Resource Prosecutor's Office , \ ra zr-€ \+ k) D(4 Ho'{*1 Who Signed the grant application Reviewer Date Grant/Contract Review Page 2 KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT 2022-2024 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH31015 AMENDMENT NUMBER: 9 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: 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://stateofua.sharepoint.com/sites/doh-ofsfundingresources/sitepages/home.aspx?=e I :9a94688da2d94d3ea80ac7fbc32e4d7c n Adds Statements of Work for the following programs: X Amends Statements of Work for the following programs: DCHS-ELC COVID-l9 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 tr 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: X Increase of $29"934 for a revised maximum consideration of $3.673.389. tr Decrease of - for a revised maximum consideration of _. X 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. APPROVED AS TO FORM ONLY Assistant Attorney General KITTITAS COLINTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON DEPARTMENT OF HEALTH Signature: (helreq loegor (hd{rrerr.rtoerri.iox @.rPsrl Signature; Brudo lla**ra 3(nd:r.nilsonl0e,r,rtI r{:n!st) Date: Dec2I,2022 Date: Dec2I,2022 Page I of I EXHIBIT B-9Kittitas County Public Health Department ALLOCATIONSContract Term: 2m2-202 4Indirect Rate Jantary l,2022through December 31,20222 21%o Public Health Dept & 157o County Central SvcsContract Number:Date:FundingPeriodSubTotalcLH3101sOctober 1,2022Chart ofAccountsTotalFederal AwardIdentification #AssistList #*DOE Use OnlyBARS Statement of Work Chsrt of AccolntsRevenue LltJFundirgPeriod FundingPeriodCode** Start Date End Date Start llate End IlateChart ofAccountsTitleFFY23 IAR SNAP Ed Prog Mgnt'Region 2FFY22 IAR SNAP Ed Prog Mgnt-Region 2FFY22 IAR SNAP Ed Prog Mgnt-Region 2FFY22 IAR SNAP Ed Prog MgntRegion 2CSFRF CTS LHJ AllocationFFY22 PHEP BP4 LHJ FundingFFY2I PHEP BP3 LHJFundingFFY22 CDC EHC EHR SupplementalFFY20 Envir Health Capacity{ (CDC) NCEFFY20 Envir Health Capacity{ (CDC) NCECOVIDI9 VaccinesCOVID19 Vaccines R4FFY22 VFC OpsFFY19 COVID CARESFFYI9 ELC COVID Ed LHJ AllocationFFYI9 ELC COVID Ed LHJ AllocationFFYI9 ELC COVID Ed LHJ AllocationFFY20 ELC EDE LHJ AllocationFFY20 ELC EDE LHJ AllocationFFY22 Phys Actvty & Nutrition ProgFFY2 I Phys Actlty & Nutntion ProgFFY2I Phys Actvty & Nutrition ProgFFY23 MCHBG LHJ ContractsFFY22 MCHBG LFIJ ContractsFFY22 MCHBG LHJ ContractsAmend #AmountNGA Not Received2O7WAWA5Q39032O7WAWA5Q3903207WAWA5Q3903NGA Not ReceivedNU90TP922043NU90TP922043NUEIEHOOI445NUEIEHOO1445NH23IP922619NH23rP9226l9NH231P9226'|9NUs0cK000s1 sNUs0cK0005 l sNUs0cK0005l5NU50CK0005l 5NU50CK0005l5NU50CK000515NGA Not ReceivedNU58DP006s04NU58DP006504NGA Not ReceivedB04MC45251804MC45251Amd 7Amd 4Amd 193.43993.43993.43909/30/22 09t29123 09/30n20v0t/22 09129/22 09n.0D1ot/0t/22 09t29/22 09/30t21Amd 521.027 333.21.02 01t01t22 12t3!22 01/0tD2 t2/31D2 $217,313Amd 9Amd 7Amd 4Amd I10.561I 0.56110 56110 561133.10.s6333.10.56333. I 0.56333.10.56l0/0u2201101t220110v2201t01t2209/30n309/3012209/30t2209/30t22totolt22l0l0u2tt0/01/2trcnt2r09/30/23@B,0/22@t30/2209BA/22$29,934($s,900)$l 2.090$30,81 8s29,934$37.008$2r7,313$49,133$29,492$83,000$35,719q))\ 1)5$359,803$4,980$l 7497,238$720,249$80,000$53,470s44,196935,278$66,942g2l7,313$78,625$83,000$3s,71 9$22s,125$359,803M,980$l 74$7,2389720,249$133,470979,474NGA Not ReceivedAmd 1.793.070 333.93.07 01t01t22 l2t31n2 A9l0V20 tu31n2$83,000Amd 7Amd 2Amd 2Amd IAmd 7Amd 4Amd 2Amd 7,9Amd2,9Amd 7Amd 4Amd 193.06993.069333.93 06 07t01t22 06t30t23 07/01m MB0n3333.93.06 01/01/22 06t30t22 07t0tDt Mt30/22333.93.07 0V01t22 0813v22 ogrctn0 08Rt/72333.93.07 01t01t22 08131t22 Wl0l20 08/3U2210/18t22 0s/19D010/r8t22 05n9t2010/18t22 05n9f20$49,133929,492$r 4,719s2 1,000gt,s47(s8,897)$l 4,588(934,24s)97s4,494$80,000$19,470$34,000$44,196$2,1 3 I$33,14793.07093.070Amd 493.268 333.93.26 0t/01/22 06130t24 07t01D0 MR0t24 $22s,12sAmd I93.268 333.93.26 0l0t/22 06t30t24 07/0u20 a6Bot24 $359,803Amd 393.268 333.93.26 0U0t/22 06130t22 07t0lDt 06t30/22$4,980Amd 293.323 333.93.32 0U0u22 04t22t22 M/23t20 0781n4$ 17493.3239332393.323333.93.32333.93.32333.93.3201t01/220u01t2201t01t22rcn8n210n8D2rcn8n293.323 333.93.32 01t01t22 07Btn3 0ut5m O7BU2493.323 333.93.32 0t/01t22 07t3U23 0t/15/21 078u24333.93.43333.93 43333.93 43w29t2309/29ma9D9n293.99493.99493.994333.93.99333.93.99333.93.99t0t0t/220t/01n20U01t2209/30t2309130/2209t30122rcl0tn2rclvtm1A/0tDlwB0n309/30D2w/30t22N/A 334.04.90 0t/0y22 06130t22 07/0tU 06t30/22GFS-Group B (FO-E)Amd IPage I of2$2s"877$2s,877s2s,877 EXHIBIT B-9Kittitas County Public Health Department ALLOCATIONSContract Term: 2022-202 4Indirect Rate January l, 2022 through December 31, 2022:2loh Public Health Dept & 159/0 County Central SvcsDOE UseOnlyBARS Statement ofWork Chart of AccounbAmount$1,018,000($60s,000)$60s,000$605,000s1,600$3,600$ 1,600s3,600Contract Number:Date:FundingPeriodSubTotal$l,01 8,000$0$605,000$5,200$s,200cLH3r0rsOctoberl,2022Chart ofAccountsTotal$1,623,000$5,200$s"200$2,000$3,673,389s2,012,1t2sI,661,277Chart of Accounts Program TitleFederal AwardIdentification #Amend #Amd 6Amd 7Amd IAmd IAmd 4Amd IArnd 4Amd IAmd 4Amd 1AssistList #*N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A336.04.2s336.04.2s336 04.25336.04 2s06130t2306/3012306/30/2306/30t22a7lotnt07lo\Dt07nlrzt07/0121Mt30/2306/30/236BO/23c6,6,0t2306B0t23MBON3Revenue LHJFundingPeriod FundingPerlodCode** Start Date End Date Start llrte Eld lhteFPHS-LHJ-Proviso (YR2)FPHS-LHJ-Proviso (YR2)FPHS-LHJ-Proviso (YR2 )FPHS-LHJ-Proviso (YRl )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:$3,643,455$29,934$3,673,3E9GRANDTOTAL+Catalog of Federal Domestic Assistance**Federal revenue codes begin with "333". State revenue codes begin with "334"07t01220710u2207lot 12201101122346.26.64 01/01t22346.26.64 01/01t2212/3!22 07t01Dtt2/31122 07t0121346.26.65 01t01t22346.26.6s 0t/01/22t2t31/22 oTtOtDt12/31/22 07/0tn106'80/2306/30/23346.26.65 01t01t22346.26.6s 01t01/22t2t3r22 07t0v2l12131/22 07/0tDl$2,000$3,673,389 frt,673,3E9GRAND TOTALTotal FedTotal State0680t23M/30/23$ 1,000$ 1,000Page 2 of2