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Kittitas County Public Health <br />Contract/Agreement Review Form <br />Today's Date: 2/27/2025 <br />Fund/Department: 1/10th of Mental Health Tax <br />r'nntrmrtlAaroamant Infnrmatinn <br />Legal Request #: 11362 <br />Agenda Date: <br />1 <br />Kittitas " <br />Public Health <br />Contract/Agreement Agency: Community Builders <br />Contract/Agreement Title: Amendment 1 to PSA between Community Builders and Kittitas County <br />Begin Date: 01/01/2025 <br />End Date: 12/31/2026 <br />Total $ Amount: $182,020.00 Contract/Agreement #: PHMH-009 <br />Contract/Agreement Summary: <br />1/10th of 1 % 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 />APPROVED AS TO/FORM: <br />�7 <br />Signature of Pr secutor's ffice Date <br />3•io• z� <br />Signature of Auditor's Office Date <br />Budget Information <br />I Revenue Code(s): r105 - 560.3134000 <br />Expense Code(s): 105 - 560.54101 <br />n Agency is not suspended/disbarred n Not Checked (reason) <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through <br />Sub -Contract Approved Date: <br />Expense Code: <br />i <br />ADMIN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga Approval By: Chelsey Loeffers <br />