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a <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kiitit.rs ao{rniy <br />Public Health <br />Departtlerit <br />Today's Date 12t10t2025 I Legal Request #:12085 <br />Fund/Department Agenda Date <br />Contract/Agreement AgencY: UPPe r Kittitas County Senior Center (UKCSC) <br />Contract/Agreement Title: Agreem ent for Services between Kittitas County and UKCSC <br />End Date: 1213112027Begin Date: 0110112026 <br />Contract/Agreement #: PH M H-022TotalS Amount: See Exhibit B <br />Co ntract/Agreem e nt Su mm a rY: <br />The agreement for services funds the AccessPlus project as recommended by the 1/1Oth of 1% <br />Mental Health and Chemical Dependency Advisory Board. <br />Contract/ent Information <br />Bu lnformation <br />Revenue Code(s)105 560.313.4000 <br />Expense Code(s); <br />Agency is not suspended/disbarred Not Checked (reason) <br />Pass Throu lnformation <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />J /2' ar <br />J./q.) J- <br />Dater\r-'f'r F*t1 ft* r\fr\ffiq-/ffifi V'' #d-/ <br />s cerosec <br />Dateof Audito sSignatu <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Su b-Contract APProved Date <br />ADMIN Version:0 Supersedes: 0 Date Adopted : t2/oL/2A24 Modified By: Katie odiaga Approval By: ChelseY Loeffers