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,mHt <br />l'/'rCnlailt0il Sf,tla <br />Dcpailmcnt ol Social <br />& llealth Sen'lces <br />Transforming ltves <br />COUNTY PROGRAM AGREEMENT <br />AMENDMENT <br />reement Number <br />Amendment No. <br />01 <br />DSHS Ag <br />2163-24876 <br />This ramProg AmementAgre ndts betweenby the ofState nofDepartmentSocialandHealthServicesHDSathendcs)belowidentifiedounty Agreement Number <br />Clicl< here to enter text. <br />County Agreement Number <br />on or <br />DSHS <br />Developmental Disabilities <br />Admin <br />DSHS <br />Division of Developmental <br />bilities <br />1225 <br />INDEX <br />1225 <br />Seanna Woodard <br />AND <br />wA 99205 <br />1611 W lndiana Ave <br />NTACT <br />329-2952 <br />DSHS <br />5 <br />DSHS E-MAIL <br />shs.wa <br />Kittitas County <br />Kittitas County DDA County Services <br />507 North Nanum Street Suite 102 <br />Ellen wA 98926-2886 <br />NUMBER <br />DERAL <br />Kas Knutson <br />962-7090 <br />kittitas.wa.us <br />co <br />AGREEMENT? <br />No <br />FOR OF PROGRAMTHE COUNry A SUBRECIP DA NUMB <br />47t01t2022 <br />TE <br />06t30t2023 <br />AMOUNT <br />$630,642,00 <br />IMUM oFl <br />$630,642.00 <br />OR RAM NT <br />284.00 <br />AMOUNT <br />I\4AXIMU <br />REASON F AMEND ENT; <br />CONTRACT AMOUNTERFORMANCE AND MAXCHANGE OR CORRECT PERIOD OF P <br />EXHI WhentTs th boxe below IS withmarked cha eck 4 anor theX Exhi bits are dattached ndfollowing a rethintoincorporatedSProgramAmendmAgreemententreferenceby <br />Exhibits Exh Bbit <br />This ram reementProg Amen nAg aldment,otheranduding umedoc nts referenincorporated containsceby alltheoftermsandditionscontheuponbyaschtoagreedpartiestheNoangesmotheroriginaPrograAgreementrstandinundeorntatigsoorralrepreseons,otherwise,the ectregarding matter thisofsubj m Am mentendPrograAgreementallshbedeemedexrtoorstthebindes.otherAilparti terms nd conditio ofns the ramoriginal reement atnremProgAg tnfuforceeffect.and The nparties below warrantsignis that have andreadthey thunderstand ts m ntreemePrograAgndAmentmeavehatoenterntothisAmendment. <br />['t]!"V \,'f r I Stit-(!llttY tttsttY <br />NTED NAM rTLE(S) <br />ht( b Vt <br />SIGNED <br />\lnlea <br />Tammy Layton, Contract Manager <br />D <br />8131t2022 <br />DSHS Central Contract Services <br />1769CP Contract Amendment (12-tO-zj) <br />RECEIVED <br />JUL 2 8 2022 <br />DDA SPOI(Af{E <br />Page 1