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CI <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas County <br />Public Health <br />Department <br />Today's Date: <br />07/31 /2026 <br />Legal Request #: <br />12470 <br />Fund/Department: <br />116-Public Health <br />Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Department of Ecology <br />Contract/Agreement Title: Interagency Agreement between State of Wa DOE and Kittitas County Public Health <br />Begin Date: 07/01/2026 <br />End Date: 06/30/2031 <br />Total $ Amount: Fee for services described in payment section <br />Contract/Agreement #: C2600194 <br />Contract/Agreement Summary: <br />The Interagency Agreement provides delegation to KCPHD, the authority to administer and <br />enforce the well sealing, tagging, and decommissioning portions of the water well construction <br />regulations in accordance with the provisions of WAC. The agreement also provides funds to <br />assist KCPHD in carrying out the activities described in this contract in accordance with the <br />statutes pertaining to the delegation of authority outlined in the RCWs, the Washington Well <br />Construction Act. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED FORM: <br />�J <br />Signature of rosecut s Office <br />Date <br />8 <br />I� Zb <br />Signature uditor's Offi ef <br />Date <br />RiMcrimt Infnrmntinn <br />--__�-- ••---••-------- <br />Revenue Code(s): � 116 - 61502133403102 <br />Expense Code(s): PH4300-101 <br />❑✓ Agency is not suspended/disbarred ❑ Not Checked (reason) <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub -Contract Approved Date: <br />ADMIN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />