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Agreement CPWI Prevention Services
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2019-11-05 10:00 AM - Commissioners' Agenda
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Agreement CPWI Prevention Services
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Last modified
12/3/2019 9:19:52 AM
Creation date
12/3/2019 9:18:36 AM
Metadata
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Meeting
Date
11/5/2019
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
h
Item
Request to Approve an Interagency Agreement between HCA and Kittitas County for CWPI Prevention Services
Order
8
Placement
Consent Agenda
Row ID
57663
Type
Agreement
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Federal Award Identification for Subrecipients (reference 2 CFR 200.331)-PFS 2013 <br />(i) Subrecipient name (which must match the <br />name associated with its unique entity <br />identifier); <br />(ii) Subrecipient's unique entity identifier; (DUNS) <br />(iii) Federal Award Identification Number (FAIN); <br />(iv) Federal Award Date (see §200.39 Federal <br />award date); <br />(v) Subaward Period of Performance Start and <br />End Date; <br />(vi) Amount of Federal Funds Obligated by this <br />action; <br />(vii) Total Amount of Federal Funds Obligated to <br />the subrecipient; <br />(viii) Total Amount of the Federal Award; <br />(ix) Federal award project description, as required <br />to be responsive to the Federal Funding <br />Accountability and Transparency Act (FFATA); <br />(x) Name of Federal awarding agency, pass- <br />through entity, and contact information for <br />awarding official, <br />(xi) CFDA Number and Name; the pass-through <br />entity must identify the dollar amount made <br />available under each Federal award and the <br />CFDA number at time of disbursement; <br />(xii) Identification of whether the award is R&D; and <br />(xiii) Indirect cost rate for the Federal award <br />(including if the de mini mis rate is charged per <br />§200.414 Indirect (F&A) costs). <br />Washington State <br />Health Care Authority Page 84 of90 <br />Kittitas County <br />039756692 <br />SP020155 <br />06/12/2015 <br />7/1/19-9/29/29 <br />$0 <br />$0 <br />$2,103,524 FY 17 (07/01/18 -09/29/19) <br />Washington State Strategic Prevention <br />Framework Partnerships for Success <br />Project <br />SAMHSA <br />WA State Health Care Authority <br />Keri Waterland, Assistant Director DBHR <br />626 8th Ave SE; Olympia, WA 98504-5330 <br />keri .waterland@hca.wa .go v <br />93.243 <br />DYes Jgl No <br />de minimis (10%) <br />HCA Contract No. K3924
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