HomeMy WebLinkAboutPSA 509 Facility Services 3 51232Kittitas County
Review Form
Grants & Contract Agreement e 5l A'>)
Today's Date
02/L2/2021
Agenda Date 7 a
Fund/Department
116-Public Health
Contract/G rant lnformation
Recommendation for Board of Health and Board of Health Review on
Contract./Grant Agency: 509 Facility Services
Period Begin Date : 02/14/2OZ!Period End Date: 03/14/2021
o Decontamination/lnfection Control: $150.00 plus .30 cents/sf, plus applicable sales tax for each
space decontaminated.
o Cleaning: S25.00 per hour with a four-hour minimum.
Tota I Grant/Contract Amou nt:
Grant/Contract N umber:
o Professional service agreement to provide professional decontamination of spaces previously
occupied by individuals under isolation or quarantine orders.
o Extending contract date until 03.t4.Zt
Contract/Grant Summary:
reDepartment Head Sig 4Administrator Date
Kittitas County Prosecuto r, Auditor, and Board of Health Review and Comment:
APPROVED TO FORM
I +r:"ts<.? {*At I,t
Signatu of Prosecutor's Office Date
fu/*-t
Sign ditor's Office Date
Signature of Board of Health member Date
Grant/Contract Review Page L
Financial lnformation
B lnformation
Pass Thro h lnformation
Prosecutor Review
Total Amount S State Funds $Federal Funds S
Percentage County Funds Matching Funds $CFDA#
ln-Kind $
Explain
ls Equipment being purchased?Who owns equi pment?
New Personnel being hired?Contact HR hiring - reporting requirements
Future impacts or liability to Kittitas County
Budget Amendment Needed?
New Division Created?
Yes I attach budgetform No I Why not
Revenue Code
Expense Code 11,6-612.39,19.54101 Professional Services
Agency to Pass Through
Amount to Pass Through S
Sub-Contract Approved Date:
Has the Prosecutor reviewed this a reement?Yes No
Coun De rtments lm acted
Submitted
Sign atu re Date:
De rtment
Ass nment of Tracki lnformation
Auditor Facilities Maintenance
lnformation Services Human Resource
Prosecutor Treasu rer
Auditor's Office
Human Resource
Prosecutor's Office t,+f 'Hc.
Who Signed the grant application (Q
Grant/Contract Review Page 2
Reviewer Date
.,
ar\
FESSI CES A RENE
A Professional Services Agreement (hereinafter, the "Agreement") was made and entered into by
and between Kittitas County and 509 Facility Services on the 14th of December, 2020 for a period
of thirty (30) days, with the option to renew upon agreement of the parties.
The Parties do so desire to renew the terms of the Agreement, which is attached hereto and
incorporated by reference, for a new thirty (30) day period. The new expiration date for this
Agreement shall be March 14,202I. All other terms and conditions of the original Agreement
remain unchanged. This Agreement is subject to renewal for additional successive periods upon
the written consent of the Parties.
nl, AIN WITNESS WHEREOF, the parties have executed this Agreement this d'li ay oilV1:2021
APPROVED:
BOARD OF COTINTY COMMISSIONERS
KITTITAS CO WASHINGTON
Signature of Signatory Chairman
(Date
ABSENT
PrintName of Signatory Vice-Chairman
Commissioner
of Board
Approved as to Form
By:
)
Deputy Prosecuting Attorney
PROF'ESSIO NAL SERVICES AGREEME,RENEWAL
A Professional Services Agreement (hereinafter, the "Agreement") was made and entered into by
and between Kittitas County and 509 Facility Services on the 14tl' of December, 2020 for a period
of thirty (30) days, with the option to renew upon agreement of the Parlies.
The Parties do so desire to renew the terms of the Agreement, which is attached hereto and
incotporated by reference, for a new thirty (30) day period. The new expiration date for this
Agreement shall be March 14,202L All other terms and conditions of the original Agreement
remain unchanged. This Agreement is subject to renewal for additional successive periods upon
the written consent of the Parties.
IN WITNESS WHEREOF, the parties have executed this Agreement this day of _,2021
APPROVED
BOARD OF COTINTY COMMISSIONERS
KITTITAS COUNTY, WASHINGTON
Signature Chairman
(Date z/,2 /< r \
.)tx tu&-,/L" t
Print Name of Signatory Vice-Chairman
Commissioner
Attest:
Clerk of the Board
Approved as to Form:
By
Deputy Prosecuting Attomey
Contractor Address:
509 Facility Services
400 Pebble Beach Dr
Cle Elum, WA 98922
Project Contact:
Joe Mehlhoff
Professional Services Agreement Renewal 2
509 Facility Services
County's Address:
Kittitas County
205 West 5th Avenue, Suite 108
Ellensburg,WA 98926
Project Contact:
Chelsey Loeffers
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