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Home My WebLink About050211_ca05 ._. Consent Agenda i~c'o i~~~i~i JEFFERSON COUNTY PUBLIC HEALTH .~. ~""+... . 615 Sheridan Street. Port Townsend' Washington' 98368 oS'J.ilfo"\.:"'" . L/ www.jeffersoncountypubnchealth.org April 18J 2011 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Jean Baldwin, Director DATE: fYlA'f a, I ;;;}.,O I I SUBJECT: Agenda Item - Consolidated Contract, Amendment #31 with the Department of Health; January 1, 2007 - December 31, 2011; add1 $3,827 total $2,817,025 STATEMENT OF ISSUE: Jefferson County Public Health is requesting Board approval of the Consolidated Contract, Amendment #31 with the Department of Health; January 1, 2007 - December 31, 2011; add1 $3,827 total $2,817,025 ANALYSIS/STRATEGIC GOALS/I!RO'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: . $4,662; BEACH Program; March 2007 - October 2011 This amendment adds revenue to the BEACH Program to continue bacteria monitoring and sample collection of marine beaches. Revenue will provide for public outreach and education regarding bacteria related questions at recreational swimming beaches. Beach advisory notification will continue. Bacteria monitoring will be conducted through collected samples. JCPH will Investigate fecal pollution and/or illnesses related to recreational swimming beaches Including shoreline surveys as needed. Funding will also provide for recruiting, trainIng and coordinating volunteers as needed. . ($1,000); OffIce of Drinking Water Group A Program; January 2007 - December 2011 Drinking Water-Group A revenue will continue to provide for a sanitarian to conduct sanitary survey of small community and non-community Group A water systems, provide technical assistance and follow-up. Revenue was reduced as a result of under spent funds from 2010. . $165; WIC Nutrition Program; January 2007 - December 2011; This revenue will be added to the WIC Farmers Market Nutrition Program. COMMUNITY HEALTH DEVELOPMENTAL DISABILITIES MAIN: (360) 385-9400 FAX: (360) 385-9401 PUBLIC HEALTH AlWAYS WORKING FOR A SAFER AND HWTHIER COMMUNDY ENVIRONMENTAL HEALTH WATER QUALITY MAIN: (360) 385-9444 FAX: (360)379-4487 Consent Agenda FISCAL IMPACT ICOST BENEFIT ANALYSIS: This amendment through the Department of Health adds $3,827 In revenue for a total of $2,817,025 and represents both State and Federal money. RECOMMENDATION: JCPH management request approval of the Consolidated Contract, Amendment #31 with the Department of Health; January 1, 2007 - December 31,2011; add' $3,827 total $2,817,025 z4~ Date JEFFERSON COUNTY PUBLIC HEALTH 2007-2011 CONSOLIDATED CONTRACT CONTRACT NUMBER: C14950 AMENDMENT NUMBER; 31 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 "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, attached and incorporated by this reference, is amended as follows: D Adds Statements of Work for the following programs: [8] Amends Statements of Work for the following programs: . BEACH Program - Effective March 1,2007 . Immunization Program CHILD Profile - Effective January l, 201 J . Office of Drinking Water Group A Program - Effective January 1,2007 . Public Health Emergency Preparedness & Response (PHEPR) ~ Effective July 1,20 10 . WIC Nutrition Program - Effective January 1, 2007 D Deletes Statements of Work for the following programs: 2. Exhibit B-3l Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-30 Allocations as follows: Increase of $3,827 for a revised maximum consideration of $2.817,025. rZl D D 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 his/her signature in execution thereof. 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M >< o - "<t - , '<t 00 , o o 00 , ... o ..:..: ... o ~ '- o '" C <l) E Ql t;j tl ..{ .., ;.g ~ Ul EXHIBITB-3\ COlltract Number: CI4950 Jeffe..on County Public Health ALLOCATIONS Date, March 15,2011 CONTRACT TERM: 2007-201\ BARS Funding CharI of Revenue Period Accounts Chart of Accounts Program Title Amendment Code'" CFDA" Amo.:.n:t Sub Tala 1 Tota' WIC USDA Farmers Market Admin Amend 2 333.10.52 10.572 $121 S121 WIC USDA Fanners Market Admin Amend 9 333.1052 10.572 $135 $135 W!C USDA Fanners M arkot Admin Amend 15 3331052 10.572 $139 $139 WIC USDA Fanners Market Admin Amend 23 333.10.52 10.5n $171 $171 WIC USDA Farmers Market Adm;. Am.od 31 333.\ 0-52 10.572 $165 $165 $731 W1C USDA Breastfeeding 333.10.57 10.557 $804 $804 WIC USDA Breastfeeding 3331057 10557 $1,073 $1,073 WTC USDA Breaslfeeding Amend 13 333.10.57 10557 $268 WIC USDA Breastfeeding Amend 13 33310.57 10557 S898 $1,166 WIC USDA Breastfeeding Amend 13 33310.57 10.557 $U97 SI,197 WIC USDA Breastfeeding Amend 13 333.10.57 10.557 $299 WlC USDA Breastfeeding Amend 26 3331057 10557 $3,341 $3,640 W1C USDA Breastfeeding Amend 26 3331057 10 557 $917 $917 $8.197 WIC USDA Breastfeeding Pee, Coun",1 Amend 23 333.1057 10557 $8,675 $8.675 $8,675 WIC USDA NLS 3331057 10557 $39,150 $39,150 WIC USDA NLS 333.10.57 10.557 $52,200 WIC USDA NLS Amend 4 333.1057 10.557 $1,350 WIC USDA NLS Amend 10 333.10.57 10.557 $1,000 WIC USDA NLS Amend 11 333 10.57 10.557 $650 t55,200 W1C USDA NLS Amend 13 333.10.57 10.557 $13,050 W1C USDA NLS Amend 13 33310.57 10557 $333 WIC USDA NLS Amend 13 333.10.57 10.557 $450 WIC USDA NLS Amend 13 3331057 10557 $41,513 WIC USDA NLS Amend 14 333 1057 10557 $1,794 W1C USDA NLS Amend 16 333.1057 10557 $1,894 $59,039 WIC USDA NL5 Amend 13 333.1057 10557 $55,350 W1C USDA NLS Amend 14 3331057 10557 $3,075 W1C USDA NLS Amend I 6 333.\057 10557 17,575 W1C USDA NLS Amend 19 333.10.57 10.557 SI,430 WIC USDA NLS Amend 22 333.10.57 10.557 $735 WIC USDA NLS Amend 24 3331057 10557 $15,148 $83)63 WIC USDA NLS Amend 13 333.1057 10.557 $13,838 WIC USDA NLS Amend 14 333 10.57 10.557 $769 WEC USDA NLS Amend 16 333.10.57 10.557 11,894 WIC USDA Nl.S Amend 24 33310.57 10.557 $3,500 WIC USDA NLS Amend 26 3331057 10557 $69,375 WIC USDA NL5 Amend 27 333.10.57 10557 $7.500 WlC USDA NLS Amend 29 333 10.57 10.557 $1,600 $98,476 W1C USDA NLS Amend 26 33310.57 10557 $23,125 W1C USDA NLS Amend 27 333.10.57 10.557 $2,500 S25,625 $360,853 Swimming Beach I AR (ECY) Amend 15 3336647 66472 $4,219 Swimmmg Beach IAR (ECY) Amend 23 333.66.47 66.472 $4,000 $8,219 Swimmmg Beach IAR (ECY) Amend 27 3JJ6647 66472 S400 Swimming Beach TAR (ECY) Amend 31 333,66.47 66,471 $4,662 15,062 $13,281 Water Rec Beach LAR A..mend 2 3])6647 66472 $1,600 $1.600 Water Rec Beach IAR Amend 9 333.66.47 66.4 72 $2.400 Water Rec Beach IAR Amend 9 333.66.47 66.472 S5,000 Water Rec Beach IAR Amend 15 3336647 66472 $3,281 S10.681 $12,281 Drinking Wate, Group A - S3 Amend I 5 333.66.48 66468 $4,000 Drinking Wate, Group A - S5 Amend 27 3336648 66468 $1,000 [lrinking Wale. Group A - SS Amend 31 333.66.48 66.468 ($250) $4,750 Drmkmg W.,e, Group A - SS Amend 27 333.6648 66468 $1,000 $1,000 55,75Q lofr, EXHIBIT B-31 CDntract Nu.mber: C149511 Jeffenon CODnly Public llealth ALL.OCATlONS Datei March 15, ~1l11 CONTRACT TERM, 2(H)7.~Oll BARS Funding Cha rt of Revenue Period Accounts Chart of Accounts Prog..-am Titte Amendment Co<I.- CVDA" ArnCtunt Sub Total Total D,inking Water Group A - T A Amend 15 3336648 66 468 $3,000 Drinkmg Water Group A - T A Amend 24 333.66.48 66.468 $500 Drinking Water Group A. T A Amend 31 333.66.48 66.468 ($500) $3,00II Drinking Water Group A - T A Amend 27 3336648 66.468 11,000 1\,000 $4,000 EH Drinking Water SS 333.66.48 66.468 11,250 EH Drinking Water SS Amend 8 333.6648 66.468 (51,250) $0 EH Drinking Water SS Amend 8 333.66.48 66.468 55,000 $5,000 EH Drinking Water SS 333.6648 66.468 53,750 EH Drinkmg Water 55 Am<:nd 8 333.66.48 66.468 ($3.750) SO EH Drinking Water 55 Amend 13 333.66.48 66468 S5,500 EH Drinkmg Waler SS Amend 15 333.6648 66468 ($4,000) EH Dtinking Water 55 Amend 22 333.6648 66468 ($250) $1,250 $6,250 EH Drinking Water T A 333.66.48 66468 $2,000 EH Drinking Water T A Amend 5 333.66.48 66468 (11,500) (Comction to Amend 4 - Moved from EH - Drinking Water SS) EH D1inkmg Water T A Amend 8 333.6648 66.468 ($500) $0 EH Drinking Water T A Amend 8 3336648 66468 $6,500 EH Drinking Water T A Amend 13 33] 66.48 66.468 ($500) EH D1mking WaterTA Amend 15 333.6648 66.468 ($2,500) $3,500 EH Drinking Wate, T A 333.6648 66.468 $6,000 EH Drmking Water T A Amend 8 333 6648 66.468 ($6,000) $0 EH Drinking WaterTA Amend 13 333.66.48 66468 $4,000 EH Drinking Water T A Amend 15 333.6648 66.468 ($3,000) EH Drinking Water T A Amend 22 3D 66.48 66468 ($500) $500 $4,000 PHEPR - LHJ Funding Amend 18 333.90.69 93.069 $31 ,274 $3 1 ,274 PHEPR - LHJ Funding BY 1 0 Ext Amend 26 33390.69 93069 $41,441 $4\,441 $72,715 PliER HINI Pan Flu Focus I Amend 18 333.90.69 93.069 $12,500 PHER HINI Pan Flu Frn:us 1 Amend 19 333 9069 93 069 $18,559 $] 1 ,059 $3 1,059 PHER HINI Pan flu Focu.2 Amcnd 19 333.90.69 93 069 $l.233 $1,233 $1,233 PHER H! N J Pan flu Ph III Mass Vac Amend 20 3339069 93.069 $57,432 PHER H INl Pan flu Ph [II Ma.. Vac Amend 23 333.90.69 93.069 $70,000 $127,432 $127,432 FPRH TX RX Contr3<:eptiv", Amend 5 333.92.11 93.217 $600 $600 fPRH TX RX Contraceptives Amend 12 333.92.17 93.211 $1,000 $1.000 FPRH TX RX ContraceptIves Amend 21 333.92 17 93217 $1,000 $1,000 FPRH TX RX Contraceptives Amend 21 333.92.17 93.211 $500 ~-PRH TX RX Contraceptives Amend 24 333.92. 17 93.211 $5&0 51,0&0 $3,6&0 FPRH TX S P RX Contraceptives Amend 27 333.92.17 93.217 $1,080 $1,080 $1,080 FPRl! TX Con1inuation-Training Amend 21 333.9217 93217 $23,750 FPRH TX Conllnuation- Training Amend 27 333.9211 93.211 $1,000 $24,750 FPRH TX ContlT1uat~on-Trairling Amend 27 333.92.17 93.217 $27,004 FPEUi TX Conlinuation~ Training Amend 30 333.92.1 7 93217 $1,000 $2&,004 $52,754 FPRH TX Conllact. 333.9217 93.217 $2I,QOO fPfUi TX Contract' Amend 5 333.92.17 93217 $700 $22,100 FP RH TX Con tram Amend 5 3339217 93217 $21,000 FPRl f TX Conttam Amend 12 ]33.92.17 93217 $540 $21,540 FPRH TX Contract. Amend 13 333.92.17 93217 $18,664 FPRH TX Con"acls Amend 21 333.9217 93217 $373 $19,037 $62,677 FPRH TX Expansion Amend IZ 333.9217 93.217 $2,764 $2,764 FPRH TX ExpanSion Amend 13 333.92.17 93.217 $Z,7M $2,764 $5,528 UW Workforce Development YR9 Amend 13 ]3392.49 93.249 $1.090 $1,090 $1,090 AFIX Immun ConCon Fed Am.nd I 333.92.68 93.268 $9,389 $9,3&9 AF1X [mmun ConCon Fed Amend I 333 92.68 93.26& $9,389 $9,389 AFIX lmm"n ConCon Fed Amend 13 333.92.68 93.Z68 $9,353 $9)53 $28,l3l 2 or(~ EXHIBIT B-Jl Cllnfract Number~ C14950 Jeffenoon Counly P.Me Health ALLOCATIONS Date: March 15,20] 1 CONTRACT TERM: 2007-2011 BARS Funding Cha rl of Revenue Period Accounts Char. of AC:iCounts Program Titre. Amendment Cod.- CFDA-' Amonnt Sub Total Total Child Immun Activities Fed Amend21 333.92.68 93.268 $9,827 $9,827 Chlld [mmun Activities Fed Amend 27 3339268 93 268 $9,3J7 $9.337 $19,164 FA317 [mmon Admin Fed Amend 27 3J3 92.68 93 268 $2,066 $2,066 $2,066 F A31 7 Immon Con Con Fed 3339268 93 268 $4,159 f A31 7 Immun CanCan Fed Amend I 333.92.68 93.268 ($2,3 79) $1,7&0 F A31? Immun CanCan Fed 333.92.68 93.268 $4,159 f A31 7 lmmWl CanCon Fed Amend I 333.9268 93.268 ($2,3 79) $1,780 F A317 lmmun CanCan Fed Amend 13 33H2.68 93.268 $1,573 $1,573 FA317 ImmWl ConCan Fed Amend 21 333 .92.68 93.268 $U73 $1,573 $6,706 VFC hnmon CanCan Fed 333.92.68 93.268 $4,047 VFC Immun CanCon Fed Amend I 3339268 93268 ($3,815) $232 VFC Immun CanCan Fed 333.92.68 93.268 $4,047 VfC [mmun CanCan Fed Amend I 333.92.68 93.268 ($3,815) $232 VFC Imm.n Con Can Fed Amend 13 333926B 93268 $474 $474 $938 CDC Tobacco Prevention 333.92.83 93.283 $2,550 S2,55a CDC Tobacco Prevention Amend 3 3339283 93 283 ~,Ioo $5.100 CDC Tobacco Prevention YRS Amend 10 333.9283 93.283 $3,825 $3,825 CDC Tobacco Prevention YR.I Amend 16 333.92.83 93.283 $1,000 CIX Tobacco Prevention YRI Amend 16 3339283 93 283 $3,090 $4.090 CDC Tobacco Prevention YIU Amend 24 3J3.92.83 93.283 $4,090 $4,090 $19,655 PHEPR - LHJ Funding 3339283 93.283 $13,901 $13,901 PHEPR - LlU Fundmg Amend 5 333.928J 93.283 $5,442 PHEPR - LHJ Funding Amend 8 333.92.83 93.283 $12,699 $18.141 PHEPR - LHJ Funding Amend 12 333.92.83 93.283 $18,774 $18,774 $50,816 PHEPR.-Pandemic Influenza 333 9283 93.283 $10,986 $10,986 PHEPR-Pandemie Influen"" Amend 5 333.92.83 93.283 $4,020 PHEPR-Pandemie Influenza Amend 8 333.92.83 93.283 $9,381 $13.401 $24,387 PHEPR-Prog E Amend 3 333.92.83 93.283 $730 $730 $730 lICCW Inrant Toddler IAR 333.95.75 93.575 $5,761 $5,767 HCCW Infant Toddler [AR Amend 4 3339575 93575 $11,534 $11,534 HCCW Inrant Toddler IAR Amend 11 33395.75 93.575 $11,534 $11,534 HCCW [nrant Toddler IAR Amend 17 333.95.75 93.575 $11.660 $11,660 HCCW [nf.nt Toddler JAR Amend 25 33395.75 93.575 $8.230 $8,230 $48,725 PHl::PR HC Sy,tems - Prep Amend 12 3339889 93 B89 $1,800 $1,800 PHEPR HC Systems - Prep Amend 18 333.9889 93.889 $1,612 $1,612 PHEPR HC Systerm - Prep Amend 26 333.98.89 93.889 $1,710 $UIO $5,122 PHEPR. Hospital - Prep 3 n 98 89 93.889 $1.340 $\,340 PH EPR. Hospltal - Prep Amend 5 333.98.89 93.889 $2.000 ROOD $3,340 PHBG - LHD Amend 2 333.99.91 93991 $2,500 $2,500 $2,500 MCHBG CSHCN-Oulcomes Project Amend 26 3339994 93994 $565 $565 $565 MCHBG CSliCN Spec Prog Amend I 33 3.99.94 93.994 $iB.916 $18,916 MCHBG CSHCN Spec Prog Amend 5 3339994 93994 $25,221 MCIlBG CSHCN Spee Prog Amend 5 333.99.94 93.994 ($\8,916) $6,305 MCHBG CSHCN Spec Prog Amend I 333.99.94 93.994 $6,305 MCHBG CSHCN Spec Prog Amend 5 333.99.94 93.994 ($6,305) $0 $25,221 J or" EXIIIBIT 8-31 Contract Number: CI4950 Jerr..",n Cnunly Public Heallh AL.LOCA nONS Oale: M.rch 15,2011 CONTRACT TERM: 2007-2011 BARS Funding eha rt of Revenu.e Period AceD-uots Cha rt a-f AceD-ants Program Title Amendment Code:lr CFDA .. AmDuDC Sob Tntal Tolal MCHBG MCH ConCon Fed 3339994 93.994 $32,l80 $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 3339994 93.994 $28,990 $28,990 MCHBG MCH ConCon Fe<! Amend 12 333.99.94 93994 $38,653 $38,653 MCHBG MCH ConCon Fed Amend 12 333.99.94 93.994 $9,663 MCHBG MCH ConCon fed Amend 28 3339994 93.994 $28,990 $38,653 MCHBG MCH Con Con Fed Amend 28 333.99.94 93.994 $9,663 $9,663 $201,773 ARRA lHJ Billable ProJoct Amend 22 339.47.12 93.712 $175,000 $175,000 $175,000 ARRA Reaching Children & Adults Amend 22 339.47.12 93712 $1,397 $1,397 $1,397 Adult Viral Hepatitis Strategic Plan Amend \9 334.04.91 NIA $5,000 $5,000 $5,000 FPRH State Clinical-HP-Surg-Aud Amend 21 334.04.91 NIA $53,890 FpRH Slate Clinical-HP-Surg-Aud Amend 24 334.04.91 NIA ($4,59B) $49,292 FPRH State Clinical-HP-Surg-Aud Amend 27 3340491 NIA $20,791 $20,791 FPRH State Clmical-HP-Surg-Aud Amend 27 33404.91 NIA $36,3 16 $36,316 $106.399 FPRH State Contracts 334.0491 N/A $17,400 $!7,400 fPRH State Contracts Amend 3 334.049l NfA $17,400 $17,400 FpRH State Contracls Amend 5 33404.91 N/A $37,800 fpRH St.te Contracts Amend 10 3340491 WA $3.300 $41,1 00 FPRH State Contracts Amend 13 3340491 WA $24,683 $24,683 FPRH State Contracts Amend 13 334.04.91 NIA $24,683 $24,683 $125_266 FPRH State Enhanc.ment Amend) 6 334.0491 NIA $12,220 $12,220 $12,nO Gtoup B Systems Amrnd 1 334.04.91 NIA $3,000 Group B Systems Amend 2 334.04.91 NIA $3,015 Gtoup B Systems Amend 3 3340491 NIA $3,590 $9,605 Group B Systems Amend 5 334.04.91 NlA $6,875 $6,875 Gtoup B Systems Amend 10 33404.91 NIA $10,500 $10,500 $26,980 Olal Health St.te 334.04.91 N/A $4,500 $4,500 Oml H.alth Slate 334.0491 WA $9,000 $9,000 Oral Health State 334.04.91 WA $4,500 $4.500 Oral Health State Arn.nd 13 334.04.91 N/A $5,783 $5,7S3 Or.1 Health State Amend 13 3]40491 NIA $11,567 $11,567 Oral Health State Amend 13 334.04.91 NIA $5,784 Oral H.alth Stale Amend 25 334.04.91 NIA ($125) $5,659 $41,009 PH EPR - PandemIC tnfluo,,,a 334.04.91 NIA $5,083 $5,083 $5,083 Correction in Amendment tJ 1 of an addltton of ~g (prevlously $5,07:5) State HIV Prey Servlces Amend 29 3340491 NIA $4,766 $4,766 $4,766 Hepatitis C Awareness Amend 14 334.0492 NIA $8.500 $8,500 $8,500 Local Copacity Dev. Funds - GfS & HSA 334.04.92 NIA $19,142 $19,142 Local Capacity Dev. Funds - GFS & HSA 334.04.92 N/A $19,142 $19,142 Local Capacity Dev. Funds - GFS & HSA Amend 6 3340492 N/A $19,105 $19,105 Local Capacity Dev. Fund, - GFS & HSA Amend 6 334.04.92 WA $19,105 $19,105 Local Capacity Dev. Fonds - GFS & HSA Amend I 3 334.04.92 NlA $19,016 $19,016 Local Capacity Dev Funds - GfS & HSA Amend 1 3 334.04.92 NIA $19,016 Local Capacity Dev Funds - GFS & HSA Amend 21 3340492 NIA $37,920 Local CapacIty Dev. Funds - GFS & HSA Amend 27 334 04.92 NIA $18,966 $75,902 Local Capacity Dev. Fund, - GFS & HSA Amend 27 334.04.92 NIA $18.966 $18,966 $190) 78 Local Capacity HSA partn.rshlP Ame"d 3 334.04.92 NIA $2,550 $2,550 $2,550 <1of(, EXH18lT B-31 Contract Number; C14950 Jeffe",.. County I'ublic Health ALLOCATIONS Date: Mareh 15, ~Oll CONTRACT TERM: lOO7-l1l1 ] 8ARS funding Cha rt or Revenue I'erioo Accounts Chart of Accuunts Program Title Amendment Code* CfDA" Amount Sub Total Total Child Death Review (Proviso} Amend 12 3340493 NfA $750 $750 $750 DOH-3 Shellfish CWCN-ProylSo 334.04.93 NfA $1,400 $1,400 DOH-3 Shellfish CWCN-Prov;so 33404.93 NfA $2.800 DOH-3 Shellfish CNICN-Proviso Amend I 3 334.04.93 NlA ($2,800) $0 DOH-3 Shellfish CN/CN-Proviso Amend I 334.04.93 N/A $1,400 DOH-3 ShellfISh CN/eN-Proviso Amend 13 33404 93 NlA ($1,400) $0 DOH-3 Shellfish CN/CN-Proviso Amend 1 3 3340493 NlA $4,200 DOH-3 Shellfish CNfCN-Proviso Amend 1 5 334.04.93 NIA $800 $5,000 $6,4D0 DOH-6 PSAP Onsit. -Proviso Amend 6 334.0493 N/A $34,500 $34,500 DOH~ PSAI' On.ite -Proviso Amend 6 3340493 N/A $17,000 $17,000 $51,500 DOH-7 PSAP Onsite Sys Spt CN/eN-Provi. Amend 5 334.04.93 NlA $100,000 DOH-7 PSAp Onsile Sys Spt CN/CN-Provi. Amend 6 334.04.93 N/A ($100,000) $0 DOH-7 PSAP Onsile Sys Spt CNfCN-Provi, Amend 6 334.04.93 N/A $20,125 $20,125 DOH-7 PSAP On.ite Sys Spl CN/CN-Provi, Amend 6 334.04.93 N/A $8,500 $8,500 $28,625 DOH-7 PSAP Onsite Sys Spt eN/CN-ALEI Amend 6 334.04.93 NIA $19,875 $19,875 $19,875 FPRH Proviso Contracts Amend 5 3340493 N/A $19.800 $19,800 FPRH Proviso Contracts. Amend 10 33404.93 N/A $29,600 FPRH Prov,"" Conlract. Amend I 0 3340493 N/A $13,600 $43.200 FPRH ProVISO Contract. Amend 13 3340493 NfA $13,600 $13,600 $76,600 FPRH Stale Proviso Amend 24 334.04.93 NlA $16,662 $16,662 FPRH State Provi.so Amend 30 334.04.93 N/A $15,635 $1 5,635 $32,297 On S]to GfS Proviso Amend 2 334.04.93 N/A $31,000 $31,000 $31.000 Rec 5hellfishIBiotoxin (P5AA) Amend 17 3340493 N/A $6.400 Rec 5hellfishlBiotoxin (PSAA) Amend 19 33404.93 N/A ($1,400) $5,000 Rec ShellfishlBioloxln (PSAA) Amend 27 3340493 NfA $1,500 $1,500 $6.500 Small On-S'le LHJ Contract. Amend 16 33404.93 NfA $100,000 $100,000 $100,000 Youth Tobacco Prevenhon 33404.93 N/A $2,400 $2,400 Yout:h Tobacco Prevention Amend 3 334.04.93 N/A $4,100 $4,100 Youth Tobacco Prevention Amend 10 334.04.93 NlA $4,100 $4,100 Youth Tobacco Prevention Amend 16 334.04.93 N/A $8,200 $8,200 $18,BOO TPC Account 334.04.97 NtA $19,125 $19.125 TPC Account Amend 3 3340497 . N/A $)8,250 $38,2S0 TPC Accounl Amend 10 3340497 NtA $38,250 $38,250 TPC Account Amend 16 334.04.97 NfA $61,200 TPC Account Amend 24 334.0497 NfA ($4,590) TPC Account Amend 2S 334.0497 NfA ($17,675) $38,9]5 $1 34,560 Drinkmg Water Group A - SS Slate Amend 13 334.04.9B N/A $4,000 Drinking Water Graul' A - SS Slate Amend 27 33404.98 N/A $1,000 Drinking Water Group A - S5 State Amend 31 334.04.98 N/A ($250) $4,750 Dnnking Water Group A - 5S State Amend 27 334.04.98 N/A $1.000 $1,000 $5.750 EHP - Drinkmg Waler - SS State Amend 4 334.04.98 NIA $1,250 $1.250 EH P - Drlnkmg Water - SS Sl.te Amend 13 33404.98 N/A $3,750 EHp - Dnnking Water - 5S State Amend 13 33404.98 NIA $1,500 EHP - Dtinkmg Water - 55 State Amend 15 3340498 NIA ($4,000) EHP - Drinking Water - 55 State Amend 16 3340498 N/A $4,000 EHP - Drinking Water - 55 Stale Amend 22 33404.98 NIA ($250) $5_000 $6,250 ,"orfl Jefferson County Public: HeaJtb Cbart of Accounts Program Title Blue Ribbon Local Health Funds Blue Ribbon Local Health Funds Blue Ribbon Local Health Funds Blue Ribbon locaL Health Funds TOTA.L EXHIBIT B-3 I ALLOCAT]ONS CONTRACT TERM: 200nOII BARS Revenue Amendment Code' CFDA" Amend 7 334.04.99 N/A Amend I 3 334.04.99 NIA Amend 21 33404.99 NIA Amend 27 334.04.99 NIA Total consideraUon prior to this amendment: Chooge in considerattort in: thi!l. amendment: GRAND TOTAL $2,813,]98 $3,827 $2,8] 7,025 ~fooeral revenue codes begin with "333" State revenue codes begin with ~334". U Catalog Df Federel Domestll:: As5~5tance Clore, Contract Number: C 14950 OaC.: March IS, 2011 Funding Chart of Per~od AccDDnts Amo-unt Sub Total Total $103,008 $103,008 $102,90 I $L 02,901 $82,097 $81,859 $163,956 $369,865 $2,811.025 $2,817,025 GRAND TOTAL $2,817,025 Total Fed $1,400,] 02 Total Sta,e SI,416,923