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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/Grant lnformation <br />Recommendation for Board of Health Review on <br />Department Head Signature Director Date l>LO z <br />verification the contracting Agency is not suspended/Disbarred: <br />Today's Date <br />1.1./28/2022 PA Camas Request #: <br />Fund/Department <br />L16-Public Health Agenda Date: <br />Contract /Grant Agency: Quiet Cadence <br />Period Begin Date: December t, ZO2Z Period End Date: October 3 <br />Total Grant/Contract Amount: S25,OOO <br />Grant/Contract Number <br />This PSA is established to support Covid-L9 recovery and advance health equity for high-risk or underserved <br />populations. Utilize non-clinical interventionsto address behavioral health concerns related to Covid-19 as <br />addressed in the Statement of Work. <br />Contract/G rant Sum mary: <br />Kittitas County Pr osecutor, Auditor, and Board of Health Review and Comment: <br />PROVED RM: <br />2- <br />Sign atu re rosec r's Date <br />Signature o uditor's Date <br />! Agency is not suspended/disbarred f, Not Checked (reason) <br />Grant/Contract Review Page 1