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I <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kiltita! co!nty <br />Public Health <br />Departrnent <br />Today's Date 01t13t2025 ffi regat Request#11261 <br />Fund/Department 116 Public Health ffi Agenda oate <br />Contract/ment lnformation <br />Bu lnformation <br />Pass Throu lnformation <br />contract/Agreement Agency: Wa State Department of Health <br />Contract/AgreementTitle: COn COn Amendment 3 <br />End Date: 1213112027Begin Date: 011112025 <br />Total g Amount: $1,989,627.00 Contract/Agreement +: C LH32055 <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 />. lnfectious Disease-Syndemic Prevention Services-SSP - Effective January 1,2025 <br />. lnjury & Violence Prevention-LHJ Opioid Campaign Proviso - Effective January 1,2025 <br />. Maternal & Child Health Block Grant - Effective January 1,2025 <br />. Office of Drinking Waier 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 />. lncrease of $1 .989.627 for a revised maximum consideration of $1.989.627 <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />/ r:, <br />'-'2// 1cs P't <br />Signatu s Office Date <br />r.2t.2f <br />Silna\ure of Audit6r{s office Date <br />Revenue Code(s):see page 2 <br />see page 2Expense Code(s) <br />Not Checked (reason)Agency is not suspended/disbarred <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract Approved Date <br />ADMIN Version:0 Supersedes:0 Date Adopted : I2l 0I/2o2a Modified By: Katie Odiaga Approval By: Chelsey Loeffers