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,s <br />Kittitas County Public Health AKittitas County <br />Contract/Agreement Review Form <br />Public Health <br />Today's Date: 01 /13/2025 Legal Request #: 111261 <br />Fund/Department: 1116 Public Health Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Wa State Department of Health <br />Contract/Agreement Title: Con Con Amendment 3 <br />Begin Date: 01 /1 /2025 <br />End Date: 12/31 /2027 <br />Total $ Amount: $1,989,627.00 <br />Contract/Agreement #: CLH32055 <br />Contract/Agreement Summary: <br />The Consolidated Contract Amendment 1 amends the following: <br />Exhibit A Statements of Work <br />Adds Statements of Work for the following programs: <br />• DCHS - ELC COVID-19 Response - Effective January 1, 2025 <br />• Foundational Public Health Services (FPHS) - Effective January 1, 2025 <br />• Infectious Disease-Syndemic Prevention Services-SSP - Effective January 1, 2025 <br />• Injury & Violence Prevention-LHJ Opioid Campaign Proviso - Effective January 1, 2025 <br />• Maternal & Child Health Block Grant- Effective January 1, 2025 <br />• Office of Drinking Water Group A Program - Effective January 1, 2025 <br />• Office of Drinking Water Group B Program - Effective January 1, 2025 <br />• Office of Resiliency & Health Security-PHEP - Effective January 1, 2025 <br />• Supplemental Nutrition Assistance Program -Education - Effective January 1, 2025 <br />Exhibit B-1 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-0 Allocations as follows: <br />• Increase of $1.989.627 for a revised maximum consideration of $1 989.627 <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office <br />Date <br />Signature of Auditor's Office <br />Date <br />Budget Information <br />Revenue Code(s): see page 2 <br />Expense Code(s): see page 2 <br />0 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 />ADMIN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga I Approval By: Chelsey Loeffers <br />