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11 <br />Kittitas County Public Health idKittita5 `° Lint ' <br />Public Health <br />Contract/Agreement Review Form I NklooDe oa rtment <br />Today's Date: 2/27/2025 fA <br />egal Request #: 11362 <br />L Fund/Department: 1/10th of Mental Health Tax genda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Thorp School District <br />Contract/Agreement Title: Amendment 1 to PSA between Thorp School District and Kittitas County <br />Begin Date: 01/01/2025 End Date: 12/31/2025 <br />Total $ Amount: $54,350.00 Contract/Agreement #: PHMH-008 <br />Contract/Agreement Summary: <br />1 /10th funding to Thorp School district to contract with a licensed mental health care provider to <br />provide mental health services to the students in Thorp School District. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPRnVI-D AS TO FORM: <br />Sign <br />LI <br />Signature of Auditor's Office <br />Midopt Information <br />Revenue Code(s): 105 - 560.3134000 <br />Expense Code(s): 105 - 560.54101 <br />❑� Agency is not suspended/disbarred Not Checked (reason) <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through I I Expense Code: <br />Sub -Contract Approved Date: <br />Date <br />3•(o <br />Date <br />ADMIN I Version: 0 1 Supersedes: 0 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />