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Kittitas CountY <br />Review Form <br />Grants & Contract Agreement <br />Contract/G rant I nformation <br />Recommendation for Board of Health Review on <br />Department Head Signature Director Date <br />qlulLz- <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />Financial lnformation <br />Today's Date <br />7126/2022 <br />PA Camas Request #: #/ {& <br />Fu nd/Depa rtment <br />116-Public Health <br />Agenda Date: <br />Contract /Grant Agency: Consolidated Contract Amendment 6 <br />Period End Date: 12/3I/2024Period Begin Date: t/L/2O22 <br />Total Gra nt/Contract Amount 18,000.00 for a new revised maximum of 54,113,724.0Olncrease of 5L,0 <br />Grant/Contract Number <br />Contract/G rant Su mmarY: <br />The Consolidated Contract Amendment 6 adds the following Statement of Work: <br />. Foundational Public Health Services- Effective July t,2022 <br />Exhibit 8-6 Allocations: <br />lncrease of Sl-,018,000.00 for a revised maximum consideration of 54,I13,724'OO <br />Kittitas County Prosecutor, Auditor, and Board of Health Review an <br />l-1-- <br />r's OfficeSignature of Au <br />Date <br />Da <br />/.,1 ti <br />Signatu r <br />.V*t I v# <br />TO FORM:APPROVED <br />of Prosecutor's Office <br />d Comment <br />I Not Checked (reason)f, Agency is not suspended/disbarred <br />Grant/Contract Review Page 1