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Kittitas Cou nty <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date If-\ \ ~ \ lP 01/11/2016 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Consolidated Contract Amendment 5 <br />Period Begin Date: January 1, 2016 I I Period End Date: December 31,2017 <br />Total Grant/Contract Amount: Increase of $8,840.00 for a total maximum of $209,287.00 <br />Grant/Contract Number: C17114 <br />Contract/Grant Summary: <br />The Consolidated Contract Amendment 5 Adds Statements of Work for the folloWing program: <br />• Office of Immunization and Child Profile-Effective January 1, 2016 <br />• OICP-Prevention and Public Health Funds (PPHF) VTrckS-IIS-Effective January 1, 2016 <br />Exhibit 8-5 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-4 <br />Allocations as follows: <br />• Increase of $8,840.00 for a revised maximum considerat ion of $209,287 .00 <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signatur~~ , Administrator Date: l {/J-O ({ b <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Grant/Contract Review Page 1