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Docu$ign Envolope lD: 2,c3301 1 1-fi3A7-$837-$449-41'JGDA?ACCD4 <br />COUNTY PROGRAM,AGREEMENT <br />i-ACT Program Devefoprnent <br />DCYF Agreernent Nunrber <br />2063-8371 1 <br />This Prograrn Agreement [s by and between the $tate of Washington <br />Department of Children, Youth & Families {DCYF) and the County identified <br />below, and is issued ln conjunctiorr with a Courrtyand DCYF Agr.eement On <br />General Terrns and Conditions, wl"riclr is incorporated by reference. <br />Admini$h'ation or Divis.ion <br />Agreernent Nurr'rber' <br />Coun ty Agreement Nuri-rber <br />DCYFADMINISTRANOI,I <br />Deparhnent of Children, Youth, <br />ar-tcl Fanrilies <br />tc'fF olvtsroN <br />Children, Youtlr arrd Farnilier <br />DCYF I[!DEX NIJMBER <br />1?25 <br />DCYF CIJI'ITRACT CODE <br />2000cc.63 <br />DCYF CONTACT IJAME AX!IJ I IiLE <br />Rachel Denney <br />Cont-act l,4anager <br />DCYF COhITACT AODRESS <br />1'1 'l 5 \,\lashington St SE <br />Olympia, WA 98504 <br />DCYF CONTACT TELEFHONE <br />(360)688-6803 <br />DCYF CONTACT FAX <br />ilii'::,r; ir+ll l<; t*irr il:i;<i <br />DcYF coNTAQT .ii-tulAIt" <br />Raeh el. De n ney@ dcyf .wa, gov <br />COUI'ITY TIAfuIE <br />Kittitas County <br />G(JUNTY ADI]IIE:J$ <br />Juvenile Coird Services Depafirrren t <br />205 West Sth Ave Suite 211 <br />Ellensburq. WA S8926 <br />CCUNTY FEDERiiL EfvlPLO'IER IOE NTIFJCATION <br />NU'\4BER Mfr-g62-k7a <br />COIJI'ITY CC]NTACT NAME <br />Katrina Mnnkr"rs <br />96?-751 6 wa.!s <br />T ECOUI,iTY <br />E <br />AGRESMENT? <br />Nc <br />PROGRAO,4 AGREEIVIENT ENO DATE <br />06/30/20?0 <br />MAXI MUM PRif,GRA.I\,l 44:REEfu1EI.{T APIOUNT <br />$4.000.00 <br />PROGRA[4 AGREEMENT START OATE <br />03!Q112020 <br />fjXfitntfs. When the box below is markoeJ 'rvrth an X, the following Exhibits are attached and are incorporated into this <br />C;ounty Progratn Agreenrent by reference.: <br />Hxhibils (specify): Fxhibit A-Data Security Requirements; Exhilrit B-Statement of Work <br />No Exhibits. <br />t;?tn <br />oFthis Contract are an integration and representation of the final, entire and exclusive <br />r-rncJerstanding betweerrlfie parties superseding and nretging all previor.rs agreetrents, writings, snd communieations, oral <br />or otlrervrise, regarding the subject rnatter of tlris Cont'act. The partles signing below represent that they have r'ead atrd <br />urnclerstandthis-Contract,anclhavethear"rthoritytoexigcutethisContract. ThisContr:actshall bebindingonDCYFonly <br />The ternts and condit[ons <br />upon sionature bY DCYF <br />JATE(S) SlGl'lEO <br />6 l€(u <br />PRTNTED l.rAh4EiS) AND TITLE($)"'fi.t *.J15 J"a..l-q- <br />1c-arl R-€'?,^'l+<s <br />couNT'/ <br />'^'{f#lnPRINTF,N NAfuIE AND TITLE <br />L. Rachel DenncY <br />HQ Contracts Team ManagermoT,,lilur Itfr"1 <br />Depart;nenl of Children, Ycuth & Farnilies <br />zoi zCF Cor,rnty Progratn Aq reemont (8-1 -?01 9)Fase 1