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RA ----+..w. C. - A wi P_'r... U -1+L. C.. w.J ..+7w.. O_`.. 41- t`.....+.....�+ <br />IV IWO I I%. I I LM 111 I MI IM VI \JI VLJFJ I IGQI LII I VMI IUCILIV11 VI QI IL VVI ILI QL.L <br />The following award has been provided by the Momentum Fund of Group Health Foundation. Please review the <br />details of this award, provide any missing information and indicate your acceptance by signing below and returning <br />a fully executed electronic copy to g_rants@groupheaithfoundation g. <br />Organization Kittitas County Public Health Department <br />Project Name <br />Award Date 12/4/17 <br />Total Grant Amount $13,262 <br />Project start date 1/1/18 <br />Project end date 1/1/19 <br />Project Lead(s) <br />Grant Contact <br />Foundation Grant # 2017-180 <br />Terms of Acceptance: <br />I understand that my signature below indicates acceptance of the following terms: <br />1. These funds are granted to your organization to address the work your proposal outlined. Unless there are <br />substantive changes to the project, no additional approval or documentation is required. <br />2. Submit semi-annual written progress status reports using provided reporting template. Reports should <br />summarize your progress as of June 30 and December 31 until the project is completed, and are due by the end <br />of the following month. <br />3. To bring consistency to the immunization work supported by this and other immunization grant awards, I agree <br />to work in collaboration with American Cancer Society and WithinReach in obtaining relevant materials. <br />4. All unused funds must be returned to Group Health Foundation upon completion of the project. <br />5. Grants which have shown no activity 90 days after the Project Start Date are subject to cancellation upon 30 <br />days written notice. <br />6. All publicly circulated material associated with the project will contain the phrase "made possible in part by a <br />grant from the Momentum Fund of Group Health Foundation." <br />7. 1 acknowledge and agree that nothing in these terms shall be construed to alter the grantee's duty to exercise <br />independent professional judgment in conducting the activities for which these grant funds have been <br />awarded, and I further agree to comply with all applicable local, state and federal laws and regulations <br />governing such activities. <br />8. 1 will maintain all records pertinent to this grant award for a period of 3 years following the completion of the <br />grant. These records should contain receipts, invoices, check requests, and any other documentation related to <br />this award. These records may be subject to examination by auditors. <br />Signature Date <br />Project Lead <br />