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Kittitas County Public Health <br />Contract/Agreement Review Form <br />Today's Date: 07/02/26 Legal Request #: 12583 <br />Fund/Department: 116-Public Health Agenda Date: <br />ment Information <br />Contract/Agreement Agency: Elmview <br />Contract/Agreement Title: AFS between Kittitas Countv and Elmview <br />Begin Date: 05/01/26 <br />Total $ Amount: $12,600.00 <br />Contract/Agreement Summary: <br />Kittitas County <br />Public Health <br />End Date: 09/301/27 <br />Contract/Agreement #: PHMH26-018 <br />The purpose of this agreement is to provide school -to -work services, per the contractual <br />requirements of the Washington State Department of Vocational Rehabilitation (DVR) including <br />but not limited to intake, assessment, job placement along with required deliverables. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office 1W/f <br />Signature of Auditor's <br />Budget Information <br />Revenue Code(s): 105-568.334.04.68 <br />Expense Code(s): HS10000-101/4122 <br />21 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 />Date <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 />