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Today's Date <br />12/17/2103 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />J <br />•rr •,iYs•ur-is <br />Contract/Grant Information <br />Contract /Grant Agency: Joint Plan of Responsibility- Interagency Agreement between State of <br />Washington Department of Health and Kittitas County Public Health Department- regulation of water <br />systems in Kittitas County. <br />Period Begin Date: Upon execution Period End Date: 12/31/2018 unless terminated <br />by either party <br />Total Grant/Contract Amount: None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The agreement is to provide for a joint plan of responsibility which delineates the responsibilities of DOH <br />and KCPHD with respect to the regulation of water systems in Kittitas County. DOH and KCPHD agree to <br />carry out this joint plan of responsibility as set forth in the agreement. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature. Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signatu <br />Financial Information <br />Total Amount $ State Funds $ Federal Funds $ <br />Grant/Contract Review Page 1 <br />