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Home My WebLink About*Other - New Hope DV/SAN ifs 00 new beEjinnings. better tomorrows. May 23, 2023 Board of Grant County Commissioners PO Box 37 Ephrata, WA 98823 RE: Signature for Contract #2263-4332-01 (Amendment) Dear Board of County Commissioners: MAS' 2 ? 2023 CONS Please see attached contract amendment for review and approval. Contractor: Department of Social and Health Services Term of Contract: 5.01.2023 through 6.30.2023 PurRose: This amendment addresses the administrative errors in our agency's FY23 emergency dv shelter contract. The amendment includes several edited terms, as the changes in LB/TB $ affect the total VOLA funds in your contract as well as the contract maximum consideration. It also includes a modified budget (Exhibit D-1) to reflect the correct contract total and correct amounts of LB/TB money awarded. Amount: Increase of $15,000 to overall total. New total is $545,452 . . . ...... . Suz ii Fode is requesting permission to Docu-Sign electronically with the contractor■ Thank you for your consideration, �'e�3o �ec�e Suzi Fode, Director Kids Hope and New Hope DSHS Central Contract Services 6026CF County Program Agreement Amendment (3-31-06) Page DSHS Agreement Number COUNTY PROGRAM AGREEMENT Washington State 2263-43332 rDIEEPARTMENT OF C34 SOCIAL&HEALTH. 797 AMENDMENT SERVICES Community -Based Domestic Violence Amendment No. Program Emergency Shelter & Supportive 01 Services This Program Agreement Amendment is by and between the State of Washington Administration or Division Department of Social and Health Services* (DSHS) and the County identified below. Agreement Number Click here to enter text. County Agreement Number DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER CCS CONTRACT CODE Economic Services Community Services 1221 1221 Administration Division I DSHS!CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Maureen Kelly PO Box 45710 Olympia, WA 98504- DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL 360 790-3245 Click here to enter text. maureen.kelly@dshs.wa.2ov COUNTY NAME COUNTY ADDRESS Grant County 311 W. Third Ave. Moses Lake, WA 98837 - COUNTY FEDERAL EMPLOYER IDENTIFICATION COUNTY CONTACT NAME NUMBER SuziFode COUNTY CONTACT TELEPHONE COUNTY CONTACT FAX COUNTY CONTACT E-MAIL (509) 764-8402 Click here to enter text. sfode@grantcount=a.gov IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS AGREEMENT? 16.575 Yes AMENDMENT START DATE PROGRAM AGREEMENT END DATE 05/01/2023 06/30/2023 .PRIOR MAXIMUM PROGRAM AGREEMENT, AMOUNT OF INCREASE OR, DECREASE TOTAL MAXIMUM PROGRAM AGREEMENT AMOUNT AMOUNT $530,452.00 $15,000.00 $545,452.00 REASON FOR AMENDMENT; CHANGE OR CORRECT CHOOSE ONE: EXHIBITS. When the box below is marked with a check (4) or an X, the following Exhibits are attached and are incorporated into this Program Agreement Amendment by reference: El Exhibits (specify): This Program Agreement Amendment, including all Exhibits and other documents -incorporated by reference, contains all of the terms and conditions agreed upon' by the parties as changes to the original Program Agreement. No other understandings or representations, oral or otherwise, regarding the subject matter of this Program Agreement Amendment shall be deemed to exist or bind the parties. All other terms and conditions of, the original Program Agreement remain in full force and effect. The parties signing below warrant that they have read and understand this Program Agreement Amendment, and have authority to enter into this Program Agreement Amendment. COUNTY SIGNATURE(S) PRINTED NAME(S) AND TITLE(S) DATE(S) SIGNED DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED Huan Nguyen, Contracts Officer DSHS/ESA/Community Services Division DSHS Central Contract Services 6026CF County Program Agreement Amendment (3-31-06) Page This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows: 1. Purpose. The purpose of this Amendment is to increase the maximum consideration, and correct funding amounts within the body of the contract and the budget. 2. Special Terms and Conditions, Section 8. Consideration is amended as follows: a. Maximum Contract Amount. The maximum amount of total compensation payable to the Contractor for satisfactory performance of the work under this Contract is the amount stated on page 1 of this contract amendment under "Maximum Contract Amount". b. Funds payable under this Contract are from the following sources: (1) $193,504 is allotted under this Contract from the State of Washington general fund. (2) $12,422 is allotted under this Contract from the State of Washington SFY 23 general fund Domestic Violence Shelter Proviso. (3) $61,131 is allotted under this Contract from the federal Family Violence Prevention and Services Act (FVPSA) grant. The Assistance Listing Number is 93.671. (4) $278,395 is allotted under this Contract from the federal Victims of Crime Act (VOLA) victim assistance grant. The Assistance Listing Number is 16.575. $85,802 of the VOLA funding is restricted to salaries, benefits, and indirect costs for VOCA and contract eligible staff and activities as approved by DSHS for Compensation and FTE in the application budget. 3. Exhibit B, Section 1. Acknowledgement of Federal Funding is amended to read: Total Amount of Federal Funds Obligated by this Action: $339,526 Total Amount of Federal Funds Obligated by DSHS, including the current financial obligation: $409,426 Total Amount of the Federal Awards committed by DSHS: $ 509,426 DSHS Central Contract Services 6026CF County Program Agreement Amendment (3-31-06) Page 2 Family Violence Prevention Victims of Crime Assistance Grants & Services State Grants Amount obligated by this action: Amount obligated by this action: $278,395 $61,131 Federal Award Date: Federal Award Date: 09/17/2020 9/20/2021 Federal Award Period: Federal Award Period: 10/01/2019 - 09/30/2023 10/1/2020 — 9/30/2022 Federal Award Identification Number (FAIN): Federal Award Identification Number (FAIN): 2020-V2-GX-0022 2102WAFVPS Total Amount of the Federal Award to Washington Total Amount of the Federal Award to Washington State Department of Commerce, Office of Crime State Department of Social and Health Services: DSHS Central Contract Services 6026CF County Program Agreement Amendment (3-31-06) Page 2 Victims Advocacy: $3811591052 $215091577 Awarding Official: Awarding Official: Department of Justice, Office of Justice Programs, Department of Health and Human Services, Office for Victims of Crime Administration for Children & Families Assistance Listing Number (ALN): Assistance Listing Number (ALN): 16.575 93.671 All other terms and conditions of this Program Agreement remain in full force and effect. DSHS Central Contract Services 6026CF County Program Agreement Amendment (3-31-06) Page 3 Exhibit D-1 Budget Line Item Core Amount Prevention Amount Total Salaries $ 2811663.00 $ 28,900.00 $ 3107563.00 Benefits $ 112, 916.00 $ 14, 757.00 $ 127, 673.00 Subcontracted Services $ _ Goods and Services $ 777940.00 $ 97276.00 $ 871216.00 nd i rect $ _ Subtotal $ 472, 519.00 $ 52, 933.00 $ 525, 452.00 Training Bank $ 57000.00 Language Bank l$ 15;000.00 Match) $ 1;226.00 Indirect: Contractor's Indirect Cost Rate: X❑ None ❑ 10% of MTDC ❑ % FNICR Match: The Contractor shall provide $ 0 cash or in-kind match for Victims of Crime Act (VOCA) funds payable under this Contract. The Contractor shall provide $ 12,226 cash or in-kind match for Family Violence Prevention and Services Act (FVPSA) funds payable under this Contract. Match shall not be from federal funds. The Contractor may use state funds payable under this Contract as match toward federal funds payable under this Contract only to the extent necessary to meet the match required by this Contract. Any excess state funds shall not be used as match toward federal funds without the prior written permission of DSHS. If state funds are insufficient to meet the federal match requirement, Contractor shall provide documentation demonstrating additional match as directed by DSHS. DSHS Central Contract Services 6026CF County Program Agreement Amendment (3-31-06) Page 4