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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date: <br />July 7, 2018 <br />f Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Y <br />Kl"1"CI'1".15 f r 1'Y7V <br />Lit) I `-fr <br />Agenda Date <br />Contract /Grant Agency: Consolidated Contract Amendment 3 <br />Period Begin Date: January 1, 2018 7 <br />Period End Date: 12/31/2020 <br />Total Grant/Contract Amount: Increase of $57,600 for a revised maximum consideration of $151,121 <br />Grant/Contract Number: CLH18249 <br />Contract/Grant Summary: <br />The Consolidated Contract Amendmer+3adds Statements of Work for the FPHS Communicable Disease <br />and Support Capabilities and the OICP-Promotion of Immunizations to Improve Vaccination Rates. It <br />also amends statements of work for the Office of Drinking Water Group A and B programs. The <br />Consolidated Contract increases the contract amount by 57,600.00 for a new revised maximum of <br />$151,121.00. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: <br />L <br />Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />� U <br />Signature f Proo'secutor ffice Date <br />Sign t re 0 Auditor's Office Date <br />Signature of Board of Health member <br />Date <br />Financial Information <br />Total Amount $57,600 State Funds $52,000 Federal Funds $5,600 <br />Percentage County Funds Matching Funds $ CFDA# 93.268 $5,600 Immz Rate <br />Grant/Contract Review Page 1 <br />