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Kittitas County Public Health Public Health <br />Contract/Agreement Review Form <br />Today's Date: <br />01/16/2026 <br />Legal Request #: <br />12126 <br />Fund/Department: <br />1/10th of 1% Mental Health Tax Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Cie Elum-Roslyn School District Amendment <br />Contract/Agreement Title: PSA Kittitas County and Cie Elum Roslyn School District Amend 2 <br />Begin Date: 12/31/2025 <br />Total $ Amount: $73,750 <br />Contract/Agreement Summary: <br />End Date: 06/30/2026 <br />Contract/Agreement #: PHMH-011 <br />1/10th funding to Cie Elum -Roslyn School District to provide mental health services to the <br />students in Cie Elum-Roslyn School District. The Amendment provides 6 month amended <br />compensation budget of unspent original funding of $73,750.00. Original contract was for <br />$143,600.00. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED,AS TO FORM: <br />Signatu re' of <br />re of Auditor's <br />is Office <br />Budget Information <br />Revenue Code(s): 105 - 560.3134000 <br />Expense Code(s): 1105 - 560.54101 <br />❑✓ Agency is not suspended/disbarred <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through I <br />Sub -Contract Approved Date: <br />❑ Not Checked (reason) <br />Expense Code: <br />LADMIN version: 0 supersedes: o Date Adopted: 12/01/2024 Modified 6y: Katie Ddiaga Approval By: Chelsey Loeffers <br />