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Home My WebLink AboutCon Con Amendment 14Kittitas County Review Form Krr rri ,w � u r+-r v Grants & Contract Agreement Today's Date PBK# 07.03.2023 Fund/Department Agenda Date: 116-Public Health Contract/Grant Information Contract /Grant Agency: Consolidated Contract Amendment 14 Period Begin Date: 01.01.2022 Period End Date: 12.31.2024 Total Grant/Contract Amount: Increase of $1,023,600.0.0 for a new revised maximum of $4,781,044.00 Grant/Contract Number: CLH31015 Contract/Grant Summary: The Consolidated Contract Amendment 14 amends the following: Adds Statements of Work for the following programs: Foundational Public Health Services (FPHS)- Effective July 1, 2023 Office of immunization- Promotion of Immunization to Improve Vaccination Rates- Effective July 1, 2023 Amends Statements of Work for: Office of Drinking Water Group A Program -Effective January 1, 2022 Adds Exhibit B-14 Allocation: Increase of $1,023,600.00 for a revised maximum consideration of $4,781,044.00. 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: ❑x Agency is not suspended/disbarred ❑ Not Checked (reason) Grant/Contract Review Page 1 Financial Information Total Amount $1,023,600.00 State Funds $ Federal Funds $ 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? Budgeted Revenue Code 116-612.31.1.333.93268 / 116-611.336.4.25 Expense Code 51001/51002/50098/54199 for both Pass Through Information Agency to Pass Through Amount to Pass Through Sub -Contract Approved Date: Prosecutor Review Expense Code: Has the Prosecutor reviewed this agreement? Yes ❑ No ❑ County Departments Impacted Auditor Information Services _ Prosecutor BOCC Approval Needed? Yes ❑ Staff Member Presenting: Assignment of Tracking Information Auditor's Office 1 Human Resource Prosecutor's Office Who Signed the grant application Facilities Maintenance Human Resource Treasurer No ❑ Reviewer Date Grant/Contract Review Page 2 KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT 2022-2024 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH31015 AMENDMENT NUMBER: 14 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: 1. 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: hctp_s://stateofwa.sharepoinl,coin/s_ites/doh-ofgfundingresources/site a es/home.aspx?=el:9a94688da2d94d3ea84ac7fbc32e4d7c ® Adds Statements of Work for the following programs: Foundational Public Health Services (FPHS) - Effective July 1, 2023 Office of Immunization -Promotion of Immunizations to Improve Vaccination Rates - Effective July 1, 2023 ® Amends Statements of Work for the following programs: Office of Drinking Water Group A Program - Effective January 1, 2022. ❑ Deletes Statements of Work for the following programs: 2. Exhibit B-14 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-13 Allocations as follows: ® Increase of $1,023,600 for a revised maximum consideration of $4,781,044. ❑ 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. KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON DEPARTMENT OF HEALTH Signature: Signature: Date: Date: APPROVED AS TO FORM ONLY Assistant Attorney General Page 1 of I EXHIBIT B-14 Killitas County Public Health Department ALLOCATIONS Contract Number: CLH31015 Contract Term: 2022-2024 Date: June 1, 2023 Indirect Rate January 1, 2022 through December 31, 2022: 21 % Public Health Dept & 15 % County Central Svcs Indirect Rate January 1, 2023 through December 31, 2023: 34.30 DOH Use Only BARS Statement ofWm•k Chart of Accounts Funding Chart of Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts Chart of Accounts Program Title Idenfifica tion 0 Amend It List 9* Code"" Start Dale End Date Start Date End Date Amount SubTofal Total FFY23 IAR SNAP Ed Prog Mgnt-Region 2 NGA Not Received Amd 9 10.561 333 10 56 10/01/22 09/30/23 10/01/22 09/30/23 $29,934 $29,934 %66,942 FFY221AR SNAP Ed Prog Mgot-Region 2 207WAWA5Q3903 Amd 7 10,561 333 10 56 01/01/22 09/30/22 10/01/21 09/30/22 (S5,900) $37,008 FFY221AR SNAP Ed Prog Mgnt-Region2 207WAWA5Q3903 Amd4 10,561 333 10 56 01/01/22 09/30/22 10/01/21 09/30/22 $12,090 FFY22 IAR SNAP Ed Prog Mgnt-Region2 207WAWA5Q3903 Amd1 10.561 333 10 56 01/01/22 09/30/22 10/01/21 09/30/22 $30,818 CSFRF CTS LHJ Allocation SLFRP0002 Amd 5, 11 21.027 333 21 02 01/01/22 06/30/23 01/01/22 06/30/23 $217,313 $217,313 $217,313 LHJ Vaccination ARPA SLFRP0002 Amd 10 21.027 333.21 02 11/01/22 06/30/23 11/01/22 06/30/23 $32,977 $32,977 $32,977 FFY22 PREP BP4 LHJ Funding NU90TP922043 Amd 7 93.069 333.93.06 07/01/22 06/30/23 07/01/22 06/30/23 $49,133 $49,133 $78,625 FFY21 PREP BP3 LHJ Funding NU90TP922043 Amd 2 93.069 333.93.06 01/01/22 06/30/22 07/01/21 06/30/22 $29,492 $29,492 FFY21 CDC EHC EHR Supplemental NUEIEH001445 Amd 1,7 93070 333.9307 01/01/22 12/31/22 09/01/20 12/31/22 $83,000 $83,000 $83,000 FFY20 Envir Health Capacity-C (CDC) NCE NUEI EH001445 Amd 2 93 070 333 93 07 01/01/22 08/31/22 09/01/20 08/31/22 $14,719 $35,719 $35,719 FFY20 Envir Health Capacity-C (CDC) NCE NUEIEH001445 Amd1 93-070 333 93 07 01/01/22 08/31/22 09/01/20 08/31/22 $21,000 FFY24 CDC V FC Ops NGA Not Received Amd 14 93.268 333.93.26 07/01/23 06/30/24 07/01/23 06/30/24 S5,600 $5,600 S5,600 COVID19 Vaccines NH23IP922619 Amd4 93268 333.9326 01/01/22 06/30/24 07/01/20 06/30/24 $225,125 $225,125 $225,125 COVID 19 Vaccines R4 NH231P922619 Amd 1 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 $359,803 $359,803 $359,803 FFY22 VFC Ops NH231P922619 Amd 3 93.268 333.93.26 01/01/22 06/30/22 07/01/21 06/30/22 $4,980 $4,980 $4,980 FFY19 COVID CARES NU50CK000515 Amd2 93.323 333 93 32 01/01/22 04/22/22 04/23/20 07/31/24 $174 $174 $174 FFYI9 ELC COVID Ed LHJ Allocation NU50CK000515 Amd 7 93,323 333 93 32 01/01/22 10/18/22 05/19/20 10/18/22 $1,547 $7,238 $7,238 FFY19 ELC COVID Ed LHJ Allocation NU50CK000515 Amd 4 93,323 333 93 32 01/01/22 10/18/22 05/19/20 10/18/22 ($8,897) FFY19 ELC COVID Ed LHJ Allocation NU50CK000515 Amd 2 93,323 333.93 32 01/01/22 10/18/22 05/19/20 10/18/22 $14,588 FFY20 ELC EDE LHJ Allocation NU50CK000515 Amd 7, 9, 13 93.323 333 93 32 01/01/22 12/31/23 01/15/21 07/31/24 ($34,245) $720,249 $720,249 FFY20 ELC EDE LHJ Allocation NU50CK000515 Amd 2, 9, 13 93.323 333 93 32 01/01/22 12/31/23 01/15/21 07/31/24 $754,494 FFY23 Vector-bome T2&3 Epi ELC FPH NGA Not Received Amd 13 93 323 333 93.32 08/01/23 09/30/23 08/01/23 09/30/23 $3,200 $3,200 $8,000 FFY22 Vector-bome T2&3 Epi ELC FPH NU50CK000515 Amd 13 93,323 333.93 32 06/01/23 07/31/23 08/01/22 07/31/23 $4,800 $4,800 FFY22 Phys Actvty & Nutrition Prog NU58DP006504 Amd 12 93,439 333 93 43 09/30/22 09/29/23 09/30/22 09/29/23 $10,000 $90,000 $143,470 FFY22 Phys Actvty & Nutrition Prog NU58DP006504 Amd 7 93,439 333 93 43 09/30/22 09/29/23 09/30/22 09/29/23 $80,000 FFY21 Phys Actvty & Nutrition Prog NU58DP006504 Amd 4 93,439 333.93 43 01/01/22 09/29/22 09/30/21 09/29/22 $19,470 $53,470 FFY21 Phys Actvty & Nutrition Prog NU59DP006504 Amd 1 93,439 333.93 43 01/01/22 09/29/22 09/30/21 09/29/22 $34,000 Page I of 2 EXHIBIT B-14 Kittitas County Public Health Department ALLOCATIONS Contract Number: CLH31015 Contract Term: 2022-2024 Date: June 1, 2023 Indirect Rate January 1, 2022 through December 31, 2022: 21 % Public Health Dept & 15 % County Central Svcs Indirect Rate January 1, 2023 through December 31, 2023: 34.30 DOH Use Only BARS Statement of Work Chart of Accounts Funding Chat or Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts Chart or Accounts Pvngram Tille Identification H Amend H List 8" Code- Start Date End Date Start Date End Date Amount SuhTota1 Total FFY23 MCHBG LHJ Contracts B04MC47453 Amd 7 93.994 333.93.99 10/01/22 09/30/23 10/01/22 09/30/23 $44,196 144,196 $79,474 FFY22 MCHBG LHJ Contracts B04MC45251 Amd 4 93.994 333 93.99 01/01/22 09/30/22 10/01/21 09/30/22 $2,131 $35,278 FFY22 MCHBG LHJ Contracts B04MC45251 Amd 1 93994 33393.99 01/01/22 09/30/22 10/01/21 09/30/22 $33,147 GFS-Group B (FO-E) A 11 N/A 334 04 90 01/01/23 06/30/23 07/01/22 06/30/23 $25,878 $25,878 $51,755 GFS-Group B (FO-E) Anal I N/A 33404 90 01/01/22 06/30/22 07/01/21 06/30/22 $25,877 $25,877 FPHS-LHJ-Proviso(YR2) Arad N/A 3360425 07/01/22 06/30/23 07/01/21 06/30/23 $1,018.000 $1,018,000 $1,623,000 FPHS-LHJ-Proviso(YR2) Amd7 N/A 336.0425 07/01/22 06/30/23 07/01/21 06/30/23 ($605,000) $0 FPHS-LHJ-Proviso(YR2) Arad N/A 336.0425 07/01/22 06/30/23 07/01/21 06/30/23 $605,000 FPHS-LHJ-Proviso(YRI) Amd I N/A 336.0425 01/01/22 06/30/22 07/01/21 06/30/23 $605,000 $605,000 FPHS-Local Health Jurisdiction Arad 14 N/A 336.04.25 07/01/23 06/30/24 07/01/23 06/30/25 $1,018,000 $1,018,000 $1,018,000 YR 25 SRF - Local Asst (15%) (FO-E) SS Amd 13 N/A 3462664 01/01/23 12/31/23 01/01/23 12/31/23 ($1,000) $2,600 $7,800 YR 25 SRF - Local Asst (15%) (FO-E) SS Arad 12 N/A 3462664 01/01/23 12/31/23 01/01/23 12/31/23 $3,600 YR24 SRF - Local Asst (15%) (FO-E) SS Arad 4, 12 N/A 34626.64 01/01/22 12/31/22 07/01/21 06/30/23 $1,600 $5,200 YR24 SRF - Local Asst (15%) (FO-E) SS Arid 1, 12 N/A 3462664 01/01/22 12/31/22 07/01/21 06/30/23 $3,600 Sanitary Survey Fees (FO-E) SS -State Arad 13 N/A 34626.65 01/01/22 12/31/23 07/01/21 12/31/23 ($1,000) $2,600 $7,800 Sanitary Survey Fees (FO-E) SS -State Anal 12 N/A 34626.65 01/01/22 12/31/23 07/01/21 12/31/23 $3,600 Sanitary Survey Fees (FO-E)SS-Slate Amd 4, 12 N/A 346.26.65 01/01/22 12/31/23 07/01/21 12/3l/23 $1,600 $5,200 Sanitary Survey Fees (FO-E) SS -State Arad I. 12 N/A 346 26 65 01/01/22 12/31/23 07/01/21 12/31/23 $3,600 YR 25 SRF - Local Asst (15%) (FO-E) TA Arad 12 N/A 3462666 01/01/23 12/31/23 01/01/23 12/31/23 $2,000 $2,000 $4,000 YR24 SRF - Local Asst (15%) (FO-E) TA Anal 4, 12 N/A 3462665 01/01/22 12/31/22 07/01/21 06/30/23 $1,000 $2,000 YR24 SRF - Local Asst (15%) (FO-E) TA Amd 1, 12 N/A 34626.65 01/01/22 12/31/22 07/01/21 06/30/23 $1,000 TOTAL Total consideration: $3,757,444 $1,023,600 C RAND TOTAL $4,781,044 `Catalog of Federal Domestic Assistance ."Federal revenue codes begin with "333 State revenue codes begin with "334" Page 2 of 2 $4,781,044 S4,781,044 GRANDTOTAI. S4,781,044 Total Fed $2,068,689 Total State $2,712,355