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P AOES_TO <br />ipC�i�f `+• � Y <br />Kittitas County <br />Review Form ---, <br />KITH rAS COL'%rV <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />November 7, 2022 November 15, 2022 <br />Fund/Department <br />30 / Sheriff <br />Contract/Grant Information <br />Contract /Grant Agency: Trilogy Medwaste <br />Period Begin Date: upon signature <br />Federal Funds $0 <br />Period End Date: until terminated by either <br />party <br />Total Grant/Contract Amount: variable <br />Grant/Contract Number: SH22-030 <br />Contract/Grant Summary: This Agreement is between Kittitas County and Trilogy Medwaste for <br />regulated medical waste disposal services. <br />Financial Information <br />Total Amount $ Variable <br />State Funds $0 <br />Federal Funds $0 <br />Percentage County Funds 100% <br />Matching Funds $0 <br />CFDA# NA <br />Expense Code <br />In -Kind $0 <br />Explain <br />Is Equipment being purchased? NO <br />Who owns equipment? NA <br />New Personnel being hired? NO <br />Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: Vendor will provide proof of insurance as required by <br />contract. <br />Budget Information <br />Budget Amendment Needed? <br />Yes ❑ attach budget form <br />NOD Why not —Already budgeted <br />New Division Created? NO <br />Revenue Code NA <br />Date: <br />Expense Code <br />Object code 4101 or 4702 <br />Pass Through Information <br />Agency to Pass Through <br />NA <br />Amount to Pass Through <br />$0 <br />Sub -Contract Approved <br />Date: <br />Grant/Contract Review Page 1 <br />