HomeMy WebLinkAbout090616_ca01Consent Agenda
Regular Agenda
Jefferson County
Board of County Commissioners
Agenda Request
TO: Board of Commissioners
Philip Morley, County Administrator
FROM: Barbara Carr
DATE: Tuesday, September 6, 2016
RE: WSART Consultant Contract 1563-43418 AMENDMENT
STATEMENT OF ISSUE:
Contract in the amount of $18,920.00 - Funding for
7/2015 — 6/2017 Amendment to reduce amount to $18,600.00.
ANALYSIS:
Shannon Burns, a Juvenile Probation Counselor in Jefferson County is currently
serving as one of five statewide consultants to perform consultant duties to WSART
programs. Jefferson County is reimbursed for Shannon's time pursuant to the
WSART Quality Assurance requirements.
FISCAL IMPACT:
None. These funds reimburse for salary, benefits and travel.
DEPARTMENT CONTACT:
Barbara Carr, Juvenile Court Administrator
RECOMMENDATION:
That the Board approve the Contract and sign 3 originals. A fully executed original
will be returned to the BOCC office.
Approved byy`" „ ?4C
i ip Morley, qoun'ly A Date
DSHS Central Contract Services Page 1
6024PF Contract Amendment (3-31-06)
DSHS CONTRACT NUMBER:
CONTRACT AMENDMENT
1563-42418
}}�� t State
1 RTnI T OF
ciAL6HEALTH WSART Consultation for County
*AF--`
Amendment No. 01
SERVICES
Juvenile Courts
This Contract Amendment is between the State of Washington Department of
Program Contract Number
Social and Health Services (DSHS) and the Contractor identified below.
Click here to enter text.
Contractor Contract Number
CONTRACTOR NAME
CONTRACTOR doing business as (DBA)
Jefferson Count
CONTRACTOR ADDRESS
WASHINGTON UNIFORM
DSHS INDEX NUMBER
BUSINESS IDENTIFIER (UBI)
1820 Jefferson St
Port Townsend, WA 98368-
161-001-169
1223
CONTRACTOR CONTACT
CONTRACTOR TELEPHONE
CONTRACTOR FAX
CONTRACTOR E-MAIL ADDRESS
Barbara Carr
360 385-9190
360 385-9191
bcarr@co.jefferson.wa.us
DSHS ADMINISTRATION
DSHS DIVISION
DSHS CONTRACT CODE
Rehabilitation Administration
Division of Treatment and
5000CC-63
Enter overnmental Pro
DSHS CONTACT NAME AND TITLE
DSHS CONTACT ADDRESS
Cory Redman
1115 Washington Street SE
Pro ram Administrator
Olympia, WA 98504
DSHS CONTACT TELEPHONE -7DSHS
CONTACT FAX
DSHS CONTACT E-MAIL ADDRESS
(360)902-8079
1cory.redman@dshs.wa.gov
IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT?
CFDA NUMBERS
No
AMENDMENT START DATE
CONTRACT END DATE
08/22/2016
06/30/2017
PRIOR MAXIMUM CONTRACT AMOUNT
AMOUNT OF INCREASE OR DECREASE
TOTAL MAXIMUM CONTRACT AMOUNT
$18,920.00
$-320.00
$18,600.00
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 Page 1
6024PF Contract Amendment (3-31-06)
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 FY17 is reduced by $320 from $9,460 to $9,140.
2. Due to an oversight error the hourly rates of $45.56 per hour for FY16 and $46.84 per hour for FY17 were
incorrect and therefore changed to $40.00 per hour for FY16/17.
3. In EXHIBIT A: Statement of Work - WSART Consultation for County Juvenile Courts, Section 3.
Consideration, is changed to read as follows:
Total consideration payable to Contractor for satisfactory performance of the work under this Contract is up
to a maximum of $18,600, including any and all expenses, and shall be based on the following:
a. The maximum consideration payable for Fiscal Year 2016 is $9,460 and for Fiscal Year 2017 is $9,140.
Funds not expended in Fiscal Year 2016 cannot be carried over to the following Fiscal Year.
b. The Contractor shall be paid $40.00 per hour for FY16/17 for clinical consultation services and payment
shall be based upon the Juvenile Rehabilitation's Juvenile Court Program Administrator receipt and
approval of monthly summary report.
c. The Contractor shall only be reimbursed for travel costs pre -approved in writing by the Juvenile
Rehabilitation's Juvenile Court Program Administrator.
All other terms and conditions of this Contract remain in full force and effect.
DSHS Central Contract Services Page 2
6024PF Contract Amendment (3-31-06)