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Kittitas County Public Health <br />Contract/Agreement Review Form <br />Today's Date: 6/26/2025 <br />Fund/Department: 116-Public Health <br />Contract/Agreement Information <br />Legal Request #: 111710 <br />Agenda Date: <br />Contract/Agreement Agency: DSHS <br />Contract/Agreement Title: DDA County Services (DSHS and KCPHD) <br />Begin Date: 07/01/2025 End Date: 06/30/2026 <br />Kittitas County <br />Public Health <br />Total $ Amount: $,1123,083.00 Contract/Agreement #: 2563-64310 <br />Contract/Agreement Summary: <br />To provide a coordinated and comprehensive state and local program of services for persons <br />with developmental disabilities. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />n nnnr.rr— n r rr r^ne A. <br />Signature ofProslcutor's Office <br />Signature of Auditor's Office <br />Budeet Information <br />- �?-p2S— <br />Date <br />"7-1f'Z-T— <br />Date <br />Revenue Code(s): <br />105 - 568.334.04.68 <br />Expense Code(s): <br />105 - 568.54101 /54122 <br />0 <br />Agency is not suspended/disbarred <br />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 />