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11 <br />Kittitas County Public Health <br />Contract/Agreement Review Form <br />Today's Date: 12/10/2025 <br />Fund/Department: <br />Contract/Agreement Information <br />Contract/Agreement Agency: Boys and Girls Club <br />Legal Request #: 12085 <br />Agenda Date: <br />Kittitas County <br />Public Health <br />Contract/Agreement Title: Agreement for Services between Kittitas County and Boys and Girls Club <br />Begin Date: 01 /01 /2026 End Date: 12/31 /2027 <br />I Total $ Amount: See Exhibit B <br />Contract/Agreement Summary: <br />Contract/Agreement #: PHMH-021 <br />The agreement for services funds the Strive project as recommended by the 1 /10th of 1 % Mental <br />Health and Chemical Dependency Advisory Board. <br />Kittitas County Prosecutor and Auditor Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office <br />I <br />Signature of Auditor's Office <br />Rudgpt Information <br />Date <br />Date <br />Revenue Code(s): <br />105 560.313.4000 <br />Expense Code(s): <br />❑ <br />Agency is not suspended/disbarred <br />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 I Approval By: Chelsey Loeffers <br />