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Kittitas County Public Health - PL1blic Health <br />Contract/Agreement Review Form <br />Today's Date: 12/04/2024 14s] Legal Request #: <br />Fund/Department: 1/10th of Mental Health Tax I 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: 01I0112025 End Date: 12(31'2026 <br />Total $ Amount: $313,750.00 Contra ct/Agreement#: PHMH-010 <br />Contract/Agreement Summary: <br />1/10th funding to Ellensburg School district to. contract with a licensed mental healthcare <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 bf Prosektar's Office <br />Signatur�of Auditor's <br />Budget information <br />Revenue Code(s): 105 - 560.3134000 <br />Expense Code(s): 105 - 560.54101 <br />Agency is not suspended/disbarred 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 />Date <br />ADMIN I Version: 0 1 Supersedes: 0 Date Adopted: 12/01)'2024 Modified By: Katie odiaga Approval By: Chelsey Loeffers <br />