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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />12/17/2019 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />— Agenda Date <br />Contract /Grant Agency: Contract between Kittitas County Health Network and Kittitas County Public <br />Health <br />Period Begin Date: 09/01/2019 <br />Total Grant/Contract Amount: $123,000.00 <br />Period End Date: 08/31/2022 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The contract between Kittitas County Health Network and Kittitas County Public Health (KCPHD) is <br />established to allow KCPHD to provide services for Kittitas County Opiod Use Disorder Prevention, <br />Treatment, and recovery project. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Sigature: Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Wn Wfl 4 <br />SYM�ture of Prosecutor's ice Date <br />�_ 'n <br />of Auditor's Office <br />Signature of Board of Health member <br />Financial Information <br />Date <br />Date <br />Total Amount $ <br />State Funds $ <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />Grant/Contract Review Page 1 <br />