Laserfiche WebLink
Attachment E <br />DSHS <br />WASHING ON STATE <br />Department of Social <br />and Health Services <br />COUNTY <br />PROGRAM AGREEMENT <br />DDCS County Services <br />This Program Agreement is by and between the State of Washington Department of <br />Social and Health Services (DSHS) and the County identified below, and is issued in <br />conjunction with a County and DSHS Agreement On General Terms and Conditions, <br />which is incorporated by reference. <br />DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER <br />Developmental Disabilities <br />Admin <br />DSHS CONTACT NAME AND TITLE <br />Seanna Woodard <br />Operations Manager <br />DSHS CONTACT TELEPHONE <br />(509)329-2952 <br />COUNTY NAME <br />Division of Developmental I <br />1225 <br />Disabilities <br />DSHS CONTACT ADDRESS <br />1611 W Indiana Ave <br />I Spokane, WA 99205 <br />DSHS CONTACT FAX <br />509 568-3037 <br />COUNTY ADDRESS <br />Kittitas County 507 North Nanum Street Suite 102 <br />Kittitas County DDA County Services Ellensburg, WA 98926-2886 <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 />DSHS Agreement Number <br />2663-71228 <br />Administration or Division <br />Agreement Number <br />County Agreement Number <br />DSHS CONTRACT CODE <br />1769CS-63 <br />CONTACT E-MAIL <br />NTY CONTACT E-MAIL <br />:y.knutson a2co.kittitas.wa.us <br />LISTING NUMBERS <br />No <br />PROGRAM AGREEMENT START DATE PROGRAM AGREEMENT END DATE MAXIMUM PROGRAM AGREEMENT AMOUNT <br />07/01 /2026 06/30/2027 $1, 021,440.00 <br />EXHIBITS. The following Exhibits are attached: Exhibit A — Data Security Requirements; Exhibit B — Budget and <br />S. ending Plan <br />By their signatures below. the parties agree to the terms and conditions of this County Program Agreement and all <br />documents incorporated by reference. No other understandings or representations, oral or otherwise, regarding the <br />subject matter of this Program Agreement shall be deemed to exist or bind the parties. The parties signing below certify <br />that they are authorized to sign this Program A reement. <br />COUNTY SIGNATURE(S) PRINTED NAME(S) AND TITLE(S) DATE(S) SIGNED <br />DSHS SIGNATURE <br />PRINTED NAME AND <br />DATE SIGNED <br />Page 1 <br />DSHS Central Contract Services <br />1769CS County Agreement (12-26-2025) <br />