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DSHS Program Agreement Amendment
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2022-07-19 10:00 AM - Commissioners' Agenda
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DSHS Program Agreement Amendment
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Last modified
11/30/2022 8:10:18 AM
Creation date
11/30/2022 8:10:11 AM
Metadata
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Template:
Meeting
Date
7/19/2022
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Item
Request to Approve an Amendment to the Program Agreement between the State of Washington Department of Social & Health Services Developmental Disabilities Administration and Kittitas County
Order
5
Placement
Consent Agenda
Row ID
91496
Type
Agreement
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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G ra nt I nformation <br />Recommendation for Board of Health Review on <br />Department Head Signature Director Date: q a(})) <br />verification the contracting Agency is not suspended/Disbarred: <br />! Agency is not suspended/disbarred ! Not Checked (reason) <br />Financial lnformation <br />Today's Date <br />06/06/2022 PA Camas Request #6t-llho <br />Fund/Department <br />116-Public Health Agenda Date: -'l IVIZZ <br />contract /Grant Agency: Developmental Disabilities Administration (DDA) <br />Period Begin Date: 07/0L/2022 Period End Date: 06/30/2023 <br />Total Grant/Contract Amount: SO3O,6+Z.OO <br />Grant/Contract N u mber: <br />Contract/G ra nt Su m ma ry <br />DDA contract funds provide administration oversight and pass thru funds to support activities for <br />individuals with disabilities in Kittitas County. ,.1. Aiyre y.,/, ,r^pt,*,, o( <br />Kittitas county Prosecutor, Auditor, and Board of Health Review and comment: <br />APPROVED AS TO FORM: <br />fi i-k"6 'Lt z <br />Signature o f rosecutor's Office Date <br />z?q <br />Signature of itor's Office <br />Grant/Contract Review Page L
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