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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />July 7, 2018 <br />Fund/Department <br />116 -Public Health <br />Grant Information <br />Agenda Date <br />Urn Fvi oro i r <br />Contract /Grant Agency: Group Health Foundation (HPV Promotion) <br />Period Begin Date: Upon Signature Period End Date: December 30, 2019 <br />Total Grant/Contract Amount: $13,300.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Group Health Foundation Grant Agreement is awarded to Kittitas County Public Health to increase <br />promotion of the HPV vaccination to increase Kittitas County HPV completion rates. <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 a <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office <br />Date <br />Signature of Board of Health member Date <br />Financial Information_ <br />Total Amount $13,300 <br />Percentage County Funds <br />State Funds $ <br />Matching Funds $ <br />In -Kind $ <br />Federal Funds $ <br />CFDA# <br />Is Equipment being purchased? No I Who owns equipment? <br />Grant/Contract Review Page 1 <br />