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Home My WebLink AboutCA3 Consent Agenda r~~.::~~~~' JEFFERSON COUNTY PUBLIC HEALTH .... ~~]}~o~ ... 615 Sheridan Street · Port Townsend · Washington · 98368 www.jefferson cou ntyp u blic health.o rg lelllueI., II, 2010 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Jean Baldwin, Director DATE: January 19, 2010 ~ SUBJECT: Agenda Item - Consolidated Contract, Amendment #21 with Department of Health; January 1, 2007 - December 31, 2011; add'l $210,930 total $2,096,085 STATEMENT OF ISSUE: Jefferson County Public Health is requesting Board approval of the Consolidated Contract, Amendment #21 with Department of Health; January 1, 2007 - December 31, 2011; add'l $210,930 total $2,096,085 ANAL YSIS/STRATEGIC GOALS/PRO'S and CON'S: This agreement with the Department of Health is a 5-yearagreement containing both State & Federal Funds. This amendment adds $210,930 in revenue to the existing contract. The affected programs are as follows: · $82,097; 5930 Public Health Funding; July 2007 - ongoing This money was awarded by the Blue Ribbon Commission. This funding will continue to increase the uptake of new and under-used child and adolescent vaccines, making vaccines more accessible to the community, improve the timely, complete identification and standard effective investigation of notifiable conditions for communicable disease and develop/implement effective community. · $1,373; Family Planning & Reproductive Health (FPRH); January 2009 - December 31, 2009 This additional funding is the completion of funding for 2009 and covers the cost of purchasing high-cost contraceptives such as Implanon, Mirena, ParaGard and Depo. · $78,140; Family Planning & Reproductive Health (FPRH); January 2010 ~ December 31, 2010 Overall costs of Federal Title X Family Planning services to include a broad range of family planning exams, methods and services, including providing medical, laboratory services and natural family planning as well as providing community education services based on the needs of the community, as per the state and federal FPRH guidelines. COMMUNITY HEALTH DEVELOPMENTAL DISABiliTIES MAIN: (360)385-9400 FAX: (360) 385-9401 PUBLIC HEALTH ALWAYS WORKING FOR A SAFER AND HEALTHIER COMMUNITY ENVIRONMENTAL HEALTH WATER QUALITY MAIN: (360) 385-9444 FAX: (360) 379-4487 Consent Agenda . $11,400; Immunization Program CHILD Profile; January 2007 - December 2010 This amendment extends the period of performance for the Immunization Program CHILD program. Revenue provi'des for vaccines under the Children Program as described in the WA State Vaccine- Federal/State Requirements. JCPH will provide site visits, provider education, promote immunization of adult high-risk/vulnerable populations, develop/conduct activity to improve access and immunization rates for children and adolescents and prevention of perinatal hepatitis B infection. . $37,920; Local Capacity Development Funds; January 2010 - December 31, 2010 This revenue will be used for performance measures (Standards/Measures) quality improvement in the areas of communicable disease and community outreach. Presentations to the Board of Health will be ongoing for each quality improvement measure identified. FISCAL IMPACT/COST BENEFIT ANALYSIS: This amendment through the Department of Health adds $210,930 in revenue for a total of $2,096,085. Revenue from this amendment is reflected in the JCPH 2010 budget. RECOMMENDATION: JCPH management request approval of the Consolidated Contract, Amendment #21 with Department of Health; January 1, 2007 - December 31, 2011; add1 $210,930 total $2,096,085 REVIEWED BY: · trator r ,0 (Routed to all Public Health Managers) JEFFERSON COUNTY PUBLIC HEALTH 2007-2011 CONSOLIDATED CONTRACT CONTRACT NUMBER: C14950 AMENDMENT NUMBER: 21 PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEAL THpereinafter referred to as "DOH", and JEFFERSON COUNTY PUBLIC HEALTH hereinafter referred to as "LHJ", pursuant to the Modifications/W aivers 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, attached and incorporated by this reference, is amended as follows: [ZJ Adds Statements of Work for the following programs: · Family Planning & Reproductive Health - Effective January 1,2010 · Local Capacity Development Funds - Effective January 1, 2010 [ZJ Amends Statements of Work for the following programs: · 5930 Public Health Funding - Effective July 1,2007 · Family Planning & Reproductive Health - Effective January 1, 2009 · Immunization Program CHILD Profile - Effective January 1,2007 D Deletes Statements of Work for the following programs: 2. Exhibit B-21 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-20 Allocations as follows: [ZJ D D Increase of $210'1930 for a revised maximum consideration of $2'1096'1085. Decrease of $ for a revised maximum consideration of $ No change in the maximum consideration of $ 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 PUBLIC HEALTH STATE OF WASHINGTON DEPARTMENT OF HEALTH (Date) (Date) 1~.i)pro~,r3d as to form oril~~T: J /, 2-0)0 APPROVED AS TO FORM ONLY Assistant Attorney General page 1 Of 38 t11 ~ 8: ~ ~ ~ ~ ~ '0 00000 ===== ~~~~~ .., .., ., ., .., o COO = (JQ(JQ(JQ(JQ(JQ .., ., .., .., ., = :w ~ = ~ e 53 e a 53 2:2:Z~Z ~ :w ~ :w = e a e a a ~ ~ ~ ~ ~ o 0 0 Q 0 .., ., .., ., .., ~~~~~ ~. ...... -. ....,. -. ....... .... ..... ..... ~ -- ..... ..... ~ ~ ~ ~ ~ tD ~ ~~~~Ul O;J ~~ \.0 ~ ~ 2. 2. ~ n =:1 ~~ ~ ~ N. 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Jefferson County Public Health Chart of Accounts Program Title WICIUSDA Fanners Market Admin WIC/USDA Farmers Market Admin WICfUSDA Farmers Market Admin WICIUSDA Breastfeeding WIC/USDA Breastfeeding WIC/USDA Breastfeeding WIC/USDA Breastfeeding WIC/USDA Breastfeeding W1ClUSDA Breastfeeding WIC/USDA NLS WICIUSDA NLS WIC/USDA NLS WIC/USDA NLS WIC/USDA NLS WICIUSDA NLS WIC/USDA NLS WIC/USDA NLS WIC/USDA NLS WICIUSDA NLS WlC/USDA NLS WIC/USDA NLS WICfUSDA NLS WIC/USDA NLS WICIUSDA NLS WICIUSDA NLS WIC/USDA NLS WIC/USDA NLS Swimming Beach IAR (Ecol) Water Rec Beach fAR Water Rec Beach fAR Water Rec Beach JAR Water Rec Beach JAR Drinking Water Group A - SS Drinking Water Group A T A EH Drinking Water SS EH Drinking Water SS EH Drinking Water SS EH Drinking Water SS EH Drinking Water SS EH Drinking Water SS EH Drinking Water SS EXHIBIT B.21 ALLOCA TIONS CONTRACT TERM: 2007-2011 BARS Revenue Amendment Code* Amend 2 Amend 9 Amend 1 5 Amend 1 3 Amend 13 Amend 1 3 Amend 1 3 Amend 4 Amend 1 0 Amend 11 Amend 1 3 Amend 13 Amend 13 Amend 13 Amend 14 Amend 16 Amend 1 3 Amend 14 Amend 16 Amend 19 Amend 13 Amend 14 Amend 16 Amend 1 5 Amend 2 Amend 9 Amend 9 Amend 1 5 Amend 15 Amend) 5 Amend 8 Amend 8 Amend 8 Amend 13 Amend 1 5 333.10.52 333~ 10.52 333~ ] 0.52 333+ 1 O~57 333.10.57 333~ 1 0+57 333.10+57 333.10.57 333.10.57 333.10.57 333.10.57 333.10.57 333.10.57 333.10.57 333.10.57 333.10.57 333.10.57 333.10.57 333,10157 333~ 10.57 333.10.57 333.10.57 333r 1 0.57 333.1 O~57 333~ 1 0.57 333~ 1 0.57 333.10.57 333~66.47 333~66.4 7 333.66.47 333.66~4 7 333.66~47 333~66.48 333~66.48 333.66.48 333+66.48 333.66.48 333.66.48 333.66.48 333.66~48 333.66~48 EH Drinking Water T A 333.66.48 EH Drinking Water T A Amend 5 333.66~48 (Correction to Amend 4 - Moved from EH - Drinking Water SS) EH Drinking Water T A Amend 8 333.66.48 EH Drinking Water TA Amend 8 333.66+48 EH Drinking Water TA Amend 13 333.66+48 EH Drinking Water T A Amend 15 333.66~48 EH Drinking Water T A 333.66~48 EH Drinking Water T A Amend 8 333.66~48 EH Drinking Water T A Amend 13 333.66~48 CFDA ** 10.572 104572 10+572 ]04557 104557 10.557 10.557 10.557 10.557 10.557 1 O~557 10.557 1 O~557 10.557 1 O~557 10.557 ) 0.557 10.557 10.557 10.557 10.557 J 0.557 10.557 10.557 10+557 1 O~557 10.557 66.472 66.472 66.472 66.472 66.472 66.468 66.468 66 + 468 66.468 66 ~ 468 66-468 66.468 66.468 66.468 66.468 66.468 66.468 66 + 468 66~468 66.468 66r468 66~468 66~468 -- - - -- --- --i::- - I I -'\ - --- - ----- - -- ;::~;::::::- - -:::.:::..:::: :_:.::L:~: ' " , " , ~_,' _ _ - _ - _ _ _ ~_ '_ '^~.;::;:~ii:~- _,~~':' . :::~::,/, ..,i;'~~I~-%.J~~~-' " t'~3tylll}j, ~',::.JJ;rlf1I'l~~::::.::,: ' fJfff3fJ/07.,.:' 1 of S Contract Number: C14950 Date: November 15, 2009 Amount $121 $135 $139 $804 $1 )073 $268 $898 $1 197 $299 $39, 150 $52,200 $1 ,350 $1 ,000 $650 $13,050 $338 $450 $41 ,513 $1,794 $1 ,894 $55,350 $3,075 $7,575 $1 ,480 $13,838 $769 $1 ,894 $4,21 9 $1 ) 600 $2,400 $5,000 $3,281 $4,000 $3,000 $1 ,250 ($1,250) $5,000 $3,750 ($3,750) $5,500 ($4,000) $2,000 ($1 ,500) ($500) $6,500 ($500) ($2,500) $6,000 ($6,000) $4,000 Funding Period Sub Total $121 $135 $139 $804 $1 ,073 $1166 $1 1 97 $299 $39,150 $55,200 $59,039 $67,480 $16)501 $4,21 9 $1 ,600 $10,681 $4l000 $3~OOO $0 $5~OOO $0 $1 ,500 $0 $3,500 $0 Chart of Accounts Total $395 $4,539 $237,370 $4,2 1 9 $12,281 $4; 000 $3,000 $6,500 Jefferson County Public Health Chart of Accounts Program Title EH Drinking Water TA PHEPR - LHJ Funding PHER HI Nl Pan Flu Focus I PHERHINl Pan Flu Focus I PHER HI Nl Pan Flu Focus 2 PHER H1Nl Pan Flu Ph III Mass Vac FPRH TX RX Contraceptives FPRH TX RX Contraceptives FPRH TX RX Contraceptives FPRH Title X Contracts FPRH Title X Contracts FPRH Title X Contracts FPRH Title X Contracts FPRH Title X Contracts FPRH Title X Contracts FPRH Title X Contracts FPRH Title X Expansion FPRH Title X Expansion FPRH Title X Expansion uw Workforce Development YR9 AFIX Immun ConCon Fed AFIX Immun ConCan Fed AFIX Immun ConCon Fed Child Immun Activities Fed FA317 Immun ConCon Fed FA31? Immun Coneon Fed F A3 1 7 Immun ConCon Fed F A3 ] 7 Immun ConCon Fed F A317 Immun ConCon Fed FA3171mmun ConCuR Fed VFC Immun ConCon Fed VFC Immun ConCon Fed VFC Immun ConCon Fed VFC Immun ConCon Fed VFC Immun ConCon Fed CDC Tobacco Prevention CDC Tobacco Prevention CDC Tobacco Prevention YR5 CDC Tobacco Prevention YRl CDC Tobacco Prevention YRl PHEPR - LHJ Funding PHEPR - LHJ Funding PHEPR - LHJ Funding PHEPR - LHJ Funding EXHIBIT B-21 ALLOCA TIONS CONTRACT TERM: 2007-2011 BARS Revenue Amendment Code* Amend 1 5 Amend 1 8 Amend 1 8 Amend 1 9 Amend 1 9 Amend 20 Amend 5 Amend 1 2 Amend 21 Amend 5 Amend 5 Amend 12 Amend 1 3 Amend 2 t Amend 21 Amend 12 Amend 13 Amend 21 Amend 1 3 Amend 1 Amend 1 Amend 13 Amend 21 Amend t Amend 1 Amend 13 Amend 21 Amend 1 Amend 1 Amend 1 3 Amend 3 Amend 1 0 Amend 1 6 Amend 16 Amend 5 Amend 8 Amend 12 333.66.48 333.90.69 333.90.69 333.90~69 333.90 t 69 333.90~69 333~92417 333t92~ 17 333.92.17 333.92.17 333 + 92. 1 7 333 ~ 92. 1 7 333~92-17 33.3.92.17 333.92.17 333.92.17 333 ~ 92. 1 7 333.92.17 333.92.17 333~92~49 333r92.68 333~92r68 333~92~68 333.92.68 333~92.68 333.92468 333.92~68 333.92.68 333.92.68 333.92.68 333.92~68 333.92~68 333.92.68 333.92~68 333.92.68 333.92-83 333.92.83 333.92~83 333.92.83 333.92~83 333.92.83 333492t83 333.92~83 333.92~83 CFDA** 66.468 93.069 93~069 93.069 93 ~ 069 93.069 93.217 93~217 93.217 93.217 93.217 93.217 93.217 93.217 93.217 93.217 ~~f~'-~t\:~: : 93~217 93.217 93.2) 7 ;:;;!!)~~'1-~8 _'~~:~;;J:~.~,t~08:": 93.249 93.268 93+268 93~268 93.268 93.268 93.268 93 ~268 93.268 93 ~268 93.268 93.268 93~268 93.268 93~268 93~268 93T283 93+283 93.283 93.283 93.283 93.283 93.283 93~283 93~283 20f5 Contract Number: C14950 Date: November 15,2009 Amount ($3,000) $31 ,274 $12,500 $] 8,559 $1 )233 $57,432 $600 $1 ,000 $1,000 $21 ,400 $700 $21 ,000 $540 $18,664 $373 $23,750 $2,764 $2,764 $500 $1 ,090 $9,389 $9,389 $9~353 $9,827 $4, 159 ($2~379) $4, 159 ($2,379) $1 ,573 $1,573 $4,047 ($3,815) $4,04 7 ($3,815) $474 $2,550 $5~ 100 $3,825 $1 ,000 $3,090 $13,901 $5,442 $12,699 $18,774 Funding Period Sub Total $1 ,000 $3) ,274 $31 ,059 $1 ,233 $57,432 $600 $1 ,000 $1,000 $22, 1 00 $21 ,540 $19,037 $23,750 $2,764 $2)764 $500 $1 ,090 $9,389 $9,389 $9,353 $9,827 $1,780 $1 ,780 $1 ,573 $1,573 $232 $232 $474 $2,550 $5,100 $3,825 $4,090 $13,90] $18,141 $18,774 Chart of Accounts Total $4,500 $31,274 $31 ,059 $1 ,233 $57,432 $2,600 $86,427 $6,028 $ 1 ,090 $28,131 $9,827 $6,706 $938 $15,565 $50,816 EXHIBIT B-2] Contract Number: C 14950 Jefferson County Public Health ALLOCATIONS Date: November 15, 2009 CONTRACT TERM: 2007-2011 BARS Funding Chart of Revenue Period Accounts Chart of Accounts Program Title Amendment Code* CFDA ** Amount Sub Total Total PHEPR-Pandemic Influenza 333,92.83 93+283 $1 O~986 $10,986 PHEPR - Pandem ic I nfl uenza Amend 5 333.92,83 93.283 $4}O20 PHEPRwpandemic Influenza Amend 8 333.92,83 93.283 $9,381 $13,401 $24,387 PHEPR.Prog E Amend 3 333_92.83 93.283 $730 $730 $730 HCCW Infant Toddler JAR 333.95~75 93.575 $5,767 $5,767 HCCW Infant Toddler JAR Amend 4 333.95~75 93.575 $11 ,534 $11 ,534 HCCW Infant Toddler fAR Amend 11 333.95~75 93.575 $11,534 $1 ) ]534 HCCW Infant Toddler JAR Amend 1 7 333.95~75 93~575 $11 ,660 $1 1 ; 660 $40,495 PHEPR HC Systems - Prep Amend 12 333r98~89 93~889 $1 ,800 $1 ,800 PHEPR HC Systems - Prep Amend 1 8 333.98~89 93.889 $1 ,612 $1 ,612 $3,412 PHEPR Hospital ~ Prep 333.98.89 93.889 $1 ,340 $1 ,340 PHEPR Hospital - Prep Amend 5 333.98.89 93~889 $2,000 $2,000 $3,340 PHBG · LHD Amend 2 333~99~91 93.991 $2,500 $2,500 $2,500 MCHBG CSHCN Spec Prog Amend J 333.99.94 93.994 $18,916 $18,916 MCHBG CSHCN Spec Prog Amend 5 333~99.94 93 + 994 $25 )221 MCHBG CSHCN Spec Prog Amend 5 333.99~94 93~994 ($18,916) $6,305 MCHBG CSHCN Spec Prog Amend 1 333.99494 93 .994 $6,305 MCHBG CSHCN Spec Prog Amend 5 333.99.94 93.994 ($6,305) $0 $25,221 MCHBG MCH ConCon Fed 333+99.94 93.994 $32, 180 $32~] 80 MCHBG MCH ConCon Fed 333+99.94 93.994 $42,907 $42)907 MCHBG MCH ConCon Fed 333.99.94 93.994 $JO~727 $10,727 MCHBG MCH ConCon Fed Amend 12 333~99~ 94 93~994 $28,990 $28,990 MCHBG MeH ConCon Fed Amend 12 333.99~94 93.994 $38,653 $38,653 MCHBG MCH ConCon Fed Amend 12 333.99.94 93.994 $9,663 $9,663 $163,120 Adult Viral Hepatitis Strategic Plan Amend 19 334.04.91 N/A $5,000 $5,000 $5,000 FPRH State Clinical-HP-Surg-Aud Amend 21 334.04.91 N/A $53,890 $53,890 $53,890 FPRH State Contracts 334.04T91 N/A $1 7 ,400 $17,400 FPRH State Contracts Amend 3 334.04~91 N/A $1 7 ,400 $1 7 ,400 FPRH State Contracts Amend 5 334.04~91 N/A $37,800 FPRH State Contracts Amend 1 0 334r04~91 N/A $3,300 $4 1 , 1 00 FPRH State Contracts Amend 13 334~O4~91 N/A $24,683 $24,683 FPRH State Contracts Amend 13 334.04.91 N/A $24,683 $24,683 $125,266 FPRH State Enhancement Amend 16 334404~91 N/A $12,220 $12,220 $12,220 Group B Systems Amend 1 334.04.91 N/A $3,000 Group B Systems Amend 2 334~04.9 ) N/A $3,0 t 5 Group B Systems Amend 3 334~O4.91 N/A $3,590 $9)605 Group B Systems Amend 5 334.04.91 N/A $6,~75 $6,875 Group B Systems Amend 1 0 334.04.91 N/A $1 0-,500 $10,500 $26,980 Oral Health State 334r04.91 N/A $4 ~500 $4,500 Oral Health State 334,04.91 N/A $9,000 $9,000 Oral Health State 334~O4~91 N/A $4,500 $4,500 Oral Health State Amend 1 3 334~O4.91 N/A $5~783 $5,783 Oral Health State Amend 13 334~04~ 91 N/A $11 ,567 $ J J ,567 Oral Health State Amend ] 3 334~O4~91 N/A $5,784 $5,784 $41 , ] 34 PHEPR - Pandemic Influenza 334.04.91 N/A $5}O83 $5,083 $5,083 30fS Jefferson County Public Health EXHIBIT B-21 ALLOCA TIONS CONTRACT TERM: 2007-2011 BARS Revenue Chart of Accounts Program Title Amendment Code* CFDA * * Correction in Amendment #1 of an addition of$8 (previously $5,075) Hepatitis C Awareness Amend 14 334.04.92 N/A Local Capacity Dev. Funds · GFS & HSA 334.04~92 N/A Local Capacity Dev. Funds - GFS & HSA 334t04.92 N/A Local Capacity Dev~ Funds - GFS & HSA Amend 6 334.04.92 N/A Local Capacity Dev~ Funds - GFS & HSA Amend 6 334~O4~92 N/A Local Capacity Dev. Funds - GFS & HSA Amend 1 3 334~04~ 92 N/A Local Capacity Dev. Funds GFS & HSA Amend 1 3 334.04~92 N/A Local Capacity Dev. Funds - GFS & "Sf Amend 21 334.04.92 N/A Local Capacity HSA Partnersh ip Amend 3 334.04.92 N/A Child Death Revievv (Proviso) Amend 12 334.04.93 N/A Offiee of feed Safet), & Shellfish 334.04.93 N/A DOH-3 Shellfish eN/eN-Proviso (corrects title) 334.04.93 N/A DOH-3 Shellfish CN/eN-Proviso Amend 13 334.04~93 N/A DOH-3 Shellfish CN/eN-Proviso Amend 1 334.04.93 N/A DOH..) Shellfish CN/CN-Proviso Amend 13 334.04.93 N/A DOH-3 Shellfish CN/eN-Proviso Amend 13 334404.93- N/A DOH-3 Shellfish CN/eN-Proviso Amend 15 334.04193 N/A DOH-6 PSAP Onsite -Proviso Amend 6 334.04.93 N/A DOH-6 PSAP Onsite -Proviso Amend 6 334+04+93 N/A DOH-7 PSAP Onsite Sys Spt CN/CN~Prov- Amend 5 334.04~93 N/A DOH-7 PSAP Onsite Sys Spt CN/CN-Prov- Amend 6 334r04.93 N/A DOH..? PSAP Onsite Sys Spt eN/eN-Prov- Amend 6 334.04.93 N/A DOH-7 PSAP Onsite Sys Spt CN/CN~Prov. Amend 6 334.04.93 N/A DOH- 7 PSAP Onsite Sys Spt CN/CN-ALE_ Amend 6 334.04.93 N/A FPRH Proviso Contracts Amend 5 334+04+93 N/A FPRH Proviso Contracts Amend 1 0 334+04.93 N/A FPRH Proviso Contracts Amend 1 0 334.04193 N/A FPRH Proviso Contracts Amend 13 334.04r93 N/A On Site GFS Proviso Amend 2 334.04.93 N/A Rec Shellfish/Biotoxin (PSAA) Amend 1 7 334~O4+93 N/A Rec Shellfish/Biotoxin (PSAA) Amend 19 334+04~93 N/A Small On-Site LHJ Contracts Amend 16 334.04,93 N/A Youth Tobacco Prevention 334.04~93 N/A Youth Tobacco Prevention Amend 3 334r04.93 N/A Youth Tobacco Prevention Amend ] 0 334.04r93 N/A Youth Tobacco Prevention Amend 16 334.04.93 N/A TPe Account 334~O4.97 N/A TPe Account Amend 3 334.04.97 N/A TPe Account Amend 1 0 334~044 97 N/A TPC Account Amend 16 334.04~ 97 N/A Drinking Water Group A - SS State Amend 13 334.04r98 N/A EHP - Drinking Water - SS State Amend 4 334.04.98 N/A 40fS :::.::l_~~OI~l'$- :'.~~'m:i-~ZSOl09 - -::::::.":':-- ~ , ~:...; , . .-:-:~:-:.- -.-.:-:.:.::-:- - ,'; {,;';~' i <~:_<-:- ~- .-':~;:~ ~:-: - -< ~-_~~:;::::::.::~i:~:)~.::~:::::: ~:::..:::.- - ~, ~ ~~~;~'1~~9);:.' - ::-,1. _ .I :-. -~ -- - _ __ _ _ -- "'.i __ _ -.. _ -- -- o:::.~ F::- '~~::-::_'-- _:~:>:.:.::::.>:.)):::.r( -- {;;~itali~.::: . :::i~:':i:ili~':':i~"~:!~,I~I~I;:::::.. .:':.,.: ,:,~~Itl~~'~~~~i~:~~;~ i~~!t~_~{). '~~;~W~!;j-i~l ::_:;(7:";~;O~~~~., :~::'"::::l~::.:;: ,~:}~~;:::::i' : : ,,;t~~i~(j' Itll~'::-::i- ::i~Z~f17.1}l ;::1:, .:i::.:~,;~3:/-: : -- , -_: ;:~-~-::-_:_;,- :-_o~n'::::..::':'nn X,. :.' ,', ' Contract Number: Cl4950 Date: November 15, 2009 Funding Period Amount Sub Total $8,500 $8,500 $19,142 $19,142 $19~142 $19,142 $19,105 $19,105 $19~I05 $19;105 $19,016 $19,016 $19,016 $37,920 $56,936 $2,550 $2,550 $750 $750 $1 ,400 $1 ,400 $2)800 ($2,800) $0 $ 1 ,400 ($1 ,400) $0 $4,200 $800 $5,000 $34,500 $34,500 $1 7 ,000 $17,000 $1 00,000 ($1 00,000) $0 $20, 125 $20, 125 $8,500 $8,500 $19,875 $19,875 $19,800 $19,800 $29,600 $13,600 $43,200 $13,600 $13)600 $31 ,000 $31 ,000 $6,400 ($1 ,400) $5,000 $1 OO~OOO $100)000 $2,400 $2,400 $4, ) 00 $4, ) 00 $4,100 $4, ) 00 $8,200 $8;200 $19,125 $1 9 , 125 $38,250 $38,250 $38,250 $38,250 $61 ,200 $61 ,200 $4,000 $4,000 $1 ,250 $1 ,250 Chart of Accounts Total $8,500 $152,446 $2~550 $750 i $6,400 : ! : $51 ,500 $28,625 $19,875 ! $76,600 $31 ~OOO $5,000 ! $100,000 $18;800 $156,825 $4,000 Jefferson County Public Health EXHIBIT B..21 ALLOCA TIONS CONTRACT TERM: 2007-2011 BARS Revenue Chart of Accounts Program Title Amendment Code* CFDA** EHI> - Drinking Water - SS State Amend 13 334.04r98 N/A EHP - Drinking Water - SS State Amend 13 334.04.98 N/A EHP - Drinking Water - SS State Amend 15 334.04.98 N/A EHP - Drinking Water - SS State Amend 16 334~O4~98 N/A Blue Ribbon Local Health Funds Amend 7 334.04.99 N/A Blue Ribbon Local Health Funds Amend 13 334404~99 N/A Blue Ribbon Local Health Funds Amend 21 334.04.99 N/A TOTAL Total consideration prior to this amendment: Change in consideration in this amendment: GRAND TOTAL $1,885,155 $210,930 $2,096,085 *Federal revenue codes begin with "333ft. State revenue codes begin with U334U. ** Catalog of Federal Domestic Assistance Sof5 Contract Number: C14950 Date: November 15, 2009 Funding Chart of Period Accounts Amount Sub Total Total $3,750 $1 ,500 ($4,000) $4,000 $5,250 $6,500 $103,008 $103,008 $102,901 $102,901- $82,097 $82,097 $288,006 $2,096,085 $2,096,085 GRAND TOTAL $2,096,085 Total Fed $869~ 135 Total State $1,226,950