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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />05/03/2016 <br />Fund/Department <br />116 -Public Health <br />I <br />r <br />FE'i'I-I'I1N i �PI � I1 <br />Contract/Grant Information <br />Contract /Grant Agency: Professional Services Agreement between Kittitas County and Elmview <br />Amendment 1 <br />Period Begin Date: Upon Signature <br />Total Grant/Contract Amount: New total $574,676.00 <br />Grant/Contract Number: <br />Period End Date: June 30, 2016 <br />Contract/Grant Summary: <br />The Professional Services Agreement between Kittitas County and Elmview to amend the increase dollar <br />amount by $23,356.00 for a new total contract amount of $574,676.00. The agreement outlines the <br />county's responsibilities as outlined in the original contract attached. <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 />APPRQ,VED AS TO FORM: <br />r <br />Signature of Prosecutor fice Date <br />L5 <br />Signature//f Auditor's Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $574,676 <br />State Funds $574,676 <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />Grant/Contract Review Page 1 <br />