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Today's Date <br />06/08/2017 <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: DOE amendment 1 to the State of Washington DOE and KCPHD <br />Period Begin Date: June 5, 2017 Period End Date: June 30, 2017 <br />Total Grant/Contract Amount: $58,100.00 <br />Grant/Contract Number: C1600148 <br />Contract/Grant Summary: <br />The Department of Ecology Amendment 1 allows for a shift of up to $8,000.00 between payroll items <br />and non -payroll items, subject to ecology's written approval per budget table provided. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $58,100.00 <br />Percentage County Funds <br />State Funds $58,100.00 <br />Matching Funds $ <br />In -Kind $ <br />Explain <br />Federal Funds $ <br />CFDA# <br />Is Equipment being purchased? Who owns equipment? i <br />Grant/Contract Review Page 1 <br />