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Home My WebLink About020314_ca07H Consent Agenda JEFFERSON COUNTY PUBLIC MAL'I" 6,15 Sheridan Street o Port 'Townsend o Washington o 98368 www.q ef-f'ersoncoL,�i"ityp�.ilts�lici iealltlh,oi,g January 2, 2014 oil ZEIU23LERMI TO: Board of County Commissioners Philip Morley, County Administrator 7� r * MIVMVPI M-11M DATE: F-(? suBjECT: Agenda Item — Consolidated Contract, Amendment #12 with the Department of Health; January 1, 2012 — December 31, 2014; add'l $123,6016 total $1,371,671 STATEMENT OF ISSUE- Jefferson County Public Health is requesting Board approval of the Consolidated Contract, Amendment #12 with the Department of Health; January 1, 2012 — December 31, 20,14; add'i $123,606 total $1,371,671 ANAL4S1< SiNI ATE Cw C OALS/PRO'S and CONS: This agreement with the Department of Health is a 5-year agreement containing both State & Federal Funds. This amendment adds $123,606 in revenue to the existing contract. The affected programs are as follows: $0; 5930 Public Health Funding (Blue Ribbon Local Health Funds); January 2012 — December 2013 This amendment terminates the statement of work effective December 31, 2013. Consent .agenda FISCAL IMPA T L CO iT BENEFIT AINALY'SIS': This amendment is through the Department of Health and adds $123,606 In revenue for a total of $1,371,671 and represents State and Federal money. RECrpMMENRATI N: JCPH management request approval of the Consolidated Contract, Amendment #12 with the (Department of Health; January 1, 2012 -- December 31, 2014; add °l $123,606 total '$1,371,671 t' Phil° 1p Morl "" ourt r�Ad,.r�i lstrator Dade JEFFERSON COUNTY PUBLIC HEALTH 2012 — 201.4 CONSOLIDATED CONTRACT CONTRACT NUMBER: C16887 AMENDMENT NUMBER- 12 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 Mod ifications/Waivers clause, and to make necessary changes within the scope of th is contract and any subsequent amendments thereto. IT IS, MUTUAI.,LY AGRI71ED: That the contract is hereby amended as follows: 1. Exhibit A Statements of Work, attached and incorporated by this reference, are amended as follows: 0 Adds Statements of Work for the following programs: Family Planning - Effective January 1, 2014 Office of Immunization & Child Profile - Effective January 1, 2014 N Arnends Statements of Work for the following programs: 5930 Public Health Funding - Effective January 1, 2012 Maternal & Child Health Block Grant - Effective January 1, 2013 Office of Drinking Water Group A Program - Effective January 1, 2012 F� Deletes Statements of Work for the following programs:. 2. Exhibit 1'.3 -12 Allocations, attached and incorporated by this reference, amends and replaces Exhibit 13 -11 Allocations as follows: 0 increase of $123 for a revised maxilnUrn consideration of $1,371,671. [:] 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-6 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces Exhibit C-5. Unless designated otherwise herein, the effective date of this amendment is the date of execution. ALL OTIIER 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. JEFFERSON COUNTY PUBLIC HEALTI- I Date pp ed as form nly le WWC Page I of 26 C, David Alva=Z, Chief Civil DPA STATE OF WASHINGTON DEPAR'"I'MENT OF HEALTH Date APPROVED AS TO FORM ONLY Assistant Attorney General r) DO DO > > oil 40 tz V tv t: t Z E� F F vm mac_ -Ti uq CD Fj r) DO DO > > oil 40 . . ....... . . 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Ca• G0 � u F.� EXHIBIT B-12 Jeffew-son CouWy Public "Oftilh ALLOCATIONS Contract Number; C168sl Cont"cl Term; 2012-2014 Daw November 1:5„ 2013 BARS Fuudirng Chart of Revenue Funding cAod Amq,,� 0 Period Accounts Tine Aultendmen, CFDA* C Start Palo ��, ,, "I Evid Date kAll'i /" Amount Sub Total Tow i or Accounts Program 6 93.539 333 93.53 1 Ifq0t2 05 U III 0 0 % $10,000 PFYI2 PV IIIFPutilicHei�llluReimbuTw,netNi Apicnd 07f3lfJ4 M, 1 44 $26,000 $36,000 FI-,'y 12 PPHI, Publw tiealth Rejbursennem Amend 10 333 .03.11 1 UOU112 FFYj2 PP1IF Publ-q Ifeghb Rnunbursernen, Annend 6 93 $39 333,93,53 0 tIOM 3 OV3.04 0i i 14 r $2,500 FFY 12 ppUF puloEjc Health Runnburseanernl AnWnd 9 93,-539 33193.53 OVOM 3 OX3 I (14 $$00 12FYl2 PPlIFPtiblicilealthRcll,,bursenient Amend 10 9353'9 33 .93 53 '1 ffl t� 13 0711,114 4 S15,V96r $ 18, 19(1 $54,[96 IFFY 12 PPHF V-D&S41S Intelfaw, Amend? 'A3.539, 3,33 93 -53 OPOV13 0,1 51114 x1z S34.1 vFY 12 11P k iF Vl'a , kS 4 IS I nterf'we Anvnd 9 93.539 333 110.) 53 03fOIQ3 03;41/ €4 'jOIP04112, 001,,�JJAA, $857 $ 100 $1,200 In1prove Va4emeNignit Amend 11 93,73.3 333 93 73 Oq/Olfl 1 OU /W si(w s 000 $ l,ow FFY12PPHI2 FFY 1, 1 PlIE91P, H,C Syslelns-r`reP Amend 1 93 IllI9 '3'7893 -89 89 OINIA2 0613071 2 $3,353 $3,35:5 $3,353 FT,'Y14 MClIRC, CDP ConCon Amend l 1 93 994 333.93.99 J, r)/O b@ 3 0950,1 14 fo,j)j') ow19,011,4 $9,220 FFY14 NICHBC CBP COGCQI- Aweatl 12 93.994 339,931" 10,* 1 fi 3 (tafm, 14 k* , 1 4 $26,928 $36,148 s36,148 Fl,'y I I MCIOG HCO CcrcrCon Federal Amend 2 93,994 33:1.93.90 OPOUJI 09/30/12 $9.663 $9,663 1717Y 1 Z NICHRG I 9CO ConCon rede rat WA ()3 W4 333 93 99 Ol/01/1 2 N V3 1 /11 FFY 12 NICH_RG HCO ConCon Fedcr3l An,end 2 93 494 333 -93 -99 Ol (OU 12 1243 1 ti 2 $7�00 529.690 $39.15�i FFY I I MCI lBfj 0 HC Co nCoft Fedela Amend 6 0994 31393.99 0 Vr) 1113 MAW I k! V 1p S 18.44 1 l:Fy 13 NjCjjB(; O9 IC C"Con Fedc, "I Amend 9 93 994 33193,'99 0 1 /0 HI I 09/30,(!3 $9,222 S27,6o $27fi(,5 FPRH St Admin-Cim"aOs (TX Nlatch)-Cyl2 NfA WA 334,04.91 01/011'12 t 2 %0,401 $60,403 F11RH S i A dmir,-( antriicts (rX Match). CY I I Anwid �O MA 334.04.45 0 1 fOIA 3 VX,50 e 1 $31,935 FPRI I S1 Adanin - Conti actS ('TX MaIdNKY 13 Amend 8 N/A 33-1.04 91 OVarl 3 06`.30 /9 :b' 12966 $34,901 $95,304 17PRII St Admin (NonVX)-Cyl i Arnend 6 NIA 334.04.91 O� Ii(flIIJ 3 066,30/13 $1,298 rPRIJ St Ad,n-n(NOn-1'X)-CY1 3 Amend 8 NaA 1340491 Otlffil/l 3 OrVr U 13 lj�l FY i't r,mie X State (FFY 13 Coul shfflcy Amend 8 NA 33404.91 07110I1'1.;3 12/31f113 lill,l77 $39,47'7 FY14 Title X State (2014 Cast Shlye) Aluend 12 NIA 334.04.91 06101 1 4 $29,660 $291660 FV 15 Title X Sjole,(210 14 Cast Shm ftr) Amend 12 N/A 334,04.91 07,01/1 4 1111 V14 529,490 $29,490 $90,327 CAFS LD'al Calwq Amend I NiA 334.04A2 01+01/12 waa/ l 2 -07%� ' III ' t �Ow,%O/vs $19,.184 s 19?, 1 OFS Local CaPaeflY Antend l WA 334,0442 92 07/0 1/ V 2 1131(52. (A,'j%'jYjT $19,184 $19,1€44 Local capacity A mcird 7 NIA 334.04.92 0 1 XJ x A 3 1161,30:,I,3 9, 1 49 S19,14"7 GFS Amend 7 NIA 334�04 q2 079V03 3 0,, 9,,49 C,Fs J,qnal Capwity, Amend 10 MA 3,1404 92 MAW] .3 21 " 1 4�j Ii ($11), 49) $0 $57,5l7 GFS I."KA Capletly P5 Oss LMp ImplettlentiltoaN WA NlA 33404.93 Ol fOlfl 2 0603110/1.3 1/11 OQ'160' 3 S66.000 $66,000 pS OSS LNIP iniplemenw6w Anwad 10 K)A 33404 +13 OTO If] 3 1 V3 1 fill 0111/14 $6000 $126,000 Rc,, shelffiqlV13401man (PSAA) NiA WA 33404,93 0 1/0 I� t,! 0610,10 01' 6)�J' EI, 5 5, 100 (PSAA) Amend 5 NFA 914.(M 91 OJOU 2 063 0/ l 3 $3,5(* s 8, 60 Bet, Sireltlish/filn1exqn Rec She.IIFNsl,)Bio[oxju �PSA A) Amend 9 NIA 334,04 93 07(01/13 IV.le 1 A 4 1'�/30,4 $5,mx) s5jw $13,700 Pirewnlrt,n N/A NIA 3A04.43 0630PI 2 1 0(0,9,/113 $1,851 %1A55 yo,ufl,'Jobapro Amend 3 WA 334 04.93 07,60 2 063 oil 3 $4,480 $4,480 y�ruthTobacco prevvillon I'll1w, Ribbm Local flGaIll' FundS Amend I NIA 134.04.49 OUKKNOO 4WV/00/00 004 1106 001000 $30,000 RRbkpn 1>,Cal I tcalth Put,d.q Anrend 3 N,`A 534 04 99 (R)AVOO (X11(00100 06460 J0,600NO $30,000 [,;xAl Hem[a, Funds Antend ? NIA 334, !04 1)9 00/00)00 ONOO/00 'o,"(00 $60,000 $120.000 l 2 OOW Blue R,bbon DlinkingWateg Group A • YS WA N/A 146 26 64 OPOIJ 1 , 3 S 2- nu Drnk5np Water (jaup A - RS Amnd b � Nilk 34026.64 ()IfQI/I 2 06f.3 / 3 041,q I s 1, 500 D,Rakmg Water GToup A - SS Amend? N/A 341, 26 64 01/01x8'. a 063tV IJ 4YON A I lkd 0113 5250 S4,WO [),j,trkjjjg Water GTt)up A - SS Anicnd 6, WA 346,26.64 07,0 1 ql 12 rl1 /l4 Drinking Water C,,oup A - SS Amend 11 WA 34616.64 0710 t 1 12/33x'04 0710f/j, 1 0100/15 S2550 S4,0'14) Banking Water GTokip A • S5 Stare WA NIA 346.26.65 0 1 AAA 2 CtIow 13 t4l/O 13 ' $20250 97rv,king 4W ter Coop A - SS SWir Antand 16 NPA 346 X61 0HOU12 06/30`1:3 07401,'Ai OW"), ' 0/13 $1.500 Drinktrig Watev (jjc)Nq, A - SS Sufle Ankend 7 NIA 346 26 t,5 OVOU,l 2 )6,(30) 13 $250 $4�000 J)rinkmg Water (;rkyup A • S,5 State Ammd (, WA 3462665 6V74)5 A 3 11111/11 07/9,1113' 06130A.5 $1,500 Drinking Wojec Goup A - SS SUM A unad 12 NIA 346.26.64 071131113 5 2/3 P 14 4A610 5 $2,550 $4,050 $8,050 I)rljiktng Water Group A TA WA N/A 34b 2666 M 0 PI 2 1930(03 W Ojtj 1,, 001301" $3,000 Drtnkmg Water Group A - TA A end f NIA 346 26(,(, 191x01/1' ONNIII $1,500 Dnjjk,ng 1XI&I, (ijour, A -']'A Antend 7 N/A 34626,66 Q IA) I 'I 2 06, 319/13 OWOIJy i OW"19YU1 P.7%) $2,750 DMiking Group A -TA Amend t, WA 34Cu 26 66 07901/1.3 12. 311x4 OVOUVI 061309J5 S 1, 500 kin Water G rou A - TA Amend 12 NIA 346.2&.66 177471333 IV.] a4 0V01 11J' 0N`W15 $1 „500 $3,000 55,750 Dchm g p 51,3'11,671. $1,371071 TOTAL $4,248,065 GRAND T(YI'AL 511,37916'71 Total ronmilep•alion: 5123,006 GRAND TOTAL 51,371,6711 Tolal Fed $840,619 1,01A state S531;033 'Caudogol"Federal DanneslicAwslance "enw codors be Page 2 of'4 EXHIBIFIF B-12 ,Ierferson Ca-Aty pubfir Health ALLOCATIONS Coalraet Number C16897 Contrarl'Term; 21112-1014 'Dater November 15, 200 Page 1 o(4 BARS sWenlent of Woru Fundi"g chall of R,n—te Flu ding pert Poriad Acc.-its C,harj of,,�cvounts Progrom"Filk, Amendment CFDAI Start Dow End Date 11, Anwani Snb Total Total Fj,-Y62 J,[SDA WC BmLqfccdt19 NL'A 10.557 333. tl0.55 0 IA) & A 2 091P)12 $1, 14 1 F F V I 3 USD A WTC Amend 1 10157 313,10,55 0 1 M1 112 09/30/62 ,iwiq (S6 � 7) S2724 FFY [I USDA WIC. Breasifeeching NIA 10,$57 33310.55 10x01 2 06/30(13 " T- $3,640 FI-Y E I k)SDA WIC Brmqlfft�dmg Amend 6 10,557 5313. 10 )5 10M/12 06170,3;; ",,0�/30)q3 (S3,6401 W FFY 14 USDA WIC Brea,51F"d9ng WA 10 ..447 333 10,'55 1 01DV 13 � Z/3 VI 3 $917 IFFY 14 USE)A WlC Brcasdeeding Arnend 9 10.557 333 M55 10/0,113 25 UI �sq 17) $0 S2�724 FFY USDA WIC NI-S N/A 10 557 333 -10.55 OV01/12 (01 Of] 2 $71,325 FFY62 USDA WC NLS Amend-1 60.557 333 10,55 06/01112 000,12 $1,775 974,100 FFY J,� USDA WlC NLS NfA K) $57 M 10 $S W) '12 OW3 '13 0 V $95,100 IFFY13 USDA WICNLS Amend 2 606.55'7 331 10 55 806701 -11'2 151x130!1.:4 $5.550 FF Y 6 3 USDA. WIC NLS Aniend 6 P).557 333,50 55 104)1.(t'2 W)'WIA f1IW , (S I,4,13) FFY 63 USDA WIC NLS Anwnd 7 110.557 113 tO S5 I (Wo U1 "2 WY-30/B "I'll FFY13 USDA WW NLS Amend 9 M557 331 60 55 10/01 ft2 09,1110,(B T� S910 $ [01,647 I--FY 14 t.JSDA WIC NLS NrA 30.557 3: &1.60.55 121111`13 1 S23,775 "FYI433SI)AWICNLS Amend 2 10 557 ;333,60,55 10'01117 56,388 FFYN USDA WIC NLS Amcnd 6 10.557 333A0.55 1 ON t M 1 ".`1 1113 J, FFY14 USDA WWNI—S Amend 9 10.557 M 10 55 1MUH3 V 3LI H 3917 $214,02 $200.40 1-1"Y � 2 USDA I;NfNP A411un Am�d 3 10.572 33110.57 01MU12 09(3011U, I:'— 1, 4 $140 SM FFY0 USDA FMNP Adingn AnICTId 9' 10.5'71 33'3,1057 Wx)v 12 0913 W1 I I J, 1 $135 SM 5174 Onmw Sewmgc Nlwlageulcna • NEI' Amend 1 66.623 333.66.1.:2 WA M2 6011x10!:9 Ortsge Se,,q� Manag.cm�rl - NT-P A niend 10 66A 23 .11,166 12 0 U 1 TI 2 . " 0 It I"t 4im 7 ($:35.000'1 S95,01)0 NEP A inend 8 &6 12. 3 113166.1'2 04(01/'1.3 4411x1'14 1017�O3/ $99,400 $()q,400 $MjW Ott _lite Scvage MAI,e�njejjj - shcIlfish Protccum Dwnd • - NEP Amend 11 66.123 333,66 12 0V(jjfl,,i 1 1,5114 '01#1(ti; ,6),41111 $14,000 $14,000 4, (W Swjnjnjang Jjqaeh - NEI' Amend t 66,12:3 333.66A2 031011t 18 110,13 l,q2 04#10,2 0 ' WIM S7,551 $7,553 SwM�11ijig B,�Kh - NEP Anind 6 66.123 3396643 � 2 01ALMA 3 10x,31 -1 W01 1'2� 0i?'$'Vj7 $7,55.1 Beach NFP AnICTRI 8 66.123 133 66 �2 OIAJI A 3 0 4 WJM/I 7 S2(X) $7,751 $19,306 5WHIMUTIV, - vess't punip Ouls Amend 10 66.123 333.156.12 (1765( ➢3 11/15194 ' pb,ln $50,000 vo,sej Pump OWS Amend I 1 66 1113 13,10 12 07MM I1/15/34 011,13 I'M ($94,0(9(61 S,116jft $16,000 FFYH 111TEPRI III Fwidnl3; N/A 93.2169 333,93..06 06+01(12 OMM 41 09 '009112, $17,704 F Fey E 11 PI tFPR L I U Fundwig Anieand 2 93.06rA 111 w)3 06 (11 01A 2 IW017112 0000), VITA) k112: $6,5:91 524,295 FFY12 PHEM I,IB) Fending Anicttd 4 3339306 OV I WI 2 06`3001 1X01/30/13 $35,408 $33 „40:B IT Y 13 PI HAIR LI 1; Fund-Q, W 93,069 333.93:K, 07/01113 06�0114 012 O131 3 q0tAr14 534,991 $34,991 S94,684 FFY 62 FPRII J'X Adram,fomrlcls NIA 0 2 1 7 .3 3 3 � 93.2 1 0110I1'12 � V3 On 2 124fjl, 1 113°3(1!1.2' s2q.710 FFY12 I�PKJJ IX Admin-ContrwOS kinend 5 93.217 333.31;3.2.1 0110 1/ Z ZOOM 1;�ij 40/12 SW,532 $44.20 yFY 1.3 J;PRH I'X Adnluft•CIMRUIs A mend 6 93.217 3 3 L3, 93,2 t 0110116:1 1 2/3010 j 1`r Q, /13 SH,M J;FY I I F110 I TX Adinun-CWflic N Amend 8 91 �17 333 93.21 01�OLI I I ,wvv� I, ;V,1, On ',I i4 SL1XW $26,670 $70,432 YR3TifleX Fed (ZI)j2-20I(,3 Amend 12 93.217 0261461'14 6V30d,l 12)31;913 $22,372 522,372 $22,372 F6 "Y12 3170p NrA 93'.2x18 33193.26 11NOVJ 2 1/ 12 $1 ,470 31,470 FT-Y tl 3 ;167 Ops Aniend 05 9 268 13393 26 0.!6101113 91)1111;7 04A I'Arl (24vl 3 $630 FM, 13 3 17 op's Anvend 93.268 33393.26 19610111:3 1 V3 1 (13 OJI/0#b 13 $630 $1,260 FF'N'14 317 Op, Amend 12 93268 333,93.26 179101/1 4 12(31;1,[ 0,Ijola"I 1,4v1vp S 1,260 SIJ60 S3,990 FFY 12 AM N/A 93.268 331^33.2.(3 01)101(12 1 21IAZ ( I YY 1 (01114 $5,847 $sA47 FFY 13 AFIX A mend 6 03,18,26 0](✓11H 1201AI 01901(13, j ILI FFY 13 AM Amend l9 93.'26'9 333.9316 1,011/1;63 1113 110 04/0013 Ivmha $2.509 $5,014 FFY 14 AFIX Anivd 12 93,268 333.93.26 01 `01/6 +1 1 �"1 I n 4 068201114 124",I1114 55„014 $5.014 $15,875 F 1: Y 12 V FC Ops NfA 1)3.268 333 93 26 013 U � 2 1.te3Im1 615o171,2 1 vzdj,rm $2,662 $2,662 FFY 13 VFC Ops Amond 6 91 268 333 93 26 01 I9E'1 3 123M 01491/13 11 2/31913 51,946 f:FY 13 VF(' Ops Anwind 9 x73268 333473.2(1 OUftj 3 12/36!13 01,A) khj I%MW $1J45 52.282 F17Y 14 V FC Ops Amend 12 93.268 WOU14 Y, 1/14 0I2311)j4 12A JIM 52,282 82,282 $7,226 Page 1 o(4 I w 90 0 ac NIP", ;o < M C) m m 7 m r z 0 z m I U) m m z V 541' Nick 1"a IN/ g A l ig RK —4 -U Z > > P5 > z u' w .......... x m Z 11 3a xL > 1.0 to m '0 > 0 z 11 p c m z -, �q M z z w-, 01 0 im ;mu 0 m 0 � 8 XM m m > i I 0 8 L 0 z z 04 C r 0 0 c viii 14 0 cn C tz z > z z z EL OL z 0 > z P. z m z �z 0 8 L 0 z z 04 C r 0 0 c nr mo ua Gx m n 'S. 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