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Kittitas County ' <br />Review Form <br />Grants &Contract Agreement <br />Today's Date PA Camas Request #:12/13/2022 <br />Fund/Department Agenda Date:116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency:PSA between Kittitas County and Thorp School District Amendment 1 <br />Period Begin Date:8/1/2022 Period End Date:07/31/2023 <br />Total Grant/Contract Amount:25,000.00 (Increase from original amount of $12,500.00) <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The amendment to the PSA between Kittitas County and Thorp School District increases the total award <br />amount from $12,500.00 to $25,000.00. <br />Recommendation for Board of Health Review on <br />Department Head Signature:,Director Date: <br />Kittitas County Prosecutor,Auditor,and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office Date <br />Verification the contracting Agency is not Suspended/Disbarred: <br />Agency is not suspended/disbarred Not Checked (reason) <br />Grant/Contract Review Page 1