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o <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />KitiitaJ Couniy <br />Public Health <br />Deportmert <br />Today's Date 07123125 I Legal Request #:11781 <br />Fund/Depa rtment:116-Public Health ! Agenda Date <br />Contract/Agreement I nformation <br />Bud lnformation <br />Pass Th lnformation <br />Contract/Agreement Agency: Ability <br />Contract/Agreement Title: Agreement for Services between KC and Ability <br />Begin Date: Upon Signature End Date: 09130126 <br />Contract/Agreement #: PHDD-008Total S Amount: 12,600.00 <br />Co ntract/Agreement Sum ma ry: <br />The purpose of this agreement is to provide school to work services, per contractual <br />requirements of the Washington State Department of Vocational Rehabilitation including but not <br />limited to intake, assessment, job placement along with required deliverables. <br />Kittitas County Prosecutor and Auditor Review and Comment <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office Date <br />10s - 568.02.334.04.68Revenue Code(s) <br />Expense Code(s)105 - 568.02.54122 <br />|7l Rgency is not suspended/disbarred Not Checked (reason) <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract Approved Date: <br />ADMIN Version:0 Supersedes:0 Date Adopted : L2/ OLl 2024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers