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DCYF Agreement Number <br />COUNTY PROGRAM AGREEMENT <br />F § <br />ACT and EET Quality Assurance <br />2363-49714 <br />This Program Agreement is by and between the State of Washington <br />Administration or Division <br />Department of Children, Youth & Families (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 />DCYF CONTRACT CODE <br />Department of Children, Youth, <br />Children, Youth and Families <br />1225 <br />2000CC-63 <br />and Families <br />DCYF CONTACT NAMEANDTITLE <br />DCYF CONTACT ADDRESS <br />Karena McGovern <br />1115 Washington St SE <br />Contract Specialist <br />Olympia, WA 98504 <br />DCYF CONTACT TELEPHONE <br />DCYF CONTACT FAX <br />DCYF CONTACT E-MAIL <br />360 870-5727 <br />Click here to Pnirer text. <br />karena.mcgo\iern@dcyf.wa.gov <br />COUNTY NAME <br />COUNTYADDRESS <br />Kittitas County <br />Juvenile Court Services Department <br />Juvenile Court Services Department <br />205 West 5th Ave Suite 211 <br />Ellensbur , WA 98926 <br />COUNTY FEDERAL EMPLOYER IDENTIFICATION <br />COUN I YCONTACTNAME <br />NUMBER <br />Katrina Mankus <br />COUNTYCONTACT TELEPHONE COUNTY CONTACT FAX COUNTY CONTACT E-MAIL <br />(509) 962-7516 1 katrina.mankus@co.kittitas.wa.us <br />IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM <br />CFDANUMBERS <br />AGREEMENT? <br />No <br />PROGRAM AGREEMENT START DATE <br />PROGRAM AGREEMENT END DATE <br />MAXIMUM PROGRAM AGREEMENTAMOUNT <br />07/01/2023 <br />1 06/30/2025 <br />$46,401.00 <br />EXHIBITS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into this <br />County Program Agreement by reference: <br />Exhibits (specify): Exhibit A -Data Security Requirements; Exhibit BStatementofWork <br />❑ No Exhibits. <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 />CO tGNATURES) <br />PRINTED NAME(S)AND TITLE(S) <br />DATE(S)SIGNED <br />DCYF S GNATURE <br />PRINTEDNAMEANDTITLE <br />DATESIGNED <br />Department of Children, Youth & Families <br />2017CF County Program Agreement 6-24-20 Page 1 <br />