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Grant/Contract Review Page 1 <br /> <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br /> <br />Today’s Date <br />05/14/2020 <br /> Agenda Date <br /> <br />Fund/Department <br />116-Public Health <br /> <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between Kittitas County and FISH Community Food Bank <br />Period Begin Date: 05/18/2020 Period End Date: 30 day notice <br />Total Grant/Contract Amount: $ <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The PSA between Kittitas County and FISH Community Food Bank to provide grocery and/or prepared <br />meal delivery to individuals under isolation or quarantine order, for a total of two weeks per household, <br />unless extended by order of the Emergency Operations Center (EOC) or Kittitas County Public Health <br />Department (KCPHD). <br /> <br /> <br />Recommendation for Board of Health and Board of Health Review on _____ <br /> <br /> <br />Department Head Signature: ______________________, Administrator Date:________ <br /> <br /> <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br /> <br />_________________________________________ <br />Signature of Prosecutor’s Office Date <br /> <br />________________________________________________ <br />Signature of Auditor’s Office Date <br /> <br />________________________________________________ <br />Signature of Board of Health member Date <br /> <br /> <br />Financial Information <br />Total Amount $ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA#