HomeMy WebLinkAboutConcerned Citizens, Amendment No. 2 - 071822 Contract Amendment#2 ?,4 ;
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CBetween
Concerned Citizens
And
Jefferson County Public Health
Developmental Disabilities Program
WHEREAS, Concerned Citizens (Subcontractor) and Jefferson County (County) entered into an
agreement on September 20, 2021 for Professional Services; that provide Early Intervention Services for
children aged birth to three years, who experience a developmental delay; in Jefferson County,
Washington.
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, 2023. I
2. Subcontractor's contract will be increased by $16,125.00 in funding for services rendered --\"
during the term of July 1, 2022 through June 30, 2023. Total compensation under this N
Agreement shall not exceed $30,624.30, without express written amendment signed by
both parties.
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3. Work performed between July 1, 2022 and the execution of this Agreement that is
consistent with the provisions of this Agreement is hereby ratified.
4. All other terms and conditions of the agreement will remain the same.
Dated this 1� day of ` 3( ,2022
By: 1 3 (---- —7
Heidi Eisenhour, Chair
Jefferson Board of County Commissioners
tYT
By: 1 bali d la 1 0'
Lin Mi dleton
Executive Director, Concerned Citizens
DD-2 I-058-A2
ATTEST:
6&I
Carolyn GalBy: (44
Clerk of the Beifird
APPROVED AS TO FORM ONLY:
By: June 22, 2022
Philip C.Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
615 Sheridan Street
Port Townsend, WA 98368
Almon www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Healt
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Mark Mc Cauley, County Administrator
FROM: Apple Martine, Public Health Director
Anna McEnery,
DD & BH Coordinator
DATE:
SUBJECT: Agenda Item —Amendment #2 to the Professional Services Agreement—with
Concerned Citizens; to provide Early Intervention Services for Children - Birth to
Three; September 20, 2021 —June 30, 2023; an additional $16,125.00 in funding
for a total of$30,624.30 for this agreement.
STATEMENT OF ISSUE:
Jefferson County Public Health, Developmental Disabilities Division, is requesting Board approval of
Amendment #2 to the Professional Services Agreement with Concerned Citizens. They will provide early
intervention services for children, aged birth to three years, who experience a developmental delay; in
Jefferson County, Washington, September 20, 2021 —June 30, 2023; an additional $16,125.00 in funding for a
total of$30,624.30, for this agreement.
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
Amendment #2 to the Professional Services Agreement with Concerned Citizens; will fund early intervention
services for children, aged birth to three years; who experience a developmental delay in Jefferson County.
Jefferson County Public Health, the Developmental Disabilities Division and the Jefferson County
Intellectual/Developmental Disabilities Advisory Board, recommends funding this agreement.
FISCAL IMPACT/COST BENEFIT ANALYSIS :
Funding for Amendment #2 to the Professional Services Agreement with Concerned Citizens; is through DSHS,
Developmental Disabilities Administration; under Child Development Services in the County DD Program
budget.
RECOMMENDATION:
Jefferson County Public Health, the Developmental Disabilities Division, requests approval of Amendment #2
to the Professional Services Agreement with Concerned Citizens; to provide Early Intervention Services;
September 20, 2021 —June 30, 2023; an additional $16,125.00 in funding for a total of$30,624.30, for this
agreement.
REVIEW Y:
,ii16 j
Mark McCauley, C tY Administrator Datp
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
DD-21-058-A2
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Concerned Citizens Contract No: DD-21-058-A2
Contract For: Eady''"te""ntlonS"'"`'0h dran 8"""Three whoexped � ""cadeVe' "" '"'lays Term: September 20,2021-June 30,2023
COUNTY DEPARTMENT: Jefferson County Public Health-DD Program
Contact Person: Anna McEnery
Contact Phone: 360-385-9410
Contact email: amcenery@co.jefferson.wa.us
AMOUNT: Additional:$16,125 for a total of$30,624.30 PROCESS: _ Exempt from Bid Process
Revenue: $16,125 _ Cooperative Purchase
Expenditure: Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s) of Matching Funds Vendor List Bid
Fund# PH fund#127 .� RFP or RFQ
Munis Org/Obj HDD 610-12768061 _Other:
APPROVAL STEPS:
STEP 1:DEPARTMENT CERTIFIES COMP E 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: �■ N/A:® % June 17,2022
Signature Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEB D ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: El N/A: , June 17,2022
Signature Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
Electronically approved by Risk Management on 6/21/2022.
STEP 4:PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 6/22/2022.
Contract amendment. This contract form needs updated indemnity
language.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
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