HomeMy WebLinkAboutFully Executed AdendumKITTITAS COUNTY PUBLIC HEALTH
2025-2027 CONSOLIDATED CONTRACT
CONTRACTNUMBER: CLH320ss AMENDMENT NUMBER: 11
PURPOSE OF CHANGE: To atnend this contract between the DEPARTMENT OF HEALTH hereinafter refemed to as
"DOH", and KITTITAS COLTNTY PUBLIC HEALTH, a Local Health Jur.isdiction, hereinafter refen.ed to as,.LHJ,',
pursuant to the Modifications/WaiveLs clause, and to make necessary changes within the scope of this contract and any
subsequent amendments thereto.
lT lS MUTUALLY AGREED: That tlie contract is hereby arnended as follows:
I . Exhibit A Statemonto of Worlc, includcs thc following statemeuts ul wurl,, whiuh are incorporatetl by thls reference
and located on the DOH Finance SharePoint site in the Upload Center at the following IJRL:
httns://stateofwa.sharepoint.corn/sites/doh-ofsfundinSesoLnces/sitepaees/home.aspx?:e I :9a94688da2d94d3ea80ac7fbca2e4d7c
X Adds Statements of Work for the following programs:
Foundational Public Health Seryices - Effective July 1,2026
Infectious Disease Syndemic Prevention Sen,ices-SSP - Effective July 1,2026
X Amends Staternents of Work fol tlie following programs:
Office of Dlinking Water Group B Prograrn - Effective July 1,2025
tr Deletes Statements of Worl< for the following programs:
2. Exhibit B-11 Allocations, attached and incorporated by this refelence, amencls and replaces Exhibit B-10 Allocations
as follows:
X Increase of $1.507,160 for a revised maxirnum consideration of $6,262^951.
n Decrease of _ for a revised maximum consideration of
l-l No change in the maximum consideration of _.u Exhibit B Allocations ate attached only for infonnational purposes.
3. Exhibit C Federal Grant Awards Index, incorpomted by this reference, and located in the ConCon, Funding & BARS
library at the URL provided above.
Unless designated otherwise het'eiu, the effective date of this amendment is the date of execution.
ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent arnendments remain in ftillforce
and effect,
IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof.
APPROVED AS TO FORM ONLY
Assistnnt Attorney General
KITTITAS COUNTY PUBLIC HEALTH STATE OF WASHINGTON
DEPARTMENT OF HEALTH
Signature:
lhelteq loeffen
Chelsey Loeflers {Jul 21,2026 10:17:59 pDT)
Signature:
S*ar"+U"U.,
Date:
Jul 21,2026
Date:
Jul 21,2026
Page I of I
Kittitas County Public Health
Indirect Rate January 1, 2025 through December 31,2025:22.90Vo
Indirect Rate January l, 2026 through December 31, 2026:32.25o/o
EXHIBIT B-II
ALLOCATIONS
Contract Term: 2025-2027
DOH Use Only
BARS Statemcnt of Work Chart of Accounts
Assist Revenue LHJ Funding Period Funding Period
List #* go6.** Start Date End Date Start Date End Date
33i.9i.32 02/0t/26
333.93.32 02/Ot/25
0'r/3r/26 08/01/25
a7/31/25 08t01/24
Amount
s5,000
$ 18s
$2t,239
$2r,273
s27,860
$ r 0,420
s l 9,653
$4,550
$6,s00
($1 i,600)
$33,884
($8,400)
qrl irt
$200,000
s200,000
$t4,732
$9,208
s4,266
$3, r 00
Contract Number:
Date:
Funding
Period
SubTotal
$26,424
$49,133
$i0,073
$6s,000
s4,220
$14,445
s4,550
s6,s00
$25,000
q)) )94
$ r 0,000
$6,t22
$s6,000
$400,000
$33.147
$7,366
$3 l,306
cLH3205s
June 1, 20?6
Chart of
Accounts
Total
s26,424
s19,206
$6s,000
s4,220
974,445
$11,050
$25,000
$22,284
s 10.000
$6,122
$56.000
$400,000
$33, l 47
$7,366
$3 l,306
Chart of Accounts Prosram Title
FFY25 SNAP Ed Prog Mgnt Admin DSHS IAR
FFY25 SNAP Ed Prog Mgnt Admin DSHS IAR
FFY25 SNAP Ed Prog Mgnt Admin DSHS IAR
FFY25 PHEP BP2-CDC-LHJ Partners
FFY25 PHEP BP2-CDC-LHJ Partners
FFY24 PHEP BPI-CDC-LHJ Partners
FFY24 PHEP BPI-CDC-LHJ Panners
FFY25 OD2A OID Prevent CDC
FFY25 CDC VFC Ops
COVID 19 Vaccincs R4
FFY25 ELC Core Vector Bome CDC
FFY24 ELC Core Vector Bome CDC
FFY20 ELC EDE LHis CDC
FFY20 ELC EDE Reftigee CDC
FFY20 ELC EDE Refugee CDC
FFYI9 ELC ED Immunizations CDC
FFYI9 ELC ED OPSH Analytics CDC
FFYI9 ELC ED OPSH Analytics CDC
FFY2I CDC COVID.19 PHWFD-LHJ
PH lnfrastructure Comp A I -LHJ
PH Infrastruchrre Comp Al-LHJ
FFY25 HRSA MCHBG LHJ Contracts
FFY25 MCHBG Special Pr HRSA 2
FFY26 MCHBG LHJ Contracts HRSA YRI
FFY26 MCHBG LHJ Contracts HRSA YRI
FFY26 MCHBG LHJ Contracrs HRSA YRI
FFY26 MCHBG LHJ Contlacts HRSA YRI
Federal Award
Identification #
202s2sQ390347
202s2sQ39034't
202s25Q390347
NU90TU000055
NU90TU000055
NU90TU0000s5
NU90TU0000ss
NUl7CE0l02r8
NH23 tP922619
NH23tP9226l 9
NU5lCK000364
NU5lCK000354
NU50CK000515
NUs0cK0005l5
NUsOcK000s15
NU50CK000515
NU50CK0005r s
NU50CK0005 I 5
NU90TP922l8l
NE I I OE000053
NEr ro8000053
B04MC54583
804MC54583
B04MC55473
804MC55473
804MC55473
804MC55473
Amend #
Amd 6
Amd 2, 6
Amd 1.6
Amd 6
Amd 5
Amd 2
Amd I
Amd 9
Amd 3
Amd l,5
Arnd 9
Amd 7
Amd 9
Amd 7
Amd 2
Amd 6
Amd 2
Amd'l
Amd 6
Amd l0
Amd 9
Arnd 8
Arnd 7
333. l 0.s6
333. r 0.56
333.1 0.56
0t/01/25
0t/0t/2s
0t/0v25
t0101/24
r0/01/24
t0/0tn4
r 0.56 r
10.561
r 0.561
93.069
93.069
93.069
93.069
tr/29t25
t/29/Zs
n/29t25
n/29/25
tl/29/25
t tl29t25
333.93.06 0'7/01/25
333.93.06 07t}ttzs
333.93.06 0t/0t/25
333.93.06 0t/0t/25
06/30t26
06/30t26
06t30t25
06/30125
0710r/25
07/01/2s
07101124
01/01/24
06/30126
06130t26
06/30125
06/30125
Amd 7,8 93.136 333.93.13 12/04/2s 06t30t26 09/0t/25 08/3U26 s65,000
Amd2 93.268 333.93.26 0v0l/25 06t30t25 07t0U23 06/30123 s4,220
Amd 2 93.268 333.93.26 01/01t25 06t30t2s 07t01/20 06/30t25 $74.44s
93.323
93.323
0't/3t/26
07/3t/25
93.323 333.93.32 0t/0u2s r2t31t25 0r/t5t2t 07/3v26 s2s.000
93.323
93.323
333.9i.32 01/01/26 06t30t26 0vts/21
333.93.32 01/01t76 06t30t26 01il5/21
0'713t/26
01/3|26
Amd 6 93.323 333.93j2 07tjt/25 06t30t26 07/01/2s 07/30t26 $10,000
93.323
93.323
333.93.32 0t/0U26 06t30t26
333.93.32 0t/01/26 06130t26
08/01/25
08/0 l/2s
07/31/25
07 /31125
93.3s4 333.93-3s 01t0u2s 06t30t2s 07tlt/23 06t30t2s $s6,000
93.967 333.93.96 01/0t/25
93.967 333.93.96 0U0t/25
t t/30/27
lt/30127
tzl0t/22
t2l0t/22
tU30127
I t/30/27
93.994 333.93.99 0rt0tt25 09t30t25 r0t0r/24 09t30t25 S33,r47
93.994 333.93.99 t0/0u2s 09t30/26 10t0t/2s 09/30t26 s7,366
93.994
93.994
93.994
93,994
333.93.99
333.93.99
333.93.99
333.93.99
t0l0t/25
r0l0v2s
t0/0t/25
t0/0U25
09t30/26
09/30126
09/30/26
09130/26
l0/01/25
\0/01t2s
t0101/25
lo/01/25
09/30126
09/30t26
09/30t26
09/30/26
Page 1 of3
Kittitas County Public Health
lndirect Rat€ January l, 2025 through December 31, 2025:22.90%o
Indirect Rate January 1, 2026 through December 31, 2026:32.25o/o
Federal Award
Identification #
B04MC5s473
804MC55473
Amend #
Amd 6
Amd 5
Amd ll
Arnd 4
Amd 3
Amd I
Amd 2
Amd I
Amd ll
Amd 5
Amd I
Amd 8
Amd 7
Amd 4
Amd4
Amd 3
Amd 3
Amd I
Amd 8
Amd 7
Amd 3,4
Amd 1,4
Amd 8
Amd 4
Amd 4
Amd 3
Amd 3
Amd 1
Contract Number:
Date:
Funding
Period
SubTotll
s0
$20,259
$2s,87'7
$ r 5,000
$36,160
$36, I 60
$45.750
$60,375
$1,471,000
$1,889,000
$ 1.783,000
$ r 2,400
cLH3205s
June l,2026
Chart of
Accounts
Total
$20,2s9
s25,87'7
s r5,000
$118,070
$60,375
$5,143,000
s r2,400
$ r2,400
s4.000
EXHIBIT B-1I
ALLOCATIONS
Contract Term: 2025-2027
Chart of Accounts Program Title
FFY26 MCHBG LHJ Contracts HRSA YRI
FFY26 MCHBG LHJ Contracts HRSA YRI
SFY1 GFS - Group B Proviso
SFY2 GFS - Group B
SFY25 DLrFi Naloxone DDO HCA IAR
SFY27 Drug User Health Program
SFY26 Drug User Health Program
SFY25 Dru,e User Health Program
SFY25 Drug Uscr Hcalth Program
SFY25 LHi Opioid Campaign Proviso
SFY25 LHJ Opioid Campaign Proviso
SFY27 FPIIS-LHJ Funds-GFS
SFY26 FPHS-LHJ Funds4FS
SFY25 FPHS-LHJ Funds-CFS
YR I Stimulus - Local Asst (10% of l5%) SS
YRi Stimulus - Local Asst (10% of 15%) SS
YRI Stimulus - Local Asst (10% of l5%) SS
YR 28 SRF - Local Asst (i5%) SS
YR 28 SRF - Local Asst (1 5%) SS
YR 27 SRF - Local Asst (15%) SS
YR 27 SRF - Local Asst (15%) SS
Sanitary Survey Fees SS-State
Sanitary Survey Fees SS-State
Sanitary Survey Fees SS-State
Sanitary Survey Fees SS-Srate
YR I Stimulus - Local Asst (10% of l5%) TA
YRI Stimulus - Local Asst (10% of l5%) TA
YR 28 SRF - Local Asst (15%) TA
YR 28 SRF - Local Asst (15%) TA
YR 27 SRF - Local Asst (15%) TA
YR 27 SRF - Local Asst ( l5%) TA
Assist
List #*
93.994
o'l qol
DOH Use Only
BARS Statement of Work Chart of Accounts
Revenue LHJ Funding Period Funding Period
Code** Start Date End Date Start Date End Date
333.93.99 r0t01tzs 09t30t26
333.93.99 l0l0t/25 09/30126
Amd 4 N/A 334.04.90 07/01t2s 06/30t26 07t01/25 06t30t26 520,259
Amd I N/A 334.04.90 0t/01/2s 06/30t25 07/0U23 06t30t25 $25,877
Amd 3 N/A 334.04.9t 03t01125 06/30/25 12tt0/24 06t30t25 $ r 5,000
t0/0t/25
t0/0r/25
09/30t26
09130126
06/30t21
06/30/26
06/30/2s
06130125
Amount
($44, I 96)
$44,t96
N/A
N/A
N/A
N/A
334.04.91 07/0t/26
334.04.91 07tjr/2s
334.04.91 0t/0v25
334.04.91 0t/0U25
06130t27 07/0u26
06/30t26 07/01/25
06/30t25 07t\r/24
06/30125 07/0v24
$36,160
s36, r60
$8,000
s37,750
s26.4t4
s33,961
$I,471,000
s1,889.000
$ l,783,000
$5,650
s2,350
s4.400
($4,400)
$4,400
(s4,000)
$4.000
$5,650
$2,350
$400
s4,000
$2,000
s2,000
(s2,000)
s2,000
($2,000)
s2,000
NiA
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
334.04.93 0u0v2s 06/30/2s 0'7t0t/24
334.04.93 01t01t25 06t30t25 07/01/24
06/30/25
06/30/25
336.04.25 07t01/26 06t30t27 07/0t/26
336.04.25 07/01t25 06t30t26 07/01/25
336.04.25 0t/01/25 06t30t25 07/01/24
06/30127
06/30/26
06/30/2s
346.26.64
346.26.64
346.26.64
0u0t/2s
0t/01/25
0t/0r/2s
t2/31/27
t2l3u27
t2/31/27
07/01/23
07/01/23
07/0v23
06130/28
06/30t28
06/30/28
346.26.64 0u01t2s
346.26.64 01/01/25
346.26.64 0t/0v25
346.26.64 0U0V2s
r2131t27
12/31/27
06130t2s
06130125
07/01/24
07/0v24
07/0v23
07/0r/23
06130129
06/30129
06/30t25
06/30/25
$0SO
SO
NiA
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
0r/0t/2s
0r/0v25
0t/0t/25
0t/01/25
12/31/2'7
t2/3121
tzl3u27
12131127
07101/23
07/01123
07/0t/23
07101/23
t2/31127
I2/3v27
12/31/27
t2/3v27
05/30t28
06/30t28
346.26.65
346.26.65
346.26.65
346.26.65
$ 12,400
$4,000346.26.66 0I/0U25
346.26.66 01t0u2s
12131t27 07t01t23
t2t3U27 07/0t/23
346.26.66
346.26.66
346.26.66
346.26.66
0v0t/25
0t/0t/25
01/0r/25
0r/0t/25
t2l3rl27
r2l31t2'7
06t30/25
06/30/25
07/01124
0'7101124
07/01/23
07/01/23
06/30129
06/30t29
06/3012s
06/30125
SO
s0
Page 2 of3
$0
Kittitas Coung' Public He.lth
Indirect Rate January l, 2025 through December 31,20252 22.9Ao/o
Indirect Rate January l, 2026 through December 31,20262 32.25t:o
EXI{IBIT B.11
ALLOCATIONS
Contract Term: 202*2027
Contract Number:
Date:
Funding
Period
SubTotal
cLH32055
June 1,2026
Chart of
Accounts
Total
s6,262,951
$8sr,570
$5,411J81*Assistance Listing Number fka Catalog of Federal Domestic Assistance
**Federal revenue codes begin with "333". State revenue codes begin with "334"
DOII Use Only
BARS Statement of Work Chart of Accounts
Assist Revenue LllJFundingPeriod FundingPeriod
List #* go4.** Start Date End Date Start Date End.Date
Federal Award
Identification #Amend #AmountChart of Accounts Program Title
TOTAL
Total consideration:
GRAND TOTAL
fi4,755,791
$1,507,160
g6?262,95t
$6,262,951 $6,262,951
CRAND TOTAI
Total Fed
Total State
Page 3 of3