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Budeet Information <br />Budget Amendment Needed? <br />New Division Created? <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? yes <br />Who owns equipment? Property owner <br />New Personnel being hired? yes <br />Contact HR hiring— reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budeet Information <br />Budget Amendment Needed? <br />New Division Created? <br />Yes ❑ attach budget form <br />No ❑ Why not <br />Revenue Code 116.615.02.62.xx334.03.10 <br />Procure Admin <br />116.615.02.62.11 <br />Task 1.1 <br />$ 37,660 <br />Meter Equipment <br />116.615.02.62.12 <br />Task 1.2 <br />$ 326,300 <br />Meter Installation <br />116.615.02.62.13 <br />Task 1.3 <br />$ 753,000 <br />Pilot Outreach <br />116.615.02.62.2 <br />Task 2 <br />$ 73,767 <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through $ <br />Sub -Contract Approved Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes ❑ No ❑ <br />County Departments Impacted <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />Submitted <br />Signature: <br />Department: <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2 <br />