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o <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittita5 County <br />Public Health <br />Department <br />Today's Date 01t07t2025 ffi Legal Request #:lll-Llln <br />Fund/Department ffiFr{r I1/1Oth of Mental Health Tax Agenda Date <br />.I <br />Contract/ement lnformation <br />Budget lnformation <br />Pass Thro lnformation <br />Contract/Agreement Agency: Community Builders <br />Contract/AgreementTitle: The Shop Teen Center <br />End Date: 1213112026Begin Date: 0110112025 <br />Contract/Agreement +: PHMH-009Total S Amount: $182,020.00 <br />Contract/Agreem ent Summ a rY: <br />1/1Oth of 1o/o Mental Health and Chemical Dependency Tax funding award to Community <br />Builders to operate The Shop Teen Center in Kittitas County' <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />.f <br />TO <br />1-tt.>r <br />DateSignature of S <br />DateSignature of Auditor's ce <br />105 - 560.3134000Revenue Code(s) <br />105 - 560.54101Expense Code(s) <br />Not Checked (reason)r'Agency is not suspended/disbarred DUV- <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Su b-Contract Approved Date <br />ADMIN Version:0 Supersedes:0 Date Adopted i 12lot/2o24 Modified By: Katie Odiaga Approval By: Chelsey Loeffers