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Kittitas County <br />Review Form <br />Grants &Contract Agreement <br />Today's Date <br />PA Camas Request #:04/06/2023 <br />Fund/Department Agenda Date:116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency:Hopesource <br />Period Begin Date:10/15/2022 Period End Date:10/15/2023 <br />Total Grant/Contract Amount:$150.00 per night <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />•This PSA is to contract with HopeSource to coordinate housing in local hotels/motelsand basic <br />needs for individuals and families who are under isolation or quarantine orders due to COVID- <br />19 and are not able to safely remain at their residence or are currently experiencing <br />homelessness. <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 O Not Checked (reason) <br />Grant/Contract Review Page 1