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o <br />Kittilr5 County <br />Kittitas CountY Public Health <br />Contract/Agreement Review Form <br />Public Health <br />0epnrlnrenl <br />Today's Date 12t1012025 I Legal Request #12085 <br />Fund/Department il Agenda Date <br />Contract/Agreement Agency: Central Washington University (CWU) <br />Contract/Agreement Title: Ag reement for Services between Kittitas County and CWU <br />End Date: 1213112027Begin Date: 0110112026 <br />Contract/Agreement #: PHMH-01 9TotalS Amount: See Exhibit B <br />Contract/Agreement SummarY: <br />The agreement for services funds the Central Washington University Clinic project as <br />,.""or-nr"nded by the 1/1Oth of 1% Mental Health and Chemical Dependency Advisory Board <br />Contract/nt lnformation <br />B lnformation *r,iiiii;.; ll i:ur,ty' iliui li'"rr <br />Revenue Code(s)105 560.313.4000 <br />Expense Code(s) <br />Agency is not suspended/disbarred Not Checked (reason) <br />Pass Thro lnformation <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />2 /r'2f <br />AP FO <br />/e .tq..ri- <br />Date <br />r:] ETtr" tr g\ /r: F*iq \3'*\../ f*a -$ t--,L.'t, <br />SSignatu re ros <br />Dateof Auditor'sSigna <br />Agency to Pass Through <br />Expense Code:Amount to Pass Through <br />Su b-Contract APProved Date <br />ADMIN Version: 0 Supersedes: 0 Date Adopted : L2/O1/2024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers