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Washington StateCONTRACT HCA Contract No.: K763 Health CareAljf�ho'rityAMENDMENT Amendment No.: 03 For ABCD Dental Services Kittitas County THIS AMENDMENT TO THE CONTRACT is between the Washington State Health Care Authority and the party whose name appears below, and is effective as of the date set forth below. CONTRACTOR NAME Kittitas County Public Health Network CONTRACTOR ADDRESS 507 North Nanum Street, Suite 201, Ellensburg, WA 98926 CONTRACTOR CONTACT Kasey Knutson CONTRACTOR CONTACT EMAIL ADDRESS kasey.knutson@co.kittitas.wa.us WHEREAS, HCA and Contractor previously entered into a Contract for utilization of dental services early in life, improved oral health, and Apple Health/Medicaid cost savings, and; WHEREAS, HCA and Contractor wish to amend the Contract pursuant to Section 4 Consideration and Section 5 Term, and; NOW THEREFORE, the parties agree the Contract is amended as follows: 1. Section 4. Special Terms and Conditions. Consideration. The consideration is increased by the same amount allocated from the previous contract period. Maximum consideration is hereby increased for this amendment by $4,750. 2. Section 5. Special Terms and Conditions. Term. The period of performance is hereby extended from January 1, 2018 through June 30, 2018. 3. This Amendment will be effective January 1, 2018 ("Effective Date"). 4. All capitalized terms not otherwise defined herein have the meaning ascribed to them in the Contract. 5. All other terms and conditions of the Contract remain unchanged and in full force and effect. The parties signing below warrant that they have read and understand this Amendment and have authority to execute the Amendment. This Amendment will be binding on HCA only upon signature by HCA. CONTRACTOR SIGNATURE PRINTED NAME AND TITLE DATE SIGNED HCA SIGNATURE PRINTED NAME AND TITLE DATE SIGNED James W. Gayton Contracts Administrator HCA Contract No.«Contract—Number)) Page 1 of 1