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Washington State Department of Health, Amendment No. 17 - 101920
xx JEFFERSON COUNTY PUBLIC HEALTH 2018 - 2020 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH18247 AMENDMENT NUMBER: 17 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 "LIP', 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: • Disease Control & Health Statistics BITV Cl/CT COVID-19 - Effective July 1, 2020 • Division of Emergency Preparedness & Response PHEP - Effective July 1, 2020 • Emergency Preparedness & Response COVID-19 Local CARES - Effective March 1, 2020 ® Amends Statements of Work for the following programs: • Family Planning - Effective December 1, 2019 • Foundational Public Health Service (FPHS) - Effective July 1, 2019 • WIC Nutrition Program - Effective January 1, 2018 ❑ Deletes Statements of Work for the following programs: 2. Exhibit B-17 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-16 Allocations as follows: ® Increase of $948,569 for a revised maximum consideration of 706 722. ❑ 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-17 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces Exhibit C-16. 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. HEALTH A ved as;o orm only: C' f , ",+ Date: �4 o Philip C. Hunsucker, Chief Civil Deputy Prose ing Homey Jefferson County Prosecuting Attorneys Office STATE OF WASHINGTON DEPARTMENT OF HEALTH 8rEy d a/ F(ml'`iksoty 10/27/20 Date APPROVED AS TO FORM ONLY Assistant Attorney General Page 1 of 39 •-+NNM '-' CA N 00 a U z U Y O 0 U :o : N O : N N O � U N O �N W � � W U ra�'U QWU :ti N off, Cc Q W O p o y000 a wa H tea, Q i w N �F U v� >rx0cqa �Od .V. O U N y N U •: � air AV]W •Y � nr ti R o, to a �Wa;'ca o ow O O U O QAwww3 �d�ddd x HNHHHH 30 00000a O N zzzzzz � o uuuuuu xxxxxx �� wry AACACA A x 0 a Q z d a L O a C rx �+ .--. M le O %C 00 b N r O V 00 d Cd T. Cd R � � u U 00 c o 0 0 O Cd "C UU d � y W Cc 0 V 00 00 � O O O -• � i:i ai U M M A o 0 U N Q\ cn � zz 00 z 00 a � 6 a as a A wA o � O U Q O '^ rA 0 U w w O N fA O p a O U b S p Ej U t0 d o 3 o � A. 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U c 'c w O. ;J ONO U WEW�l.E nwa'.. CL c E -a 0? I' m 0 m o =Q vw UWW n.LLQ w, N M m m w m uNi m o 0 N N O� � o a a m o 0 o b a s � o N w � n O O O N o � o m N N N pf h rn �i m t�) M w F x' a w Ir N y K U a o a U > O O O O of U U LL LL � P x J r z o< x0 U Y ag Z J a m J 0 Z w Ir U �U) r N U m r N U m I N N yU O m W rn 0 m O d a M J 0 0 co 0 m N f6 d Public Hea TO: FROM: DATE: SUBJECT: 615 Sheridan Street Port Townsend, WA 98368 www.JeffersonCountyPublicHealth.org JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST Board of County Commissioners Philip Morley, County Administrator Vicki Kirkpatrick, JCPH Director Consolidated Contract Amendment #17 Consent Agenda STATEMENT OF ISSUE: Jefferson County Public Health requests Board approval of Consolidated Contract Amendment #17; January 1, 2018 — December 31, 2020. ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S: This is a routine Consolidated Contract Amendment that comes to local health jurisdictions every two months and includes both budgeted and new funding along with some tasks associated with the funding. FISCAL IMPACT/COST BENEFIT ANALYSIS: This amendment includes an increase of $948,569 for a revised maximum of $2,706,722. With the exception of the COVID-19 federal funds, these funds are included in the State 2019-2021 Biennial Budget and represent state fiscal year allocation. Individual allocations are as follows: • COVID ED LHJ-CARES: $43,161 for 7/1/20 — 12/30/20 • COVID LHJ: $129,483 for 7/1/20 — 12/30/20 • PHEP BP2 LHJ: $20,630 for 7/1/20 — 12/31/20 • COVID LHJ OFM-CARES: $638,000 for 3/1/20 — 12/30/20 • Funding for LHJS: $58,000 for 7/1/19 — 6/30/20 • Funding for LHJS: $58,000 for 7/1/20 — 12/31/20 • UDSA WIC Program Management $1,295 for 10/1/19 — 9/30/20 RECOMMENDATIONS: JCPH Management recommends BOCC approval and signature for Consolidated Contract Amendment #17. REVIE Y: ilip Morley, Coun Ad nistrator Date Community Health Developmental Disabilities 360-385-9400 360-385-9401 (f) Always working for a safer and healthier community Environmental Public Health 360-385-9444 (f) 360-379-4487 �.rr� Public Hecalth CONTRACT REVIEW FORM CONTRACT WITH: Department of Health (Contractor/Consultant) CONTRACT FOR: Consolidated Contracts Amendment 17 COUNTY DEPARTMENT: For More Information Contact: Contact Phone #: RETURN TO: Karen Abbott (Person in Department) AMOUNT: $948,569 Revenue Expenditure $948,569 Matching funds Required Source(s) of Matching Funds Step 1: APPROVED FORM Comments REVIEW BY Date TRACKING NO.: CC-18-02 A17 TERM 1;1/18 -/2131/20 Jefferson County Public Health Julia Danskin x420 `F RETURN BY: ASAP,,?,,., PROCESS: 8 Exempt from Bid Process ❑ Consultant Selection Process ❑ Cooperative Purchase ❑ Competitive Sealed Bid ❑ Small Works Roster ❑ Vendor List Bid ❑ RFP or RFQ ❑ Other - MOU l ❑ Reid for revision (See Comments) Step 2: REVIEW BY PROS T G ATTORNEY Review by: �'. Philip C. Hunsucker Date Reviewed: Zq Chief Civil Deputy Prosecuting Attorney APPROVED AS TO FORM *C ❑ ReTidmed for revision (See Comments) Comments * J 76 4te i a. z — r-A. - -- - 4- ^ /, _ _ _ i .-- --11— V4, YLllri0 1%r, v ik5ivi'V5 OL nV,aUis1v111J I V HIaK 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.)