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0 <br />Kittitas County Public Health AKittitas County <br />Contract/Agreement Review Form PUbIIC Health <br />Department <br />Today's Date: <br />01 /13/26 <br />^ Legal Request #: <br />12126 <br />Fund/Department: <br />1/10th of Mental Health Tax <br />Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Ellensburg School District <br />Contract/Agreement Title: PSA between Kittitas County and Ellensburg School District Amend 2 <br />Begin Date: 12/31/25 I End Date: 06/30/26 <br />Total $ Amount: $156,000.00 <br />Contract/Agreement Summary: <br />Contract/Agreement #: PHMH-010 <br />1/10th funding to Ellensburg School district to contract with a licensed mental health care <br />provider to provide mental health services to the students in Ellensburg School District. The <br />Amendment provides 6 month amended compensation budget of unspent original funding of <br />$156,000.00. Original contract was for $313,750.00. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS -TO FORM: <br />Signature ofProsecutbcs Office <br />,& ate. (,/, E, <br />Signature of 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 ❑ 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 />��-76 <br />/I/S•Z(l <br />Date <br />ADMIN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />