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Print Name of Signatory Vice-Chairman <br />Commissioner <br />Attest: <br />Clerk of the Board <br />Approved as to Form: <br />By: <br />Deputy Prosecuting Attorney <br />Contractor Address:County's Address: <br />HopeSource Kittitas County <br />700 E Mountain View Ave,Unit 501 205 West 5th Avenue,Suite 108 <br />Ellensburg,WA 98926 Ellensburg,WA 98926 <br />Project Contact:Project Contact: <br />Brittany Bouchouari Kate Johnson,BSN,RN <br />Director of Operations Communicable Disease Supervisor <br />Professional Services Agreement <br />Hopesource <br />Page 2 of 20