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6oA AOES.. io NF r <br />St <br />Kittitas County <br />Y <br />Review Form <br />s:rn-r %S GOGvry <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />January 30, 2023 February 21, 2023 <br />Fund/Department <br />30 / Sheriff <br />Contract/Grant Information <br />Contract /Grant Agency: Public Safety Psychological Services <br />Period Begin Date: March 3, 2023 <br />Federal Funds $0 <br />Period End Date: March 3, 2024 <br />Total Grant/Contract Amount: Variable <br />Grant/Contract Number: SH23-003 <br />Contract/Grant Summary: This agreement is between Kittitas County and Public Safety Psychological <br />Services for conducting fitness -for -duty evaluations, conducting psychological evaluations of applicants <br />for employment or reserve service, and preparing and conveying reports of psychological findings and <br />applicant evaluations for the Kittitas County Sheriff's Office. <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 />I Who owns equipment? <br />New Personnel being hired? NO <br />I Contact HR hiring — NA <br />Future impacts or liability to Kittitas County: Vendor to carry full insurance per contract. <br />Budget Information <br />Budget Amendment Needed? <br />Yes ❑ attach budget form <br />NoEN Why not—Already budgeted <br />New Division Created? NO <br />Revenue Code NA <br />Date: <br />Expense Code <br />Object code 4101 <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 />