HomeMy WebLinkAboutKVH PHARMACY - Grant and Contract ReviewKittitas County
Review Form
Grants & Contract Agreement
Today's Date Agenda Date
October 9th, 2023 October 17th, 2023
Fund/Department
30 / Sheriff
Contract/Grant Information
Contract /Grant Agency: KVH Pharmacy
Period Begin Date: October 1st, 2023
Period End Date: Until Amended or Revoked
with 30-day notice
Total Grant/Contract Amount: Billed per occurrence.
Grant/Contract Number: SH23-025
Contract/Grant Summary: The purpose of this contract is to allow KVH Pharmacy to receive medication orders
from KCSO providers and fill prescriptions in case of emergencies and closures, unavailability of primary
pharmacy, and inmates brought into the ER.
Financial Information
Total Amount: See above
State Funds $0
Federal Funds $0
Percentage County Funds 0%
Matching Funds $0
CFDA# NA
In -Kind $0
Explain
Is Equipment being purchased? NO
Who owns equipment?
New Personnel being hired? NO
Contact HR hiring — reporting requirements
Future impacts or liability to Kittitas County.
Budget Information
Budget Amendment Needed?
Yes ❑ attach budget form
No ® Why not —Already in budget
New Division Created? NO
Revenue Code
Expense Code 001-30093130
NA
Pass Through Information
Agency to Pass Through NA
Amount to Pass Through $0
Grant/Contract Review Page 1
Sub -Contract Approved Date:
Prosecutor Review
Has the Prosecutor reviewed this agreement? Yes 1i No ❑ CAMAS# 1013E
County Departments Impacted
Auditor Facilities Maintenance
Information Services Human Resource
Prosecutor Treasurer
Submitted
Signature:
Date. o - p
Department: She iff
Assignment of Tracking Information
Auditor's Office
Human Resource
Prosecutor's Office
/ of
Who Signed the grant application
Reviewer Date
Grant/Contract Review Page 2