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Kittitas County <br />Review Form ,,,_r;.r,5cin .,., <br />Grants & Contract Agreement <br />Today's Date <br />06/30/2022 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: KVO <br />Period Begin Date: 07/01/2022 <br />Total Grant/Contract Amount: $26,360.00 <br />Grant/Contract Number: <br />PA Camas Request #: <br />Agenda Date: <br />Period End Date: 06/30/2023 <br />Contract/Grant Summary: <br />The professional services agreement outlines contractor's scope of work for the needs of general public, <br />parents, and children or adults diagnosed with developmental disabilities. <br />Recommendation for Board of Health Review on <br />Department Head Signature: <br />Director Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature o Prosecutor's Office Datd <br />Signature of Au or's ❑ e Dat <br />6-1 <br />4 <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />® Agency is not suspended/disbarred ❑ Not Checked (reason) <br />Grant/Contract Review Page 1 <br />