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Am<" <br />DCYF CONTRACT NUMBER: <br />CONTRACT AMENDMENT <br />2163-24529 <br />4r <br />i-ACT and EET Program <br />Amendment No. 01 <br />Development <br />This Contract Amendment isbetweentheState ofWashington <br />Program Contract Number <br />DepartmentofChildren,Youth& Families(DCYF)andtheContractor <br />Click heretoentNutext. <br />identified below. <br />ContractorContract Number <br />CONTRACTORNAME <br />CONTRACTOR doing business as (DBA) <br />Kittitas County <br />Kittitas County Juvenile Court <br />CONTRACTORADDRESS <br />WASHINGTON UNIFORM BUS I NESS <br />DCYF INDEX NUMBER <br />Juvenile Court Services Department <br />IDENTIFIER(UBI) <br />1225 <br />205 West 5th Ave Suite 211 <br />192-002-673 <br />Ellensburg, WA 98926- <br />CONTRACTOR CONTACT <br />CONTRACTOR TELEPHONE <br />CONTRACTORFAX <br />CONTRACTOR E-MAIL ADDRESS <br />Katdna Markus <br />(509)962-7516 <br />Click hereto enter text. <br />I <br />katrina.mankus&o.kittitas.wa. <br />us <br />DCYF ADMINISTRATION <br />DCYF DIVISION <br />DCYF CONTRACT CODE <br />Department of Children, Youth, and Families <br />I Children, Youth and Families <br />2000CC-63 <br />Karena McGovern <br />1115 Washington St SE <br />Contract Specialist <br />OI m , <br />iaFAXWA 98504 <br />DCYF CONTACT TELEPHONE DCYF CONTACT DCYF CONTACT ­EMAIL-ADDRESS <br />660 870-5727 Click hereto enter text. karena.mc overn do fwa. ov <br />T HE CONT RACTOR ASUBRECIPIENIF FOR PU POSES OF THIS CONT RACT? <br />CFDA NUMBERS <br />No <br />AMENDMENTSTART DATE <br />CONTRACT END: DATE <br />09/01/2022 <br />06/30/2023 <br />$33,261.00 <br />$0.00 $33,261.00 <br />REASON FOR AMENDMENT; <br />CHANGE OR CORRECTCONTRACT TERMS OR SOW, SEE PAGE TWO <br />ATTACHMENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into <br />this Contract Amendment by reference: <br />❑ Additional Exhibits (specify): <br />This,Contract Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms <br />and conditions agreed upon by the parties as changes to the original Contract. No other understandings or <br />representations, oral or otherwise; regarding the subject matter of this Contract Amendment shall be deemed to exist or <br />bind theparties. All other terms and conditions of the original Contract remain in full force and effect. The parties signing <br />below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract <br />Amert0went. <br />CO RACTO SIG URE <br />PRINTED NA EAND TITLE <br />DATESIGNED <br />u ti�vLowf[sLd, �udgc <br />PRINTEDNAMEANDTITLE <br />�o-7-(( <br />DATE SIGNED <br />DCYF SIGNATURE <br />Department of Children, Youth & Families Page 1 <br />2024 PF Contract Amendment (8-1-2019) <br />