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Service Agreement #22-20 Amendment #1 <br />Between <br />WALLA WALLA COUNTY DEPARTMENTOF COMMUNITYHEALTH <br />And <br />KITTITAS COUNTYPUBLIC HEALTH DEPARTMENT <br />Agreement 22-20 by and between Walla Walla County Department of Community Health, <br />hereinafter "County,"and KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT <br />hereinafter "Contractor,"is amended as follows and in the attached Exhibit A Statement of <br />Work,Exhibit B Budget,and Exhibit F Reporting Requirements. <br />Amendment 1:Amends Statement of Work and Budget eligible tasks <br />Adds $14,000 in funding,for a new total of $32,500 <br />Replaces Exhibit E Report Form with Exhibit F <br />Attachments:Exhibit A -Statement of Work <br />Exhibit B -Budget <br />Exhibit F -Reporting Requirements <br />Exhibit G -YCCTPP 2022-23 Implementation Guide,page 28 <br />All other conditions of Service agreement #22-20 remain in full force and effect. <br />By their signatures below,the parties agree to the terms and conditions of this Agreement and all <br />documents incorporated by reference.The parties signing below certify that they are authorized <br />to sign this Agreement. <br />IN WITNESS WHEREOF,the parties hereto have signed this Agreement. <br />COUNTY:CONTRACTOR: <br />Chairman/Vice-Chairman Date Authorized By Date <br />Walla Walla County Board of Commissioners <br />c/o Department of Community Health <br />314 W Main Street <br />Chelsey Loeffers,Director <br />Walla Walla,WA 99362 Print Name &Title of Person Signing <br />Phone:(509)524-2650 Fax:(509)524-2642 <br />Telephone Number /Email Address:509-962-7515 /chelsey.loeffers@co.kittitas.wa.us <br />Mailing Address (Street address required in addition to PO Box ):507 N.Nanum,#102 <br />Ellensburg,WA 98926-2886 <br />CFDA#(if applicable):n/a UBI#: <br />State Industrial Account ID #(if applicable):004.093-00 <br />22-20.1 GT&C Kittitas YCCTPP 1 of 1