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Home My WebLink AboutConsolidated Contract Amendment 14KITTITAS 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 refened to as"DOH", and KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT, a LocalHealth Jurisdiction, hereinafter referred to as "LHJ", pursuant to the Modifications/Waivers clause, and to make necessary changes withil the scope of this contract and any subsequent amendments thereto. IT ls 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 Firrance SharePoint site in the Upload Center at the following URL: httPs://stateofwa.sharepoint.com/sites/doh-ofsfundingresources/sitepages/home.aspx?:e l:9a94688da2d94d3ea80ac7fbca2.4d7, X Adds Statements of Work for the following programs: Foundational Public Health services (FPHS) - Effective lury 1,2023 Office of Immunization-Promotion of Imrnunizations to Improve Vaccination Rates - Effective July 1,2023 X Amends Statements of Work for the following programs: Office of Drinking Water Group A Prograrn - Effective January l,20ZZ. Deletes Statements of Work for the following progran-rs: 2' Exhibit B-14 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-13 Allocations as follows: X Increase of $1.023"600 for a revised maximum consideration of $4.781"044. Decrease of _ for a revised maximum consideration of I No change in the maxirnum consideration of _. Exhibit B Allocations are attached only for informational purposes. Unless designated othetwise herein, tlre 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 fullforce and effect. IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof. APPROVED AS TO FORM ONLY Assistant Attorney General KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON DEPARTMENT OF HEALTH Signature: Chalreq ljplferc ch.k4rodhu{K4 Lrortlt x pDl Signature: BrudoHwtktat Brdndo He.dkion tA!c t, 108 11 r? PDl Date: Aug 1,2023 Date: 4ug7,2023 Page I of I EXHIBIT B-14 Kittitas County Public Health Department ALLOCATIONS Contract T er mz 2022-2024 Indirect Rate January 1,2022 throagh December 31, 2022':2lVo Public Health Dept & l5% County Central Svcs Indirect Rate January l, 2023 through December jl, 2023: 34.30oh Federal Award Identification # NGA Not Received 207WAWA5Q3903 207WAWA5Q3903 207WAWA5Q3903 SLFRP()OO2 SLFRPOOO2 NU90TP922043 NU90TP922043 NUE1EHOO1445 NUE1EHOO1445 NUE1EHOOI445 NGA Not Received NH23rP9226l9 NH23rP9226t9 NH23rP922619 NU50CK00051s NU50CK000515 NU50CK000515 NU50CK0005 r 5 NU50CK0005l5 NU50CK0005 I s NGA Not Received NU50CK000515 NUs8DP006504 NU58DP006504 NU58DP006504 NU58DP006504 Amend # Amd 9 Amd 7 Amd 4 Amd I Amd 7 Amd 2 Amd 1,7 Amd 2 Amd I Amd 14 Amd 4 Amd I Amd 3 Amd 2 Amd 7 Amd 4 Amd 2 Amd 7, 9, 13 Amd2,9,13 Amd 13 Amd 13 Amd 12 Amd 7 Amd 4 Amd I 333.93.06 07/0v22 333.93.06 0t/01/22 Contract Number: Date: Funding Period SubTotal $29,934 $37,008 $2r7,3 l3 $32,977 $49,1 33 $29,492 $83,000 $3s,7 l 9 $5,600 s225,'t25 $359,803 $4,980 $ 174 $7,238 $720,249 $3,200 $4,800 $90,000 cLH310ls Jane 1,2023 Chart of Accounts Total $66,942 $2 r 7,3 l3 $32,977 s78"625 $83,000 $35,7 l9 s5,600 $225,125 $3s9,803 $4,980 $ 174 $7,238 $720,249 $8,000 Assist List #* BARS Revenue Code** DOH Use Only Statement of Work Chart of Accounts LHJ Funding Period Funding period Start Date End Date Start Date f,nd DateChart ofAccounts Program Title FFY23 IAR SNAP Ed Prog Mgnt-Region 2 FFY22 IAR SNAP Ed Prog Mgnt-Region 2 FFY22 IAR SNAP Ed Prog Mgnt-Region 2 FFY22 IAR SNAP Ed Prog Mgnt-Region 2 CSFR-F CTS LHJ Allocation LHJ Vaccination ARPA FFY22 PHEP BP4 LHJ Funding FFY2 I PHEP BP3 LHJ Funding FFY2l CDC EHC EHR Supplemenral FFY20 Envir Health Capacity-C (CDC) NCE FFY20 Envir Health Capaciry-C (CDC) NCE FFY24 CDC VFC Ops COVIDI9 Vaccines COVIDI9 Vaccines R4 FFY22 VFC Ops FFY19 COVID CARES FFYl9 ELC COVID Ed LHJ Allocation FFY19 ELC COVID Ed LHJ Allocation FFY19 ELC COVID Ed LHJ Allocation FFY20 ELC EDE LHJ Allocation FFY20 ELC EDE LHJ Allocation FFY23 Vector-bomeT2&3 Epi ELC FPH FFY22 Vector-borne T2&3 Epi ELC FPH FFY22 Phys Acwty & Nutrition Prog FFY22 Phys Actvty & Nutrition Prog FFY2I Phys Ach.ty & Nutrition Prog FFY2I Phys Achty & Nutrition Prog 10.56 I 10.56 I t0.561 10.56 l 333.10.s6 333.10.s6 333.10.56 333. r0.56 t0/01/22 0t/0r/22 0t/0r/22 01t0U22 09/30/23 09/30t22 09/30/22 09/30t22 t0/0U22 r0/01/2t 10/01t2t t0l0t/2t 07/0u22 07/01/2t 09/30/23 09/30D2 09/30/22 09/30/22 06/30t23 06130t22 Amount s29,934 ($s,e00) $ I 2,090 $30,8 18 Amd 5, l1 21.027 333.2t.02 0t/01t22 06t30/23 0U0y22 06t30t23 $217.313 Amd l0 2t.027 333.21.02 t1/0U22 06/30t23 1t/01t22 06t30/23 $32p77 93.069 93.069 93.070 93.070 333.93.07 333.93.07 0l/01t22 01/01/22 08/3t/22 08/31/22 $49,133 s29,492 $14,719 $2 1,000 $ 1,547 ($8,897) $ 14,588 ($34"245) $754,494 $3,200 s4,800 $ I 0,000 $80,000 st9,470 $34,000 06130123 06/30/22 93.070 333.93.07 01/01t22 t2/31/22 09/01t20 12t31/22 $83,000 08t31/22 09t0U20 08/3U22 09/01/20 93.268 333.93.26 07t01/23 06/30/24 07t01t23 06/30t24 $s,600 93.268 333.93.26 0U0r/22 06t30124 07/0U20 06t30t24 $225,125 93.268 333.93.26 0r/01/22 06/30t24 07t0U20 06t30t24 $359.803 93.268 333.93.26 0t/01/22 06/30/22 07/0r/21 06/30/22 $4,980 93.323 333.93.32 01t0r/22 04/22t22 04/23t20 07/3t/24 s174 93.323 93.323 93.323 333.93.32 0U0t/22 333.93.32 0\/0r/22 333.93.32 0t/01/22 10/r8/22 0s/t9t20 t0/18t22 05/t9t20 t0/18/22 05^9/20 10/18/22 l0/18/22 r0/18t22 93.323 93.323 333.93.32 01/01t22 333.93.32 0|O1/22 t2/3U23 12/31/23 01/t5/2r 01/1s/2t 0713v24 07/3t/24 93.323 93.323 333.93.32 333.93.32 93.439 333.93.43 93.439 333.93.43 93.439 333.93.43 93.439 333.93 43 09/30/23 08t0v23 07131/23 08t01t22 08/01/23 06/0U23 09/30t23 07/3t/23 09130/22 09/30t22 0t/0r/22 0t/0U22 09129D3 09t29t23 09/29/22 09t29D2 09/30t22 09/30t22 09/30121 09/30t21 09/29/23 09129/23 09/29t22 09/29/22 Page I of2 $s3,470 $143,470 EXHIBIT B-14 Kittitas County Public Health Department ALLOCATIONS Contract Term : 2022-2024 Indirect Rafe January l, 2022 throtgh December 31, 2022:2lVo Public Health Dept & 15% County Central Svcs Indirect Rate January 7,2023 through December 31, 20232 34.30oh Amount s44,196 $2, l3 r $33,147 $25,878 $2s,877 $ 1,018,000 ($605,000) $605,000 $605.000 ($ 1,000) $3,600 $ 1,600 $3,600 ($ 1,000) $3,600 $ 1,600 $3,600 Contract Number: Date: Funding Period SubTotal s44,196 $3s,278 $2s,878 $2s,877 $ 1,018,000 $0 $605,000 $1,018,000 $2,600 $5,200 $2,600 $5,200 $2,000 $2,000 cLH3r0l5 June l,2023 Chart of Accounts Total $79,474 $5 1,755 $ 1,623,000 $l,018,000 $7,800 $7,800 $4,000 $4,781,044 $2,068,689 s2,712,355 Federal Award Identification # 804MC474s3 B04MC4s2s1 804MC45251 Amend # Amd 7 Amd 4 Amd I Amd ll Amd I 333.93.99 333.93.99 333.93.99 t0/0|22 01/01/22 0l/01/22 09/30/23 09/30/22 0980n2 t0/0t/22 10/0v2r t0/01/21 07/0U22 07/01/21 09t30t23 09/30/22 09t30/22 06/30/23 06t30/22 Assist List #* DOH tlse Only BARS Statement of Work Chart of Accounts Reyenue LHJ Funding Period Funding Period Code** Start Date End Date Start Date End DateChart ofAccounts Title FFY23 MCHBG LHJ Contracts FFY22 MCHBG LHJ Contracts FFY22 MCHBG LHJ Contracts GFS-Group B (FO-E) GFS-Group B (FO-E) FPHS-LHJ-Proviso (YR2) FPHS-LHJ-Proviso (YR2) FPHS-LHJ-Proviso (YR2) FPHS-LHJ-Proviso (YRl ) FPHS-Local Health Jurisdiction YR 25 SRF - Local Asst (15%) (FO-E) SS YR 25 SRF - Local Asst (15%) (FO-E) SS YR24 SRF - Local Asst (15%) (FO-E) SS YR24 SRF - Local Asst (15%) (FO-E) SS Sanitary Survey Fees (FO-E) SS-State Sanitary Survey Fees (FO-E) SS-State Sanitary Survey Fees (FO-E) SS-State Sanitary Survey Fees (FO-E) SS-State YR 25 SRF - Local Asst (15%) (FO-E) TA YR24 SRF - Local Asst (15%) (FO-E) TA YR24 SRF - Local Asst (15%) (FO-E) TA TOTAL Total consideration GRAND TOTAL 93.994 93.994 93.994 N/A N/A 334.04.90 0l/0r/23 334.04 90 0U0U22 06/30/23 06t30122 Amd 14 N/A 336.04.2s 07t0t/23 06t30/24 07t01t23 06t30t2s $1,018,000 Amd 6 Amd 7 Amd I Amd I NiA N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 336.04.25 336.04.2s 336.04.2s 336.04.2s 07/01/22 07101/22 07/0u22 01/01/22 06/30123 06/30/23 06130123 06/30/22 07t0r/2t 07101121 07/0t/21 0710t/21 0r/0t/23 0u0t/23 07l0U2t 07/0t/21 06/30t23 06t30/23 06130/23 06t30t23 12t31/23 t2/31/23 06/30t23 06130/23 Amd 13 Amd 12 Arnd,4, 12 Amd l, 12 Amd 13 Amd 12 Amd.4, 12 Amd 1, 12 Amd 12 Arnd4" 12 Amd 1, 12 346.26.64 346.26.64 346.26.64 346.26.64 0l/01/23 0t/0r/23 0u01t22 0t/0|22 t2/31/23 t2/3r/23 l2/31/22 t2/31D2 l2/31/23 12/31/23 t2/31/23 12/31/23 346.26.65 346.26.65 346.26.65 346.26.65 0t/01/22 01/0|22 0r/01122 0U0t/22 07/0U21 07 /01/21 07/0r/21 0710U21 12/3t/23 t2t3t/23 t2/31123 lzt3I/23 346.26.66 01/0r/23 346.26.6s oUOt/22 346.26.65 01/01t22 t2/3t/23 12/31/22 12/31/22 0t/01t23 07/0t/21 0't/01/2t l2/3U23 06/30/23 06/30t23 $2,000 $ 1,000 s 1,000 $3,757,444 $1,023,600 $4,781,044 s4,781,044 $4,781,044 GRAND TOTAT Total Fed Total State*Catalog of Federal Domestic Assistance **Federal revenue codes begin with'333'. State revenue codes begin with ,'334" Page 2 of 2