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Today's Date <br />01/31/2018 <br />Fund/Depa rtment <br />116-Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date 3/ l.I <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between KCPHD and Yakima Specialties, Ind <br />Period Begin Date: January 1, 2018 l J Period End Date: June 3D, 2018 <br />Total Grant/Contract Amount: $ To Be Determined <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The purpose of the agreement is to provide coordinated and comprehensive local program services for <br />persons with developmental disabilities and to fulfill the County's responsibilities outlined in Attachment <br />D. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature :~dministrator Date :~ I r <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPR ,ED AS TO FORM: <br />(j~~~~ <br />Date <br />Z//, If ? <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ TBD State Funds $ TBD Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />Grant/Contract Review Page 1