Laserfiche WebLink
Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />12/18/2017 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />I I Agenda Date <br />Contract /Grant Agency: Consolidated Contract 2018-2020 <br />Period Begin Date: 01/01/2018 I I Period End Date: 12/31/2020 <br />Total Grant/Contract Amount: $79,038.00 <br />Grant/Contract Number: CLH18249 <br />Contract/Grant Summary: <br />The purpose of this Contract is to define the parties' joint and cooperative relationship. The contract and all <br />statements of work adopted under its provisions are intended to implement applicable objectives under the <br />Public Health Improvement Plan and to facilitate the delivery of public health services to the people in <br />Washington State. This Contract is the result of cooperative planning efforts between Kittitas County Public <br />Health and DOH. <br />Recommendation for Board of Health and Board of Health Review on __ <br />~141h Department Head Signature. J . Administrator Date: 8 -(1 cJ#{t 6 <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APP , , V. AS TO FORM : <br />Date <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $79,038.00 State Funds $11,800 Federal Funds $ 67,238 <br />Percentage County Funds Matching Funds $ CFDA# <br />10.561 $10,302 <br />Grant/Contract Review Page 1