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a <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas County <br />Public Flealth <br />Depsrt!n!rl <br />Today's Date:2t27t2025 m Legal Request f,11 362 <br />Fund/Department 1/1Oth of Mental Health fax ffi Agenda Date: <br />Contract/ment lnformation <br />lnformation <br />Contract/Agreement Agency: Thorp School District <br />Contract/Agreement Title: Amendment 1 to PSA between Thorp School District and Kittitas County <br />End Date: 1213112025Begin Date: 0110112025 <br />Contract/Agreement *: PH M H-008Total S Amount: $54,350.00 <br />Contract/Agreement Sum m a ry: <br />1/1gth 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 />TO <br />3^7-a)- <br />Signatu <br />5 <br />Date <br />3.ro':.s <br />Signatu re of Auditor'sbifice Date <br />105 - 560.3134000Revenue Code(s) <br />105 - 560.54101Expense Code(s) <br />Not Checked (reason)r'Agency is not suspended/disbarred <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract Approved Date: <br />Pass Th lnformation <br />ADMIN Version: 0 Supersedes: o I oate Adopted: 72lo{2a24 Modified By: Katie Odiaga Approval By: Chelsey Loeffers