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Today's Date <br />04/18/2018 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />6 \ l~ JI 0 <br />Contract /Grant Agency: lnterlocal Agreement between Kittitas County Public Health Department and <br />Kittitas County Hospital District No. 2 <br />Period Begin Date: 05/8/2018 I I Period End Date: 05/08/2019 <br />Total Grant/Contract Amount : $ None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The lnterlocal Agreement between Kittitas County Public Health Department (KCPHD) and Kittitas <br />County Hospital District No 2 to authorize KCPHD to park a mobile unit on property owned by Medic One <br />and to operate community health outreach services to residents in Upper County out of the mobile unit <br />on a weekly basis and establishes statements of work for both parties. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Si gnati•~/\) • Administrator Date: 5 {Jt:l (t er <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APP ROV~ AS TO FORM: <br />ce Date <br />Date <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