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Professional Service Agreement Amendment No.2 Page 1 <br /> <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br /> <br />Today’s Date <br />November 30, 2023 <br /> PA Camas Request #: <br />Fund/Department <br />116-Public Health <br /> Agenda Date: <br /> <br />Contract/Grant Information <br />Contract /Grant Agency: PSA Amendment- WISE <br />Period Begin Date: July 1, 2023 Period End Date: June 30, 2024 <br />Total Grant/Contract Amount: Not to Exceed $35,000 <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />Allow consultant to provide training and technical assistance specific to developmental disabilities <br />programs. <br /> <br /> <br /> <br />Recommendation for Board of Health Review on _____ <br /> <br /> <br />Department Head Signature: ___________________________, Director Date:_________________ <br /> <br /> <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br /> <br /> <br />_________________________________________ <br />Signature of Prosecutor’s Office Date <br /> <br /> <br />________________________________________________ <br />Signature of Auditor’s Office Date <br /> <br />Verification the Contracting Agency is not Suspended/Disbarred: <br /> Agency is not suspended/disbarred Not Checked (reason) <br /> <br /> <br />