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Today's Date <br />08/16/2019 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />Contract /Grant Agency: Benton Franklin Health District and Kittitas Cou <br />Period Begin Date: 07/01/2019 <br />Total Grant/Contract Amount: $4060.00 <br />Grant/Contract Number: 19-20 <br />Contract/Grant Summary: <br />Vj I 11TAN V W! I <br />Public Health- Tobacco <br />Period End Date: June 30, 2020 <br />The purpose of this agreement is to prevent initiation and reduce use of nicotine products among youth <br />and young adults in the Greater Columbia Accountable Community of Health Region (GCACH), eliminate <br />exposure to secondhand smoke and vape emissions, and educate communities about Tobacco and <br />Vape21. <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 $ 4,060.00 <br />State Funds $ 4,060.00 <br />Federal Funds $ 0 <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# N/A <br />Grant/Contract Review Page 1 <br />