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DSHS Agreement Number <br />2463-57835COUNTY PROGRAM AGREEMENT <br />STW Program DeveloPmentHi <br />,Vashingion S!2!9 <br />Department of Social <br />& Health Services <br />Transforming lives <br />Agreement Number <br />County Agreement Number <br />Administration orWasofhithenStateisbetweengtonandISThPbyAgreementrogram <br />oc identifiedtheandSeHealthuntyrvicesSocialofd(DsHS)anftmentDepa OnreementHSDSandwithctionaAgtscoinCountyandissuednJunbelow <br />ce.referenrncolswhichrporatedsConditionsndTermGeneral <br />DS <br />1225Division of Vocational <br />Rehabilitation <br />Division of Vocational <br />Rehabilitation <br />oSHs cotuinqcr coDE <br />8500cc-63 <br />AND TI <br />Austin.DiazMu200-2812 <br />NT <br />DSHS s.OVCiicl< irere io entei-texi. <br />4565 7th Ave SE <br />wA 98503 <br />CONTACT <br />Austin Diaz-Munoz <br />Contracts SPecialist <br />COUNTY ADDRESS <br />507 North Nanum Street Suite '102 <br />Ellensbu wA 98926-2886-COUf{W <br />trtRtUe <br />Kittitas CountY <br />cduffiFED€RAL EMPLoYER IDENrlFlcATloN <br />NUMEER <br />kittitas.wa-us962-7515 <br />FOR PURPOSES <br />E-IVlAI <br />NUANCEA <br />0 <br />PROGRAM <br />cou s62-7581 <br />THE <br />AGREEiUENT? <br />No <br />$101 ,700.00 <br />MAmLTTvtpRoGRAM AGRreuErut euo ut'ttTRocR.aM AGREEMEilTEwo onre <br />]st3112025 <br />TFbGmtrt aeREEMEllr srARr DArE <br />0810112024 <br />County Program Agreement by reference: <br />X iriioitJ (specity): Exhinit A - Data Security Requirements Exhibit B - Estimated Bi-Annual Budset <br />into thisand are incorPoratedan X, the following Exhibits are attachedBITS. When the box below is marked <br />No Exhibits. <br />DSHS <br />SIVEuexclfinaentirethenofandanarerepresentatioContractofitionsintegrationdancondsThetermmunicati oralonsdcomanwritings,n alland agreementsthertiCSmergsprevrouSbetweensupersedingpanderstandingu ndahavereadthattheybelowrepresentTheContract.ngofmatterthissignipartiestheothenviseorubjectregarding JDSH ononshalbindibe lyThsntractngCoiSthContract.executetondavehtheuthori$this Contract,understand <br />tt lz lzl <br />SIGNEDAND <br />ch ?b <br />DATE <br />\\/ rrus\in Dat <br />E AND ecnrtccrck, <br />Jncr <br />REHS SI <br />DSHS Central Contract Services <br />6C 1 7CF County Prograrn Agreement (1 0-31 "201 7) <br />Paqe '1