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O <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas County <br />Public Health <br />Departtn€n1 <br />Today's Date 07t02t2025 ffi tegat Request#:11750 <br />Fund/Department 1 16-Public Health ffiC Rgenda oate <br />Contract/Agreement Agency: Ability <br />Contract/Agreement Title: Agreement for Services between Ability and Kittitas County <br />End Date: 0613012026Begin Date: 0610112025 <br />Contract/Agreement #: PH DD-00 1TotalS Amount: Fee for service <br />Contract/Agreement Su mm a ry: <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 714.14. <br />Co ment lnformation <br />lnformation <br />Pass Through lnformation <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Su b-Contract Approved Date <br />Kittitas County Prosecutor and Auditor Review and Comment <br />D TO FORM <br />7'ar'2r <br />ure Pros s Offi <br />()>r,v <br />Date <br />{'t ( z'+- <br />Signature of Auditor's Office -J Date <br />Revenue Code(s) <br />Expense Code(s) <br />Not Checked (reason)n Rgency is not suspended/disbarred <br />ADMIN Version: 0 Supersedes: 0 Date Adopted : P / AI / 202a Modified By: Katie Odiaga Approval By: Chelsey Loeffers