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i <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />County <br />Public Health <br />uepartment <br />Today's Date: <br />10/30/2025 <br />Legal Request #: <br />0 1 0 <br />Fund/Department: <br />116-Public Health <br />Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Washington State Department of Health <br />Contract/Agreement Title: Consolidated Contract Amendment 6 <br />Begin Date: 01 /01 /2025 1 1 End Date: 12/31 /2027 1 <br />Total $ Amount: Increase of $199,443.00 � I Contract/Agreement #: CLH32055 <br />Contract/Agreement Summary: <br />The Consolidate Contract Amendment 6: <br />Adds statements of work for the following programs <br />Office of Immunizations-ELC- Effective July 1, 2025 <br />Amends Statements of Work for the programs <br />Maternal and Child Health Block Grant- Effective January 1, 2025 <br />Office of People Services HR Public Health Infrastructure Grant- Effective January 1, 2025 <br />Office of Resiliency and Health Security-PHEP-Effective July 1, 2025 <br />Supplemental Nutrition Assistance Prograrr-Education-Effective January 1, 2025 <br />Exhibit B-6 Allocations amends and replaces Exhibit B-5 Allocation as follows: <br />Increase of $199,443.00 for a revised maximum consideration of $4,608,529.00 <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED A5 T FORM: <br />Signature of P osecutor' Office Date <br />RECEIVED <br />act NOV 17 2025 <br />Signature of Auditor'16ifice Date <br />Budget Information <br />Revenue Code(s): (116) 612.22.10.333.93.994 i 612.88.3.333.93069 / 612.94.333.10.56 / 611.18333.93.967 / 612.39.23.333.93.324 <br />4eYYuA r tx "komV— ntwr vo , I 14T rJAP aD t SL2 m#'AIt u4 rye (EL04 SMW` Cd�i o Lit <br />Expense Code(s): <br />C"eX%"4s 4 <br />✓❑ Agency is not suspended/disbarred Not Checked (reason) <br />Pass I nrougn inrormaxion <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 />