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Kittitas County Public Health Publ `° H <br />Public Health <br />Contract/Agreement Review Form > Department <br />Today's Date: 12/04/2024 Legal Request #: 17 <br />Fund/Department: I 1/10th of Mental Health Tax Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Ellensburg School District <br />Contract/Agreement Title: Providing Mental Health Services to the Students at Ellensburg School District <br />Begin Date: 01/01/2025 End Date: 12/31/2026 <br />Total $ Amount: $313,750.00 Contract/Agreement #: PHMH-010 <br />Contract/Agreement Summary: <br />1/10th funding to Ellensburg School district to.contract with a licensed mental health care <br />provider to provide mental health services to the students in Ellensburg School District. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />Signature 6( Prosektar's Office <br />Signatur of Auffic <br />Budget Information <br />Revenue Code(s): 105 - 560.3134000 <br />Expense Code(s): 105 - 560.54101 <br />VI Agency is not suspended/disbarred f Not Checked (reason) <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub -Contract Approved Date: <br />Date <br />ADMIN Version: 0 Supersedes: 0 Date Adopted: 12/01/2024 1 Modified By: Katie ā¯‘diaga Approval By: Chelsey Loeffers <br />