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i <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas coup <br />01 Public Health <br />Today's Date: <br />06/18/2025 <br />Legal Request #: <br />11700 <br />Fund/Department: <br />116-Public Health <br />Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Office of Superintendent of Public Instruction <br />Contract/Agreement Title: Interlocal Agreement between Office of Superintendent Public Instruction and KCPHD <br />Begin Date: date of Execution + End Date: 09.30.2025 <br />Total $ Amount: 176.25 per inspection (total 11 inspections) 11Contract/Agreement #: 20250725 <br />Contract/Agreement Summary: <br />This Agreement is necessary for the successful implementation and operation of health and <br />sanitation evaluations of food service management companies (vendors), sponsor food <br />preparation facilities, and feeding sites operating under the U.S. Department of Agriculture <br />(USDA) Summer Food Service Program (SFSP) during the summer of 2025 as required by 7 <br />CFR Part 225 as a condition to the allocation and expenditure of USDA SFSP funding. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED ASW FORM: <br />_ ;7- <br />Signatu a of osecu or' Office Date <br />CC I OL pS 17 -;t a r <br />Signature of Auditor's Office Date <br />Budzet Information <br />Revenue Code(s): <br />116 - 615.06.333.10.559 <br />Expense Code(s): <br />116 - 615.06.346.22 <br />❑✓ <br />Agency is not suspended/disbarred <br />Not Checked (reason) <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub -Contract Approved Date: <br />ADMIN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga jApproval By: Chelsey Loeffers <br />