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o Y <br />14 y\ <br />Kittitas County <br />Review Form �-- -=-y <br />xn ITA4 rorrrr <br />Grants & Contract Agreement <br />Today's Date <br />7.17.26 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: WISE <br />Period Begin Date: 7.1.23 <br />Total Grant/Contract Amount: Not to Exceed $35,000 <br />Grant/Contract Number: <br />PBK Request #: <br />iAgenda Date: <br />Period End Date: 6.30.24 <br />Contract/Grant Summary: <br />Allow consultant to provide training and technical assistance specific to developmental disabilities programs. <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 />