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Signature of Signatory <br />(Date ) <br />Print Name of Signatory <br />Contractor Address: <br />AtWork! <br />1935 152"d PL NE <br />Bellevue, WA 98007 <br />Project Contact: <br />Daniel Harting, Director <br />Professional Services Agreement <br />Page 2 <br />Chairman <br />Vice -Chairman <br />Commissioner <br />Attest: <br />Clerk of the Board <br />Approved as to Form: <br />By: <br />Deputy Prosecuting Attorney <br />County's Address: <br />Kittitas County Public Health <br />507 N Nanum, Suite 102 <br />Ellensburg, WA 98926 <br />Project Contact: <br />Kasey Knutson, Special Programs Coordinator <br />