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COUNTY PROGRAM AGREEM ENT <br />ACT and EET Quality Assurance <br />DCYF Agreement Number <br />236349714 <br />This Program Agreement is byand between the State of Washington <br />Departnnnt of children, Youth & Families (DCYF) and the county identified <br />below, and is issued in conjunctionwith a countyand DCYFAgreennnt on <br />GeneralTerms and Conditions, which is in orated reference <br />Administration or Division <br />Agreenent Number <br />County Agreenpnt Number <br />DCYF ADMINISTRATION <br />Department of Children, Youth, <br />and Families <br />DOYF DIVISION <br />Children, Youth and Families <br />UCYF INDEX NUMBER <br />1225 <br />UUYF UONI ru\UI CODE <br />2000cc-63 <br />TJUYF UONI AUI NAMLANIJ I I I Lh <br />Karena McGor,ern <br />Contract Specialist <br />UUYF UON IAC I AIJL)RbSS <br />1 1 15 Washington St SE <br />Olympia, WA 98504 <br />DCYF CONTACT TELEPHONE <br />(360)870-5727 <br />DCYF CONTACT FAX <br />*1ir:i'; h*rr* i;: *r:Lr',:i hlxi ka rena. m c g orern @dcyf. wa.oov <br />DCYF CONTACT E-MAIL <br />COUNTY NAME <br />Kittitas County <br />Jurcnile Court Services Department <br />Julenile Courl Services Department <br />205 West Sth Ar,e Suite 211 <br />Ellensburo, WA 98926 <br />COUNTY ADDRESS <br />COUN I Y FEDERAL EM PLOYER IDENTIFICATION <br />NUMBER <br />COUNTYCONTACT NAME <br />Katrina Mankus <br />COUNTY CONTACT T ELEPHONE <br />(509) e62-7516 <br />UOUNI Y CONIACT FAX COUNTY CONTACT E-MAIL <br />kat ri na. m ank us@co.kittitas.wa.us <br />IS THE CoUNTY A SUBRECIPIENT FoRPU <br />AGREEMENT? <br />No <br />I-{POSES OF THIS PROGRAM CFDA NUMBERS <br />PROGRAM AGREEM ENT START DATE <br />07t01t2023 <br />P ROGRAM AGREEM ENT END DAIE <br />06t3012025 <br />MAXIMUM PROGRAM AGREEM EN I AMOUN I <br />$46,401.00 <br />Exhibits (specify): Exhibit A-Data Security Requirements; Exhibit B-Statement of Work <br />County <br />! <br />E)GJIBITS. When the box below is ma an \ the foll ts are attached a are rnco rporated intoProgram Agreement by reference <br />No Exhibits. <br />a/a/a,-fu// f .fiPrb <br />a- <br />The erm S ons thof ts antract anre nt an ntate ton ntie andre CXrepres <br />understand nbetwee the rties rsed ndingpa a US asupetngmergi writients a cnd mmuongprevtgreem ralngs,nications, <br />othor Senrui e eth S mattect rregardie thof Contract.ng ubj The bES OWbelpart ent tthat hatngtgn read\e danrepresheyunderstandthisConhaveandhettract,tau hori executeto th CoS Thintract.CSty ontract alh be ndbi in DCYon onlFo vSFDCYre <br />Go{ */ntt<ot/ *r-c-, <br />L r I ,/l <br />Departmentof Children, Youth & Families <br />2017CF County Program Agreement 6-24-20 Page 1