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Today's Date <br />04/29/2019 <br />Fund/Department <br />116-Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/Grant Information <br />Contract /Grant Agency: Amendment 1 PSA between WISE and Kittitas County <br />Period Begin Date: May 1, 2019 I J Period End Date: June 30, 2020 <br />Total Grant/Contract Amount: Not to exceed $35,000.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Amendment 1 to PSA between WISE and Kittitas County is established to update address and add a <br />new activity fee sheet in the attachment. <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 R VEDAS TO FORM: <br />ffi ce Date <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $35,000 (no change) State Funds$ 0 Federal Funds$ 0 <br />Percentage County Funds Matching Funds $ CFDA# <br />In-Kind$ <br />Explain <br />Is Equipment being purchased? Who owns equipment? <br />Grant/Contract Review Page 1