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Total Amount NTE 582,997.42 State Funds S Federal Funds NTE $82,997.42 <br />Percentage County Funds Matching Funds S CFDA# 93.42L <br />ln-Kind S <br />Explain <br />ls Equipment being purchased?Who owns equipment? <br />New Personnel being hired?Contact HR hiring - reporting requirements <br />Future impacts or liability to Kittitas County: <br />Financial lnformation <br />Budget lnformation <br />Budget Amendment Needed?Yes I attach budget form No E why not <br />New Division Created? <br />Revenue Code 116.611.8L.333.93.421 (Assessment) <br />Pass Through lnformation <br />Agency to Pass Through Central Washington Disability Resources <br />Amount to Pass Through $82,992.+Z rutr Expense Code: LI6.61,t.8L5.4:-22 <br />Sub-Contract Approved Date <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement?Yes Zl-No <br />County Departments lm acted <br />BOCC A I Needed? <br />Assignment of Tra lnformation <br />Auditor Facilities Maintenance <br />lnformation Services Human Resource <br />Prosecutor Treasurer <br />Yes !No fl <br />Staff Member Presenting: <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office v -ft?:1.t .l-- '-tr4 H",*vu, <br />Who Signed the grant application <br />Reviewer Date <br />Grant/Contract Review Page 2