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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 outu, l?4 zr I zz <br />verification the contracting Agency is not suspended/Disbarred: <br />Today's Date <br />ro/10/2022 P A camas Request #: f)\ qhfr <br />Fund/Department <br />116-Public Health Agenda Date <br />Grant Agency: lnterlocal Agreement between Kittitas County Public Health Department andContract / <br />Kittitas Val Hospital <br />Period Begin Date: Date of Execution Period End Date: 2 years from Date of <br />Execution <br />Total Grant/Contract Amount: None <br />Grant/Contract Number <br />The lnterlocal Agreement between KCPHD and KVH is established to promote efficiency in providing <br />health services to the citizens of Kittitas County, The agreement allows KCPHD emergency storage of <br />vaccine should the need arise at the health department because of power outage or storage failure. <br />Contract/G rant Su m mary: <br />Kittitas county Prosecutor, Auditor, and Board of Health Review and Comment <br />APPR VED AS TO FORM <br />J a'L +?('t ,,( (r- <br />Signature of Prose r's Office Date <br />Signature of Audi s Office Date <br />! Agency is not suspended/disbarred ! Not Checked (reason) <br />Grant/Contract Review Page L