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o <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittit.r5 {0uil!l <br />Public Health <br />Deiltrtrnenl <br />Today's Date 2t27t2025 l'?kl <br />l.4i';l Legal Request #:11 362 <br />Fund/Department:1/1Oth of Mental Health fax|tlil Agenda Date <br />Contract/lnformation <br />Contract/Agreement Agency: Commun ity Bui lders <br />Contract/Agreem entTitle: Amendment 1 to PSA between Community Builders and Kittitas County <br />End Date: 1213112026Begin Date: 0110112025 <br />Contract/Agreement *: P H M H-009Total S Amount: $182,020.00 <br />Contract/Agreement Summa rY: <br />1/1gth 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 />APP <br />Date <br />3 z\- <br />Signature of utor's <br />DateSignature of Auditor's <br />Information <br />Pass Throu lnformation <br />105 - 560.3134000Revenue Code(s) <br />105 - 560.54101Expense Code(s): <br />! ruot Checked (reason)Agency is not suspended/disbarred <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract Approved Date <br />ADMIN Version: 0 Supersedes: 0 Date Adopted : 72 / O! 2A24 Modified By: Katie Odiaga Approval By: Chelsey Loeffers