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Kittitas County <br />Review Form <br />Grants & Contract Agreement a i . <br />Today's Date <br />07/10/2020 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />_V_ ut 5 c/ <br />Agenda Date <br />Contract /Grant Agency: PSA between Kittitas County and FISH Community Food Bank - In -Home <br />Services <br />Period Begin Date: 05/18/2020 <br />Total Grant/Contract Amount: $ <br />Grant/Contract Number: <br />Period End Date: 30 day notice <br />Contract/Grant Summary: <br />The PSA between Kittitas County and FISH Community Food Bank to provide grocery and/or prepared <br />meal delivery to individuals under isolation or quarantine order at their place of residence, for a total of <br />two weeks per household, unless extended by order of the Emergency Operations Center (EOC) or <br />Kittitas County Public Health Department (KCPHD). <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signatu � �J Administrator Date: � <br />� 2d <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comme <br />APPROVED AS TO FORM: <br />-z- �-Vv <br />of Pr ecutor's Office <br />Auditor's Office <br />-� f ( L4i--L..-L— <br />Signature of Board of Health member <br />Date <br />Date <br />Date <br />Financial Information <br />Total Amount $ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />Grant/Contract Review Page 1 <br />