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{ <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G ra nt I nformation <br />Recommendation for Board of Hea Ith Review on <br />Department Head Signature Director Date: 6 I 23 <br />Verification the Contracting Agency ig not Sus pended/Disbarred: <br />Today's Date <br />6.26.23 PBK Reque 't*|ftQVLFund/Depa rtment <br />116-Public Health Agenda Date: <br />oc trn act faG nt n Deve oAge ne at D s bcy:ti Ades m npm ist orati n D DA <br />Period Begin Date:July I,ZO2g Period End Date: June3O,ZO24 <br />Total G ra nt/Contract Amount: $954,939.00 <br />Grant/Contract N u m ber: <br />Funding for Kittitas county Developmental Disabilities programs including job foundations, programadministration, other consumer supports, and direct client services via subcontractors for Medicaid <br />fu n ds. <br />Contract/G rant Su m mary: <br />Kittitas County prosecutor, Auditor, and Board of Health Review and Comment: <br />PROV M <br />Signature of Pros tor's Office Date <br />Signature of Auditor's e <br />! Agency is not suspended/disbarred f Not Checked (reason) <br />Grant/Contract Review <br />Page L