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Kittitas County <br />Review Form I M1III M'TY <br />Grants &Contract Agreement <br />Today's Date PA Camas Request #:06/30/2022 <br />Fund/Department <br />116-Public Health Agenda Date: <br />Contract/Grant Information <br />Contract /Grant Agency:Elmview <br />Period Begin Date:07/01/2022 Period End Date:06/30/2023 <br />Total Grant/Contract Amount:Compensation shall be based on actual services provided and is subject <br />to funding.Only DDA approved services will be covered. <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The professional services agreement is to establish subcontracted employment and day services for <br />people with developmental disabilities in Kittitas County per the county's responsibilities as outlined in <br />attachments. <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 O Not Checked (reason) <br />Grant/Contract Review Page 1