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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />I Quay b UaLe <br />08/02/2017 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: DSHS DDA County Services <br />Period Begin Date: 07/01/2017 <br />Total Grant/Contract Amount: $820,341.00 <br />Agenc <br />vfi.r <br />ement <br />Period End Date: 06/30/2018 <br />Grant/Contract Number: 1763-98187 <br />Contract/Grant Summary: <br />The amendment to the contract between the State of Washington Department of Social and Health <br />Services and Kittitas County. The agreement provided a maximum program agreement amount of <br />$820,341.00. The agreement allows the county to provide services and allow staff to administer DD <br />services within the county as set in the agreement. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature. Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />�/ F <br />, Zfc <br />/} <br />Signat e o Prosecutor's ce Date <br />4� ! <br />Sig a r of Auditor's Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ 1 State Funds $ _ Federal Funds $ _ <br />Percentage County Funds I Matching Funds $ CFDA# <br />Grant/Contract Review Page 1 <br />