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t <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />(ittitas Courty <br />Public Health <br />0epartment <br />Today's Date:12t05t2024 f, r-egat Request# <br />Fund/Department:t tO-PuOtic Health f Rgenda oate t ll 95 <br />Contract/ent lnformation <br />Contract/Agreement Agency: KCH N <br />COntfaCt/Agfgementfillg; mr.*BrheKGHNandKcpHDGEnrAddnanhdrorsediesbrffiilaroudvopiodueDlode.Pr€vodb..reatmnr'adRederyftold <br />End Date: 0813112025Begin Date: 0910112022 <br />Contract/Agreement #Total S Amount: $173,000.00 <br />Contract/Agreement Summa rY: <br />This amendment updates the quarterly payment amounts and KCHN contact information <br />(Amendment 3 to the KCHN and KCPHD Grant Admin Contract for Services for Kittitas County <br />Opioid Use Disorder Prevention, Treatment, and Recovery Project) <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APP <br />l>.tr," <br />Daterece <br />Datere of Auditor'S <br />Bud lnformation lJ <br />Pass Th lnformation <br />116 - 612.4DMs$.93.912Revenue Code(s) <br />116 - 612.40.02 <br />f <br />Expense Code(s) <br />Not Checked (reason)t/ABe n cy. i s nol,tj t qfl f;'|#j b a r red <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract ApProved Date <br />ADMIN Version:0 Supersedes:0 Date Adopted : L2 | 0t | 2O2a Modified By: Katie Odiaga Approval By: Chelsey Loeffers