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Verification the Contracti ng Agen cy is not Suspended/Disbarred: <br />Financial lnfo rmation <br />Bu lnform ation <br />Pass Thro nformationugh I <br />Prosecutor Revi EW <br />Cou nty Departments lmpacted <br />BOCC Ap rova I Needed? <br />Assignment of Tracki lnformation <br />suspen ded/d isba rredEAgency is not ot Checked (reason)IN <br />t - t q-r-sr)1\D'crr-v'aru. <br />TotalAm ount NTE S1OO,O0O State Funds S Federal Funds S s 100,000ePrcentaocugenFudsntyMatching Funds s cFDA#g3.268 <br />ln-Kind g <br />lain <br />s E u mq ntep eb u rch asplng ?d <br />eN P re nson e b e n h re dg ? <br />Wh o o sn e u en ?tqpm <br />Contact HR hiri ng re utrementsFuture impacts or liability to Kittitas County: <br />Bud nAme d m Nent ee ed d ? <br />N D IV rsto Crn atee d ? <br />attach budget formYes I <br />Revenue Cod e <br />No D Why not <br />dgetedFunds alread ybu <br />Ll.J,'Expense Code 116.6123924s410L t/ <br />nAge Ptocy SSa Th hroug <br />A mou nt to P ass hT uro gh <br />Expense CodeSub-Co ntract Approved Date: <br />H AS th e P rosec toru re diewe isth m eagree nt ?Yes No <br />Auditor's Office <br />dd,jslLt :- <br />Human Resource <br />Prosecutor,s Office <br />Auditor <br />F act it Mtes a nte n an cenrmfoatonServicesHuman Resourc eProsecutor <br />Treasu rer <br />Yes I NoI <br />Staff Mem ber presenting: <br />Grant/Co ntract Review <br />Page 2