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ATTACHMENT A, DOC CONTACT INFORMATION is hereby replaced in its entirety by <br />ATTACHMENT A-1, DOC CONTACT INFORMATION, which is attached hereto and <br />incorporated by reference herein. <br />ATTACHMENT B, PREAUTHORIZATION AND MEDICAL BILLING INSTRUCTIONS is <br />hereby replaced in its entirety by ATTACHMENT B-1, PREAUTHORIZATION AND MEDICAL <br />BILLING INSTRUCTIONS, which is attached hereto and incorporated by reference herein. <br />Additions to this text are shown by underline and deletions by ((skikeeu4)). All other terms and conditions <br />remain in full force and effect. The effective date of this Amendment is January 1, 2021. <br />THIS AMENDMENT, consisting of nine (9) page(s) and two (2) attachments is executed by the persons <br />signing below who warrant that they have the authority to execute this Amendment. <br />KITTITAS COUNTY SHERIFF'S OFFICE <br />Clay 16eyers, SEerift Date <br />BOARD OF COMMISSIONERS <br />KITTITAS COUNTY, WASHINGTON <br />Brett Wachsmith, Chairperson Date <br />Laura Osiadacz, Vice -Chairman Date <br />Cory Wright, Commissioner Date <br />ATTEST; <br />Julie A. Kjorsvik, Clerk of the Board Date <br />WASHINGTON STATE DEPARTMENT OF <br />CORRECTIONS <br />Debra Eisen <br />Contracts Administrator <br />Approved as to Form: This Amendment format was approved by the office of the Attorney General. <br />Approval on file. <br />December 20, 2020 <br />Date <br />State of Washington K9561(6) Page 9 of 9 <br />Department of Corrections 209362 <br />