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Kittitas County Public Health <br />Contract/Agreement Review Form <br />Today's Date: 1 12/05/2024 1 1 Legal Request #: <br />Fund/Department: I116-Public Health I I Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: KCHN <br />Contract/Agreement Title: —m ment 71. Me NCNN and KCPMU Ga LNtlMnC head W SeMms for KMKaa Coe ty 0P1ek Use DI —der P—dio Tma d. and Remvery Project <br />Begin Date: 09/01 /2022 End Date: 08/31 /2025 <br />Total $ Amount: $173,000.00 Contract/Agreement #: <br />Public Health <br />Contract/Agreement Summary: <br />This amendment updates the quarterly payment amounts and KCHN contact information <br />(Amendment 3 to the KCHN and KCPHD Grant Admin Contract for Services for Kittitas County <br />Opioid Use Disorder Prevention, Treatment, and Recovery Project) <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TO FORM: _ <br />Signature ofProsecutdr's <br />SiLynatlare of Auditor' 0 1 <br />Budget Information `)J. <br />Revenue Code(s): 116 - 612.40.02.333.93.912% <br />Expense Code(s): 116 - 612.40.02 <br />Agenc is not suspended/disbarred Not Checked (reason) <br />t L <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through <br />Sub -Contract Approved Date: <br />Expense Code: <br />Date <br />Date <br />ADMIN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 Modified By: Katie 0 iaga Approval By: Chelsey Loeffers <br />