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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G rant lnformation <br />Recommendation for Board of Health Review on <br />Department Head Signature:Director Date I <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />PBK Request #: pA MToday's Date <br />Agenda Date:Fund/Department <br />116-Public Health <br />Contract /GrantAgency: KCHN <br />Period Begin Dale: 7.L24 Period End Date: 6.30.25 <br />Total Grant/Contract Amount: 530,000 <br />G rant/Contract N umber: <br />Contract/Grant Su m mary: <br />The professional services agreement outlines contractor's scope of work for the needs of general public, <br />parents, and children or adults diagnosed with developmental disabilities. <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment <br />APPROVED AS TO FORM: <br />-k >t 'l v <br />Signature of P ecutor's Office Date <br />A.?L <br />Signat ure of Auditor's Office Date <br />! Not Checked (reason)Agency is not suspended/disbarred <br />5.t^^ <br />Grant/Contract Review Page 1