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i <br />Kittitas County Public Health <br />Public Health <br />Contract/Agreement Review Form <br />116-Public Health <br />Contract/Agreement Information <br />Contract/Agreement Agency: Peers Rising (Previously KCRCO) _ <br />Contract/Agreement Title: AFS between Kittitas County and Peers Rising Amendment 1 <br />Begin Date: 03.01.26 End Date: 12.31.27 <br />Total $ Amount: See Exhibit B (original Contract) Contract/Agreement #: PHMH-018 <br />Contract/Agreement Summary: <br />The amendment to the AFS is established to clarify allowable costs and billing documents <br />submitted by the contractor for reimbursement to the county. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED A TO FORM: <br />36 2L <br />Signature o Prosecu ar's ffice Date <br />Signatu f Auditor's Off(cef Date <br />n...l...,+ I..F...w.�+inn <br />Revenue Code(s): <br />5U I7j . w <br />Expense Code(s): <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 />ADMIN I Version: 0 _Supersedes: 0 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga I Approval By: Chelsey Loeffers <br />