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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Contract/G rant I nformation <br />Recommendation for Board of Health Review on <br />Department Head Signature:Director Date <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />Agency is not suspended/disbarred ! Not Checked (reason) <br />PBK Request #0gq r <br />Today's Date <br />07 o24 <br />Agenda Date:Fund/Department <br />116-Public Health <br />Contract /Grant Agency: DSHS DDA Amendment 2 <br />Period Begin Date:1. l-'[14 Period End Date:U, 4D .26 <br />Total Grant/Contract Amount: lncrease of 5883,352.00 for a revised max of 52,001.,794.00 <br />G ra nt/Contract N u m b er : 2363-49241 Am end ment 2 <br />Contract/Gra nt Summary: <br />Funding for Kittitas County Developmental Disabilities programs including job foundations, program <br />administration, other consumer supports, and direct client services via subcontractors for Medicaid <br />funds. The amendment increases funds for the program. <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVE <br />/ <br />Signature of rosecuto Date <br />7 ,t't. ?- <br />Signature of Auditor's Date <br />Grant/Contract Review Page 1