Laserfiche WebLink
Kittitas County <br />Review Form <br />Grants & Contract Agreement tt:3B55_~ <br />Today's Date Agenda Date lJjVf /!Vrt May 9,2017 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Consolidated Contract Amendment 11 <br />Period Begin Date : tTaJ1IAMMA "I, d-D15 I I Period End Date: DeCem hW 31,.1b1± <br />Total Gra nt/Co ntract Amount: D~re ase of $300.00 for a revised maximum consideration of $358,397.00 <br />Grant/Contract Number: C17114 <br />Contract/Grant Summary: <br />The Consolidated Contract Amendment 11 is Amended to add a statement of work for the Office of <br />Immunization and Child Profile Diamond Project. It also amends statements of work for the Office of <br />Drinking Water Group A Program and Office of Immunization Child Profile. The Amendment Exhibit B-11 <br />Allocations is decreased by $300.00 for a new maximum consideration of $358,397.00. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: ________ ---', Administrator Date : __ _ <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />·APPROVED AS TO FORM : <br />ice Date <br />5 1!;, (, <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $2100.00 (inc) State Funds $ Federal Funds $2100.00 (inc) <br />Percentage County Funds Matching Funds $ CFDA#93.733,93 .268 <br />Grant/Contract Review Page 1