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Kittitas County <br />Review Form <br />Grants &Contract Agreement <br />Today's Date PA Camas Request #:10/10/2022 <br />Fund/Department <br />116-Public Health Agenda Date: <br />Contract/Grant Information <br />Contract /Grant Agency:Interlocal Agreement between Kittitas County Public Health Department and <br />Kittitas Valley Hospital <br />.Period End Date:2 years from Date ofPeriodBeginDate:Date of Execution Execution <br />Total Grant/Contract Amount:None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Interlocal Agreement between KCPHD and KVH is established to promote efficiency in providing <br />health services to the citizens of Kittitas County.The agreement allows KCPHD emergency storage of <br />vaccine should the need arise at the health department because of power outage or storage failure. <br />Recommendation for Board of Health Review on <br />Department Head Signature:,Director 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 Date <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />Agency is not suspended/disbarred Not Checked (reason) <br />Grant/Contract Review Page 1