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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />01/09/2018 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Certive Software <br />Agenda Date <br />r� <br />lil'F'fl'I":1Y 1'�11'•�' ' <br />Period Begin Date: Receipt of payment (approx. LI I Period End Date: 1 year after receipt of <br />February 2018) payment (approx. February 2019) <br />Total Grant/Contract Amount: $1000.00/year <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The CERTIVE software is to set forth to define an arrangement under which Certive will provide software <br />as a service for the purpose of managing the performance of the organization through the development, <br />implementation and management of their strategic and operational plans. <br />Recommendation for Board of Health and Board of Health Review on _ <br />Department Head Signature: <br />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 />Financial Information <br />Date <br />Date <br />Total Amount $ <br />State Funds $ <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />In -Kind $ <br />Grant/Contract Review Page 1 <br />