Laserfiche WebLink
o <br />Kittiia5 CauityKittitas County Public Health <br />Contract/Agreement Review Form <br />Public Health <br />Departrrreit <br />Today's Date:2t27t2025 ffi Legal Request #:11 362 <br />Fund/Department:1/1Oth of Mental Health Tax ffi Agenda Date <br />Contract/Agreement Agency: Ellensburg School District (ESD) <br />Contract/Agreeme ntTitle: Amendment 1 to PSA between ESD and Kittitas County <br />End Date: 1213112026Begin Date: 0110112025 <br />Contract/Agreement *: PHMH-01 0Total g Amount: $31 3,750.00 <br />Contract/Agreement Sum ma rY: <br />1/1Oth funding to Ellensburg School district to contract with a licensed mental health care <br />provider to pr6vide mental health services to the students in Ellensburg School District. <br />Conffact/ent lnformation <br />B lnformation <br />Pass Thro lnformation <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract APProved Date: <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />-7-t5 <br />3. lD-2S <br />DateSignatures <br />DateSignature of Auditor's <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 />,ADMIN Version:0 Supersedes: 0 Date Adopted : t2/o1l2o2a Modified By: Katie Odiaga Approval By: ChelseY Loeffers