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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />01/05/2024 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: DSHS DDA Amendment 1 <br />Period Begin Date: <br />i <br />PBK Request #: <br />Agenda Date: <br />Period End Date: <br />Total Grant/Contract Amount: Increase of $263,603.00 for a revised max of $1,118,442.00 <br />Grant/Contract Number: 2363-49241 <br />Contract/Grant Summary: <br />Funding for Kittitas County Developmental Disabilities programs including job foundations, program <br />administration, other consumer supports, and direct client services via subco-itractors for Medicaid <br />funds. The amendment increases funds for the program. <br />Recommendation for Board of Health Review on <br />Department Head Signature: <br />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 <br />Date <br />Signature of Auditor's Office Date <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />❑x Agency is not suspended/disbarred <br />❑ Not Checked (reason) <br />Grant/Contract Review Page 1 <br />