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<br />Professional Services Agreement (rev. 09/24/2018) <br />Page 2 of 21 <br /> IN WITNESS WHEREOF, the parties have executed this Agreement this ____ day <br />of _____, 2021. <br /> <br /> APPROVED: <br /> <br />_______ BOARD OF COUNTY COMMISSIONERS <br /> KITTITAS COUNTY, WASHINGTON <br /> <br /> <br />___________________________ ______________________________ <br />Signature of Signatory Chairman <br />(Date __________) <br /> <br />________________________ ______________________________ <br />Print Name of Signatory Vice-Chairman <br /> <br /> <br /> ______________________________ <br /> Commissioner <br /> <br /> <br /> Attest: <br /> <br /> ___________________________ <br /> Clerk of the Board <br /> <br /> <br /> Approved as to Form: <br /> <br /> By:_________________________ <br /> Deputy Prosecuting Attorney <br /> <br />Contractor Address: County Address: <br />Community Health of Central Washington Kittitas County <br />501 S 5th Ave. 205 West 5th Avenue, Suite 108 <br />Yakima, WA 98902 Ellensburg, WA 98926 <br /> <br />Contractor DUNS: County DUNS: <br />86-798-2324 01-020-2547 <br /> <br />Project Contact: Project Contact: <br />Angela Gonzalez Chelsey Loeffers <br />Executive Director Health Promotion Supervisor