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a <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittita5 Co!nty <br />Public Health <br />Department <br />Today's Date 12104t2024 ffi Legal Request #:\I LiJI , <br />Fund/Department 1i1Oth of Mental Health faxffi Agenda Date <br />I <br />Contract/ent Information <br />Budget lnformation <br />Pass Throu Information <br />Co ntract/Agreement Agency: Comprehensive Healthcare <br />Contract/Agreement Title: KVH Crisis Case Manager program Expansion <br />Begin Date: 0110112025 End Date: 1213112026 <br />Total S Amount: $416,003.52 Contract/Agreement r: P H M H-002 <br />1/1Oth of 1o/o Mental Health and Chemical Dependency Tax funding award to Comprehensive <br />Healthcare to expand the Crisis Care Manager Program hours at KVH. <br />Contract/Agreement Summary: <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TO FORM: <br />/-//'af, <br />Signatuie"of P/osecutol.s office / <br />Aw,t/r*rt-nrs <br />Date <br />/"17 2r <br />Signature of Auditor's Otfice Date <br />Revenue Code(s)105 - 560.3134000 <br />Expense Code(s)105 - 560.54101 <br />Agency is not suspended/disbarred 0u*f] ruot Checked (reason) <br />Agency to Pass Through <br />Amount to Pass Through Expense Code <br />Sub-Contract Approved Date <br />ADMIN Version:0 Supersedes:0 Date Adopted : t2/ 07/202a Modified By: Katie Odiaga Approval By: Chelsey Loeffers