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Today's Date <br />08/23/2016 <br />Fund/Department <br />116-Public Health <br />Kittitas Cou nty <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />CiI~JJc~ <br />Contract /Grant Agency: Amendment to the Sub Contract between Yakima Neighborhood Health <br />Services and Kittitas County Public Health Department <br />Period Begin Date: October 1,2016 I I Period End Date: June 30, 2017 <br />Total Grant/Contract Amount: Shall not exceed $22,000.22 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The amendment will extend the current contract for an additional 9 months from October 2016 through <br />June 2017. The amendment will allow navigators in the public health department to continue to enroll <br />Kittitas County residents in the Washington Healthplanfinder. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signatur~ !W!\J/{7 Administrator Date : "1 /8'/10 <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />A~ED AS ?!~ _{ji~4r, F -d'I/67 <br />Sign al of Prosecutor's (.flee Date <br />~~'''''.' I~ ~/;;~/;~ <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $22,000.22 State Funds $ <br />Percentage County Funds Matching Funds $ <br />Grant/Contract Review <br />Federal Funds $22,000.22 <br />CFDA# 93.525 <br />Page 1