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Kittitas County Public Health <br />Contract/Agreement Review Form <br />Today's Date: 09/09/2025 1 Legal Request #: 11871 <br />Fund/Department: 1116-Public Health Agenda Date: <br />Kittitas County <br />Public Health <br />Department <br />Contract/Agreement Information <br />Contract/Agreement Agency: KCHN <br />Contract/Agreement Title: Agreement for Services between KCHN and Kittitas County <br />Begin Date: 06/01/25 End Date: 06/30/26 <br />Total $ Amount: Fee for Service <br />Contract/Agreement Summary: <br />Contract/Agreement #: PHDD-009 <br />The purpose of this Agreement is as follows: To provide a coordinated and comprehensive state <br />and local program of services for persons with developmental disabilities in accordance with <br />Revised Code of Washington chapter 71A.14. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TO FORM: <br />Signature o'f'Prbsec <br />c <br />k4 A RNl <br />Signature of Auditor's Office <br />Budget Information <br />Revenue Code(s): 105 - 568.334.04.68 <br />Expense Code(s): 105 - 568.54101 <br />Agency is not suspended/disbarred <br />Pass Through Information <br />Not Checked (reason) <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub -Contract Approved Date: <br />Date <br />Date <br />11.25 <br />ADMIN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga I Approval By: Chelsey Loeffers <br />