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• <br />Kittitas County Public Health APublic Health <br />Contract/Agreement Review Form <br />Today's Date: 05/28/2026 I Legal Request #: 12449 <br />Fund/Department: 116-Public Health I Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: State of WA. DSHS- Developmental Disabilities <br />Contract/Agreement Title <br />Begin Date: 03/01/2026 <br />DSHS-Developmental Disabilities Amendment 1 <br />End Date: 06/30/2026 <br />Total $ Amount: $1,139,083.00 Contract/Agreement #: 2563-64310 Amend 1 <br />Contract/Agreement Summary: <br />The program agreement amends the total maximum contract amount. T <br />by $16,000.00 for a new contract amount of $1,139,083.00. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TQFORM: <br />Signature <br />Signature of Auditor's Office—/ <br />Budget Information <br />Revenue Code(s): 105 - 568.334.04.68 <br />Expense Code(s): HS1000-101 / 1001/1002/4122 <br />✓❑ Agency is not suspended/disbarred Not Checked (reason) <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through _ �xpense Code: <br />Sub -Contract Approved Date: _1 <br />Date <br />Date <br />ADMIN I Version: 0 1 Supersedes: 0 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />