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- <br />1 <br />Ii <br />i ii <br />Iv <br />v <br />vi <br />vii <br />v iii <br />Ix <br />x (a) <br />x <br />(b) <br />x (c) <br />xi <br />xii <br />xiii <br />Exhibit "B"-§200 331 reQuirements for Das s-through entities <br />is this a subaward? Yes Yes Yes Yes <br />Federal Award identification 8010T009058 U58DP006004 U58DP006004 <br />#'s 8010T009058 <br />Subrecipient Name Kittitas County Pub!ic Heal[h <br />Subrecipient DUNS # 01-0202547 <br />Federal Award Identification # B01OT009058 8010T009058 U58DP006004 <br />Federal Award Date 7/2/2014 3/23/2015 3/23/15 <br />i<muary l , October 1, 2015 -March 29 , 2015 <br />Subaward Period of 2015 OeEeFflBer lQ , -l'V i arch 28, <br />Performance Start and End September 30, ~September 2016 <br />Date 2015 30,2016 <br />Amount of Federal Funds ~$45 ,OOO $25,000 <br />Obligated by this action ~45,000 <br />Total Amount of Federal Funds S!.OOQ $1,478 ~$1,548 <br />Obligated to the 5ubrecipient $7,272 <br />Federal award project <br />FFY14 PHBG FFY15 PH BG CBP ~FY15 CDC <br />CBP Tobacco-Tobacco-PPHF Tobacco <br />description PPfiF f'reverti0 1 <br />Depart!1 1ent of Depa r tment o f Department of <br />Name of Federal awarding Health and Heal l h an d Health and <br />agency :1uma,l Htln1dn Servic es, Human Services, <br />Services, CDC CDC CDC <br />Department of Department of Department of <br />Pass-through entity Health Health Health <br />Contact information for Grant County Grant County Grant County <br />awarding official Health District Health District Health District <br />CFDA # (note dollar amount 93 .758 93.305 <br />awarded for this CFDA# in "vii" <br />above 93758 <br />Is the award for R&D (research No No <br />and development)? No <br />Indirect Cost Rate for 40.25 r7; of salaries <br />Subrecipient Award <br />Youth Tobacco Interagency Agreement -Kittitas Am e ndm e nt#2 <br />1 0/28/16 <br />U58DP006004 <br />TBA <br />March 29, <br />2016 -March <br />28,2017 <br />$27,500 <br />$4,000 <br />CDC <br />Department of <br />Health and <br />Human <br />Services, CDC <br />Department of <br />Health <br />Grant County <br />Health District <br />93 .305 <br />No <br />Yes <br />BOlOT009058 <br />B010T009058 <br />TBA <br />July 1, 2016 - <br />June 30, 2017 <br />$33,750 <br />$6,250 <br />FFY16 PHBG <br />HCPPPHF <br />Department of <br />Health and <br />Human <br />Services, CDC <br />Department of <br />Health <br />Grant County <br />Health Distric <br />93 .758 <br />No <br />Page 11