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M11R� <br />Kittitas County a;.IQ Sol <br />.T Y <br />Review Form <br />KI'S I'1'1' 11 4'1 i I' 1 ]'1- <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />October 22, 2024 November 5, 2024 <br />Fund/Department <br />30 / Sheriff <br />Contract/Grant Information <br />Contract /Grant Agency: Professional Service Agreement with Ellensburg Family Medicine and Kittitas <br />County Modification of this existing agreement) <br />Period Begin Date: Upon final signature <br />I <br />I Period End Date: TBD <br />Total Grant/Contract Amount: The total cost to the Contractor will increase from no greater than $235,000 <br />annually to no greater than $290,000 annually, reflecting an estimated cost of the additional personnel and services <br />of $55,000 <br />Grant/Contract Number: SH21-044 <br />Contract/Grant Summary: The purpose of this Modification is to allow for additional compensation for <br />administrative fees, compensation for malpractice coverage cost increase, and additional nursing hours. The total <br />cost to the Contractor will increase from no greater than $235,000 to no greater than $290,000. <br />Financial information <br />Total Amount: The total cost to the <br />State Funds $0 <br />Federal Funds $0 <br />Contractor will increase from no <br />greater than $235,000 annually to no <br />greater than $290,000 annually, <br />reflecting an estimated cost of the <br />additional personnel and services of <br />$55,000 <br />Percentage County Funds <br />Matching Funds $0 <br />CFDA# na <br />In -Kind $ <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 - na <br />Future impacts or liability to Kittitas County: <br />Information <br />I Budget Amendment Needed? I Yes7 attach budget form I No I x why not I <br />Grant/Contract Review Page I <br />