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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />09/09/2019 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />.. •.]I1_ .� h <br />KI I I V.11i l'Irt'-` Il <br />Contract /Grant Agency: Interagency Agreement between HCA and Kittitas County for CPWI Prevention <br />Services <br />Period Begin Date: 07/01/2019 <br />Total Gra <br />ntract Amount: $220,000.00 <br />Grant/Contract Number: K3924 <br />Contract/Grant Summary: <br />Period End Date: 06/30/21 <br />The agreement outlines the terms and conditions of which will govern KCPHD in the implementation of <br />prevention programs and strategies designed to prevent or delay the misuse and abuse of alcohol, <br />marijuana, tobacco, opioids, and other drug, increase mental health promotion and prevent suicide in <br />support of the CPWI Prevention Services Project. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: , 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 />Signature of Board of Health member <br />Financial Information <br />Total Amount $ 220,000 <br />Percentage County Funds <br />Date <br />Date <br />State Funds $ 60,142 Federal Funds $ 159,858 <br />Matching Funds $ CFDA# 93.959 <br />Grant/Contract Review Page 1 <br />