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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />09/13/2017 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Agenda Date <br />Contract /Grant Agency: Accountable Communities of Health (ACH) <br />10 /3 /1-=t- <br />Period Begin Date : July 1,2017 I I Period End Date: December 31, 2017 <br />Total Grant/Contract Amount: Not to exceed $1,374.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Agreement is entered into by and between Walla Walla County Department of Community Health, <br />hereinafter "County," and Kittitas County Public Health Department, hereinafter "Contractor," for <br />engagement and participate with Greater Columbia Accountable Community of Health, as outlined in <br />the attached Statement of Work. The rights and obligations of both parties are governed by the General <br />Terms and Conditions, and the following Exhibits attached. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signatu ~. Administrator Date : lei c.J ( 1 <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Commeht: <br />APP ROV ED AS TO FORM : <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />Grant/Contract Review Page 1