Laserfiche WebLink
Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />04/18/2018 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Agenda Date <br />Contract /Grant Agency: Interlocal Agreement between Kittitas County Public Health Department and <br />Kittitas County Hospital District No. 2 _ <br />Period Begin Date: 05/8/2018 Period End Date: 05/08/2019 <br />Total Grant/Contract Amount: $ None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Interlocal Agreement between Kittitas County Public Health Department (KCPHD) and Kittitas <br />County Hospital District No 2 to authorize KCPHD to park a mobile unit on property owned by Medic One <br />and to operate community health outreach services to residents in Upper County out of the mobile unit <br />on a weekly basis and establishes statements of work for both parties. <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 $ <br />Percentage County Funds <br />State Funds $ <br />Matching Funds $ <br />Federal Funds $ <br />CFDA# <br />Grant/Contract Review Page 1 <br />