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Public Health��
Seattle&King�aunty CAG-14-015 , CO #1-36
AMENDMENT PHSKC Agreement #EMS3342
Amendment #2
This Amendment between PHSKC and the Recipient changes#ha referenced Agreernent for the foliawing
purpose(s): to add funds to outFit aid units with Stryker Power-l.oed Systems.
Recipient Name&Address: Cit}��f Rcnton Fire & Emer�ency Scati-ices Dc;pt
10�5 South CTrady� `�'ay�, 6d7 FI
Rentc�n, tit�'A 9833�
Project Title: Basic Life Suppart Services
Effective Date af Amendment: 1/1/2016
Agreement End Date: � No Change ❑ Change to:
Agreement Amount: ❑ No Change �Add $123,454 for a total amount of$3,888,724.00
Funding Detaifs: ❑ No Change ❑ Revise the following funding details:
Fundinq Saurce Previous Amount Calendar Year Revised Amount
EMS Levy $1,212,395 2014
EMS Le $1,271,004 2015
EMS Le $1,281,368 2016 $1,404,822
Funding Summary: ❑ No Change �] Revise to read:
FEDERAL• COUNTY: $3,888,724 STATE: OTHER:
Exhibits: ❑ No Change [� Revise as foilaws:
Add Exhibit B, Budget Amendment 2, praviding reimbursement for the purchase of Pawer Load
Systems as attached hereto.
King County Terms&Condi#ians: � R3o Change ❑ Fievise as follows:
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R!I other terms and canditians of the referenced Agreement and any�vi us A�ment m�dment not
revised herein shall remain unchanged ar�d in full force and effect. =� ���� *�
RECIPI N SIGNATUR ATTEST: � � �`ATESlGNED
! /�'i , ,:�. �,=��.�0\��\��
Denis Law, Ma ar Ja�an �. Seth, 3:��, ��k ��� lG
PNSKC SIGNATU PRlNTE(�NAME AND TiTLE DATE SIGNED
l�ic..h�-% �/c�vc�c� os�i2�r�
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DocuSign Envelope ID:FC8F5B17-6B63-4415-B76A-AF3C1FC2258B
Exhibit B, Bud�et Amendment 2
Agency: Renton Fire&Emergency Services
Scope of Work: Funds will be used to outfit aid units with Stryker Power-Load systems, and to
assist with EMS supplies purchase.
The purchase of Stryker Power-load system would help reduce the chance of
EMT back injuries experienced while loading patient into aid unit.
Budget: $123,454