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DATE(S) SIGNED <br />th{rs <br />DATE SIGNED <br />8t15t2025 <br />DSHS Agreement Number <br />2363-49241 <br />Amendment No <br />03 <br />Administration or Division <br />Agreement Number <br />Click here to enter text, <br />County Ag reement Number <br />1225 <br />CONTRACT <br />wood <br />CONTACT E-MAIL <br />WA <br />kittitas.wa.us <br />COUNTY CONTACT <br />PROGRAM <br />.0019$z <br />AMOUNT <br />CFDA NUMBERS <br />1225 <br />NUMBER <br />PRTNTED NAME(S) AND TITLE(S)ah'{Wvffi, <br />PRINTED NAME AND TITLE <br />Rainavimarie Rivas, Contracts Specialist <br />wA 99205 <br />'1611 W lndiana Ave <br />CONTACT <br />wA 98926-2886 <br />507 North Nanum Street Suite '102 <br />ADDRESS <br />couNw co <br />Knutson <br />DSHS CONTACT <br />37 <br />FAXCOUNTY <br />962-5883 <br />06/30t2025 <br />AGREEMENT END DATE <br />DECREASEAMOUNT <br />$217,698.00 <br />,DSHS D <br />Division of Developmental <br />Disabilities <br />COUNTY PROGRAM AGREEMENT <br />AMENDMENT <br />Jln <br />frnr <br />It.rs,lrc0t0'l S/ntf <br />Department of Social <br />& Herlth Senices <br />Transforming lives <br />This Program Agreement Amend <br />Department of Social and Health <br />ment is by and between the State <br />Services (DSHS) and the County <br />of Washington <br />identified below <br />ADMINISTRA <br />Developmental Disabilities <br />Admin <br />Seanna Woodard <br />NAME AND TI <br />A <br />CONTACT <br />329-2952 <br />COUNW NAME <br />Kittitas County <br />Kittitas County DDA County Services <br />COUNTY <br />NUMBER <br />EMPLOYER ID <br />962-7090509 <br />CONTACT <br />AGREEMENT? <br />No <br />ES OF THIS PROGRAMCOUNTY A SUBRECIPIENT FORIS <br />DATE <br />031a112025 <br />AMENDME <br />AMOUNT <br />$2,001,794,00 <br />PROGMM AGRPRIOR <br />M CONTRACTAMOUNTCHANGE OR CORRECT MAXIMU <br />REASON FOR AMENDMENT; <br />areandattachedarebitsExhilowingfotheXanor <br />reference <br />4 <br />byent <br />check <br />m <br />awith <br />Amendentm <br />marked <br />ree <br />IS <br />Ag <br />B1 <br />OW <br />it <br />be <br />Exhib <br />box <br />Program <br />the <br />thisnto <br />When <br />ibitsExh <br />n <br />al <br />nt <br />ntains <br />remarn <br />Amendment <br />co <br />reeme <br />other <br />Ag <br />No <br />m <br />ent, <br />Agreement <br />reference <br />Agreement <br />m <br />m <br />Progra <br />by <br />this <br />rogra <br />Agree <br />d <br />P <br />Program <br />m <br />nal <br />this <br />ncorporated <br />of <br />Progra <br />ongr <br />nderstanu <br />al <br />the <br />nd <br />ments <br />a <br />matter <br />of <br />origin <br />s <br />docu <br />read <br />Amendment. <br />the <br />tion <br />er <br />to <br />subject <br />h <br />ave <br />ot <br />h <br />cond <br />the <br />d <br />nges <br />and <br />lng <br />an <br />they <br />s <br />cha <br />its <br />ard <br />that <br />as <br />hib <br />term <br />reg <br />Exall <br />other <br />parties <br />warrant <br />this <br />Ail <br />the <br />uding <br />othenruise <br />by <br />into <br />es, <br />below <br />or <br />incl <br />ing <br />padi <br />n <br />upon <br />0ra <br />ente <br />entm <br />sig <br />the <br />to <br />reedag <br />tations, <br />bind <br />S <br />Amend <br />parties <br />or <br />senre <br />The <br />exist <br />ave <br />rep <br />h <br />reement <br />to <br />condition <br />or <br />Ag <br />effect. <br />and <br />and <br />m <br />s <br />and <br />rm <br />deemed <br />te <br />be <br />Progra <br />force <br />the <br />nderstandings <br />This <br />of <br />u <br />shall <br />full <br />couNTY SIGNATURE(S) <br />Eaztla.r ti-rlz/rz;L Et-a4 <br />DSHS SIGNATURE <br />DSHS Central Contract Services <br />1 769CP Contract Amendment (6-1 0-24) <br />RHGEIVHN <br />JUL I 0 2fi25 <br />f,}MA $POKAITF Page 1