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Kittitas County Public Health <br />Public Health <br />Contract/Agreement Review Form .wig DepaItine:It <br />Contract/Agreement Information <br />Contract/Agreement Agency: Washington State Department of Disabilities <br />Contract/Agreement Title: Washington State DSHS Division of Disabilities <br />Begin Date: 03/01 /25 <br />End Date: 06/30/25 <br />Total $ Amount: Increaseof217,698.00-newtotal$$2,219,492.00 Contract/Agreement #: 2363-49241 Amendment <br />Contract/Agreement Summary: <br />Funding for Kittitas County Developmental Disabilities programs including job foundations, <br />program administration, other consumer supports, and direct client services via subcontractors <br />for Medicaid funds. The amendment increases funds for the program. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS ORM: <br />_ /2I -ell <br />Signature f ro ecutor's ftice Date <br />Signatur)a.of Audito ' Office Date <br />Budget Information <br />Revenue Code(s): 105 - 568.334.04.68 <br />Expense Code(s): 105 - 568.51001/52001/54122/54101 <br />Agency is not suspended/disbarred Not Checked (reason) <br />Pass Through 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 I Approval By: Chelsey Loeffers <br />