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0 <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />K itt it a s C o u n ty <br />Public Health <br />Department <br />Today's Date 01107t2a25 Legal Request #:lllAti: <br />Fund/Depa rtment 1/1Oth of Mental Health Tax Agenda Date <br />-1 <br />Contract/Agreement Agency: Community Builders <br />Contract/Agreement Title: The Shop Teen Center <br />Begin Date: 0110112025 End Date: 1213112026 <br />Total 5 Amount: $182,020.00 Contract/Agreement +: PHMH-009 <br />Contract/Agreem ent Summa 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 />Contract/ent lnformation <br />lnformation <br />Agency to Pass Through <br />Amount to Pass Through Expense Code <br />Sub-Contract Approved Date <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APP ED F <br />/ /y' e.r <br />Signature of Crosecutby's bttice 0 <br />,'tll*-l /" <br />Date <br />/-n->t- <br />Signature of Auditor's dffice Date <br />Revenue Code(s)105 - 560.3134000 <br />Expense Code(s)105 - 560.54101 <br />t/Agency is not suspended/disbarred Er*_Not Checked (reason) <br />Pass Through lnformation <br />edes: 05u Date Ad d:1.2/oL/2o24 Modified Katie Odiaga Approval By: Chelsey LoeffersADMINVersion:0