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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />05/17/2016 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Agenda Date <br />77 <br />I� <br />10 1 VI las <br />-9jof02- <br />Contract /Grant Agency: PSA between Kittitas County Public Health and Kittitas County Community <br />Network and Coalition (Youth For Truth) Amendment <br />Period Begin Date: January 1, 2016 <br />Total Grant/Contract Amount: $2700.00 <br />Period End Date: June 30, 2016 <br />Grant/Contract Number: _ <br />Contract/Grant Summary: <br />The amendment to the PSA between Kittitas County and Kittitas County Community Network and <br />Coalition increases the original agreement amount of 1950.00 to $2700.00 for the "Youth for Truth" <br />program and extends contract period until June 30, 2016. <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 Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $2,700.00 <br />State Funds $ <br />Federal Funds $2,700.00 <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# 93.008 <br />Grant/Contract Review Page 1 <br />