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"� <br />COUNTY <br />�`�' �'�F <br />DCYF Agreement Number <br />�� <br />PROGRAM AGREEMENT <br />2163-22205 <br />t, h t5' <br />Consolidated Contract <br />This Program Agreement is by and between the State of Washington <br />Administration or Division <br />Department of Social and Health Services (DCYF) and the County identified <br />Agreement Number <br />below, and is issued in Conjunction with a County and DCYF Agreement On <br />General Terms and Conditions, which is incorporated by reference. <br />County Agreement Number <br />DCYF ADMINISTRATION <br />DCYF DIVISION <br />DCYF INDEX NUMBER <br />CCS CONTRACT CODE <br />Department of Children, Youth, <br />Children, Youth and <br />1225 <br />2072CS-63 <br />and Families <br />Families <br />DCYF CONTACT NAME AND TITLE <br />DCYF CONTACT ADDRESS <br />Karena McGovern <br />1115 Washington St SE <br />Contract Specialist <br />OI m ia, WA 98504 <br />DCYF CONTACT TELEPHONE <br />DCYF CONTACT FAX <br />DCYF CONTACT E-MAIL <br />(360)870-5727 <br />Click here to enter text. <br />karena.mcqovem(cDdcVf.wa.Q0V <br />COUNTY NAME <br />COUNTY DBA <br />COUNTY ADDRESS <br />Kittitas County <br />Rm 211 Kittitas Cc Courthouse <br />205 W Fifth St <br />Ellensburg, WA 98926 <br />COUNTY UNIFORM BUSINESS IDENTIFIER (UBI) <br />COUNTY CONTACT NAME <br />192-002-673 <br />Katrina Mankus <br />COUNTY CONTACT TELEPHONE <br />COUNTY CONTACT FAX <br />COUNTY CONTACT E-MAIL <br />509 962-7516 <br />1 <br />1 katrina.mankus@co.kittitas.wa.us <br />IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM <br />CFDA NUMBERS <br />AGREEMENT? <br />No <br />PROGRAM AGREEMENT START DAT=06/301202'2 <br />GREEMENT END DATE <br />MAXIMUM PROGRAM AGREEMENT AMOUNT <br />07/01/2021 <br />See Exhibits <br />EXHIBITS. When the box below is marked with an X, the following Exhibits are attached and are incorporated <br />into this County Program Agreement: <br />® Exhibits (specify): ® Exhibit A: Consolidated Contract Term, Reimbursement Procedures, and Program <br />Responsibilities; ® Exhibit B: Juvenile Court Block Grant; ® Exhibit C: Detention Services <br />The terms and conditions of this Contract are an integration and representation of the final, entire and exclusive <br />understanding between the parties superseding and merging all previous agreements, writings, and communications, oral <br />or otherwise, regarding the subject matter of this Contract. The parties signing below represent that they have read and <br />understand this Contract, and have the authority to execute this -Contract. This Contract shall be binding on DCYF only <br />upon signature by DCYF. <br />COUNTY SIGNATURE (S) <br />PRINTED NAME(S�) (�S/)� <br />DATE (S) SIGNED <br />pAND �TITLE <br />DCYF SIGNATURE <br />PRINTED NAME AND TITLE <br />DATE SIGNED <br />Department of Children, Youth, and Families <br />2072CS County Consolidated Program Agreement 6-20-2019 <br />