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Kittitas County Public Health <br />Contract/Agreement Review Form <br />Today's Date: 01/13/26 <br />Fund/Department: 1/10th of Mental Health Tax <br />Contract/Agreement Information <br />Contract/Agreement Agency: Kittitas School District <br />Legal Request #: 112126 <br />Agenda Date: <br />Kittitas County <br />01 Public Health <br />,partment <br />Contract/Agreement Title: PSA between Kittitas County and Kittitas School District Amend 1 <br />Begin Date: 12/31/2025 <br />Total $ Amount: $41,200.00 <br />Contract/Agreement Summary: <br />End Date: 06/30/2026 <br />Contract/Agreement #: PHMH-007 <br />1/10th funding to Kittitas School district to contract with a licensed mental health care provider to <br />provide mental health services to the students in Kittitas School District. The Amendment <br />provides 6 month amended compensation budget of unspent original funding of $41,200.00 <br />Original contract was for $83,750.00. <br />Kittitas County Prosecutor and Auditor Review and <br />Signature of Vrosecutol's Office <br />Signa4rel Auditor's Office <br />Budget Information <br />Revenue Code(s): 105 - 560.3134000 <br />Expense Code(s): 105 - 560.54101 <br />❑✓ Agency is not suspended/disbarred <br />❑ Not Checked (reason) <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through Expense Code: <br />Sub -Contract Approved Date: <br />C ADMIN Version: 0 1 Supersedes: 0 Date Adopted: 12/01/2024 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />