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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />01/22/2016 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Evergreen Financial Services Addendum A to Collection Services Agreement <br />Period Begin Date: Upon Signature Period End Date: Upon termination by either <br />party (30 Days written notice) <br />Total Grant/Contract Amount: $None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Evergreen Financial Services Addendum A to Collection Services Agreement is to remove the "Term" <br />section of the original agreement as there is no end date. Termination is voluntary by either party with <br />30 days written notice. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: <br />Administrator <br />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 Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />In -Kind $ <br />Grant/Contract Review Page 1 <br />