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Kittitas County Public Health <br />Contract/Agreement Review Form <br />• <br />kPUtas County <br />blic Health <br />Department <br />Today's Date: <br />12/04/2024 <br />Legal Request#: <br />Fund/Department: <br />1/10th of Mental Health Tax <br />I Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Kittitas County Recovery Community Organization <br />Contract/Agreement Title: KCRCO Expansion of Services <br />Begin Date: 01/01/2025 r End Date: 12/31/2026 <br />Total $ Amount: $201,972.00 Contract/Agreement #: PHMH-004 <br />Contract/Agreement Summary: <br />1/10th of 1% Mental Health and Chemical Dependency Tax funding award to expand the <br />KCRCO Services in Kittitas County as proposed in the 2024 RFP Application. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />Signature of <br />LW Signature J�'s Office <br />0-4—+ Infnr-mnfinn <br />Date <br />-/7-2 �5— <br />Revenue Code(s): <br />105 - 560.3134000 <br />Expense Code(s): <br />105 - 560.54101 <br />0 <br />Agency is not suspended/disbarred. <br />Not Checked (reason) <br />Pass Through Information <br />Agency to Pass Through l <br />Amount to Pass Through Expense Code: <br />Sub -Contract Approved Date: <br />ADMIN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />