Laserfiche WebLink
Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />December 15,2021 <br />Agenda Date <br />December 21,2021 <br />Fund/Department <br />30 / Sheriff <br />Contract/Grant Information <br />Contract lGrant Agency: Ellens Fam ily Medicine DBA CompassDirect Healthcare <br />Period Begin Date: 01/0112022 Period End Date: until term <br />Total Gran tl Contr act Amount <br />Grant/Contract Number: SH2 l-049 <br />Contract/Grant Summary: This agreement is between Kittitas Clounty and Ellensburg Family Medicine <br />DBA Compass Direct Healthcare for the purpose to conduct pre-employrnent rnedical screening for ernployment <br />fortlre Kittitas CoLrnty Sheriffs Office. (Nerv ownership effective 0l/01122 and rates rernairr the same as202l) <br />Financial Information <br />Bu Information <br />Pass Throu Information <br />Total Amount State Funds $0 Federal Funds $0 <br />Percentage County Funds Matching Funds $0 CFDA# na <br />In-Kind $ <br />Explain <br />Is Equipment being purchased? NO Who owns equipment? na <br />New Persomrel being hired? NO Contdct HR hiring - reporting requirements - na <br />Future impacts or liability to Kittitas County <br />Budget Amendment Needed? <br />New Division Created? NO <br />Yes[ attach budget form No fp( Why not - Already budgeted. <br />Revenue Code NA <br />Expense Code 00130xxx4I13 <br />Agency to Pass Through NA <br />Amount to Pass Through $0 <br />Sub-Contract Approved Date <br />Grant/Contract Review Page L