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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />Services <br />Agenda Date _ <br />V <br />07/10/2020 <br />Total Grant/Contract Amount: $ <br />Grant/Contract Number: <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: PSA between Kittitas County and FISH Community Food Bank — Out of Home <br />Services <br />Period Begin Date: 07/01/2020 <br />Period End Date: 30 day notice <br />Total Grant/Contract Amount: $ <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The PSA between Kittitas County and FISH Community Food Bank to provide grocery and/or prepared <br />meal delivery to individuals under isolation or quarantine order at temporary housing, for a total of two <br />weeks per household, unless extended by order of the Emergency Operations Center (EOC) or Kittitas <br />County Public Health Department (KCPHD). <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signatu e: Administrator Date <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />r <br />z z -i=7 <br />Signature, of Prosecu or's Office Date <br />SienatuAe of AOditor's Office <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />Grant/Contract Review Page 1 <br />