HomeMy WebLinkAbout042015_ca03Consent Agenda
Regular Agenda
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of Commissioners
Philip Morley, County Administrator
FROM: Barbara Carr, Juvenile Court Administrator
DATE: Monday, April 20, 2015
RE: JABG — Increase to County Program Agreement
Additional Funds for Proctor House Program - $ 900.00
STATEMENT OF ISSUE:
This is the County Agreement between DSHS /JRA and Jefferson County for JABG (Juvenile
Accountability Block Grant) funding, to -wit: $900 funds increase to support the Proctor
Home.
ANALYSIS:
None
FISCAL IMPACT:
This funding supports the Proctor Home Project and will be included in my budget revenue for
2015.
RECOMMENDATION:
That the Board execute the three original County Program Agreements attached.
DEPARTMENT CONTACT: Barbara Carr, Juvenile Court Administrator
REVIEWED BY: Philip Morley, County Administrator
F,
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P91ip Morley, Co Admmistrator. Date
DSHS Central Contract Services PrOV QO fOfil] :Duly Page 1
6024PF Contract Amendment (3- 31 -06) J IVIS
Jefferson Co. � �
DavidAlvarezprosecutora'
,Chief Civil DPq
DSHS CONTRACT NUMBER:
CONTRACT AMENDMENT
1463 -17244
TrM� ENT CF
A z' I JABG FFY13
W=
SEI
Amendment No. 01
This Contract Amendment is between the State of Washington Department of
Program contract Number
Social and Health Services (DSHS) and the Contractor identified below.
Contractor Contract Number
CONTRACTOR NAME
CONTRACTOR doing business as (DBA)
Jefferson Count
CONTRACTOR ADDRESS
WASHINGTON UNIFORM
DSHS INDEX NUMBER
BUSINESS IDENTIFIER (UBI)
PO Box 1220
1820 Jefferson Street
161- 001 -169
1223
Port Townsend, WA 98368
CONTRACTOR CONTACT
CONTRACTOR TELEPHONE
CONTRACTOR FAX
CONTRACTOR E -MAIL ADDRESS
Barbara Carr
360 385 -9190
360 385 -9191
bcarr co.'efferson.wa.us
DSHS ADMINISTRATION
DSHS DIVISION
DSHS CONTRACT CODE
Juvenile Justice and Rehabilitation
Division of Operations Support
5002CS -63
Administration
Services
DSHS CONTACT NAME AND TITLE
DSHS CONTACT ADDRESS
Philip Gonzales
OB2
Program Manager
OI m ia, WA 98504 -
DSHS CONTACT TELEPHONE
DSHS CONTACT FAX DSHS CONTACT E -MAIL ADDRESS
360 902 -8083
360 902 -8108 GONZAPA dshs.wa. ov
IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT?
CFDA NUMBERS
Yes
1 16.523
AMENDMENT START DATE
CONTRACT END DATE
01/01/2015
06/30/2015
PRIOR MAXIMUM CONTRACT AMOUNT
AMOUNT OF INCREASE OR DECREASE
TOTAL MAXIMUM CONTRACT AMOUNT
$6,100.00
$900.00
$7,000.00
REASON FOR AMENDMENT;
CHANGE OR CORRECT MAXIMUM CONTRACT AMOUNT
ATTACHMENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into
this Contract Amendment by reference:
❑ Additional Exhibits (specify):
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. 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. 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
Amendment.
CONTRACTOR SIGNATURE
PRINTED NAME AND TITLE
DATE SIGNED
.DSHS SIGNATURE
PRINTED NAME AND TITLE
DATE SIGNED
Del Hontanosas
Grants & Contracts Manager
DSHS Central Contract Services PrOV QO fOfil] :Duly Page 1
6024PF Contract Amendment (3- 31 -06) J IVIS
Jefferson Co. � �
DavidAlvarezprosecutora'
,Chief Civil DPq
This Contract between the State of Washington Department of Social and Health Services (DSHS) and the
Contractor is hereby amended as follows:
1) The maximum consideration for this Contract is increased by $900 from $6,100 to $7,000.
2) The paragraph (a) under the Special Terms & Conditions, Section 3. Consideration and Billing, is revised to
read as follows:
The maximum consideration for this Contract shall not exceed the JABG grant amount of $7,000. Total
program cost shall be $7,778 which includes the Contractor's 10% cash match contribution of $778 of
the total program cost.
3) The paragraph under Exhibit A — Statement of Work, Section 3. Budget, is revised to read as follows:
The Contractor shall submit a completed updated Approved Budget Summary and Approved Budget Detail
to the JABG Program Administrator. No payment shall be made until the updated Approved Budget
Summary and Approved Budget Detail are received.
All other terms and conditions of this Contract remain in full force and effect.
DSHS Central Contract Services '0 Page
6024PF Contract Amendment (3- 31 -06)
Approved Budget Summary and Approved Budget Detail Form
SFY15 (July 1, 2014 —June 30, 2015)
CONTRACTOR NAME: Jefferson County
PROJECT NAME: The Proctor Home — Alternative Detention Facility
BUDGET CATEGORIES SOURCE OF FUNDS %
PERSONNEL AND BENEFITS
7,778.00
JABG ALLOCATION
7,000.00
90
CONTRACTUAL SERVICES
CASH MATCH
778.00
10
TRAVEL
SUPPLIES
EQUIPMENT
OTHER GOODS AND SERVICES
CONSTRUCTION
TOTAL DIRECT COSTS
ADMINISTRATIVE COSTS
TOTAL PROGRAM COST
7,778.00
TOTAL PROGRAM FUNDS
7,778.00
100%
NAME:
ADDRESS:
CITY:
PHONE NUMBER:
FAX
E -MAIL
Jefferson County Juvenile Services
P.O. Box 1220
Port Townsend, WA 98368
(360) 385 -9190
(360) 385 -9191
cpalmer@co.jefferson.wa.us