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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />PA Camas Request #: 5 S t + <br />Contract/G ra nt lnformation <br />Recommendation for Board of H ealth Review on <br />verification the contracting Agency is not suspended/Disbarred: <br />1 <br />Today's Date <br />Fund/Department <br />115-Public Health Agenda Date: <br />ctContra r ant/a nsoCo idated raContAgency Amct dmeen 23nt <br />Period Begin Date ouot/20t8 Period End Date: t2/3L/2O2t <br />Tota Grant/Contract ntAmou ncrease of 00So+g ,409.afor marevised lmX mu of 10.Ls4,434 00 <br />Grant/Contract Number: <br />The Consolidate Contract Amendment 23 Amends the following Statements of Work for the followingprograms: <br />. Climate & Health Wildfire Smoke lndoor Air euality pilot Study _ Effective September L, ZOZO. COVID-19 Coordinated Response - Effective July L,2O2O <br />Contract/Grant Summary <br />a Fou ationd an Pub lc Hea Ith Services F PHS Effective J)202TulyL, <br />a o l-Promoti ofon m m un zati no s to rove Vacci atn tonmp Rates Effective Ju 2021lyI, <br />a s le m Nentalpup ritiout n Assistance m u-Ed cationProgra Effe VEcti rOctobe 2020I, <br />dsAd an tn secrea of So+g fo409.00 ar mrevised maxi mu of 0.L 00,7 <br />Department Head Signatu Director n/n 2l <br />bzt <br />r's Office <br />uditor's Office Date <br />2 <br />of <br />si <br />/r 2? <br />nda ofBoard H ealth ewRevi Command ent:Kittitas County <br />APPROVED AS TO FORM: <br />Agency is not suspended/disbarredE ! Not Checked (reason) <br />Grant/Contract Review Page 1