Laserfiche WebLink
Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />10/01/2021 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />PA Camas Request #:C .� <br />Agenda Date: Io I liq I ' 1 <br />Contract /Grant Agency: Community Health of Central Washington (CYSCHN) <br />Period Begin Date: 10/01/2021 <br />Total Grant/Contract Amount: $ <br />Grant/Contract Number: <br />Period End Date: 12/31/2021 <br />Contract/Grant Summary: <br />• The agreement is in place between Community Health of Central Washington and the Kittitas <br />County Public Health Department. The contract provides a scope of work for Community Health <br />of Central Washington to be able to provide services for the Children with Special Health Care <br />Needs program which is a part of the Maternal Child Health Block Grant. <br />Recommendation for Board of Health Review on <br />Department Head SigVure: <br />Director Date: 1V1b/.;?—) <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Pro'secutor's Office Date <br />Signature At itor's Office Date <br />•�• ��_ w_ mow__ _t. _I/�!-�__ J <br />ve iricabon the Contracting Agency is not Suspenaea/wisoarrea: <br />Agency is not suspended/disbarred ❑ Not Checked (reason) <br />Grant/Contract Review Page 1 <br />