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Contract Amendment #1 with Washington State Health Care Authority BEFORE THE BOARD OF COUNTY COMMISSIONERS OF LEWIS COUNTY, WASHINGTON IN RE: Approve Contract Amendment#1 between ) Washington State Health Care Authority and ) Lewis County ) RESOLUTION No. 18- 911 WHEREAS, the Board of County Commissioners (BOCC), Lewis County, Washington, has reviewed contract amendment #1 to Program Agreement #1763-94259 between Lewis County and Washington State Health Care Authority (HCA), formerly DSHS, Division of Behavioral Health and Recovery (DBHR), for the period of July 1, 2018, through June 30, 2019; AND WHEREAS, additional funding in the amount of $32,393 is available through the Substance Abuse Block Grant (SABG) to add funding for prevention services for a total amount of $222,000; AND WHEREAS, it appears to be in the best public interest to authorize the execution of said contract for Lewis County; NOW, THEREFORE BE IT RESOLVED that Contract Amendment #1 between HCA and Lewis County in the amount of $32,393 for a total amount of $222,000 from July 1, 2018 through June 30, 2019 is hereby approved and the Director of Public Health & Social Services is authorized to sign the same. DONE IN OPEN SESSION this l t, day of LA. , 2018. APPROVED AS TO FORM: BOARD OF COUNTY COMMISSIONERS Jonathan Meyer, ' -• ting Attorney LEWIS COUNTY, WASHINGTON By: Da d Fi e E• • - Fund, Ch ir' Deputy Prosecuting Attorney ATTEST: Robert C. Jackson, Vice Chair •,• OUNTY•• ` L�%%`cif �� - • /O Off\V \ "4-• c� Rieva Lester, Clerk of the B 4 i-/ SINCE t mper, ember •`' 1845 4„A z• •* ,*• y 1 J colgc�� •• ••r®I®PbNS 1s� • Washington State A HCA CONTRACT NUMBER: Health Care itthorqz CONTRACT AMENDMENT 1763-94259 Prevention Services Amendment No. 01 This Contract Amendment is between the State of Washington Health Care Program Contract Number Authority(HCA) and the Contractor identified below. Click here to enter text. Contractor Contract Number CONTRACTOR NAME CONTRACTOR doing business as(DBA) Lewis County CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS ACD INDEX NUMBER 360 NW North St IDENTIFIER(UBI) 1227 Chehalis,WA 98532- 212-002-978 CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS Danette York (360) 740-2774 Click here to enter text. danette.york @lewiscountywa.g ov HCA PROGRAM AREA HCA CONTRACT CODE Division of Behavioral Health and Recovery 1644CS-63 HCA CONTACT NAME AND TITLE HCA CONTACT ADDRESS Martha Williams 4500 10th Ave SE Projects Coordinator Lacey, WA 98503 HCA CONTACT TELEPHONE HCA CONTACT FAX HCA CONTACT E-MAIL ADDRESS (360)725-3260 (360)725-2280 williml2 @dshs.wa.gov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBERS No AMENDMENT START DATE CONTRACT END DATE 07/01/2018 06/30/2019 PRIOR MAXIMUM CONTRACT AMOUNT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM CONTRACT AMOUNT $189,607.00 $32,393.00 $222,000.00 REASON FOR AMENDMENT; CHANGE OR CORRECT OTHER: SEE PAGE TWO ATTACHMENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into this Contract Amendment by reference: ❑ 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 below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract Amendment. CONTRACTOR SIGNATURE PRINTED NAME AND TITLE DATE SIGNED / Di4e4 Yoe,-, 7/9//�c DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED HCA Contracts HCA Contract Sery ces Page 1 7024PF HCA Custom Contract Amendment(5-2-2018) Washington State 1 /'° ° HCA CONTRACT NUMBER: Health Care \uthority CONTRACT AMENDMENT 1763-94259 Prevention Services Amendment No. 01 This Contract Amendment is between the State of Washington Health Care Program Contract Number Authority(HCA)and the Contractor identified below Click here to enter text. Contractor Contract Number CONTRACTOR NAME i CONTRACTOR doing business as(DBA) Lewis County CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS ACD INDEX NUMBER 360 NW North St IDENTIFIER(UBI) 1227 Chehalis,WA 98532- , 212-002-978 CONTRACTOR CONTACT CONTRACTOR TELEPHONE i CONTRACTOR FAX I CONTRACTOR E-MAIL ADDRESS Danette York (360)740-2774 I Click here to enter text. danette.yorki✓ci)lewiscountywa.g ov HCA PROGRAM AREA HCA CONTRACT CODE Division of Behavioral Health and Recovery I 1644CS-63 HCA CONTACT NAME AND TITLE HCA CONTACT ADDRESS Martha Williams 1 4500 10th Ave SE Projects Coordinator I Lacey,WA 98503 I HCA CONTACT TELEPHONE HCA CONTACT FAX HCA CONTACT E-r,1A!L A.CDRESS (360)725-3260 , (360)725-2280 williml2tadshs.wa.cov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? I CFDA NUMBERS No AMENDMENT START DATE CONTRACT END DATE 07/01/2018 i 06/30/2019 PRIOR MAXIMUM CONTRACT AMOUNT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM CONTRACT AMOUNT $189,607.00 $32,393.00 ■ $222,000.00 REASON FOR AMENDMENT; CHANGE OR CORRECT OTHER: SEE PAGE TWO ATTACHMENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into this Contract Amendment by reference: ❑ Additional Exhibits s::ecif, This Contract Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms I and conditions agreed upon by the parties as changes to the original Contract. No other understandings or representations, oral or otherwise, regarding the subject matter of this Contract Amendment shall be deemed to exist or bind the parties. All other terms and conditions of the original Contract remain in full force and effect. The parties signing below warrant that they have read and understand this Contract Amendment,and have authority to enter into this Contract Amendment CONTRACTOR SIGNATURE PRINTED NAME AND TITLE DATE SIGNED 64.404.&V - b yo b, fir -- 7/9 he DSHS SI''" TURE PRINTED NAMEAND TI-LE DA E SIG^.ED aft4 ,�$ S'" y7 HCA Contracts —7 2t- t ‘ HCA Contract Services Page 1 7024PF HCA Custom Contract Amendment(5-2-2018) This Contract between the State of Washington Health Care Authority(HCA) and the Contractor is hereby amended as follows: Federal Award Identification for Subrecipients (reference 2 CFR 200.331) Substance Abuse Block Grant (i) Subrecipient name(which must match the name Lewis County associated with its unique entity identifier); (ii) Subrecipient's unique entity identifier; (DUNS) 079272555 (iii) Federal Award Identification Number(FAIN); SM010056 (iv) Federal Award Date(see§200.39 Federal award 04/17/2015 date); (v) Subaward Period of Performance Start and End 7/1/17 to 6/30/19 Date; (vi) Amount of Federal Funds Obligated by this action; $29,802 (vii) Total Amount of Federal Funds Obligated to the $110,778 subrecipient; (xiii) Total Amount of the Federal Award; FY14$37,271,989 FY15$37,296,186 FY16$38,042,110 (ix) Federal award project description, as required to be Substance Abuse Prevention and Treatment Block responsive to the Federal Funding Accountability Grant and Transparency Act(FFATA); (x) Name of Federal awarding agency, pass-through SAMHSA, entity, and contact information for awarding official, Washington State DSHS, Chris Imhoff, Director PO Box 45330 Olympia, WA 98504-5330 Imhofc @dshs.wa.gov (xi) CFDA Number and Name;the pass-through entity 93.959 must identify the dollar amount made available under each Federal award and the CFDA number at time of disbursement; (xii) Identification of whether the award is R&D; and ® Yes ❑ No (xiii) Indirect cost rate for the Federal award (including if 5% the de minimis rate is charged per§200.414 Indirect (F&A)costs). HCA Contract Services Page 2 7024PF HCA Custom Contract Amendment(5-2-2018) Federal Award Identification for Subrecipients (reference 2 CFR 200.331) - Strategic Prevention Framework Partnerships for Success (i) Subrecipient name(which must match the name Lewis County associated with its unique entity identifier); (ii) Subrecipient's unique entity identifier; (DUNS) 079272555 (iii) Federal Award Identification Number(FAIN); SP020155 (iv) Federal Award Date(see§200.39 Federal award 06/12/2015 date); (v) Subaward Period of Performance Start and End 7/1/17—6/30/19 Date; (vi) Amount of Federal Funds Obligated by this action; $0 (vii) Total Amount of Federal Funds Obligated to the $55,989 subrecipient; (viii) Total Amount of the Federal Award; $2,207,505 FY16 (09/30/15 -09/29/16) (ix) Federal award project description, as required to be Strategic Prevention Framework Partnerships for responsive to the Federal Funding Accountability Success(PFS) and Transparency Act(FFATA); (x) Name of Federal awarding agency, pass-through SAMHSA, entity, and contact information for awarding official, Washington State DSHS, Chris Imhoff, Director PO Box 45330 Olympia, WA 98504-5330 IMHOFC @dshs,wa.gov (xi) CFDA Number and Name; the pass-through entity 93.243 must identify the dollar amount made available under each Federal award and the CFDA number at time of disbursement; (xii) Identification of whether the award is R&D; and ❑Yes ® No (xiii) Indirect cost rate for the Federal award (including if de minimis(10%) the de minimis rate is charged per§200.414 Indirect (F&A)costs). HCA Contract Services Page 3 7024PF HCA Custom Contract Amendment(5-2-2018) 1. The Contract maximum is increased by $32,393 from $189,607 to $222,000. Source of funds for this amendment is the Substance Abuse Block Grant(SABG), CFDA#93.959. The Awards and Revenues (A&R) is attached as Exhibit B. 2. Amend the Special Terms and Conditions Section 3. Performance Work Statement, Subsection d. by deleting and replacing with the following: d. Media Materials. (1) Media materials and publications developed with DSHS funds shall be submitted to the Contract Manager or designee for approval prior to publication (DSHS will respond within five (5)working days). DSHS must be cited as the funding source in news releases, publications, and advertising messages created with or about DSHS funding. The funding source shall be cited as: Washington State Department of Social and Health Services. The DSHS logo may also be used in place of the above citation. (2) Exceptions: The Contractor does not need to submit the following items to Contract Manager or designee: (a) Newsletters and fact sheets. (b) News coverage resulting from interviews with reporters. This includes online news coverage. (c) Newspaper editorials or letters to the editor. (d) Posts on Facebook, YouTube, Tumblr, Twitter, Instagram, Snapchat and other social media sites. (e) When a statewide media message is developed by DSHS is localized. (f) When the current SAMHSA-sponsored media campaign is localized. (As of October 2014, this is the "Talk. They Hear You." campaign. https://www.samhsa.gov/underage-drinking) 3. Amend Special Terms and Conditions Section 6. Requirements, Subsection a. by deleting and replacing with the following: a. Background Checks. (RCW 43.43,WAC 388-877 & 388-877B). (1) The Contactor shall ensure a criminal background check is conducted for all staff members, case managers, outreach staff members, etc. or volunteers who have unsupervised access to children, adolescents, vulnerable adults, and persons who have developmental disabilities. (2) When providing services to youth, the Contractor shall ensure that requirements of WAC 388- 877-0500(1) are met. 4. Amend Special Terms and Conditions Section 9. Consideration first paragraph only by deleting and replacing with the following: Total consideration payable to the Contractor for satisfactory performance of the work under this Contract is increased by$32,393, up to a maximum of$222,000 including any and all expenses, and shall be based on the following and outlined in Exhibit B: Awards and Revenue. HCA Contract Services Page 4 7024PF HCA Custom Contract Amendment(5-2-2018) 5. Amend Special Terms and Conditions to add Section 24. Notices and Section 25. Pay Equity as follows: 24. Notices. Whenever one party is required to give notice to the other party under this Contract, it shall be deemed given if mailed by United States Postal Service, registered or certified mail, return receipt requested, postage prepaid and addressed as follows: a. In the case of notice to the Contractor, notice shall be sent to the point of contact identified on page one (1) of this Contract; b. In the case of notice to HCA, notice shall be sent to: Contract Services Legal and Administrative Services Division Washington State Health Care Authority P. O. Box 42702 Olympia, Washington 98504-2702 Contracts @hca.wa.gov Said notice shall become effective on the date delivered as evidenced by the return receipt or the date returned to sender for non-delivery other than for insufficient postage. Either party may at any time change its address for notification purposes by mailing a notice in accordance with this Section, stating the change and setting forth the new address, which shall be effective on the tenth (10th) day following the effective date of such notice unless a later day is specified in the notice. 25. Pay Equity. a. Contractor represents and warrants that, as required by Washington state law(Laws of 2017, Chap. 1, § 147), during the term of this Contract, it agrees to equality among its workers by ensuring similarly employed individuals are compensated as equals. For purposes of this provision, employees are similarly employed if(i)the individuals work for Contractor, (ii)the performance of the job requires comparable skill, effort, and responsibility, and (iii)the jobs are performed under similar working conditions. Job titles alone are not determinative of whether employees are similarly employed. b. Contractor may allow differentials in compensation for its workers based in good faith on any of the following: (i) a seniority system; (ii) a merit system; (iii) a system that measures earnings by quantity or quality of production; (iv) bona fide job-related factor(s); or(v) a bona fide regional difference in compensation levels. c. Bona fide job-related factor(s)" may include, but not be limited to, education, training, or experience, that is: (i) consistent with business necessity; (ii) not based on or derived from a gender-based differential; and (iii) accounts for the entire differential. d. A"bona fide regional difference in compensation level" must be (i) consistent with business necessity; (ii) not based on or derived from a gender-based differential; and (iii) account for the entire differential. Notwithstanding any provision to the contrary, upon breach of warranty and Contractor's failure to provide satisfactory evidence of compliance within thirty (30) Days of HCA's request for such evidence, HCA may suspend or terminate this Contract. HCA Contract Services Page 5 7024PF HCA Custom Contract Amendment(5-2-2018) 4. Amend Special Terms and Conditions by replacing Exhibit B as follows on the next page: HCA Contract Services Page 6 7024PF HCA Custom Contract Amendment(5-2-2018) Exhibit B AWARD AND REVENUES 2017-2019 Biennium • CONTRACTOR NAME Lewis County CONTRACT NUMBER 1763-94259 COUNTY Lewis The above named Contractor is hereby awarded the following amounts for the purposes listed. REVENUE SOURCE TYPE OF SERVICE AWARD AMOUNTS CODE: T SFY18 SFY19 Total 17-19 Biennium 333.99.59 SABG Prevention(7.1.17-6.30.19) 40,488 $ 70,290 $ 110,778 334.04.6X GF-State- Admin(for SABG Prevention) 3,521 $ 6,112 $ 9,633 SFY 18(7.1.17-6.30.18) $ 3,521 SFY 19(7.1.18-6.30-19) 6,112 334.04.6X Dedicated Marijuana Account-Fund 315-State 22,800 $ 22,800 $ 45,600 SFY 18(7.1.17-6.30.18) $ 22,500 SFY 19(7.1.18-6.30-19) 22,800 .. . 333.92.43 jPFS-Total 4;i911$ 12,798 $ 55,989 Year 4 FFY16(7.1.17-9.29.17) $ 10,798 Year 5 FFY17(9.30.17-9.29.18) $ 32,393 $ 12,798 333.37.88 iSIR-Total - $ - $ FFY17(8.15.17-4.30.18) $ - FFY18(5.1.18-4.30.19) $ Total Federal Funds 83,679 $ 83,088 $ 166,767 " • Total State Funds 26,321 $ 28,912 $ 55,233 TOTAL ALL AWARDS 110,000 $ 112,000 $ 222,000 Federal CFDA: SABG-Substance Abuse Block Grant-CFDA 93.959 Substance Abuse and Mental Health Services Administration(SAMHSA) SABG Prevention: Funding period(s): 7.1.17-6.30.19 Funds may be used in SFY 18 or SFY 19;up to the Total 17-19 Biennium award,as indicated above. GF-State-Adtnin(for SABG Prevention): Funding.period(s): 7.1.17-6.30.18 and 7.1.18-6.30.19 Funds must be used only in the SFY in which they are awarded,as indicated above. Dedicated Marijuana Account-Fund 315 State: Funding period(s): 7.1.17-6.30.18 and 7.1.18-6.30.19 Funds must be used only in the SFY in which they are awarded,as indicated above. PFS-Partnerships for Success-CFDA 93.243 Substance Abuse and Mental Health Services Administration(SAMHSA) PFS: Year 4 funding: 7.1.17-9.29.17 Year 5 funding: 9.30.17-9.29.18 Funds must be used in the FFY in which they are awarded,as indicated above. Beginning 9.30.17,funds for Year 5 may be used in SFY 18 or SFY 19,until 9.29.18. STR-State Targeted Response to the Opiod Crisis-CFDA 93.788 Substance Abuse and Mental Health Services Administration(SAMHSA) STR: FFY17 8.15.17-4.30.18 FFY18 5.1.18-4.30.19 Funds must be used in the FFY in which they are awarded,as indicated above. Beginning 5.1.18,funds for FFY18 may be used in SFY 18 or SFY 19,until 4.30.19. HCA Contract Services Page 7 7024PF HCA Custom Contract Amendment(5-2-2018) All other terms and conditions of this Contract remain in full force and effect. HCA Contract Services Page 8 7024PF HCA Custom Contract Amendment(5-2-2018) Lewis County Details of Budget or Request For Budget Amendment Fund 104 Type of appropriation: Department 614 © Supplemental-has new offsetting revenue Program 0 Emergency-using fund balance Please Discuss Current Budget Uses or Describe a Need For Additional Funding This budget amendment is for the 2017-2019 Biennium contract with Division of Behavioral Health and Recovery(DBHR)which is now part of Health Care Authority(HCA). This amendemnt adds additional funding in the amount of$32,393.00 to the existing contract.The DBHR contracts with county governments to coordinate, subcontract, and monitor prevention programs at the local level. This is a budget detail since funds were expected and budgeted. Use of Funds ❑New Expenditure ❑ New Transfer Out or IO Currently Budgeted Account Description BARS Account Number Amount Admin 104 614 000 000 566 11 10 00 2,591 Professional Services 104 614 000 000 566 22 41 00 24,726 Travel 104 614 000 000 566 22 43 00 5,076 Total Use of Funds: $32,393 Source of Funds ❑ New Revenue ❑ Use of Fund Balance ❑ New Transfer In or 0 Currently Budgeted Account Description BARS Account Number Amount Substance Abuse Block Grant SABG 104 614 000 000 333 93 95 90 29,802 SABG State Admin 104 614 000 000 334 04 66 20 2,591 Total Source of Funds: $32,393 Elected/Director 4 /y��31, `, Date 7,/g/fg BOCC AGENDA ITEM SUMMARY Resolution: BOCC Meeting Date: Jul 16, 2018 Suggested Wording for Agenda Item: Agenda Type: Consent Approve Contract Amendment#1 between Washington State Health Care Authority and Lewis County Contact Danette York Phone: 2774 Department: Public Health and Social Services Action Needed: Approve Resolution Description This agreement is with the Washington State Health Care Authority (HCA) formerly Department of Social and Health Services (DSHS) and funded through the Division of Behavioral Health and Recovery (DBHR). This amendment adds additional funding, $32,393.00, under the current prevention contract. DBHR contracts with county governments to coordinate, subcontract, and monitor prevention programs at the local level. July 1, 2018 through June 30, 2019. HCA#1763-94259 Approvals: User [Group [ Status York, Danette Approved Whiton, Wayne Pending Cover Letter To Division of Behavioral Health and Recovery 4500 10th Avenue SE Lacey,WA 98503 Additional Copies Sandi Andrus Casey Peters Stacey Loflin Wayne Whiton Suzette Smith Amanda Migliaccio Grace Jimenez 6"c