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Today's Date: <br />Fund/Department <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />09/15/2025 <br />116- Public Health <br />Information <br />Legal Request #: 111827 <br />Agenda Date: <br />Kittitas County <br />Public Health <br />lllDepartmen <br />Contract/Agreement Agency: Community Builders <br />Contract/Agreement Title: PSA Amendment 2 between Kittitas County and Community Builders <br />Begin Date: 01 /01 /2025 End Date: 12/31 /2026 <br />Total $ Amount: $182,020.00 Contract/Agreement #: <br />Contract/Agreement Summary: <br />Amendment 2 amends "Exhibit B-Compensation" to the PSA for 1 /10th of 1 % Mental Health and <br />Chemical Dependency Tax funding awarded to Community Builders to operate The Shop Teen <br />Center in Kittitas County. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED A FORM: <br />'7 Signatur of P�Ko`se--CutoA, Office Date <br />tw <br />Signature f Auditor's Office Date <br />Budget Information <br />Revenue Code(s): 105 - 560.3134000 <br />Expense Code(s): 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 1 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />