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c <br />Kittitas County public Health <br />Contract/Agreement Review Form <br />Kittitas Couity <br />Public Health <br />Departnent <br />Today's Date 2127t2025 b$Legal Request #: <br />Fund/Department:1/1Oth of Mental Health Tax Agenda Date: <br />ment lnformation <br />Agreement Agency: Upper Kittitas Centennial CenterContract/ <br />Contract/Agreement Title: PSA betWeen U r Kittitas Centennial Center <br />Begin Date: 0110112025 End Date: 1213112026 <br />TotalS Amount: $272 ,353.00 Contract/Agreement *: PHMH-01 2 <br />1/1oth of 1o/o Mental Health and Chemical Dependency Tax funding award to implement theAccess Plus: Serving Our Seniors and Heroes program. <br />Contract/Agreement Summa ry <br />'p{ <br />R <br />J <br />Kittitas Cou Pros ecutor a Aund itordnty ewRevi dan ent:Comm <br />Sign ature of <br />l't 'z - <br />Date <br />Signature Auditor's Offi ce Date <br />Information <br />Revenue Code(s)105 - 560.3134000 <br />Expense Code(s)105 - 560.54101 <br />t/Agency is not suspended/disbarred Not Checked (reason) <br />Agency to Pass Through <br />Amount to Pass Through Expense Code <br />Sub-Contract Approved Date <br />Pass Throu Information <br />ADMTN I Version:0 Supersedes: 0 Date Adopted i 12/OI/2024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers