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Docusign Envelope ID: C3A59BA0-FE3D-8324-81BB-4A4C3E61297D <br />State of Washington Department of Ecology <br />KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT <br />Community -Led Air Quality Improvement for Ellensburg Project <br />Agreement No. AQOBC-2024-KiCPHD-00010 <br />Amendment No. 3 <br />Page 4 of 6 <br />1.2 <br />RECIPIENT will submit an outreach and engagement plan including <br />key audience, methods of outreach and engagement. and timeline. <br />1.3 <br />RECIPEINT will submit materials from all community engagement <br />and outreach activities, such as agendas, notes, and presentations, <br />including proof that CCA branding requirements under directive <br />24-01 are satisfied. <br />1.4 <br />RECIPIENT will submit a copy of any survey(s) conducted related <br />to this agreement and a summary of responses received. <br />1.5 <br />RECIPIENT will submit a summary of community engagement that <br />summarizes input received from all outreach and engagement <br />activities and includes: <br />• Estimated number of people engaged <br />• Description of events or activities <br />• Community priorities to address criteria air pollution emissions <br />• Lessons learned <br />CHANGES TO THE BUDGET <br />Funding Distribution EG250243 <br />Funding Title: Improving Air Quality in Overburdened Communities <br />Funding Type: <br />Funding Effective Date: <br />Funding Source: <br />Title: <br />Fund: <br />Type: <br />Funding Source %: <br />Description: <br />Grant <br />02/01 /2025 <br />Improving AQ Overb Comm <br />FD <br />Funding Expiration Date: 06/30/2027 <br />State <br />100% <br />Improving Air Quality in Overburdened Communities <br />Approved Indirect Costs Rate: Approved State Indirect: 25 % <br />Recipient Match %: 0% <br />InKind Interlocal Allowed: No <br />InKind Other Allowed: No <br />Is this Funding Distribution used to match a federal grant? No <br />Template Version 10/30/2015 <br />