HomeMy WebLinkAboutWashington State Depatment of Health - Consolidated Amendment No. 4' 5'(3jd�RSON COUNTY PUBLIC HEALTH 6---L-3
(� � O IC )015 0177 CONSOLIDATED CONTRACT
1
CONTRACT NUMBER: C17112
AMENDMENT NUMBER: 4
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 make 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:
• Emergency Preparedness & Response - Effective July 1, 2015
• OSS LMP Implementation - Effective July 1, 2015
• Recreational Shellfish Activities - Effective July 1, 2015
® Amends Statements of Work for the following programs:
Maternal & Child Health Block Grant - Effective January 1, 2015
❑ Deletes Statements of Work for the following programs:
2. Exhibit B -4 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B -3 Allocations as
follows:
® Increase of $168,191 for a revised maximum consideration of $709,002.
❑ 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 -4 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces
Exhibit C -3.
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
.1
Date
Appro ied as�o form ot}ly�
Jefferson Co. Prosecutor' ffice
David Alvarez, Chief Ci DPA Page 1 of 14
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
Frank Webley 'Date
Contract Specialist
APPROVED AS TO FORM ONLY
Assistant Attorney General
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Public Health
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
Consent Agenda
September 1, 2015
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Jean Baldwin, Director
Julia Danskin, Public Health Manager
DATE: l I ; I 1 15--
SUBJECT: Agenda Item — Consolidated Contracts A -4 with the Department of
Health; January 1, 2015 — December 31, 2017; Add'I $168,191 for a
total of $709,002.
STATEMENT OF ISSUE:
Jefferson County Public Health requests Board approval of the Consolidated Contracts A -4 between JCPH
and State of Washington Department of Health; January 1, 2015 - December 31, 2017; add'I $168,191 f
total of $709,002.
ANALYSIS /STRATEGIC GOALS /PRO'S and COWS:
This agreement with the Department of Health, a two -year agreement, comprises State and Federal funds.
This amendment adds $168,191 in revenue to the existing contract. The affected programs are as follows:
• $34,991 Emergency Preparedness & Response Program: the purpose of the revision is to add
funding for administrative oversight and development of the program.
• $36,700 Maternal & Child Health Block Grant: the purpose of this revision is to increase and extenc
funding to meet implementation and continuation of MCHBG related activities.
• $90,000 On -site sewage system (OSS) local management plan (LMP): the purpose of this revision i
to add funding to implement OSS and LMP inspections and administrative oversight
• $6,500 Recreational Shellfish Activities: the purpose of this revision is to continue funding for this
program from 7/01/2015 — 06/30/2016.
FISCAL IMPACT /COST BENEFIT ANALYSIS:
Total consideration for this Contract Amendment is $168,191 for a total of $709,002. The Consolidated
Contract is funded by the Department of Health, and comprises both Federal and State funds.
RECOMMENDATION:
JCPH management request approval of Consolidated Contracts, A -4; January 1, 2015 — December 31,
add'I $168,191 for total of $709,002.
171�K�
Date
360- 385 -9401 (f) Always working for a safer and healthier community
Environmental Health
Water Quality
360 -385 -9444
(f) 360- 379 -4487
�e�ucson
Public Health
CONTRACT WITH:
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
CONTRACT REVIEW FORM
of Health
f v
SEP 0 3 2058-15 -oz -A4
CONTRACT FOR: Consolidated Contracts Amendment #4 TERM: January 1, 2015 – Dec. 31, 2017
E
K
(This form to stay with conLthrou review process)
a' sDS 2015 community Health ON COUNTY Developmental Disabilities NG ATTORNEY
360- 385 -9400
360 -385 -9401 Ifl Always working for a safer and healthier community
Environmental Health
Wafer Quality
360 -385 -9444
(fi 360- 379 -4487
COUNTY DEPARTMENT: Jefferson County Public Health
For More Information Contact: Julia Danskin
Contact Phone #: X420
RETURN TO: Denise Banker RETURN BY: ASAP
kMOUNT: Add'I $168,191 for total $709,002 PROCESS:
0 Exempt from Bid Process
Revenue:
Expenditure: __
latching Funds Required:
❑ Consultant Selection Process)
❑ Cooperative Purchase
❑ Competitive Sealed Bid
❑ Small Work Roster
ource(s) of Matching Funds:
❑ Vendor List Bid
❑ RFP or RFQ
❑Other:
Review by:
Step 1: REVIEW BY RIS *10t1r4nedfor
/
< -
Date Revie e : APPROVED FORM revision (See Comments)
Comments:
Step 2: REVIEW BY PRO CUTI G ATT R
Review by: BLV i"L
Y
Date Reviewed:
APPROVED AS TO FORM —one f
Commen
r r vision (See Comments)
(This form to stay with conLthrou review process)
a' sDS 2015 community Health ON COUNTY Developmental Disabilities NG ATTORNEY
360- 385 -9400
360 -385 -9401 Ifl Always working for a safer and healthier community
Environmental Health
Wafer Quality
360 -385 -9444
(fi 360- 379 -4487