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KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT <br />2022-2024 CONSOLIDATED CONTRACT <br />CONTRACT NUMBER: CLH31015 AMENDMENT NUMBER: 16 <br />PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as <br />"DOH", and KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT, a Local Health Jurisdiction, hereinafter referred <br />to as "LHJ", pursuant to the Modifications/Waivers clause, and to rnake necessary changes within the scope of this <br />contract and any subsequent amendments thereto. <br />IT IS MUTUALLY AGREED: That the contract is hereby amended as follows: <br />Exhibit A Statements of Work, includes tlie following statements of work, which are incorporated by this reference <br />and located on the DOH Finance SharePoint site in the Upload Center at the following URL: <br />httPs://stateofwa.sharePoint.com/sites/doh-ofsfundingresources/sitepages/home.aspx?:e1:9a94688da2d94d3ea80ac7fbca2e4d7c <br />Adds Staternents of Work for the following programs: <br />X Amends Statements of Work for the following programs: <br />COVID-19 LHJ Gap Funding - Effective luly 1,2023 <br />Executive Office of Resiliency & Health Security-WFD LHJ - Effective July 1,2023 <br />Office of Drinking Water Group A Program - Effective January 1,2022 <br />Office of Immunization COVID-19 Vaccil-re - Effective January 1,2022 <br />S upplernental N utritio n A ss istance Pro gram -Ed ucatiorr - Effective Jan uary 1, 2022 <br />Deletes Statements of Work for the following programs <br />2. Exhibit B-16 Allocations, affached and incorporated by this reference, amends and replaces Exhibit B-15 Allocations <br />as follows: <br />X Increase of $238.815 for a revised maximum consideration of $5.926.202. <br />Decrease of _ for a revised maximum consideration of _. <br />No change in the maxirnum consideration of _. <br />Exhibit B Allocations are attached only for informational purposes. <br />Unless designated otherwise herein, the effective date of this amendment is the date of execution. <br />ALL OTHER TERMS AND CONDITIONS of tlie original contract and any subsequent alnendments remain in full force <br />and effect. <br />IN WITNESS WHEREOF, the undersigned lras affixed his/her signature in execution thereof <br />APPROVED AS TO FORM ONLY <br />Assistant Attorney General <br />KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON <br />DEPARTMENT OF HEALTH <br />Signature: <br />Che,lreq laalfer,r <br />.hdk! to.ildsr&( 5.runil 50PsIt <br />Signature: <br />Srea)* He***at <br />s'.trdr Hetrrk5otr lD.c5,?o:t8:2tpsn <br />Date: <br />Dec 5, 2023 <br />Date: <br />Dec 5, 2023 <br />Page I of 1