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Washington State Department of Health, Consolidated Contract, - 101016
\I `� JEFFERSON COUNTY PUBLIC HEALTH (�O �Q 2015 — 2017 CONSOLIDATED CONTRACT CONTRACT NUMBER: C17112 AMENDMENT NUMBER: 8 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, 2016 ® Amends Statements of Work for the following programs: Maternal & Child Health Block Grant - Effective January 1, 2015 0 WIC Nutrition Program - Effective January 1, 2015 ❑ Deletes Statements of Work for the following programs: 2. Exhibit B-8 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-7 Allocations as follows: ® Increase of $72,041 for a revised maximum consideration of $1,005,151. ❑ 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 boCc Date Page 1 of 19 STATE OF WASHINGTON DEPARTMENT OF HEALTH K 11 IR,� _. 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L). m m j G 0 0 x A Q 3 m 0 T D 0 3 N T t9 a 0 D m Z 3 N N x< x < ()nC O:nC xZz .TZZ N , 3 0000 x Z x z O G) 00 D D r m> mD m > N o o ' m Z 0 ig m Z --I 00 00 �/�v� 615 Sheridan Street / Port Townsend, WA 98368 �eT/ 1Wn www.JeffersonCountyPublicHealth.org Public Hea% Consent Agenda August 31, 2016 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Vicki Kirkpatrick, Director Tammey Newton, Community Health Director DATE: 10 1 1_ 0 .Z ©1(0 SUBJECT: Agenda Item — Consolidated Contracts A-8 with the Department of Health; January 1, 2015 — December 31, 2017; Add'I $72,041 for a total of $1,005,151 STATEMENT OF ISSUE: Jefferson County Public Health requests Board approval of the Consolidated Contracts A-8 between JCPH and State of Washington Department of Health; January 1, 2015 - December 31, 2017; add'I $72,041 for a total of $1,005,151. ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S: This agreement with the Department of Health, a two-year agreement, comprises State and Federal funds. This amendment adds $72,041 in revenue to the existing contract. The affected programs are as follows: • $34,991. Emergency preparedness and response: the purpose of this statement of work is to establish funding and tasks for the Public Health Emergency Preparedness and Response program and the 2016 grant period ending June 30, 2017. • $36,700. Maternal and child health block grant: the purpose of this revision is to provide additional funding, add activities, add and revise deliverable due dates, extend the period of performance from September 30, 2016 to September 30, 2017 for continuation of MCHBG-related activities, and add Special Instructions. • $350. WIC Nutrition Program: the purpose of this revision is to add FFY 16 USDA WIC NLS funds. FISCAL IMPACT/COST BENEFIT ANALYSIS: Total consideration for this Contract Amendment is $72,041 for a total of $1,005,151. 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-8; January 1, 2015 — December 31, 2017; add'I $72,041 for total of $1,005,151. REMWED B I ip le , County Admini rator Date Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487 615 Sheridan Street Port Townsend, WA 98368 www.JeffersonCounntyPublicHealth.org 9 CONTRACT REVIEW FORM CONTRACT WITH: Department of Health 'cEr p 12016 CONTRACT FOR: Consolidated Contracts Amendment #8 TERM January 1, 2015 - Dec. 31, 2017 COUNTY DEPARTMENT: Jefferson County Public Health For More Information Contact: Tammey Newton Contact Phone #: X443 RETURN TO: Jenny Matter RETURN BY AMOUNT: Add'I $72,041 for total $1,005,151 Revenue: Expenditure: Matching Funds Required: Source(s) of Matching Funds: Step 1 APPROVED FORM Comments: REVIEW BY RISK Review by: l Date Revie eco ASAP PROCESS: 0 Exempt from Bid Process ❑ Consultant Selection Process ❑ Cooperative Purchase ❑ Competitive Sealed Bid ❑ Small Work Roster ❑ Vendor List Bid ❑ RFP or RFQ ❑x Other: �K�1� Returned for revision (See Comments) Step 2: REVIEW BY PROSECUTING ATTOKNL ' Review by: L Date Reviewed: z, i APPROVED AS TO FORM - ❑ Returneef for r vision (See Comments) Comm nts: .1 --� 1 _, o 7 L._ (This form to stay with contract throughout the contract review process) SEP 0 9 2016 JEFFERSON COUNTY Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487