HomeMy WebLinkAboutRes-2021-189BOARD OF COUNTY COMMISSIONERS
COUNTY OF KITTITAS
STATE OF WASHINGTON
RESOLUTION NO. 2021. \8q
A RESOLUTION AMENDING A PROFESSIONAL SERVICES AGREEMENT
BETWEEN COMPREHENSIVE HEALTHCARE AND KITTITAS COUNTY, WASHINGTON FOR
AN ON-SITE MENTAL HEALTH COUNSELOR AT THE KITTITAS COUNry JAIL
WHEREAS, a Service Agreement between Comprehensive Healthcare and Kittitas
County for an on-site mental health counselor at the Kittitas County Jail was authorized by
the Kittitas County Board of Commissioners on May 4,2021; and
WHEREAS, it has been determined that a mathematical error was made on
"Exhibit B" when totaling the budget breakdown, and was subsequently transferred to
Section V, Subsection E; and
WHEREAS, Comprehensive Healthcare and Kittitas County are in agreement that
the totalshould be corrected from $124,024.00 to $128,024.00; and
NOW, THEREFORE, BE IT HEREBY RESOLVED AND IT IS HEREBY
ORDERED, that the Service Agreement between Comprehensive Healthcare and Kittitas
County be amended as stated, a copy of which is attached hereto.
ADOPTED this
,-+111
day of 021
BOARD OF COUNTY MISSIONERS
KITT NTY TON
n
ce-Chairman
Cory Wright, Commissioner
APP AS TO FORM
Douglas R. Mitchell,
"frClerk of the Board- Julie Kjorsvik
I Deputy Clerk of the Board- Mandy Buchholz
RESOLUTION
puty Prosecuting Attorney
SERVICE AGREEMENT BETWEEN
KITTITAS COUNTY JAIL
AND
COMPREHENSIVE HEALTHCARE
This is a contract between Comprehensive Mental Health, hereinafter referred to as
COMPREHENSIVE, T0T N Pearl, Suite K, Ellensburg WA 98926 and Kittitas County (County)
on behalf of the Kittitas County SherifPs Office for the benefit of the Kittitas County Jail
hereinafter referred to as KCJ,205 West 5th Ave, Suite l, Ellensburg, WA 98926.
I. Purpose
The purpose of this agreement is to provide a full time on-site mental health counselor (MHC) to
the inmates at KCJ.
il. Term
The term ofthis Agreement will begin May 1, 202I andwill terminate when both parties
agree to term, unless sooner terminated according to the provisions herein. This conhact may
continue from year-to- year upon mutual agreement between the two parties and based on
mutual adjustment in rate of pay at3Yo.
ilI. Insurance
Duringthe term of this Agreement, COMPREHENSIVE shall maintainpublic liability and
professional liability insurance coverage in the minimum amount of $1,000,000 against
claims or injuries to persons or damage to property which may arise from or in connection
with the performance of the work by COMPREHENSIVE, its agents, representatives, or
employees. As evidence of such coverage COMPREHENSIVE will furnish KCJ with a
certificate of insurance upon request.
ry. General Terms and Conditions
A) The period of the performance of this agreement shall be from the date of signature forwards
until modified or terminated by either party upon timely notice.
B) No altemation or variation of the term of this contract or understandings or agreements not
incorporated herein, unless made in writing between the parties hereto, shall be binding.
C) In performing services under this agreement, the KCJ and COMPREHENSIVE are
independent contractors, and nothing herein is to be construed as establishing an employer-
employee relationship.
D) The agencies agree that all work shall be performed in accordance with the highest
professional standards, and consistent with KCJ policies and procedures and
COMPREHENSIVE regulations.
E) The parties hereby agree that no person will be discriminated against on the basis of race,
color, national origin, sex, or handicap or on the basis of any other protected status. This is in
accordance with the Title IX of the Education Amendments of 1972, and the Washington
Law Against Discrimination, as amended.
F) The parties agree to review the contract annually, and if the relationship is satisfactory, the
intent of both parties would be to have this agreement be ongoing until either party gives
1.
notice, or the agreement is amended. This Agreement will automatically renew each year
unless notice ofintent not to renew is provided at least 60 days in advance.
G) This agreement may be terminated by either party by providing a written notice to terminate
ninety (90) days prior to the date of termination.
H) Severability. In the event any provisions of this Agreement shall be determined to be
unenforceable or otherwise invalid for any reason, such previous shall be enforced and valid
to the extent permitted by law. All provisions of this Agreement are severable, and
unenforceability or invalidity of a single provision herein shall not affect the remaining
provisions.
I) Governing Law and Venue. This Agreement shall be governed by the laws of the State of
Washington, and venue for any lawsuit shall be the Kittitas County Superior Court.
J) Attorney's Fees. In the event it is necessary for either party to utilize the services of an
attomey to enforce any of the terms of this Agreement, such enforcing party shall be entitled
to the compensation for its reasonable attorney's fees and costs. In the event of litigation
regarding any terms of this Agreement, the substantially prevailing party shall be entitled, in
addition otherrelief to such reasonable attomey's fees and costs as determined by the Court.
K) Waiver of Breach. The waiver by either party of the breach of any provision of this
Agreement by the other party must be in writing and shall not operate nor be construed as a
waiver of any subsequent breach by such other party.
L) Savings Clause. Nothing in this Agreement shall be construed so as to require the
commissions of any act contrary to law, and wherever there is any conflict between any
provisions of this agreement and any statute, law, public regulation or ordinance, the latter
shall prevail but in such event, the provisions of this Agreement affected shall be curtailed
and limited only to the extent necessary to bring it within legal requirements.
V. KCJ agrees to
A) Refer inmates to the COMPREHENSIVE Mental Health Counselor (MHC) for evaluation
for services relating to the inmate's overall behavior based upon observations of inmate
conduct and the training of KCJ staff as described herein.
B) Provide appropriate and accurate information on referred inmates.
C) Provide appropriate support for the COMPREHENSIVE MHC to accomplish their needed
services.
D) Designate Superintendent Steve Panattoni, his designee, or other individual assigned as such
by the Sheriff as contact person and liaison with COMPREHENSIVE.
E) To pay $128,024 for services provided by COMPREHENSIVE as described in Exhibit B.
This amount will include a yearly adjustment based on change in the Bureau of Labor
Statistics Consumer Price Index change for the "seattle-Tacoma-Bellevue" urban region.
F) Pay invoice upon receipt from COMPREHENSIVE for services within 15 working days.
VI. CWCMH agrees to:
A) Designate Greg Aubol greg.aubol@comphc.org or designee as COMPREHENSIVE contact
person and liaison with KCJ and Dan Ladd Daniel.ladd@comphc.org as contact person
related to billing or contract.
B) Provide the listed services presented in Exhibit A.
VU. COMPREHENSM and KCJ mutually agree:
2
A) To maintain an open line of communication between KCJ staffand COMPREHENSIVE
staff for sharing pertinent information about inmates' behavior.
B) To have a schedule that is flexible and consistent with KCJ operations, and maintain their
credentialed status as described in Exhibit C.
C) COMPREHENSIVE and KCJ shall comply with their established regulations regarding
confidentiality including federal HIPAA regulations. The parties shall sign and incorporate
the o'Business Associate Agreement" pertaining to HIPAA compliance as an integral portion
of renewal of this agreement and before engaging in performance of this agreement.
D) To acknowledge that inmates may refuse COMPREHENSIVE services except to any extent
mandated by law including court order.
E) That the COMPREHENSIVE MHC's activities will not go beyond those duties as approved
by KCJ and COMPREHENSIVE except as otherwise provided by law,
F) COMPREHENSIVE agrees to remove any MHC provided to KCJ immediately upon written
request by KCJ.
G) COMPREHENSIVE will bill KCJ on a quarterly basis for the services.
H) Not to recruit for employment nor initiate contracts with employees of the other party during
the period of this contract.
I) Specific services may be cancelled or rescheduled for good cause by either party without
incurring any cost under this agreement. "Good cause" includes security or safety concerns,
including unforeseen staffing shortages, that may impact the safe operations of the KCJ in
the judgement of the authorized KCJ personnel.
Vru. Hold Harmless and Indemnification:
COMPREHENSIVE agrees to hold harmless, indemnify and defend Kittitas County, its officers,
agents, and employees, from and against any and all claims,losses, or liability, for injuries,
sickness or death of person, or damage to property, arising out of any willful misconduct or
negligent act, error, or omission of COMPREHENSIVE, its officers, agents, or employees, in
connection with the services required by the Agreement, provided, however, that:
(1) COMPREHENSIVE's obligations to indemnifr, defend and hold harmless shall not extend
to injuries, sickness, death or damage caused by or resulting from the sole willful misconduct
or negligence of Kittitas County, its officers, agents or employees or sub-consultants; and
(2) COMPREHENSIVE's obligations to indemnifu, defend and hold harmless for injuries,
sickness, death or damage caused by or resulting from the concurrent negligence or willful
misconduct of COMPREHENSIVE and Kittitas County or of COMPREHENSIVE and a
third party other than an officer, agent or employee f COMPREHENSIVE, shall apply only
to the extent of the negligence or willful misconduct of COMPREHENSIVE.
(3) The parties agree to cooperate to the greatest extent possible in the defense ofany and all
claims that may implicate this Section.
IX. Interpretation
This Agreement has been submitted to the scrutiny of all parties and their counsel, if desired, and
it shall be given a fair and reasonable interpretation in accordance with its words, without
consideration or weight given to its being drafted by any party or its counsel. All words used in
the singular shall include the plural; the present tense shall include the future tense; and the
masculine gender shall include the feminine gender.
3
X. Entire Agreement
This Agreement represents the entire integrated Agreement between Kittitas County and
COMPREHENSIVE and supersedes all prior negotiations, representations or agreement, either
written or oral.
4
rTfhIN WITNESS WHEREOF, the parties have executed this Agreement this , day of
DgepntbLftozozt
APPROVED:
BOARD OF COUNTY COMMISSIONERS
KITTIT
I'
of Signatory
J-7-'t-lt
t Jv ttl,. b"J.t
Print Name of Signato$
Contractor Address:
Comprehensive Healthcare
707 N Pearl St; Suite K
Ellensburg, WA 98926
Project Contact:
Greg Aubol
Commissioner
COTINTY OF KITTITAS
STTERIFF'S OFFICE
,r4r/*v
Clay Myers, Sheriff
orrn:
By:&aL
Deputy Prosecuting
County's Address:
Kittitas County
205 West 5t Avenue, Suite 108
Ellensburg, WA 98926
Project Contact:
Steve Panattoni
the
5
Exhibit'6A'"
Scope of Services:
a. Provide screening of inmates within 72 hours of booking, most often within 24 hours
of booking. If inmate is booked over the weekend or on holiday, the inmate will be
screened on the following business day.
b. Providing assessments on inmates that screen positive for mental health treatment
needs.
c. Provide group treatment as appropriate.
d. Assist the comprehensive medical provider when assessing and treating inmates at
KCJ.
e. Evaluate any inmate presenting with a mental health or substance use disorder crisis
and coordinate with Comprehensive's Designated Crisis Responders as necessary.f. Communicate with the courts, prosecutors, and defense attorneys consistent with
HIPPA and42 CFR(2).
g. Provide training to KCJ personnel in coordination with KCJ commanders.
h. Make referrals to community providers for inmate needs to promote a reduced risk of
recidivism
i. Make referrals to providers in the inmate's community of residence.j. Provide warm handoffreferrals when possible
k. Coordinate referrals with other providers serving inmates at KCJ.
Exhibit "B"
BEdget breakdown:
1 FTE MHC
Benefits and Taxes
Cell Phone
Dues and Fees
Administration
Total:
$80,000
$24,000
$180
$l s0
$23,694
$128,024
6
Exhibit "C"
Scheduling and Training Breakdown:
Monday through Friday 0800-1700, but has the flexibility and availability to change if
needed for KCJ. This will include a one hour lunch break.
Maximum one hour each week of clinical supervision weekly at Comprehensive's Pearl
Street office.
Maximum one hour each week to attend a team meeting to update medical staff and crisis
responders on the current mental health status and treatment needs of inmates at KCJ.
40 hours of required trainings much be completed each year to maintain credentialed
status.
Accrued vacation, sick leave, and Comprehensive's recognized holidays will be available
and coordinated with the Comprehensive Healthcare supervisor in consultation with KCJ
command.
a
o
a
a
a
7
Original Agreement Signed May 4,2021
SERVICE AGREEMENT BETWBEN
KTTT'ITAS COUNTY JAIL
AND
COMPREHENSIVE HBALTIICARE
This is a contract between Comprehensive Mental Health, hereinafter referred to as
COMPREHENSIVE, 707 N Pearl, Suite K, Ellensburg WA 98926 and Kittitas County (Counry)
on behalf of the Kittitas County Sherifls Office for the benefit of the Kittitas County Jail
hereinafter referred to as KCJ, 205 West 5ft Ave, Suite l, Ellensburg, WA 98926.
I. Purpose
The purpose of this agreement is to provide a fulltime on-site mental health counselor (MHC) to
the inmates at KCJ.
II. 'I'erm
The term of this Agreement will begin May l, 2021 and will terminate when both parties
agree to term, unless sooner terminated according to the provisions herein. This contract may
continue from year-to- year upon mutual agreement between the two parties and based on
mutualadjustment in rate of pay at3o/o.
Iil. Insurance
During the term of this Agreement, COMPREHENSIVE shall maintain public liability and
professional liability insurance coverage in the minimum amount of $1,000,000 against
claims or iniuries to persons or damage to property which may arise from or in connection
with the performance of the work by COMPREHENSIVE, its agents, representatives, or
employees. As evidence of such coverage COMPREHENSIVE will furnish KCJ with a
certificate of insurance upon request.
IV. General Terms and Conditions
A) The period of the performance of this agreement shall be from the date of signature forwards
until modified or terminated by either party upon timely notice.
ts) No altemation or variation of the term of this contract or understandings or agreements not
incorporated herein, unless made in writing between the parties hereto, shall be binding.
C) ln performing services under this agreement, the KCJ and COMPREHENSIVE are
independent contractors, and nothing herein is to be construed as establishing an employer-
employee relationship.
D) The agencies agree that all work shall be performed in accordance with the highest
professional standards, and consistent with KCJ policies and procedures and
COMPREHENSI VE regulations.
E) The parties hereby agree that no person will be discriminated against on the basis of race,
color, national origin, sex, or handicap or on the basis of any other protected status. This is in
accordance with the Title IX of the Education Amendments of 1972, and the Washington
Law Against Discrimination, as amended.
F) The parties agree to review the contract annually, and if the relationship is satisfactory, the
intent of both parties would be to have this agreement be ongoing until either parry gives
1
notice, or the agreement is amended. This Agreement willautomatically renew each year
unless notice ofintent not to renew is provided at least 60 days in advance.
C) This agreement may be terminated by either party by providing a written notice to terminate
ninety (90) days prior to the date of termination-
H) Severability. In the event any provisions of this Agreement shall be determined to be
unenforceable or otherwise invalid for any reason, such previous shall be enforced and valid
to the extent permitted by law. All provisions of this Agreement are severable, and
unenforceability or invalidity of a single provision herein shall not affect the remaining
provisions.
I) Goveming l,aw and Venue. This Agreement shall be governed by the laws of the State of
Washington, and venue for any lawsuit shall be the Kittitas County Superior Court.
J) Attorney's Fees. In the event it is necessary for either pafty to utilize the services of an
attomey to enforce any of the terms of this Agreement, such enforcing party shall be entitled
to the compensation for its reasonable attorney's fees and costs. In the event of litigation
regarding any terms of this Agreement, the substantially prevailing party shall be entitled, in
addition other reliet to such reasonable attorney's fees and costs as determined by the Court.
K) Waiver of Breach. The waiver by either party of the breach of any provision of this
Agreement by the other party must be in writing and shall not operate nor be construed as a
waiver of any subsequent breach by such other party.
L) Savings Clause. Nothing in this Agreement shall be construed so as to require the
commissions of any act contrary to law, and wherever there is any conflict between any
provisions of this agreement and any statute, law, public regulation or ordinance, the latter
shall prevail but in such event, the provisions of this Agreement affected shall be curtailed
and limited only to the extent necessary to bring it within legal requirements.
V. KCJ agrees to
A) Refer inmates to the COMPRI,HENSIVE Mental Health Counselor (MHC) for evaluation
for services relating to the inmate's overall behavior based upon observations of inmate
conduct and the training of KCJ staff as described herein.
B) Provide appropriate and accurate information on referred inmates.
C) Provide appropriate support for the COMPREHENSIVE MHC to accomplish their needed
servrces.
D) Designate Superintendent Steve Panattoni, his designee, or other individual assigned as such
by the Sheriff as contact person and liaison with COMPREHENSM.
E) To pay 5124,024 for services provided by COMPREHENSIVE as described in Exhibit B.
This amount will include a yearly adjustment based on change in the Bureau of Labor
Statistics Consumer Price Index change for the "seattle-Tacoma-Bellevue" urban region.
F) Pay invoice upon receipt from COMPREHENSIVE for services within l5 working days.
VI. CWCMH agrees to:
A) Designate Greg Aubol greg.aubol@comphc.org or designee as COMPREHENSIVE contact
person and liaison with KCJ and Dan Ladd Daniel.ladd@comphc.org as contact person
related to billing or contract.
B) Provide the listed services presented in Exhibit A.
VII. COMPREHENSIVE and KCJ mutually agree:
2
A) T'o maintain an open line of communication between KCJ staff and COMPREHENSIVE
staff for sharing pertinent information about inmates' behavior.
B) To have a schedule that is flexible and consistent with KCJ operations, and maintain their
credentialed status as described in Exhibit C.
C) COMPREHENSIVE and KCJ shall comply with their established regulations regarding
confidentiality including federal HIPAA regulations. The parties shall sign and incorporate
the "Elusiness Associate Agreement" pertaining to HIPAA compliance as an integral portion
of renewal of this agreement and before engaging in performance of this agreement.
D) To acknowledge that inmates may refuse COMPREHENSIVE services except to any extent
mandated by law including court order.
E) That the COMPREHENSIVE MHC's activities will not go beyond those duties as approved
by KCJ and COMPREHENSIVE except as otherwise provided by law.
F) COMPREI-IENSIVE agrees to remove any MHC provided to KCJ immediately upon wrinen
request by KCJ.
G) COMPREHENSIVE will bill KCJ on a quarterly basis for the services.
H) Not to recruit for employment nor initiate contracts with emptoyees of the other party during
the period of this contract.
I) Specific services may be cancelled or rescheduled for good cause by either party without
incurring any cost under this agreement. "Good cause" includes security or safety concerns,
including unforeseen staffing shortages, that may impact the safe operations of the KCJ in
the judgement of the authorized KCJ personnel.
VIII. Hold Harmless and Indemnification:
COMPREL{ENSIVE agrees to hold harmless, indemnifu and defend Kittitas County, its officers,
agents, and employees, from and against any and all claims, losses, or liability, for injuries,
sickness or death of person, or damage to property, arising out of any willful misconduct or
negligent act, error, or omission of C0MPREHENSIVE, its officers, agents, or employees, in
connection with the services required by the Agreement, provided, however, that:
(l) COMPREHENSIVE's obligations to indemnify, defend and hold harmless shall not extend
to injuries, sickness, death or damage caused by or resulting from the sole willful misconduct
or negligence of Kittitas County, its officers, agents or employees or sub-consultants; and
(2) COMPREHENSIVE's obligations to indemnifl, defend and hold harmless for injuries,
sickness, death or damage caused by or resulting from the concurrent negligence or witlful
misconduct of COMPREHENSIVE and Kittitas County or of COMPREHENSIVE and a
third party other than an officer, agent or employee f COMPREHENSIVE, shall apply only
to the extent of the negligence or willful misconduct of COMPREHENSIVE.
(3) The parties agree to cooperate to the greatest extent possible in the defense ofany and all
claims that may implicate this Section.
IX. Interpretation
This Agreement has been submitted to the scrutiny of all parties and their counsel, if desired, and
it shall be given a fair and reasonable interpretation in accordance with its words, without
consideration or weight given to its being drafted by any party or its counsel. Atl words used in
the singular shall include the plural; the present tense shalt include the future tense; and the
masculine gender shall include the feminine gender.
3
X. Entire Agreement
This Agreement represents the entire integrated Agreement between Kittitas County and
COMPREHENSIVE and supersedes all prior negotiations, representations or agreement, either
written or oral.
4
IN
re Si ry
wL
Print Name of Signatory
Contractor Address:
ha
COUNTY OF KITTITAS
SHERIFF'S OFFICE
Clay rs, Sheriff '
s to Form
EVLEW
uty Attorney
EREOF, the parties have executed this Agreement this ll day of
2021
APPROVED
BOARD OF COUNTY COMMISSIONERS
K COUN HI
\lllrltlj
1Y
By:
Dep
County's Ad
Kittitas County
205 West 5th Avenue, Suite 108
Ellensburg, WA 98926
Project Gontact:Project Contact:
[xhibit "A"
$cope of Services:
a. Provide screening of inmates within 72 hours of booking, most often within 24 hours
of booking. If inrnate is booked over the weekend or on holiday, the inmate will be
screened on the following business day.
b. Providing assessments on inmates that screen positive for mental health treatment
needs.
c^ Provide group treatment as appropriate.
d. Assist the comprehensive medical provider when assessing and treating inmates at
KCJ.
e. Evaluate any inmate presenting with a mental health or substance use disorder crisis
and coordinate with Comprehensive's Designated Crisis Responders as necessary.
f. Communicate with the courts, prosecutors, and defense attorneys consistent with
HIPPA and 42 CFR(2).
g. Provide training to KCJ personnel in coordination with KCJ commanders.
h. Make referrals to community providers for inmate needs to promote a reduced risk of
recidivism
i. Make referrals to providers in the inmate's community of residence.j. Provide warm handoff referrals when possible
k. Coordinate referrals with other providers serving inmates at KCJ.
Bxhibit'oB'o
Budget breakdorvn:
I FTE MHC
Benefits and Taxes
Cell Phonc
Dues and Fees
Administration
Total:
$80,000
s24,000
$r80
$150
$23,694
5124,024
6
Exhibit 6C"
Schedulins and Training Preakdown:,
Monday through Friday 0800-1700, but has the flexibility and availability to change if
needed for KCJ. This will include a one hour lunch break.
Maximum one hour each week of clinical supervision weekly at Comprehensive's Pearl
Sueet ofTice.
Maximum one hour each week to attend a team meeting to update medical staff and crisis
responders on the current mental health status and treatment needs of inmates at KCJ.
40 hours of required trainings much be completed each year to maintain credentialed
status.
Accrued vacation, sick leave, and Comprehensive's recognized holidays will be available
and coordinated with the Comprehensive Healthcare supervisor in consultation with KCJ
command.
a
a
a
a
7
Kittitas County
Review Form
Grants & Contract Agreement
Today's Date
November 22 ,2021
Agenda Date
December 7 2021
Fund/Department
30 / Sheriff
Contract/Grant Inform ation
Financial fnformation
Bu Information
Pass Thro Information
Contract/Grant Agency: Comprehensive Healthcare
Period Begin Date: upon signature Period End Date: TBD
Total GrantlContractAmount: $ I 28,024.00
Grant/Contract Number: SH2 1 -0 1 9
Summary: On May 4,2021, the BOCC approved a Professional Services Agreement
between Comprehensive Healthcare and Kittitas County for a full-time mental health counselor at the
Kittitas County Jail. It has been determined that a mathematical error was made on "Exhibit B" when
totaling the budget breakdown, and was subsequently transferred to Section V, Subsection E. The contract
amount is being amended to correct this enor, bringing the stated contract total from $124,024.00 to
$128,024.00, with a3%o increase each year.
Contract/Grant
Total Amount $ 128,024.00 State Funds $0 Federal Funds $0
Percentage County Funds Matching Funds $0 CFDA# na
In-Kind $
Explain
Is Equipment being purchased? No Who owns equipment? na
New Personnel being hired? No Contact HR hirine -reporting requirements - na
Future impacts
PSA.
or liability to Kittitas County: Vendor will provide proof of insurance as required by the
Budget Amendment Needed?
New Division Created? No
Yes[ attach budget form No E Why not
Already budgeted for
Revenue Code N/A
Expense Code 001-300701 541 01
Agency to Pass Throueh NA
Amount to Pass Throueh $0
Sub-Contract Approved Date
Grant/Contract Review Page 1
Prosecutor Review
Has the Prosecutor reviewed this agreement?Yes XNo JaHaas# s1734 &. s3123
Coun ents Im acted
Submitted
ment of Tra Information
Auditor Facilities Maintenance
Information Services Human Resource
Prosecutor Treasurer
Signature: ,t.e lFF Date: t^|Zil U
Department: S]dF,r ? 7v77''ry t
Auditor's Office
Human Resource
Prosecutor's Office ,. Z. b 27& P (,/z z/z ,
Who Siened the grant application tl
Reviewer Date
Grant/Contract Review Page 2