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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G rant I nformation <br />Recommendation for Board of Health Review on <br />Department Head Signature Director Date t"lw I <br />t L\ <br />verification the contracting Agency is not suspended/Disbarred: <br />Today's Date <br />05.1.6.2023 PA Camas Request #)-'Fund/Depa rtment <br />L16-Public Health Lr\2ulzzAgenda Date <br />ntCo ra ct G ar tn raRu Hn ea ht UAge G nra tcyEq with aW hs nity n State De a mrt ntegto Hof ae hItp <br />Period Begin Date Period End Date: 05.3L2024 <br />Total Grant/Contract Amount: $300 ,000 <br />Gra nt/Contract N umber: GV126649 <br />No cost extension through May 3L, 2024, for Rural Health Equity Grant to lead and coordinate efforts toreduce covidLg related health disparities at the community level as described in centers for Diseasecontrol and Prevention (cDC) Grant National lnitiative to Address covlD-19 Health Disparities AmongPopulations at High-Risk and underserved, lncluding Racial and Ethnic Minority populations and Rural <br />Co m m u n ities (CDC- R F A-OT 21,-2j"03). <br />Contract/G rant Su m mary: <br />Kittitas County Prosecutor, Aud itor, and Board of Health Review and Comment: <br />PROV TOF <br />{?-L8+*z <br />Signature of utor's Office Date <br />Signature of Auditor's Office e <br />Agency is not suspended/disbarred f litpt Checked (reason) <br />Grant/Contract Review Page 1-