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Kittitas County <br />Review Form IGlTITM flWFTT <br />Grants &Contract Agreement <br />Today's Date PA Camas Request #:6/30/2022 <br />Fund/Department <br />116-Public Health Agenda Date: <br />Contract/Grant Information <br />Contract /Grant Agency:Consolidated Contract Amendment 5 <br />Period Begin Date:January 1,2022 Period End Date:12/31/2024 <br />Total Grant/Contract Amount:Increase of $217,313.00 for a revised maximum consideration of <br />$3,095,724.00 <br />Grant/Contract Number:CLH31015 <br />Contract/Grant Summary: <br />The Consolidated Contract Amendment #5 amends the following statement of work: <br />COVID Mass Vaccination-FEMA-Effective January 1,2022 <br />DCHS-ELC COVID-19 Response-Effective January 1,2022 <br />Exhibit B-5 Allocations,attached and incorporated by this reference,amends and replaces Exhibit B-4 <br />Allocations as follows: <br />Increase of $217,313.00 for a revised maximum consideration of $3,095,724.00 <br />Recommendation for Board of Health Review on <br />Department Head Signature:,Director Date: <br />Kittitas County Prosecutor,Auditor,and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office Date <br />Verification the contracting Agency is not Suspended/Disbarred: <br />Agency is not suspended/disbarred [¯¯]Not Checked (reason) <br />Grant/Contract Review Page 1