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Today's Date <br />May 9, 2017 <br />Fund/Department <br />116 -Public Health <br />Kittitas County . <br />Review Form ---� <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />Contract /Grant Agency: Consolidated Contract Amendment 11 <br />Period Begin Date: j I Period End Date: <br />Total Grant/Contract Amount: Decrease of $300.00 for a revised maximum consideration of $358,397.00 <br />Grant/Contract Number: C17114 _ <br />Contract/Grant Summary: <br />The Consolidated Contract Amendment 11 is Amended to add a statement of work for the Office of <br />Immunization and Child Profile Diamond Project. It also amends statements of work for the Office of <br />Drinking Water Group A Program and Office of Immunization Child Profile. The Amendment Exhibit B-11 <br />Allocations is decreased by $300.00 for a new maximum consideration of $358,397.00. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: , Administrator 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 <br />Signature of Board of Health member <br />Date <br />Date <br />Financial Information <br />Total Amount $2100.00 (inc) State Funds $ Federal Funds $2100.00 (inc) <br />Percentage County Funds Matching Funds $ CFDA#93.733, 93.268 <br />Grant/Contract Review Page 1 <br />