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DSHS DDA Final
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2022
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07. July
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2022-07-19 10:00 AM - Commissioners' Agenda
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DSHS DDA Final
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Last modified
7/14/2022 1:23:15 PM
Creation date
7/14/2022 1:22:40 PM
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Meeting
Date
7/19/2022
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
e
Item
Request to Approve an Amendment to the Program Agreement between the State of Washington Department of Social & Health Services Developmental Disabilities Administration and Kittitas County
Order
5
Placement
Consent Agenda
Row ID
91496
Type
Agreement
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DSHSAgreementNumberosmaaronso"COUNTYPROGRAMAGREEMENT2163-24876DepartmentofSocial&HealthServicesAMENDMENTAmendmentNo.Transforminglives01ThisProgramAgreementAmendmentisbyandbetweentheStateofWashingtonAdministrationorDivisionDepartmentofSocialandHealthServices(DSHS)andtheCountyidentifiedbelow.AgreementNumberClickheretoentertext.CountyAgreementNumberDSHSADMINISTRATIONDSHSDIVISIONDSHSINDEXNUMBERCCSCONTRACTCODEDevelopmentalDisabilitiesDivisionofDevelopmental12251225AdminDisabilitiesDSHSCONTACTNAMEANDTITLEDSHSCONTACTADDRESSSeannaWoodard1611WIndianaAveSpokane,WA99205DSHSCONTACTTELEPHONEDSHSCONTACTFAXDSHSCONTACTE-MAIL(509)329-2952(509)568-3037woodas@dshs.wa.govICOUNTYNAMECOUNTYADDRESSKittitasCounty507NorthNanumStreetSuite102KittitasCountyDDACountyServicesEllensburg,WA98926-2886COUNTYFEDERALEMPLOYERIDENTIFICATIONCOUNTYCONTACTNAMENUMBERKaseyKnutsonCOUNTYCONTACTTELEPHONECOUNTYCONTACTFAXCOUNTYCONTACTE-MAIL(509)962-7090(509)962-5883kasey.knutson@co.kittitas.wa.usISTHECOUNTYASUBRECIPIENTFORPURPOSESOFTHISPROGRAMCFDANUMBERSAGREEMENT?NoAMENDMENTSTARTDATEPROGRAMAGREEMENTENDDATE07/01/202206/30/2023PRIORMAXIMUMPROGRAMAGREEMENTAMOUNTOFINCREASEORDECREASETOTALMAXIMUMPROGRAMAGREEMENTAMOUNTAMOUNT$630,642.00$630,642.00$1,261,284.00REASONFORAMENDMENT;CHANGEORCORRECTPERIODOFPERFORMANCEANDMAXCONTRACTAMOUNTEXHIBITS.Whenthebo×belowismarkedwithacheck(4)oranX,thefollowingExhibitsareattachedandareincorporatedintothisProgramAgreementAmendmentbyreference:Exhibits(specify):ExhibitBThisProgramAgreementAmendment,includingallExhibitsandotherdocumentsincorporatedbyreference,containsallofthetermsandconditionsagreeduponbythepartiesaschangestotheoriginalProgramAgreement.Nootherunderstandingsorrepresentations,oralorotherwise,regardingthesubjectmatterofthisProgramAgreementAmendmentshallbedeemedtoexistorbindtheparties.AllothertermsandconditionsoftheoriginalProgramAgreementremaininfullforceandeffect.ThepartiessigningbelowwarrantthattheyhavereadandunderstandthisProgramAgreementAmendment,andhaveauthoritytoenterintothisProgramAgreementAmendment.COUNTYSIGNATURE(S)PRINTEDNAME(S)ANDTITLE(S)DATE(S)SIGNEDDSHSSIGNATUREPRINTEDNAMEANDTITLEDATESIGNEDDSHSCentralContractServices1769CPContractAmendment(12-10-21)Page1
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