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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