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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/Grant I nformation <br />Recommendation for Board of Health Review on <br />Department Head Signature Director Date: q zJ 2 <br />verification the contracting Agency is not suspended/Disbarred: <br />Today's Date <br />7.I7.26 PBK Request #ffiqlD <br />Fund/Department <br />116-Public Health Agenda Date Qlelzz <br />Contract /Grant Agency: KVO <br />Period Begin Date: Q7.OL23 Period End Date: 06.30.24 <br />Total Grant/Contract Amount: 526,360 <br />Grant/Contract N u mber: <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 />Contract/Grant Su m mary: <br />Kittitas County Prosecutor, Aud itor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prose r's Office Date <br />\ <br />Signature of Auditor's Office t <br />! Agency is not suspended/disbarred I Not Checked (reason) <br />Grant/Contract Review Page 1