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Washington State Department of Health, Amendment No. 7 - 040819
JEFFERSON COUNTY PUBLIC HEALTH 2018 — 2020 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH18247 AMENDMENT NUMBER: 7 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: • BEACH Program - Effective March 1, 2019 • NEP SSI BEACH Program - Effective March 1, 2019 ® Amends Statements of Work for the following programs: • Family Planning - Effective September 1, 2018 ❑ Deletes Statements of Work for the following programs: 2. Exhibit B-7 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-6 Allocations as follows: ® Increase of $17,789 for a revised maximum consideration of $758,803. ❑ 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-7 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces Exhibit C-6. 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 STATE OF WASHINGTON DEPARTMENT OF HEALTH 0A A41a. I Date ate Aov a7 t f Pe. Date: APPROVED AS TO FORM ONLY Philip C. 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N ni ri ri ri ai m rn rn m rn M M tM�l M M M M M M M WH F z N N aO N 2 H F U U z y J J a uQl o K x x ? Q M A A A A CO yy i LL LL L v O N 615 Sheridan Street Port Townsend, WA 98368 www.JeffersonCountyPublicHealth.org Public Health Consent Agenda March 1, 2019 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Vicki Kirkpatrick, Director DATE: SUBJECT: Agenda Item — Consolidated Contracts A-7 with the Department of Health; January 1, 2018 — December 31, 2020; Add'I $17,789 for a total of $758,803 STATEMENT OF ISSUE: Jefferson County Public Health requests Board approval of the Consolidated Contracts A-7 (Amendment #7) between JCPH and State of Washington Department of Health; January 1, 2018 - December 31, 2020; the amendment provides an add'I $17,789 for a total of $758,803. ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S: This agreement with the Department of Health comprises State and Federal funds. This amendment adds $17,789 in revenue to the existing contract and amends Statements of Work as follows: • $2,000. BEACH Program: Newly added program to monitor water at marine swimming beaches for bacteria and provide public notification when levels are unsafe. • $10,200. NEP SSI BEACH Program: Newly added program to monitor water at marine swimming beaches for bacteria and provide public notification when levels are unsafe. • $5,589. Family Planning: Revised to add funding through 3/31/2019 to support existing work. FISCAL IMPACT/COST BENEFIT ANALYSIS: Total consideration for this Contract Amendment is $17,789 for a total of $758,803. 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-7; January 1, 2018 - December 31, 2020; add'I $17,789 for a total of $758,803. REVIEWED BY. l HCl Philip Morle C9 - my Adm' r Date Community Health Environmental Public Health Developmental Disabilities 360-385-9444 360-385-9400 (f) 360-379-4487 360-385-9401 (f) Always working for a safer and healthier community State l ' I ing -7ann6 Change Contram CONTRACT REVIEW FORM t Ck -©35 615 Sheridan Street Port Townsend, WA 98368 www.JeffersonCountyPublicHealth.org CC -18-02-A7 �FP ��/7! w JEFFEij ''-t4 CC'.tNTy , CONTRACT WITH: Department of Health CONTRACT FOR: Consolidated Contracts Amendment #7 TERM: January 1, 2018 — Dec. 31, 2020 COUNTY DEPARTMENT: Jefferson County Public Health For More Information Contact: Julia Danskin Contact Phone #: X420 RETURN TO: Jenny Matter RETURN BY: ASAP AMOUNT: Add'I $17,789 for total $758,803 Revenue: Expenditure: Matching Funds Required: Source(s) of Matching Funds: Step 1 5I APPROVED FORM Comments: REVIEW BY Review by Date Revi PROCESS: ❑ Exempt from Bid Process ❑ Consultant Selection Process ❑ Cooperative Purchase ❑ Competitive Sealed Bid _ ❑ Small Work Roster ❑ Vendor List Bid ❑ RFP or RFQ ❑x Other: State and federal funding Vi for revision (See Comments) Step 2: REVIEW BY PROSE ING Ar7gOrEY Review by: • �. Date Reviewed: APPROVED AS TO FORM Ef Returned for revision (See Comments) Comments:*-'-hk C41.�^s4f /4&vc, n f C (This form to stay with contract throughout the contract review process) Community Health Environmental Public Health Developmental Disabilities 360-385-9444 360-385-9400 (f) 360-379-4487 360-385-9401 (f) Always working for a safer and healthier community