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iD <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas County <br />Public Health <br />Department <br />Today's Date: <br />08/17/2026 <br />Legal Request #: <br />12623 <br />Fund/Department: <br />116-Public Health <br />Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: KVO <br />Contract/Agreement Title: Agreement for Services between KVO and Kittitas County <br />Begin Date: 07/01/26 End Date: 06/30/27 <br />Total $ Amount: Fee for Service Contract/Agreement #: PHMH26-023 <br />Contract/Agreement Summary: <br />The purpose of this Agreement is as follows: To provide a coordinated and comprehensive state <br />and local program of services for persons with developmental disabilities in accordance with <br />Revised Code of Washington chapter 71A.14. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TO FORM: / <br />Signature o Pros tutor' Office Date <br />Signature of uditor's Office Date <br />Riirlaat Infnrmatinn <br />Revenue Code(s): <br />105 - 568.334.04.68 <br />Expense Code(s): <br />HS2000-101/4101 <br />✓❑ <br />Agency is not suspended/disbarred <br />Not Checked (reason) <br />Pass Throueh 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 1 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />