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IN WITNESS WHEREOF, the parties have executed this Agreement this day of ` , 2016. <br />APPROVED: <br />COMMUNITY HEALTH OF BOARD OF COUNTY COMMISSIONERS <br />CENTRAL WASHINGTON KITTITAS COUNTY, WASHINGTON <br />Signature of Signatory <br />(Date ) <br />Print Name of Signatory <br />Contractor Address: <br />Community Health of Central Washington <br />501 S5 1h Ave. <br />Yakima, WA 98902 <br />Contractor DUNS: <br />86-798-2324 <br />Project Contact: <br />Paul Kaschmitter <br />Professional Services Agreement <br />Page 2 <br />Obie O'Brien, Chairman <br />Paul Jewell, Vice -Chairman <br />Gary Berndt, Commissioner <br />Attest: <br />Clerk of the Board <br />County's Address: <br />Kittitas County Public Health Department <br />205 West 5th Avenue, Suite 108 <br />Ellensburg, WA 98926 <br />County's DUNS: <br />01-020-2547 <br />Project Contact: <br />Kasey Knutson <br />