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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/Grant lnformation <br />Recommendation for Board of Health Review on <br />Department Head Signature:Director Date 7 <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />Agency is not suspended/disbarred I Not Checked (reason) <br />D€'- tS -Lq B* '/"* qt =- <br />Today's Date <br />8.5,2424 PBK Request #lobqa% <br />Fund/Department <br />116-Public Health Agenda Date: <br />Contract /Grant Agency: WISE <br />Period Begin Date: 7.L.24 Period End Date: 6,30.25 <br />TotalGrant/Contract Amount: Not to Exceed $35,000 <br />Grant/Contract N umber: <br />Contract/Grant Sum ma ry: <br />Allow consultant to provide training and technical assistance specific to developmental disabilities programs. <br />Kittitas county Prosecutor, Auditor, and Board of Health Review and Comment: <br />J <br />Signature of ecutor's Date <br />fur.zv <br />Signature of liudito s Office Date <br />Grant/Contract Review Page 1