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I <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Kittilas County <br />Public Health <br />Department <br />Today's Date 12104t2024 l$il iegat Request f:\ <br />,L <br />l.\o <br />Fund/Department 1/1Oth of Mental Health fax ffi] Agenda Date: <br />Contra <br />lnformation <br />ent lnformation <br />Contract/Agreement Agency: Boys & Girls Club of the Columbia Basin <br />Contract/AgreementTitle: STRIVE: Support, Tools, and Resilience for lnspiring Vulnerable Youth Program <br />Begin Date: 4110112025 End Date: 1213112026 <br />Total $ Amount: $306,988 Contract/Agreement *: PHM H-000 1 <br />Co ntract/Agreement 5ummary: <br />1/1Oth of 1% Mental Health and Chemical Dependency Tax funding award to implement the <br />Skive Program in Kittitas County <br />Kittitas County Prosecutor and Auditor Review and Corirment: <br />M <br />/0 /.// gs <br />Signatui6 of Frosecutor'$6ffice 0 <br />^.{ ,rt^,u4,r-?rl- <br />Date <br />/' / 1' Ly._ <br />Signat"ure of Auditor's Office Date <br />Revenue Code(s):105 - 560.3134000 <br />Expense Code(s)105 - 560.54101 <br />Agency is not suspended/disbarred 0r*_Not Checked (reason) <br />Agency to Pass Through <br />Expense Code:Amount to Pass Through <br />Sub-Contract Approved Date <br />Pass Th lnformation <br />Che LoeffersADMINVersion:0 Supersedes:0 Date Adopted: 1 Katie OdiaModified