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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />06/19/2018 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Kittitas Coun <br />Period Begin Date: 07/01/2018 <br />Total Grant/Contract Amount: $ 1,62E <br />Grant/Contract Number: 1763-98187 <br />Agenda Date <br />DDA County Services Amendment 3 <br />Period End Date: 06/30/2019 <br />.424.00 <br />Contract/Grant Summary: <br />Change or correct period of performance and max contract amount. <br />Contract amendment end date 06/30/2019; increased fund +$801.577. <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 $ 801,577 <br />State Funds $ 801,577 <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />In -Kind $ <br />Explain <br />Is Equipment being purchased? <br />Who owns equipment? <br />New Personnel being hired? <br />I Contact HR hiring — reporting requirements <br />Grant/Contract Review Page 1 <br />