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SH21-044 - ELLENSBURG FAMILY MEDICINE PSA 2 SIDED - FULLY EXECUTED
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2022-06-21 10:00 AM - Commissioners' Agenda
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SH21-044 - ELLENSBURG FAMILY MEDICINE PSA 2 SIDED - FULLY EXECUTED
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Last modified
6/16/2022 1:20:05 PM
Creation date
6/16/2022 1:18:33 PM
Metadata
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Template:
Meeting
Date
6/21/2022
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
g
Item
Request to Approve the Professional Services Agreement between Kittitas County and Ellensburg Family Medicine (Modification of the Existing Agreement)
Order
7
Placement
Consent Agenda
Row ID
90804
Type
Agreement
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IN WITNESS WHEREOF,the parties have executed this Agreement this day <br />of ÏLL,2021. <br />EIIensburg Family Medicine COUNTY OF KITTIT S <br />BOARD F COUN C NERS <br />Signature of'$natory <br />(Date /(////2 ) <br />c alrman <br />Print Name of Signatory <br />bóinmissioner <br />COUNTY OF KITTITAS <br />SHERIFF'S OFFICE <br />Co Clay Myfrs,Shedf <br />TTEST: <br />lerk of t Board-Julie Kjorsvik <br />3 Deputy Clerk of the Board-Mandy <br />Buchholz <br />APPROVED AS TO FORM: <br />Douglas R.Mithhell, <br />Deputy Prosecuting Attorney <br />County's Address:Contractor Address:Kittitas County <br />Ellensburg Family Medicine 205 West 5 6 Avenue,Suite 1082156PayneRd.Ellensburg,WA 98962Ellensburg,WA 98926 <br />Contractor Contact:Project Contact: <br />Zach Deffinbaugh Steve Panattoni,Superintendent <br />509-962-7527 <br />Professional Services Agreement (Form rev.DB/24/2018) <br />Page 2 of 21
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