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a <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittita5 Cou nty <br />Public Health <br />Oepartment <br />Today's Date:12t04t2024 l*'l Legar Request #:\\lLitr <br />Fund/Department:1/1Oth of Mental Health Tax [:rl] Agenda Date: <br />Contract/ment lnformation <br />Bu lnformation <br />Pass Thro lnformation <br />Contract/Agreement Agency: Kittitas County Recovery Community Organization <br />Contract/Agreement Title: KCRCO Expansion of Services <br />Begin Date: 0110112025 End Date: 1213112026 <br />Contract/Agreement *: P H M H-004Total $ Amount: $2A1,972.AA <br />Contra ct/Agreement Summ ary: <br />1/'1Oth of |o/a Mental Health and Chemical Dependency Tax funding award to expand the <br />KCRCO Services in Kittitas County as proposed in the 2024 RFP Application. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />p /-//-2( <br />Signature Pro ftiufors *'fl <br />"0* /o*t^rx <br />Date <br />l-/7,2? <br />tign ature of Audito'r'sr office Date <br />Revenue Code{s):105 - 560.3134000 <br />105 - 560.54101Expense Code(s): <br />Agency is not suspended/disbarred pra-Not Checked (reason)1/ <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract Approved Date <br />ADMIN Version: 0 Supersedes: O Date Adopted: I2l 0112024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers