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ry:r <br />r, s\ <br />Kittitas County ,. <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: DSHS DDA County Services <br />Period Begin Date: 04/18/2016 <br />Total Grant/Contract Amount: $738,941.00 <br />Grant/Contract Number: 1563-44899 <br />!ement <br />Period End Date: 06/30/2016 <br />Contract/Grant Summary: <br />The amendment to the contract between the State of Washington Department of Social and Health <br />Services and Kittitas County is established to increase the original contract amount of $689,190.00 by <br />$49,751.00. The new contract total maximum is $738,941.00. The agreement allows the county to <br />provide services and allow staff to administer DD services within the county as set 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 />APPRO ED AS TO FORM: <br />Signature of rosecutor' Office Date <br />.5. <br />Signator of uditor's Office Date <br />e, <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $738,941.00 State Funds $738,941.00 Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />Grant/Contract Review Page 1 <br />