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Kittitas County AAA <br />Review Form <br />rrrr. s •ui n rr <br />Grants & Contract Agreement *451,39 <br />Today's Date Agenda Date <br />03/13/2019 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: HCA Amendment for ABCD Kittitas County <br />Period Begin Date: 10/01/2018 Period End Date: 12/31/2018 <br />Total Grant/Contract Amount: $2375.00 <br />Grant/Contract Number: K2747 Amendment 1 <br />Contract/Grant Summary: <br />The HCA amendment amends the contract to provide clarification of the 2nd quarter for year one 2018- <br />2019 Exhibit A, titled ABCD Quarterly Outreach and Case Management Contract Report, by replacing <br />Exhibit A for 2nd Quarter contract period. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: <br />Administrator <br />Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />ighiat re of Prose utor's Obqce Date <br />Sign tux of uditor's Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ 2,375 <br />State Funds $ 2,375 <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />In -Kind $ <br />Explain <br />Grant/Contract Review Page 1 <br />