HomeMy WebLinkAboutConsolidated Contract Amendment 8i
Kittitas County Public Health
Contract/Agreement Review Form
APublic Health
Today's Date:
02/26/2026
Legal Request #:
Fund/Department:
116- Public Health
Agenda Date:
Contract/Agreement Information
Contract/Agreement Agency: State of Washington
Contract/Agreement Title: Consolidated Contract Amendment 8
Begin Date: 01/01/2025
Total $Amount: Increase $17,566.00- New total $4,747,301.00
Contract/Agreement Summary:
Exhibit A Statements of Work:
End Date: 12/31/2027
Contract/Agreement #: CLH32055
Amends Statements of Work for the following programs:
Infectious Disease Syndemic Prevention Services-SSP - Effective July 1, 2025
Maternal & Child Health Block Grant — Effective January 1, 2025
Office of Drinking Water Group A Program - Effective January 1, 2025
Exhibit B-8 Allocations, attached and incorporated by this reference, amends and replaces Exhibit
B-7 Allocations as follows:
Increase of $17,566 for a revised maximum consideration of $4,747,301.
Exhibit C Federal Grant Awards Index, incorporated by this reference, and located in the ConCon,
Funding & BARS library at the URL provided above.
Budget Information
Revenue Code(s): 612.22.10.333.93.994 / 612.40.03.334.04.91
Expense Code(s): I PH3000-102 / PH6100-101/ PH4300-110
Agency is not suspended/disbarred ❑ Not Checked (reason)
Pass Throuah Information
Agency to Pass Through
Amount to Pass Through Expense Code:
Sub -Contract Approved Date:
ADMIN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga I Approval By: Chelsey Loeffers
3118/26, 10:19 AM
SAM.gov
Entity Information
HEALTH, WAS H I N G TO N Active Registration
STATE DEPARTMENT OF
Unique Entity ID CAGE/NCAGE
C16SP2HBR123 1 FSD1
Physical Address
101 Israel RD SE
Tumwater, Washington
98501-5570, United States
Purpose of Registration
All Awards
Version
Current Record
BUSINESS INFORMATION
Doing Business As URL
(blank)
doh.wa.gov
Division Name
Division Number
(blank)
(blank)
Congressional
State/Country of
District
Incorporation
Washington 10
(blank), (blank)
Owner CAGE Legal Business
Name
Immediate (blank)(blank)
Owner
Mailing Address
101 Israel RD SE
Tumwater, Washington
98501-5570, United States
Registration Dates
Activation Date
Sep 3, 2025
Submission
Date
Sep 3, 2025
Initial Registration
Date
Apr 2, 2002
Highest Level (blank)(blank)
Owner
https:llsam.govlenl iliesly iewlC 16SP2 HBR 1231coreData7slalus=Aotive&emrKeyllalue--21648 54 175589425762S050
Expiration Date
Sep 3, 2026
1/2
3/18/26, 10:19 AM SAM.gov
Entity Dates
Entity Start
Date
Jul 1, 1989
Fiscal Year End
Close Date
Jun 30
Executive Compensation
Registrants in the System forAward Management (SAM) respond to the Executive Compensation
questions in accordance with Section 6202 of P.L. 110-252, amending the Federal Funding
Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is
sent to USAspending.gov for display in association with an eligible award. Maintaining an active
registration in SAM demonstrates the registrant responded to the questions.
SAM SEARCH AUTHORIZATION
authorize my entity's non -sensitive information to be displayed in SAM public search results:
Yes
https://sam.gov/entities/view/Cl6SP2HBR123/coreData?status=Active&emrKeyValue=2164854-1755894257626050 2/2
KITTITAS COUNTY PUBLIC HEALTH
2025-2027 CONSOLIDATED CONTRACT
CONTRACT NUMBER: CLH32055
AMENDMENT NUMBER: 8
PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as
"DOH", and KITTITAS COUNTY PUBLIC HEALTH, a Local Health Jurisdiction, hereinafter referred to as "LHJ",
pursuant to the Modifications/Waivers clause, and to make 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:
1. Exhibit A Statements of Work, includes the 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:
htt s:dstateofwa.share oint.conilsitesldoh-ofsfundin resources/site a ges/honte.as x?=e 1:9a94688do2d94d3ea8Qac7fbc32e4d7c
❑ Adds Statements of Work for the following programs:
® Amends Statements of Work for the following programs:
Infectious Disease Syndemic Prevention Services-SSP - Effective July 1, 2025
Maternal & Child Health Block Grant — Effective January 1, 2025
Office of Drinking Water Group A Program - Effective January 1, 2025
❑ Deletes Statements of Work for the following programs:
2. Exhibit B-8 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-7 Allocations as
follows:
® Increase of $17,566 for a revised maximum consideration of $4,747,301.
❑ Decrease of for a revised maximum consideration of
❑ No change in the maximum consideration of
Exhibit B Allocations are attached only for informational purposes.
3. Exhibit C Federal Grant Awards Index, incorporated by this reference, and located in the ConCon, Funding & BARS
library at the URL provided above.
Unless designated otherwise herein, the effective 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.
KITTITAS COUNTY PUBLIC HEALTH
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
Signature:
Signature:
Date:
Date:
APPROVED AS TO FORM ONLY
Assistant Attorney General
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