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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />08/16/2019 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Agenda Date 0 <br />Contract /Grant Agency: Universal Agreement for Facility Use <br />D 0 <br />Period Begin Date: 07/01/2019 Period End Date: Until terminated by either <br />party <br />Total Grant/Contract Amount: None <br />Grant/Contract Number: PH00l-2019 <br />Contract/Grant Summary : <br />The purpose of this agreement is to document mutual understanding and respective obligations of the <br />parties to facilitate the successful completion of the identified project or objective. The Agreement is by <br />and between Kittitas County, and the Community partner identified in the agreement. <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 />APPROV ED AS TO FORM: <br />Date <br />Signature of Board of Health member Date <br />I <br />Financial Information <br />Total Amount$ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds$ CFDA# <br />In-Kind$ <br />Grant/Contract Review Page 1