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o <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Klttitas County <br />Public Health <br />Department <br />Today's Date 12tO412024 ffi r-egal Request #:\\ l-l-ll r <br />Fund/Department:1/1Oth of Mental Health faxffi Agenda Date <br />f <br />ent lnformation <br />Budget lnformation <br />Pass Th lnformation <br />Contract/Agreement Agency: Comprehensive Healthcare <br />Contract/Agreement Title: KVH Crisis Case Manager Program Expansion <br />Begin Date: 0110112025 End Date: 1213112026 <br />Contract/Agreement +: PH M H-002Total S Amount: $416,003.52 <br />Contract/Agreement Summa ry: <br />1/1Oth of 1% Mental Health and Chemical Dependency Tax funding award to Comprehensive <br />Healthcare to expand the Crisis Care Manager Program hours at KVH. <br />Kittitas County Prosecutor and Auditor Review and Comment <br />APPROVED AS TO FORM: <br />/-// af <br />Signatuievof P/osecutoFs office / <br />Aa-*|/r*r?n,ps <br />Date <br />l'17 Lr <br />Signature of Auditor's Office Date <br />Revenue Code(s)105 - 560.3134000 <br />Expense Code(s)105 - 560.54101 <br />Agency is not suspended/disbarre d A"*Not Checked (reason) <br />Agency to Pass Through <br />Expense Code:Amount to Pass Through <br />Sub-Contract Approved Date: <br />ADMIN Version:0 Supersedes: 0 Date Adopted : 12/ 01,/2024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers