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Home My WebLink AboutCON CON Amendment 4 (2)Kittitas County Review Form Grants & Contract Agreement Contract/G ra nt I nformation Recommendation for Board of Health Review on verification the contracting Agency is not suspended/Disbarred: Today's Date 04/28/2022 PA camas Request o, h-4 0 4L Fund/Department 116-Public Health AgendaDate: 5ltl lazz, h Contract /Grant Agency: Consolidated Contract Amendment 4 Period Begin Date: UL/2022 Period End Date: L2/3L/2024 nt/Contract s 52,mount:GTotal ra A ln acre es of !254 91 rfo revtsa med AX um com stn ratde ofton 87 4 LL8, Grant/Contract Number: C1H31015 r Amends Statements of Work for the following programs: COVID-19 Mass Vaccination-FEMA - Effective January t, ZO22 DCHS-ELC COVID-19 Response - Effective January L, ZO2Z LSPAN-Local Strategies for Physical Activity & Nutrition - Effective January I, ZOZ1 Maternal & Child Health Block Grant - Effective January L, ZOZI office of Drinking water Group A program - Effective January r,2022 office of lmmunization covlD-19 vaccine - Effective January L,2oz2 o o o o o Su lemental Nutrition Assistance p m-Education - Effective Janua 2022 Contract/Grant Sum mary: Department Head Sign Director Date Kittitas County rd of Health Review and Comment: r's Signatu Date /l- Date of Auditor, and S reatu Pign I Agency is not suspended/disbarred fl Not Checked (reason) Grant/Contract Review Page 1 Financial lnformation lnformation Pass Thro lnformation Prosecutor Review TotalAmount s254,1L9 State Funds $Federal Funds NTE 5254,119 Percentage County Funds Matching Funds S CFDA# 93.421 ln-Kind $ tn ls Equipment being purchased?Who owns equipment? New Personnel bein hired?Contact HR hirin rti re urrements Future impacts or liability to Kittitas County: Budget Amendment Needed? New Division Created? Yes f] attach budget form No E why not Budgeted for Revenue Code tL6.6L2.3t 333.93.439 SLg,qlo L 16. 6 1s. 02 .2.346.26.64 s1,600L16.612.94.333.10.56 $1z,o9o 11.6.6L5 .02.2.3 46.26. 6s St,soo1,L6.672.39.24.333.93.26 $22s,L25 L 16. 615. 02 .2.346.26.66 s1,76.6L2.22. L0. 333. 93. 994 Sz,tzt Agency to Pass Through Amount to Pass Through Sub-Contract Approved Date: Has the Prosec utor reviewed this agreement?Yes No Cou De rtments I cted BOCC Approval Needed? ent of Tracki lnformation Auditor Facilities Maintenance lnformation Services Human Resource Prosecutor Treasurer Yes ffi No[] Staff Member Presenting: Tristen Lamb Auditor's Office Human Resource Prosecutor's Office Grant/Contract Review Page 2 Who Signed the grant application Reviewer Date Grant/Contract Review Page 3 BOARD OF COUNTY COMMISSIONERS COUNTY OF KITTITAS STATE OF WASHINGTON RESOLUTION No.2022- llv RESOLUTION TO AUTHORIZE CONTRACT AMENDMENT EXECUTTON WHEREAS, Kittitas County and Contractor entered into a consolidated contract with the term of 2022-2024; and WHEREAS, the contract authorizes modifications that are necessary changes within the scope of the contract and in writing and signed by the parties; and WHEREAS, both the County and the Contractor desire to amend the contract in the manner detailed inthe attached amendment, titled Amendment Number 4, thatis hereby incorporated by thisreference; Now THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Kittitas County,Washington, authorizes execution of the contract amendment attached hereto and incorporated herein. DATED this 11t^day of wft\-t,t,2022, aI Ellensburg, Washington, LTNTY COMMISSI ONERS GTON k ofthe D Deputy Clerk of the Board KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT 2022.2024 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH3l0t5 4MENDMENT NUMBER: 4 PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as ,,DOH,,, andKITTITAS COLINTY PUBLIC HEALTH DEPARTMENT, a Local Health Jurisdiction, hereinafter refened to as ..LHJ,,, pursuant tothe Modifications^vaivers clause, and to make necessary changes within the scope ofthis contract and any subsequent amindm"ntsthereto. IT Is MUTUALLY AGREED: That the contract is hereby amended as follows: I Exhibit A Statements of Work, includes the DOH Finance Sharepoint site in the the following statements of work, which are incorporated by this reference and located onUpload Center at the following URL: c n Adds Statements of Work for the following programs: X Amends Statements of Work for the following prog.urnr, COVID-I9 Mass Vaccination-FEMA - Effective January 1,2022 DCHS-ELC COVID-I9 Response - Effective January t,ZOZZ LSPAN-Local Strategies for Physical Activity & Nutition - Effective January 1,2022 Maternal & Child Health Block Grant - Effective January 1,2022 office of Drinking water Group A program - Effective i*u*y r,2022 office of Immunization covlD-lg vaccine - Effective January r',2022 Supplemental Nutrition Assistance program-Education - gffeciive lanu wy 1,2022 D Deletes Statements of Work for the following programs: 2' Exhibit B-4 Allocations, aftached and incorporated by this reference, amends and replaces Exhibit B-3 Allocations as follows X Increase of $254.119 for a revised maximum consideration of $2.g7g.4r1. tr Decrease of _ for a revised maximum consideration of tr No change in the maximum consideration of Exhibit B Allocations are attached only for inEilrrltionul purposes. Unless designated otherwise herein, the efective 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. APPROVED AS TO FORM ONLY Assistant Attorney General KITTITAS COI.INTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON DEPARTMENT OF HEALTH Signature: 7Vi/en /awb r;r4LrEbttryraDnd aPoD Signature: Szedaguz&at &snd:Hlidko.!{ryre,rorr ralsroo Date: May 79,2022 Date: May 19,2022 Page I ofl Kittitas County Public Health Departmert hdirect Rate as of January r,2o22: 25.2so/o public Health De pt & 12.7s%io county centrar svcs EXHIBM B-4 ALLOCATIONS Contract Term: 2022-2024 Federal Award Identification # 207WAWA5Q3903 207WAWA5Q3903 NU90TP922043 NGA Not Received NUE1EHOO1445 NUE1EHOO1445 NII23IP9226l9 NH23IP922619 Nrn3rP922619 NU50CK0005ts NUs0cK000s1s NUs0cK000s15 NUs0cK000s15 NUs8Dm06s04 NUs8DP006504 804452s1 8,44452s1 Amend # Amd 4 Amd I Amd 2 Amd I Amd2 tund I Amd 4 Amd I Amd3 Amd2 Amd 4 Amd2 Amd 2 Amd 4 Amd 1 Amd 4 Amd I Amd I Amd I Amd I Amd 4 Amd 1 Amd 4 Amd 1 Amd 4 Amd 1 Assist List #* DOH Use OnlyBARS Strtement of Work Chart of Accounts Revenue LIIJ Funding Period Funding period Code** Start Date End Date Sta.rt Date End Date Amount Contract Number: Dete: Funding Period SubTotal $42,908 s29,492 $83,000 $35,719 $225,125 $359,803 $4,980 $174 $s,691 $754,494 $s3,470 $3sr78 $2s,877 $605,000 $605,000 $s,200 s5t00 $2,000 clfl3l01s April 1,2022 Chrrt of Accounts Total $42,908 s29,492 $83,000 $35,719 $22s,125 $3s9,803 $4,980 $174 $5,69r $754"494 s53,470 s35,278 92s,877 $1,210,000 $5,200 ss,200 $2,000 Chart ofAccounts Program Title FFY22 IAR SNAP Ed Prog Mgnr-Region 2 FFY22 IAR SNAP Ed Prog Mgnt-Region 2 FFY21 PHEP BP3 LHJFunding FFY22 CDC EHC EHR Supplemental FFY20 Envir Health Capacity{ (CDC) NCE FFY20 Envir Health Capacity{ (CDC) NCE COVIDI9 Vaccines COVIDI9 Vaccines R4 FFY22 VFC Ops FFY19 COVID CARES FFY19 ELC COVID Ed LHJAlocation FFY19 ELC COVID Ed LtU Allocarion FFY20 ELC EDE LHJ Allocation FFY21 Phys Ach.ty & Nutrition prog FFY2l Phys AcMy & Nutrition prog FFf22 MCHBG l,HJ Conrracts FFY22 MCHBG LHJ Contracrs GFS-Group B (FO-E) FPHS-LHJ-Proviso (YR2) FPHS-LHJ-Proviso (YR1 ) YR24 SRF - I-ocal Asst (15%o) GO-E) SS YR24 SRF - Local Asst (t s%) (FO-E) SS Sanitary Survey Fees (FO-E) SS-State Sanitary Survey Fees (FO-E) SS-Srate YR24 SRF - Local Asst (159/0) (Fo-E) TA YR24 SRF - Local Asst (15%) (FGE) TA 10.s6I 10.561 93.069 93.070 93.070 93.070 93.268 93.268 93.268 93.323 93.323 93.323 93.323 93.439 93.439 93.994 93.994 N/A 333.10.56 333.10.J6 0uun2 0t/01t22 01/01/22 01t01122 09tw22 09/30/22 $12,090 $30,81 8 $29,492 $83,000 $14"719 $21,000 s225,125 $359,803 $4,980 $174 ($8,897) $1 4,588 $19,470 $34,000 s2,131 $33,147 09R0t22 tDnt?t 09/30/22 rc/Alnt 333.93.06 06/30122 07t01t21 06tJO/22 333.93.07 08/37/22 09/01D0 08/31/22 333.93.07 01/0i/22 08/31/22 09/01/20 o8B1n2 333.93.07 01/01/22 08t31/22 og/Ano 08t37/22 333.93.26 01n7n2 06R0n4 wntno 333.93.26 0VA1n2 06/30t24 o7/01t20 333.93.26 01t01n2 06,30n2 07/Un1 333.93.32 01t01/22 04/22t22 04/23/20 333-93.32 0UUn2 ,0n8n2 w$n8 333.93.32 0u0t/22 10/78/22 0st19t20 Mt3$t24 06/3A/24 06130122 07/31124 rcn&t22 1,4/18t22 333.93.32 01/01/22 12/31t22 ol/\sD| 07t31,124 $7s4,4s4 333.93.43 0t/un2 09t29t22 AgBOnt 333.93.43 01t01/22 09/29t22 09t30t21 u9n9/22 09/29/22 333.93.99 0unn2 $t30t22 l0t0t?1 333.93.99 0r/0U22 09/30122 10/01/21 a9BOt22 09/30t22 a6/30123 06/30123 $60s,000 $605,000 $r,600 $3,600 s1,600 $3,600 $r,000 $1,000 334.U.90 0t/01D2 06/30122 07/01t21 06/30/22 $25,877 N/A 336.U.2s 07/01/22 06/30t23 07101/21N/A 336.04.25 01/0122 06/30122 07/O1Dr N/A 346.26.64 0I/01n2 N/A 346.26.64 01/01/22 126tn2 v1t[ru 12/31t22 07/01Dl MBOt23 06/30t23 N/A N/A 346.26.6s 01rc1n2 tu3tn2 Mnrnt 346.26.6s 01/01,/22 t2/31/22 07/01/2t 06a,0/23 06/30/23 N/A 346.26.65 \uotnzN/A 346.26.65 01/01/22 tu3u22 07fi1m t2/31/22 07/01n| MBOt23 06/30/23 Page I of2 Kittitas County Public Health Department Indired Rate as of January r,20222 2s.2syopubtic Heatth D ept & r2.TsyoCounty cent*r svcs Chart of Tifle Federal Award Identification #Amend # TOTAL Totalconsideration: $2,624,292 GRANDTOTAL $254'119 $2,878,411 *CatalogofFederal Domestic Assistance . *rFederal revenue codes begin wi& "333 ". State revenue codes begin with .334'. DOH Use OrilyBARS Statement of Work Chart of Accounts Revenue LEJ Funding Period Fhndingperioil Start Date End Date Star.t Date End Date EXHIBIT&4 ALLOCATIONS Contract Term: 2 022-2024 Assist List #* Contract Numben Date: Amount Funding Period SubTotal s2,yt8,4ll $2,E7E,411 GRANDTOTAL Total Fed Total State cLH310l5 April 1,2022 Chart of Accoun6 Total $2,87E,4il $1,630,134 $1,24E277 Page2 of2