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TO:
FROM:
DATE:
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
Consent Agenda
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
Board of County Commissioners
Philip Morley, County Administrator
Vicki Kirkpatrick, Director
Anna McEnery, Developmental Disabilities Coordinator
SUBJECT: Agenda Item — Amendment #3 to the Professional Services Agreement —
Concerned Citizens for Early Intervention Services; September 13, 2019 —
June 30, 2021; Additional $80.10 for a total $25,288.10
STATEMENT OF ISSUE:
Jefferson County Public Health, Developmental Disabilities Division is requesting Board approval of Amendment
#3 to the Professional Services Agreement with Concerned Citizens, to provide Early Intervention Services;
September 13, 2019 — June 30, 2021; Additional $80.10 for a total of $25,288.10.
ANALYSIS/STRATEGIC GOALS/PRO'S and COWS:
This amendment adds an additional $80.10, to continue providing therapeutic services for Jefferson County
children age birth to three years, with developmental disabilities.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
Funding for the agreement with Concerned Citizens is through the Developmental Disabilities Administration
with DSHS and is identified in the budget under Early Intervention Services or Child Development Services.
RECOMMENDATION:
JCPH management requests approval of the Amendment #3 to the Professional Services Agreement —
Concerned Citizens for Early Intervention Services; September 13, 2019 — June 30, 2021; Additional $80.10 for
a total of $25,288.10.
Date
Environmental Public Health
360-385-9444
(f) 360-379-4487
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Always working for a safer and healthier community
Contract Amendment #3
Between
Concerned Citizens
And
Jefferson County Public Health
Developmental Disabilities Program
WHEREAS, Concerned Citizens (SUBCONTRACTOR) and Jefferson County (COUNTY) entered into
an entered into an agreement from September 13, 2019 through June 30, 2021 for Professional Services
to be provided in connection with Early Intervention Services for East Jefferson County children age
birth to three years and their families.
WHEREAS, the parties desire to amend the terms of that agreement.
IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS:
1. The term of the above referenced agreement ends June 30, 2021.
2. Subcontractor will continue to provide for provision of Multi -Disciplinary Evaluation and
Assessment of children age birth to 2 years 8 months of age that are suspected of having
developmental delay or disability. The evaluation tools and procedures selected will
conform to WAC 275-27-026 requirements. Subcontractor will continue to provide
Individualized Family Service Plans (IFSP) that are developed in collaboration with the
family and other providers. Subcontractor and the family will write the IFSP jointly on
approved forms.
3. Subcontractor shall receive funding for: Specialized Services (developmental, corrective,
and other services) to assist infants and toddlers to achieve developmental goals as
specified in the IFSP, which may include, occupational therapy, physical therapy, speech -
language therapy, and specialized instruction/education.
4. One Unit of Early Intervention Services is $426.45. One Unit is defined as one Month of
direct service to one eligible child. A maximum of six (6) Units of Early Intervention
Services may be billed on a monthly basis.
5. Subcontractor will be entitled to an additional $80.10 in funding for services rendered
during the term of this contract amendment. Total compensation under this Agreement
shall not exceed $25,288.10 without express written amendment.
6. Specialized Services will be provided to the maximum extent appropriate in natural
environments, including the home and community settings in which children without
disabilities participate.
7. All other terms and conditions of the agreement will remain the same.
Dated this day of , 2021
(SIGNATURES FOLLOW ON THE NEXT PAGE)
bapm
LIFA
Kate Dean, Chairman
Jefferson Board of County Commissioners
Linda Middleton
Executive Director, Concerned Citizens
ATTEST:
Carolyn Gallaway, Clerk of the Board
APPROVED AS T9 F RM ONLY:
By: ' ` c
Philip Hunsucker, Chief Ci it Deputy Prosecuting Attorney