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Kittitas County Public Health <br />Contract/Agreement Review Form <br />Today's Date: 07/21 /2025 Legal Request #: '11777 <br />Fund/Department: 116-Public Health Agenda Date: a <br />Contract/Agreement Information <br />Contract/Agreement Agency: Department of Health <br />1� <br />Kittitas Co <br />Public Health <br />Contract/Agreement Title: Consolidated Contract Amendment 4 <br />Begin Date: 01 /01 /2025 F End Date: 12/31 /2027 <br />Total $ Amount: Increase of 56,419. for new max 2,448,030.00 Contract/Agreement #: CLH32055 <br />Contract/Agreement Summary: <br />The Consolidated Contract Amendment 4 <br />Adds Statements of Work for the following programs: <br />Infectious Disease Syndemic Prevention Services-SSP- Effective July 1, 2025 <br />Office of Drinking Water Group B Program -Effective July 1, 2025 <br />Amends Statements of Work for the following programs: <br />Office of Drinking Water Group A Program -Effective January 1, 2025 <br />Exhibit B-4 Allocations, attached and incorporated by this reference, amends and replaces <br />Exhibit B-3 Allocations as follows: <br />Increase a of $56,419.00 for a revised maximum consideration of $2,448,030.00. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TQ'FORM: , , <br />Signature of Prdsecutor's <br />Signature of Auditor's Office <br />Budeet Information <br />Date <br />Date <br />Revenue Code(s): 612.40.03.334.04.91 / 615.02.3.334.04.09 / 615.02.2.346.26.64 <br />Expense Code(s): <br />Agency is not suspended/disbarred <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through <br />Sub -Contract Approved Date: <br />Not Checked (reason) <br />Expense Code: <br />ADMIN Version: 0 Supersedes: 0 I Date Adopted: 12/01/2024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />