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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />08/02/2017 <br />I Fund/Department <br />1116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: DSHS DDA County Services <br />Period Begin Date: 07/01/2017 <br />Total Grant/Contract Amount: $820,341.00 <br />Agenda Date <br />ement <br />Period End Date: 06/30/2018 <br />KIN 11 FAS 1111.,..,.,. <br />Grant/Contract Number: 1763-98187 <br />Contract/Grant Summary: <br />The amendment to the contract between the State of Washington Department of Social and Health <br />Services and Kittitas County. The agreement provided a maximum program agreement amount of <br />$820,341.00. The agreement allows the county to provide services and allow staff to administer DD <br />services within the county as set in the agreement. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: <br />Kittitas County Prosecutor, Auditor, and Board <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ <br />Percentage County Funds <br />Administrator Date: <br />State Funds $ <br />Matchi <br />Funds $ <br />Federal Funds $ <br />CFDA# <br />Grant/Contract Review Page 1 <br />