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JEFFERSON COUNTY
State of Washington
RESOLUTION NO. 68-93
ORDER
BUDGET APPROPRIATIONS/EXTENSIONS
VARIOUS COUNTY DEPARTMENTS
WHEREAS, the Jefferson County Board of Commissioners did on the 2nd day of
August, 1993, declare that an emergency existed to provide the amounts listed below from the
unencumbered balances of the those funds and to set a hearing on said emergency for the 16th day
of August 1993, at the hour of 2:30 p.m.; and
WHEREAS; this being the time and place set for said hearing and no objection or
objection interposed; now, therefore,
IT IS HEREBY ORDERED, by the Board of County Commissioners, that due to there
being sufficient funds in the unencumbered fund balances of the Funds listed, that the County
Auditor be, and she is hereby authorized to extend the budget of the following funds by the amounts
listed per the attached requests.
OTHER FUNDS:
Risk Management Reserve Fund
Solid Waste Construction Fund
County Parks Improvement Fund
Veterans Relief Fund
Health Department
Development Disabilities
15,000.00
1,800,000.00
37,894.20
6,000.00
8,000.00
20,000.00
APPROVED this
16th
day of
August
, 1993.
SEAL:
ATTEST:
Lorna L. Delaney,
Clerk of the Board
,-
'.'01- 19 rM; 963
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TO: BOARD OF COUNTY COMMISSIONERS
RE: REQUEST FOR EMERGENCY APPROPRIATION
(BUDGET EXTENSION)
JULY 2, 1993
Date
Gentlemen:
Please be advised that after a thorough examination of my current budget it appears that the amount
allocated in BARS Account No. 514.78 of$ 15,000. of the RISK MANAGEMENT RESERVE
category is insufficient to pay necessary expenses of this department for this year. After a careful
examination of all the expenditures within the department budget with respect to present and future
needs, I find there are no funds available to transfer into the deficient account. Therefore, I request
an emergency appropriation in the amount of $ 15,000.00 for this current year for the following
reason(s) as outlined below:
BARS Acct. No.
Category
Amount
502-000-010 514.78 49.00 CLAIMS
RISK MANAGEMENT RESERVE FUND
$15,000.00
Reason for Appropriation:
Number of claims processed this year is way up. 1992 YTD figure
was only $9,000. So far this year, we've expended $16,544.85.
Current cash balance of the reserve fund is $82,661.35. This is
not an appropriation request, only a budget extension request.
All monies are put back into the
Management Reserve Fund bill the
the year.
fund in December, when the Risk
other funds for charges throughout
,s{pe~~UIlY submittj... d, 1- /Î.
fit, ((/1. L /--¡ k.y-¿ {(fir ( ~.-c //
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..' "-
Auditor's Office
Department
cc:
Gary Rowe, Risk Manager
Revised 7/91
~VOL
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TO: BOARD OF COUNTY COMMISSIONERS
RE: REQUEST FOR EMERGENCY APPROPRIATION
Date
Gentlemen:
Please be advised that after a thorough examination of my current budget it appears that the amount
allocated in BARS Account No. 1?t1{ of $ (!) 0 of the -lV'ti..AA.s. Çc..,r-
category is insufficient to pay necessary expenses of this department for this year. After a careful
examination of all the expenditures within the department budget with respect to present and future
needs, I find there are no funds available to transfer into the deficient account. Therefore, I request
an emergency appropriation in the amount of $ \18"06 ~ 000 for this current year for the following
reason(s) as outlined below:
BARS Acct. No. Cateaorv
-1Ð3-0DO-OlC 15(;/r7. 00.'t"7o10
S>L~ ~7tþ ~ Tr~~ f-c.rs
Amount
~ \ I ~OO, "ø (:) . DC>
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Reason for Appropriation:
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\¡J~-œ. ~ ~ f':J ~ ~ ~ L.Ju
.4--- L.cus ß G/\o-\ C-- (,,0 S ~ ð- C> S rs:. ~ eo s. -h; ~
evU- .::b~-e--~ ~ ~~ bvkiÕ; f>~~
0 f- .sDk~. W~u. ~ .
Respectfully submitted,
Revised 7/91
. VOL
19 rAc~965
TO: BOARD OF COUNTY COMMISSIONERS
RE: REQUEST FOR EMERGENCY APPROPRIATION
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Date
Gentlemen:
Please be advised that after a thorough examination of my current budget it appears that the amount
allocated in BARS Account No. of $ of the
category is insufficient to pay necessary expenses of this department for this year. After a careful
examination of all the expenditures within the department budget with respect to present and future
needs, I find there are no funds available to transfer into the deficient account. Therefore, I request
an emergency appropriation in the amount of $ $?Î I ogq....{, '-¿:for this current year for the following
reason(s) as outlined below:
BARS Acct. No. Category
~'-'\ P~t(~5
~~t- ~
l15-ÐbD-D lO
5,(.",30.
Amount
'+ 311 8QL\-. '"2-0
Reason for Appropriation:
--r\;u.:s \-5 h::> CcJV-e-í
[vV'm ]) W R 9ov-
~ e- c (/Y\ ~ MÄ... C-e..-. t
CD sl-:s- ~ 1'vn~ ~-~ I ~:J
G(~61o..> ~ <f2-f-C,v~ ~
Respectfully SUbmitte~
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Department
Revised 7/91
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. GIt. 1\SIllNGIDN STATE DEPARTMENT OF
1Irl'i.~ atural Resources
May 24, 1993
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ends
HAM
rvisor
Gary Rowe
Public Works Director
Jefferson County
P.O. Box 1220
Port Townsend, W A 98368
Dear Mr. Rowe:
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RE:
Billing - Gibbs Lake Exchange and Reconveyance
Enclosed is an itemization of costs incurred by the Department of Natural Resources for the
above project.
As agreed, please remit the amount of $37,894.20 to Financial Services Division, P.O. Box
47041, Olympia, WA 98504-7041, by June 25, 1993. Please reference Exchange No. 430 on
the check and include the enclosed invoice.
t': This is the final billing for costs incurred for the acquisition and reconveyance of the Gibbs
Lake and Beausite Lake parcels. Also enclosed is the draft deed for the reconveyance. Please
review this, and if it meets with your approval, please sign in the space provided below.
If you have any questions, please call me at 902-1635. Thank you.
Sincerely,
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111.ICIYSOtv
£1fO~v~o.Ú'
Kit A. Metlen
Project Manager
Division of Lands & Minerals
KM:jj
Enclosures
c:
Rod Larson
Jerry Otto
Exchange File 430
Reconveyance File 53240
-----------------------------------------------------------------------------------------------------------------
APPROVED AS TO FORM:
Name
Date
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1111 WASHINGTONSTSE I PO BOX47ŒXJ I OLYMPIA, WA98504-7000 ~ VOL
Equol Opportunity/Affirmative Action Employer
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nÞl"Þ<'<',>r" fn riøfø...,.,:~o ""0 ri"""""nø<, ",¡":nl. ~n.~ "',..n"'. ",yo "'<l1ti '<>nn _no, ..u.."'.
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Itemization
Gibbs Lake Exchange and Reconv.eyance Billing
May 24, 1993
TIMBER SALES COMPLIANCE
Salaries & Wages
Employee Benefits
$13,495.51
3,289.79
Personal Services Contract
10,350.00
218.60
Goods & Services
Travel
348.30
$27,702.20
Subtotal
Reforestation & Compliance
10.192.00
TOTAL AMOUNT DUE $37,894.20
; VOL
19 fM;~ 968
TO:
RE:
BOARD OF JEFFERSON COUNTY COMMISSIONERS
Request for Emergency Extension/Appropriation
July 2, 1993
Gentlemen:
Please be advised that after a thorough examination of the current budget it appears that the
amount allocated in BARS Account No. 155-000-010 of $20.300.00 of the Veterans Relief
category is insufficient to pay necessary expenses of this fund for this year. After a careful
examination of all the expenditures within the fund with respect to present and future needs, I
find there are no funds available to transfer into the deficient account. Therefore, I request an
emergency appropriation in the amount of $3,000.00 and a budget extension in the amount of
$6,000.00 for this current year for the following reason outlined below:
(BARS Account Number and Title)
553.60 40 Veterans Services
Amount:
$6,000.00
Reason For Extension/Appropiration:
More funding is needed in the above fund because the number of Soldiers' and Sailors' Relief
Fund applications has increased this year due to an economic downturn in the area.
- « ~/)4(£L 1M, ~ -
(Submitted by:) Ó
COMMISSIONERS
(Departm ent)
~ VOL
19 rAG£ 969
Human Services
July 6, 1993
FROM:
Board of County Commissioners
David A, Specter i>~~
TO:
SUBJECT:
Request for Emergency Appropriation:
Computer Equipment
Please be advised that after a thorough examination of my current
budget, it appears that the amount allocated in BARS Account No,
562.00,00.0035 of $2,620 of the Office Equipment category is
insufficient to pay necessary expenses within the department budget
with respect to present and future needs, I find there are no
funds available to transfer into the deficient account. Therefore,
I request an emergency appropriation in the amount of $8,000 for
this current year for the following reasons as outlined below:
BARS Acct, No.
Cateqorv
Amount
128-00-010-562.00,00,0035
Office Equipment
$8,000
Reason for Appropriation:
As discussed at the Board of Health in February and subsequent
meetings, we have been awarded a contract amendment from the
Department of Health in the amount of $8,000 for the purchase of
computer equipment and software. This expenditure is fully covered
by these additional contract funds. (See attached,)
~ VOL
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~"' -----~--~------ --------
HEALTH
DEPARTMENT
206/385-9400
ENVIRONMENTAL
HEALTH
206/385-9444
DEVELOPMENTAL
DISABiLITIES
206/385-9400
ALCOHOL/DRUG
ABUSE CENTER
206/385-9435
FAX
206/385-9401
STATE OF W,\~HIr-JGTON
DEP/~RT,\'H,n OF HL-\LTH
)ARENT-CHILD HEALTH SERVICES
Olympia, W~lShinf{t()n 98504- 7"1/1/0
February 1, 1993
FROM:
Health Officers
Nursing Directors
Administrators
Consolidated Contract Managers
Kathy Chapman, Director ~
Office of Children with Special Health Care Needs
TO:
SUBJECT:
FUNDS AVAILABLE TO ENHANCE CAPACITY FOR TRACKING CHILD
HEALTH STATUS
As part of a commitment to enhance local capacity for assessment and tracking of child
health, the Department of Health is making funds available to local health
departments/districts to enhance local capacity to track the health status of children. The
funds are available through the state budget proviso "Expansion of High Priority Infant
Tracking". The intent for these funds is to enhance current capacity for tracking child
health status, as well as building capacity for implementation of a statewide Child Health
Tracking System.
The goal for a Child Health Tracking System is an enhanced ability to track factors such
as immunizations, utilization of primary care, and to identify early developmental delays.
Enhancing capacity to track child health status requires linkages between population
based data bases, such as birth files, and service data. It requires better linkages
between internal service data bases and linkages with other places where services to
children may be provided, such as physicians offices.
Up to $8,000 per health department/district will be included in the consolidated contract
first contract amendment for the purposes outline here. These funds must be expended
by June 30, 1993.
The primary intent of this funding is to enhance local health department internal capacity
for tracking child health status. Allowable expenses include:
.
Consultation from computer experts to assess your systems needs and
plan for future needs,
.
Purchase of hardware (see Attachment A standards for hardware),
, YOL.¡,:\¡;d"9 H. - 971
".1. r,.,;~ -
February 1, 1993
Page two
.
Purchase of software (see Attachment A standards for software). and
.
Training of staff on computer use.
We are recommending that the first priority for these funds is to ensure that your agency
has at least the computer capacity described under "stand along personal computer",
This configuration will provide the capacity to implement the interim system
CSHCN/HPIT /BDA.
We have worked to obtain internal DOH consensus on the attached standards;
purchasing according to these standards will assure that you will have equipment
compatible with the following DOH systems in progress: WIC/ClMS, Child Health
Tracking. Electronic Birth Certificates, COG Wide Area Network, and Electronic-Mail.
Purchase of equipment may be made through your own purchasing departments, or if
you prefer, Attachment B is a sheet describing a purchasing service available through
Department of Information Services. The only exception is the Microsoft local area
network described in the standards; since this is not yet available commercially, purchase
must be made through DOH Purchasing. Instructions for this purchase are also included
in Attachment B.
Please contact Ric Riccolo at (206) 586-5061 or SCAN 321-5061 with questions or if you
wish to discuss a purchase that does not comply with the attached recommended
standards. I'm hopeful we can work together to utilize these funds to assist us to
improve our collective capacity to track and assess the health of children.
Attachment
~ VOL
1 9 r~G£ 972
Attachment A
Recommended Hardware/Software Standards
Enhancing Capacity to Track Child Health Status
These hardware and software standards are provided for your guidance in purchases with
funding provided to enhance capacity for tracking child health stanIS. The purpose of
providing you with these standards is to ensure any purchases will be compatible with furore
development of a Child Health Tracking Infonnatíon System as well as with other DOH
infonnation systems efforts, including CIMS/WIC and the C~mers for Disease Control Wide
Area Network Initiative.
The intent is to build upon current local capacity, and to allow flexibility for local priorities
to improve current capacity for child health tracking, as well as building for the future. The
standards are organized into four categories:
. stand alone personal computers;
. basic local area network;
. client server local area network; and
. wide area network communications.
The fITst part of the Child Health Tracking Infonnation System, the combined HPIT/Birth
Defects Registry/Children With Special Health Care Needs system, can be implemented with
the equipment speciiied in the stand alone personal computers section. Additional equipment
is outlined in the succeeding three sections as a general guide toward building the capacity to
electronically transfer data and to move toward a fully functional, on-line statewide health
infonnation system. These equipment recommendations assume a leased public network for
telecommunications. The attached costs are estimates not meant to imply exact expenditures.
Stand Alone Personal Computers
The basic work station configuration for minimal participation in the Child Health Tracking
Infonnation System project would be a stand alone personal computer (PC) with no local
area network capability. The PC would have the capability for communicating via modem
with a remote database, such as a CHT database in Olympia, by telephone lines, but this
capability would be confmed to a single PC.
-1-
~vo'-
19 rAG£ 973
--
Descrivtion
Approx. Cost
Personal Computer with:
486DX/33 Processor
200 ME Hard Drive
12 ME RAt\¡{
3 1/2" Disk Drive
Two Serial Parts
One Parallel Port
One Pointing Device
CoLor Monitor
Installed Software
MS-DOS 5.0
Microsoft Windows 3.1
$3200
Enhanced Keyboard
175
1500
200
600
500
120
400
Total $6695
8 % Tax 536
Grand Total $7231
Laser Printer (Post Script)
PC Connections/wiring
Modem
Telecommunication Software
Network Card
Power Supply
In addition, you may wish to consider a word processing package and a database
management system for this stand alone PC. The database management system would be
necessary for both access to, as well as analysis of, the data in any linked Child Health
Tracking system.
~VOL
1 9 -1~,c~ 974:
Description
Approx. Cost
Word Processing Packages
Microsoft Word
325
WordPerfect For Windows
260
Relational database management systems:
Microsoft Access
495
FoxPro
475
Portable Computers
The optional addition of a portable computer would give field workers the capability to
record data at the field site and electronically transfer it to the main database upon return to
the agency's main site. Adding a single modem and some telecommunication software would
allow direct transfer of tìeld data to the main database without the necessity of the field
worker physically returning to the agency's main site.
Description
Approx. Cost
Portable Computer With:
386SL Coprocessor
8MERAM
387SL Coprocessor
120 ME Hard Drive
VGA Color Display
3 1/2" Diskette Drive
Easy Point Trackball
Installed Software
MS-DOS 5.0
Microsoft Windows 3.1
$4800
Basic Local Area Network
Some local health agencies already have a local area network (LAN) of some type, in which
case only a modem, a network interface card and some telecommunications software will be
needed in order for that agency to communicate with a remote database. If a local health
agency's LAN is something other than Ethernet, DOH will need to deal with those
individually.
-3-
: VOL
19 r^G~975
For those agencies with no local area network, creating a simple LA.N would allow several
efficiencies: inter-office mail capability; shared scheduling; hooking two or more PCs
together in order to share data f11es or do intake at two or more different work stations; etc.
For a network of only two PCs, the following items are needed for each PC:
Description
Approx. Cost
Microsoft NT '"
$300
Network Interface Card
120
Cables
50
For a network of 3 to 12 PCs and printers (in any combination: for example, 2 PCs and 1
printer, or 6 PCs and 2 printers, or 8 PCs and 4 printers), add:
Description
Approx. Cost
SYNOPTICS 2813 Concentrator
2200
Cables/Labor
125
For a network of more than 12 PCs and printers, instead of the above items:
Description
AWrox. Cost
SYNOPTICS 3000 Concentrator
3308A Host Module
1650
1100
Cab les/Labor
125
Client Server Local Area Network
Those local health agencies which operate WIC programs will be provided the necessary
equipment for a complete Client Server Network as part of the CIMS/WIC Automation
Project. A Child Health Tracking system could exploit the presence of this network
equipment through some type of a cost reimbursement arrangement with the WIC program.
DOH is currently developing a fonnula for agencies to use in figuring as accurate a
reimbursement schedule as possible.
"'This product could only be purchased through the state DOH purchasing process since
it is handled through a special agreement with Microsoft, See Attachment B for
Purchasing Procedures.
~ VOL
rn r~~~976
For those agencies without a WIC program, or who wish to create a client server network,
the purchase of client server network equipment and the telecommunications software
necessary to support such a network will add the following capabilities: communication with
the main database in Olympia through a single access point; sharing of all applications
developed, such as CTh1S/WIC and CHT; inter-office mail with remote sites for all
individuals on the network; interactively accessing data (such as birth records, the CHT
central database, etc.) from remote sites; scheduling meetings among individuals on the
LAI.'T; etc.
Description
ßporox. Cost
SCSI Hard Drive Controller
250
Network Interface Cards
120
Router
7000
S ynoptics 3000 Concentrator
1650
3308A Host Module
1100
Network Management Module
Model 3314M
4000
Software License for NMM
1300
Power Supply Model 3002
900
Network Interface Card
Novell Netware v3.11 from Compaq
5 Users
120
750
Laser Printer
1500
Server Power Supplies (2)
2400
Multi-User NT for Servers
2500
Microsoft SQL Server
Unlimited Users
6200
525
Total $41,815
Tax 8 % 3345
Grand Total $45,160
MS-Office S ¡ngle User
-5-
. VOL
19 fAG,977
Wide Area Network Telecommunications
The Department of Health is in the process of looking at an interim method for the electronic
communication of ¡nfonnation to and from the databases in Olympia. This interim method could be
used until the CIMS/WIC Automation Project and the Centers for Disease Control Wide Area
Network initiative are both fmalized and implemented in 1996. The method involves use of a
private telephone carrier to transport d2ta over existing networks. More infonnation will be
communicated about this possibility as it is â,".::.ilable.
. VOL
19- fAŒ978
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April 12, 1993
Attention: David Specter
Jefferson County Health Department
802 Sheridan
Port Townsend, WA 98368
RE:
CONTRACT/AMENDMENT NUMBER
1620-02018(1)
Dear Contractor:
Enclosed is a fully executed copy of the above-referenced
contract/amendment between you and the Department of Health for
your permanent file.
Claims for payment for services rendered under this
contract/amendment will be accomplished through the submission of
invoice vouchers supplied to you by the Department of Health. All
invoice vouchers shall contain your contract/amendment number and
such other information as is required for the departments to
determine the exact nature of all charges for services.
You are reminded that as a contractor you are required to be in
compliance with all applicable local, state and federal licensing
and tax registration regulations. Responsibility for determining
your licensing and tax registration requirements rests solely with
you. For assistance in determining those requirements, contact:
Department of Licensing
Business License Center
Highways-Licenses Building
olympia, Washington 98504
Toll-Free in Washington 1-800-562-8203
Sin' erely, A
c)~ i cp
Joh TOOhey,~contract
Dep rtment 0 Health
Con racts/Ru es Manag
130 Quince st. S.E.
P.O. Box 47902
Olympia, Washington
(206) 586-6915
ent
/ c./À. ? ?~
~D
98504-7902
Enclosure
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. VOL
19 fAGf 979
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CONTRACT NO. 1620-02018
1993 CONSOLIDATED CONTRACT
AMENDMENT NO.
1
-
PURPOSE OF CHANGE: To amend that contract between the DEPARTMENT OF HEALTH
herelnafter referred to as "DOH," and JEFFERSON COUNTY HEALTH DEPARTMENT
hereinafter referred to as the "Contractor," under the provisions of that
Chancres and Modifications Clause therein, and to make necessary changes
within the scope of that contract and any subsequent amendments thereto.
IT IS MUTUALLY AGREED THEREFORE:
follows:
That the contract is hereby amended as
Exhibit B, the Allocation Sheet, shall be deleted in its entirety
and replaced with revised, attached Exhibit B (1) to reflect the
followi ng:
Addition of $8/000 for an HPIT Enhancement program (562.99) for
time period Jan - Jun, 1993. (Please note dual state revenue
codes. )
1.
i.
j.
a.
b.
Addition of $425 to the CWSHCN program (562.25) revenue code
334.04.97 for time period Jan - Jun, 1993 for travel.
c.
Reduction of $4/121 from the Maternal/Infant program (562.22)
federal revenue code 333.99.94 and reduction of $3/091 from state
revenue code 334.04.97 for time period Jan - Jun 1993.
d.
Reduction of $2,060 from the Maternal/Infant program (562.22)
federal revenue code 333.99.94 and reduction of $1,545 from state
revenue code 334.04.97 for time period Jul - Sep, 1993.
e.
Reduction of $2,060 from the Maternal/Infant program (562.22)
federal revenue code 333.99.94 and reduction of $1,545 from state
revenue code 334.04.97 for time period Oct - Dec, 1993.
f.
Addition of $2,716 to the Child & Adolescent program (562,23)
federal revenue code 333.99.94 and addition of $2,037 to state
revenue code 334.04.97 for time period Jan - Jun, 1993.
g.
Addition of $1,358 to the Child & Adolescent program (562.23)
federal revenue code 333.99.94 and addition of $1,018 to state
revenue code 334.04.97 for time period Jul - Sep, 1993.
h.
Addition of $1,358 to the Child & Adolescent program (562.23)
federal revenue code 333.99.94 and addition of $1,018 to state
revenue code 334.04.97 for time period Oct - Dec,~1993.
Addition of $2,459 for a Medicaid Child Case Management program
(562.23) state revenue code 334.04.97 for time period Jan - Jun,
1993.
Addition of $1,229 for a Medicaid Child Case Management program
(562.23) state revenue code 334.04.97 for time period Jul - Sep,
1993.
VOL
Page 1 of 3
19 fAG~ 980
q.
r.
2.
}(.
Addi~ion of $1,229 for a Medicaid Child Case Management program
(562.23) s~ate revenue code 334.04.97 for time period Oct - Dec,
1993.
.L.
Reduction of $1,075 from the Children wjSpecial Health Care Needs
program (562.25) federal revenue code 333.99.94 and reduction of
$807 from state revenue code 334.04.97 for time period Jan - Jun,
1993.
m.
Reduction of $538 from the Children wjSpecial Health Care Needs
program (562.25) federal revenue code 333.99.94 and reduction of
$403 from state revenue code 334.04. 97 for time period Jul - Sep,
1993.
n.
Reduction of $538 from the Children wjSpecial Health Care Needs
program (562.25) federal revenue code 333.99.94 and reduction of
$403 from state revenue code 334.04.97 for time period Oct - Dec,
1993.
o.
Addition of $1,882 for a Medicaid Child Case Management program
(562.25) state revenue code 334.04.97 for time period Jan - Jun,
1993.
p.
Addition of $941 for a Medicaid Child Case Management program
(562.25) state revenue code 334.04.97 for time period Jul - Sep,
1993.
Addition of $941 for a Medicaid Child Case Management program
(562.25) state revenue code 334.04. 97 for time period Oct - Dec,
1993.
This amendment increases the contract by $8,425.
maximum consideration not to exceed $148,379.
Revised total
Exhibit C, Statement of Work, shall be amended as follows:
PCHS - Medicaid Child Case Management
BARS Code Method #
562.23 L 66.2C Provide case management in accordance with
policies and billing instructions provided
Medical Assistance Administration.
by the
Report:
(#) of children receiving Medicaid Case
Management services (unduplicated)
HPIT Enhancement
BARS Code Method #
562. 99 L 1. lF
Enhance current capacity for tracking child health
status and build capacity for implementation of
statewide child health tracking system through
guidances issued by PCHSjOCSHCN instructional
memos.
Report:
Brief biannual narrative of activities undertaken
Page 2 of 3
19 rAG~ 981
VOL
such as comDuter consultat~on and inventory of
goods obtai~ed to include state and local
identifiers and loca~ion.
-¡
-'.
Exhibit 0, Attachment #2,
as at':ached.
Biannual Activity Report,
shall be amended
4.
Exhibit E,
Special Requirements, shall be amended as follows:
1.
E.
CWSHCN
This contract contains $425 in funds allocated in BARS code
562.25 for travel/per diem expenses related to the Children with
Spec~al Health Care Needs program (CSHCN). Funds shall be
expended for the following allowable costs only:
Costs for employee travel to include attendance at a statewide
CSHCN conference. These costs may include mileage and/or
airfare; taxi fares or other local transportation costs; parking
and lodging and meals.
16.
INFANT IMMUNIZATION INITIATIVE - I - 3 PROGRAM
Amend to read:
Submit quarterly narrative reports for local methods L 40.8B, L
40.8C and L 40.8D to the Immunization Program, P. O. Box 47843,
Olympia, WA 98504-7843.
5.
This amendment shall be effective upon date of execution.
ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent
amendments hereto remain in full force and effect.
IN WITNESS WHEREOF,
execu~ion thereof.
the undersigned has affixed his/her signature in
CONTRACTOR
~Ci.~
3-¿2 - 1'3
(Date)
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
VED AS TO ORM ONLY-
t aJOHN 9' ðtJf!. ~ ~ era 1
Contracts Officzr",
,.,
Department oJ He3ft~
Page 3 of 3
. VOL
19 f.'G~ 982
Agency Name:
Expendl lure
Account
562.22
562.23
562.23
562.25
562 25
562.25
562.28
ALLOCATIONS
CY 1993
Pagelot2
Contract No. 1620,02018
Exhibit: B (I)
Date: March 5, 1993
p ~ r lad
J an) un
) u I Sea
Oct Dee
Jan Jun
J u I Sea
Oct. Dee
) an ) un
) u I S e p
Oct Dee
) an J un
) u I Sea
Oct Dec
J an ) un
J u I Sea
Oct Dee
Jan Jun
J u I Sea
Oct Dee
) an J un
) u I Sea
Oct Dee
. VOL
Amount
$4,073
$3,055
$2,037
$1, 528
$2,037
$1, 528
$2, 716
$2,037
$1,358
$1,018
$1,358
$1,018
$2,459
$1, 229
$1,229
$2,280
$2, 135
$1,140
$855
$I, 140
$855
$1, 882
$941
$941
$7, 598
$5,699
$3, 799
$2, 850
$3, 799
$2,850
$18,295
$1. 950
$9, 102
$0
$9,473
$0
19 r~[~ 983
Total
$ 7, 128
$3,565
$3,565
$4, 753
$2,376
$2, 376
$4, 917
$4, 415
$1, 995
$1,995
$3,764
$13,297
$6,649
$6,649
$20,245
$9, 102
$9,473
EXHIBIT a (1)
'IEARL Y
TOTAL
,.""." - -' -,., ...-..""" - - '--,.. ,--' ",..", ,_...-,.- - -""" ....,_. ,...,., -.,. -..,
$14,258
$9, 505
$4, 917
$8,405
$3, 764
$26, 595
$38,820
Jefferson County Heal Ih Department
? rag r am
Revenue
Code
Maternal & Infant
333.99.94
334.04.97
333,99.94
334.04.97
333.99.94
334,04.97
Chi Id & Adolescent
333.99.94
334.04.97
333.99.94
334.04.97
333.99.94
334.04.97
Medicaid Child Case Management 334.04.97
334.04.97
334.04.97
Children wi Special Health
Care Needs
333.99.94
334.04.97
333.99.94
334.04.97
333.99.94
334.04.97
Medicaid Child Case Management 334.04.97
334,04.97
334.04.97
Early Intervent ion
333.99.94
334.04.97
333.99.94
334.04.97
333.99.94
334.04.97
'HIC
333.10.57
334.04.99
333.10.57
334.04.99
333.10.57
334.04 99
Agency 'Jame
:,oena,:ure
:'ccount
~62 28
562,32
562 35
562 33
562, 38
562,39
562,99
56299
ALLOCATiONS
~Y 1993
Pag~2aí2
Contrac: No 1620,02018
ExhlOlt 8 (1)
Date: Marth 5, 1993
.e! terson County Heai th Deoartment
NIC/Breast reeding
,mmunl zat Ions
Value of vaccine furnished
in lieu of cash
HIV/AIDS
Camp Health/STD
Infant Immuniz, Prog,
Per inatal Hepat It is B
HPIT Feasibility
rlPIT Enhancement
Program
Revenue
Code
Amount
Total
YEARLY
TOTAL
.oer lad
.,.."",,'. ...""""", ",." ",-, "" "" ,.,., ".""", .,.. ","""'" .", ,'.,'.,,-,
333.10,57 Jan Jun $1, 404
333,10.57 J u i Sea $0 $1. 404 $1, 404
~ oIl)
.333,92,68 Jan , 0 e c $4,124 "
.333,99.94 J an Oec $1, 737 'i 'f.
"
,334,04,95 - Jan ' Dee $15,846 ;¡:Jm, 707 $21,707
333,91. 18 Jan J un $1, 200
333,91. 18 J u I ' De e $1, 20 1 $2, 401 $2, 401
333,99,91 J an J un $1. 050
333.99,91 Jul ' S ep $525
333,9991 Oct Dee $525 $2, 100 $2, 100
333.92.68 Jan Jun $3,366
333,92,68 J u I Sep $0
333,92,68 Oct , Dee $0 $3, 366 $3,366
333,92,68 J an . Dee $137 $137 $137
334,04,99 Jan Jun $1,500
334,04,99 J u I Sep $750
334.04,99 Oct , De e $750 $3,000 $3,000
334,04.99 Jan Jun $6,452
334,04 97 Jan J un $1, 548 $8,000 $8, 000
TOTAL $148,379 $148,379
Total Fed: $85,474
Total S tat e: $62,905
GRAND TOTAL: $148,379
VOl.
19 r.~C~ 984
Human Services
July 6, 1993
TO: Board of County Commissioners
FROM: David A. Specter pre
SUBJECT: Request for Emergency Appropriation:
Skookum Jump Rope Company
Please be advised that after a thorough examination of my current
budget, it appears that the amount allocated in BARS Account No.
562,00,41.0020 of $24,000 of the Professional Services category is
insufficient to pay necessary expenses within the department budget
with respect to present and future needs. I find there are no
funds available to transfer into the deficient account, Therefore,
I request an emergency appropriation in the amount of $20,000 for
this current year for the following reasons as outlined below:
BARS Acct. No,
Category
Amount
132-000-010-568.00,41,0020
Skookum Jump Rope
$20,000
Reason for Appropriation:
Our 1993 Developmental Disabilities fund budget included
subcontracts with Bayshore Enterprises and Skookum Jump Company,
As you know, Bayshore has merged with Skookum to form "Skookum
Educational Programs." To assist in this merger, we agreed to
provide advance funding of $20,000 to Skookum against future
subcontract payments. Funds for this advance are available from an
approximately $25,000 advance provided to us from the DSHS
Developmental Disabilities Division for the purpose of paying our
subcontractors in advance of us being reimbursed from DSHS. Our
regional DD administrator has indicated his approval for us to use
the State funds to provide the $20,000 advance to Skookum. (See
attached, )
vaL
19 r^G~985
HEALTH
DEPARTMENT
206/385-9400
ENVIRONMENTAL
HEALTH
206/385-9444
DEVELOPMENTAL
DISABILITIES
206/385-9400
ALCOHOL/DRUG
ABUSE CENTER
206/385-9435
FAX
206/385-9401
& Human Services
..-..'
~. j -~
'~/c. Iv' '('P
VIA FAX
May 24, 1993
SUBJECT:
Richard wojt
David Goldsmith
David Specter ~~
Skookum / Bayshore Merger: Funds Advance
TO:
FROM:
I spoke to Jim Westhall over the weekend and he is preparing a
draft agreement that provides for the advance of $20,000 against
future contract payments, with payback over a twenty month time
frame. I should receive this draft sometime today, and I will
forward a copy to you for review.
Under our current subcontracts with Skookum and Bayshore, they
submit a monthly statement to us indicating the number of "units of
service" provided. (A unit of service is 75 hours of paid
employment to one client.) Based on this statement, we pay them at
rates defined in our subcontracts, and we then bill the state for
reimbursement to us. For Skookum, the payment rate has been $500
per unit; and for Bayshore, the current rate is $569.61. Monthly
payments to Skookum have totaled $2,000 for four units per month,
and to Bayshore, monthly payments have been $10,822.59 for 19
uni ts . Total combined payments for the merged ent i ty would be
$12,822.59.
Jim is proposing an initial four month grace period beginning with
the billing for June, 1993 service units, during wh.tch time we
would make the full payment of $12,822.59. (If the S~ate reduces
our contract by 10% as expected, then full payment would be
approximately $11,540.33 per month.) This four month period will
get them through the busy season for the bakery, when cash flow
needs are the greatest. Repayment of the advance will begin with
the billing for October, 1993, with a reduction of $1,000 per month
from the billed amount for 12 months. Beginning with the billing
for October, 1994 service units, there will be a reduction of
$2,000 per month for the next four months. The full $20,000
advance will therefore be repaid with our February, 1995 payment
(for January, 1995 service units) and full contract payments will
resume in March, 1995.
rlEAL TH
OE?ARTMENT
206/385-9400
=NVIRONMENTAL
HEALTH
206/385-9444
D EVELOPM ENTAL
DISABILITIES
206/385-9400
1 9 r~rr 986
ALCOHOUDRUG
ABUSE CENTER
206/385-0650
FAX
206/385-9401
VOL
-
Richard Wojt j David Goldsmith
May 24, 1993
Page 2
As I discussed at the DD Advisory Board on Friday, we received an
advance of approximately $25,000 from DSHSjDDD at the beginning of
the biennium to be able to pay our subcontractors in a timely
fashion until we are reimbursed ourselves from the state. I talked
to Geoff Hartfort, our Regional DD Administrator, on Friday and he
indicated that is OK for us to advance Skookum $20,000 from the
state advance funds, The only issues for Geoff were (1) that we
are contractually obligated to the state for this money if for some
reason we don't get the full payback from Skookum and (2) managing
our own cash flow needs.
Our present DD fund balance (cash and investments) is approximately
$29,225, including the state advance. As you know, we agreed to
fund the accounting and operations analysis costs for the merger
from our reserves, at a total of $3,500. After the $20,000 advance
to Skookum, this leaves a balance of approximately $5,725 available
in our fund to manage our expenses. With DD revenue and
expenditures of approximately $18,000 per month, this fund balance
is not sufficient to handle our cash flow needs, since there will
no doubt be occasions when our expenditures precede incoming ~
revenue and we will be in a negative position with our fund. When ~ 1,
this occurs, we will need to be covered by the current expense M
fund. , ~~
In oreer to proceed ~ need to do the foll=ing: 9~' ~
(1) Review the draft agreement when it is received. ~~
<D2 cl..l
(2) The Execute the agreement. If the BOCC needs to Sign~~ 0
this agreement, it would be on the agenda for next O~ I j)
Monday, ~~
(3) Get a check to Skookum for $20,000. If we process this ~D)~
in our next voucher run, Skookum would have a check by \~'~~~
June 10. If it is needed sooner, we would have to do a ~~~
manual warrant. ~ '. 1- '- J
(4) A memo from the BOCC to Ila advising her on how to handle~ 'I () 1'û~\..Ajt..,
DD fund cash flow. -'- i~{},I
We need to talk about this later today and make sure that we have ~ N
everything covered. I'm leaving on vacation tomorrow after the
Board of Health meeting, so I don't have a lot of time to work on
this.
VOL
19 rM,r 987
J
\\)~
':"" riv ~ ! ¡J
~ ..y\
Jefferson County l-Iealth & Human Services
VIA FAX
May 24, 1993
TO:
Richard Wojt
David Goldsmith
."L'
~
...
. l,'1
: . : '
--
FROM:
David Specter
SUBJECT:
Skookum Agreement
Enclosed is the proposed agreement received from Skookum.
They are proposing a somewhat more accelerated 14 month repayment
schedule than the 20 month schedule I indicated in my earlier memo
today: seven months at $1,000, then six months at $2,000, and a
final payment of $1,000. The $20,000 advance would be fully repaid
by November, 1994 and full payments would begin with the December,
1994 disbursement.
Please call me when you have had a chance to look this over.
11
.. '.'
r---.. .:
\' . ..'J.¡~.
-\/-
/'
/'
C--
VOL
19 rM,; 988
----
HEALTH
DEPARTMENT
206/385-9400
ENVIRONMENTAL
HEALTH
206/385-9444
D EVELOPM ENTAL
DISABILITIES
206/385-9400
ALCOHOL,íDRUG
ABUSE CENTER
206/385-0650
FAX
206/385-9401
S ~\OLl 1\1191/[
'T" II' '<op~-n
.l.-.' \;fay ¿~~1993
David A. Specter
Jefferson County Health
and Human Services
615 Sheridan Street
Port Townsend, W A 98368
Dear David,
This will confirm our verbal agreement concerning repayment of
the $20, 000 Developmental Disabilities advance funding
provided to Skookum Educational Programs. As you know, this
funding is crucial to the success of our merger with Bayshore.
Per our discussion of last week, repayment will be withheld
from monthly contract disbursements beginning October, 1993.
Following is the repayment schedule:
Oct. '93 - April '94:
May '94 - Oct. '94
Nov. '94
$1 ,OOO/per mo.
$2, OOO/per mo.
$1, OOO/Final
David, on behalf of the 65 employees of both organizations, we
would like to thank you for your continued support and your
personal insights which have aided us tremendously throughout
this transitional process.
~SinCerelY, ~-. .~. r.., C.... -.."
.- ( - \ ' "--, """----- .
~"'-~&J-\ ._~.Ì"--.
(Jim \~stall
~dint
VOL
.19 r~C .9«39
809 EIGHTH STREET. P.O. BOX 97 . PORT TOWNSEND, W A. 98368 . 1-800-255-9526
FAX: 206-379-9049 PHONE: 206-385-4980
~
....~: -",~~
~ ~- - --
ÆFFERSON COUNTY HEAL TH DEP AR TMENT
HILL CENTER
. 615 SHERIDAN
, PORT TOWNSEND. WA ' 98368
VIA FAX
May 25, 1993
TO: Ila Mikkelsen
FROM: David Specter
SUBJECT: DD Fund: Advance to Skookum
(~_.
"
-",:,,-
" '"'-
~ \ tt'f
, i f
.
...
We presently have DD subcontracts with Bayshore Enterprises and
Skookum Jump Company. As you may know, Bayshore has recently
merged with Skookum to form "Skookum Educational Programs."
To assist in this merger, we have agreed to provide advance funding
of $20,000 to Skookum against future subcontract payments (to be
repayed within 18 months). These funds are available from an
approximately $25,000 advance provided to us from the DSHS
Developmental Disabilities Division at the beginning of the
biennium for the purpose of paying our subcontractors in advance of
us being reimbursed from DSHS. Our regional DD administrator has
indicated his approval for us to provide this $20,000 advance to
Skookum,
According to my records, our present DD fund balance (cash and
investments) is approximately $29,225, including the state advance.
I have outstanding expenses of approximately $3,500 to be drawn
from this balance, which will leave about $25,725 available for the
Skookum advance and to manage our cash flow.
with monthly DD revenue and expenditures of approximately $18,000
per month, the balance of $5,725 is not sufficient to handle our
cash flow needs without occasionally getting into a negative
position with our fund. David Goldsmith will be talking to you
about how to handle this. In the meantime, if you have any
questions, let me know. I will be out of the office for the next
two weeks, so if you have any questions that I can answer today,
please give me a call.
Thanks.
cc. David Goldsmith
Mary Baldridge
VOL
19 ¡N-99n
- - -.. --------------
(206) 385-9400
ENVIRONMENTAL HEALTH
(206) 385-9444
.
FAX
(206) 385-9401