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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />05/09/2016 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Agenda Date U01 <br />� I \ <br />Contract /Grant Agency: MOU between People for People (2-1-1) and Kittitas County Public Health <br />Department <br />Period Begin Date: 06/01/2016 j I Period End Date: 12/31/2019 1 <br />Total Grant/Contract Amount: N/A <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The purpose of this memorandum of understanding is to establish an agreement between People for <br />People (GC 211) and KCPHD to coordinate public health information, specific to Kittitas County, provided <br />through the 211 system. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signatur U�,Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment; <br />APPROVED AS TO FORM: <br />Signature of Prosecutor. ffice <br />Siena u4&f Auditor's Office <br />Signature of Board of Health member <br />Financial Information <br />Date <br />Date <br />Date <br />Total Amount $ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />Grant/Contract Review Page 1 <br />