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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G ra nt I nformation <br />Financial lnformation <br />Budget lnformation <br />Pass Through lnformation <br />Agency to Pass Through NA <br />Amount to Pass Through s <br />Sub-Contract Approved Date <br />Today's Date <br />January 1.2,202I <br />Agenda Date <br />Janua 19 202r <br />Fund/Department <br />30 / Sheriff <br />Contract /Grant Agency: Com prehensive Healthcare <br />Period Begin Date: Upon Signature Period End Date: 1,2/3t/202I <br />Total Grant/Contract Amount: Sl"25/hour <br />Grant/Contract Number: SH20-025 <br />Contract/G rant Summary: This agreement is between the Kittitas County Sheriff's Office and <br />Comprehensive Healthcare, previously and commonly referred to as Comprehensive Mental Health. The <br />provider will supply a qualified practitioner to provide mental health related medical assessment and <br />treatment to inmates at the Kittitas County Jail. <br />Total Amount -S15,000 expected <br />to this vendor <br />State Funds S0 Federal Funds S0 <br />Percentage County Funds IOO%Matching Funds S0 CFDA# NA <br />ln-Kind S0 <br />Explain <br />ls Equipment being purchased? NO Who owns equipment? <br />New Personnel being hired? NO Contact HR hiring - reporting requirements <br />Future impacts or liability to Kittitas County: None <br />Budget Amendment Needed?Yes ! attach budget form No E Why not - already in budget <br />New Division Created? NO <br />Revenue Code NA <br />Expense Code 001-3007s4113 Medical Services <br />Grant/Contract Review Page 1