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First Choice Agreement (2)
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05. May
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2018-05-15 10:00 AM - Commissioners' Agenda
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First Choice Agreement (2)
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Last modified
7/18/2018 11:09:02 AM
Creation date
7/18/2018 11:08:32 AM
Metadata
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Template:
Meeting
Date
5/15/2018
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
e
Item
Request to Approve a Preferred Provider/Group Agreement with First Choice Health Network
Order
5
Placement
Consent Agenda
Row ID
44613
Type
Agreement
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Is Equipment being purchased? Who owns equipment? <br />New Personnel being hired? Contact HR hiring -reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? Yes D attach budget form No D Why not <br />New Division Created? <br />Revenue Code <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through $ <br />Sub-Contract Approved Date : <br />Prosecutor Review <br />I Has the Prosecutor reviewed this agreement? I YesD No D <br />County Departments Impacted <br />Auditor Facilities Maintenance <br />Information Services . Human Resource <br />Prosecutor Treasurer <br />Submitted <br />I Signature: <br />I Department: <br />I Date: <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />I Reviewer I Date <br />Grant/Contract Review Page 2
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