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Kittitas County <br />Review Form <br />Grants &Contract Agreement <br />Today's Date PA Camas Request #:11.17.2022 <br />Fund/Department Agenda Date:116-Public Health <br />Contract|Grant Information <br />Contract /Grant Agency:Walla Walla County Department of Community Health <br />Period Begin Date:July 1,2022 Period End Date:June 30,2023 <br />Total Grant/Contract Amount:Increase of $14,000.00 for a revised maximum of $32,500.00 <br />Grant/Contract Number:22-20 <br />Contract/Grant Summary: <br />The amendment is entered into by and between Walla Walla County Department of Community <br />Health for services relative to Youth Cannabis and Commercial Tobacco Prevention Program and <br />amends the Statement of Work,Budget,and Reporting Requirements as attached in the <br />agreement. <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