HomeMy WebLinkAboutUWSC 12491 AMD 1NE ExecutedKittitas County
Review Form
Grants & Contract Agreement
Contr Grant lnformation
Recommendation for Board of H ew on
Verification the Contracti ng Agency is not Suspended/Disbarred:
Today's Date
70/0s/2027 PA Camas Request #:5a?.'+?
Fund/Department
116-Public Health Agenda Date: il E
I
I
Agency:rojectnCofatctnrat/G nU ivers of W ash n nity EXN PUSgto eAm dmen tn
Period Begin Date: O9/ZO/ZO2O Period End Date: 09/29/2022
Total Grant/Contract Amount: 5!76,957.00 total (increase of S81,021.00)
Grant/Contract Number: UWSC12491
This amendment to our contract with the University of washington for the NEXUS program extends the project
end date to 9/29/2o22 and increases the project budget to a total of 5176,gs7. project scope of work:o Participate in weekly videoconference calls with University of washington (UW) and other partners to receiveguidance and training on project NEXUS activities.r Provide ongoing feedback to UW on protocol implementation issues or concerns.r Recruit and enroll 150 (up to u5) people who inject drugs and their drug using peers to participate in project NEXUSactivities at the Never Share Syringe Exchange at KCpHD.o Appropriately staff project NEXUS at your enrollment site.r Provide Project NEXUS staff and participants with covlD-19 protective materials (e.g., effective facial coverings, andother personal protective equipment).r closely adhere to project NEXUS guidance documents for data co
Contract/Grant Summary
llection, participant and staff safety precautions
risks to the timeline.lines and communicate act NEXUS time.cl adhere to
Department Head Signatu ItDirector Date
c) f.
Signatur cutor's Office Date
L/, >/
Signatu itor's Office Date
P
o
tiIzr
Auditor, and Board of Health Review and Comment:Kittitas County
APPROVED AS TO FORM:
Agency is not suspended/disbarred ! Not Checked (reason)
Grant/Contract Review
Page 1
Financial lnformation
Bud lnformation
Pass Through lnformation
Prosecutor Review
Total Amount S176,957.00 State Funds Stz6,gSZ.00 Federal Funds S
Percentage County Funds Matching Funds S CFDA#
ln-Kind S
ls Equipment being purchased?Who owns equipment?
New Personnel bei hired?Contact HR hirin ortin uirements
Future impacts or liability to Kittitas County:
Budget Amendment Needed ?
New Division Created?
Yes ! attach budgetform No f] why not
Reven u e Code : L1,6.6L2.40.3.334.04.9i.0
Agency to Pass Through
Amount to Pass Through 5
Sub-Contract Approved Date
Has the Prosecutor reviewed this agreement?Yes No
Cou Departments I d
BOCC A I Needed?
Assignment of Tracki lnformation
Auditor Facilities Maintenance
lnformation Services Human Resource
Prosecutor Treasurer
Yes ffi NoI
Staff Member Presenting: Chelsey Loeffers
Auditor's Office
Human Resource
Prosecutor's Office (# "-1?
A ((,,*t\5 (\
Who Signed the grant application
Reviewer Date
Grant/Contract Review Page 2
Research Su baward Ag reement
Amendment
Prime Recipient
Un Cou of
Subrecipient
(Pl):lnve!llgltor (Pl):
AHrd No;AH.dlng Agoncy:Srbrwd No.!
National Technical and
9125t2022srarr Dats: 9l30l2O2O End D8i€:
PGdod ol ActloI:Purchr* Ordrr No:
DEto:
9129t2021
Amondmenl Total Amount of Funds b dsts;Sublect lo FFATA
SYes trNo
as follows:
to anTerms God nsnditioAmendment(s)Original
This Amendment therevises Researchabove-referenced Subaward
Action:
The period of performance end date is changed trom 09129t2a21 b 09t2912022.
The Subaward Amount Funded this Acfion is increased $9,l,021.
The cumulative total of $95,936 should be changed to $176,957.
The amount presently available for payment is $81,021 for the budget period 09/30/2021 through 0g!2gt2022.
carryfonrard of funds from previous period is restricted and requires prior approval.
The BPO number has changed from 8pO55135 to BpO60033.
The scope of work is hereby amended to update the existing scope of work.
The Revised Scope of Work and Budget are aftached and hereby appended to this amendment as Attachment 5,
other terms of th remain in full and effEct.
By an Authorized Officiat of S ubrecipient:
Name:
By an Authorized Official of prime
Date:
Recipient:
Joe Larsen
Date
Title:
-08'00'UW Research Version JAN 201 9
i.l\ivl;l) i;)r;!:i i
:.r,.ii;tl ) ir I
ATTACHMENT 5
Research Subaward Agreement
STATEMENT OF WORK
Project NEXUS
{lnjection Drug Use Surveillance Project)
Scope of Work
Subcontract: Kittitas County public Health Department
(Never Share Syringe Exchange)
Components 2a*
t' Participate in weekly videoconference calls with University of Washineton (UW) and other partners to
receive guidance and training on project NEXUS activities.a. Provide ongoing feedback to UW on protocol implementation issues or concerns.
2' Recruit and enroll 150 (up to 175) people who inject drugs and their drug using peers to participate in
Project NEXUS activities at the Never share syringe Exchange at KCpHD.a. Appropriately staff project NEXUS at your enrollment site.b' Provide Project NEXUS staff and participants with CoVtD-L9 protective materials (e.g., effective
facial coverings, and other personal protective equipment).c' Closely adhere to Project NEXUS guidance documents for data collection, participant and staff safety
precautions.
d. Closely adhere to Project NEXUS timelines and communicate any risks to the timeline.
*All work to be completed in collaboration with the UW and other project partners.
I i\r\l:li I i:t.i,t'i
i\i\/li)r+iATTACHMENT 5
Cost Reimbursement Research Subaward Agreement
Budget
Direct Costs
n fOC I MTDC E Otf,", lndirect Costs
(Check if YES) TOTAL COSTS
Sog,ttg
Stt,gozlndirect cost Rate (lDC) of 38%
De Minimis rate applied? X 581,021
'Salaries
Employee Benefits
Equipment
Travel
Supplies
Other Direct Costs
Total Direct Costs
947,112
$8,057
$o
$o
$900
$7,050
$63 ,119
lndirect Cost 38% of Salaries & Wages*$17,902
GRAND TOTAL $8{,021
*lndirect costs at 38% in accordance with Subrecipient negotiated rates approved 1Zt31tZO1g
UW Research Budget Template SEp 2016