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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />07/11/2016 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />=N <br />- " 33`:) i 1 <br />Agenda Date `3 I (� I j I q <br />Contract /Grant Agency: Interlocal Cooperation Agreement between Kittitas County Public Health and <br />City of Cie Elum (Sharps Disposal Kits) <br />Period Begin Date: Upon Signature Period End Date: One year from signature date <br />Total Grant/Contract Amount: $None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Interlocal Cooperation Agreement between Kittitas County Public Health and City of Cle Elum <br />outlines the responsibilities of each party in order to provide Sharps Disposal Kits for the safe and <br />convenient disposal of sharps to reduce the risk of sharps related injuries in the community. <br />The following sharps containers will be distributed to Cie Elum: <br />103128- 627 (Key) <br />103134-627(Key) <br />Recommendation for Board of Health and Board of Health Review on <br />f�- <br />Department Head Signature U ` Administrator Date: [!� <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Sig re of'Prosecutor'f <br />Sign t re 9f Auditor's Office <br />Signature of Board of Health member <br />Date <br />-71Z-,u <br />Date <br />Date <br />Financial Information <br />Grant/Contract Review Page 1 <br />