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. Docusign Envelope lD: 700826AD-3CE3-815C-8194-01 3EF364M04 <br />WHEREAS, HCA and Contractor entered into Contract K5885 for the development and implementation of the <br />Medication for Opioid Use Disorder (MOUD) and Medications for Alcohol Use Disorder (MAUD) in Jails <br />programs, and; <br />WHEREAS, HCA and Contractor wish to amend the Contract pursuant to Section 4.3, Amendmenfs, to extend <br />the Contract term, increase funding, and incorporate a revised and restated Statement of Work; <br />THEREFORE, the parties agree the Contract is amended as follows: <br />1. Contract Section 2, Definitions, two (2) new defined terms are incorporated in alphabetical order. The <br />new defined terms are as follows: <br />"lnformed Refusal" is when an individual refuses treatment after an explanation of the treatment is <br />provided including, its benefits and risks, alternatives, addressing the individual's concerns and <br />exploration of any reasonable way of addressing the concerns to avoid refusal, and explanation of the <br />risks of refusal, all this provided in a manner that is comprehensible by the individual. <br />"Appears Unwell" means to demonstrate signs, symptoms, or indications observable by a layperson <br />that (1) indicate an individual may be sick (physically or psychologically); or (2) in the case of a patient <br />who has already been assessed by a qualified health care professional, indicate the individual's condition <br />is worsening, becoming unstable, or becoming a danger to themselves or others <br />2. Contract Section 3.2, Term, subsection 3.2.1, is amended to extend the Contract term as follows: <br />3.2.1 The initial term of the Contract will commence on March 1 , 2022, and continue through June 30, <br />2027, unless terminated sooner as provided herein. <br />3. Contract Section 3.3, Compensation, subsection 3.3.1 is amended to reflect the $209,000 increase in <br />funding, subsection 3.3.1 now reads as follows: <br />3.3.1 The parties have determined the cost of accomplishing the work herein will not exceed <br />$1,435,775, inclusive of all fees, taxes, and expenses. Compensation for satisfactory performance <br />of the work will not exceed this amount unless the parties agree to a higher amount through an <br />amendment. <br />Washington State <br />Health Care thority <br />CONTRACT <br />AMENDMENT <br />HCA Contract No.: K5885 <br />Amendment No.: 05 <br />THIS AMENDMENT TO THE CONTRACT is between the Washington State Health Care Authority and the party <br />whose name appears below, and is effective as of the date set forth below <br />CONTRACTOR NAME <br />Kittitas County <br />CONTRACTOR doing business as (DBA) <br />Kittitas Cou nty Sheriff-Jail <br />CONTRACTOR ADDRESS <br />205 W 5th Avenue, Suite 1 <br />Ellensburg, WA 98926 <br />CONTRACTOR MANAGER <br />Name: Edward Buntin <br />Email: edward. buntin@co. kittitas.wa. us <br />AMENDMENT START DATE <br />July 1 ,2026 <br />CONTRACT END DATE <br />June 30,2027 <br />PRIOR MAXIMUM CONTRACT AMOUNT <br />$1,226,775 <br />AMOUNT OF INCREASE <br />$209,000 <br />TOTAL MAXIMUM COMPENSATION <br />$1,435,775 <br />HCA Contract No. K5885-05 Page 1 of 13