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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />09/02/2015 <br />Fund/Department <br />116 -Public Health <br />Fre nGii U. I <br />lil7 Iil1�+'�ii'• � 1 <br />Contract/Grant Information <br />Contract /Grant Agency: Professional Service Agreement between Trellis Center and Kittitas County <br />Period Begin Date: January 1, 2016 Period End Date: June 30, 2016 <br />Total Grant/Contract Amount: Compensation to not exceed $31,200.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Professional Services Agreement between Kittitas County and Trellis Center outlines the scope of <br />work to be provided by Trellis. Trellis will provide a coordinated and comprehensive local program of <br />services for persons with developmental disabilities and fulfill the County's responsibilities in agreement <br />Attachment "D". <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: <br />Administrator 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 />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $31,200.00 <br />State Funds $31,200.00 <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />Grant/Contract Review Page 1 <br />