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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date I Agenda Date <br />09/02/2015 <br />Fund/Department <br />116 -Public Health <br />r� 7 <br />ContraCt/Grant Information _ <br />Contract /Grant Agency: Professional Services Agreement between Elmview and Kittitas County Health <br />Department <br />Period Begin Date: 07/01/2015 Period End Date: 06/30/2016 <br />Total Grant/Contract Amount: Not to exceed $551,320.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Professional Services Agreement is established to provide a coordinated and comprehensive local <br />program of services for persons with developmental disabilities and to fulfill the county's responsibilities <br />as outlined in attachments. <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 Pros uto s Office Me <br />Signaturef A Idi is Office Date <br />Signature of Board of Health member <br />Financial Information <br />Date <br />Total Amount! $r>51,3 0 State Funds $551 , 320 Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# _ <br />In -Kind $ <br />Explain <br />Grant/Contract Review Page 1 <br />