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CONTRACT AMENDMENT <br />Transforming lives <br />DSHS CONTRACT NUMBER: <br />1763-98187 <br />Amendment No. 02 <br />This Contract Amendment is between the State of Washington Department of <br />Social and Health Services (DSHS) and the Contractor identified below. <br />Program Contract Number <br />Click here to enter tex t. <br />Contractor Contract Number <br />CONTRACTOR NAME <br />Kittitas County <br />CONTRACTOR ADDRESS <br />507 North Nanum Street Suite 102 <br />Ellensbur , WA 98926-2886 <br />CONTRACTOR CONTACT <br />Joann Schaan <br />DSHS ADMINISTRATION <br />Developmental Disabilities Admin <br />DSHS CONTACT NAME AND TITLE <br />Seanna Woodard <br />Operations Manager <br />DSHS CONTACT TELEPHONE <br />509 329-2952 <br />CONTRACTOR doing business as (DBA) <br />Kittitas County DDA County Services <br />WASHINGTON UNIFORM BUSINESS DSHS INDEX NUMBER <br />IDENTIFIER (UBI) 1225 <br />192-002-673 <br />CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS <br />509) 933-8233 Click here to enter text. Click here to enter text. <br />DSHS DIVISION DSHS CONTRACT CODE <br />Division of Developmental 1769CS-63 <br />Disabilities <br />DSHS CONTACT ADDRESS <br />1611 W Indiana Ave <br />S okane , WA 99205 <br />DSHS CONTACT FAX <br />509 568-3037 <br />IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? <br />No <br />AMENDMENT START DATE CONTRACT END DATE <br />05/01/2018 06/30/2018 <br />PRIOR MAXIMUM CONTRACT AMOUNT <br />$835,289.00 <br />REASON FOR AMENDMENT; <br />AMOUNT OF INCREASE OR DECREASE <br />$-8,442.00 <br />CHANGE OR CORRECT MAXIMUM CONTRACT AMOUNT <br />TOTAL MAXIMUM CONTRACT AMOUNT <br />$826,847.00 <br />ATTACHMENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into <br />this Contract Amendment by reference: <br />_cg] Additional Exhibits specif : Exhibit B <br />This Contract Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms <br />and conditions agreed upon by the parties as changes to the original Contract. No other understandings or <br />representations, oral or otherwise, regarding the subject matter of this Contract Amendment shall be deemed to exist or <br />bind the parties. All other terms and conditions of the original Contract remain in full force and effect. The parties signing <br />below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract <br />Amendment. <br />CONTB.AC:ro PRINTED NAME AND TITLE DATE SIGNED ,. ·0 J;-7 I <br />Melissa Di ebert. Contract S ec_ialist <br />20\ <br />DSHS Central Contract Services Page 1 <br />6024PF Contract Amendment (1-26-2018) I »•·-