HomeMy WebLinkAboutAging & Long Term Care (ALTC) Footcare 2011 Modification No 1 4 _
Agin &
ALTC Longterm
Care
Southeast Washington
PASCO CITY HALL
RECEIVED
July 1 , 2011 JUL 0 7 2011
Gary Crutchfield, City Manager
City of Pasco CITY MANAGER
P . O . Box 293
Pasco, WA 99301
Re; Agreement No, ;
2011 City of Pasco Foot Care, Mod No OZ
Dear Mr. Crutchfield,
Enclosed please find a fully executed original of the above referenced agreement
which was recently approved by The Yakima County Commissioners' and ALTC
Director.
Sincerely,
Kathleen Coffey
Office Specialist
Enclosures
P.O . Box 8349 • Yakima, WA 98908
(509) 965-0105 (Voice/TDD) • Fax (509) 965-0221 • 1 -877-965-2582
Web Page: www. altcwashington. com
Southeast Washington Counties:
Asotin • Benton • Columbia • Franklin • Gar eld • Kittitas • Walla Walla • Yakima
+AGREEMENT NO . MOD . NO . FUNDING SOURCE AGREEMENT PERIOD
2011 City of Pasco TITLE III - B , Title III - D
Foot Care 01 & SCSA 1 / 01 / 11 - 12 / 31 / 11
THIS AGREEMENT MODIFICATION to Agreement No . 2011 City of Pasco Foot Care is
entered into this c\ s� day of �� n � 201 1 . This Modification shall
consist of those points enumerated below and in no way alters any other terms or
- conditions of the original Agreement not specifically mentioned in this Agreement r
Modification . The purpose of this modification is to :
i
1 ) Extend the contract period to December 31 , 2011 .
2 ) Increase the contract from $ 14 , 250 to $ 28 , 500 . The funding sources are : Title III -
B (CFDA #93 . 044) $ 15 , 784 , Title III - D (CFDA #93 . 043 ) $ 7 , 685 and Senior Citizens
Services Act ( state) $ 5 , 031 .
3 ) Revise the PAYMENT PROVISIONS Section IV. UNITS OF SERVICE , Part C . Anticipated
Service Level by Quarter and Part D . Anticipated Expenditure Rate by Quarter.
4) Revise Section V. PAYMENT CONSIDERATIONS .
I
I
III
CITY OF PASCO YAKIMA COUNTY, Southeast Washington
Office Of Aging And Long Term Care
JV
Gary Crutchfi d, Ci a r Lori J . Brow Director
I
Date : (. -- �� U ( Date : 3
Page 1 of 3
2011 AGREEMENT MODIFICATION # 1
CITY OF PASCO
FOOT CARE STATEMENT OF WORK
V. UNITS OF SERVICE
B. There will be 348 unduplicated individuals served by this Agreement.
Co Anticipated Service Level by Quarter .
Original Modified
Month Burbank Pasco Total Burbank Pasco Total
January - March 29 378 407 20 452 472
April - June 29 378 407 19 452 471
July - September 0 0 0 20 452 472
October - December 0 0 0 19 452 471
Total 58 756 814 78 1 , 808 1 ,886
Anticipated Service Levels includes 694 additional units funded by donations .
D . Anticipated Expenditure Rate by Quarter .
Original Modified
Month Burbank Pasco Total Burbank Pasco Total
January - March $ 500 $6 , 625 $77125 $ 500 $6 , 625 $77125
April - June $500 $6 , 625 $7 , 125 $ 500 $6 , 625 $77125
July - September $0 $ 0 $0 $500 $6 , 625 $77125
October - December $00 $ 00 $0 500 $6 , 625 $7 , 125
Total $ 1 , 000 $ 13 , 250 $ 14 , 250 $2 , 000 $26 , 500 $28 , 500
VI. PAYMENT CONSIDERATIONS
As consideration for services, as described in the Specific Provisions of this Agreement and
in accordance with the Budget Provisions of this Agreement, the County agrees to pay the
Contractor a sum not to exceed $28, 500 from available funds. This total sum shall be
available during the period January 1 , 2011 through December 31 , 2011 . These funds
shall be used to provide Foot Care services. Of this total sum $2,000 is for foot care
services in Burbank, Walla Walla County. This sum shall be available during the period
January 1 , 2011 through December 31, 2011 . Payment to the Contractor for this unit rate
price Agreement shall be based on the unit rate of $25 . 57 per unit of Foot Care services.
Page 2 of 3
Contract Authorization
���
`w \ IIIIII / I
\\� OF YAKIMq Ill�i,��
oQQ;��OF WgS,S� UG��
2 • � _
m• � � Board of Yakima County Commissioners
_ _ . CO o . o _
: 0
• Gj
J . hey, Chairman
Attest : Tiera L. qirard,
Clerk of the Boatd
Mandy Burkett J nd Elliott, Commissioner
Deputy Clerk of the Board BOCC 356-2011
June 21 ,2011
Approved As To Form :
� /'� � Michael D . Leita, Commissioner
Constituting the Board of County Commissioners
for Yakima County, Washington
Deputy Prosecuting Attorney
'43S � � J
Page 3 of 3