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Kittitas County Public Health Kittitas County <br />Public Health <br />Contract/Agreement Review Form <br />Department <br />Today's Date: 01 /07/2025 1 Legal Request #: f <br />Fund/Department: 1/10th of Mental Health Tax�Ij Agenda Date: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Community Builders <br />Contract/Agreement Title: The Shop Teen Center <br />Begin Date: 01/01/2025 <br />Total $ Amount: $182,020.00 <br />End Date: 12/31/2026 <br />_ Contract/Agreement #: PHMH-009 <br />Contract/Agreement Summary: <br />1/10th of 1% 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 />Signature of <br />-/was' <br />Date <br />Signature of Auditor's Office I Date <br />RueioPt Information <br />Revenue Code(s): <br />105 - 560.3134000 <br />Expense Code(s): <br />105 - 560.54101 <br />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 />ADMIN I Version: 0 1 Supersedes: 0 Date Adopted: 12/01/2024 IModiffied By., Katie OdiagaI Approval By: Chelsey Loeffers <br />