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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />December 8,2020 <br />Agenda Date <br />2020December 1 <br />Fund/Department <br />30 / Sheriff <br />Contract / Grant Information <br />Financial Information <br />B Information <br />Pass Throu Information <br />Prosecutor Review <br />Contract lGrant Com Healthcare <br />Period Begin Date: llll202l Period End Date: l2l3ll202I <br />Total Grantl Contract Amount: $ 8 ,333.34 per month, not to exceed $100,000.00 annually <br />Grant/Contract Numbe r: SH20-027 <br />CompassDirectContract/Grant This betweenIS KittitasSummary Coun andagreement Healthcarety <br />ASknown Healthcare Ellensoformerly for the 022 toI(F Family on-srte medical atecburg)yeat toprovide <br />the mmate wrtion thethin tasKitti Jail <br />Total Amount $100 000.00 State Funds $0 Federal Funds $0 <br />Funds 100%P Funds $0 CFDA# na <br />In-Kind $ <br />NOIs Who owns na <br />New Personnel hired? NO Contact HR -na <br />Future or Kitottitas Contractorimpacts must ofliabilityCounty medicalpresentproof malpractice <br />oflnsurance leastat I$0 00 <br />Budget Amendment Needed? <br />New Division Created? NO <br />Yes! attach budget form No f[ Why not - Already budgeted <br />Revenue Code NA <br />Expense Code 001-3009s4tt3 <br />Agency to Pass Throueh NA <br />Amount to Pass Throueh $o <br />Sub-Contract Approved Date <br />Has the Prosecutor reviewed this agreement?YesR No __i cAMAS# sos33 <br />Grant/Contract Review Page 1