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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />5.18.2023 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Compass <br />PA Camas Request #: <br />Agenda Date: <br />qb[5.. <br />Mrrrm,r{ii ni <br />Period Begin Date: 6.1.2023 1 Period End Date: 6.30.2024 <br />Total Grant/Contract Amount: Compensation shall be based on actual services provided and is subject <br />to funding. Only DDA approved services will be covered. <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The professional services agreement is to establish subcontracted employment and day services for <br />people with developmental disabilities in Kittitas County per the county's responsibilities as outlined in <br />attachments. <br />Recommendation for Board of Health Review on <br />Department Head Signature: <br />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 <br />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 <br />