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I <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kiitita3 County <br />Public Health <br />Department <br />Today's Date:01t07t2025 fl:l Legal Request #:ltl) <br />Fund/Department:1/1Oth of Mental Health fax [;,. ,l Agenda Date: <br />Contra lnformation <br />Contract/Agreement Agency: Community Builders <br />Contract/Agreement Title: The Shop Teen Center <br />Begin Date: A1lUl2A25 End Date: 1213112026 <br />ContractfAgreement *: PHMH-009Total $ Amount: $182,020.00 <br />Contract/Agreement Summ ary: <br />lnAff, 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 />AP <br />/./y' a"r <br />Signature of Prosecutb/s bffice o <br />f_en _ <br />Date <br />/-0.:-* <br />Signature of Auditor's dffice Date <br />lnformation <br />Pass Throu lnformation <br />Revenue Code(s)105 - 560.3134000 <br />105 - 560.54101Expense Code(s): <br />Agency is not suspended/disbarred D,t fr_Not Checked (reason) <br />Agency to Pass Through <br />Expense CodeAmount to Pass Through <br />Sub-Contract Approved Date <br />ADMIN Version: 0 5upersedes: 0 Date Adopted: L2l o1,/2o24 Modified By: Katie Odiaga Approval By: Chelsey Loeffers