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Amendment ABCD Dental
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2019
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04. April
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2019-04-02 10:00 AM - Commissioners' Agenda
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Amendment ABCD Dental
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Last modified
4/22/2019 12:37:02 PM
Creation date
4/22/2019 12:36:57 PM
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Meeting
Date
4/2/2019
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
i
Item
Request to Approve Amendment No. 1 to the Contract between the Washington State Health Care Authority and Kittitas County Public Health for ABCD Dental Services
Order
9
Placement
Consent Agenda
Row ID
52591
Type
Contract
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Today's Date <br />03/13/2019 <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 Age ncy : HCA Amendment for ABCD Kittitas Count y <br />"I f~ I <br />\ C) <br />Period Begin Date: 10/01/2018 I I Period End Date: 12/31/2018 <br />Total Grant/Contract Amount: $2375.00 <br />Grant/Contract Number: K2747 Amendment 1 <br />Contract/Grant Summary: <br />The HCA amendment amends the contract to provide clarification of the 2nd quarter for year one 2018- <br />2019 Exhibit A, titled ABCD Quarterly Outreach and Case Management Contract Report, by replacing <br />Exhibit A for 2nd Quarter contract period. <br />Recommendation for Board of Health and Board of Health Review on <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPR -DAS TO FORM : <br />Date <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount$ 2,375 State Funds$ 2,375 Federal Funds $ <br />Percentage County Funds Matching Funds$ CFDA# <br />In-Kind$ <br />Explain <br />Grant/Contract Review Page 1
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