HomeMy WebLinkAboutPH Amend 1 Langston Chimacum School 615 Sheridan Street
Port Townsend, WA 98368
AI'Orson www.JeffersonCountyPublicHealth.org
Consent Agenda
Public He5aTtfi
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Mark McCauley, County Administrator
FROM: Apple Martine, Public Health Director
Denise Banker, Community Health Director
DATE:
SUBJECT: Agenda Item — Amendment 1 to Professional Services Agreement, Cynthia
Langston, Cynthia Langston LLC; September 11, 2023 — June 27, 2024;
Additional $44,400.00
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH), as the fiscal agency for a grant through the Department of Health
(DOH), and a grant through the Health Care Authority (HCA), requests Board approval of an amendment to the
Professional Services Agreement with Cynthia Langston, Cynthia Langston, LLC; September 11, 2023 —June
27, 2024; additional $44,400.00 for a contract total of $67,800.00.
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
This agreement is between JCPH and Cynthia Langston, Cynthia Langston, LLC for behavioral health counseling
to youth who are seeking drop-in behavioral health support and who are enrolled in the Chimacum Junior
Senior High School, Chimacum, Jefferson County, Washington. The original contract was for the period
September 6, 2022 through June 16, 2023; this amendment extends the contract for the period from
September 11, 2023 through June 27, 2024 and allows for an additional day of mental health counseling per
week, and an additional payment for services not to exceed $44,400.00.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This service agreement is fully funded through two grants, one from DOH and the other from HCA in support
of mental and behavioral health promotion and substance use prevention in the Chimacum School District.
RECOMMENDATION:
JCPH management requests approval of Amendment 1 to the Professional Services Agreement with Cynthia
Langston, Cynthia Langston, LLC; September 11, 2023 —June 27, 2024; Additional $44,400.00.
RE IE_W D BY::
G› r
Mark cCauley, County Adm i trator Date
Community Health
Developmental Disabilities Environmental Public Health
360-385-9400 360-385-9444
360-385-9401 (f) (f) 360-379-4487
Always working for a safer and healthier community
N-22-036-A 1
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Cynthia Langston, LLC Contract No: N-22-036-A1
Contract For: School-based mental health services,Amendment 1 Term: 9/11/2023 - 6/27/2024
COUNTY DEPARTMENT: Jefferson County Public Health
Contact Person: Denise Banker
Contact Phone: x 438
Contact email: dbanker@co.jefferson.wa.us
AMOUNT: $44,400.00 PROCESS: Exempt from Bid Process
Revenue: Cooperative Purchase
Expenditure: $44,400.00 Competitive Sealed Bid
Matching Required:Re uired: Small Works Roster
Sources(s)of Matching Funds —Vendor List Bid
Fund #/ —RFP or RF
127 Q
Munis Org/Obj 12756220 ✓ Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COM -1'CE "080 AND CHAPTER 42.23 RCW.
l l 4%�CERTIFIED: P— 1 N/A: August 14, 2023
Signature Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: 1' N/A: 11 August 14,2023
Signature Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
Electronically approved by Risk Management on 8/15/2023.
Amendment adding funding.
STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Lascrfiche):
Electronically approved as to form by PAO on 8/16/2023.
Contract amendment.
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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