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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/Grant lnformation <br />Recommendation for Board of Ith Review on <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />Agency is not suspended/disbarred fl Not Checked (reason) <br />Today's Date <br />t2/7s/2O2L PA Camas Request #:'W \3'i€ f- <br />Fund/Department <br />116-Public Health Agenda Date: t'"1 6 )) <br />Contract /Grant Agency: Central Washington Disability Resources <br />Period Begin Date: 11l05/2O2O Period End Date: 06/30/2022 <br />Total Grant/Contract Amount: NTE S82,997.42 <br />G rant/Contract N u mber: <br />Contract/G ra nt Su m mary: <br />Contractor agrees to provide to the County services and any materials set forth in the project narrative <br />identified in Exhibit "A" during the Agreement period. No material, labor, or facilities will be furnished <br />by the County, unless otherwise provided for in the Agreement. <br />o Amendment extends contract end date to O6/30/2022 <br />Department Head Sign re Director Date <br />Signature of Auditor's Office <br />a7 L "L <br />ce <br />Auditor, and Board of Health Review and Comment: <br />Sign ature of P <br />Kittitas County P <br />TOF <br />Grant/Contract Review Page 1