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•' <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date I Agenda Date <br />03/12/2019 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Benton Franklin and KCPHD <br />q/~ 1q <br />' <br />Period Begin Date: 03/01/2019 I I Period End Date: 06/30/2019 <br />_,) <br />Total Grant/Contract Amount: Adds and additional $1500.00 for a new contract total of $5560.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />(f <br />The purpose of the agreement is to provide additional funding in the amount of $1500.00 to expand and <br />enhance the original scope of work by purchasing signage to support smoke-free and vape-free policies <br />in Kittitas County. <br />Recommendation for Board of Health and Board of Health Review on <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APP O ED AS TO FORM: <br />Date <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount$ 1,500 State Funds $ 1,500 Federal Funds$ <br />Percentage County Funds Matching Funds $ CFDA# <br />In -Kind$ <br />Explain <br />Grant/Contract Review Page 1