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Today's Date <br />05/08/2018 <br />Fund/Department <br />116-Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date ! <br />,jl <br />Contract/Grant Information <br />Contract /Grant Agency: Amendment 1 to the contract between Walla Walla and Kittitas County Public <br />Health Department <br />Period Begin Date: July 1, 2017 I I Period End Date: June 30, 2018 <br />Total Grant/Contract Amount: Increase of $2,856.00 for a new revised maximum of $5,856.00 <br />Grant/Contract Number: 17-83 <br />Contract/Grant Summary: <br />The amendment 1 to the contract between Walla Walla and Kittitas County Public Health Department <br />increases the contract amount by $2,856.00 for a new revised maximum of $5,856.00 for participation in <br />the Greater Columbia Accountable Community of Health Youth Marijuana Prevention and Education <br />Program. The amendment includes an amended Statement of Work and a new reporting form. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature ~ , Administrator Date:{,_, {t {Qi <br />Date <br />~!;, lt P <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount$ 2,856 State Funds$ 2,856 Federal Funds$ 0 <br />Percentage County Funds Matching Funds$ CFDA# <br />Grant/Contract Review Page 1