HomeMy WebLinkAboutPSA CompassKittitas County
Review Form
Grants & Contract Agreement
Contract/G ra nt I nformation
Recommendation for Board of Health Review on
Department Head Signature Director Date 6 26 z3
Kittitas Cou nty Prosecutor, Aud itor, and Board of Health Review and comment
AP AS TO
7-
si gn atu re ofP secutor'ce Date
4
Signature of Auditor's Office Dat
verification the contracting Agency is not suspended/Disbarred:
Today's Date
7.L7.26 PBK Request #: 10096
Fund/Department
116-Public Health Agenda Date:
Contract /Grant Agency: Compass - Amendment 1
Period Begin Date: 7,1.23 Period End Date: 6.30.24
Tota G ra nCo acttr Am Com ensatontu to shn a b bae onsednt/p aactu se tcrV se d de na tsd us b ectprovr
futo dn o n D aDA sroved rvr WIces eb redcove
Grant/Contract Number:
The professional services agreerlent is to establish a subcontracted employment and day services
provider for people with developmental disabilities in Kittitas County per the county's responsibilities
outlined in attachments.
o Amendment updates activity rates and the addition of Attachment E.
Contract/G ra nt 5u m mary:
Grant/Contract Review Page L
Financial lnformation
Budget lnformation
Pass Thro lnformation
Prosecutor Review
TotalAmount State Funds 5 Federal Funds S
Percentage County Funds Matching Funds S CFDA#
ln-Kind S
tn
ls Equipment being purchased?Who owns equipment?
New Personnel bei hired?Contact HR hiri - reporti uirementsre
Future impacts or liability to Kititas County:
Bu Amendment Needed?
New Division Created?
Yes f] attach budget form No K why not
Revenue Code 105.568.33 4.04.68
Expense Code ' (9-s(e.t, nrd-- VAri(E:,105.568.5410L
Agency to Pass Through
Amount to Pass Through Expense Code
Sub-Contract Approved Date
Has the Prosecutor reviewed this agreement?Yes No
Cou De rtments lm
BOCC Approval Needed?
ment of Tracking lnformation
Auditor Facilities Maintenance
lnformation Services Human Resource
Prosecutor Treasurer
Yes I NoX
Staff Member Presenting:
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
Reviewer Date
Grant/Contract Review Page 2
PROFESSTONAL SERVTCES AGREEMENT AMENDMENT I
This contract arnendnent modifies the agreement between Kittitas County
(hereinafter "the Co_u1ty") and Compass (hereinafter "Contractor"). The County and
Contractor agree as follows:
Program Activitv Leveland Payment Rate Schedule updates made to Exhibit
E.
All other terms and conditions of the agreement remain unchanged.
IN WITNEdobeK
L
of0 SS WHERESp, 11''" parties have executed this Agreement this
qY)day
2023
COMPASS
APPROVED:
BOARD OF COUNTY COMMISSIONERS
KI NTY,HINGTON
Si ature n
(Date h 't
'1
t
'1
rint Nam of ignatory
Professional Services Agreement
Page 1
n
Colt
ST,AL
7
Contractor Address:
Compass
3907 Summitview Ave
Yakima, WA 98902
Project Gontact:
Brandy Gerdes-Schultz
Senior Director
Professional Services Agreement
Page 2
the Board
County's Address:
Kittitas County
205 West Sth Avenue, Suite 108
Ellensburg, WA 98926
Project Contact:
Kasey Knutson
County Coordinator
ATTACHMENT "E''
Program Activity Level and Payment Rate Schedule
Kittitas County-Department of Developmental Disabilities
--m22-2023 Contract Rate Schedule
Individual Employment (IE) $105.60 per service hour,
Group Supported Employment (DSE) $91.04 per service hour.
Community Inclusion (CA) $6136 per service hour.
Professional $ervices Agreement
Page 3