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Today's Date <br />02/20/2019 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between Kittitas County and Youth Services <br />Period Begin Date: 04/01/2018 1 1 Period End Date: 06/30/2019 <br />Total Grant/Contract Amount: $28,151.88 <br />Grant/Contract Number: <br />-/� 45 S -1-0 <br />Contract/Grant Summary: <br />The Amendment to the PSA changes the spending categories as outlined on page 18. The PSA allows <br />Youth Services of Kittitas County to implement the Community Wellness Initiative (CPWI) community <br />based mentoring program in Kittitas County. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: <br />Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office Date <br />Signature of Board of Health member <br />Financial Information_ <br />Total Amount $ 28,151.88 <br />Percentage County Funds <br />Date <br />State Funds $ 28,151.88 Federal Funds $ <br />Matching Funds $ CFDA# <br />Grant/Contract Review Page 1 <br />