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HomeMy WebLinkAbout051313_ca02ca ~~~~~;r ,.y -~EFFEII.S[3N ~[JUNT`Y ~UBLI~ ~ALTI-I k -,,. RSti,H~~° 615 Sheridan Street o Port Townsend o Washington o 98368 www.i of f e r~o n co u ntypu b I i cheai t h. o rg Consent A;end~ ]EFFERS~]~V ~QUIVTY BEAR[] ~~ C~3L~~ITY C+QI~MISSIC~~N~RS ACE~VDA REQUEST T43: Eidaard t~f Caa~ty Cc~n~9mtssioners p1hiilip ~©rfley, CQUni~ A+dmin~tratar ~R[]NI: Jean ~ald~win, Director April Il8, 2413 S1U~.]ECT: Agenda Item -Agency Agreement -Division of ~ehaviorai Health and Recovery with DSHS, Arnendrnent #4, April 1, 2013 -June 30, 2013; reduced icy .~~~~ total $7'7,sa~ T~TEn-~E~T U~ ~sStiE: JefFerson County Public Health is requesting Board approval of the Agency Agreement -Division of Behavioral Health and Recovery with DSHS, Amendment #4, April 1, 2013 -June 30, 201.3; reduced by $525 total $~~,8OS A~NAl.YSISISTIi~AT~GI GUALS_,~PRU'S ar~c~ CUM'S: This amendment represents sequestration cuts. The current budget for this program reflects sufficient funds to cover health care costs through the end of this contract period. FI C14L, ~~I~AL~` OUST BENEFIT ANAILYSS. This contract is funded by the Department of Social and Health Segvices, Division of Behavioral Hea#th and Recovery. RI~C~Q3~N1'EN QATLUN: JCPH~ management rectuest approval of the Agency Agreement -Division of Behavioral Health and Recovery with DSHS, Amendment #~, Apri'I 1, 2013 -June 30, '2(}13; seduced by $525 fatal X77,805 REVLEE^ 6Y: ~• - -, _, -, ,.- ,o.' ~ ~-~ i` 'P ~p l~lvri~y, o ty_~dmi- ' tratar Date ,r DBE ~L(JPMENTAAf]ISABII ITIFS PUBLIC HEALTH ENVIR{}hIMIEN'FAL HEAL i 11 fV1AIM: (35fl) 3$5-34~JU ALYMfAYS WP(~RF(IiMG F4R A SAFER ~'a~36 WATER Ql1ALIT'r h~AIfV: (354) 385-944a FAX: (366j 385-94U1 HEALi'HfiER COlY1~IIlUHIT1r FAX: (~5Q} ~~~-aas~ - ^s~ls car~TRACT ~vuM~~R: CONTRACT A,M~NDM~NT 11s3-~~~~~ ~Wasirrn ia~a 5tafc 7~EPA R'I'I~£NT OF SUC.~ SEkV CE~STH Amendment !~+ICS. (34 This Contract Amendment is between the State of Washington Department of I:'rogram Contract Number Social and 'Health Services (l~SHS} and the Contractor identified below. - Contractor Contract Number - CC?NTRACTOR daing business as {DBA) CONTRACTOR NAA/lf= Jefferson Count _ CONTRACTOR ADDRESS NfASFtINGTUN UNIFORM BUSINESS DSFIS INDEX NUMBER 1DENTII=IER (OBI} 815 Sheridan St l~ortTownsend, WA 98368- 181-001-189 1223 CONTRACTOR CONTACT CONTRACTOR TELEPIiONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS Julia ~!anskn 38{3 385-942® 380 388-94(}1. danskin co. efferson.wa,us DSI-IS ADMINISTRATION t3SHS DIVISION DSIiS CONTRACT CODE Aging and Disabi9ity Services Administration Division of Behavioral Health ~ 1811CS-63 and f;eeave DSIiS CONTACT NAME AND TITLE DSI~S CONTACT ADDRESS Steve Smothers 450(3 1 Dth Avenue S Prevention Services t_ead Lace :VILA 985{33 - DSFiS CONTACT T'ELEP~iONE D5F9'S CONTACT FAx DSHS CONTACT E-MAIL ADDRESS 380 7'25-3767 36{3 438°81157 smathsuv dshs,wa. ov IS TFiE CONTRACTOR A SUBRECIPIENT FUR P URPOSES i]F T4iIS CONTRACT? CFI]A NUIUIBERS YeS 93.959 AMENDMENT START DATE CONTRACT END DATE 04101/2013 1J8f30121~13 PRIOR MAx1MUM CONTRACT AMOUNT AMOUNT OF INCREASE OR DECREASE TOTAL [MAXIMUM CONTRACT AMOUNT ~7s,43o.cao ~-e2~.oa ~77,sa5.o~ REASON FOR AMENDMENT, CFiAh1G~ C}R CC]RR~GT DTH~R: 5~~ 1'AG~ T~+'VC~ - ,4TTACFIM~NTS. When the box below is marked with an X, the following exhibits are attached and are incorporated into this Contract Amendment by reference: Additiana! Exhitaits s eci :Exhibit A, Award & Revenues This !Contract Amendment, Including all laxhibits and ether documents incorporated by reference, contains ail of the terms and conditions agreed upon by the parties as changes to the original Contract. No other understandings or representations, oral or otherwise, regarding the subject matter of this Contract Amendment shall be deemed to exist or bind. the parties. A!l other terms and conditions of the original Contract remain in full force and effect. The parties signing below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract Amendment. _ - CUMTRACTC]R SIGNATURE PRINTED NAME ANC? TITLE DATE SIGNED DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED ~I Pr~ic Crawfoxd, Senior Contracts Mann er DSNS Central C©ntract Seruices 8024PF Contract Amendment {3-31-f16} A~aprav~~l .tt-~ ~'~~ ~1 .s ..-~1 ,- ,_, e ~, ~ .iiBtf:~T~0i'r ~0. ~'TQSeCUtoT's~1C~ Page 'I This Contract between ttae State of Washington department of Social and Health Seruiees {4~5HS} and the Contractor is'hereby amended as foilflws; The purpose of this amendment is to decrease SFY 2013 SAPT G1A funds. 2. The funding. source amount is indicated an the attached Award & Revenues page,. Exhibit A, which re~piaces the previous one. 3~ The maximum consideration is decreased by $525 to $7"x,805. All other teams and conditions of this Contract remain in full farce and effect. i]SH5 Central Contract Services 'Page ~ fit724PF Contract Amendment (3-3'9-O~i~ Exhibit A ZQ1~.-2Q13 Biennium CE7l1NTY Jefferson [Prevention PRC7GRAM AGREEMENT Nt1MQER 1163-27310 The above named County{fes), rs hereby awarded the fQNawing amocants j~vr the purposes listed. REVENUE SCIURCE T1fPE QF 5EliVlCE CUDE: 333.99.59 SHPT Grant-in-Aid SRPr Base Pre uentron SFY 12 $31,b07 $R AVUAR[7 AMOUNTS 5FY 13 .Biennial Funds $43,198 _ $Q $39,59(1 7ntal 11-13 Community Prevention 7'rai+~ing $3, &~38 Biennium $74,€ifl5 _ _ SD $69, S(15 $5,+?~Q(7 334,Q4.6X State Grant-in-Aid $Q $Q $Q State C;fA Rcfmnistratron ~(3 ~Q ~~ 334.p4.6x Criiminal Se~stite Treatrxlent Atte7unt $Q $p $Q 33a.oa.fix Urug Court ,State Finds $a ~~ SO STATE w SPEClAl. PROJECTS $Q $Q $© 334;44.6M 7'ANFT°reafinentServrces _ ~Q _ ~ -- $Q _--- --- -.- ~~ 6Y{ CA Parents in i~euniflcation ~ ~ 334 Q4 ~t1 $p -- -.....-- _-~_-- SO . . ~- - FE~ERAC GRANTS $(y $Q $3,OQU $3,E1[1Q 333.97.18 7'XIX-fed UVaiver far d7C and ADRTSR clients UNLY $Q $~- -- -- _-- ._ ~4 - 333.92,43 Strategic Prevention Enhancement (5PEf - _ _--- 3; 091 ~ ---- _-- $3,l?~b0 - Total Federa! Funds $31.,6[]7 $43,198 $3,OpQ $77,8+)5 T~ta! State Funds $Q $Q $Q TaTAL ALL AWAfti]S $31,607 $43.19$ $3,000 $77,805 Federal CFi3A: SAPT grant-in-Aid -CF!}A 93.959 Suhstante Abuse and IViental Health Services Administration (5AlVlFISA~ Title x!X - CFf3A 93.778 , Strategic Prevention Enhancement - CFDA 93,.243 County participation match programs include State Grant-in-Aid, Federal SAPT Grant-in-Aid, TX33C Fed Wvr and CJTA. 21111-13 Jefferson Amend 4 ~dNYRQ~~ Q~E~~~EN~ J~~, ~ ;^w shr gr s ``rare J RI ~ ~)~k'AHTh3~"h9-1' U~ SC7Cf SC~V iC FS ~H This Contract Amendment os t~etween the State of Washington l~epartmen# of Sociai and Health Services {DENS} and the Contraett?r identified below. DSl-1S CQNTPACT NUf1lti- 1103-27310 r'lmendment No. 43 Program Gantraci Number CoratractQr Gon4ract Nvm~er ding business as (q8~1] ,feffErsUr e 615 Sheridan St Pod Townsend, WA 98368- IDENTIFIER ~UBI) 161-441-169 3GS~NE55 DSHS :ACTgF2 TELEPHONE CE]NTRAGTL~R FRX .3u1ia Danskin ~vu 385-942© 3_60} 385-9441 gSHS DI~~ISICJN DSHS ADMINISTRRTIC7N Aging and Disability Services Administratian I a~ndsReeov~ yha~ioral Health AG7 NRME AND Tl Harvey Funal Administrator X206} 272-2156 75 THE CrJNTR+aCTOR R SU~REGIPIENT FOR 93.359 1223 CONK~3ACTQR E-MAIL-MAIL RCJQREBS danskin a co.~efferson,~va.us DSHS CC]NTRACT CEDE 1611 CS-63 D5k'.~ vC!'ti I;1CT E-Iw9AIL. R[~DRESS Narvev. FL,nai(c~7,dshs.~va.pov ~ CpNTRAC7 E{V~1 DATA A949EMr3#VlENT START MATE 1114112412 40130/2413 f'RE4ft MRX![31IUt~+Y CGNTRACT AMQUNT r"+M{3UNT of INCREASE QR q~GREASE T~7~RL MAXii~~tl1M CC]NTRRGT AP~IOU'NT $4.44 $78,434..40 $78,430.44 REAS£7N FDR At+~YENt7MENT; C~tANS~ CR GdRR~CT C}THEF2: St<~ PACE TWD RTTACF~M~~TS, When the box below is marked with an K, the fo!lo~r~ing Pxhibits are attackaed and are incorporated into this Contract Amendrrlent by reference: Addttiana! Exhibl#s (specif y: ~xhibi# A, Av~ard & f~evenues __ Yhis Contract Amendr~tent, including aEl ~xhibits and other dacurnents uncorporated by reference. contains aii of the terms and conditions agreed upon by the parties as changes to the original Contract. No other understandings or representations,. oral or otherwise, regarding the sub~ec# matter of this Contract Amendment shall be deemed to exist or bind the padkes. AI! other terms and conditions of the original Contract remain in ful! force anti effect. The parties signing t~elow warrant tha# they have read and understand this Contract Amendment, and have authority to enter into this Contract Amendment. Dr;TE SIGNP<i JTi'::',~.'i!?h' SIC~R]r,TU ,F Ff',9NTED NAMC AND TITLE r:~ a DSHS SI~tLt~rt ~'rT~-' DS',-~S Central Ct3~ltract Serwctis f,1~4PF Gontracl Rrz7etrdr°te^t {~-31-~61 gSHS CC3NTAGT AI~tiRE55 444 Mercer Street, Suite 604 Seattle, WA 98109 D5FV5 CGNTACT FF,x X06} 2984443 _ 3RPDSES C7F TH65 CC.~NTFZ4CT?' ~ CFC?R cur}. - PR9N7tr.[7 NP.fi~7E AND TITLE Eric Cra~v=ard, Senior Contracts 1!~9anager ~,ppr~v~d as t~ ~~rm. r~~iy. ~ ~ ~ ~ ~~ !~ ~ ~i ~ '~ ill ,~ ~' ~ f ~` "- 3r;~'fr<r~€1n ~`r~~ ~f~~e~.><1t:f'~ ~ ~fFic;r Pagt~ 1 This Contract between the State of 1Nashngton Department of Sociai and Neaith Services jI~S'HS) and the Ccs~tractor is hereby amended as follows: ~. The purpose of this amendment is to move remaining Fy' t2 SAPT Prevention andlor i"Y 72 SHPT Community Prevention Trainsng funds to FY 13, effective July t , 2[}1 ~. ~. The above-mentioned fund amounts are identified on the attached Award and Revenues page, Exhibit A. The maximum consideration of the contract remains the same, as identified on page one. All other terms and conditiar~s cif this Contract remain in full force and effect. wage z C]SNS Cen€sa€ Gcrnteact Services GC7Z4PF Gontrac€ Amendinen€ 13-31-~8j exhibit A AWARfl RNA REVi=N'LJES 2011-2013 Bi+~rarliurn CC?11C+1TY le~ersrrn (preaer7tion~ PROGRAM AGREEMENT NUM[~ER 1.163°273~0~ The obov€! rrarraed County{;es), is hereby awarded the f®fra~'+n9 F~aur~[s jar the purposes fisted. REVENUE A1NARf] AFViatJNTS TYPE C]F SERVICE _ 5i7L1 RC£ CC3[3E: Bienniat 5FY 12 5F4' 13 FuntJs $37 607 $43 823 3 33.99.59 33a.oa.~x 33a.o4.sx 33a.oa.~x 3~a.oa.~x 33a.E94.5x 333.97.7EP 333.92,43 SAPT Grant°'in-A+d ~~ $0. SAPTt3ase ~~~~-- $317,275 $4p,235 prevention ~- ti+an T ' - -_ X1,392 . $3,6x78 _ om- _. ?1en Comrr~u~~ _~ State GrarGt-in-Aid $Q ~© trrrtiar+ i i 5~ SQ ~-_-- _ n s State C~lA Adrn -_~-~ ~~J-_~ _-- ----__-, _.._. Criminal' Justice Treatrr~ent Account $0 $0 [}rug Caurtt -Stair' Funds $a Sa STATE - SPECIAL PROJECT5 $0 $0 $Q $0 TATVF Treatment Services ._-._-- - - $o sQ _ CA Parents in i~eun+fecation -- --- __-._. -- -- ...- -- FEi]fRRLGRANTS $0 $0 $3,000 TXIX•Fe~ Waiver for pL andA~?ATSA clients ~NlY _- _..~~~ __ $4 _..--_ $trfdt@~iC Preverdtion ~n.flRnCef7tent (SPEf $3,CJOL~ .-.. ~-- -. Total 13-13 Bienniurrt $75,430 $4 __-... -------- $Id,~-317 - -- -_~~ SOD $t] 5C3 $Q SQ $n SCt $0 $3,004 $0 $3,+J{7G Total Federal Funds $31.607 $43,823 $3,000 $78,43D $0 $0 50 Total State Funds 3'£3TAL ALI. AWARDS $31,6(J7 $43,$23 $3,000 $78,43U Federal CFDA: SHPT (rant-in•Aid -CFt~A 93.959 Substance Abuse and kUlental Health Services Adrninistrativn {SAMFiSA} Title 7(i}t - rvFt7A 93.778 , Strategic Preventit~n Enhancerr~ent • CFDA 93.243 County participation match programs i~-~clu[Je State Grant•in-AiCf, Federal SAPT C;rar~t-in•Aid, 7~Ik Fed 1Nvr and GTA- 2011-13 leffersr~r: Amend :i l~la.. ~.r~,~~~a~~r rv~,+rn~~R: '~ YVushanggi~R Smtr i]r.PARTN1F.a~A"Y [JF Arnendrt~enf r'JC7. ~~ ~apCl S~VIiESTF1. t~rt7i~rdfY1 CL';1~~~G ~Un1 X16! t Arriendr~nent is betv~r:e~ fhe Stafe of FlVasf~inc~tor ~eparfrne:rit`t~f Tfti~ Contrac alth Srrrvir~s (QSHS} and' ~e Canfraetor iderttlfed b'elvw. C~~ttractof GontraGt Nurrabar SDGial at~d He . GC]hiTRA,C"CCrR ~Qiri~ pW~iress as {OBA} CC7IJT~AC`C~ Jefferson Co~>'s't?] 'W,4SHlNG7Qt~ ~N61=~}Rtvl BtfSIh3E~S. RSH~a 3t"1r3~ E~lltvt~~~t ON7RA~TQR~,i7i~RE~ C iI7.~N71F:ESFt {E}st~ ~t~ 5`reridart St 161-(~E~.1-'159 1~~3 Part TavvnSEnd, VI€'r`~ 9:868^ `~ACT Gt3I~3'f`F?A~7C?R `fELfAPF6t•3N~ GA~S~"~6tCTt1~2 FCC C9filT~AGTC7~t Im-~t1A4r~ A;1:7~RESS ' ' ~R CCSr~I it~AC~ CQ]N fears ~aid~ivin 3~i0 3~5-9408 ~4) 385:94f~i ~baldwin@cr~."etters~in.vva.us ' , f CCZt7Ev C7SH5 p,C3'~Ihfl571~7`IO~I t]'a^}-i5 QI1r9510N t~SFiS CDN i RAC ~:~avicrai f-i~altt ~~'31 ~~-~~3 s isa~ility Services Adrnir~istr~tion d f ~~d ~~~ve ~ Aging ~E3 . i3S}tS Ct7Nl'A~`t':NPir+iE~ ANO7i~~ ..._~ r3Sk~5 CCtt~t.ACT AU:n£3~55 _~.~ Narvey Feat 4~0 tUlercer Street, Strife 6t1i3 Rdrninistratoi' Seatile, ~111A 88' _._ C75~i5 GC3N7AC7 7Ef.~r~HC7N~ L7SN5 C~NTAC7 F,AX L}Si~5 CpNT~C7 E~~~RtL ACt~Ft~~:S (206} 298-43 Harvev:Fur€~i dstls.wa.gav ._.. r ._~_~ ..._~ 2Q6 2:7~-2'150 15 ~FEEn C~hETFt#h~7(3R A:Si~l3€~~GiP6CNF FL7~ r'~~P`~35~5 C]r 7Hfs CQN7I~ACT7 CFQA ~iLIM~ERS . .93.359 --- -- Yes ~~~iv~~~ ~~~t~~ r~~~ta C~3~C~RRC7 Et~D ~-~~~ 07lOtl~C}12 06f30l2t}13 __.~.~ ` " ' PRICJR F1Eft~{1NtUM ~OtJ'I~RAC`T ,4~+Et7'UI f Cpl=~f~E~$E TO~ AL I'11A?F1hit~}dvl CQ1~3TF7A1~ !` Afv~C3LF+~T ANEQfJNT CtF IMfL'9~SE.{7~ ~7f3 ~a0:G(7 'IO OtfQ (] ~58,G3{3.€JO , ~ , Q . ~ilFF+S~N IF{3ftA~+~EN~IVSEt~T, CHANCaE CSR CGRI~FC7 GFi®C3SF ~f+1F; ~~ ~~~~~~f=~~~' `4Nl'teil tfle ~a0?C f7eiow IS rrkatker~ wEtl~ an ~i, the ~{)~ldWfllc~ ~xhEbEts are .attBCf~G'd r7i~lC~ aCe Er~cc~rpc~rafed fr~t'3 this Contract As~ek~drxtent by re€erence: ~;gfdltsOrlai EXhlbkt5 (S~eGE }: ~xhEf~Et A, Award 8, Revenues 7h3s ~{7Cifr3Ct Arner~dmenf, €f~GIU[~Ir1~ ail ~xh9blfs $n~{ C3t~er Cit]GUT1'kE'tTfS rnc~orporated ~?~! reference, C[}f1t~IT1S cl~i ~# t~1E3 tE'Cri75 acrd GD{tttiflt?C1S agreed upon r5)1 t11e ~artTE$ a5 changes fa fhe Pr3~lrial COntract. l~if7 c~tf~eC N.lf}C'~EI'5tdilCflCSI~S Or Ce~rES€rkt~tlbnS, oral IIr E?thFwf4YISE', reg3Cdirtg the St1bj2Ct matter 4~ ff~is Contracf >a,rnendrnent Shall faE C1~E?Ctl~fi' tCJ BXtSt'4T ' T~e parties signing bind the parties. Ail ether terms arld conditions of fhe original Contract remain it full force and effect. have read antl understand fhi5 Contract ArrkertdrrEer~t„ aril have authprity to enter rota this Cor~tra~:t t that the y below warran J4CnE'rl{irRer3t. I~RINTED NAMk: ANr3 I i7L~ ^ri s ~ ::•'Gi+t~~J C09V~'RAG'E`C7k=2 SkG iU~E Y ~ I' ~ ~ t__ ~ ~ k1 C . ~ ._~ i ~ r,,,lt ;~~1-~ ~ as~is S3~ }i7 ER F'F~1HT~t1 ~~~ ~-v~ 7k7L~ err"-;7~ skc~~i~ `3 ,. -gib / ErEC Cra~,vfo d, 5enror Carllracts P,~~rtar rC ! .~(~ - f ~~- l____..___- ' - ~ 1 A.p~ar~~v~ as ~~rrn ~ri~ye P c r33^:tFaCd SBivIC45 `-•x~~4L.'~~,y~; ,~.. ~~L.-v`f ~-'~"~. ~d~P. 1 CI,,FiS Cer?,ral C ---- E~(32'F L:ont;act?,mesadmenti3.3t-~J ,~@~4t4~9h ~Ft; irt1~P,::i3gnrx5 t4'f" ~._~_ _~~~~.~~ ~- - - - ~ S GQi~TRACT NdJMB'ER: ~pN~RAC~ ~41ViENDIVIE~T 1 ~~3-2a31~ I~~~s~z'rt~~IOVS6'gC7~ 7i / E'~I sERV ~T`~ An~endrnent ~Jc~. 02 II • ! _ __ This Contract Amendment is between the State of Washington Departl~ent of Program GantraCt Number Social and 'Heal'th Services (pSHS) and the Contractor identified below, Contractar Caatract Nurriber CONTRAGTOR NAME CDNTRAGTC)R doing business ~s {DBA} - - Jeffetscn Cvut~ty I WASHINGTC}N UNIF~?RM BUSI¢VESS DSHS INE]1rX NUMBER CL7NTRACT~YR ADDRESS ' 14}ENTIFtER (U B3} 615 Slteridari St 1B1-Q41-169 1223 tort Townsend, INA 9$36$- GC3NTRACTG]R CONTACT CC7NTRACT(3R TELEPHC3Ntw CONTRACTC}Ft FAX CC3NTRACTQR E-MAIL AQf]t~I~SS Jean Baldwin 36f3 385-9408 36+J} 385-9441 'baldwin co.~efferson.wa,us C3SH5 ~,r7MINISTRATIC?N DSHS diVISION DShtS CONTRACT CODE. Aging and~'Disability Services Administration t~ivision of Behavioral Health 1fi11CS-63 and Recove _ DSHS CQNTACT NAh~ta ANQ TITLE DSHS CC)NTAC~' ADDRESS Harvey ~unai 400 Mercer Street, Suite 696 Administrator Seattle, WA 98109 _- 'QSFtS GONTAC7 TELEPFioNE DSHS CbNTAC~' FAX QSI~iS CC?NTACT E-MAIL At7~RES5 (246 2a2-2156 206 298-4443 Hanre .Fungi dshs.wa. ov IS T}~E Cf~NTRACTbR A S'UBRI=CIPIENT FoR PURPQSES O'F TFtIS C(aNTRACT7 CFDA NUMBERS Yes _ 93.959 AMENDIUIENT START t7ATE CONTRACT ENQ QATE Oal01120t2 46f3412013 PRIQR MAXIMUM GoNTRAGT AMC7UNT AMC7UNT OF INCREASE pR [3ECREASE TOTAL 11AAXIMUM OaNTRAGT AMaUNT $68;43J.00 X14,400.00 ~as,43~.~0 Rt=ASCJN FC?1~ AIUIENC3A+tENT'; Cl°IANGE C]R CDRRECT CH4}~SE C7h3E: ATTACHlVYENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated onto this Contract Amendment by reference:. Additional Exhibits s eci :Exhibit A, Award & Revenues This Contract Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms and conditions agreed upon by the parties as changes to the original Contract. IVo other understandings or oral or otherwise, regarding the subject r~Iatter of this Contract Amendment skull be deemed. to exist or sentations r , rep e bind the parties. All other terms and conditions of the original Contract remain in full force and effect. The parties signing below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract Amerldrrient. CONTRACTOR SIG RE PRINTED NAME AND TITLE DATE SIC;NED ~ ~ 1 ,~~ _ ~v" " ~ ~ ' DSHS SIGNA`i E i FRINTEI7 NAME ANI] TITLE DATE SiGNE^ Efic Crawford, Senior C4ntraCtS Pdlana er DSHS Central Contract Services 5U~4PF CantractArnendrnent {3-31-t}6) ~~P~ r~v~#_i ~~s ~orn~ ~ra~~; _ ~ ~~i~_~ _~ - _ ~~~~ , This Contract between the Mate of Washington Department of Social and Health Services ~DSH~) and the Contractor is hereby amended as fvllaws: For Mate 'Fiscal Year 2013, SAF~T-prevention funds are increased by $10,[~g0 to $~Q,21 ~. ~, The maximum consideration is increased ley $13,gC~0 to $7~3,43t?. The Award & Revenues page, Exhibit A, is replaced' with the attached Exhibit A. All tither terms and conditions of this Contract rerr~ain in full farce and effect. fJSHS Gentr~4 C©retraet Services Rage 2 6t724PF Cc•niract ~arnenrtrr~ent {3-31-o6p Exhibit A 2D11-2Q13 Rienn~um C[tWNTY 1'effers~n (Preventian) pRCfGRAM AGREEMEI~IT hVt9M6ER 1163-2731£1 7i+e above raomed County(aes], is hereby awarded the fallowing amorlnts far'the purposes listed 'REVEM1IUE 5{]'fdTtCE TYKE 49F 5#wftV4CE COf3E: 333.99.59 SHPT Grant-Irl-Aid' 5AP7 Bexse Freyerataorr --~- Can-rrrrurrlty Prevention Tr•airring 334.®4.~x State Grant-in~Aid State GlA Adrninistratian _ _.r -------- 334.p4.fi]L Criminal Justice Treatrr-ent Atcaunt 334.~4.6x l7ra~~ Court - State Funds STATE - SPEC6AL PRO3ECTS 334.~4.6)I 334.p4.fiX TAfdF i"reatment Services ~ -- CA F'arer+[s rn Fter~rr+ficexrion 333.!7.78 333.92.43 FEDERAL GRA1aT5 7X13(-Fed Waiver far tJC and ,A17,47SA clients DNZY ~- f ~- --) Stra~ic Prev~Enhanrement SPE Tc~ta6 Federal Funds Tvta1 State Funds `f4TAL ALL AWAR[3S 5FY 12 $32,71:5 __ $~ $3~ 215 $2,500 $t7 ---°- $0 $tl $~ S~ $0 $o $~ ~4 $32,715 $~ $32,715 AWARD AMC3LINTS 5FY 13 $x2,']15 _ $~ $44,25 $2,500 Biennial Funds. _ Totalll-13 Biennium $75,43(3 $~ $70,430 S5,€7D0 $~ $~ $4 $ti $0 $Q $~ ~~ $~1 $~ $0 $~ - $a S4 ~~ _._. - . $0 _ __ _ . $3, O[]4 $3,D00 $42,715 $3,i3U0 $78,43D $Q $Q $42,715 ~~ $3,Ofl0 ~ $78,430 Feder~!~ SAPT Grant-in-Aid •CFDA 93.954 Substance Abuse and Mentai Health 5er~ices Administratian ~SAMHSAJ Tit%e 3[11C - CFDA 53.778 , Strategic Prevention Enhancernent - CFDA 93.243 County participa#ion match programs include State Grant-in-Aid, Federal 5,4PT Grant-in-Aic#, TafIH Fed Wvr anel C1TA. ?611-13 3etterson Arrrend 2