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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />yrs_ <br />lii1171 kylrr 77k <br />u ok 5 t� <br />Today's Datea <br />Lit <br />d Date <br />L� I a <br />07/10/2020 <br />Period End Date: 30 day notice <br />c) <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <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 />Period End Date: 30 day notice <br />Total Grant/Contract Amount: $ <br />Grant/Contract Number: <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 Administrator Date: � �2d <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Si nat` a of Pr ecutor's Office Date <br />SignAuie o Auditor's Office Date <br />Signature of Board of Health member 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 />