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QEO <br />Gar^,n llearw "rUff#iu <br />Signature natory <br />(Date <br />>Ic:- <br />Print Name of Signatory <br />APPROVED: <br />BOARD OF COUNTY COMMISSIONERS <br />INGTON <br />rman <br />Attest: <br />of Board <br />to Form: <br />By:I <br />Deputy P Attorney <br />County Address: <br />Kittitas County <br />205 West Sth Avenue, Suite 108 <br />Ellensburg, WA 98926 <br />Gounty DUNS: <br />o1-020-2547 <br />Project Gontact: <br />Chelsey Loeffers <br />Health Promotion Supervisor <br />2L <br />Tv <br />Gontractor Address: <br />Community Health of Central Washington <br />501 S Sth Ave. <br />Yakima, WA 98902 <br />Gontractor DUNS: <br />86-798-2324 <br />Project Contact: <br />Angela Gonzalez <br />Executive Director <br />Professional Services Agreement <br />Page2of 21 <br />trm