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Today's Date <br />11/2/2016 <br />Fund/Department <br />116-Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />\2 <br />Contract /Grant Agency: Interagency Agreement Amendment 2 between Grant County and Kittitas <br />County Public Health Department <br />Period Begin Date: January 1,2015 I I Period End Date: September 30, 2017 <br />Total Grant/Contract Amount: Total Consideration of $16,228.00 <br />Grant/Contract Number: Amendment 2 <br />Contract/Grant Summary: <br />The interagency Agreement between Grant County and Kittitas County is established to provide a <br />mechanism for the collaborative work, completion of deliverables, and transfer of funds necessary to <br />carry out the priority health improvement initiatives associated with tobacco prevention and control in <br />Central Washington. <br />Recommendation for Board of Health and Board of Health Review on <br />~-~ l I Department Head Signature: _~...I" .• __ ~:........:==-_~_. Administrator Date: 1/;2,'1 1 ~ <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APP ROVED AS TO FOR M: <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $16,228.00 State Funds $4,500.00 Federal Funds $11,728 <br />Percentage County Funds Matching Funds $ CFDA# 93.758, 93.305 <br />Grant/Contract Review Page 1