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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G rant lnformation <br />Recommendation for Board of Health Revi ew on <br />Department Head Signature Director Date: L0 t>L) <br />V cation the contracting Agency is not suspended/Disbarred: <br />Today's Date <br />7.1726 1. r1.Lb PBI( Request #: \U0 <br />Fund/Department <br />116-Public Health Agenda Date: q lnl Lb <br />Contract /Grant Agency: Janis Fowler dba planning Dreams <br />Period Begin Date: 7.L.23 Period End Date: 6.30.24 <br />Total Grant/Contract Amount: 56,167 .34 <br />Grant/Contract Number <br />The professional services agreement outlines facilitation of person centered planning for adults receiving DDAservicesvia subcontracted employe and dayservice providers in addition to providingtechnicalassistance toemployment and day service providers around plan facilitation and plan documentation. <br />Contract/Grant Sum mary <br />Kittitas County Prosecutor, Audi tor, and Board of Health Review and Comment: <br />APPR TO <br />'/s' <br />Signatu reo f Pros r's Office Date <br />,>t/3 <br />Signature of Auditor's ce Date <br />Agency is not suspended/disbarred I Not Checked (reason) <br />U^d-lgar,A.+f <br />Grant/Contract Review Page 1