HomeMy WebLinkAboutFully Executed DocumentsKITTITAS COUNTY PUBLIC HEALTH
2025-2027 C ONSOLIDATED 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 coLrNTy 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:
Exhibit A Statements of Work, includes the following statements of work, which are incorporated by this reference
and locatcd on the DOH Finance SharePoint site in the Upload Center at the following I IRL
2
X Adds Statements of Work for the following programs:
Infectious Disease Syndemic Prevention Services-SSP - Effective July 1,2026
officeofResiliency&HealthSecurity-PHEP-EffectiveJulyl,2026
X Amends Statements of Work for the following programs:
Maternal & child Health Block Grant - Effective January 1,2025
tr 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 $6.356.942x
n
tr
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 lndex, 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
'THER
TERMS AND C9NDITISNS 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'
APPROVED AS TO FORM ONLY
Assistant AttorneY General
STATE OF WASHINGTON
DEPARTMENT OF FIEALTHKITTITAS COT.JNTY PUBLIC HEALTH
Signature:Signature:
':;1:"9.,..4:rj
Date:
Sep 3, 2026
Date:
Sep 3, 2026
Page 1 of I
Kittitas County Public Health
Indirect Rate January I,2025 through December 31, 2O25:22'9lo/o
Indirect Rate January l, 2026 through December 31, 2026:32'25o/o
EXHIBIT B-I2
ALLOCATIONS
Contract Term: 2025-2021
Assist
List #*
DOII Use Only
BARS Statement of Work Charl of Accountr
Revenue LHJ Fuoiting Pcriod Fundhg Pcrtod
Code**
Contract Number:
Date:
cLH3205s
August l,2026
Chart of
Accounts
Total
926,424
st28,339
$104,334
54,220
57 4,445
$ l 1,050
$25,000
$22,284
$10,000
$6,122
$s6,000
$400,000
$33,147
$7,366
Federal Award
ldentification #
20252sQ390347
202s25Q390347
20252sQ390347
NU9OTU000055
NU90TU00005s
NU9OTU00005s
NU90TU00005s
NU90TU000055
NUl7CE0l02l8
NU l 7CE0 102 I 8
NH23lP9226l 9
NH23tP9226i 9
NUslcK000364
NU5 I CK000364
NrJ50cK0005 I 5
Nri50cK0005 I 5
NU50CK0005l5
NU50CK0005 I 5
NUs0cK0005 I 5
NU50cK0005 I 5
NU90TP922 I 8 I
NEI loE0000s3
NEl lOE0000s3
804MC54s83
Amend #
Amd 6
Amd 2, 6
Amd 1.6
Anrd 12
Amd 6
Amd 5
Amd 2
Amd I
Amd 12
Amd 7, 8
Amd 2
Amd 2
Amd 9
Amd 3
Amd 1,5
Amd 9
Amd 7
Amd 6
Amd 9
Amd 7
Amd 2
Amd 6
Amd 2
Amd 1
Amd 6
333.93.06
333 93.06
333 93.06
333.93.06
333.93.06
ss,000
$l8s
$21,239
$49, I 33
s21,2'73
s27,860
$ r 0,420
$ 19,653
$39,334
$6s,000
$4,s50
$6,s00
$2s,000
($1 1,600)
$33,884
(s8,40o)
$14,522
$200,000
s200,000
Funding
Period
SubTotal
$26,424
$49,133
$49, I 33
$30,073
Start Ilat€ End Date Starl Date End Date Amount
Chart of Accounts Program Title
FFY25 SNAP Ed Prog Mgnt Admin DSHS IAR
FFY25 SNAP Ed Prog Mgnt Admin DSHS IAR
FFY25 SNAP Ecl Prog Mgnt Admin DSHS IAR
FFY26 PHEP BP3-CIDC-LHJ Partners
FFY25 PHEP BP2-CDC-LHJ Partners
FFY25 PHEP BP2-CDC-LHJ Partners
FFY24 PHEP BPI-CDC-LHJ Partners
FFY24 PHEP BPI-CDC-LHJ Partners
FFY25 OD2A OID Prevent CDC
FFY25 OD2A OID Prevent CDC
FFY25 CDC VFC OPs
COVID l9 Vaccines R4
FFY25 ELC Core Vector Borne CDC
FFY24 ELC Core Vector Borne CDC
FFY20 ELC EDE LHJs CDC
FFY20 ELC EDE Refugee CDC
FFY20 ELC EDE Refugee CDC
FFYI9 ELC ED Immunizations CDC
FFYIg ELC ED OPSH AnalYtics CDC
FFYIg ELC ED OPSH AnalYtics CDC
FFY2I CDC COVID-I9 PHWFD-LHJ
PH lnfrastructure ComP Al-LHJ
PH Intiastrttcture ComP AI-LHJ
FFY25 HRSA MCHBG LHJ Contracts
10.561
10 561
10.561
333 10 56 0v0ll25
333.10.56 0l/01/25
333.10.56 all0ll25
nt29lz5
fit29125
lt29t25
tuoln4
torcln4
tDrctn4
nt29n5
lln9n5
In9n5
93.069
93.069
93.069
93 069
93.069
1t7/(fi126
07l0ll25
07l0ln5
ovotl25
0v0ll25
06138127
06t39126
o6t30/26
06t30n5
06BAn5
$7 tal126
ffitoln'
07ntns
07t0rn4
07nln{
ll[rl3lll21
06i3,An6
06BOn6
06BOn5
06B0n5
93.136
93. 1 36
333.93.13 07tol/26 0813r/26 09ru1/25 0tt/fl/16
333 93 13 12104/25 06130126 agrclns 08ltln6
333 s3 32 $2rctn6 07131126 08/01n5 07Bln6
333.s3.32 02toln5 0713t125 08nln4 07Btn5
$39,334
$6s,000
$4,220
$74,445
s4,ss0
$6,s00
$25,000
922,284
$10,000
s6,t22
$s6,000
s400,000
$33,147
$7,366
93 268 333.93.26 0l/01175 06130125 07fi1n3 06i3,on5 94,220
s3 268 333.93 26 }trclns 06.30n5 07/0lna o6a0l25 974'44s
s3.323 333 93 32 0ll0ll25 tz3lns Aul5nl o7l3ll25
93.323
93.323
93.323
93323
33393.32 0l/01/26 06130126 Alllsnl
333.s3.32 0ltoll26 06130126 0l/l5nl
07131126
a7Rln5
93.323 333.93 32 07t0t125 06130/26 o7rcln' 07BAn6 $10,000
93.323 333.93.32 0l101126 06138126 08/01i25
s3.323 333.93.32 0lt0ll26 06130n6 0aola9
1v30n7
n/34n7
taoln2
tuoln2
07Blni
07t3lD5
ltB0n7
tv30m
93.3s4 333.93.3s 0l/01/25 06BA/25 07rc1n3 06/30/25 $56,000
93 967
93.967
333.93.96 0lloln5
333 93.96 0rloll25
g3.9g4 333 93.gg ottoll2i 09130125 10/0124 09l30t?5 $33,147
93.9s4 333.s3s9 t}rclns 09130t26 t0ntn5 098,0lx
FFY25 MCHBG SPecial Pr HRSA 2 B04MC54583
Page I of3
57,366
Indirect Rate January l. 202s,ooi,".tn,t".,i;;;;i,;;;ililffi lB:::ill::1i,l?i:,1i.?ry;
Kittitas County public Health
Chart ofAccounts
EXHIBIT B-I2
ALLOCATIONS
Con tract T erm: 2025_2O27
Title Federal Award
ldentilication #
804Mc55473
804Mc55473
804Mc55413
804Mc55473
B04MC's473
B04Mcss473
804MC55473
Amend #
BARS
Revenue
Code**
333.93.99
333 93 99
333.93.99
333.93.99
333 93 99
333.93.99
333 93 99
Assist
List #*
93.994
93.994
93.994
93.994
93.994
93 994
93 994
t0/0tns
t0/0t/2s
t0/01/25
t0loti2s
t0/0tn5
l0/0t/25
l0/0t/2s
09t3t/26
09t30/26
09/3A/26
09/10/26
09/30n6
09/30/26
09/30/26
lo/0t/25
t0talns
rcntns
t0/0tns
t0/0tns
lototns
tu0tn5
o9/J0n6
09i30n6
09Bcn6
09/3A/26
09RU26
0913af.,6
09/30i26
Arnount
$5,s24
sl4,732
$9,208
$4.266
$3, r 00
($44,196)
$44,196
$36, I 60
$36, I 60
$8,000
$37,750
$s,6s0
$2,350
s4,400
Statemcnt of Work
LHJ Funding period
Start Date End Date
DOH Use OrF
Charl ofAccounts
Funding perbd
Start Date Ond Date
Contract Number:
Date:
Funding
Period
SubTotat
$36,160
$36, I 60
$45.750
$ 1,471,000
$l,689,000
$1,783,000
$ r 2,400
cLH32Oss
Argust l, 2026
Chart of
Accounts
Total
$36,83t)
920,2s9
$2s,877
$l s,000
$ I I 8.070
$60,37s
$s,143,000
s I2,400
Ff'!'26,\,tCHBc LHJ Contracts HRSA yRlFFy26 MCHBG LHJ Conrracrs HRSA yRl
FFY.26 MCHBG LHJ Conrracrs HRSA yRt
FFY26 MCHBG LHJ Contracts HRSA yRl
FFY_26 MCHBG LHJ Contracts HRSA yRl
FFY26 MCHBG LHJ Contracts HRSA yRt
FFY26 MCHBG LHJ Contracts HRSA yRI
SFYI GFS _ Group B proviso
SFY2 cFS _ Group B
SFY25 DUH Naloxone DDO HCA LAR
SFY27 Drug User Healrh program
SFY26 Drug User Health program
SFY25 DrLrg User Health prolram
SFY25 DrLrg User Health prolram
SFY25 LHJ Oproid Campaign provrso
SI-'Y25 LHJ Opioid Campaign proviso
SFY27 FpHS-LHJ Funds_GFS
SFY26 FpHS-LHJ Funds_GFS
SFY25 FpHS-LHJ Funds_GFS
YR.l^Srimulus - Local Asst (t0% ol l5%) SSYRI Srimutus - Local Assr (10% ol. l5%) SSYRI Stimulus - Local Asst (10% of l5%) SS
YR 28 SRF - Local Assr ( I5%) SS
YR 28 SRF _ Local esst il s%i SS
YR 27 SRf - Local essr 1 I 5%) SS
YR 27 SRF - Local Assr t rSZi SS
N/A 334 04 90 07/ot/?5 06/30/26 o7t0tn5 o6Bon6 $20,259
$36,830
$20,2s9
06R0n5 $2s,877 $2s,877
o680n5 $15,000 $ls,o00
06t30D7
0660f26
06Ror25
06B0n5
06/30Dt
06130n5
s26,414
$33,96 r
$60,37s
Amd t2
Amd l0
Amd 9
Amd 8
Amd 7
Amd 6
Aurd 5
$()
Amd 4
Amd I
Amd 3
Amdll
Amd 4
Amd 3
Amd I
Amd 2
Amd I
N/A
N/A
N/A
NiA
N/A
N/A
N/A
N/A
N/A
N/A
N/A
334.04.90 0t/0U25 06n0ns 07lotn3
334.04.9t 03/ot/25 06Ba/25 l2l0n4
334.04.91 07t01/26
334.04 91 07 /0t /25
334.04.9t ol/ot/25
334.04.91 0t/ol/25
06/30/27 07t01t26
a6/30/26 o7/0U25
M/30/2s o7/Ot/24
a6B0t25 07/Oln4
&/30/25 o7/01/24
06t30/25 07/Oln4
a6Bont oTtotnS
06/30/26 07/Otn5
06/30/25 07/01n4
tzntn7 07ftt23
tz3t/27 07/oln3
t2t3lt27 07t0u23
l2;3v27 o7/0u24
l2t3l/27 0Itttf24
06n0t2s 07/0tn3
0680/25 oTtotn3
tzBtn7 07/cln3
t2/31/27 07/0t/23
t2/3t/27 07/Ol/23
t2/3t/27 07/0tn3
Amd lt
Amd 5
Amd I
334 04.93 \t/olt25
334 04.93 0t/otD5
336.04.25 07t01/26
336.04.2s 07t01/25
336.04.2s 0t/otn5
,000,47 |$
.889,000
,783,000
Amd 8
Amd 7
Amd 4
Amd 4
Amd 3
Amd 3
Amd l
Amd 8
Amd 7
Amd 3, 4
Amd 1,4
346 26.64
346.26.64
346 26.64
346 26.64
346 26.64
346.26.64
346 26.64
0t/0t/25
0t/01/25
0t/0U25
0t/01/25
0t/0t/25
0t/0t/25
0l/otns
06R0n7
06nont
06R0n5
06Bong
a6Bo/28
06t!,ons
06R0De
MRo/29
05non5
06R0ns
t2nt/27
ta3ln7
tzBln7
nnlnT
($4,400)
$4,400
($4,000)
$4,000
$5,6s0
$2,3s0
$400
$4,000
$
N/A
N/A
N/A
N/A
N/A
N/A
N/A
$0$0
$0Sanitary Survey Fees SS-State
Sanitary Survey Fees SS_State
Sanitary Survey Fees SS_State
Sanitary Survey Fces SS_State
N/A
N/A
N/A
N/A
346 26.6s 0t/0t/25
346.26.65 0l/01/25
346.26.65 0l/0t/2s
346 76.65 0t/01/25
$r 2,400
Page 2 of3
$ r2,400
Kittitas County public Health
Indirect Rate January l, 2025 through December 31, 2025:22.90VoIndirect Rate January l, 2026 throu gh December 3 l, zi)i', iz.zSy"
EXHIBIT B.I2
ALLOCATIONS
Contract Term : 20ZS-2O27
Assist
346.26.66 0t/otD5
3462666 clntns
346.26.66 0t/0tn5
346.26.66 0uov25
34626.66 0t/01t25
346.26.66 0l/01n5
Contract Number:
Date:
Funding
Period
SubTotat
cLH320s5
August l,2026
Chart of
Accounts
Total
$4,000
s6,356,942
$94s,561
$5,4llJEr
Chart of Accounts Title
YR I Stimulus - Local Asst ( l0% of I 5%) TA
YRI Stimulus-Local Assr(10%of l5%; TA
YR 28 SRF - Local Asst ( I 5%) TA
YR 28 SRF - Local Asst (15%) TA
YR 27 SRF - Local Asst (15%) TA
YR 27 SRF - Local Asst (i 5%) TA
TOTAL
Total consideration:
GRAND TOTAL
Federal Award
ldentification #
DoEUrsO$yBARS Staternenl of Wor&ClaltofAomb
Revenue LHJ Fundlng Period SburfngPcriorlCode** Start Dste Enil Start Datr nrrdDlre
Amend #
Amd 8
Amd 4
List #*
Amount
Amd 4
Amd 3
Amd 3
Amd I
$0$0
$0
N/A
N/A
N/A
N/A
N/A
N/A
la3tn7
la3V27
06/30/25
o6t30ns
07n1|24
07ntn4
o'il0tn3
07/0tn3
06/30128
86EAn8
MRANg
g6fmae
06IJ0iE5
a6Ren'
ta3tn7 07ntn3
ta3tD7 01tun3 $2,000
$2,000
$4,000
($2,000)
$2,000
($2,000)
s2,000
$6,356,942 $6,3s6,942
GRAND TOTAI
Total Fed
Total State
$6,262,95r
$93,991
$6,3s6,942
iAssistance Listing Number fka catarog of Federar Domestic Assistance**Federal revenue codes begin with ,,:::,,. State r.u.nu".oO., Uagin with ,,334,,
Page 3 of3