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Agreement Number. <br />Firm/Organization Legal Name (do not use dba's): <br />Jacobs Engineering Group Inc. <br />Address Remit to Address <br />600 -108th Ave. NE., Shite 700; Bellevue, WA. 98004 Sarre <br />UBI Number Federal TIN or SSN Number <br />95-4081636 <br />Execution Date Completion Date <br />January 26, 2015 December 31, 2015 <br />1099 Form Required Federal Participation <br />❑ Yes ❑i No ® Yes Q No <br />Description of Work <br />Ibis proposal provides support on an as -needed basis for actions such as: floodplain planning and water rights <br />research; site visits to document current conditions; meetings with Kittitas County, WSDOT, regulatory <br />agencies, or other stakeholders; and/or other specific coordination requested by Kittitas Cotutty. <br />U Yes ❑tf No DBE Participation Maximum Amount <br />Payable: $9,988.36 <br />❑ Yes © No M13E Participation <br />❑ Yes 0 No WBE Participation <br />❑ Yes No SBE Participation <br />Index of Exhibits <br />Exhibit A <br />Scope of Work <br />Exhibit B <br />DBE Participation <br />Exhibit C <br />Preparation and Delivery of Electronic Engineering and Other Data <br />Exhibit D <br />Prime Consultant Cost Computations <br />Exhibit E <br />Sub -consultant Cost Computations <br />Exhibit F <br />Title VI Assurances <br />Exhibit G <br />Certification, Documents <br />Exhibit H <br />Liability Insurance Increase <br />Exhibit I <br />Alleged Consultant Design Error Procedures <br />Exhibit J <br />Consultant Claim, Procedures <br />Agreement Number: <br />1oc*1 A9®ncyA&E Professional 5ervlces Negotiated Hourly Rafe ConsultantAgreement <br />Revised 1013 O14 <br />Page 1 of 14 <br />