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Kittitas County �. <br />Review Form <br />eas•rrn�x rF�u:�r� <br />Grants & Contract Agreement <br />Today's Date 0 f R M <br />8.5.2024 PBK Request #: �J f'(CJ <br />i <br />YJ <br />Fund/Department <br />i Agenda Date: <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: WISE <br />Period Begin Date: 7.1.24 <br />Total Grant/Contract Amount: Not to Exceed $35,000 <br />Grant/Contract Number: <br />Period End Date: 6.30.25 <br />Contract/Grant Summary: <br />Allow consultant to provide training and technical assistance specific to developmental disabilities programs. <br />Recommendation for Board of Health Review on <br />Department Head Signature: <br />Director <br />Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVSEWAS TO FORM <br />1 <br />0_/'a wyz <br />Signature of Pr secutor's Offi e Date <br />S <br />Signature of Auditor's Office <br />8-1i-zL/ <br />Date <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />® Agency is not suspended/disbarred <br />D9, -- 1 S " 2- <br />❑ Not Checked (reason) <br />Grant/Contract Review Page 1 <br />