Laserfiche WebLink
Today's Date <br />05/25/2017 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />Contract /Grant Agency: Washi <br />Period Begin Date: May 1, 2017 <br />Total Grant/Contract Amount: None <br />Grant/Contract Number: <br />State Department of Health Immunization <br />S•r <br />f aj <br />07�TITAN <br />m <br />Period End Date: April 30, 2018 <br />Contract/Grant Summary: This agreement is between Washington State Department of Health <br />Immunization Program and Kittitas County Public Health Department. The agreement outlines the <br />guidelines providers must follow in order to participate in the Vaccine for Children Program (VFC). <br />Recommendation for Board of Health and Board of Health Review on <br />iDepartment Head Signature: <br />Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />. A2. I' I ; /V, n 7 <br />N <br />Signature of Prosecutor'k�qffice Date <br />q)A XA� (1 151, <br />Signat re uditor's Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />l Amount $ <br />State Funds $ <br />Federal Funds $ <br />County Funds <br />Matching Funds $ <br />CFDA# <br />rPercentage <br />In -Kind $ <br />Explain <br />uipment being purchased? <br />Who owns equipment? <br />Grant/Contract Review Page 1 <br />