HomeMy WebLinkAboutKitsap Public Health District - 112315�dment X461
KPHD 1371 en1 (1461)
l AMENDMENT TO AGREEMENT 1371
This Amendment ("Amendment') to Kitsap Public Health District Contract 1371 for
Healthy Communities Obesity, Diabetes, Heart Disease, and Stroke Prevention (the "Contract'),
is entered into between the Jefferson County Public Health ("Subcontractor") and the Kitsap
Public Health District ("District').
RECITALS
WHEREAS, the parties entered into the Contract effective January 1, 2015; and
WHEREAS, the Parties agree that additional time is needed to complete the Scope of
Work and have agreed to extend the term of the Contract; and
NOW, THEREFORE, THE PARTIES AGREE AS FOLLOWS:
I. Amendment of Contract Section I. Period of Performance: This section is
struck in its entirety and replaced with "The period of performance of this
Agreement shall begin January 1, 2015 and be completed no later than December
31, 2015, unless terminated sooner or extended as provided for herein."
II. Other Provisions Unchanged. The other provisions of the Contract remain
unchanged.
H. Effective Date. This Amendment is effective retroactively to September 30,
2015.
IN WITNESS WHEREOF, the Parties have subscribed their names hereto.
Dated this 27 day of October, 2015. Dated this �ccday of NL)J , 2015.
KITSAP PUBLIC JEFFERSON COUNTY PUBLIC HEALTH
EALTH CT
VD 11
Scot aniels s — .-L-�-- N 4e:
inistrator Position:
Approved as form o y
Jef ersonCG. Prosecutors we
David Alvarez, Chief Civi PA
KPHD Amendment—Standard Form.doex
a
615 Sheridan Street
ersnn Port Townsend, WA 98368
www.JeffersonCounfyPublicHealfh.org
Consent Age
November 6, 2015
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Jean Baldwin, Director
DATE: //' -2-,3 Its—
SUBJECT: Agenda Item — Contract Agreement between Kitsap Public Health
District (KPHD) and Jefferson County Public Health (JCPH); January 1
2015 — September 30, 2015; $27,500.00, Amendment #1 Time
extension, December 31, 2015.
STATEMENT OF ISSUE:
Jefferson County Public Health, Community Health, requests Board approval of the Contract Agreement,
Healthy Communities Amendment #1 with Kitsap Public Health District and Jefferson County Public Health
for a one-time Time Extension.
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
This contract agreement is funded by the Centers for Disease Control State and Local Public Health Actior,
to Prevent Obesity, Diabetes, Heart Disease, and Stroke (1422). KPHD subcontracts JCPH to adopt, identil
meet with, monitor, and participate in policies to increase physical activity in Jefferson County; to identify
clients with high blood pressure and track referrals to community resources; to meet with community
pharmacists with the intention of convincing at least one pharmacist to participate in medication
management tracking; to monitor progress for each activity and report as requested; to participate in
conference calls and an annual in-person meeting; to track and respond to activity assessments/surveys.
The goal of the program is to reduce by improving prevention, management, and tracking of hypertensior
obesity, and pre -diabetes conditions especially among the poor, persons with mental illness, and tribal
communities within Olympic Community of Health, the planned Accountable Community of Health for
Kitsap, Jefferson, and Clallam Counties. It has been determined by both parties to the approved contract,
known as 15-70 to the Jefferson County Civil PDA, that, in order to complete the scope of work, a time
extension is necessary. This amendment extends the contract's timeframe by 90 days, to December 31,
2015.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
The Amendment to the Kitsap Public Health District Healthy Communities, Contract #1371, has no fiscal
impact.
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Always working for a safer and healthier community
Environmental Health
Water Quality
360-385-9444
(f) 360-379-4487
RECOMMENDATION:
JCPH management requests approval of contract Agreement with Kitsap Public Health District and
County Public Health for obesity, diabetes, heart disease and stroke prevention; January 1, 2015 —
September 30, 2015; $27,500.00.
REVIEWED BY:
P i' Morley, o tyAdministrator
0��l
Date
�e�etson
Public Healt
CONTRACT WITH:
615 Sheridan Stree
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org ;lill
CONTRACT REVIEW FORM
j Public Health D
fVvl O;)I�hlS5-1371-A1
CONTRACT FOR: Healthy Communities t TERM: 1/1/2015-12/31/2015
COUNTY DEPARTMENT:
For More Information Contact: Jean Baldwin
Contact Phone #: X408
RETURN TO:
AMOUNT:
Denise Banker RETURN BY: ASAP
Revenue:
Expenditure:
Matching Funds Required:
Source(s) of Matching / Funds:
Review
Date Re
APPROVED FORM
PROCESS:
❑ Exempt from Bid Process
❑ Consultant Selection Process
❑ Cooperative Purchase
❑ Competitive Sealed Bid
❑ Small Work Roster
❑ Vendor List Bid
0 RFP or RFQ
❑O Other: Amendment
extends contract
timeframe
Step 2: REVIEW BY PR ECUTING A O Y
Review by: �,�Z
Date Reviewed:
APPROVED AS TO FORM LJ Returned or re'
Comment
(This form to stay with contract throughout the contract review
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Always working for a safer and healthier community
NOV 10 201
.iUTEPsory co
Environmental Health
Water Quality
360-385-9444
(f) 360-379-4487