HomeMy WebLinkAboutKittitas-DSHS 1563-43842 - 1 Review FormGrant/Contract Review Page 1
Kittitas County
Review Form
Grants & Contract Agreement
Today’s Date
January 21, 2016
Agenda Date
Fund/Department
Substance Abuse
Contract/Grant Information
Contract /Grant Agency Department of Social & Health Services
Period Begin Date 07/01/2015 Period End Date 03/31/2016
Total Grant/Contract Amount $219,646
Grant/Contract Number 1563‐43842 Amendment 1
Contract/Grant Summary
This amendment is to update the contract to include state required language in Sections 1, 5, 6, 8, 9 and
12. Also to include language in Section 11 to continue the Incentive Grant from the last biennium
contract.
Financial Information
Total Amount $219,646 State Funds $190,684 Federal Funds $28,962
Percentage County Funds 0 Matching Funds $ *see note CFDA# 93.959
In‐Kind $ N/A
Explain
Is Equipment being purchased? No Who owns equipment? N/A
New Personnel being hired? No Contact HR hiring – reporting requirements N/A
Future impacts or liability to Kittitas County:
None
Budget Information
Budget Amendment Needed? Yes attach budget form No X Why not
Non‐county entity New Division Created? No
Revenue Code
Pass Through Information
Agency to Pass Through N/A
Amount to Pass Through $ 0
Sub‐Contract Approved Date:
Prosecutor Review
Grant/Contract Review Page 2
Has the Prosecutor reviewed this agreement?Yes No X in process
County Departments Impacted
X Auditor Facilities Maintenance
Information Services Human Resource
X Prosecutor X Treasurer
Submitted
Signature: Date: September 14, 2015
Department: Substance Abuse
Assignment of Tracking Information
Auditor’s Office
Human Resource
Prosecutor’s Office
Who Signed the grant application
Reviewer Date
*NOTE: 10% match is required for funds used for non‐drug court clients. 100% match is required on any
funds used in conjunction with drug court. A set dollar amount can not be determined ahead of time.