HomeMy WebLinkAboutKitsap Public Health District Youth Cannabis and Tobacco Prevention - 071524 KPHD 2262 Amendment 3 (2413)
AMENDMENT TO AGREEMENT 2262
This Amendment("Amendment")to Kitsap Public Health District Contract for Youth
Cannabis& Commercial Tobacco Prevention Program (the"Contract"), is entered into between
the Jefferson County Public Health("Contractor") and the Kitsap Public Health District
("District").
RECITALS
WHEREAS,the Parties entered into the Contract effective July I, 2022; and
WHEREAS, Washington State Department of Health has extended the contract by one
year, and thus,has made changes to the statement of work,and the parties have agreed it
is desirable to adjust funding; and
WHEREAS, the Parties have entered into two prior amendments to the Contract.
NOW,THEREFORE,THE PARTIES AGREE AS FOLLOWS:
•
I. Amendment of Contract Section 1.Period of Performance. Section 1 is amended to
extend the Period of Performance to June 30, 2025.
II. Amendment of Contract Section 4. Statement of work and Budget. Subcontractor
shall furnish the necessary personnel, equipment material, and/or services and otherwise
do all the things necessary for or incidental to the performance of the work set forth in
ATTACHEMENT A-3, attached hereto and incorporated herein. ATTACHMENT A of
the initial contract and ATTACHMENT A-1 of Amendment 1 and ATTACHEMENT A-
2 of Amendment 2 remain unchanged.
Ill. Amendment of Contract Section S. Compensation. $82,000 dollars will he added to
the total budget for Jefferson County Public Health during this amendment period for a
total compensation of$288,761.
IV.Other Provisions Unchanged. The other provisions of the Contract, as it has been
amended from time to time, remain unchanged.
V. Effective Date. The effective date of this Amendment is the date last executed by all
parties.
VI. Authorization. Each party signing below warrants to the other party that they have the
full power and authority to execute this Amendment on behalf of the party for whom they
sign.
[SIGNATURES FOLLOW ON THE NEXT PAGE]
KPHD Amendment Standard Form.docx
N.22 1)28 A+
IN WITNESS WHEREOF,the Parties have subscribed their names hereto.
KITSAP PUBLIC Dated this l5- day of ly , 2024.
HEALTH DISTRICT
BOARD OF COUNTY COMMISSIONERS
JEFFERSON COUNTY, WASHINGTON
tayolaiala To/Li
Yolanda Fong
Administrator —7I f S/Zy
07/02/2024 Ka e Dean, Chair Date
Date: ','',,,FF""'h,.
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ATTEST:
TEST: coMMs. 2
rliiVey-h ediliodii I
Carolyn Callaway, Clerk of the Board o
•
APPROVED AS TO FORM: N,,,,,N tt
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0 cJ
July 4, 2024
Philip C. Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
2
ATTACHMENT A-3—SCOPE OF WORK AND BUDGET
Jefferson County Public Health
July 1,2024—June 30,2025
As a subrecipient of KPHD under the Washington Department of Health funded Youth Cannabis&
Commercial'!Tobacco Prevention Program(YCCTPP), Jefferson County Public Health agrees to the
following activities funded in full or part by the associated budget.
Activity
Coordinate and maintain the Olympic Prevention Partnership steering committee
Planning& and network.
• Invite new community partners to join the Olympic Prevention Partnership
Coordination of Steering Committee.
Regional • Attend four regional networking meetings(June 2024—June 2025)
Network • Each subcontractor will be responsible for planning one of the above
meetings.Refer to the workplan for schedule.
2024-2025 Strategies for Youth Cannabis& Commercial Tobacco Prevention:
• Social Norms: Media&Health Communications
• Youth Empowerment& Engagement
Implementation • Decision-maker Engagement
• Policy,System,Environmental Changes
Specific Jefferson County activities arc described in the 2024-2025 YCCTPP
workplan.Please refer to the workplan for guidance on which activities fall under
each funding source.Workplans are subject to change.Any changes will he
approved by both parties.
Monitoring and Monitor progress for each activity as appropriate:submit monthly narrative and
Reporting data reports as requested by KPI ID on the 5`s of every month.
Midterm By February I,2025,report progress to CTPP Regional Coordinator.If needed.
Evaluation adjust activities to ensure spend down.Conduct a mid-year workplan re-evaluation.
Participate in monthly conference call with KPHD and attend wcbinars as
Calls/Meetings scheduled;respond to correspondences related to CTPP from the Department of
Health;respond to activity assessmentslsurveys administered by KPFID as
appropriate per scope of work.
Submit monthly invoices by the 20'h of the month following the month in which
costs were incurred,except for the Final Expenditure Report and Request for
Invoicing Reimbursement in each federal fiscal year(due July I.2025).Invoices must include
supporting documentation such as timecards for staff time and copies of invoices
paid for goods and services.
Budget July 1.2024—June 30,2025
DCA Cost Description
Staff Salary 1.8924.36
Benefits 5,677.31
Indirect 6,873.71 Rate 27.94%
Goods&Services 10,124.62
Mileage
Travel(fraining 400.00
Total Jefferson S42,000
NAPE Cost Description
Staff Salary 18,924.36
Benefits 5,677.31
Indirect 6,873.71 Rate 27.94%
Goods&Services 8,124.62
Mileage
Travel/Training 400.00
Total Jefferson S40,000
Funding Source
Chart of Accounts Program Name or Title BARS Code j 711/24—6/30/25
SFY25 UI?UICA MI)CANNABIS ACCOUNT(I)('A) 334.0493 S42.000
SFY25 NICOTINE ADDICT PREV&ED PRO 334.04.93 $40,0({)
(NAPE)
Total to Jefferson=S82,000
Olympic Region YCCTPP Workplan
Youth Cannabis and Commercial Tobacco Prevention Program (YCCTPP)Overview
Purpose:To provide state and federal funding to regional networks and priority population networks to plan,
implement, and evaluate cannabis and commercial tobacco* (including vaping products) prevention and control
activities.
*Note: Commercial tobacco includes any product that contains tobacco and/or nicotine, such as cigarettes,
cigars,electronic cigarettes, hookah, pipes, smokeless tobacco, heated tobacco, and other oral nicotine
products. Commercial tobacco does not include FDA-approved nicotine replacement therapies.
Mission Statement:The Youth Cannabis and Commercial Tobacco Prevention Program's mission is to prevent initiation
and reduce cannabis and commercial tobacco use by youth,ages 12-20, support adults who influence these youth,
leverage resources for promoting and supporting commercial tobacco dependence treatment, and reduce cannabis and
commercial tobacco-related inequities within Washington State.
Impact:The impact YCCTPP hopes to make is to reduce initiation and use of cannabis and commercial tobacco by
youth (ages 12-20), especially among populations most adversely affected by marijuana use throughout Washington
State.
Progress Objectives (Measured by Healthy Youth Survey)
• Decrease percentage of 10th grade students (statewide) who have used cannabis and commercial tobacco
on at least one day in the past 30 days.
• Decrease percentage of 10th grade students who have used cannabis and commercial tobacco on at least
one day in the past 30 days in African American/Black, Latino/Hispanic,Asian/Pacific Islander,American
Indian/Alaska Native, and LGBTQ population.
• Decrease the percentage of 10th grade students who first used cannabis and commercial tobacco before
they were 14 years old.
YCCTPP Statewide Program Goals
1. Establish networks that foster collaboration and innovation in youth cannabis and commercial tobacco use
prevention.
2. Promote sustainability through evaluation, program, and personnel development, and establishing relevancy to
current issues.
3. Promote equity through centering voices of those endure inequities, building a space for those with lived
experience, while acknowledging past oppression and the harm it has caused to communities
4. Utilizing upstream prevention approach by drawing from existing science-based frameworks to create policy,
systems,and environmental change
Deliverables
• Deliverable 1: Develop Network Annual Work Plan
• Deliverable 2: Network Equity Assessment
• Deliverable 3: Organization and Network Administrative Plan
• Deliverable 4: Implement Annual Work Plan and Report Progress
• Deliverable 5:Assess Program Implementation
Olympic Region YCCTPP Workplan
Olympic Prevention Partnership
Work Plan-2023-2024 Fiscal Year
Coordination Plan
Required Activities By DOH
Hire or assign project staff
Assure all staff working with youth have an acceptable criminal background check on file.
Participate in performance measure data collection activities in collaboration with DOH.
Participate in project evaluation activities developed and coordinated by DOH.
Participate in meetings with State YCCTPP contractors hosted by the DOH.
Participate in Monthly YCCTPP Practice collaborative meeting
Attend a one-day workshop with other Department of Health YCCTPP contractors to receive
orientation and foster collaboration (Year 1 only.Travel paid by DOH).
Provide workforce development training, technical assistance and support to project partners
as needed.
Participate in the recruitment of Healthy Youth Survey participation with school districts in
your community.
Create data management plan to protect participant confidentiality
Additional Coordination Efforts
Submit Monthly State Report to DOH.
Conduct monthly check-in calls with subcontractors.
Attend monthly check-in call with DOH contract manager.
Mini-grant coordination and management.
Participate in Statewide Commercial Tobacco Prevention Coalition.
Participate in the statewide strategic planning process for the 2024 fiscal year.
Participate in the statewide evaluation process directed by DOH. _
Administer the regional network (see meeting schedule below).
Participate in DOH Needs Assessment process in Spring 2024.
OLYMPIC PREVENTION PARTNERSHIP
Regional Meeting Schedule, 2023-2024
AUGUST SEPT DEC MAR JUN
le
In person Regional Regional I Re g,onat
controetws Networking Networking Networking Netwcrking
Meeting Meeting Meeting Meeting Meetn,g
Olympic Region YCCTPP Workplan
PSE Goal 1: Youth Empowerment
To increase youth empowerment in our region by partnering with youth-serving organizations to create sustainable
pro-social leadership opportunities for youth to communicate their needs to policymakers, and by encouraging and
providing other pro-social leadership activities for youth.
Objective 1: Regionally, offer 6 opportunities for youth empowerment by working with stakeholders to develop pro-social
activities.
Objective 2: Conduct a review of prosocial work that has been & can be implemented at schools and community
organizations catered towards the Olympic Region and compile into a report. Distribute this report to our 3
subcontractors and additional interested parties.
Which State goal(s) does this contribute to? 2, 3,4
Networ
Youth Engagement Strategy 1: Network Management & Sustainability
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Invite youth serving organizations to attend Olympic Cannabis& All
Prevention Partnership. Commercial Both subcontractors Ongoing
Tobacco
Youth Engagement Strategy 2:Collaboration &Engagement
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Collaborate with community partners and youth-
serving organizations to host at least two prosocial Cannabis & All Implement:
i leadership opportunities in each county. Promote to Commercial Both subcontractors 06/30/2025
local decision-makers. Examples: Art Advocacy events, Tobacco
Townhalls,youth-led events,etc.
Release:
Use mini-grants to build and maintain relationships
12/1/24
with community organizations by allowing them to Cannabis & Regional lead, Award:
promote protective factors in youth or families at Commercial Both JCPH 02/15/25
youth-servings organizations. Tobacco Complete:
06/15/25
Promote and implement youth leadership development Cannabis & Implement:
Commercial Both JCPH
programs at local school districts,such as Youth2Youth. Tobacco 06/30/2024
Collaborate with youth serving organizations to prepare Cannabis& Regional Lead Complete:
youth for participating in Prevention Policy Day, for Commercial Both &All 01/15/2025
2025(Date,TBD) Tobacco subcontractors
Youth Engagement Strategy 3:Media&Communication
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Advertise prosocial events through social media. Boost Cannabis& All
as necessary. Report any boosting. Commercial Both subcontractors Ongoing
Tobacco
Youth Engagement Strategy 4:Education&Technical Assistance
Activity Substance(s) Funding Who is I By when?Or
Addressed Source(s) responsible? l How often?
Olympic Region YCCTPP Workplan
Cannabis & Regional Lead I
Invite youth to participate in youth advocacy trainings Commercial Both & All Ongoing
locally and statewide. Tobacco subcontractors
Participate in the statewide Youth Cannabis Prevention Cannabis& Regional Lead
1 Efforts in groups like: the Youth Cannabis Prevention Commercial Both &All 1 Ongoing
Collaborative,the Rural Network,the Youth Tobacco subcontractors
Empowerment Workgroup, Prevention Voices WA,etc.
Youth Engagement Strategy 5:Workforce Development
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Participate in monthly skill enhancement opportunities.
These may include webinars, trainings, and other Cannabis&
opportunities forwarded from the regional lead. Commercial Both All One per month
Participate in a minimum of one skill enhancement Tobacco
subcontractors
opportunity per month.
Olympic Region YCCTPP Workplan
PSE Goal 2: Youth in Transition
To provide systems to help youth/young adults in transition stay quit from Commercial Tobacco. Focus on providing
access to evidence-based therapies and healthy coping strategies.
Objective 1:Assess the current needs for helping youth involved with the juvenile system to stay quit in Kitsap by creating
a visual mapping tool for resources around Kitsap. Share this tool with relevant partners once developed.
Objective 2:Develop a response plan based on the needs assessment for working with youth involved with the Kitsap
County and Clallam County juvenile detention centers. Distribute this response plan to our subcontractors and both Kitsap
and Clallam Juvenile detention centers.
Which State goal(s)does this contribute to?2,3, 4
Network Activities
JDCs Strategy 1:Network Management&Sustainability
Activity Substances) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Cannabis&
Invite juvenile detention center staff to join Commercial Both Regional lead Ongoing
Olympic Prevention Partnership.
Tobacco
JDCs Strategy 2:Collaboration&Engagement
Activity Substances) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Continue outreach to Kitsap County JDC and foster
further partnership via collaboration with programs Cannabis& Both Regional lead Ongoing
implemented with the Kitsap County JDC. Commercial
Tobacco
Work with community partners to put in place a
network to help youth released from the Juvenile Commercial Commercial Regional lead Complete:
Detention Center to stay quit from cigarettes and e- Tobacco Tobacco 02/30/2025
cigarettes.
Explore outreach with Clallam Juvenile Detention Cannabis & I Complete:
and potential collaboration between KPHD,Clallam Commercial Both Regional lead 01/31/2025
Juvenile Detention, and Kitsap Juvenile Detention. j Tobacco
JDCs Strategy 3:Media&Communication
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Collaborate with Kitsap County Juvenile and Family
Court Services to assess their need regarding Commercial Commercial Complete:
information for prevention and cessation services. Tobacco Tobacco Regional Lead 07/01/2024
Create an information flyer/pamphlet/page if
Kitsap County Juvenile expresses interest.
JDCs Strategy 4: Education&Technical Assistance
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Provide ongoing technical assistance to JDCs about Commercial Commercial Regional Lead I Ongoing
cessation resources for youth released from JDCs. Tobacco Tobacco
JDCs Strategy 5:Workforce Development
Activity Substonce(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Contractors will complete at least one training or
Commercial Commercial One every 3
read one best practice guidance on working with Tobacco Tobacco Regional Lead months
youth in juvenile detention each quarter.
Olympic Region YCCTPP Workplan
PSE Goal 3: Positive Community Norms
To change community perceptions regarding cannabis and tobacco use, both regarding its prevalence and its
perceived risk, among youth and adults. Engage with community organizations and community members to increase
awareness of current data and trends regarding youth substance use.
Objective 1: Create opportunities for youth to view data regarding substance use trends relevant to their communities
within 3 schools.
Objective 2: Facilitate events and standing agreements with 3 community organizations to showcase positive community
norms materials to the youth and parents they serve.
Which State goal(s) does this contribute to? 1,4
Network Activiti•
Positive Community Norms Strategy 1: Network Management&Sustainability
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? I How often?
Invite youth serving organizations to attend Olympic Cannabis& All
Prevention Partnership. Commercial Both subcontractors Ongoing
Tobacco
Collect data via methods such as focus groups to Cannabis&
assess current community values, perceptions,and Commercial Both Regional Lead Complete:
08/01/2024
gaps regarding youth cannabis and tobacco use. Tobacco
Positive Community Norms Strategy 2:Collaboration& Engagement
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Collaborate with OESD 114 to promote positive
community norms regarding substance use in their Cannabis&
youth populations via policy and environmental Commercial Both Regional Lead Ongoing
change. Tobacco
Collaborate with community organizations and
external partners to promoting positive community Cannabis&
norms regarding substance use within the Olympic Commercial Both Regional Lead Ongoing
Tobacco
Region via policy and environmental change. _
Maintain readiness to work with the parks service Cannabis& Kitsap Human
regarding smoke and vape free parks. Commercial Both Services Ongoing
Tobacco
Positive Community Norms Strategy 3:Media&Communication
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) _ responsible? How often?
Use social media to help change community norms Cannabis & Regional Lead &
about youth cannabis and commercial tobacco use. One per
Commercial Both All
This could include statewide media toolkits like You month
Can and Under the Influence of You, etc. Tobacco subcontractors
Obtain positive community norm materials using Cannabis & Regional Lead & Implement:
current available resources that will work for each Commercial Both Kitsap Human 09/01/2024
county in the Olympic Region. Tobacco Services
Positive Community Norms Strategy 4: Education &Technical Assistance
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Provide technical assistance to schools and Cannabis & Regional Lead &
community organizations regarding the interpretation Commercial Both All Ongoing
of data and terminology used in promoting positive Tobacco subcontractors
Olympic Region YCCTPP Workplan
community norms alongside implementation of policy
and environmental changes.
Positive Community Norms Strategy 5:Workforce Development
Activity Substances) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Participate in monthly skill enhancement
opportunities.These may include webinars, trainings, Cannabis & All One every
and other opportunities forwarded from the regional Commercial Both subcontractors other month
lead. Participate in a minimum of one skill Tobacco
enhancement opportunity per month.
Olympic Region YCCTPP Workplan
PSE Goal 4: Trusted Adults Vaping Education
Provide education to family-serving organizations about protective factors for youth substance use and the health
effects of vaping education to trusting adults
Objective 1: Create a strategic plan obtained from the needs assessment and key informant interviews to best
communicate information regarding cannabis to trusted adults.
Objective 2: Distribute information and/or present information regarding cannabis to 6 organizations with trusted adults.
Which State goal(s) does this contribute to?Z, 3
Adults Strategy 1: Network M. , -P. 'f •••
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Cannabis& Regional Lead,
Invite family-serving organizations and schools to Commercial Both JCPH, Clallam 4- Ongoing
the Olympic Prevention Partnership.
Tobacco H
Trusted Adults Strategy 2:Collaboration&Engagemen
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Reach out to 3 trusting adult sectors(schools,
family-serving organizations, faith-based Cannabis& Regional Lead,
organizations, and youth groups or youth serving Commercial Both JCPH, Clallam 4- Complete:
organizations,etc.) to explore the need for Tobacco H
09/01/2024
education on youth vaping.
Continue maintaining relationships with parent Regional Lead,
serving organizations such as early learning,
Commercial Commercial JCPH. Clallam 4-
ECEAP, WIC, Maternal-Child Health services,etc. Tobacco Tobacco H, & Kitsap Ongoing
to expand secondhand smoke education to
include youth vaping. Human Services
Engage 1 family-serving organizations and/or Regional Lead,
schools from each county to collaborate on the Cannabis& JCPH, Clallam 4- Complete:
development and distribution of vaping Commercial Both H, & Kitsap 04/30/2025
education for trusting adults who engage with Tobacco Human Services
youth (Parents, school staff, coaches, etc.).
Create and maintain relationships with school-
based health centers and/or tribal clinics to Cannabis & Regional Lead &
ensure they have the resources to educate youth Commercial Both JCPH Ongoing
about substance use and/or healthy coping Tobacco
mechanisms.
Reach out to pediatrician offices to assess
viability of providing resources to parents on how Cannabis&
Implement:
to talk to their children regarding cannabis and Commercial Both Regional Lead 10/01/2024
tobacco, especially as it pertains to vaping. Tobacco
Provide materials to willing offices.
Trusted Adults Strategy 3: Media and Communication
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Adapt secondhand smoke materials for trusted
adults on youth vaping education, including the Commercial Commercial Regional Lead, Complete:
harms of youth vaping and secondhand vape, Tobacco Tobacco JCPH, Clallam 4 06/30/2024
mental health resources,community social
Olympic Region YCCTPP Workplan
norms, and protective factors against youth
substance use.
Communicate findings of data collection and Cannabis& Cannabis& Implement:
needs assessment with parents, schools, and Commercial Commercial Regional Lead 02/01/2025
community organizations. Tobacco Tobacco
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
Educate family-serving organizations about the Commercial Commercial Regional Lead, Complete:
health effects of youth vaping. JCPH, Clallam 4-
Tobacco TobaccoH 06/30/2024
Distribute educational materials to providers
about maternal cannabis and tobacco use, youth Cannabis&
Regional Lead &
substance use, and/or how mental health is Commercial Both JCPH Bi-annually
associated with substance use. Update existing Tobacco
materials as needed.
Activity Substance(s) Funding Who is By when?Or
Addressed Source(s) responsible? How often?
YCCTPP lead and subcontractors will stay
informed on trends and research regarding e- Commercial Commercial Regional Lead, One every 4
ci arettes and vapes via trainings, JCPH, Clallam 4-
cigarettes p g Tobacco Tobacco H months
seminars/webinars, or information sessions.
615 Sheridan Street
Port Townsend, WA 98368
Arretson www.JeffersonCountyPublicHealth.org
Co(inly
Public Health Consent Agenda
July 2,2024
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Mark McCauley, County Administrator
FROM: Apple Martine, Community Health Director
Denise Banker, Community Health Division Director
DATE:
SUBJECT: Agenda Item — Amendment #3 to the Professional Services Agreement
with Kitsap Public Health District; July 1, 2024 — June 30, 2025;
$82,000.00
STATEMENT OF ISSUE:
Jefferson County Public Health is requesting Board approval of Amendment #3 to the Professional Services
Agreement with Kitsap Public Health District, to provide Youth Cannabis and Commercial Tobacco prevention in
Jefferson and E. Clallam Counties; July 1, 2024 — June 30, 2025; $82,000.00
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
The purpose of this contract amendment is to extend the timeframe and adjust the funding to reflect fiscal
period 2024-2025, as well as update the statement of work. This agreement, for $82,000.00 is to pay for direct
labor, direct material, and other direct costs. The other provisions of the Contract remain unchanged.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This agreement is funded by the Kitsap Public Health District through regional funding received from the WA
State Department of Health. There is no impact to the General Fund.
RECOMMENDATION:
JCPH management request approval of Amendment #3 to the Professional Services Agreement with Kitsap
Public Health District to provide Youth Cannabis and Commercial Tobacco prevention; July 1, 2024 — June 30,
2025; $82,000.00
REVIEWED BY:
1-/g/17
- "Zi./ —
Mark McCaul:7County Administrator Date
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
V'J'J I:2H A:i
CONTRACT REVIEW FORM ( Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Kitsap Public Health District Contract No: N-22-028-A3
Contract For: Youth Cannabis and Tobacco Products Prevention Term: July 1, 2024 - June 30, 2025
COUNTY DEPARTMENT: Public Health
Contact Person: Denise Banker
Contact Phone: x 438
Contact email: dbanker@co.jofferson.wa.us
AMOUNT: $82,000.00 PROCESS: Exempt from Bid Process
Revenue: $82,000.00 _ 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 I: DEPARTMENT CERTIFIES COMP CE W '' ' '3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: N/A:El July 3, 2024
Signa re Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBARR BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: [1 N/A: —�� — July 3,2024
Signature Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
Electronically approved by Risk Management on 7/5/2024.
Amendment to an existing contract to extend term and add dollars.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 7/4/2024.
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
1