HomeMy WebLinkAboutWashington State Department of Health (DOH), Amendment No. 12 re: 2022 - 2024 Consolidated - 052223,"m: 9)
Page 1 of 14
JEFFERSON COUNTY PUBLIC HEALTH
2022-2024 CONSOLIDATED CONTRACT
CONTRACT NUMBER: CLH31013
AMENDMENT NUMBER: 12
PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as
"DOH", and JEFFERSON COUNTY PUBLIC HEALTH, a Local Health Jurisdiction, hereinafter referred to as "LHJ",
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, includes the following statements of work, which are incorporated by this reference
and located on the DOH Finance SharePoint site in the Upload Center at the following URL:
hM..c•//stgtegNy sharepoint com/sites/doh-ofsfundinaresourcesisitenaaes/home aspx?—e 1:9a94688da2d94d3ea8Oac7fbc32e4d7c
❑ Adds Statements of Work for the following programs:
® Amends Statements of Work for the following programs:
OSS LMP Implementation - Effective January 1, 2022
WIC Nutrition Program - Effective January 1, 2022
❑ Deletes Statements of Work for the following programs:
2. Exhibit B-12 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-11 Allocations
as follows:
® Increase of $21 18 for a revised maximum consideration of $4372,194.
❑ Decrease of for a revised maximum consideration of
❑ No change in the maximum consideration of .
Exhibit B Allocations are attached only for informational purposes.
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.
JEFFERSON COUNTY WASHINGTON
BOARD OF COUNTY COMMISSIONERS
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
,1= _
c, ��. z �Z 3 $�^�iGl� ftie�2y'(.I�C,Srd->'✓li 06/01 /23
15reg Brothiirton, Chair Date Date
APPROVED AS TO FORM ONLY:
May 12, 2023
Philip C. Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
CC-22-002-A 12
APPROVED AS TO FORM ONLY
Assistant Attorney General
Page 1 of I
JEFFERSON COUNTY PUBLIC HEALTH
2022-2024 CONSOLIDATED CONTRACT
Page 1 of 14
CONTRACT NUMBER: CLH31013
AMENDMENT NUMBER: 12
PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as
"DOH", and JEFFERSON COUNTY PUBLIC HEALTH, a Local Health Jurisdiction, hereinafter referred to as "LHJ",
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, includes the following statements of work, which are incorporated by this reference
and located on the DOH Finance SharePoint site in the Upload Center at the following URL:
his://stgteofwa.sharepoint.com/sites/doh-ofsfundingresources/sitepages/home.aspx?=e 1:9a94688da2d94d3ea80ac7fbc32e4d7c
❑ Adds Statements of Work for the following programs:
® Amends Statements of Work for the following programs:
OSS LMP Implementation - Effective January 1, 2022
WIC Nutrition Program - Effective January 1, 2022
❑ Deletes Statements of Work for the following programs:
2. Exhibit B-12 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-1 I Allocations
as follows:
® Increase of $21 18 for a revised maximum consideration of $4,372,194.
❑ Decrease of for a revised maximum consideration of
❑ No change in the maximum consideration of
Exhibit B Allocations are attached only for informational purposes.
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.
JEFFERSON COUNTY WASHINGTON
BOARD OF COUNTY COMMISSIONERS
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
^•�` �._ 7
ha
Greg Brotherton, Chair Date Date
APPROVED AS TO FORM ONLY:
May 12, 2023
" ---------------
Philip C. Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
APPROVED AS TO FORM ONLY
Assistant Attorney General
cc-22-002-A 12 Page I of I
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AMan www.JeffersonCountyPublicHealth.org
Consent Agenda
5ul
Public Healt
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Mark McCauley, County Administrator
FROM: Apple Martine, JCPH Director
Veronica Shaw, JCPH Deputy Director
DATE: 0-a 1 ) a 3
SUBJECT: Age da Item — Consolidated Contracts Amendment #12 with the Department
of Health; January 12022 — December 31, 2024; additional $21,218 for a
total of $4,372,194
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH) requests Board approval of Consolidated Contract Amendment #12
between JCPH and State of Washington Department of Health (DOH); January 1, 2022 — December 31, 2024;
additional $21,218 for a total of $4,372,194.
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
The purpose of this agreement is to provide public health services to the people of Washington State. This
Amendment adds and/or amends statements of work (SOW) and funding for the following programs:
• WIC Nutrition Program (additional $21,218)
• On -site Sewage System Local Management Plan — amends SOW (additional Data Management task)
(redistributes funds/total remains same)
FISCAL IMPACT/COST BENEFIT ANALYSIS :
Total consideration for this Contract Amendment is an increase of $21,218 for a total of $4,372,194. The
Consolidated Contract is funded by DOH, and comprises both Federal and State funds.
RECOMMENDATION:
JCPH Management recommends BOCC approval of Consolidated Contract Amendment #12; January 12022 —
December 31, 2024; additional $21,218 for a total of $4,372,194.
_�AMark McCauley, Con Administrator, Date
Community Health
DEnvironmental 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
CC-22-002-A 12
CONTRACT REVIEW FORM
(INSTRUCTIONS ARE ON THE NEXT PAGE)
Clear Form
CONTRACT WITH:
State of WA Dept of Health
Contract No: CC-22-002-Al2
Contract For: Consolidated Contracts, Amendment 12 Term: 1/1/2022 - 12/31/2024
COUNTY DEPARTMENT: Public Health
Contact Person: Veronica Shaw
Contact Phone: X 409
Contact email: veronica@co.jefferson.wa.us
AMOUNT: Additional $21,218 for a total of $4,372,194 PROCESS:
Exempt from Bid Process
Revenue: $21,218
Cooperative Purchase
Expenditure:
Competitive Sealed Bid
Matching Funds Required:
Small Works Roster
Sources(s) of Matching Funds
Vendor List Bid
Fund # 127
RFP or RFQ
Munis Org/Obj 12756220
Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES CO CE �3 5� 5.080 AND CHAPTER 42.23 RCW.
CERTIFIED: ® N/A: F
May 10, 2023
Signature
Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBA YANY FEDERAL, STATE, OR LOCAL
AGENCY./�/71"
CERTIFIED: FIN/A: &LLr�z/ May 10, 2023
— Sig(iat_ure— Date
STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through LaserBche):
Electronically approved by Risk Management on 5/12/2023.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 5/12/2023.
State language - cannot change.
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