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a <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />K it t iii s Co u rr ty <br />Public Health <br />Departrlerll <br />Today's Date 07t02t2025 l.: <br />F]{i Legal Request #11750 <br />Fund/Department 1 16-Public Health 1..,.I Agenda Date <br />Contract/Agreement Agency: Ability <br />Contract/Agreement Title: Ag reement for Services between Ability and Kittitas County <br />End Date: 0613012026Begin Date: OG|O112025 <br />Contract/Agreement #: PHDTotalS Amount: Fee for service <br />Contract/Agreement Summary: <br />The purpose of this Agreement is as follows: To provide a coordinated and comprehensive state <br />and iocal program of services for persons with developmental disabilities in accordance with <br />Revised Code of Washington chapter 71A.14. <br />I "))unl/ mbcl4dUnfral* fn lt q l/tbf <br />Contract/nt lnformation <br />Budget Information <br />Pass 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 />.2y7'.t <br />APP RM <br />Date <br />{'( l' z+' <br />r's OfficProsureSign <br />,/,,,- <br />DateSignature of Auditor's Office <br />Revenue Code(s) <br />Expense Code(s) <br />Not Checked (reason)Agency is not suspended/disbarred <br />ADMIN Version: 0 Supersedes: 0 Date Adopted : t2/07/2A24 Modified By: Katie Odiaga Approval By: Chelsey Loeffers