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Kittitas County <br />Review Form NTTTITMfill14 <br />Grants &Contract Agreement <br />Today's Date <br />PA Camas Request #:04/17/2023 <br />Fund/Department Agenda Date116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency:DSHS DDD Services Agreement Amendment 2 <br />Period Begin Date:01/01/2023 Period End Date:06/30/2023 <br />Total Grant/Contract Amount:Increase of $89,756.00 for a new maximum of $1,351,040.00 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />This amendmentis for a budget increase of $89,756.00 for a new maximum of $1,351,040.00. <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