Interagency Agreement HCA and KCPHD for CPWI

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Exhibit D AWARD AND REVENUES 2019-2021 Biennium CONTRACTOR NAME: Kittitas County CONTRACT NUMBER: K3924 COUNTY: Kittitas COMMUNITY/COALITION: Cle-Elum-Roslyn The above named Contractor is hereby awarded the fallowing amounts for the purposes listed. REVENUE SOURCE CODE: TYPE OF SERVICE AWARD AMOUNTS SFY20 SFY21 Total 19-21 Biennium 333.99.59 SABG Prevention (7.1.19-6.30.21) $79,929 $79,929 $159,858 334.04.6X GF -State- Admin (for SABG Prevention) $6,951 $23,120 $6,951 $13,902 334.04.6X Dedicated Marijuana Account -Fund 315 -State 2018 PFS -Total Year 1 FFY19 (7.1.19-9.29.19) $23,120 $46,240 333.92.43 $ $ $ $ Year 2 FFY20 (9.30.19-9.29.20) 2013 PFS No Cost Extension (7.1.19-9.29.19) $ $ $ 333.92.43 $ $ 333.37.88 SOR-Total $ $ $ Year 1 FFY19 (7.1.19-9.29.19) $ Year 2 FFY20 (9.30.19-9.29.20) $ $ 333.37.88 SOR Supplemental -Total $ $ $ Year 1 FFY19 (7.1.19-9.29.19) $ Year 2 FFY20 (9.30.19-9.29.20) $ $ 333.37.88 STR No Cost Extension -Total (8.15.19-4.3010) $ $ $ Total Federal Funds $79,929 $79,929 $159,858 Total State Funds TOTAL ALL AWARDS $30,071 $30,071 $110,000 $60,142 $220,000 $110,000 Federal CFDA: Substance Abuse Block Grant (SABG), CFDA 93.959, Substance Abuse and Mental Health Services Administration (SAMHSA) Funding period(s): 7.1.19-6.30.21; Funds may be used in SFY 20 or 21 up to the total biennium award as indicated above. General Fund State (GF -S), Admin (for SABG Prevention) Funding period(s): 7.1.19-6.30.20 (SFY 20) and 7.1.20-6.30.21 (SFY 21); Funds must be used only in the SFY in which they are awarded as indicated above. Dedicated Marijuana Account (DMA) Fund 315 State. Funding period(s): 7.1.19-6.30.20 (SFY20) and 7.1.20-6.30.21 (SFY 21); Funds must be used only in the SFY in which they are awarded as indicated above. 2018 Partnerships for Success (PFS), CFDA 93.243, Substance Abuse and Mental Health Services Administration (SAMHSA) Year 1 funding period: 7.1.19-9.29.19; Year 2 funding period: 9.30.19-9.29.20; Funds must be used only in the FFY in which they are awarded as indicated above. Beginning 9.30.19, funds in year 1 may be used in SFY 20 or SFY 21, until 9.29.20. 2013 PFS, Partnerships for Success (PFS) No Cost Extension Funding period 7.1.19-9.29.19; Funds must be used in this time period State Opioid Response (SCR), CFDA 93.788, Substance Abuse and Mental Health Services Administration (SAMHSA) Year 1 funding period: 7.1.19-9.29.19; Year 2 funding period: 9.30.19-9.29.20; Funds must be used in the FFY in which they are awarded, as indicated above. Beginning 9.30.19, funds in year 1 may be used in SFY 20 or SFY 21, until 9.29.20. State Opioid Response (SCR) Supplemental, CFDA 93.788, Substance Abuse and Mental Health Services Administration (SAMHSA) Year 1 funding period: 7.1.19-9.29.19; Year 2 funding period: 9.30.19-9.29.20; Funds must be used in the FFY in which they are awarded, as indicated above. Beginning 9.30.19, funds in year 1 may be used in SFY 20 or SFY 21, until 9.29.20. State Targeted Response (STR) to the Opioid Crisis No Cost Extension, CFDA 93.788, Substance Abuse and Mental Health Services Administration (SAMHSA) Funding period 8.15.19-4.30.20; Funds must be used in this time period.