HomeMy WebLinkAboutAgreements/Contracts - New Hope DV/SAI q
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new beginnings. better tomorrows.
July 5 2022
Board of Grant County Commissioners
PO Box 37
Ephrata, WA 98823
RE': Signature for Contract #1863-31475 Amendment #04
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Dear Board of County Commissioners,
Please see attached contract amendment for review and signatured
.Contractor: DHS
Term of Contract Amendment: 7.1.20.2.2 to 12. 1.2022
AA rouse: The 'purpose of this Contract is to extend the period of performance an
additional 6 months
increase the maximum consideration for
services provided under
this extension, and amend the statement of work and budget.
Amount,: $69,897 for the amendment making the total contract worth $616,816,
��-.Vzi Fode is requesting,your signature on the attached contractZ
Thank you for your consideration,
Suzi Fode, Director
Kids Hope and New Hope
DSHS CONTRACT NUMBER:
CONTRACT �v� 1,� pro s���� A 1363 -x31475
Department of Social
71TV& Health Services
DVPA .. Domestic ViolenceAmendment No 0
Transioraing Uves Services
This Contract Amendment is between the State of Washington Department of Program contract Number
Social and Health Services (DSHS) and the Contractor identified below. 1709 -
Contractor Contract Number
CONTRACTOR NAME CONTRACTOR doing business as (DBA)
Grant County New Hope Domestic Violence & Sexual Assault Services
CONTRACTOR ADDRESS wASHINCTON UNIFORM 13USINESS DSHS INDEX NUMBER
311 West Third Avenue IDENTIFIER (UBI) 1221
132-001-884
Moses Lake, WA 98337 -
CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS
uzi bode 609 764-3402
9)766-6674 spode ranficount gra. ov
DSHS ADM] N ISTRATION DSHS DIVISION DSHS CONTRACT CODE
Economic Services Administration Community Services Division 300OCC-63
DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS
Mette Earl wine ESA CSD H
Program Manager 712 Pear Street SE
OI m ia, WA 98501
DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS
3
0)790-8794 dick hero to enter text. earlyme@dshs.wa.gov
IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBERS
No
.'�tr� ENDMENT ;TA r `L ATE : '' • OBIT -QCT :SND *DATE :12131
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ATTACHMENTS. When the box below is marked with an , the following Exhibits are attached and are incorporated into
this Contract Amendment by reference:
Additional Exhibits (specify): Exhibit A-4 Statement of work; Exhibit D Budget
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CONTRACTOR SICGNATUR PRINTED NAME AND TITLE DATE SIGNED
Danny E Stone, BOCC Chair
DSFIS VSIGI�ATURE PRINTED NAIVE AND TITLE - DATE IGNED
Shannon Williams, Contracts Officer
DSHSIESA-Community Services Division
DSHS Central Contract Services page I
6024PF Contract Amendment (1-28-2018)
This Contract between the State of Washington Department of Social and Health Services (D H) and the
Contractor is hereby amended as follows:
1 Purpose. The purpose of this Amendment is to extend the period of performance, increase the
maximum consideration for services provided under this extension, and amend the statement of work
and budget.
2. Period of Performance. The period of performance of this contract is extended as indicated on page 1
of this Amendment. Revisions stated herein are effective for this amended period of performance.
The Special Terms and Conditions are amended as follows:
3. Exhibit A — Statement of Work is deleted and replaced in full by the revised Exhibit A-4 — Statement
of Work. All references to the Statement of Work Exhibit are hereby amended to Statement of Work
Exhibit A-4 for the period of this Amendment.
4. Exhibit D — Budget is deleted and replaced in full by the revised Exhibit D-4 — Budget. All references
to the Budget — Exhibit D are hereby amended to Budget — Exhibit D-4 for the period of this
Amendment.
5. Section 8., Consideration, Subsection a. is amended as follows:
a. Maximurn Contract Amount. The maximum amount of total compensation payable to the
Contractor for satisfactory performance of this work under this Contract is the amount stated on
page 1 of this Contract under "Amount of Increase or Decrease."
All other terms and conditions of this Contract remain in full force and effect.
DSFIS Central Contract Services Page 2
6024PF Contract Amendment (1-26-2018)
STATEMENT OF WORK
Domestic Violence Prevention Account (DVPA)
Intervention Services
Contractor shall provide the following services and activities as described in this Statement of Work, In
performing the services, requirements and activities covered by this Contract, the Contractor shall comply with
all applicable requirements of RCW 70.123 and Washington Administrative Code (WAG) 388-61A.
it Services,. Contractor shall increase and expand its bi-lingual/bicultural services to a minimum of 55
unduplicated Latina victims of domestic violence with a special emphasis on outreach to under/un-
served victims in rural areas of Grant and Adams Counties, including Quincy, Mattawa, Othello, and
Royal City. Contractor shall provide the following service's:
a. Advocacy
b. Information and Referral
C. Safety Planning
d. Medical Advocacy
e. Legal Advocacy
f. Community Education and Awareness
g. Accompaniment and advocacy through/with systems such as legal, financial immigration, and
medical
2. Prevention., Contractor shall expand its prevention readiness activities in Royal City, Othello? and
Mattawa. Contractor shall engage in community conversations and meetings with existing partners
with the goal of reaching a minimum of
w*1three stakeholders per community. Contractor and
stakeholders in each community will develop plans for ways to introduce prevention ideas at
established community gatherings and events.
3. Emergency Financial Assistance
a. Provide emergency financial assistance (EFA) to survivors of domestic violence in accordance with
the Contractor's plan, policy and procedures. The plan, policy, and procedures must be approved
by DH S prior to incurring any costs for these services to be charged against this Contract. Costs
for emergency financial assistance must be connected to the victimization and should address
immediate health and safety needs.
b. Changes to the Contractor's approved plans, policies, procedures and forms are subject to approval
by the DSHS Program Manager listed on page 1 of this Contract.
4. Incorporated by Reference
a. The following documents are incorporated by reference into this Contract:
b, DSHS's Competitive Solicitation #1813-682 and related documents,
c. Contractor's FYI 9 Application and Proposal for Culturally Specific Community -Based Services for
Victims of Domestic Violence.
d. Contractor's FY23 Proposed Services and Budget Detail Worksheets.
DSHS Central Contract Services Page 3
6024PF Contract Amendment (1-26-2018)
EXHIBIT Do -4
BUDGET
Domestic Violence Prevention Account (DVPA)
Intervention Services
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LINE ITEM AMOUNT
SALARIES 423202
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BENEFITS [1 $17p6251
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SUBCONTRACTED TED E I E
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DSHS Central Contract Services Page 4
6024PF Contract Amendment (1-26-2018)