Laserfiche WebLink
Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date I I Agenda Date ___ -_(/1 1, I Y)-"--_____ .L-. __ _ <br />Fund/Department <br />116-Public Health <br />C;ontract/Grant Inform _at_i_o_n _________ _ <br />Contract Gr ant Agency : DSHS DDA Cou nty Services Agr eement <br />Period Begin Date: 07/01/2015 Period End Date: 06/30/2016 <br />J"<1!~ G ra ~t/t ontract Amo~~!~_~689 ,~90.QO <br />Grant/Con tract Number: 1769CS-63 <br />Contract/Grant Summary: <br />------------- <br />The contract between the State of Washington Department of Social and Health Services and Kittitas <br />County is established to provide services and staff to administer DD services within the county as set in <br />the agreement. <br />--------------- <br />Recommendation for Board of Health and Board of Health Review on :....==~ <br />I <br />I <br />Department Head Signature : __________ , Administrator Date: ___ _ <br />------- <br />! Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />, APPROVED AS TO FORM: <br />Signature of Board of Health member Date <br />Financiailnformation <br />r-------------.-----~---.-----~-------------~ I Total Amount §~8 ~,190.00 -State Funds $689,190.00 I Federal Funds $ <br />Percentage Coun t y Funds Matching Funds $ i CFDA# <br />In-Kind $ <br />______ expla i n <br />Grant/Contract Review Page 1