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O <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas County <br />Public Health <br />Department <br />Today's Date 01t1312026 S tegat Request #:12126 <br />Fund/Department 1/1Oth of Mental Health fax ffi Agenda Date: <br />Contract/Agreement I nformation <br />Budget Information <br />Pass Th lnformation <br />Contract/Agreem ent Agency: Da m man School District <br />Contract/Agreement Title: PSA between Kittitas County and Damman School District Amend 1 <br />End Date: 06130126Begin Date: 1213112025 <br />Contract/Agreement *: PH M H-005Total $ Amount: $4950.00 <br />Contract/Agreement Summa ry: <br />1/1gth funding to Damman School district to contract with a licensed mental health care provider <br />to provide mental health services to the students in Damman School District. The Amendment <br />provides 6 month amended compensation budget of unspent original funding of $4,950.00. <br />Original contract was for $9,250.00. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APP <br />.//"Jo <br />Signature rosecu ce Date <br />/r:2L <br />Date <br />Revenue Code(s):105 - 560.3134000 <br />Expense Code(s)105 - 560.54101 <br />Agency is not suspended/disbarred Not Checked (reason) <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract Approved Date: <br />ADMIN Version: 0 Supersedes: 0 Date Adopted : 12/01/2024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers