HomeMy WebLinkAboutTrilogy MedWaste - Grant and Contract reviewP AOES_TO
ipC�i�f `+• � Y
Kittitas County
Review Form ---,
KITH rAS COL'%rV
Grants & Contract Agreement
Today's Date Agenda Date
November 7, 2022 November 15, 2022
Fund/Department
30 / Sheriff
Contract/Grant Information
Contract /Grant Agency: Trilogy Medwaste
Period Begin Date: upon signature
Federal Funds $0
Period End Date: until terminated by either
party
Total Grant/Contract Amount: variable
Grant/Contract Number: SH22-030
Contract/Grant Summary: This Agreement is between Kittitas County and Trilogy Medwaste for
regulated medical waste disposal services.
Financial Information
Total Amount $ Variable
State Funds $0
Federal Funds $0
Percentage County Funds 100%
Matching Funds $0
CFDA# NA
Expense Code
In -Kind $0
Explain
Is Equipment being purchased? NO
Who owns equipment? NA
New Personnel being hired? NO
Contact HR hiring — reporting requirements
Future impacts or liability to Kittitas County: Vendor will provide proof of insurance as required by
contract.
Budget Information
Budget Amendment Needed?
Yes ❑ attach budget form
NOD Why not —Already budgeted
New Division Created? NO
Revenue Code NA
Date:
Expense Code
Object code 4101 or 4702
Pass Through Information
Agency to Pass Through
NA
Amount to Pass Through
$0
Sub -Contract Approved
Date:
Grant/Contract Review Page 1
Prosecutor Review
Has the Prosecutor reviewed this agreement? Yes nX No ❑ CAMAS# 54776
county uepartments impactea
Auditor Facilities Maintenance
Information Services Human Resource
Prosecutor Treasurer
Submitted
Signature:
Date: t . 1p
Department: Sheri
IAbbI6nr1IenL ui i rdcKInb' mrvrmaraun
Auditor's Office
Human Resource
Prosecutor's Office Z �-
Who Signed the grant application
Reviewer I Date
Grant/Contract Review Page 2