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DES...TQ N <br />Kittitas County <br />Review Form <br />K17TI'1'AS CQl'�T' <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />August 8, 2023 August 15, 2023 <br />Fund/Department <br />30 / Sheriff <br />Contract/Grant Information <br />Contract /Grant Agency: Ellensburg Family Medicine d/b/a CompassDirect Healthcare <br />Period Begin Date: upon signature <br />Period End Date: until funding is no longer <br />available, or until term'd by either party <br />Total Grant/Contract Amount: No greater than $310,000 annually. <br />Grant/Contract Number: #SH21-044 (3rd Modification) <br />Contract/Grant Summary: The purpose of this modification is to allow CompassDirect Healthcare to <br />purchase medical supplies, and equipment as needed. They will invoice The County to be reimbursed in <br />full. <br />Financial Information <br />Total Amount: Total compensation <br />to increase by up to $310,000 <br />State Funds $0 <br />Federal Funds $0 <br />Percentage County Funds <br />Matching Funds $0 <br />CFDA# na <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? No <br />I Who owns equipment? na <br />New Personnel being hired? No <br />I Contact HR hiring — na <br />Future impacts or liability to Kittitas County: Program is contingent upon the continuing availability of <br />grant funds. <br />Budget Information <br />Budget Amendment Needed? Yes❑ attach budget form No 0 Why not - Already budgeted <br />New Division Created? No <br />Revenue Code N/A <br />Expense Codes: 1001-3012365xxxx 1 001-3012355xxxx <br />Grant/Contract Review Page 1 <br />