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o <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas County <br />Public Health <br />Deparlmerrt <br />Today's Date:01t13t26 ru Legal Request #:12126 <br />Fund/Department:1/1Oth of Mental Health fax ffi Agenda Date: <br />Contract/Agreeme nt Agency: Ellensbu rg School District <br />Contract/Agreement Title: PSA between Kittitas County and Ellensburg School District Amend 2 <br />End Date: 06130126Begin Date: 12131125 <br />Contract/Agreement f: PHMH-01 0Total 5 Amount: $156,000.00 <br />Contract/Agreement Su mm a ry: <br />1/1Oth 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. The <br />Amendment provides 6 month amended compensation budget of unspent original funding of <br />$156,000.00. Original contract was for $313,750.00. <br />Contra ement lnformation <br />Bu lnformation <br />Pass Through lnformation <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub-Contract Approved Date <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />c <br />FORM <br />1. 15 .Zt <br />Daterosecsce <br />,.* t/,-, <br />Signatu re of <br />DateSignature of Auditor's Office <br />'105 - 560.3134000Revenue Code(s): <br />Expense Code(s)105 - 560.54101 <br />Not Checked (reason)7l ngency is not suspended/disbarred <br />ADMIN Version: 0 Supersedes: 0 Date Adopted : 72/otlzo2a Modified By: Katie Odiaga Approval By: Chelsey Loeffers