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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />11/07/2017 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Agenda Date <br />Contract /Grant Agency: DSHS Developmental Disabilities Admin Amendment 1 <br />Period Begin Date: Period End Date: <br />Total Grant/Contract Amount: $835,289.00 (increase of $14,948.00) _ <br />Grant/Contract Number: 1763-98187 Amendment 1 <br />Contract/Grant Summary: <br />Contract amendment increases the amount of contract by $14,948.00 for a new revised maximum of <br />$835,289.00. The attached shows the amended spend plan. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: <br />Kittitas County Prosecutor, Auditor, and Board of I <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office Date <br />Signature of Board of Health member Date <br />I <br />Financial Information <br />Total Amount $835,289.00 <br />Percentap,e Countv Funds <br />Administrator Date: <br />State Funds $835,289.00 <br />Matching Funds $ <br />In -Kind $ <br />Explain <br />Federal Funds $ <br />CFDA# <br />Is Equipment being purchased? Who owns equipment? <br />Grant/Contract Review Page 1 <br />