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Kittitas County <br />Review Form,T,T,,,,,,.,, --� <br />Grants & Contract Agreement <br />Today's Date PBK Request #: <br />02/22/2024 <br />Fund/Department Agenda Date: <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: PSA Between KCPHD and Ability Employment Services <br />l Period Begin Date: 03/01/2024 Period End Date: 06/30/2024 <br />Total Grant/Contract Amount: Compensation is based on actual services provided and is subject to <br />funding. <br />Grant/Contract Number: DD-24-0002 <br />Contract/Grant Summary: <br />The professional services agreement is to establish a subcontracted employment and day services <br />provider for people with developmental disabilities in Kittitas County per the county's responsibilities <br />outlined in attachments. <br />Recommendation for Board of Health Review on <br />Department Head Signature: , Director Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office <br />Date <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />❑ Agency is not suspended/disbarred <br />❑ Not Checked (reason) <br />Grant/Contract Review Page 1 <br />