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o <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas County <br />Public Health <br />Department <br />Fund/Department <br />Today's Date: <br />116-Public Health fi Agenda Date <br />612612025 fl Legat Request#11710 <br />Contra ment lnformation <br />Budget lnformation <br />Pass Th lnformation <br />Begin Date: 0710112025 <br />Total $ Amount: $,1 123,083.00 Contract/Agreement #: 2563-6431 0 <br />End Date: 0613012026 <br />Contract/Agreement Title: DDA County Services (DSHS and KCPHD) <br />Contract/Agreement Agency: DSHS <br />Contract/Agreeme nt Sum ma ry: <br />To provide a coordinated and comprehensive state and local program of services for persons <br />with developmental disabilities. <br />Signature of Auditor's Office <br />Si gnat"u re o/e ros{c utd\-r's Office <br />,14^^/rLfu- <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />AS TO FORM <br />.t 7 -?'rr <br />Date <br />Date <br />-7.i'z{ <br />M Rgency is not suspended/disbarred <br />Expense Code(s) <br />Revenue Code(s) <br />105 - 568.54101t54122 <br />105 - 568.334.04.68 <br />Not Checked (reason) <br />Amount to Pass Through <br />Agency to Pass Through <br />Sub-Contract Approved Date <br />Expense Code: <br />ADMIN Version:0 Supersedes: 0 Date Adopted : L2/ o! 2a24 Modified By: Katie Odiaga Approval By: Chelsey Loeffers