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Kittitas County <br />Review Form <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: KVO <br />PBK Request #: <br />Agenda Date: <br />M1". •IS U. <br />tl� <br />111 S iI'0[! T <br />Period Begin Date: 07.01.23 Period End Date: 06.30.24 <br />Total Grant/Contract Amount: $26,360 <br />Grant/Contract Number: <br />Contract/Grant Summary: j <br />The professional services agreement outlines contractor's scope of work for the needs of general public, <br />parents, and children or adults diagnosed with developmental disabilities. <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 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 />