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Kittitas County Public Health <br />Contract/Agreement Review Form . ,,, ' Public Health <br />i' !.t ;-*-*r; '-' DeP")r trrlvrrl <br />Kilti!as Courrl',, <br />\\tobL <br />t71?/, <br />Legal Request #: <br />Agenda Date: <br />06104125Today's Date <br />Fund/Department <br />Contra Agreement lnformation <br />Bu lnformation <br />Pass Th lnformation <br />End Date: 06130125 <br />Contract/Agreement #: 2363-49241 Amendment 3 <br />contract/Agreement Agency: Washi n gton State Department of Disabilities <br />contract/Agreement Title: washington State DSHS Division of Disabilities <br />Begin Date: 8lA1l25 <br />TOta I S AmOUnt: lncrease of 21 7,698.00- new totat gg2,219,492.00 <br />Funding for Kittitas County Developmental Disabilities programs including job foundations, <br />program administration, other consumer supports, and direct client services via subcontractors <br />for Medicaid funds. The amendment increases funds for the program. <br />RECEMffiM <br />AUG 2 0 20?5 <br />*oA#Tfff3$'3'u#H*uo* <br />Contract/Agreement Su m ma ry: <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPR <br />ln art <br />Date <br />6 .ts >f <br />Date <br />sig nature s e <br />Signatu r\s of Aud itoPd Office <br />Not Checked (reason) <br />105 - 568.334.04.68 <br />1 05 - 568.5 1 001 I 52001 I 54122t 541 01 <br />Revenue Code(s) <br />Expense Code(s): <br />Agency is not suspended/disbarred <br />Expense Code: <br />Agency to Pass Through <br />Amount to Pass Through <br />Sub-Contract Approved Date: <br />Approval By: Chelsey LoeffersModified By: Katie OdiagaDate Adopted : 12101,12024Supersedes: 0Version:0ADMIN