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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />1~~\ <br />Jr 44o~(JJ <br />Today's Date Agenda Date \0 2 l0 08/30/2018 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: PSA Amendment between Youth Services of Kittitas County and Kittitas County <br />Period Begin Date: April 1, 2018 I I Period End Date: June 30, 2019 <br />Total Grant/Contract Amount: $28,151.88 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The original agreement between Youth Services of Kittitas County and Kittitas County was established to <br />allow Youth Services of Kittitas County to implement the Community Prevention Wellness Initiative <br />(CPWI) community based mentoring program in Kittitas County. The amended agreement amends <br />Exhibit "B" Budget Expenditures <br />Recommendation for Board of Health and Board of Health Review on <br />9 lt.;irt <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount$ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />Grant/Contract Review Page 1