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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />30/2022 <br />Contract/Grant lnform ation <br />Recommendation for Board of Health Review on <br />Department Head Signature:Director Date: g ZS 2L <br />Verification the Contracting Agen cy is not Suspended/Disbarred: <br />PA Camas Request #4uaujFund/Department <br />116-Public Health Agenda Date <br />Contract /Grant Agen cy: Entrust <br />Period Begin Date: 0 7/07/2022 Period End Date:06/30/2023nt/Co nt:otaT G ra ntr Amact o u Com ne tsa sionp alh b e b oased an uct a s cesrvt rov id ed ndap s us b ectotndfunOnob.DAD aly rvtcse se W eb VEco red <br />Grant/Contract N umber: <br />The professional services agreement is to establish subcontracted employment and day services forpeople with developmental disabilities in Kittitas county per the county's responsibilities as outlined inattachments. <br />Contract/Grant Summary <br />a"-t- <br />Date <br />Signatu <br />\..1.-A. <br />o u e e <br />AS <br />lu-z-r-G ?ftJ <br />Kittitas County Prosecutor, Auditor, a nd Board of Health Review and Comment:APPROVED TO FO RM: <br />Signatu of Prosecutor's Office <br />not suspended/disbarredEAgency is f Not Checked (reason) <br />Grant/Contract Review <br />Page L