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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />11/08/2017 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Agenda Date <br />Contract /Grant Agency: Interagency Agreement between Grant County and KCPHD Amendment 3 <br />(1422) <br />Period Begin Date: January 1, 2015 <br />Total Grant/Contract Amount: $15,000 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />Period End Date: September 29, 2018 <br />The Interagency Agreement between Grant County and Kittitas County Public Health Amendment 2 is <br />established to provide a mechanism for the collaborative work, completion of deliverables, and transfer <br />of funds necessary to carry out the priority health improvement initiatives associated with the North <br />Central Washington Healthy Communities Obesity, Diabetes, Heart Disease and Stroke Prevention <br />Program. <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 $15,000.00 State Funds $ Federal Funds $15000.00 <br />Grant/Contract Review Page 1 <br />