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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />October 23,2023 t-t-2 <br />Agenda Date <br />Fund/Department <br />30 / Sheriff <br />Contract/Grant lnformation <br />Financial lnformation <br />Budget lnformation <br />Pass Through lnformation <br />ant Agency: Northwest Assessment service, pLLC (prof. services Agreement)Contract /Gr <br />Period Begin Date: Upon signature Period End Date: Until either party terminates <br />Total Grant/Contract Amount: Variable <br />Grant/Contract Number: SH23-030 <br />icants <br />for <br />ntCo ar rG a Snt mU am TSThct/IS Kibetr,veen tt tasry:Co and orthNagreement Assessment\,VCST ceServiunty ,LP forLC cond locho lc evalal uat c ond lnuctingsypons.terviews of I foob e t oructingappmploymen <br />rese rve cSETVl e and and fot olo calprepanngconvev and antlic vale uatireportslngsychpgi onsfindingsapp <br />Kithe tasttr Coun Sherifl fficeoty <br />Total Amount = Variable State Funds S0 Federal Funds S0 <br />Percen Count Funds IO0%Matchin Funds S0 CFDA# NA <br />ln-Kind S0 <br />EX atn <br />ls UI ent bein urchased? NO Who owns equipment? <br />New Personnel bei hired? NO Contact HR hiring -ortin uirementsre <br />ity to Kittitas county: Vendor to carry full insurance per contract.Future impacts or liabil <br />Budget Amendment Needed?Yes I attach budget form No E Why not (tn Budget) <br />New Division Created? NO <br />Revenue Code NA <br />Expense Code ob ect code 001-300254101 & I 20-300254101 <br />Agency to Pass Through NA <br />Amount to Pass Through So <br />Sub-Contract Approved Date: <br />Grant/Contract Review Page 1