HomeMy WebLinkAboutWashington State Military Department - 052119Washington State Military Department
*,m gfi)I1 AMENDMENT
1. CONTRACTOR NAME/ADDRESS:
2. CONTRACT NUMBER:
3. AMENDMENT NUMBER.-
UMBER:Jefferson
JeffersonCounty (COUNTY)
E19-022
A
Post Office Box 1220
Port Townsend, Washington 98368
4. CONTRACTOR CONTACT, PHONE/EMAIL:
5. MD STAFF CONTACT, PHONE/EMAIL:
Karl Hatton / 360.344.9788
Teresa Lewis, (253) 512-7481
khatton@jcpsn.us
Teresa.lewis@mii.wa.gov
6. TIN or SSN:
7. CATALOG OF FEDERAL DOMESTIC
8. FUNDING SOURCE NAME/AGREEMENT #:
N/A
ASST. (CFDA) #: N/A
RCW 38.52.510, .540, .545
WAC Chapter 118-66
9. FUNDING AUTHORITY:
Washington State Military Department (Department) and State Enhanced 911 Funds
10. DESCRIPTION/JUSTIFICATION OF AMENDMENT:
Mid -year review resulted in an increase of funds to the Coordinator Professional Development budget.
Changes are noted in strikethrough and grey highlight.
11. AMENDMENT TERMS AND CONDITIONS:
1. The Contract End Date of August 15, 2019 remains unchanged.
2. Change the Total Contract Amount from $319,239 to $324,860; an increase of $5,621; as described on
Page 2 of this Amendment.
This Amendment is incorporated in and made a part of the contract. Except as amended herein, all other terms and
conditions of the contract remain in full force and effect. Any reference in the original contract or an Amendment to the
"contract" shall mean "contract as amended". The Department and Contractor acknowledge and accept the terms of this
Amendment as identified above, effective on the final date of execution below. By signing this Amendment, the signatories
warrant they have the authority to execute this Amendment.
IN WITNESS WHEREOF, the parties have executed this Amendment:
FOR THE DEPARTMENT:
FOR THE COUNTY:
Signature Date
Stignature Date
Regan Anne Hesse, Chief Financial Officer
K"a t o 'Dean
Washington State Military DEPARTMENT
Jefferson County Board of Commissioners
BOILERPLATE APPROVED AS TO FORM:
Brian E. Buchholz, Assistant Attorney General 7/30/2018
Ap roved al fo
/ C , / Q Date:
Philip C. Hunsucker, Chief Civil Deputy Prose utin At rney
Jefferson County Prosecuting Attorney's Office
ECEiI VED
JUN 13 2019
CONTRACTS
E911 COUNTY BSO Contract Page 1 of 3 Jefferson COUNTY, El 9-022, Amendment A
Washington State Military Department
Amendment to Contract E19-022
Change the Total; Contract Amount from $319,239 to $324,860; an increase of $5,621
a. at Agreement Face Sheet at Box 2, and
b. at Special Terms and Conditions, Article VIII — Conditioned Upon County's Fulfillment..., section
A: "$319,239. " is to be replaced with $324,860., and
c. at the Budget Sheet, Attachment E; to be replaced with the Revised Budget Sheet, Attachment
E.
E911 COUNTY BSO Contract Page 2 of 3 Jefferson COUNTY, E19-022, Amendment A
ATTACHMENT E
REVISED BUDGET SHEET
E911 COUNTY BSO CONTRACT — SFY2019
July 1, 2018 — June 30, 2019
SFY2019 — Original
SFY2019 - Revised
Coordinator Professional Development- $ 38,525
$ 44,146
Basic Service Operating $ 280,714
$ 280,714
TOTAL CONTRACT NOT TO EXCEED $ 319,239
$ 324,860
E911 COUNTY BSO Contract Page 3 of 3 Jefferson COUNTY, E19-022, Amendment A
CA
Commissioners Office
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Lisa Johnson, JeffCom 911
DATE: May90E 2019
SUBJECT: E911 Contract E19 -022A for 2018/2019 Mid -Year Contract Amendment
STATEMENT OF ISSUE: JeffCom SFY19 Wireline and Wireless Operations Contract 4E19 -022A and
the Washington State Military Department E911 Program
ANALYSIS: The Washington State Military Department E911 program provides financial assistance to
JeffCom solely for expenses necessary to answer 911 calls origination in Jefferson County. This includes
performing certain tasks and maintaining certain equipment necessary to operate Wireline and Wireless
enhanced 9l 1. Reimbursement shall be solely for eligible items included in WAC Chapter 118-66.
FISCAL IMPACT: JeffCom will be reimbursed for necessary expenses incurred by providing E911
service to Jefferson County. Mid -year review resulted in an increase of funds, changing the contract from
$319,239 to $324,860; an additional $5,621 in funds to the Coordinator Professional Development budget.
RECOMMENDATION: Please sign both original contracts. Once completed contract will be returned to
BOCC when received back from the State 911 office.
DEPARTMENT CONTACT: Karl Hatton 344-9788 or Lisa Johnson 344-9756
REVIEWED BY:
L
rRAV Morley,ou y Administrator
Date
CONTRACT REVIEW FORM 9_ aag
CONTRACT WITH: Washington State Military Department and State Enhanced 911 Fund
(Contractor/Consultant)
CONTRACT FOR:
E911 County Basic Service Operations Contract
TERM: July 1, 2018 Start Date
August 15, 2019 End Date
COUNTY DEPARTMENT:r
Al
For More Information Contact:
Contact Phone #:
..�.m,
0111
RETURN TO: RETURN BY
(Person in Department) Cl TAW I
AMOUNT: $324,860 (increase of $5,621 in CPD) PROCESS: Exempt from Bid Process
Consultant Selection Process
Revenue: N/A Cooperative Purchase
Expenditure: N/A Competitive Sealed Bid
Matching Funds Required: N/A Small Works Roster
Sources(s) of Matching Funds N/A Vendor List Bid
RFP or RFQ
Other
Step 1: REVIEW BY
Review by:
Date Reviewed:
APPROVED FORM
Comments
Step 2: REVIEW BY
Review by:
Date Reviewed:
APPROVED AS TO FORM
Comments /0 S h k r 00 d Va �
for revision (See Comments)
CUTING ATTORNEY
for revision �$ee Comments) �
,` (`) /14 J�%.�. 0
►r n,-- -L-
Step 3: (If required) DEPARTMENT MAKES REVISIONS & RESUBMITS TO
RISK MANAGEMENT AND PROSECUTING ATTORNEY
Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF
ORIGINALS
Step 5: SUBMIT TO BOCC FOR APPROVAL
Submit originals and 9 copies of Contract, Review Form, and Agenda Bill to BOCC Office.
Place "Sign Here" markers on all places the BOCC needs to sign.
MUST be in BOCC Office by 4:30 p.m. TUESDAY for the following Monday's agenda.
(This form to stay with contract throughout the contract review process.)