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CONTRAGT AMENDMENT <br />Consolidated Contract <br />DCYF CONTRACT NUMBER <br />2163-22205 <br />Amendment No. 01 <br />This Contract Ame ndment is between the State of Washington <br />Departnnnt of Children, Youth & Families (DCYF) and the Contractor <br />identified below. <br />Program (jontract Num ber <br />{l}i*h i:ilt* lr} *iltr::r'i'i:sl <br />Contractor Contract Num ber <br />Kittitas County <br />CONTRACTOR NAME CONTRACTOR doi ng busi nessas (DBA) <br />UQN I KAG I OR AIJIJRTSS <br />Rm 211 Kittitas Co Courthouse <br />205 W Fifth St <br />Ellensburg, WA 98926 <br />WASHING I ON UNIFORM BUSINESS <br />TDENTIFIER (UBr) <br />192-002-673 <br />DCYF INDEX NUMI]ER <br />1225 <br />CONTRACTOR CONTACT <br />Katrina Mankus <br />CONIRACIOR]ELEPHONE <br />(509) 962-7516 <br />CONTRACTOR FAX CON I RACTOR E.MAIL ADDRESS <br />katri na. mank us@co.kittitas.wa. <br />US <br />DCYF ADMINISTRATION <br />Depadment of Children, Youth, and Families <br />DCYF DIVISION <br />Children, Youth and Families <br />DCYF CONTRACT CODE <br />2072C5-63 <br />LJUYF UONIAOI NAMTAND IITLE <br />Karena McGorern <br />Contract Specialist <br />IJUYF L;ON I AC I AI]DRT,SS <br />11 15 Washington St SE <br />Olympia, WA 98504 <br />IJCYI- CONTACT TELEPHONE <br />(360)870-5727 <br />I]CYF CONTACT FAX <br />{;iii:h ir*:e i{} +*l{*;'l#xt karena.m cgolern@dcyf.wa.gov <br />DCYF CONTACT E-MAIL ADDRESS <br />IS THE CONTRACTORA SUBRECIPIENT FORPffi <br />No <br />CFDA NUMI]ERS <br />AMENDMENTSTART DATE <br />06113t2022 <br />CON"IRACT ENO DAIE <br />06t30t2023 <br />rKIUK IVIA IIVIUM UUN I KAU I AMOUN T <br />$0.00 <br />AMUUN I OF INURTAST OR DECREASE <br />$2,000.00 <br />I \J I AL IVIAAIIVIUIV U(JN I KAgI AMUUN I <br />$2,000.00 <br />CHANGE OR CORRECTOTHER: SEE PAGE TWO <br />REASON I.OR AM ENDN/ ENT; <br />anges to the origi <br />subject matter of <br />gAmendment,I Exhibits an cuments incorporat reference, con NS the termsand conditions agreed upon by the parties as ch nal Contract. No other understandi ngs orrepresentations, oral or othenrrise, regarding the this Contract Amendment shall be deemed to exist orbind the parties. All other terms and conditions of the original Contract remain in full force and effect. The parties sign ingbelow warrant that they har,e read and understa nd this Contract Amendment, and haw authority to enter i nto this ContractAmendment <br />CONTRACTOR SIGNATURE <br />€.-t{ <br />Pr< s.PrrbSJra*day <br />Ca'&,-Wi <br />5-+< <br />PRINTED NAIVE AND TITLE L <br />.L 6. <br />R-s <br />DATE SIGNED <br />r">7>4 <br />PRINTED NAME AND-TITLE <br />v <br />DATE SIGNED <br />V- tY.-7D A <br />DeparhTent of Children, youh & Families <br />2024P F Conlract Amend ment (B-1 -20 1 9) <br />hn+t*,*t 7f>"-q'"-); I l( <br />I <br />Page 1