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- <br />DCYF Agreement Number <br />COUNTY PROGRAM AGREEMENT <br />r <br />2163-24529 <br />dd <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 />DCYF ADMINISTRATION <br />DCYF DIVISION <br />DCYF INDEX NUMBER <br />DCYF CONTRACT CODE <br />Department of Children, Youth, <br />Children, Youth and Families <br />1225 <br />2000CC-63 <br />and Families <br />DCYF CONTACT NAME AND TITLE <br />DCYF CONTACT ADDRESS <br />Karena McGovern <br />1115 Washington St SE <br />Contract Specialist <br />OI m ia, WA 98504 <br />DCYF CONTACT TELEPHONE <br />DCYF CONTACT FAX <br />DCYF CONTACT E-MAIL <br />(360)870-5727 <br />Click here to enter text. <br />karena.mcgovernPdcyf.wa.gov <br />COUNTY NAME <br />COUNTY ADDRESS <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 - <br />Katrina Mankus <br />COUNTY COITT4A <br />COUNTY CONTACT TELEPHO E COUNTY CONTACT FAX COUNTY CONTACT E-MAIL <br />509 962-7516 <br />k itrina.mankus@co.kittitas.wa.us <br />IS THE COUNTY A SUBRECIPIEN I FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS <br />AGREEMENT? <br />No <br />PROGRAM AGREEMENT START DATE PROGRAM AGREEMENT END DATE MAXIMUM PROGRAM AGREEMENT AMOUNT <br />07/01/2021 <br />06/30/2023 $33,261.00 <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 />® Exhibits (specify): Exhibit A -Data Security Requirements; Exhibit B -Statement of Work <br />❑ No Exhibits. <br />The terms and conditionsof 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, oral <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 />upon signature bv DCYF. <br />COUNTY SIGNATURES) PRINTED NAMES) AND TITLES) DATES) SIGNED <br />c.( H6t7�`'i <br />vt� cave -t JV <br />DCYF SIGNATURE PR TED NAME AND TITLE DATE SIGNED <br />Department of Children, Youth & Families <br />2017CF County Program Agreement 6-24-20 <br />Page 1 <br />