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o <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittitas county <br />Public Health <br />Department <br />Today's Date 12tO4t2024 Legal Request #\\1t-1t!/\o <br />Fu n d/De pa rtment:1/1Oth of Mental Health Tax Agenda Date Y//f'l <br />Contract/Agreement lnformation <br />lnformation <br />Contract/Agreement Agency: Boys & Girls Club of the Columbia Basin <br />Contract/Agreement Title: STRIVE: Support, Tools, and Resilience for lnspiring Vulnerable Youth Program <br />Begin Date: 0110112025 End Date: 1213112026 <br />Total 5 Amount: $306,988 Contract/Agreement +: PHMH-000 1 <br />Contract/Agreement Summary: <br />1/1Oth of 1Vo Mental Health and Chemical Dependency Tax funding award to implement the <br />Strive Program in Kittitas County <br />Kittitas County Prosecutor and Auditor Review and Comment <br />APPR <br />/ttlt t I /il*o^t.// s'{ <br />Sign atuE of froseiuioi'Mtfi."0 <br />^A nu"*Lu ?*rtfa- <br />Date <br />/ " 1), Ly* <br />SignaYu-re of Auditor's Office Date <br />105 - 560 3134000Revenue Code(s) <br />Expense Code(s)105 - 560.54101 <br />Agency is not suspended/disbarred C'-_I tttot Checked (reason) <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract Approved Date <br />Pass Throu lnformation <br />A proval By: Chelsey LoeffersADMINVersion:0 Su 0 Date Adopted : 72 / o7/2o2a Modified By: Katie Odia a