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SAN r Consent Agenda .4 JEFFERSON COUNTY PUBLIC HEALTH a w { 615 Sheridan Street 0 Port Townsend a Washington o 98368 www .jefersoncountypublichealth.org June 18, 2014 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Jean Baldwin, Director r� DATE: I SUBJECT: Agenda Item - Consolidated Contract, Amendment #15 with the Department of Health; January 1, 2012 - December 31, 2014; add'I $143.00 total $1,543,409.00 STATEMENT OF ISSUE: Jefferson County Public Health is requesting Board approval of the Consolidated Contract, Amendment #15 with the Department of Health; January 1, 2012 — December 31, 2014; add'I $143.00 total $1,543,409.00 ANALYSIS/ STRATEGIC GOALS /PRO'S and CON'S: This agreement with the Department of Health is a 5 -year agreement containing both State & Federal Fund . This amendment adds an additional $143.00 in revenue to the existing contract, specifically to the WI program. The effective date of this amendment is the date of its execution FISCAL IMPACT /COST BENEFIT ANALYSIS: This amendment is through the Department of Health and adds $143.00 in revenue for a total of $1,543,409.00, and represents State and Federal money. RECOMMENDATION: JCPH management request approval of the Consolidated Contract, Amendment #15 with the Department of Health; January 1, 2012 — December 31, 2014; add'I $143.00 to the existing contract. REVIEWED BY: Philip Morley, County Administrator Date COMMUNITY HEALTH PUBLIC HEALTH ENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIES WATER QUALITY MAIN: (360) 385 -9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360) 385 -9444 FAX: (360) 385 -9401 HEALTHIER COMMUNITY FAX: (360) 379 -4487 JEFFERSON COUNTY PUBLIC HEALTH 2012— 2014 CONSOLIDATED CONTRACT CONTRACT NUMBER: C16887 AMENDMENT NUMBER: 15 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 snake 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, are amended as follows: [] Adds Statements of Work for the following programs: ® Amends Statements of Work for the following programs:. • WIC Nutrition Program - Effective January 1, 2012 (] Deletes Statements of Work for the following programs: 2. Exhibit B -15 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B -14 Allocations as follows: Increase of $143 for a revised maximum consideration of $1,543,409. 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 -8 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces Exhibit C -7. 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. JEFFERSON COUNTY PUBLIC HEALTH Date STATE OF WASHINGTON DEPARTMENT OF HEALTH Date }7roved as t form only . APPROVED AS TO FORM ONLY Assistant Attorney General 6ln��� Jefferson Co. Prosecutor ffice David Alvarez, Chief Civil DPA Page I of 9 fb CL wa O C!M y O A O w u9 W O s• 0 C ro C O ro O •'h CA CD CLwt O O AL CL h W O D x w o- .ro ro CL ' ^o � og CD CD n � O n A `1 n CD Oy d N y �t � O �ro O O CD (D a R Q. C. 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A rn w � Z z� w m Z 0 0 0 o v n n m n Q = x x x x m m..�4 w n n > > o >n� 3 j m i 4 v m Cn Z 2 = T = CD i# � Cn