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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/Gra nt lnformation <br />Recommendation for Board of Health Review on <br />Department Head Signature Director Date 23 <br />Kittitas County P rosecutor, Auditor, and Board of Health Review and Comment: <br />APP OA5TO FORM: <br />Signature of Prosecutor's <br />Signature of Auditor's Office Date <br />Verification the contracting Agency is not suspended/Disbarred: <br />I Agency is not suspended/disbarred I Not Checked (reason) <br />ate <br />Today's Date <br />9.18.23 PBK Request #: l0lqb <br />Fund/Department <br />116-Public Health Agenda Date: lt lf I AU <br />Contract /Grant Agency: Robin Read DDAC Facilitation <br />Period Begin Date: 7.L.23 Period End Date: 6.30.24 <br />Total Grant/Contract Amount: Not to Exceed $2,000 <br />G ra nt/Contract Nu mber: <br />Facilitation of Developmental Disability Advisory Committee (DDAC) meetings to create partnership <br />projects to provide employment support and services for young adults with developmental disabilities, <br />Contract/G ra nt 5um mary: <br />Grant/Contract Review Page 1