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Today's Date <br />03/21/2019 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />•C r <br />fi: yP <br />Contract/Grant Information <br />Contract /Grant Agency: NACCHO Contract #2019-031201 <br />Period Begin Date: March 1, 2019 Period End Date: June 30,2019 <br />Total Grant/Contract Amount: $5000.00 <br />i Grant/Contract Number: <br />Contract/Grant Summary: <br />The NACCHO agreement is an award of 5000.00 for work done with the Kittitas County Health Network. <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 <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ 5,000.00 <br />State Funds $ Federal Funds $ 5,000.00 <br />Percentage County Funds <br />Matching Funds $ CFDA# 93.421 <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? <br />Who owns equipment? <br />New Personnel being hired? <br />Contact HR hiring— reporting requirements <br />Grant/Contract Review Page 1 <br />