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0 <br />Kittitas County Public Health Kittitas County <br />Public Health <br />Contract/Agreement Review Form 1. apartment <br />Today's Date: <br />06/25/26 <br />Legal Request #: <br />E%��' <br />Fund/Department: <br />116-Public Health <br />Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: WISE <br />Contract/Agreement Title: AFS between Kittitas County and WISE <br />Begin Date: 04.01.26 1 f End Date: 06/30/26 <br />Total $ Amount: NTE $10,000.00 <br />Contract/Agreement Summary: <br />Contract/Agreement #: PHMH-006 <br />Allow consultant to provide training and technical assistance specific to developmental <br />disabilities programs. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of P7se tor's Office Date <br />Signature of Auditor's <br />Budget Information <br />Revenue Code(s): 1105 - 334.04.68 <br />Expense Code(s): HS2000-101/4101 <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 />Date <br />&. 3U• <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 />