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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G rant lnformation <br />Recommendation for Board of Health Revi ew on <br />Department Head Signature:Director Date 7p <br />verification the contracting Agency is not suspended/Disbarred: <br />Today's Date <br />June L, 2023 PA Camas Request #:h\L n <br />Fund/Department <br />116-Public Health Agenda Date: <br />contract /Grant Agency: psA Amendment- comprehensive Healthcare <br />Period Begin Date: December t,2O2Z Period End Date: October 3j.,2023 <br />Total Grant/Contract Amount: S25,000.00 <br />Gra nt/Contract Nu mber: <br />The purpose of the no-cost amendment to the Professional Services Agreement between <br />Comprehensive Healthcare and KCPHD is to remove the budget categories and update compensation <br />language. The updated Exhibit B reflects the removal of budget categories and updated compensation <br />language, <br />Contract/G rant Sum mary <br />Kittitas County Prosecuto r, Auditor, and Board of Health Review and Comment <br />APPROVED AS TO F ORM: <br />t 4-RECElVED <br />Jl,t _S fti;ij <br />""^'f HH,f,3,!!['n,*, <br />Signature of P ecutor's Office e <br />Signature of Auditor's Office Dat <br />Agency is not suspended/disbarred I Not Checked (reason) <br />Savn.3ov c'l,vau,A- t" I a-l>AaJ <br />ProfessionaI Service Agreement Amendment No. j.Page L