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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G rant lnformation <br />Recommendation for Board of Health Review on <br />Department Head Signature:Director Date <br />(n L3 <br />verification the contracting Agency is not suspended/Disbarred: <br />Today's Date <br />1.212s/2022 PA camas Request o,66LDb <br />Fund/Department <br />116-Public Health Agenda Date <br />Contract /Grant Agency: Consolidated Contract Amendment L1 <br />Period Begin Date: O1..0L2O22 Period End Date: L2.31.2O24 <br />Total Grant/Contract Amount: lncrease of S 25,878.00 for a revised maximum consideration of v53,732,244.00 <br />Grant/Contract Number: CH131015 <br />The Consolidated Contract Amendment L0 Amends Statements of Work for the following programs: <br />Amends the Statements of Work for the following programs:o DCHS - ELC COVTD-19 Response - Effective January 1",2022 <br />o office of Drinking water Group B programs - Effective January i-,2022o office of lmmunization coVlD-19 Vaccine - Effective January L,2ozz <br />Exhibit B-l-0Allocations, attached and incorporated bythis reference, amends, and replaced Exhibit B-g <br />Allocation as follows: <br />o lncrease of 525,828.00 for a revised maximum consideration for 53,732,24q,00 <br />Contract/G ra nt Su m mary <br />Kittitas County Prosecutor, Aud itor, and Board of Health Review and Comment: <br />APP FO <br />Signature of rosecu r's Offi Date <br />J <br />Signature of Auditor's ce Dat <br />Agency is not suspended/disbarred I Not Checked (reason) <br />Grant/Contract Review Page 1