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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />02lRf3 <br />Today's Date Agenda Date G1 H~.1 11-08/02/2017 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between Elmview and Kittitas County <br />Period Begin Date: July 1, 2017 I I Period End Date: June 30, 2018 <br />Total Grant/Contract Amount: Not to exceed $656,000.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Professional Services Agreement is established to provide a coordinated and comprehensive local <br />program of services for persons with developmental disabilities and to fulfill the county's responsibilities <br />as outlined in attachments. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head S;Bnatureef!iiM-70 <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APP O\lED AS TO FORM : <br />-/7 <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $656,000.00 State Funds $656,000.00 Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />In-Kind $ <br />Explain <br />Grant/Contract Review Page 1