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Home My WebLink AboutWashington State Department of Children, Youth and Families (DCYF), Amendment No. 3 - 071519V N" - Ap roved as o rm: �. C. Date: 7 /t Philip C. Hunsucker, Chief Civil Deputy Prosec ing Attorney Jefferson County Prosecuting Attorney's Office Department of Children, Youth, and Families 2024PF Contract Amendment (7-1-2018) Page 1 DCYF CONTRACT NUMBER: CONTRACT AMENDMENT 1763-93731 WSART Amendment No. 03 ,T YF�� This Contract Amendment is between the State of Washington Department of Program Contract Number Children, Youth, and Families (DCYF) 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 DCYF 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 I 360 385-9191 bcarr@co.jefferson.wa.us DCYF ADMINISTRATION DCYF DIVISION DCYF CONTRACT CODE Rehabilitation Administration Division of Treatment and 5000CC-63 Inter overnmental Pro DCYF CONTACT NAME AND TITLE DCYF CONTACT ADDRESS Cory Redman 1115 Washington Street SE Program Administrator Olympia, WA 98504 DCYF CONTACT TELEPHONE DCYF CONTACT FAX DCYF CONTACT E-MAIL ADDRESS (360)902-8079 1 1 cory.redman@dshs.wa.gov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBERS No AMENDMENT START DATE CONTRACT END DATE 06/17/2019 06/30/2019 PRIOR MAXIMUM CONTRACT AMOUNT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM CONTRACT AMOUNT $23,920.00 $-5,000.00 $18,920.00 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. CON R T SIGNATURE PRINTED NAME AND TITLE DATE SIGNED 711, 17CYFVSIGNATURE PRINTED NAME AND TITLE DATE SIGNED Del Hontanosas 71Z ` - Grants & Contracts Manager V N" - Ap roved as o rm: �. C. Date: 7 /t Philip C. Hunsucker, Chief Civil Deputy Prosec ing Attorney Jefferson County Prosecuting Attorney's Office Department of Children, Youth, and Families 2024PF Contract Amendment (7-1-2018) Page 1 This Contract between the State of Washington Department of Social and Health Services (DSHS) and the Contractor is hereby amended as follows: Decrease FY19 maximum consideration by $5,000 from $12,900 to $7,900. 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 $18,920, including any and all expenses, and shall be based on the following: a. The maximum consideration payable for Fiscal Year 2018 is $9,520 and for Fiscal Year 2019 is $7,900. Funds not expended in Fiscal Year 2018 cannot be carried over to the following Fiscal Year. b. The Contractor shall be paid $40.00 per hour for clinical consultation services and payment shall be based upon the JRA 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 JR Juvenile Court Program Administrator. All other terms and conditions of this Contract remain in full force and effect. Department of Children, Youth, and Families Page 2 2024PF Contract Amendment (7-1-2018) Consent Agenda JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Barbara Carr Juvenile Court Administrator DATE: July 15, 2019 SUBJECT: WSART Consulting STATEMENT OF ISSUE: Contract #1563-93731 expired 6/30/2019. Unused funds to be de -obligated. ANALYSIS: FISCAL IMPACT: These de -obligated funds will be used state wide for revenue sharing. RECOMMENDATION: That the Board approve the Contract and sign 3 originals. A fully executed original will be returned to the BOCC office. REVIEWED BY: �?4,Ountyilip MAd in trator Date CONTRACT REVIEW FORM CONTRACT WITH: DCYF - CONTRACT AMENDMENT 3 TRACKING NO.: 1763-93731 (Contractor/Consultant) CONTRACT FOR: WSART Quality Assurance Elk I 9 6/30/19 COUNTY DEPARTMENT: Juvenile and Family Court J` 2 For More Information Contact: Barbara Contact Phone #: 192E—F l �- RETURN TO: Barbara RETURN BY: ASAP' COMMISSIONTE (Person in Department) . (,Date) AMOUNT: -$5,000 Revenue Expenditure Matching funds Required Source(s) of Matching Funds PROCESS: ❑ Exempt from Bid Process ❑ Consultant Selection Process ❑ Cooperative Purchase ❑ Competitive Sealed Bid ❑ Small Works Roster ❑ Vendor List Bid ❑ RFP or RFQ F-1 nthi-r Step 1: REVIEW BY. � M&M-Ow", '0 d'ARev . Date `bQ APPROVED FORM ❑ Returned for revision (See Comments) Comments Step 2: REVIEW BY P OSECN ATTORNEY Review by: C hilip C. Hunsucker Date Reviewed: & heChief Civil Deputy Prosecuting Attorney APPROVED AS TO FORM ❑ Returned for revision (See Comments) Comments 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 original Contract(s), Agenda Request, and Contract Review form. Also, please send 2 copies of just the Contract(s) (with the originals) to the 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.)