HomeMy WebLinkAbout20220301_20230630_HCA MOUD_001301236BOARD OF COUNTY COMMISSIONERS
COUNTY OF KITTITAS
STATE OF WASHINGTON
RESOLUTIONTO AUTHORIZEEXECUTIONOF AN AMENDMENTTO THE
PROFESSIONAL SERVICES AGREEMENTBETWEEN WASHINGTONSTATE
HEALTH CARE AUTHORITY AND KITTITAS COUNTY
RESOLUTIONNo.2022 -
WHEREAS:The State of Washington,acting by and through the Health Care Authority,issued
a Request for Application for the purpose of developing or implementing or
continuing to expand Medication for Opiod Use Disorder in Jails Program;and
WHEREAS:Kittitas County submitted a timely response to the Request for Application;and
WHEREAS:Health Care Authority reviewed all properly submitted Responses and has
identified Kittitas County as the Apparent Successful Bidder;and
WHEREAS:Health Care Authority has previously determined that entering into a contract with
Kittitas County will meet Health Care Authority's needs and will be in the State's
best interest;and
WHEREAS:The Board of County Commissioners for Kittitas County authorized the original
Agreement by Resolution 2022-072 on March 15,2022 for the award amount of
$271,035.00;and
WHEREAS:Health Care Authority has awarded $252,000.00 in additional funds to Kittitas
County for the furtherance of this project;and
NOW THEREFOREBE IT HEREBYRESOLVED that the amended Agreement between
Washington State Healthcare Authority and the Kittitas County Jail shall commence on
July 1,2022 and continue to June 30,2023 and accepts this grant money and the terms of
the contract.
ADOPTED this day of ,2022.
BOARD OF COUNTYCOMMISSIONERS
KITTITAS COUNTY,WASHINGTON
ce-Chair
Commissioner
ATTEST:.APPROVE S TO FORM:
T'Clerk o e Board-Julie k rsvik D.R.Mitchell (Deputy)Prosecuting Attorney
O Deputy Clerk of the Board-Mandy Buchholz
DocuSign Envelope ID: 03BADF22-351A-4319-BF35-EDC62D187726
DocuSign Envelope ID: 03BADF22-351A-4319-BF35-EDC62D187726
Contracts Administrator 7/19/2022Rachelle Amerine
Certificate Of Completion
Envelope Id: 03BADF22351A4319BF35EDC62D187726 Status: Completed
Subject: Please DocuSign: K5885-01 with Kittitas County Jail
Business Name:
Source Envelope:
Document Pages: 9 Signatures: 1 Envelope Originator:
Certificate Pages: 2 Initials: 0 MARY BETH SELLERS
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
626 8th Ave SE
Olympia, WA 98501
marybeth.sellers@hca.wa.gov
IP Address: 198.239.15.28
Record Tracking
Status: Original
7/14/2022 1:14:15 PM
Holder: MARY BETH SELLERS
marybeth.sellers@hca.wa.gov
Location: DocuSign
Signer Events Signature Timestamp
Rachelle Amerine
rachelle.amerine@hca.wa.gov
Contracts Administrator
CloudPWR OBO Washington State Health Care
Authority-Sub Account
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 147.55.194.42
Sent: 7/14/2022 1:19:42 PM
Viewed: 7/19/2022 5:59:08 AM
Signed: 7/19/2022 6:00:01 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Rachel Meade
rachel.meade@hca.wa.gov
Security Level: Email, Account Authentication
(None)
Sent: 7/19/2022 6:00:02 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Sharrie McPherson
sharrie.mcpherson@co.kittitas.wa.us
Security Level: Email, Account Authentication
(None)
Sent: 7/19/2022 6:00:02 AM
Viewed: 7/19/2022 8:18:41 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
HCA Financial Services
FINANCIALSVC@HCA.WA.GOV
Security Level: Email, Account Authentication
(None)
Sent: 7/19/2022 6:00:03 AM
Electronic Record and Signature Disclosure:
Carbon Copy Events Status Timestamp
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 7/14/2022 1:19:42 PM
Certified Delivered Security Checked 7/19/2022 5:59:08 AM
Signing Complete Security Checked 7/19/2022 6:00:01 AM
Completed Security Checked 7/19/2022 6:00:03 AM
Payment Events Status Timestamps
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
Rachelle Amerine
Contracts Administrator 3/17/2022
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B
DocuSign Envelope ID: 24BC4933-7B76-4DAD-AF9C-6674FB82D44B