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CON CON Amendment 4 (2)
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2022
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05. May
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2022-05-17 10:00 AM - Commissioners' Agenda
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CON CON Amendment 4 (2)
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Last modified
10/6/2023 12:53:12 PM
Creation date
10/6/2023 12:53:05 PM
Metadata
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Template:
Meeting
Date
5/17/2022
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 Consolidated Contract Amendment 4 with the Department of Health
Order
7
Placement
Consent Agenda
Row ID
89412
Type
Agreement
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Kittitas County Public Health Department <br />Indired Rate as of January r,20222 2s.2syopubtic Heatth D ept & r2.TsyoCounty cent*r svcs <br />Chart of Tifle <br />Federal Award <br />Identification #Amend # <br />TOTAL <br />Totalconsideration: $2,624,292 <br />GRANDTOTAL $254'119 <br />$2,878,411 <br />*CatalogofFederal Domestic Assistance . <br />*rFederal revenue codes begin wi& "333 ". State revenue codes begin with .334'. <br />DOH Use OrilyBARS Statement of Work Chart of Accounts <br />Revenue LEJ Funding Period Fhndingperioil <br />Start Date End Date Star.t Date End Date <br />EXHIBIT&4 <br />ALLOCATIONS <br />Contract Term: 2 022-2024 <br />Assist <br />List #* <br />Contract Numben <br />Date: <br />Amount <br />Funding <br />Period <br />SubTotal <br />s2,yt8,4ll $2,E7E,411 <br />GRANDTOTAL <br />Total Fed <br />Total State <br />cLH310l5 <br />April 1,2022 <br />Chart of <br />Accoun6 <br />Total <br />$2,87E,4il <br />$1,630,134 <br />$1,24E277 <br />Page2 of2
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