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t II I HEALTH <br />Warhl4*ten ttnis 0r9rr!F8nl oi CONTRACT NUMBER: <br />cLH32635-0 <br />SUBRECIPIENT * <br />f,vus XNo <br />INTERLOCAL AGREEMENT <br />Between <br />STATE OF'WASHINGTON <br />DEPARTMENT OF HEALTH <br />And <br />Kittitas CountY Public Health <br />THIS AGREEMENT is made by and between the state of washington Department of Health' hereinafter <br />referred to as DOH, and Kittitai County Public Health, hereinafter referred to as LHJ pursuant to the <br />authority granted by Chapter 39'34 RCW. <br />pURpOSE: The purpose is to cover TB medications used to treat active TB disease in patients who are <br />under- or uninsured or who lack prescription coverage and are not covered by Medicaid or Apple Health' <br />THEREFORE, IT IS MUTUALLY AGREED THAT: <br />STATEMENT OF WORK AND BUDGET: The LHJ shall furnish the necessary personnel' equipment' <br />material and/or services and otherwise do all things necessary for or incidental to the performance of the <br />work set forth in Exhibit A, attached hereto and incorporated herein. <br />PERIOD OF PERFORMANCE: Subject to its other provisions, the period of performance of this <br />Agreement shall commence on January l' 2026, and be completed on December 31' 2029' unless <br />terminated sooner as provided herein. Any work done outside of the period of performance shall be <br />provided at no cost to DOH. <br />FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA): If federal <br />funds are included in this contract as indicated below, this contract requires compliance with the Federal <br />Funding Accountability and Transparency Act (FFATA or the Transparency Act)' -The .purpose of the <br />Transpirency Act is to make inforrnation available online so the public can see how federal funds are spent' <br />To comply with the act and be eligible to enter into this contract, your organization must have a Unique <br />Entity ldentifier (uEl) number. a ugt number provides a method to veris data about your organization' <br />If you do not already have one, you may receive a UEI number free of charge by contacting System for <br />Award Management (SAM) at SAM.GOV. <br />Information about your organization and this contract will be made available on www.USASpending'gov <br />by DOH as required bY P.L' 109-282. <br />pAyMENT: Compensation for the work provided in accordance with this Agreement has been established <br />under the terms of RCw 39.34.130. The parties have estimated that the cost of accomplishing the work <br />herein will not exceed $0.00 in accordance with Exhibit A, attached hereto and incorporated herein' <br />Compensation incudes but is not limited to all taxes, fees, surcharges, etc' Payment will not exceed this <br />amount without a prior written amendment. DOH will authorize payment only upon satisfactory completion <br />and acceptan.. of d"liu".ables and for allowable costs as outlined in the statement of work and/or budget' <br />DOH Contract CLH32635-0 <br />July 2025 <br />Page I of9