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2025
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10. October
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2025-10-07 10:00 AM - Commissioners' Agenda
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Fully Executed Contract
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Last modified
10/15/2025 11:22:27 AM
Creation date
10/15/2025 11:22:23 AM
Metadata
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Template:
Meeting
Date
10/7/2025
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Item
Request to Acknowledge an Amendment to a Contract between Kittitas County and Washington State Healthcare Authority
Order
18
Placement
Consent Agenda
Row ID
136417
Type
Agreement
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Kittitas County Public Health <br />Indirect Rate January l, 2025 through December 31, 2025t 22.90o/o <br />EXHIBIT B-5 <br />ALLOCATIONS <br />Contract Term: 2025-2027 <br />Contract Number: <br />Date: <br />Funding <br />Period <br />SubTotal <br />cLH320ss <br />August 1,2025 <br />Chart of <br />Accounts <br />TotalChart of Accounts Program Title <br />Federal Award <br />Identification #Amend # <br />Assist <br />List #* <br />I)OEUse Only <br />BARS Statement of Work ChofiofAccourts <br />Revenue LHJf,'undlngPerlod FundlngPedod <br />Code** Start Date End Date Start llste f,ld Datc Amount <br />YR 28 SRF - Local Asst (15%) SS <br />YR 28 SRF - Local Asst (15%) SS <br />YR 27 SRF - Local Asst (15%) SS <br />YR 27 SRF - Local Asst (15%) SS <br />Sanitary Survey Fees SS-State <br />Sanitary Survey Fees SS-State <br />YRI Stimulus - Local Asst (10% of l5%) TA <br />YR 28 SRF - Local Asst (15%) TA <br />YR 28 SRF - Local Asst (15%) TA <br />YR 27 SRF - Local Asst (15%) TA <br />YR 27 SRF - Local Asst (15%) TA <br />TOTAL <br />Total consideration:$2,448,030 <br />$1,961,056 <br />$4,409,0E6GRAND TOTAL <br />*Assistance Listing Number lka Catalog of Federal Domestic Assistance <br />**Federal revenue codes begin withrr333rr. State revenue codes begin with "334" <br />Amd 4 <br />Amd 3 <br />Amd 3 <br />Amd I <br />Amd 3,4 <br />Amd 1,4 <br />Amd 4 <br />Amd 4 <br />Amd 3 <br />Amd 3 <br />Amd I <br />346.26.64 <br />346.26.64 <br />346.26.64 <br />346.26.64 <br />0r/0u25 <br />01t01n5 <br />0v01125 <br />0Ilol/25 <br />ta3tn't <br />t2RlD7 <br />06t30t25 <br />o6t30D5 <br />{7mn4 <br />oil0\n4 <br />07l0lD3 <br />07t0v23 <br />06R0D9 <br />06R0n9 <br />a6B0l2s <br />o6n0D5 <br />($4,400) <br />$4,400 <br />($4,ooo) <br />$4,000 <br />N/A <br />N/A <br />N/A <br />N/A <br />$o <br />$o <br />$0 <br />N/A 346.26.65 0uO1/25 <br />N/A 34626.65 0UO1l25 <br />346.26.66 <br />34626 66 <br />346.26.66 <br />346.26.66 <br />0110U25 <br />0u0v2s <br />0u0tn5 <br />01/01/25 <br />l2t3lt27 <br />t2t3tD7 <br />06llol25 <br />06t30t25 <br />07mn4 <br />a7rctnL <br />01t0u23 <br />07t0tn3 <br />0680n9 <br />a6R0t29 <br />06R0n5 <br />06130t2s <br />$2,000 <br />$o <br />$o <br />$4,400 <br />$2,000 <br />$o <br />$4,409,086 <br />$522,E65 <br />$3,EE6,221 <br />ta3tn7 o7l0tn3 <br />nRtn1 07rctn3 <br />t2RU27 <br />ta3tn7 <br />$400 <br />$4,000 <br />($2,000) <br />$2,000 <br />($2,ooo) <br />$2,ooo <br />$4,400 <br />N/A 346.26.66 0u01D5 lU3ln1 ulgtD3 06/30/28 $2,ooo <br />N/A <br />N/A <br />N/A <br />N/A <br />$4,409,0E6 $4,409,086 <br />GRAND TOTAI <br />Total Fed <br />Total State <br />Page 2 of 2
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