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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G ra nt I nformation <br />Recommendation for Board of Health Review on <br />Department Head Signature:Director Date: <br />verification the contracting Agency is not suspended/Disbarred: <br />Today's Date <br />1.1./17 /2022 PA camas Request #: t"fh} t fa <br />Fund/Department <br />116-Public Health Agenda Date <br />Contract /Grant Agency: Consolidated Contract Amendment L0 <br />Period Begin Date: 01.01.2022 Period End Date: 1,2.3L2024 <br />Total Grant/Contract Amount: lncrease of 532,977.00 for a revised maximum consideration of <br />s3,706,366.00 <br />Grant/Contract N umber: CH L3 10L5 <br />Contract/Grant Su mmary: <br />The Consolidated Contract Amendment 1-0 Amends Statements of Work for the following programs: <br />Adds Statement of Work for the following program: <br />o COVIC 19 LHJ Vaccination-ARPA-Effective November L,2OZ2 <br />Exhibit B-10 Allocations, attached and incorporated by this reference, amends, and replaced Exhibit B-B <br />Allocation as follows: <br />o lncreas e of 532,97 7.00 for a revised maximum consideration for 53,706,366.00 <br />Kittitas county Prosecutor, Auditor, and Board of Health Review and comment: <br />PROVED AS F <br />v <br />Signature of se r's Date <br />Signature of tor's e Date <br />Grant/Contract Review Page 1