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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 L>2-o ZL <br />Kitti tas county Prosecutor, Auditor, and Board of Health Review and comment: <br />A D TOF <br />Signature o Prose Date <br />//a 1 da <br />Signature of Auditor's Office Date <br />s Office <br />verification the contracting Agency is not suspended/Disbarred: <br />Today's Date <br />I1,I7.2022 PA camas Request +' f6D h <br />Fund/Depa rtment <br />1L6-Public Health Agenda Date lat <br />contract /Grant Agency: walla walla county Department of communi ty Health <br />Period Begin Date: July 1,,2022 Period End Date:June 30, 2023 <br />Total Grant/contract Amount: lncrease of S14,000.00 for a revised maximum of s32,500.00 <br />G rant/Contract N u mb er : 22-20 <br />The amendment is entered into by and between Walla Walla County Department of Community <br />Health for services relative to Youth Cannabis and CommercialTobacco Prevention program and <br />amends the Statement of Work, Budget, and Reporting Requirements as attached in the <br />agreement. <br />Contract/G ra nt Summary: <br />f] Agency is not suspended/disbarred [] Not Checked (reason) <br />Grant/Contract Review Page 1