HomeMy WebLinkAboutSH Grants and Contract Review FormKittitas County
Review Form
Grants & Contract Agreement
Today's Date
January 30,2023
Agenda Date
February 7,2023
Fund/Depaftment
30 / Sheriff
Contract/Grant lnform ation
Financial Information
Bud t fnformation
Contract lGrant Agency: Ellensburg Family Medicine d/b/a CompassDirect Healthcare
Period Begin Date: upon signature Period End Date: until funding is no longer
available, or until term'd by either party
Total Grant/C ontract Amount: The total cost to the Contractor will increase from no greater than
$235,000 annually to no greater than $310,000 annually, reflecting a cost increase of up to $75,000
Grant/Contract Number: #SH21-0 44 (2"d Modification)
Contract/Grant Summary: The purpose of this modification is to expand the current scope of work to
include responsibility for Suboxone distribution, and to allow for a nurse to provide services to the jail on
the weekends. The total cost to Kittitas County will increase from no greater than $235,000 to no greater
than $3 l0,000, reflecting a cost increase of up to $75,000. This increase will be funded by existing grant
awards and its continuation is contingent upon those awards being renewed.
Total Amount: Total compensation
to increase by up to 575,000
State Funds $0 Federal Funds $0
Percentage Cor.rnty 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 hiring - na
Future impacts or liability to Kittitas County: Program is contingent upon the continuing availability of
grant funds.
B udget Amendment Needed?
New Division Created? No
Yes! attach budget form No E Why not - Already budgeted
Revenue Code N/A
Expense Codes 001-30l2365xxxx 001-30l2355xxxx
Grant/Contract Review Page 1
Pass Throu Information
Prosecutor Revielv
Agency to Pass Thror.rgh NA
Amount to Pass Through $o
Sub-Contract Approved Date
Has the Prosecutor reviewed this agreement?Yes[k No f CAMAS# 55291
Coun De artments fm cted
Submitted
Auditor Facilities Maintenance
Information Services Human Resource
Prosecutor Treasurer
Signattrre: 7L-Date t^
Ass nment of Trackin Information
Auditor's Office
Httman Resource
Prosecutor's Office ,21
l{ho Signed the grant application
Reviewer Date
Grant/Contract Review Page 2