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Kittitas Cou nty <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />12/07/2017 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Agenda Date <br />Contract /Grant Agency: Momentum Fund of Group Health Foundation Grant Contract <br />Period Begin Date: 01/01/2018 I I Period End Date: 01/01/2019 <br />Total Grant/Contract Amount: $13,262.00 <br />Grant/Contract Number: 2017-180 <br />Contract/Grant Summary: <br />The Momentum Fund of Group health Foundation Grant Contract will allow KCPHD to work on <br />increasing rates of the HPV vaccine in Kittitas County by identifying behaviors, attitudes, and beliefs <br />around the vaccine through the target audience of parents and guardian's within Kittitas County. The <br />project description and work plan is attached. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signatu re ~Administrator Date : I I t 1 /1 ~ <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED 5 TO FOR~ <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $13,262.00 State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />In-Kind $ <br />Explain <br />Grant/Contract Review Page 1