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j1kj <br />TM <br />Prevent • Promote , Proteo <br />CONTRACT FOR SERVICES <br />Between <br />Benton -Franklin Health District <br />And <br />Kittitas County Public Health <br />Amendment #1 <br />This agreement is made and entered into between the Benton -Franklin Health District herein after <br />referred to as the "District" and the Kittitas County Public Health hereinafter referred to as <br />"Consultant". <br />Effective Dates: 3/1/19 — 6/30/19 <br />Organizational Contact Information <br />Benton -Franklin Health District <br />7102 W. Okanogan Place <br />Kennewick, WA 99336 <br />Phone: (509) 460-4200 <br />.Fax: (509) 460-4590 <br />Contact Name <br />Phone <br />_Res onsibilit <br />_Contact Name <br />_Phone <br />_Fax <br />_Email <br />Billing/Finance <br />Administrator/Signature <br />Authority <br />_Jason <br />Zaccaria <br />_509-460-4567 <br />.509-460-4590 <br />I <br />_Jasonz <br />bfhd.wa. ov <br />-Contracts/Billing/Payments <br />_Bonnie Hall <br />.509460-4553 <br />-509-460-4590 <br />-Bonn ieht@_bfhd.wa.gov <br />.Program Supervisor <br />.Carla Prock <br />_509-460-4225 <br />_509-460-4515 <br />_Carla <br />bfhd.wa. ov <br />-Program Support Contact <br />.Vanessa <br />McCollum <br />.509-460-4258 <br />.509-460-4590 <br />_Vanessam bfhd.wa. ov <br />Invoice Submission <br />_Jared Strait <br />_509-460-4556 <br />_509-460-4590 <br />1 _Jareds <br />bfhd.wa. ov <br />Kittitas County Public Health <br />507 N. Nanum, Suite 102 Phone: 509-962-7515 <br />Ellensburg, WA 98926 Fax: 509-962-7518 <br />Responsibility <br />Contact Name <br />Phone <br />Email <br />Mmi viS-�rai�,r/Acting <br />Signature Authority <br />Tristen Lamb <br />509-962-700" <br />Tristen.LambCc�co.kittitas.wa.us <br />Billing/Finance <br />Tina Rowan <br />509-962-7583 <br />Tina.rowangh@co.kittitas.wa.us <br />Program Contact <br />Nea Alfaro <br />509-933-8399 <br />Nea.alfaro(cbro.kittitas.wa.us <br />BFHD Kittitas Tobacco Prevention Amend 12019 Page 1 <br />