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HomeMy WebLinkAbout121712_ca08CansLnc Agenda Y44~,~~ ~~R J~~~~~s~r~ ~~u~T~ Pu~~,~c HE~~r~ ~~ n Strut a Part T wn n a UV in o E„~„ 615 Sher~cia v se d ash gtan 98388 www.jef#ersoncoun typublicF~€alth. org November I3, 201 Z ]EFFER5C}~ CC1U'NTY ~~AR[? [3F C~U~~ C~7I'~~-IISSIt>1NER~ A~CEiNDA REQUEST TU: Baird of ~aun~yr G~mrrrissic~~~ers PhiCp Morley, County Adrr~i~nstratvr 'ERQM: Jean Baldwin, Directer DATE: 5UB3ECT: Agenda Item -Agency Agreement -Division of Behaviflral Health and Recovery with DSHS, Amendment #3, November 1, 2812 -June 34, 2D13; move rernaJning funds from FY12 to FY13 S~'A~'EME!N~ [)F ISSUE: Jefferson County Public Health is req~Laesting Board approval of the Agency Agreement - [3ivision of Behavioral l-lealth and Recovery w[th QSE~S, A~mendrT~~erat #3, November ~, 201 ~- June 30, Zf713; nave remaining fonds from FY12 to FYI.3 ANpLYSI5JS7~IT~G~~ G[?A~SIPR~'S and ~C)M''~. This amendment waves remaining i=iri2 SAPT Prevention and~ar FY12 SHPT Community Prevention Training Funds to F1r~.3. IFISCAL INIIIsACT COST BIiNEFT~' A,NALY~IS: l"his contract is funded by the Department of Social and Health Services, Division of Behavioral Health and Recovery. REC(3MMENDATI~7N: J~PH management request approval of the Agency Agreement -Division of Behavioral Healti~ and Recovery with DSFiS, Amendment #3, November 1, 2012 -~ June 39, 2013; move remaining funds from FY1~ to 1-Y13 REVIE'V~I'Ea BY: Philip Orley, C Administr E't~L- Date COMMUNITY HEALTH ~UBL~C HEALTH ENVIftC}NMENTAL HEALTH flEVEI.c7PMENTAL. f]ISABILITIES WATER QUALITY MAIN: (3~(1) 385-944Q ~l'WAYS ~IVt1RKING F4R A SA#€R AND MAIN: (364J 385-9444 FAX: {360) 385-9443 HEALTHIER CH1HMl~HITY FAX: X364) 379-44$7 DSHS C(7I`>iT'~2ACT NUMBER C+QNTR~1~`~ A~NIEhID~"iENT 1163-27310 (] rwsh n8r n sta r~ ~` ~ ,;~L nRn,~~yytvYH lTH Amendment €~Eo. 43 5 CRV YL FS _~ -----~~ r'ro~ram Contract NnnSb€;c This Contract Arrsendrrtent is between fhe State of Washington [department of 5ociai and Heakth Services ([~Si~S) and the Contractor identit'ied below. Ccntractmr Contract Number GpIVTRAGTpR NA6v6E Cf]NTRACT{)R doing Ysustness as (r7BA} Jeffersfln Csaurlty - CQhTRACTC}R AC1~DkRE55 WASNINCTQN P9NIt'[~Rlvl BUSlIVESS C75HS INbEx NUIv18ER VQENTIF6F=R {t1Bl} 615 Sheridan St 161-041-169 1223 fork Townsend, UVA 98365- -_ Gpr'tTRACTp4~ CflNTAGT Ct7VJTRACTQR TELEPt't(]Nt~ GC3NTRACTC?R F,AX CpI~tTRACTGFE E-Cs+IA1L Af~E"3}~IvSw ,lukia []anskin 360 385-9420 _ 360 385-9401 danskin co.~efferson.wa.us L?SH5 AJMVN9STRATIf}N _ t}SHS [3VVIS1~?N D5l15 CC]N7RACT CrJL7E Aging and f~isabilify Services P,dministration ©ivis~ n of Behavioral Health 1611CSfi3 DSYiS CiJNTACT Iti Harvey ~t~nai Administrator us9~s GC7NTAGT ~ {2063 272-2156 lS ~F#E CbNTRRC Y and ecover AIdQ TVTLE Q5H5 Cpt~TACT A[~1~RESS 400 Mercer Street, 59aite 644 Beattie, WA 98109 ;I-9at~~ 9~SHS Ct3NTAGT PAx - f206} 298-4443 BTAF~T'f}A 11f4112012 PRIC7R N1A}(9t' $78,430.40 n.ot~R~ss wa.oov 061301249 3 AMC]1JNT pF INCREASE C]R DECREASta '1'pTAL MAX3tvlUt~l CpNTRACT $4.00 $78,430.04 F2EASUN PpR A~+tEN[7MEN 9 ;. cHAlv~~ r~R GC3I~RECT orxk=~: s~~ PA~~ T~N~ - ATTAC~3UVEt+1TS. 1Nhen the box beiow 9s marked wlth an X, the folkowing Exhibits are attached and are incorporated into this Contract Amendment by reference: This Cantr~act p,n-"snits {s ecif }: (Exhibit A, Award & Revena~es __. dment, including aki Exhiiaits and other dflcuments incorporated by reference, contains ali of the terms and conditions agreed upon by the parties as changes to the arig9nai Contract. No other 9anderstandings or representations, oraC or otherwise regarding the subject matter of this Contract Amendment shall he deemed to exist or bind the parties. Al[ other terms and conditions of the original' Contract remain in fulk force and effect. The parties signing below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contraot Amendment, - rnr.irR~l":TC?R SlitiI~TURC PRINT[=1} NAP~1E ANI7-1911 E ^ATE SIGNEC7 ;z~ I]S9~iS C~.nrra9 Contract S~r~ices 6G7.~t'1- Contract Amendment {3-37.46p PJT PpR PIJRPC75ES r7P TH1S CpiVTRACT? CFDA NUIN~Et~S 93.959 .~ CONTRACT ENQ I7ATt< PRINTED NAME AND T9TLE Eric Crawford, Senior Contracts ~pprc~V~d ,a~ t ~~a~ nt~~y: ~ ~. 1ef~'ersart ~o. I'rn~ta~;rrtrst~ ~ - f'~fi DF,TE 5`GNE?~ P€3ne 1 This Contract between the State of Washington Department of Social and Health Services (DENS) and the Cc~ntraotar is hereby amended as follows: The purpose of this amendment is to move remaining FY 12 SAf'T Prevention andfor ~Y 12 SAPT Community Prevention Training funds to 1=Y 13, effective July 1, 2412. The above-mentioned fund amounts are identified on the attached Award. and Revenues page, ~xh4bit A. The maximum consideration of the contract remains the same, as ldentifsed on page one. All other terms and conditions of this Contract remain in full force and effect. bSriS Central Cor~tr~ct Sr<r~~ices Page 2 6424PF Car~tract Amendment (3-31-~6) Exhit~iR A AWARD AID REV~IVD~S 2f}11-2D13 Biennium eouNTY Jeffet"sarr (Preventicsn) PROGRAM gGFtEEMENT NUMBER 11fi3-27'3~1a The above named Caunty(iesj, is hereby awarded the falPGwing amaunts far the purposes listed. REVENUE TYpE C)F SERVICE AWAR® AMC]17NT5 SaURCE CCD~E; Biennial Total 12_x,3. SFl! 12 5FY 13 Funds Biennium 5APT Grant-in-Aid $35,647 $43,823 $15,44 333.69.59 S~ Sa $0 SAPTfiase _ _ ~-- $3D,225 $40,ZI8 $7U,~3Q Prevention __. ~ -~-- CorrprnunityPrevention Training _~__ t.39.~ _ ~ - -- - --- ._ S3,f08 __ - - _ -- --- ._._ _ .$5,U(7U_ 334.fik4.6x State Grant-in-Aid $~ 5(? $4 50 $0 5~ Slate GtA Arlrninistratron Criminal Justice Treatment Account $4 $0 $4 334.tt4.~x 33A.U4.bx [?rug C®urt -State Funds ~4 $4 $4 STATE - 5pEC9AL PiZ~JECTS $4 $4 $0 334.D4.bx TAlVF Freatrraent Services --------- $0 $[7 ~'~ SQ ~~ 5~ 33a.aa,fix CA Parents in ReGn+fiCation -- -- --_ - . -- .. -- ---- - XEL3ERAl. GRANTS $4 $4 $3,444 $3,000 TXiX -Fed tNaiverfor DL andaDATSA Clients QIVI.Y $Q $0 5J 333.97,78 iC Preweration Enhaneerrrent (SPEf Strate $3,OtJ0 S3,t7~L~ 333.92.83 y $35,647 $43,$23 $3.,404 $78,434 Tnta4 Fede ral funds $0 $0 $4 Total State Funds T~TA~. AEI. AwAI~aS $~~,~a~ $a3,s23 _ ~~,~~~ S~s,~3a Federal' CFDA: SHPT Grant-in-Aid -CFA 93.959 Sut~stance Al3use and FVtental~ Health Services Administration (SAMHSAj Title xlx - CFDA 93,718 ,Strategic Prevention Enhancement - CFF]A 93.243 ~~un[y Participation match prt~grarns inciucle State Grant-in-Aid, federal SAPT Crant-in-Aid, Txlx Fed Wvr and CJTA. 20k1-k3 J~ffer~~n Arr~en[i' 3