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Home My WebLink AboutKittitas County Public Health 2022-2024 Consolidated Contract Amendment 16 CLH31015KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT 2022-2024 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH31015 AMENDMENT NUMBER: 16 PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as "DOH", and KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT, a Local Health Jurisdiction, hereinafter referred to as "LHJ", pursuant to the Modifications/Waivers clause, and to rnake necessary changes within the scope of this contract and any subsequent amendments thereto. IT IS MUTUALLY AGREED: That the contract is hereby amended as follows: Exhibit A Statements of Work, includes tlie following statements of work, which are incorporated by this reference and located on the DOH Finance SharePoint site in the Upload Center at the following URL: httPs://stateofwa.sharePoint.com/sites/doh-ofsfundingresources/sitepages/home.aspx?:e1:9a94688da2d94d3ea80ac7fbca2e4d7c Adds Staternents of Work for the following programs: X Amends Statements of Work for the following programs: COVID-19 LHJ Gap Funding - Effective luly 1,2023 Executive Office of Resiliency & Health Security-WFD LHJ - Effective July 1,2023 Office of Drinking Water Group A Program - Effective January 1,2022 Office of Immunization COVID-19 Vaccil-re - Effective January 1,2022 S upplernental N utritio n A ss istance Pro gram -Ed ucatiorr - Effective Jan uary 1, 2022 Deletes Statements of Work for the following programs 2. Exhibit B-16 Allocations, affached and incorporated by this reference, amends and replaces Exhibit B-15 Allocations as follows: X Increase of $238.815 for a revised maximum consideration of $5.926.202. Decrease of _ for a revised maximum consideration of _. No change in the maxirnum consideration of _. Exhibit B Allocations are attached only for informational purposes. Unless designated otherwise herein, the effective date of this amendment is the date of execution. ALL OTHER TERMS AND CONDITIONS of tlie original contract and any subsequent alnendments remain in full force and effect. IN WITNESS WHEREOF, the undersigned lras 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: Che,lreq laalfer,r .hdk! to.ildsr&( 5.runil 50PsIt Signature: Srea)* He***at s'.trdr Hetrrk5otr lD.c5,?o:t8:2tpsn Date: Dec 5, 2023 Date: Dec 5, 2023 Page I of 1 EXHIBIT B-I6 Kittitas County Public Health Department ALLOCATIONS Contract T erm: 2022-2024 Indirect Rate January 1,2022tbrough December 31, 2022z2loh Public Health Dept & l5% County Central Svcs Indirect Rate January 1, 2023 through December 31, 2023:34.30oh Federal Award ldentification # NGA Not Received 207WAWA5Q3903 207WAWA5Q3903 207WAWA5Q3903 NGA Not Received SLFRPOOO2 SLFRPOO02 SLFRPOOO2 NU9OTP922043 NU90TP922043 NU90TP922043 NUE1EHOOI445 NUE1EHOOI445 NUEIEHOOI445 NH231P922619 NH23[P922619 NH23LP9226l9 NH23tP922619 NH23tP9226t9 NU50CK0005 r5 NU50CK0005 1s NU50CK0005 l5 NU50CK0005 I 5 NU50CK000515 NU50CK000515 10.561 10.561 10.561 10.561 333.10.56 333. r0.56 333.10 56 333.1 0.s6 Contract Number: Date: Funding Period SubTotal $29,934 $37,008 cLH3l0l5 October l,2023 Chart of Accounts Total s66,942 $34,415 $217,313 s47,454 $32,977 $12'7,'158 $83,000 $3 5,719 $6, l 60 $225,125 $3s9,803 $4,980 $ 174 g7,238 Amend # Assist List #* DOH [tse Only BARS Statement of Work Chart of Accounts Reyenue LHJ Funding Period Funding Period Code** Start Date End Date Start Date End 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 tAR SNAP Ed Prog Mgnt-Region 2 FFY24 SNAP Ed Prog Mgnt Admin IAR CSFRF CTS LHJ Allocation FY24 LHJ COVID.19 ARPA LHJ Vaccination ARPA FFY23 PHEP BP5 LHJ Funding FFY22 PHEP BP4 LHJ Funding FFY2I PHEP BP3 LHJ Funding FFY2I CDC EHC EHR Supplemental FFY20 Envir Health Capacity-C (CDC) NCE FFY20 Envir Health Capacity-C (CDC) NCE FFY24 CDC VFC Ops FFY24 CDC VFC Ops COVIDI9 Vaccines COVIDI9 Vaccines R4 FFY22 VFC Ops FFY19 COVID CARES FFY19 ELC COVID Ed LHJ Allocation FFY19 ELC COVID Ed LHJ Allocation FFYI9 ELC COVID Ed LHJ Allocation FFY20 ELC EDE LHJ Allocation FFY20 ELC EDE LHJ Allocation Amd 9 Amd 7 Amd 4 Amd I t0/01/22 0U01122 01/0t/22 01t0U22 09/30/23 09t30n2 09130122 09/30/22 t0l0ll22 l0/0v2t t0/01/2r t0t0t/21 t0t0lt23 0U0v22 07/0v23 tll}t/22 09t30t23 09130/22 09t30t22 09/30t22 09t30t24 06t30123 06130t25 06t30t23 Amount $29,934 ($5,900) $ 12,090 s30,8 18 Amd 16 Amd5. ll Amd 15 Amd 10 Amd 15 Amd 7 Amd 2 Amd 1,7 Amd 2 Amd I Amd 15 Amd 14 Amd 4 Amd I Amd 3 Amd 2 Amd 7 Amd 4 Amd 2 Amd 7, 9, 13 Amd,2,9,13 10.561 2t.027 21.027 21.02'7 333.10.56 333.21.02 333 21.02 333.2t.02 t0/01t23 0t/01122 0710U23 t1t0t/22 09/30t24 06130123 06130124 06/30t23 $34,415 $217,313 s47,454 $32,9'77 s34,415 s217,313 s47,454 $32,977 $49, l 33 $49, l 33 $29,492 $83,000 $3s,7 l 9 93.069 93.069 93 069 93.070 93.0'70 333.93.06 333.93.06 33 3.93.06 07t01t23 0710t 122 0r/01/22 06t30124 06t30t23 06/30t22 $49, l 33 $49,133 $29,492 06130t24 07t01t23 06130123 07t0v22 06/30t22 07t0v2t 93.070 333.93.07 0U0U22 09/0v20 t2t3t/22 333.93.07 333.93.07 0r/0t/22 0110r/22 t2131/22 08/31t22 08/3r/22 06/30n4 06/30t24 06/30/24 06130t24 06/30/22 04122122 0910t/20 09lot/20 08t3v22 08t31122 $83,000 $14.719 $2 1,000 $560 $s,600 $225,125 $359,803 $4,980 $174 $ 1,547 ($8,897) $ 14,588 ($34,24s) $754,494 93.268 93.268 333.93.26 07t01/23 333.93 26 07t0|23 0'7/0t/23 07/0v23 06/30/24 06/30124 $6,160 $225,t25 $3s9,803 $4,980 $174 $7,238 93.268 93.268 93.268 93.323 333.93.26 333.93.26 333.93.26 333.93.32 0t/01/22 0v0U22 01/01n2 0Il}t/22 0710U20 07/0v20 07/0U21 04/23/20 06/30124 06130t24 06/30/22 0713U24 93.323 93.323 93.323 333.93.32 333.93.32 333.93.32 01/0t/22 0t/o1D2 0U0U22 10/18/22 05^9120 I0/18/22 05t19t20 10118122 05/t9t20 l0/18/22 t0/18/22 t0lt8t22 93.323 93.323 333.93.32 333.93.32 01/01/22 0t/01t22 t2/3t/23 12t3r/23 oUlSt2t 0t l15l2l 07/31/24 01131/24 Page I of3 $720"249 s720,249 EX}IIBIT B-16 Kittitas County Public Health Department ALLOCATIONS Contract T erm:. 2022-2024 Indirect Rate January 1,2022 through Decemtrer 3lo 2022:.2loh Public Health Dept & 157o County Central Svcs Indirect Rate January 1, 2023 through December 31, 2023:34.30oh Contract Number: Date: Funding Period SubTotal cLH3l0rs Ocfober l,2023 Chart of Accounts Total Federal Award Identification # Assist List #* BARS Revenue Codei* DOH llse Only Statement of Work Chart of Accounts LHJ Funding Period Funding Period Start Date End Date Start Date Etrd DateChart ofAccounts Title FFY23 Vector-bomeT2&3 Epi ELC FPH FFY22 Vector-borneT2&3 Epi ELC FPH FFY22 Phys Achty & Nutrition Prog FFY22 Phys Actvty & Nutrition Prog FFY2I Phys Achty & Nutrition Prog FFY2I Phys Actvty & Nutrition Prog FFY2I CDC COVID-I9 PFIWFD-LHJ FFY24 HRSA MCHBC LHJ Contracts FFY23 HRSA 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 (YR I ) FPHS-Local Health Jurisdiction FPHS-Local Health Jurisdiction YR 25 SRF - Local Asst (15%) SS YR 25 SRF - Local Asst (15%) SS YR 25 SRF - Local Asst (15%) SS YR24 SRF - Local Asst (15%) (FO-E) SS YR24 SRF - Local Asst (15%) (FO-E) SS Sanitary Survey Fees SS-State Sanitary Survey Fees SS-State Sanitary Survey Fees SS-State Sanitary Survey Fees SS-State Sanitary Survey Fees SS-State 93.439 93.439 93.439 93.439 333.93.43 333.93.43 333.93.43 333.93.43 $ 1 0,000 $80,000 stg,470 $34,000 NGA Not Received NU50CK000515 NU58DP006504 NU58DP006504 NU58DP006504 NU58DP006504 NU90TP922l8l NGA Not Received 804MC47453 B04MC45251 B04MC4525 r Amend # Amd i3 Amd l3 Amd 12 Amd 7 Amd 4 Amd I Amount $3,200 $4,800 $44,196 $44,196 $2,131 $33,147 $25,878 $25,877 $ l,0l 8.000 ($60s,000) $605,000 $60s,000 $765,000 $ 1,0 I 8,000 $3,200 $4,800 s90,000 $s3,470 $200,000 $44,196 $44,196 $35,278 $25,878 $2s,8'11 $ 1,018,000 $0 $605,000 $ r,783,000 $2,200 $2,600 $5,200 s2,200 $2,600 $8,000 $t43,470 $200,000 $88,392 $35,278 $5 1,755 $ l ,623,000 $ r,783,000 s10,000 $10,000 93.323 93.323 333.93.32 08t0tn3 333.93.32 06t0123 09t30t23 07/3v23 08/01t23 08/0U22 09130123 07/3t/23 09/30/22 09130/22 0u01122 01t0U22 09/29/23 09t29t23 09t29t22 09129122 09t30122 09t30122 09t30t21 09t30/21 09t29t23 09129123 09t29t22 09t29/22 Amd 16 93.354 333.93.35 07t0U23 06t30t24 07t0U23 06t30t21 5200,000 Amd 15 Amd 7 Amd ll Amd I Amd 4 Amd I 93.994 93.994 93.994 93.994 NiA NiA N/A N/A 333.93.99 333.93.99 t0t0U23 09130124 10101122 09130t23 t0t0tl23 t0/0v22 09t30124 09t30123 333.93.99 333.93.99 0v0U22 0t/0U22 09t30t22 09t30t22 t0l0t/2t l0t0lt2t 09t30t22 09130/22 06t30t23 06130t22 334 04.90 334.04.90 06/30/23 01t0U22 06130122 07t0v21 Amd 6 Amd 7 Amd I Amd I 336.04.2s 336.04.25 336.04.25 336.04.2s 07/0122 01101122 07t01/22 0t/0U22 06t30123 06130123 06130123 06/30t22 07 t0t t2t 07/01121 07/0v21 07/0t/21 0'7/01t23 07/01t23 06t30t23 06/30123 06t30t23 06t30123 06/30125 06130t25 N/A N/A N/A N/A 01/01t23 0t/01t22 Amd 15 Amd 14 Amd 16 Amd 13 Amd 12 Amd4, 12 Amd l. 12 Amd 16 Amd 13, l6 Amd 12, 16 Amd 4, 12, 16 Amd l, 12, 16 336 04.25 336.04.2s 0710t/23 07t0u23 06/30124 06t30t24 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 346.26.61 346.26.64 346.26.64 346.26.64 346.26 64 $2,200 ($ 1,000) $3,600 $ 1,600 $3,600 01tov24 0U01t23 01t0|23 0r/01/22 0t/01/22 0lt0lt22 0U01/22 0l/01t22 01101t22 0U0r/22 t2l3v24 12/3!23 t2/3v23 t2/31/22 t2/3t/22 t2t3|24 12l3u24 12/3u24 12t31t24 l2/3U24 07/0U23 0U0U23 0t/0U23 07/0lt2t 07l0U2t 06/30/25 t213ll23 t2/3v23 06t30t23 06t30/23 346.26.65 346.26.65 346.26.6s 346.26.6s 346.26.6s 07t0lt2l 07/0t/2t 07t0t/21 07 /01121 0710u21 l2/3U24 t2/3U24 t2/3U24 t2t3l/24 l2t3It24 $2,200 ($ l,000) $3,600 $ 1,600 $3,600 Page 2 of 3 $5,200 EXHIBIT B-16 Kittitas County Public Health Department ALLOCATIONS Con tract T er m:. 2022-2024 Indirect Rate January 1, 2022 throtgh December 31, 2022:2lo/o Public Health Dept & 15% County Central Svcs Indirect Rate January l,2023 through December 31, 2023:34.30o/o Contract Number: Date: Funding Period SubTotal cLH3l01s October 1,2023 Chart of Accounts Total Federal Award Identification # Assist List #* BARS Revenue Code** DOH tlse Only Statement of Work Chart of Accounts LHJ Funding Period Funding Period Start Date End Date Start Date End DateChart ofAccounts Title YR 25 SRF - Local Asst (15%) TA YR24 SRF - Local Asst (15%) (FO-E) TA YR24 SRr'- Local Asst (15%) (FO-E) TA TOTAL Total consideration: GRAND TOTAL *Catalog of Federal Domestic Assistance x*Federal revenue codes begin with "333" Amend # Amd 12 Arnd,4, 12 Amd 1, 12 346.26.66 0U0v23 346.26.6s 0t/0v22 346.26.65 0t/0t/22 N/A N/A N/A t2/31D3 t2/3t/22 t2/3122 0l/0t/23 07l0v2t 07/012t t2l3U23 06t30D3 06/30/23 Amount $2,000 $1,000 $ 1,000 $2,000 $2,000 $4,000 s5,926,202 82,444,447 $3,481,755 ss,687,387 $238,81s s5,926,202 State revenue codes begin with "334" ss,926,202 5s,926,202 GRAND TOTAT Total Fed Total State Page 3 of3 Created: By: Status: Transaction lD: 2023-10-31 Brenda Henrikson (Brenda. Henrikson@DOH.WA. cOV) Signed CBJCHBCAABAANgUCxC8TCUxnJZV6 1 48dYTMNzt-NQPSg CLH31015 Kittitas Amend #16 FinalAudit Report 2023-12-05 "CLH31015 Kittitas Amend #16" History fi Document created by Brenda Henrikson (Brenda.Henrikson@DoH.wA.Gov) 2023-1A41 - 7:22:07 PM GMT- lP address: 98.57.94.236 tr1 Document emailed to Candi Blackford (candi.blackford@co.kittitas.wa.us) for signature 2023-10-31 -7:22:5'l PM GMT fr Email viewed by Candi Blackford (candi.blackford@co.kittitas.wa.us) 2023-10-31 - 7:39'.32 PM GMT- lP address: 66.243.254.19 Fl ruew document URL requested by Candi Blackford (candi.blackford@co.kittitas.wa.us) 2023-12-05 - 8:47'.24 PM GMT- lP address: 66.243.254.18 e Emait viewed by Candi Blackford (candi.blackford@co.kittitas.wa.us) 2023-12-05 - 8:49:50 PM GMT- lP address: 66.249.254.18 /6 Signer Candi Blackford (candi.blackford@co.kittitas.wa.us) entered name at signing as Chelsey Loeffers 2023-12-05 - 8:50:37 PM GMT- lP address: 66.243.254.18 /s Document e-signed by chelsey Loeffers (candi.blackford@co.kittitas.wa.us) Signature Date'.2023-12-05 - 8:50:39 PM GMT - Time Source: server- lP address: 66.243.254.18 En Document emailed to Brenda Henrikson (Brenda.Henrikson@DOH.WA.GOV) for signature 2023-12-05 - 8:50:40 PM GMT 46 Document e-signed by Brenda Henrikson (Brenda.Henrikson@DoH.wA.Gov) Signature Date'.2023-12-05 - 9:29:37 PM GMT - Time Source: server- lP address: g1.g7 .112.192 O Agreement completed. 2023-12-05 - 9:29:37 PM GMT Pou,ercd by Adobe Acrobat Slgn{0w;