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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G rant lnformation <br />Recommendation for Board of Health Review on <br />Department Head Signature:Director Date:1 <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />Today's Date PBK Request #:logT+ <br />Fund/Department <br />115-Public Health <br />Agenda Date: <br />Contract /Grant Agency: KVO <br />Period Begin Date: 7.L.24 Period End Date: 6.30.25 <br />Total Grant/Contract Amount: 526,000 <br />Grant/Contract N u m ber: <br />Contract/G rant Su m mary: <br />The professional services agreement outlines contractor's scope of work for the needs of general public, <br />parents, and children or adults diagnosed with developmental disabilities. <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED TO FORM: <br />r*)--) ,^ zzie? .n.=IXH.,l-, af ru;fzr <br />Signature of Prosefutor's Office Date <r <br />//n*rAA,,o>7-/?'zl <br />Date <br />I Not Checked (reason)Agency is not suspended/disbarred <br />Grant/Contract Review Page 1-