HomeMy WebLinkAboutThorp Minigrant Amendment 1Kittitas County '
Review Form
Grants &Contract Agreement
Today's Date PA Camas Request #:12/13/2022
Fund/Department Agenda Date:116-Public Health
Contract/Grant Information
Contract /Grant Agency:PSA between Kittitas County and Thorp School District Amendment 1
Period Begin Date:8/1/2022 Period End Date:07/31/2023
Total Grant/Contract Amount:25,000.00 (Increase from original amount of $12,500.00)
Grant/Contract Number:
Contract/Grant Summary:
The amendment to the PSA between Kittitas County and Thorp School District increases the total award
amount from $12,500.00 to $25,000.00.
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:
Agency is not suspended/disbarred Not Checked (reason)
Grant/Contract Review Page 1
Financial Information
Total Amount $25,000 State Funds $Federal Funds $25,000
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 why not
New Division Created?
Revenue Code 116.612.39.26.333.93.391
Expense Code 116.612.39.26.54101
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 [K]
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
Amendment No.1 to the Professional Services Agreement
between Thorp School District and Kittitas County
August 1,2022 -July 31,2023
The Professional Services Agreementbetween Thorp School District and Kittitas
County,is hereby amended to amend the total funding amount for the COVID-19 Health
Equity Coalition mini-grant program as follows (Attachment "C"):
•Original Professional Services Agreementexecution date:October 18,2022
•Total award amount:increase from $12,500 to $25,000
All other terms and conditions of the agreementremain in full force and effect.
IN WITNESS WHEREOF,the parties have executed this Agreement this day of
,2023.
APPROVED:
Kittitas County Public Health
Department (KCPHD)
Signature of Signatory KCPHD Public Health Director
(Date )
Print Name of Signatory Approved as to Form:
By:
Deputy Prosecuting Attorney
Contractor Address:County's Address:
Thorp School District Kittitas County
P.O.Box 150 205 West 5th Avenue,Suite 108
Thorp,WA 98946 Ellensburg,WA 98926
Project Contact:Project Contact:
Mel Blair Audelia Martinez
Professional Services Agreement Amendment No.1
Page 1
EXHIBIT "B"
COMPENSATIONAMENDMENT
Kittitas County-Thorp School District
August 1,2022 -July 31,2023
As full compensation for satisfactory performance of the work as described herein,the
County shall pay Contractor compensation in an amount not to exceed $25,000.00.The
Contractor agrees to:
a)Submit monthly invoices to the County by the second Friday of the month
following the last day of the month being invoiced.For example,invoices for
November1,2022 -November30,2022,are due December 9,2022.
a.Email invoices to cambron.walker@co.kittitas.wa.us
b)Submit invoices for actual expenses incurred during the billing period.(The
County will not pay invoices for an equal monthly or quarterly amount based on full
contract compensation.)
c)All invoices must include the Contract Number and expenditure breakdown.
d)The County agrees to make payment for eligible expenses as approved by the
Auditor of Kittitas County with County warrants within (30)working days following
receipt of Contractor's claim for reimbursement;provided that no payment shall be
made in the month during which expenses occurred unless otherwise approved by
the County.
e)Kittitas County is not liable for services provided unless the invoice is received on
time or prior arrangement are agreed to in a writing signed by the Kittitas County.
f)Provide detail of expenses being billed for and supporting documentation for those
expenses.Supporting documentationcan include,but is not limited to,receipts,
invoices,or purchase orders.For payroll expenses,supporting documentation
needs to show exact salary and benefit expenses and/or timesheets from the
billing period.
g)In no event will payments total more than $25,000.00 under this agreement for the
contract period.
Amount Activity
$10,000 Well-being programs,peer support groups,resiliency support,and
related expenses
$15,000 Suicide and Social Emotional Learning Training for Staff and related
expenses
$25,000.00 |TOTAL
Professional Services Agreement Amendment No.1
Page 2