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Today's Date <br />03/28/2017 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />4r3 <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between Wise and Kittitas County <br />Period Begin Date: January 1, 2017 Period End Date: June 30, 2017 <br />Total Grant/Contract Amount: Not to exceed $18,000.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The PSA between Wise and KC to allow Wise and/or third party consultant to provide training and <br />technical assistance to employment providers and community members, including families, employers, <br />DD Advisory Committee members, school personnel, and/or other interested parties. Technical <br />assistance training is for employment providers on job development, job coaching, present information <br />on the benefits of supported employment to local groups and businesses, and transitioning clients from <br />a group supported setting to individual employment in Kittitas County. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: <br />Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED A5 TO FORM - <br />i - <br />Signature of Prosecutor' ice Date <br />Sip,Aare Of Auditor's Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ State Funds $18,000.00 Federal Funds $ <br />Grant/Contract Review Page 1 <br />