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C <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas County <br />Public Health <br />Departnrent <br />Fund/Department <br />Today's Date <br />1 16-Public Health ffi Agenda oate: <br />08t1512025 ffiJ Legal Request #:11842 <br />Begin Date: 0110112025 <br />Total$ Amount: New maximum 4,409,086.00 Contract/Agreement #: CLH32055 <br />End Date: 1213112027 <br />Contract/Agreement Title: Consolidated Contract Amendment 5 <br />Contract/Agreement Agency: Department of Health <br />Contract/Agreement Summa ry: <br />The Consolidated Contract Amendment <br />Adds Statements of Work for: <br />Foundational Public Health Services: Effective July 1,2025 <br />Office of Resiliency and Health Security-PHEP: Effective July 1' 2025 <br />Amends Statements of Work for: <br />DCHS-ELC Covid 19 Response: Effective January 1,2025 <br />Maternal and Child Health Block Grant:Effective January 1,2025 <br />Exhibit B-5 Allocations-amends and replaces Exhibit B-4 Allocations as follows; <br />lncrease of $1,961,056.00 for a revised maximum consideration of $4,409,086.00 <br />RECEIVED <br />OcT t0 zozs <br />KITTITAS COUNTY <br />BOARD OF CCItHMlSStOr{ERS <br />Cont ment lnformation <br />Budget lnformation <br />Agency is not suspended/disbarred Wiur, <br />Expense Code(s) <br />Revenue Code(s) <br />Not Checked (reason) <br />Pass Th lnformation <br />r'sSignature of Pro <br />Signature of Auditor's Office <br />A*-urt/* -1 tu. 2Y <br />Date <br />Kittitas County Prosecutor and Auditor Review and Comment <br />APP <br />Date <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 : t2/ OLl2O24 Modified By: Katie Odiaga Approval By: Chelsey Loeffers