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COUNTY <br />Y 4.� PROGRAM AGREEMENT <br />Consolidated Contract FY20-21 <br />This Program Agreement is by and between the State of Washington <br />Department of Social and Health Services (DCYF) and the County identified <br />below, and is issued In conjunction with a County and DCYF Agreement On <br />General Terms and Conditions, which is incorporated by reference. <br />DCYF ADMINISTRATION DCYF DtviSION DCYF INDEX NUMBER <br />Department of Children, Youth, Children, Youth and 1225 <br />and Families Families <br />:] <br />DCYF CONTACT NAME AND TITLE DCYF CONTACT ADDRESS <br />Del Hontanosas PO Box 45720 <br />Grants & Contracts Manager <br />OlYmpia, WA 98504 <br />DCYF CONTACT TELEPHONE DCYF CONTACT FAX <br />(360)902-8087 (360)902-8108 <br />Cr,X)n:TY NAME COUNTY DBA <br />Kittitas County <br />COUNTY UNIFORM BUSINESS tOENTiFIER (UBI) COUNTY CONTACT NAME <br />192-002-673 Katrina Mankus <br />COUNTY CONTACT TELEPHONE COUNTY coNTAcT FAX <br />509 962-7516 <br />IS THE COUNTY AS LIBRECIPIENT FOR PURPOSES OF THIS PROGRAM <br />AGREEMENT? <br />DCYF Agreement Number <br />1963-59052 <br />Administration or Division <br />Agreement Number <br />County Agreement Number <br />CCS CONTRACT CODE <br />2072CS-63 <br />DCYF CONTACT E-MAIL <br />del.h onta n osas@dcyf.wa.9ov <br />COUNTY ADDRESS <br />Rm 211 Kittitas Co Courthouse <br />205 W Fifth St <br />Ellensbum, WA 98926 <br />COUNTY <br />katrina.ma <br />NUMBERS <br />ACT E-MAIL <br />usCw—co.kittitas.wa.us <br />No <br />PROGRAM AGREEMENT START DATE PROGRAM AGFtEEtutEl�ET END DATE MAXIMUM PROGRAM AGREEMENT AMOUNT <br />07/01/2019 06/30/2021 See Exhibits <br />EXHIBITS. When the box below is marked with an X, the following Exhibits are attached and are incorporated <br />into this County Program Agreement: <br />® Exhibits (sp.cl'!y): ® Exhibit A: Consolidated Contract Term, Reimbursement Procedures, and Program <br />Rsp <br />eonsibilities; ®® Exhibit B. Juvenile Court Block Grant; ® Exhibit C: Detention Services <br />The terms and conditions: of this Contract are an integration and representation of the final, entire and exclusive <br />Understanding between the parties superseding and merging all previous agreements, writings, and communications, oral <br />or otherwise, regarding the subject matter of this Contract. The parties signing below represent that they have read and <br />understand this Contract, and have the authority to execute this Contract. This Contract shall be binding on DCYF only <br />u on si ature by DCYF. DATE (S) SIGNED <br />CO Y SIGNATU 5.) PRIh1T«D NAME (S) RND7rrt E (S) <br />I <br />DCYF SIGNATURE PRINTED NAME AND TrrLIE DATE/S1GIV/ED <br />Del Hontanosas <br />Grants and Contracts Manager <br />Department of Children, Youth, and Families <br />2072CS County Consolidated Program Agreement 6-20-2019 <br />