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Financial Information <br />Total Amount NTE $82,997.42 <br />State Funds $ <br />Federal Funds NTE $82,997.42 <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# 93.421 <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? <br />Who owns equipment? <br />New Personnel being hired? <br />Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: <br />Information <br />Budget Amendment Needed? Yes [:]attach budget form <br />New Division Created? <br />Revenue Code 116.611.81.333.93.421 (Assessment) <br />No ❑ Why not <br />Pass Through Information <br />Agency to Pass Through Central Washington Disability Resources <br />Amount to Pass Through $82,997.42 NTE Expense Code: 116.611.81.5.4122 <br />Sub -Contract Approved Date: <br />Prosecutor Review <br />IHas the Prosecutor reviewed this agreement? Yes NoLl <br />County Departments Impacted <br />BOCC Approval Needed? <br />Fies ❑ <br />Staff Member Presenting: <br />Reviewer Date <br />Grant/Contract Review Page 2 <br />Auditor <br />Facilities Maintenance <br />Information Services <br />Human Resource <br />Prosecutor <br />Treasurer <br />BOCC Approval Needed? <br />Fies ❑ <br />Staff Member Presenting: <br />Reviewer Date <br />Grant/Contract Review Page 2 <br />