HomeMy WebLinkAboutConsolidate Contract Amendment 12•
Kittitas County Public Health
Contract/Agreement Review Form
k
itas County
Public Health
Department
Today's Date:
08/24/26
Legal Request #:
12762
Fund/Department:
116-Public Health
Agenda Date:
Contract/Agreement Information
Contract/Agreement Agency: WA State Department of Health
Contract/Agreement Title: Consolidated Contract Amendment 12
Begin Date: 01 /01 /2025 IN End Date: 12/31 /2027
Total $ Amount: 6,356,942.00 ' Contract/Agreement #: CLH32055
Contract/Agreement Summary:
Exhibit A Statements of Work, includes the following statements of work:
Adds Statements of Work for the following programs:
Infectious Disease Syndemic Prevention Services-SSP - Effective July 1, 2026
Office of Resiliency & Health Security-PHEP - Effective July 1, 2026
Amends Statements of Work for the following programs:
Maternal & Child Health Block Grant — Effective January 1, 2025
Deletes Statements of Work for the following programs:
Exhibit B-12 Allocations, attached and incorporated by this reference, amends and replaces Exhibit
B-11 Allocations as follows:
Increase of $93,991 for a revised maximum consideration of $6,356,942.
Kittitas County Prosecutor and Auditor Review and Comment:
APPROVED AS TO FORM:
Signature of Prosecutor's Office
Signature of Auditor's Office
Information
Date
Date
Revenue Code(s): 161240033340491, 61240033339313, 61288333393069, 612221033393994
ExpenseCode(s): I PH3000-102, PH3000-103, PH1200-101, PH6100, PH8100
Agency is not suspended/disbarred Not Checked (reason)
Pass Through Information
Agency to Pass Through
Amount to Pass Through
Sub -Contract Approved Date:
Expense Code:
ADMIN Version: 0 Supersedes: 0 Date Adopted: 12/01/2024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers
KITTITAS COUNTY PUBLIC HEALTH
2025-2027 CONSOLIDATED CONTRACT
CONTRACT NUMBER: CLH32055
AMENDMENT NUMBER: 12
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:i/state o fwa. shareRg int.com/sites/doh-ofsfundin gLesources/site a es/home.as x?=e1: 9a9468 8 d a2d94d3ea80ac7fbc3 2e4d7c
® Adds Statements of Work for the following programs:
Infectious Disease Syndemic Prevention Services-SSP - Effective July 1, 2026
Office of Resiliency & Health Security-PHEP - Effective July 1, 2026
® Amends Statements of Work for the following programs:
Maternal & Child Health Block Grant — Effective January 1, 2025
❑ Deletes Statements of Work for the following programs:
2. Exhibit B-12 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-11 Allocations
as follows:
® Increase of $93,991 for a revised maximum consideration of $6,356,942.
❑ 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 Attomey General
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