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