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COUNTY PROGRAM AGREEMENT <br />r & Healm nt of Services <br />AMENDMENT <br />7 i &Health Services <br />Transforming lives <br />This Program Agreement Amendment is by and between the State of Washington <br />Department of Social and Health Services (DSHS) and the County identified below. <br />DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER <br />Developmental Disabilities Division of Developmental 1225 <br />Admin Disabilities <br />DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS <br />Seanna Woodard 1611 W Indiana Ave <br />Spokane, WA 99205 <br />DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS <br />509 329-2952 509 568-3037 wood <br />COUNTY NAME COUNTY ADDRESS <br />Kittitas County 507 N NANUM ST STE 102 <br />Kittitas County DDA County Services <br />Ellensburg, WA 98926 <br />COUNTY FEDERAL EMPLOYER IDENTIFICATION COUNTY CONTACT NAME <br />NUMBER <br />Kasey Knutson <br />COUNTY CONTACT TELEPHONE COUNTY CONTACT FAX <br />509 962-7090 509 962-5883 <br />IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM <br />AGREEMENT? <br />No <br />AMENDIIRENT START DATE PROGRAM AGREEMENT END DATE <br />03/01 /2026 06/30/2026 <br />PRIOR MAXIMUM PROGRAM AGREEMENT I AMOUNT OF INCREASE OR DECREE' <br />AMOUNT <br />$1,123,083.00 <br />$16,000.00 <br />DSHS Agreement Number <br />2563-64310 <br />Amendment No. <br />01 <br />Administration or Division <br />Agreement Number <br />Click here to enter text. <br />County Agreement Number <br />1225 <br />E-MAIL <br />COUNTY CONTA( <br />kase .knutson <br />CFDA NUMBERS <br />TOTAL MAXIMUM <br />AMOUNT <br />$1.139.083.00 <br />E-MAIL <br />;o. kittitas.wa.us <br />REASON FOR AMENDMENT; <br />CHANGE OR CORRECT MAXIMUM CONTRACT AMOUNT <br />EXHIBITS. When the box below is marked with a check (4) or an X, the following Exhibits are attached and are <br />incorporated into this Program Agreement Amendment by reference: <br />® Exhibits (specify)., Exhibit B-1 <br />This Program Agreement Amendment, including all Exhibits and other documents incorporated by reference, contains all <br />of the terms and conditions agreed upon by the parties as changes to the original Program Agreement. No other <br />understandings or representations, oral or otherwise, regarding the subject matter of this Program Agreement Amendment <br />shall be deemed to exist or bind the parties. All other terms and conditions of the original Program Agreement remain in <br />full force and effect. The parties signing below warrant that they have read and understand this Program Agreement <br />Amendment, and have authority to enter into this Pro ram A reement Amendment. <br />COUNTY SIGNATURE(S) I PRINTED NAMES) AND TITLE(S) DATES) SIGNED <br />DSHS SIGNA <br />PRINTED NAME AND TITLE <br />DATE <br />DSHS Central Contract Services <br />1769CP Contract Amendment (6-10-24) Page 1 <br />