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DoeuSign Envelope ID: 2A330111-63A7-4837-94A9-4126DA2ACCD4 <br />Department of Chlider, Youth & Families <br />2017CF County Program Agreement (8-1-2619) Page 1 <br />DCYF Agreement Number <br />' <br />COUNTY PROGRAM AGREEMENT <br />2063-83711 <br />i -ACT Program Development <br />This Program Agreement is by and between the State of Washington <br />Administration or Division <br />Department of Children, Youth & Families (DCYF) and the County identified <br />Agreement Number <br />below, and is issued in conjunction with a County and DCYF Agreement on <br />General Terms and Conditions, which is incorporated by reference. <br />County Agreement Number <br />DCYFADMINISTRATION <br />DCYF DIVISION <br />DCYF INDEX NUMBER <br />DCYF CONTRACTCODE <br />Department of Cl Youth, <br />Children, Youth and Families <br />1225 <br />20DOCC-63 <br />and Families <br />DCYF CONTACT NAME AND TITLE <br />DCYF CONTACT ADDRESS <br />Rachel Denney <br />11'15 Washington St SE <br />Contact Manager <br />OI m is WA 9850$ <br />DCYF CONTACT TELEPHONE <br />DCYF CONTACT FAX <br />DCYF CONTACT E-MAIL <br />(360)688-6803 <br />Dick here, two, 'wXL <br />Rachel.Denney@dcyf,wa.gov <br />COUNTY NAME <br />COUNTYADDRF,.SS <br />Kittitas County <br />Juvenile Court Services Department <br />205 West 5th Ave Suite 211 <br />Ellensburg, WA 98926 <br />COUNTY FEDERAL EMPLOYER IDENTIFICATION <br />COUNTY CONTACT NAME <br />NUMBER —73 _ <br />Katrina Mankus <br />COUNTY CONTACT TELEP ONE <br />COUNTY CONTACT FAX COUNTY CONTACT E-MAIL <br />509 962-7516 <br />1 1 katritia,mankLis@co,kitUtas.wa.us <br />IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM - <br />CFDA NUMBERS <br />AGREEMENT? <br />No <br />PROGRAM AGREEMENT START DATE <br />PROGRAM AGREEMENT END DATE: <br />MAXIMUM PROGRAM AGREEMENTAMOUNT <br />03/01/2020 <br />06/30/2020$4.000.00 <br />EXHIBITS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into this <br />County Program Agreement by reference: <br />JE Exhibits (specify): Exhibit A -Data Security Requirements; Exhibit B -Statement of Work <br />❑ No Exhibits.. <br />The terms and conditions of this Contract are an integration and representation of the final, entire and exclusive <br />understanding between the parties superseding and merging all previous agreements, writings, and communications, Olaf <br />or otherwise, regarding the subject matter of this Contract. The parties signing below represent that they have read and <br />understand this Contract, and have the authority to execute this Contract. This Contract shall be binding on DCYF only <br />uponsg9ature b DCYF. <br />CO3IGNATUR S) <br />PRINTED NAME(S) ANDTiTLE(S) <br />DATE(S)SIGNED <br />R'e �L <br />56 -v -H <br />DCYF SIGNATURE <br />PRINTED NAME AND TITLE <br />DATE SIGNED <br />Department of Chlider, Youth & Families <br />2017CF County Program Agreement (8-1-2619) Page 1 <br />