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COUNTY PROGRAM AGREEMENT <br />i-ACT Program Development <br />DCYF Agreement Number <br />2163-24529 <br />y and between the State of Washington <br />Department of children, Youth & Families (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 inco <br />This Program Agreement is b <br />referencerporated b <br />Administration or Division <br />Agreement Number <br />County Agreement Number <br />DCYF ADMINISTRATION <br />Department of Children, Youth, <br />and Families <br />DCYF DIVISION <br />Children, Youth and Families <br />DCYF INDEX NUMBER <br />1225 <br />DCYF CONTRACT CODE <br />2000cc-63 <br />AND TITLE <br />-MAIL <br />Click here to enter text, <br />DCYF <br />WA <br />FAX DCYF <br />360 870-5727 <br />wA 98504 <br />karena.mc <br />DCYF <br />TACT TELEPHONE <br />1 '115 Washington St SE <br />DCYF CONTACT <br />Karena McGovern <br />Contract Specialist <br />Kittitas County <br />COUNTY FEDERAL IDENTIFICATI <br />NUMBER nc'l l'v 0 <br />TY CONT <br />NAME <br />AX <br />Ellensb wA 98926 <br />509 962-7516 T E-MAIL <br />katrina.mankus co.kittitas.wa.us <br />Katrina Mankus <br />NTY ADDRESS <br />COUNTY CO NAME <br />NTY CONTACT <br />Juvenile Court Services Department <br />205 West Sth Ave Suite 21'1 <br />IS THE COUNTY A SUBRECIPICTr rOR <br />AGREEMENT? <br />No <br />I-URPU SES OF IHIS PROGRAM CFDA NUMBERS <br />Exhibits (specify): Exhibit A-Data Security Requirements; Exhibit B-Statement of WorkNo Exhibits. <br />PROG ENT EN M PROGRAM EMENT AMOENT S <br />EXHIBITS.When the box below is marked with an <br />County P rogram Agreement by reference <br />$33 261.00 <br />X, the following Exhibits are attached and are incorporated into this <br />07t01t2021 06130t2023 <br />writ a <br />andThe iti on thofcond Cont areract an ratio atl ndnteg on thof finalbrepresentat andntire SIVCexcluunderstandntheingrtiSUbetweepaandnpersedangmergUSaentmnpreviogreendcommngs,unicatio oralns,or theotherwise,SU atteardingreg thisof Contrbject act.The rtie S be OWpa resrgnng ththatpresent have read ndvtnderstanduthdavehthdContract,an uth orit to exe thcute isv Contra ct.Th S ontrac ct ha be bindin no DCYFs onlySUcDFre <br />NTY SIGNA <br />DCYF SI <br />E(S) <br />RE <br />(a"vI jvt Q.S"f-,..'4 <br />r(5)PRINTED NAM AND <br />L C,A,r*{ a .< <br />DArE(S) SIGNED- <br />6-so'x1 <br />DATE SIGNED <br />-Z *J,l <br />Department of Children, youth & Families <br />2017CF County program Agreement 6_24_20 <br />Page 1