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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />October gth,2023 <br />Agenda Date <br />October L7th,2023 <br />Fund/Department <br />30 / Sheriff <br />Contract/G ra nt I nformation <br />Financial lnformation <br />Bu lnformation <br />Pass Thro lnformation <br />Contract /GrantAgency: KVH Pharmacy <br />Period Begin Date: October Lst, 2023 Period End Date: Until Amended or Revoked <br />with 30-day notice <br />Total Grant/Contract Amount: Billed per occurrence. <br />Grant/Contract Number: SH23-025 <br />Contract/Grant Summary: The purpose of this contract is to allow KVH Pharmacy to receive medication orders <br />from KCSO providers and fill prescriptions in case of emergencies and closures, unavailability of primary <br />pharmacy, and inmates brought into the ER. <br />TotalAmount: See above State Funds S0 Federal Funds S0 <br />Percentage Countv Funds 0%Matchins Funds S0 CFDA# NA <br />ln-Kind S0 <br />Explain <br />ls Equipment being purchased? NO Who owns equipment? <br />New Personnel being hired? NO Contact HR hirine - reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Amendment Needed? <br />New Division Created? NO <br />Yes ! attach budget form No E Why not - Already in budget <br />Revenue Code <br />Expense Code 001-30093130 NA <br />Agencv to Pass Through NA <br />Amount to Pass Through So <br />Grant/Contract Review Page 1