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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />January 30,2023 <br />Agenda Date <br />February 7,2023 <br />Fund/Department <br />30 / Sheriff <br />Contract I Grant Information <br />Contract /Grant Agency: Ellensburg Family Medicine DBA C Healthcare <br />Period Begin Date: 01/0112022 Period End Date: until term <br />Total Grant/Contract Amount: <br />Grant/Contract Number: SH2 I -049 <br />ContracVGrant Summary: Kittitas County Sheriff s Office is in an agreement Ellensburg Family Medicine <br />DBA Compass Direct Healthcare for the purpose to conduct pre-employment medical screening for employment. <br />Sheriff s Office has received on 01130123 a updated price list for the pre-employment physical screening. (Note- <br />original Agreement was approved by the BOCC on 12l2ll2l). <br />Financial Information <br />Bu Information <br />Pass Throu Information <br />Total Amount State Funds $0 Federal Funds $0 <br />Percentage County Funds Matching Funds $0 CFDA# na <br />In-Kind $ <br />Explain <br />Is Equipment being purchased? NO Who owns uipment? na <br />New Personnel being hired? NO Contact HR - reporting requirements - na <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? NO <br />Yes! attach budget form No f[ Why not - Already budgeted <br />Revenue Code NA <br />Expense Code 00l30xxx4l13 <br />Agency to Pass Throueh NA <br />Amount to Pass Throueh $o <br />Sub-Contract Approved Date: <br />Grant/Contract Review Page L