Laserfiche WebLink
o <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittit.15 County <br />Public Health <br />Department <br />Today's Date 01t16t2026 ! tegat Request#:12126 <br />Fund/Department 1/1Oth of 1% MentalHealth faxf Agenda Date <br />Contract/lnformation <br />Co ntract/Agreeme nt Agency: Cle El u m-Roslyn School D istrict Amend ment <br />Contract/Agreement Title: PSA Kittitas County and Cle Elum Roslyn School District Amend 2 <br />End Date: 0613012026Begin Date: 1213112025 <br />Contract/Agreement r: PHMH-01 1TotalS Amount: $73,750 <br />Co ntract/Agreement Su mmary : <br />1l10th funding to Cle Elum -Roslyn School District to provide mental health services to the <br />students in Cle Elum-Roslyn School District. The Amendment provides 6 month amended <br />compensation budget of unspent original funding of $73,750.00. Original contract was for <br />$143,600.00. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />A <br />l)/-14' P u <br />Signatu ofP Office Date <br />)- 7y.>L <br />Sienat{e of Auditor's Offlcd Date <br />lnformation <br />Pass Thro lnformation <br />Revenue Code(s):105 - 560.3134000 <br />105 - 560.54101Expense Code(s) <br />Not Checked (reason)lZ Rgency is not suspended/disbarred <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract Approved Date: <br />ADMIN Version:0 Supersedes:0 Date Adopted : !2/Ou2024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers