ContractContract for Community Prevention and Wellness Initiative (Cpwi) Services • December 14th, 2022
CONTRACT AMENDMENT HCA Contract No.: K3925 Amendment No.: 04 THIS AMENDMENT TO THE CONTRACT is between the Washington State Health Care Authority and the party whose name appears below, and is effective as of the date set forth below. CONTRACTOR NAME CONTRACTOR doing business as (DBA) Lewis County Lewis County Public Health and Social Services CONTRACTOR ADDRESS CONTRACTOR CONTRACT MANAGER 360 NW North Street Chehalis, WA 98531-4355 Name: Sara BumgardnerEmail: sara.bumgardner@lewiscountywa.gov AMENDMENT START DATE CONTRACT END DATE September 30, 2022 June 30, 2023 PRIOR MAXIMUM CONTRACT AMOUNT AMOUNT OF INCREASE TOTAL MAXIMUM COMPENSATION $973,428.00 $82,500.00 $1,055,928.00
