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■ <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Public Health <br />Today's Date: 06/24/26 <br />Fund/Department: I 116-Public Health <br />Legal Request #: <br />12604 <br />I <br />Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: WA State Department of Health <br />Contract/Agreement Title: Consolidated Contract Amendment 11 <br />Begin Date: 01/01/2025 End Date: 12/31/2027 <br />Total $ Amount: Increase $1,507,160.00 New max $6,262.951.00 Contract/Agreement #: CLH32055 <br />Contract/Agreement Summary: <br />The Consolidated Contract Amendment 11 is amended by the following <br />Exhibit A Statements of Work, includes the following statements of work <br />Adds Statements of Work for the following programs: <br />Foundational Public Health Services - Effective July 1, 2026 <br />Infectious Disease Syndemic Prevention Services-SSP - Effective July 1, 2026 <br />Amends Statements of Work for the following programs: <br />Office of Drinking Water Group B Program - Effective July 1, 2025 <br />Exhibit B-11 Allocations, attached and incorporated by this reference, amends and replaces Exhibit <br />B-10 Allocations as follows: <br />Increase of $1,507,160 for a revised maximum consideration of $6,262,951. <br />Kittitas County Prosecuti <br />APPROVE A FORM: <br />Signs u e of rosecutor's <br />Signature of Auditor's dfl <br />and Auditor Review and Comment: <br />J U L o 2" 2026 <br />- <br />Date <br />1. -& -z(, <br />! �rI Date <br />Budget Information <br />Revenue Code(s): 336.04.24 / 334.04.912 / 334.04.91 <br />Expense Code(s): PH1600-101 / PH3000-102 / PH3000-103 / PH4300-113 <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 />ADMIN I Version: 0 1 Supersedes: 0 1 Date Adopted:12/01/2024 1 Modified By: Katie Ddiaga I Approval By: Chelsey Loeffers 1 <br />