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PSA between Kittitas County Public Health and Comm Health of Central WA
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2016-10-04 10:00 AM - Commissioners' Agenda
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PSA between Kittitas County Public Health and Comm Health of Central WA
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Last modified
6/14/2018 8:42:49 AM
Creation date
6/13/2018 11:05:22 AM
Metadata
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Meeting
Date
10/4/2016
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
i
Item
Request to Approve a Community Health of Central Washington: Children With Special Health Care Needs Program Agreement
Order
9
Placement
Consent Agenda
Row ID
32188
Type
Agreement
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EXHIBITB <br />Kittitas County Public Health Department ALLOCATIONS Contract Number: C171l4 <br />Contract Term: 2015-2017 Date: October 17,2014 <br />DOH Use Ooly <br />BARS Statement oeWork Chart of Accounts Funding Chart or <br />Federal Award Revenue Funding Period Funding Period Period Accounts <br />Chart of Accounts Pr~ram Title Identification Number Amcnd# CFDA* Code* .start Date End Date StanDate End Date Amount SubTotal Total <br />FFY 14 EPR LHJ Funding U90TPOOOSS9 NlA 93.069 333.93"06 01/011lS 06/30/1S 07/01114 06130115 $23,046 $23,046 $23,046 <br />FFYI53170ps NGA Not Received N/A 93.268 333.93.26 OIlOI/IS 12/31115 01101115 12131115 $1,260 $1,260 $1,260 <br />FFYI5 AFIX NGA Not Received N/A 93.268 333.93.26 01/01/15 12/31115 01/01/15 12131115 $5,013 $5,013 $5,013 <br />FFY15 YFC Ops NGA Not Received N/A 93.268 333.93.26 01101115 12/31/15 OllOlllS 12131115 $1,129 $1,129 $1,129 <br />FFYI5 VFC Ordering NGA Not Received N/A 93.268 333.93 .26 01/01/1S 12/3111S 01101115 12131115 $1,IS4 $1,IS4 $1,IS4 <br />FFY 15 MCHBG CBP ConCon B04MC28134 N/A 93.994 333.93.99 OIlOIIlS 09130115 10/01114 091301)5 $33,147 $33)47 $33,147 <br />Drinking Water Group A -SS N/A N/A 346.26.64 01/01/15 12/31/15 07101/13 12131/15 $2,800 $2,800 $2,800 <br />Drinking Water Group A -SS State N/A N/A 346.26.6S 01101115 12/31115 07/01113 12131115 $2,800 $2,800 $2,800 <br />Drinking WaJ:er Group A -T A N/A N/A 346.26.66 01101/15 12/31/1S 07101113 12131/15 $4,000 $4,000 $4,000 <br />TOTAL $74,349 $74,349 <br />Total consideration: $74,349 GRAND TOTAL $74,349 <br />GRAND TOTAL $74,349 Total Fed $64,749 <br />Total State $9,600 <br />'Catalog of Federal Domestic Assistance <br />**Federal revenue codes begin with "333" State revenue codes begin with "334" <br />Page 1 of I
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