HomeMy WebLinkAboutCAG2021-116 - Amendment - #3 - KC Community and Human Services - VSHS Levy 2021/2023 Senior Activity Center - 09/06/2022ApprovalOriginator:Department:
Date Sent:Date Required:
Authorized to Sign:
Director or Designee
Date of Council Approval:
Grant? Yes No
Type:Review/Signatures/RoutingComments:
Date Routed to the City Clerk’s Office:Agreement InformationVendor Name:Category:
Vendor Number:Sub-Category:
Project Name:
Project Details:
Agreement Amount:
Start Date:
Basis for Selection of Contractor:
Termination Date:
Local Business? Yes No*
Business License Verification: Yes In-Process Exempt (KCC 5.01.045)
If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace.
Notice required prior to disclosure?
Yes No
Contract Number:
Agreement Routing Form
For Approvals, Signatures and Records Management
This form combines & replaces the Request for Mayor’s Signature and Contract Cover
Sheet forms.
Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20
Budget Account Number:
Budget? Yes No
Sup/Mgr:
rev. 20210513
FOR CITY OF KENT OFFICIAL USE ONLY
* Memo to Mayor must be attached
Jan Apple
Dir. Assist:
Dir/Dep Dir:
4
Cindy Robinson Parks, Recreation & Community Services
09/06/2022 09/6/2022
NA
H00082.53701
4
4
Local
Grant: Non-Real Property
130287 Amendment
1/1/2021
Other
12/31/2023
4
4
4
0
LH
JP
9/8/22
Kent Senior Activity Center Page 1 of 2 2022 Contract Amendment – 6206089
Department of Community and Human Services
Adult Services Division
(206) 263-9100 TTY Relay: 711
CONTRACT AMENDMENT
DCHS / Seniors Levy Contract No. 6206089
Project/Exhibit(s) I : City of Kent - Senior Activity Center -
Senior Hubs - VSHSL - SE3
Original Contract Date 01/01/2021
Contractor Kent Senior Activity Center Amendment No. 3
Address 600 East Smith St Amendment Start Date 08/01/2022
Kent, WA 98030
Amendment Requested By: Amendment Effects:
X Scope of Service
Adult Services Division Time of Performance
Compensation
Esther Lee / Method of Payment
PURPOSE
The purpose of the amendment is to update the scope of equipment and capital improvement
expenses for Exhibit I.
A. STANDARD CONTRACT CHANGES
No changes to funding table.
B. EXHIBIT CHANGES
Exhibit I, Section II., PROGRAM DESCRIPTION, A. Program Activities a new subsection 8 is
removed and replaced as follows:
8. Make equipment purchases and/or capital improvements that support the Senior Hub,
as follows:
a. The Contractor shall be compensated through reimbursement of actual amounts
spent on the equipment or capital improvements, if any, after completion.
b. The total amount of reimbursement for equipment purchases and/or capital
improvements, if any, shall not exceed the amount set forth in the funding table in
Section I., WORK STATEMENT.
c. Modifications to the equipment purchases and/or capital improvement expenses as
outlined in this Exhibit shall be shared with King County staff and approved via
email.
DocuSign Envelope ID: 383C4E1B-CDEA-41CE-A04B-9B0BC0F5D866
Kent Senior Activity Center Page 2 of 2 2022 Contract Amendment – 6206089
d. The equipment purchases and/or capital improvement projects approved through
this contract are as follows:
i. Computer lab remodel, including but not limited to purchase of lockers and
tables.
ii. Coffee bar updates including but not limited to equipment purchases and to
move plumbing and coffee machine to lower the service counter.
iii. Health Clinic Remodel, including installation of second entry point.
IN WITNESS HEREOF, the parties hereto have caused this amendment to be executed and instituted
on the date first above written.
KING COUNTY
FOR
KENT SENIOR ACTIVITY CENTER
King County Executive
Signature
Date NAME (Please type or print)
Date
DocuSign Envelope ID: 383C4E1B-CDEA-41CE-A04B-9B0BC0F5D866
Julie Parascondola
9/6/2022
9/6/2022
Signature:
Email:
Signature:
Email:
Signature:
Email:
Signature:
Email:
Lori Hogan (Sep 7, 2022 08:47 PDT)
lhogan@kentwa.gov rlashley@kentwa.gov
Julie Parascondola (Sep 8, 2022 10:23 PDT)
jparascondola@kentwa.gov
Melissa McCormick (Sep 8, 2022 14:00 PDT)
Melissa McCormick
cityclerk@kentwa.gov
CAG2021-116 - Amendment - 3 - KC
Community and Human Services - VSHS Levy
Final Audit Report 2022-09-08
Created:2022-09-06
By:Cindy Robinson (Crobinson@kentwa.gov)
Status:Signed
Transaction ID:CBJCHBCAABAAQBfzvfp-ukqQGOiFn9loMPRsjnOA5AiG
"CAG2021-116 - Amendment - 3 - KC Community and Human S
ervices - VSHS Levy" History
Document created by Cindy Robinson (Crobinson@kentwa.gov)
2022-09-06 - 9:34:28 PM GMT- IP address: 146.129.252.126
Document emailed to lhogan@kentwa.gov for signature
2022-09-06 - 9:37:17 PM GMT
Email viewed by lhogan@kentwa.gov
2022-09-07 - 3:45:08 PM GMT- IP address: 146.129.252.126
Signer lhogan@kentwa.gov entered name at signing as Lori Hogan
2022-09-07 - 3:46:59 PM GMT- IP address: 146.129.252.126
Document e-signed by Lori Hogan (lhogan@kentwa.gov)
Signature Date: 2022-09-07 - 3:47:00 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Ronald Lashley (rlashley@kentwa.gov) for signature
2022-09-07 - 3:47:05 PM GMT
Email viewed by Ronald Lashley (rlashley@kentwa.gov)
2022-09-07 - 10:45:11 PM GMT- IP address: 146.129.252.126
Document e-signed by Ronald Lashley (rlashley@kentwa.gov)
Signature Date: 2022-09-08 - 5:20:41 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Julie Parascondola (jparascondola@kentwa.gov) for signature
2022-09-08 - 5:20:47 PM GMT
Email viewed by Julie Parascondola (jparascondola@kentwa.gov)
2022-09-08 - 5:22:58 PM GMT- IP address: 172.56.104.77
Document e-signed by Julie Parascondola (jparascondola@kentwa.gov)
Signature Date: 2022-09-08 - 5:23:31 PM GMT - Time Source: server- IP address: 172.56.104.77
Document emailed to cityclerk@kentwa.gov for signature
2022-09-08 - 5:23:33 PM GMT
Email viewed by cityclerk@kentwa.gov
2022-09-08 - 9:00:12 PM GMT- IP address: 146.129.252.126
Signer cityclerk@kentwa.gov entered name at signing as Melissa McCormick
2022-09-08 - 9:00:34 PM GMT- IP address: 146.129.252.126
Document e-signed by Melissa McCormick (cityclerk@kentwa.gov)
Signature Date: 2022-09-08 - 9:00:35 PM GMT - Time Source: server- IP address: 146.129.252.126
Agreement completed.
2022-09-08 - 9:00:35 PM GMT