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ei^r'�r <br />Y s (/ <br />Kittitas County �' 1 <br />Review Form <br />K17 I' Il'iti � n 17 I Z' <br />Grants & Contract Agreement <br />Today's Date <br />01/19/2018 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Agenda Date <br />Contract /Grant Agency: Contract between Benton Franklin Health District and KCPHD <br />Period Begin Date: 01/01/2018 Period End Date: 06/30/2018 <br />Total Grant/Contract Amount: $4200.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The contract for services between Benton Franklin Health District and KCPHD is created to help support <br />the efforts to reduce initiation and use of tobacco and vapor products in the Greater Columbia <br />Accountable Community of Health region through a comprehensive tobacco control program focusing <br />on policy, systems, and environmental changes. <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 $4,200.00 <br />Percentage County Funds <br />State Funds $4,200.00 Federal Funds $ <br />Matching Funds $ CFDA# <br />Grant/Contract Review Page 1 <br />