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Home My WebLink AboutAgreements/Contracts - New Hope DV/SA�to GRANT COUNTY 4� COMMISSIONERS AGENDA MEETING REQUEST FORM -7 (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT:New Hope DATE:7.2.2024 REQUEST SUBMITTED BY:SuziFode CONTACT PERSON ATTENDING ROUNDTABLE..SuziFode CONFIDENTIAL INFORMATION: E]YES And NO PHONE:509.764.8402 re MIN C ®Agreement Contract EIAP Vouchers DAppointment Reappointment ❑ARPA Related El Bids / RFPs / Quotes Award 013id Opening Scheduled ❑ Boards / Committees D Budget ElComputer Related El County Code OE'mergency Purchase DEmployee Rel. El Facilities Related ElFinancial E]Funds ElHearing El Invoices / Purchase Orders El Grants — Fed/State/County El Leases EIMOA / MOU 7Minutes ❑Ordinances El Out of State Travel 0 Petty Cash El Policies El Proclamations F Request for Purchase ❑ Resolution El Recommendation El Professional Serv/Consultant E]Support Letter E]Surplus Req. E]Tax Levies E]Thank You's E]Tax Title Property E:IWSLCB W MrM 63- POW ow"4� -E st w6&wh i W'h Wet signature by BOCC Chair on contract amendment between DSHS and New Hope for the WorkFirst Family Violence contract. Period of contract is July 1, 2024 through June 30, 2025 in the amount of $31,000. If necessary, was this document reviewed by accounting? El YES F-1 NO X N/A If necessary, was this document reviewed by legal? *1 YES El NO F-1 N/A DATE OF ACTION: 9 - %i• APPROVE: DENIED ABSTAIN �9 D1: zC D2: D3: 4/23/24 DEFERRED OR CONTINUED TO: WITHDRAWN: JUN 7, 7 20011?44 GRART GGIUlNiffY K2 4- 16 6 CHANGE OR CORRECT MAXIMUM CONTRACT AMOUNT ATTACHMENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into this Contract Amendment by reference: El Additional Exhibits (specify): This Contract 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 Contract. No other understandings or representations, oral or otherwise, regarding the subject matter of this Contract Amendment shall be deemed to exist or, bind the, parties. All other terms and conditions of the original Contract remain in full force and effect. The parties signing g g below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract 4m dment. CONTRMORNATU PNE ND TITLE ...,......._RI.�........TED NAM.....................�_.......... ADATE SIGNED Cindy Carter, Chair DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED Alice Hildebrant, Contracts & Traininq Officer Approved as to form: (Pri Na e) (signed) Deputy Prosecuting Atfiorney DSHS Central Contract Services 6024PF Contract Amendment (1-26-207t�� . & /?;:a:ftm- Page I DSHS CONTRACT NUMBER: �rorr ware CONTRACT AMENDMENT 2363-48637 Department of Social 71tV &. Health Services' �VorkFirst Family Violence Amendment No. 01 Transforming !Ives This Contract Amendment is between the State of Washington Department of Program contract Number Social and Health Services (DSHS) and the Contractor identified below. Click here to enter text. Contractor Contract Number CONTRACTOR NAME CONTRACTOR doing business as (DBA) Grant County New Hope CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS DSHS INDEX NUMBER 311 West Third Avenue IDENTIFIER (UBI) 1221 132-001-884 Moses Lake, WA 98837 - CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS Suzi Fode 509 764-8402 5091 766-6574 sfode2grantcountywa.gov DSHS ADMINISTRATION DSHS DIVISION DSHS CONTRACT CODE Economic Services Administration Community Services Division 3000CC-63 DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Johnna Boren 8517 E Trent Ave Suite 101 WorkFirst Coordinator Spokane Valley, WA 99212 DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS 509 202-7772 (509)921-2458 'ohnna.boren dshs.wa. ov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBERS No AMENDMENT, START DATE CONTRACT END DATE 07/01/2024 06 o zoz PRIOR MAXIMUM CONTRACT AMOUNT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM CONTRACT AMOUNT $31, 000.00 $31, 000.00 $62, 000.00 CHANGE OR CORRECT MAXIMUM CONTRACT AMOUNT ATTACHMENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into this Contract Amendment by reference: El Additional Exhibits (specify): This Contract 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 Contract. No other understandings or representations, oral or otherwise, regarding the subject matter of this Contract Amendment shall be deemed to exist or, bind the, parties. All other terms and conditions of the original Contract remain in full force and effect. The parties signing g g below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract 4m dment. CONTRMORNATU PNE ND TITLE ...,......._RI.�........TED NAM.....................�_.......... ADATE SIGNED Cindy Carter, Chair DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED Alice Hildebrant, Contracts & Traininq Officer Approved as to form: (Pri Na e) (signed) Deputy Prosecuting Atfiorney DSHS Central Contract Services 6024PF Contract Amendment (1-26-207t�� . & /?;:a:ftm- Page I This Contract between the State of Washington Department of Social and Health Services (DSHS) and the Contractor is hereby amended as follows: 1. The Contract Maximum is increased by $31,000. The new Contract Maximum is $62,000. 2. The Special Terms and Conditions, Section 4 Consideration. is updated as follows: Total consideration payable to Contractor for satisfactory performance of the work under this Contract, shall be paid in accordance with the fees set forth in the attached Exhibit(s). Total consideration payable for the contract period to the Contractor for satisfactory work performance including any and all expenses under this Contract is up to a maximum of $62,000. Unspent funds designated for any State Fiscal Year shall remain unspent and may not be carried forward into the following State Fiscal Year. Consideration payable per State Fiscal Year: State Fiscal Year 2024 (July 1, 2023 through June 30, 2024) = $31,000 State Fiscal Year 2025 (July 1, 2024 through June 30, 2025) - $317000 All other terms and conditions of this Contract remain in full force and effect. DSHS Central Contract Services Page 2 6024PF Contract Amendment (1-26-2618)