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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />09/04/2018 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Agenda Date <br />Contract /Grant Agency: PSA between Jennifer DeWitt and Kittitas County Public Health <br />Period Begin Date: September 1, 2018 I I Period End Date: June 30, 2019 <br />Total Grant/Contract Amount: $1200.00 or 100.00 per class session completed <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The PSA between Jennifer DeWitt and KCPHD is established so the contractor shall facilitate of Love and <br />Logic Parenting classes from September 1, 2018-June 30, 201q, <br />Recommendation for Board of Health and Board of Health Review on <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />A PPR OV ED S ;ro FORM : <br />Date <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount$ 1200.00 State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds$ CFDA# <br />In-Kind$ <br />Explain <br />Is Equipment being purchased? NO Who owns equipment? <br />Grant/Contract Review Page 1