HomeMy WebLinkAbout081318_ca02 Consent Agenda
Regular Agenda
Jefferson County
Board of County Commissioners
Agenda Request
TO: Board of Commissioners
Philip Morley, County Administrator
FROM: Barbara Carr
DATE: August 13, 2018
RE: WSART Consultant Contract 1763-93731 -AMENDMENT
STATEMENT OF ISSUE:
Increase Contract amount by $1,500.00 - Funding for 7/2016 —6/2018
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. This revenue increase
will complete and close out the contract ending 6/2018.
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.
/0111
Approved b 4 I 1 ej�
'‘=- l p Morley, 10A dministra or Date
DSHS CONTRACT NUMBER:
Washington state CONTRACT AMENDMENT 1763-93731
Department of Social
7 &Health Services WSART Consultation Amendment No. 01
Transforming lives
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 County
CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS DSHS INDEX NUMBER
1820 Jefferson St IDENTIFIER(UBI) 1223
Port Townsend,WA 98368- 161-001-169
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
Intergovernmental Prog
DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS
Cory Redman 1115 Washington Street SE
Program Administrator Olympia,WA 98504
DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS
(360)902-8079 cory.redman@dshs.wa.gov
IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBERS
No
AMENDMENT START DATE CONTRACT END DATE
06/29/2018 06/30/2019
PRIOR MAXIMUM CONTRACT AMOUNT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM CONTRACT AMOUNT
$19,300.00 $1,500.00 $20,800.00
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
A915-oved as fo� rm: J
• �r^i."—„ Date: g/�!/�e
Philip C.Hunsucker,Chief Civil Deputy Prosecuting Attorney
Jefferson County Prosecuting Attorney's Office
DSHS Central Contract Services Page 1
6024PF Contract Amendment(1-26-2018)
This Contract between the State of Washington Department of Social and Health Services (DSHS) and the
Contractor is hereby amended as follows:
1. Increase FY18 maximum consideration by$1,500 from $9,520 to $11,020.
2. In EXHIBIT A: Statement of Work-WSART Consultation for County Juvenile Courts, Section 3.a.
Consideration, is revised to read as follows:
Total consideration payable to Contractor for satisfactory performance of the work under this Contract
is up to a maximum of$20,800, including any and all expenses, and shall be based on the following:
a. The maximum consideration payable for Fiscal Year 2018 is $11,020 and for Fiscal Year 2019 is
$9,780. Funds not expended in Fiscal Year 2018 cannot be carried over to the following Fiscal
Year.
All other terms and conditions of this Contract remain in full force and effect.
DSHS Central Contract Services Page 2
6024PF Contract Amendment(1-26-2018)