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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G rant I nformation <br />Recommendation for Board of Health Review on <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />I Agency is not suspended/disbarred I Not Checked (reason) <br />Today's Date <br />osl72l2022 PA Camas Request #: 54140 h-ttr tl l <br />Fund/Department <br />116-Public Health Agenda Date: Tlifll i, /aw <br />Contract /Grant Agency: WISE - Amendment 1 <br />Period Begin Date: July L,2O2t Period End Date: June 30,2022 <br />Total Grant/Contract Amount: Not to Exceed 535,000 <br />Grant/Contract Number <br />Contract/G rant Su m ma ry: <br />Allow consultant to provide training and technical assistance specific to developmental disabilities <br />programs. <br />o Amendment updates contract language to allow additional spend down of DD funds. <br />Department Head Signature:zltYl..Director Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />?L YL I )Lu1"wt(o('- <br />Sign atu re of Prosecutor'Office Date <br />\ <br />Signature of Auditor's ce Date <br />Grant/Contract Review Page 1