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0 <br />Kittitas County <br />Kittitas County Public Health Public Health <br />Contract/Agreement Review Form Department <br />Today's Date: 08/13/26 Legal Request #: 12726 <br />Fund/Department: 1/10th of 1% Mental Health Tax Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Cie Elum-Roslyn School District Amendment <br />Contract/Agreement Title: AFS between Kittitas County and Cie Elum Roslyn School District <br />Begin Date: 07/01/26 End Date: 06/30/27 <br />Total $ Amount: $147,500.00 <br />Contract/Agreement Summary: <br />Contract/Agreement #: PHMH26-014 <br />The purpose of this Agreement allows Cie Elum-Roslyn School District to utilize 1/10th funding to <br />provide mental health services to the students in Cie Elum-Roslyn School District. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />7 <br />Signature of rosecu is Office Date <br />Signature of Auditor's Officb I Date <br />Budget Information <br />Revenue Code(s): 105 - 560.3134000 <br />Expense Code(s): HS4000-101 /4101 <br />7 Agency is not suspended/disbarred <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through <br />Sub -Contract Approved Date: <br />Not Checked (reason) <br />Expense Code: <br />Lf-2, <br />Approval By: Chelsey Loeffers <br />ADMIN Version: 0 Supersedes: 0 Date Adopted: 12/01/2024 Modified By: Katie Odiaga <br />