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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />01/09/18 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Agenda Date <br />Ilk <br />r� <br />I I JAS (117 7� <br />Contract /Grant Agency: Health Care Authority Contract Amendment for Prevention Services with <br />KCPHD (DBHR) <br />Period Begin Date: 01/01/2019 Period End Date: 06/30/2019 <br />Total Grant/Contract Amount: $158,037.00 (SABG & General Fund program amounts adjusted) <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The purpose of this amendment is to continue the coordination and implementation of prevention <br />programs and strategies designed to prevent or delay the misuse and abuse of alcohol, marijuana, <br />tobacco, and other drugs, increase mental health promotion, and prevent suicide. Program target <br />populations and focus area are dependent on funding source and specific funded exhibits. <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 />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ 0.00 State Funds $ 2,956.00 (+) Federal Funds $ 2,956.00 (-) <br />Percentage County Funds Matching Funds $ CFDA# 93.959 (SABG) <br />Grant/Contract Review Page 1 <br />