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Today's Date <br />01/13/2017 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form >--� <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between Elmview and Kittitas County Amendment 1 <br />Period Begin Date: January 1, 2017 1 Period End Date: June 30, 2017 <br />Total Grant/Contract Amount: 32.00 per service hour <br />Grant/Contract Number: DD PH -001 <br />Contract/Grant Summary: <br />The Professional Services Agreement Amendment 1 increases the payment rate schedule for Community <br />Access from 30.00 to 32.00 for the purpose of providing a coordinated and comprehensive local <br />program of services for persons with developmental disabilities. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: <br />Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $12,500.00 State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />In -Kind $ <br />Explain <br />Grant/Contract Review Page 1 <br />