Laserfiche WebLink
Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />01/11/2016 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Agenda Date <br />Contract /Grant Agency: Consolidated Contract Amendment 5 <br />Period Begin Date: January 1, 2016 <br />Ln�c'M1Pi^^�—`-�pNp r <br />L+ t r <br />F I I I IN 4 1 P t I <br />Period End Date: December 31,2017 <br />Total Grant/Contract Amount: Increase of $8,840.00 for a total maximum of $209,287.00 <br />Grant/Contract Number: C17114 <br />Contract/Grant Summary: <br />The Consolidated Contract Amendment 5 Adds Statements of Work for the following program: <br />• Office of Immunization and Child Profile- Effective January 1, 2016 <br />• OICP- Prevention and Public Health Funds (PPHF) VTrckS-IIS- Effective January 1, 2016 <br />Exhibit B-5 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-4 <br />Allocations as follows: <br />• Increase of $8,840.00 for a revised maximum consideration of $209,287.00 <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 Comi <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 />Grant/Contract Review Page 1 <br />