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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contra rant lnformation <br />Recommendation for Board of Health Review on <br />verification the contracting Agency is not suspended/Disbarred: <br />Today's Date <br />1.1./08/202L PA Camas Request #: 53067 <br />Fund/Department <br />116-Public Health Agenda Date: 11116 /ZO2I <br />Contract /Grant Agency: 509 Facility Services <br />Period Begin Date: 12/L4/2021 Period End Date: tO/Ot/2022 <br />Total Grant/Contract Amount: See Exhibit B <br />Grant/Contract Number <br />o Kittitas County Public Health facilitatesthe isolation and quarantine of families, and individuals <br />who are without means to provide a safe shelter in the event of a positive COV|Dlg test or <br />exposure to a positive individual for the duration of a quarantine period. Once the premises that <br />are contracted are vacated by the exposed/positive individ ual cleaning services provided by 509 <br />for the next tenant.cleanin are utilized to sanitize the housin unit to <br />Contract/G ra nt Su mmary: <br />Department Head Signature:Director Date: <br />Kittitas County Pros <br />RM <br />Sign ditor's Office Date <br />I <br />t' <br />Audit or, and Board of Health Review and Comment: <br />: <br />teureof Prosecutor's Office <br />E Agency is not suspended/disbarred fl Not Checked (reason) <br />Grant/Contract Review Page 1