Laserfiche WebLink
Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Elmview <br />PBK Request # <br />-[ -1 - <br />Agenda Date: <br />iu1-nr-s+s rrY'n <br />10036 <br />Period Begin Date: 7.1.24 Period End Date: 6.30.25 <br />Total Grant/Contract Amount: Compensation shall be based on actual services provided and is subject <br />to funding. Only DDA approved services will be covered. <br />Grant/Contract Number: <br />The professional services agreement is to establish a subcontracted employment and day services <br />provider for people with developmental disabilities in Kittitas County per the county's responsibilities <br />outlined in attachments. <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 />d Agency is not suspended/disbarred <br />❑ Not Checked (reason) <br />Grant/Contract Review Page 1 <br />