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,_, Consent Agenda ':<i~t3Q et~?:~\ JEFFERSON COUNTY PUBLIC HEALTH \tii,~;/ 615 Sheridan Street. Port Townsend' Washington' 98368 '-"'J1n~O~' ''-'- www.jeffersoncountypublichealth.org March 9, 2011 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Jean Baldwin, Director DATE: (YLtlrC-h J.'3) O-a> II SUBJECT: Agenda Item - Consolidated Contract, Amendment #30 with the Department of Health; January 1, 2007 - December 31, 2011; add1 $16,635 total $2,813,198 STATEMENT OF ISSUE: Jefferson COunty Public Health Is requesting Board approval of the COnsolidated COntract, Amendment #30 with the Department of Health; January 1, 2007 - December 31, 2011; add1 $16,635 total $2,813,198 ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S: This agreement with the Department of Health Is a.5-year agreement containing both State & Federal Funds. This amendment adds $6,366 In revenue to the existing contract. The affected programs are as follows: · $16,635; Family Planning and Reproductive Health (FPRH); January 2011 - December 2011 FPRH revenue will continue to support community education/health promotion and provide prescriptive contraception. $1,000 of this revenue Is State Proviso funds and Is dedicated for three staff to attend a reproductive health conference Portland this month. FISCAL IMPACT/COST BENEFIT ANALYSIS: This amendment through the Department of Health adds $16,635 In revenue for a total of $2,813,198 and represents both State and Federal money. RECOMMENDATION: JCPH management request approval of the COnsolidated COntract, Amendment #30 with the Department of Health; January 1, 2007 - December 31, 2011; add1 $16,635 total $2,813,198 ~A Date COMMUNITY HEALTH DEVELOPMENTAL DISABILITIES MAIN: (360) 385-9400 FAX: (360) 385-9401 PUBLIC HEALTH Al.WAYS WORKING FOR A WER AIID HEALTHIER COMMUNITY ENVIRONMENTAL HEALTH WATER QUALITY MAIN: (360) 385-9444 FAX: (360) 3794487 , JEFFERSON COUNTY PUBLIC HEALTH 2007-2011 CONSOLIDATED CONTRACT CONTRACT NUMBER: C14950 AMENDMENT NUMBER: 30 PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as "DOH", and JEFFERSON COUNTY PUBLIC HEALTH hereinafter referred to as "LID", 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, attached and incorporated by this reference, is amended as follows: o Adds Statements of Work for the following programs: IZI Amends Statements of Work for the following programs: . Family Planning & Reproductive Health - Effective January I, 20 II o Deletes Statements of Work for the following programs: 2. Exhibit B-30 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-29 Allocations as follows: IZI o o Increase of$16.635 for a revised maximum consideration of $2.813.198. Decrease of $ for a revised maximum consideration of $ No change in the maximum consideration of$ Allocations are attached only for informational purposes. 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 hislher signature in execution thereof. JEFFERSON COUNTY PUBLIC HEALTH STATE OF WASHINGTON DEPARTMENT OF HEALTH (Date) (Date) APPROVED AS TO FORM ONLY Assistant Attorney General I. pproved as {,) form. only: , 3]J7J1J Jcorierson Co. ~secutor'l Page I of 15 ~ ~ 6' ~ ~ }> en "ll ~ a " II<l ~ ; ~ 0 ~ ...., a ~ " Q .. ... ~. !f ~ ~' "'C [ S' ao ~ Q. W '"C:l 8- ... <:> <:> c "" a. ... ., <:> " 00 .... ~ ...... .... "" ~~ n tffl s: t:'"' 0 " , l"l~l"l~ N trl g, ~ ~~~~ ~ u. - ooo::!> ~. .... ~~>;j ~ t"l=e ~ ~ ~o n ~~ ~ ~ . tv <:> ~ ~ ~ n o ~ $:I Z J n ~ .... '" u. o G., o w m ~ 5' ~ i'> i a ~ g, ~ ~ "''''-l'l' 1i~g8 , ~~~l is.gag> <re:~:~:! ~ Ul c-"t:S ... -8e.~a ~ig: - p So CP~~ ~(:L.~ ,,- 010 r~ g~' o.~ ::J< ~nr '" ~g P.:n n::::: g~ '" g S' 0. !)] "0 ~ ... o ..., - '" "',",,~n'" .!lElQS'6- C; -. '" -. s ~~u; C">_. g. ~<,.,. tI1> "01>;;;' "'[ ","" ~ s'@.~ ,,"" 0 0 P =a x'" :- - o "T1>~ Ji=i if S' g' ,,"" i' '" if'" S' o:~ !i. 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"a " o'S t C', = = " " p, a=5l (JQ ~ ~ V> ., '? w ... 0 Jefferson County Public Health 2011 Delegate Agency Grant Appllcatlon FORM E: Assurances As the duly authorlze1l ",presentative of the applIcant, I certify this delegate agency will: i.} 'Comply with all requirements afTltJe X of the PubUc Health services Act of 1970 (P.~ 91-572, Secllon 1001(41 USe. 3(0) T1tIe 42, Subchapter W, Pert 59) and Implemendllllsuldellnes end pollcles. lncludlng those that require the agency to: a. Provide servIces without sub}ectlng IndMduals to any coercion to accept servIces or coercIon to use or not to use any particular methods of family plannmg. Acceptance of services must be solely on a voruntary basis and may not be made a prerequlslte for eIlgibiIlty, or receipt of any other serviCes. b. Provtde services 1n a manner whlclt protects the dignity of the individuals. c. Provide services without regard to rellglon. race, color. natlonal origin, handicapping condition, age, sex, number of pl"egnar1des. or marital status. d. Not provide aborttons as a method offamlly planning. .. GIve prtarlty In the provIsIon of servIc:es to persons from low Income famUles. f. Encourage famUy particIpatIon In the decision of a minor seeking famUy planning services. g. Provide counset1ng to mlnors on how to resist coercfve attempts to engage them In sexual 8ctMtles. h. Inform staff that they may be subject to prosecutfon under Federal law If they coerce or endeavor to coerce any person to undergo abortion or stemlzations. I. Have written pandas regarding access to timely quality language assistance services to limited English proftdent persons that are consistent with the OCR Policy Guidance on Prohlbltfons Against National Origin DiscrImination As tt Affects Penons with Umlted English Profldency. 2.) Comply with all Federal statutes relating to nondbcrtmlnadon, These IncIude but are not lImited to: a. TItle VI of the Ovll RIgIrts Act of 1954 {P.~ 1l8-352} which prohibits dlscrimlnadon on the basls of race. color or national ortgtni b. T1tIelX of the Educadon Amendments of 1972. as amended (20 U.s.e. ~1S81-16B3, and 16g5-161l6), whlch . prohlbtts dlsa'lmlnatlon on the basis of sex; c. Secllon 504 of the RehebUltadon Act of 1913, as amended (29 U.S.e. f 194), whldt prohibits _Inadan on the basls of handlcap$; d.'!11e ~ DlscrlmlnaUOn Act of 1915. as amended (42 USe. ~ 6101-51071. whIch prohibits discrimination on the basis of age; . ":. _ ~ . t;l~: lof2 Exhibit A, Statements of Work Page 9 of 15 Contract Number C 14950-30 _J a. The Drug Abuse OffIce and Treatment Act of 1972 (P.L 92~Z55), as amended, relatfng to nondiscrimination on the basis of drug abuse; f. lhe Comprehensive A1colwl Abuse and A1eohoItsm Prevention, Treatment and RehabIDtatlon Act of 1910 {P.L 91-616}, as amended, reIatlng to nondlsalmlmrtlon on the basis of alcohol abuse or afcoholblmj II- if 523 and 527 of the PubOe Hea~h Service Atl of 1912 (42 U.s.c. a29Odd-5 and 290ee-5}, as amended, relatlngto confidentiality of alcohol and druB abuse patient records. h. Amerltans WIth Disabilities Atl (42 U.s.c., Sectlon 12101 at Slltl.), which prohibits dlsabnlnation on the basis of dlsabmty. 3.) Comply with P.L 93--348 regardll18 the protection ofhuman subjects Involved In research, development. and related activities supported by this award of assistance. 4.) COmply w~h lhe provisions of the Hatch Atl (5 U.s.c. if 1501-1508 and 75211-7328) wIlich DmIts lhe political actlvttles of employees whose prlnclpal employment activities are funded In whole or In part by Federal funds. 5.) COmply with the proyJsJons of the Drug-Free Workplace Act of 1988 (45 CFR Part 76, 5lIbpart Fl which requires agencies to provide 8 drug-free workplate. 6.) comply with Section 1552 of P.L. 101-121 which prohlblls use of any federal funds to lobby Congress or any Federal agency In connection with a parttcular contract, grant, cooperatlva qreement, or loan. 7.) COmplywlth Single Aud~ Atl of 1984 requirements regarding financial and compDanee audlls. 8.) COmply with all applk:able requirements ,of all other Federal laws, executive orders, regulations and poDc1as governing this program. ~--- gnature ~,.l ""1>..I.:kv,.J Print Name "p.'If...ofe-- Jc.:PH TItle 1~ I,). -[to Dale 'litis form llIlI5t be prlnbed, completed, sIgnad, and delivered separately, An electnonlt: submission win not suffice. Please mall to: Femlly Planning and Reproductive Health PO Box 47883 Olympia, WA 985011-7883 j;: 2012 Exhibit A, Statements of Work Page 10 oft 5 Contract Number C14950-30 ~ '""'~-~ ~ la Ii ? '" e ."j In it ~ il == !} ~ i~ 9 ~ ~r 1 ii a. i.1 ~ R" ~ If ~ ~ a l[' l! f ,,& :!. Ii\. g = ~..~. ~. ~ 9.<3' i 1 l;, ~ v; ~[ ~~' .i~' -'If [~ t! f~ il s61 I; t ~ i [ Ii\. > ( z .~ ~. n ~ ~ C> gigi aa a a ii ~if ~ .~ o !. f! ~[ tl (I II' .. 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'< 0 . 0 ...., EXHIBIT B-3O Contract Number: CI49S0 Jefferson Connty PubUc nenllb ALLOCATIONS Da.., Man:b 4,:roll CONTRAcr TERM. 2007.:roII BARS EJ:iiJ Funding Cbart of Rev.... Period A<<ounCs Chart of Aceouots Prowam TItle Amendment Code* CFDA** Amonot Snb TotoI Total WIC USDA Fanners Market Admin AmemJ 2 333.10.52 10.m $121 $121 W1C USDA Fanners Market Admin Amend 9 333.10.$2 10.m $135 $135 W1C USDA Fanners Market Admin Amend 15 333.10.52 10.m $139 $139 . W1C USDA Fanners Market Admin AmemJ Z3 333.10.52 lO.m $111 $171 $566 W1C USDA Breastfeeding 333.10057 10.557 $804 $804 W1C USDA Breastfeeding 333.10.57 10.557 $1.073 $1.073 W1C USDA Breastfeeding AmemJ 13 333.10.57 10.557 $268 W1C USDA Breastfeeding AmemJ 13 333.10.57 10.557 $898 $1.166 W1C USDA Breastfeeding AmemJ 13 333.10.57 100557 $1.197 $1.197 W1C USDA Breastfeeding AmemJ 13 333.10057 10.557 $299 WlC USDA Brenslfeeding Amend 26 333.10.57 10.557 $3.341 $3.640 WlC USDA Breastfeeding Amend 26 333.10057 10.557 $917 $917 $8.797 WlC USDA Brenslfeeding Peer Cnunsel AmemJ Z3 333.10057 10.557 $8.675 $8.675 $8.675 WlC USDA NLS 333. I 0.57 100557 _ 'lW!JWj"c~.. $39.150 $39.150 - . -.-....-.. ... ~-~----70'>::;''--_'- .C:' WlC USDA NLS 333. I 0057 100557 $5Z,:WO WlC USDA NLS Amend 4 333. I 0.57 100557 $1.350 WlC USDA NLS Amend 10 333.10.57 10.557 $1.000 WlC USDA NLS AmemJ 11 333.10057 10.557 $650 $55,200 WlC USDA NLS Amend 13 333.10:57 10.557 $13.050 WlC USDA NLS AmemJ 13 333.10.57 10.557 $338 WlC USDA N1S AmemJ 13 333.10.57 10.557 5450 WlC USDA NLS AmemJ 13 333.10.57 100557 541,513 WlC USDA NLS AmemJ 14 333.10.57 100557 $1.794 WIC USDA NLS AmemJ 16 333.10057 100557 $1.894 $59.039 WlC USDA NLS AmemJ 13 333.10.57 10.557 $55,350 WIC USDA NLS AmemJ 14 333.10.57 10.557 $3.075 . WIC USDA NLS AmemJ 16 333.10.57 100557 $7,575 WIC USDA NLS AmemJ 19 333.10.57 100557 $1.480 WIC USDA NLS Amend 22 333.10.57 100557 $735 WIC USDA NLS AmemJ 24 333.10.57 100557 $15.148 $83.363 WIC USDA NLS AmemJ 13 333.10.57 10.557 513.838 WIC USDA NLS AmemJ 14 333.10.57 10.557 $769 WIC USDA NLS Amend 16 333.10057 10.557 $1.894 WIC USDA NLS Amend 24 333.10.57 10.557 $3,500 WIC USDA NLS AmemJ 26 333.10.57 10.557 $69,375 WIC USDA NLS Amend 27 333.10.57 100557 $7,500 WIC USDA NLS AmemJ 29 333.10.57 10.557 $1.600 $98,476 WIC USDA NLS Amend 26 333.10.57 100557 523.125 WlC USDA NLS Amend 27 333.10.57 100557 $2,500 $25.625 8360.853 Swimming Beach JAR (Econ AmemJ 15 333.66.47 66.472 54,219 Swimming Beach JAR (Bcol) AmemJ Z3 333.66.47 66.472 54.000 $8.219 Swimming Beach tAR (Ecal) Amend 27 333.66.47 66.472 5400 $400 $8.619 W_Roo Beach JAR Amend 2 333.66.47 . 66.472 $1.600 $1.600 Water Reo Beach JAR Amend 9 333.66.47 66.472 $2.400 W_ Roo Beach lAR Amend 9 333.66.47 66.472 55.000 W_ Reo Beach JAR Amend 15 333.66.47 66.472 $3.281 $10.681 512,281 Drinking W_ Group A. SS Amend IS 333.66.48 66.468 54.000 Drinking Water Group A. SS Amend 27 333.66.48 66.468 $1,000 $5.000 Drinking W_ Group A. SS Amend 27 333.66.48 66.468 $1,000 $1.000 $6.000 Drinking W_ Group A. TA Amend IS 333.66.48 66.468 $3,000 Drinking W_Group A. TA Amend 24 333.66.48 66.468 $500 $3.500 Drinking W_Group A. TA Amend 27 333.66.48 66.468 $1.000 $1.000 54.500 . of' EXHmrr B-3Il Contract Number. C14950 JetTenou County Pablk Health ALLOCA nONS Date: Man:b 4, 2011 CONTRACf TEIlM: 2007-2011 BARS Funding Chart of Revenue Period Accounts Chart of Accounts TItle Amendment Code. CFDA" Amount Sub Total Total EH Drinking W_ 55 333.66.48 66.468 $1,250 EH Drinking W_ 55 Amend 8 333.66.48 66.468 ($1,250) $0 EM Drinking Water SS Amend 8 333.66.48 66.468 $5.000 $5.000 EH Drinking W_ 55 333.66.48 66.468 $3.750 EH Drinking Water 55 Amend 8 333.66.48 66.468 ($3.750) $0 EH Drinking W_ 55 Amend 13 333.66.48 66.468 $5.500 EH Drinking W_ 55 Amend 15 333.66.48 66.468 ($4,000) EH Drinking W_ 55 Amend 22 333.66.48 66.468 ($Z50) $1 ,2SC $6,250 EHDrinkingW_TA 333.66.48 66.468 $2.000 EH Drinking W_ T A Amend 5 333.66.48 66.468 ($1,500) (Correction to Amend 4 - Moved from EH - Drinking W_ 55) EH Drinking W_ T A Amend 8 333.66.48 66.468 ($500) $0 EH DrinkingW_TA Amend 8 333.66.48 66.468 $6.500 EH Drinking W_ T A Amend 13 333.66.48 66.468 ($500) EH Drinking Water T A Amend 15 333.66.48 66.468 ($2,500) $3,500 EH Drinking W_ TA 333.66.48 66.468 $6,000 EH Drinkin8 W_ TA Amend 8 333.66.48 66.468 ($6,000) $0 EH Drinkin8 W_TA Amend 13 333.66.48 66.468 $4,000 EHDrinkingW_TA Amend 15 333.66.48 66.468 ($3,000) EH Drinking W_TA Amend 22 333.66.48 66.468 ($500) $500 $4.000 PHEPR - LIU Ftmding Amend 18 333.90.69 93.069 $31,274 $31,274 PHEPR - LIU Ftmding BYIO Ex! Amend Z6 333.90.69 93.069 $41.441 $41.441 $72.715 PHER HINI Pan Flu focus 1 Amend 18 333.90.69 93.069 $12.500 PHER HI NI Pan Flu Focus I Amend 19 333.90.69 93.069 $18.559 $31.059 $31.059 FHER HINI Pan Flu Focus 2 Amend 19 333.90.69 93.069 $1,233 $1,233 51,233 PHER HINI Pan Flu Ph \II Mass VIlC Amend 20 333.90.69 93.069 557.432 PHER HINI Pan Flu Ph UI Mass VIlC Amend 23 333.90.69 93.069 $70.000 $127,432 $127.432 FPRH TX RX Conllecep1ives Amend 5 333.9z. 17 93.217 $600 $600 FPRH TX RX Contraceptives Amend 12 333.9z.17 93.217 $1.000 $1.000 FPRH TX RX COlltl_..ti>feS Amend 21 333.9z. 17 93.217 $1.000 $1.000 FPRH TX RX Conllecep1ives Amend 21 333.9z.17 93.217 $500 FPRH TX RX Contraceptives Amend 24 333.9z.17 93.217 $580 $1.080 53.680 FPRH TX SP RX Contraceptives Amend 27 333.9z.17 93.217 51.080 51.080 51.080 FPRH TX Continuation-Training Amend 21 333.92.17 93.217 523.750 FPRH TX Continuation-Training Amend 27 333.92.17 93.217 51,000 $24,750 FPRH TX Continuation-Training Amend 27 333.92.17 93.217 $27.004 FPRH TX ContiQaatlon.. Training Amend 30 333.9z.17 93.217 519000 $28,004 $!lZ,754 FPRH TX Contracts 333.92.17 93.217 521.400 FPRH TX Conlrllcls Amend S 333.9z.17 93.217 $700 522.100 FPRH TX Contracts Amend 5 333.92.17 93.217 $21.000 FPRH TX Contracts Amend 12 333.92.17 93.217 $540 $21.540 FPRH TX Contracts Amend 13 333.92.17 93.217 $18.664 FPRH TX Contracts Amend 21 333.9z.17 93.217 5373 519.037 $62,677 FPRH TX Expansion Amend 12 333.92.17 93.217 $2.764 $2.764 FPRH TX Expansion Amend 13 333.92.17 93.217 $2.764 $2.764 55,528 UW Workforce Development YR9 Amend 13 333.9z.49 93.249 51.090 $1.090 $1.090 AAX Immun ConCon Fed Amend 1 333.9z.68 93.268 59,389 $9,389 AFIX Immun ConCon Fed Amend 1 333.9z.68 93.268 59,389 $9.389 AAX Immun ConCon Fed Amend 13 333.9z.68 93.268 $9,353 $9.353 528.131 Zof6 EXHmITB-30 Contrad Number: C149S0 Jeff....... Couuty PubJJe H_ ALLOCATIONS Date: Marcll4, ZOIl CONTRACT TERM: ZOO7-Z011 ~___.=_!_~1 BARS t5~~~~~ Fumllttg Chart of Revenue E.~l'li~1:<1ll#-"', Period Acalunts --,_-c''c,:::-__,o.:.."_".-___,..-.. Chart of Accounts Program TItle Amendment ClIde" CFDA** ,Siitrt.Dllfe.dlnd.J).ie' Amount SubTotal TDtal ~ _ _~_ ~ ::::-,--~:,'L:.:::.:~_::_:~.:.., :'>:'_::: '.- ,:: ., Child Immlll1 Activities Fed _21 333.92.68 93.268 'C;;~~liWOe.'lmlfllf $9,827 $9,827 Child hmnlll1 Activities Fed Amend 27 333.92.68 93.268 $9,337 $9.337 $19,164 FAll7 hmnlll1 Admin Fed _27 333.92.68 93.268 $2,066 $2,066 $2,066 FAll7 hmnlll1 CouCen Fed 333.92.68 93.268 $4,159 FA3l7 Immun ConCan Fed _I 333.92.68 93.268 ($2,379) $1,780 FAl 17 Immlll1 CttuCen Fed 333.92.68 93.268 $4,159 FAl17 hmnlll1 CttuCen Fed Amend I 333.92.68 93.268 ($2,379) $1.780 FAll7lmmlll1 CttnCttn Fed _13 333.92.68 93.268 $1,573 $1,573 FA3171mmun ConCon Fed _21 333.92.68 93.268 $1,573 $1,573 $6.706 YFC hmnun CunCttn Fed 333.92.68 93.268 $4.047 YFC Immun CttuCen Fed _I 333.92.68 93.268 ($3.815) $232 VFC Immlll1 CUUCon Fed 333.92.68 93.268 $4.047 VFC hmnlll1 CttuCon Fed _I 333.92.68 93.268 ($3.815) $232 YFC lmmun CttuCen Fed _13 333.92.68 93.268 $474 $474 $938 CDC Tobaoco Prevention 333.92.83 93.283 $2,550 $2,550 COC Tobacco Prevention _3 333,92.83 93.283 $5.100 $5.100 COC Tobacctt Prevention YRS Amend 10 333.92.83 93.283 $3.825 $3,825 COC Tobacoo Prevention YRI _16 333.92,83 93.283 $1.000 COC Tobacoo Prevention YRI Amend 16 333,92.83 93.283 $3.090 $4,090 COC Tobacoo Pn:vention YR2 _24 333,92.83 93.283 $4.090 $4.090 $19,655 PHEPR - LHJ Funding 333.92.83 93.283 $13.901 $13,901 PHEPR - LHJ Funding _5 333.92.83 93.283 $5.442 PHEPR - LHJ Fundin8 Amend 8 333.92.83 93.283 $12,699 $18,141 PHEPR - LHJ Ftmding Amend 12 333.92.83 93.283 $18,774 $18,774 $50.816 PHEPR.Pandemlc InlItrel12ll 333.92.83 93.283 $10,986 $10,986 PHEPR~Pandemic Influenza Amend 5 333.92.83 93.283 $4,020 PHEPR~Pandemic Influenza Amend 8 333.92.83 93.283 $9,381 $13.401 $24,387 PHEPR-Frog E _3 333.92.83 93.283 $730 $730 $730 HCCW Infi:nt Toddler tAR 333,95,75 93.575 $5.767 $5,767 HCCW Infi:nt Tnddler tAR Amend 4 333.95,75 93.575 $11,534 $11,534 HCCW Infi:nt Tnddler tAR Amend 11 333.95,75 93.575 $11,534 $11,534 HCCW Infi:nt Tnddler tAR _17 333,95,75 93.575 $11.660 $11,660 HCCW Infi:nt Tnddler tAR Amend 25 333,95.75 93.575 $8,230 $8,230 $48.725 PHEPR HC Syslems - Prep Amend 12 333.98.89 93.889 $1.800 $1.800 PREPR HC S_ - Prep Amend 18 333.98.89 93.889 $1.612 $1.612 PHEPR HC S_ - Prep _26 333.98.89 93.889 $1,710 $1.710 $5.122 PHEPR Hospi1aI- Prep 333.98.89 93.889 $1,340 $ 1,340 PHEPR Hospital- Prep _5 333.98.89 93.889 $2,000 $2.000 $3.340 PHBG . LHD _2 333.99.91 93.991 $2,500 $2,500 $2.500 MCHBG CSHCN..Qutccmes Project _26 333.99.94 93.994 $565 $565 $565 MCHBG CSHCN Spec Frog Amend I 333.99.94 93.994 $18,916 $18.916 MCHBG CSHCN Spec Frog _5 333.99.94 93.994 ~-W!~(-rf:,7~; $25,221 MCHBG CSHCN Spec Frog Amend 5 333.99.94 93.994 tt=~~&1iI ($18,916) $6,305 MCHBO CSHCN Spec Frog Amend J 333.99.94 93.994 $6,305 MCHBG CSHCN Spec Frog _5 333.99.94 93.994 =;~~~;~~~ ($6,305) $0 $25.221 3of6 EXHIBIT 8-30 Contrm:t Number. C14950 Jeffersoa County Public Health i\LLOCA TIONS Date: Martb 4. 2011 CONTRi\CTTERM: ZOO7-2011 Bi\RS Funding Chart of Revenue Perlod Aa:ounts Chart 01 Ammuu ProJuam TItle Ameudmeot Code. CFDA*. Amount Sub Total Total MCHBG MCH ConCon Fed 333.99.94 93.994 $32,180 $32.180 MCHBG MCH ConCon Fed 333.99.94 93.994 $42,907 $42.907 MCHBG MCH ConCon Fed 333.99.94 93.994 $10.727 $10.727 MCHBG MCH ConCon Fed Amend 12 333.99.94 93.994 $28.990 $28.990 MCHBG MCH ConCon Fed Amend 12 333.99.94 93.994 $38.653 $38.653 MCHHG MCH ConCon Fed Amend 12 333.99.94 93.994 $9.663 MCHBG MCH Coneon Fed Amend 28 333.99.94 93.994 $28.990 $38.653 MCHBG MCH ConCon Fed Amend 28 333.99.94 93.994 $9,663 $9,663 $201.773 AARi\ LHJ Billable Project Amend 22 339.47.12 93.712 $175.000 $175.000 $ I 75.000 AARi\ Reaohing Children & Adults Amend 22 339.47.12 93.712 $1.397 $1.397 $1.397 Adult Viral Hepatitis Stnllegie FIan Amend 19 334.04.91 N1A $5.000 $5_000 $5.000 FFRH State C1inh:al-HP-Surg-Aud Amend 21 334.04.91 N1A $53,890 FFRH State Cliniea1-HP-Surg-Aud Amend 24 334.04.91 N1A ($4,598) $49,292 FFRH State Clinieal-HP-Surg-Aud Amend 27 334.04.91 N1A $20.791 $20.791 FFRH State Clinh:al-HP-Surg-Aud Amend 27 334.04.91 N1A $36,316 $36,316 $106.399 FFRH State Contteels 334.04.91 NIA $17.400 $17.400 FFRH State Contteels Amend 3 334.04.91 N1A $17.400 $17.400 FFRH State Contn:e1s Amend 5 334.04.91 N1A $37.800 FFRH State Contteels Amend 10 334.04.91 N1A $3.300 $41.100 FFRH State Contteels Amend 13 334.04.91 N1A $24.683 $24.683 FFRH State Contn:e1s Amend 13 334.04.91 N1A 524.683 $24.683 $125.266 FFRH State Enhancement Amend 16 334.04.91 N1A $12,220 $12,220 $ I 2,ZZO Group B S~ Amend 1 334.04.91 N1A $3.000 Group B ~ AmendZ 334.04.91 N1A $3.015 Group B S~ Amend 3 334.04.91 N1A $3.590 $9.605 Group B ~ Amend 5 334.04.91 N1A 56.875 56.875 Group B S~ Amend 10 334.04.91 N1A $10.500 $10.500 $26.980 On:l Health State 334.04.91 N1A $4.500 $4.500 On:l Health State 334.04.91 NIA $9.000 $9.000 On:l Health State 334.04.91 NJA $4.500 $4.500 On:l Health State Amend 13 334.04.91 NIA $5.783 $5.783 On:l Health State Amend 13 334.04.91 NJA $11.567 $11.567 On:l Health State Amend 13 334.04.91 NIA $5.784 On:l Health SIBte Amend 25 334.04.91 NIA ($IZ5) $5.659 $41,009 PHEPR M Pandemic Influenza 334.04.91 N/A $5.083 $5.083 $5,083 Correction in Amendment # t of an addition 0($8 (previously $5.075) State H1V Prev Services Amend 29 334.04.91 NIA $4.766 $4.766 $4.766 Hepatitis C Awareness Amend 14 334.04.92 NIA $8.500 $8.500 $8.soo Local Capacity Dev. Funds - GPS & USA 334.04.92 NIA $19.142 $19,142 Local Capacity Dev. Funds - GPS & USA 334.04.92 NIA $19.142 $19.142 Local Capacity Dev. Funds - GPS & USA Amend 6 334.04.92 NJA $19.105 $19.105 Local Capacity Dev. Funds - GPS & HSA Amend 6 334.04.92 NJA $19.105 $19.105 Local Capacity Dev. Funds - GPS & HSA Amend 13 334.04.92 NJA $19.016 $19.016 Local Capacity Dev. Funds - GPS & HSA Amend 13 334.04.92 NJA $19.016 Local Capacity Dev. Funds - GPS & HSA Amend 21 334.04.92 NJA $37.920 Local Capacity Dev. Fund, - GPS & HSA Amend 27 334.04.92 NJA $18,966 $15.902 Local Capacity Dav. Funds - GPS & HSA Amend 27 334.04.92 N1A $18.%6 518.%6 $190.378 Local Capacity HSA _p Amend 3 334.04.92 N1A S2,550 52.550 S2.550 40f6 EXHIBIT 11-30 Contraef Number: C14950 Jeffenoo County Publle Health ALLOCA nONS Date: March 4, ZOIl CONTRACT TERM: :IOO7-ZOI I lIARS Foadlllg Chart of Revenue Period Accounts Chart of Aorolllllll P TItle Amendmeut Code* CFDA** Amount SubTotal Total Child Death Review (Provfso) Amend 12 334.04.93 NlA $750 $750 $750 DOH-3 Shellfish CNlCN-Proviso 334.04.93 NlA $1,400 $1,400 DOH-3 Shellfish CN/CN-Proviso 334.04.93 N/A $2,800 DOH-3 Shellfish eN/CN-Proviso Amend 13 334.04.93 NlA ($2,800) $0 DOH-3 Shellfish CNlCN-ProVlSO Amend I 334.04.93 NlA $1,400 DOH-3 Shellfish CN/CN-Proviso Amend 13 334.04.93 N/A ($1,400) $0 DOH-3 Shellfish CNICN-Proviso Amend J3 334.04.93 NlA $4.200 DOH-3 Shellfish CN/CN-Proviso Amend 15 334.04.93 NlA $800 $5,000 56,400 DOH-6 PSAP Onsite-Proviso Amead 6 334.04.93 NlA $34,500 $34.500 DOH-6 PSAP Onsi..-Proviso Amend 6 334.04.93 N/A $17,000 $17,000 $5 1,500 DOH-7 PSAP Onsite Sys Spt CNlCN-Provi Amend 5 334.04.93 N/A 5100,000 DOH-7PSAP Onsite Sys Spt CN/CN-ProviAmend 6 334.04.93 N/A ($100,000) $0 DOH-7 PSAP Onsite Sys Spt CN/CN-Provi Amead 6 334.04.93 NlA $20,125 $20,125 DOH-7 PSAP Onsite Sys Spt CN/CN-Provi Amend 6 334.04.93 N/A $8,500 $8,500 $28.625 DOH-7 PSAP Onsite Sys Spt CN/CN-ALE, Amend 6 334.04.93 N/A $19.875 $19.875 $19,875 FPRH Proviso Contrscts Antend 5 334.04.93 N/A $19,800 $19,800 FPRH Proviso Contrscts Amend 10 334.04.93 N/A $29,600 FPRH ProvisO Contracts Amend 10 334.04.93 NlA $13.600 $43.200 FPRH Proviso Contracts Amend 13 334.04.93 N/A $13,600 $13,600 $76,600 FPRH State Proviso Amend 24 334.04.93 N/A $16.662 $16,662 FPRB State ProvIso Ammld 30 334.04.93 N/A $15,635 $15,635 $3Z,297 On SiteGFS Proviso Amend 2 334.04.93 N/A $31,000 $3 1,000 $31,000 Reo Shellfish/BiDlDXin (PSM) Amend 17 334.04.93 NlA 56,400 Reo ShelllishlBlotoxin (PSAA) Amend 19 334.04.93 N/A ($1,400) $5,000 Reo Shellfish/BiDlDXin (PSAA) Amend 27 334.04.93 NlA $ 1,500 $1,500 56,500 Small On-Site UIJ Contn:cls Amend 16 334.04.93 N/A $100.000 $100,000 $100.000 Youth T obacto Prevention 334.04.93 NlA $2.400 $2.400 Yooth Tobac<o Prevention Amead 3 334.04.93 N/A 54_100 $4.100 Youth Tobacco Prevention Amend 10 334.04.93 N/A 54.100 54,100 youth Tobacco Prevention Amend 16 334.04.93 N/A 58,200 $8,200 SI8.800 TPC Acc:otm: 334.04.97 N/A $19,125 $19.125 TPC Account Amend 3 334.04.97 NIA $38.250 $38.250 TPC Account Amead 10 334.04.97 N/A $38.250 $38,250 TPC Acc:otm1 Amend 16 334.04.97 NlA 561.200 TPC Acc:otm1 Amend 24 334.04.97 NlA (54.590) TPC Acc:otm1 Amend 28 334.04.97 NlA ($17,675) $38,935 $134.560 Drinking Water Group A - SS Stale Amend 13 334.04.98 NlA 54.000 Drinking Water Group A - SS Sta,te Amend 27 334.04.98 NlA $1,000 55.000 Drinking W_ Group A - SS S.... Amend 27 334.04.98 NlA $1,000 SI,OOO 56,000 EHP - Drinldng W_ - SS S"'"' Amead 4 334.04.98 NlA $1.250 $1,250 EHP - Drinldna Water - SS S"'"' Amend 13 334.04.98 N/A $3.750 EHP - Drinldna W_ - SS S"'"' Amend 13 334.04.98 N/A $1,500 EHP - Drinking Water - 55 State Amend IS 334.04.98 N/A (54,000) EHP - Drinldng W_ - SS Stale Amead 16 334.04.98 N/A $4.000 EHP - Drinking W_ - SS Stale Amend 22 334.04.98 N/A ($250) 55,000 56.250 ,"". Jefferson County PubDc Health EXHmrrl\.30 AlLOCATIONS CONTRACT TERM: 2007.20]] Contrad Number. Date: c14950 March 4, 2011 Chart of AttOuats P mTItIe BARS Revenue Amendmeut Code* CFDA** Fuudlng Chart of Period Accounts Amount Sub Total Total 5103,008 5103,008 5102,901 5102,901 582,097 581,859 5163,956 $369,865 52,813.198 S2,813.198 GRAND TOTAL 52,813.198 Total Fed 51,396.025 Total state 51,417,173 Blue Ribbon Local Health Funds Blue Ribbon Local Health Funds Blue Ribbon Local Health Funds Blue Ribbon Local Health Funds Amend 7 Amend 13 Amend 21 Amend 27 334.04.99 334.04.99 334.04.99 334.04.99 NIA NIA NIA NIA TOTAL Total coDllderatlou prior to this amendment: Change In c:ousfdentlou In tbis amendmeut: GRAND TOTAL S2, 796,56J 516,635 S2,813.198 -Federal revenue codes begin with "333". State revenue codes begin with "334". .. Catalog of Federal Domestic Assistarn:e 'of'