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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date LPl\\l~ 05/03/2016 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Professional Services Agreement between Kittitas County and Elmview <br />Amendment 1 <br />Period Begin Date: Upon Signature I I Period End Date: June 30, 2016 <br />Total Grant/Contract Amount: New total $574,676.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Professional Services Agreement between Kittitas County and Elmview to amend the increase dollar <br />amount by $23,356.00 for a new total contract amount of $574,676 .00. The agreement outlines the <br />county's responsibilities as outlined in the original contract attached. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: ~ ,Administrator Date:~II(o <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPR N'ED AS TO FORM: <br />Date <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $574,676 State Funds $574,676 Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />Grant/Contract Review Page 1