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� sc M�cs...•n Yr �. <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date PBK #: <br />06/28/2023 <br />Fund/Department Agenda Date: <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Walla Wallla County Dept of Community Health and KCPHD (YCCTPP) Amend#2 <br />Period Begin Date: July 1, 2022 <br />Period End Date: June 30, 2024 <br />Total Grant/Contract Amount: Adds $16,000.00 for a new total of $48,500.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Amendment 2 to the Service Agreement between Walla Wallla County Dept of Community Health <br />and KCPHD (YCCTPP) is established to amend the Statement of Work, Add $16,000.00 to the budget, <br />extends the performance period, and changes the billing due date. <br />Recommendation for Board of Health Review on <br />i - <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 of Prosecutor's Office Date <br />Signature of Auditor's Office <br />Date <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />Cxi Agency is not suspended/disbarred ❑ Not Checked (reason) <br />Grant/Contract Review Page 1 <br />