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Signature of Signatory <br />Date: <br />Print Name of Signatory <br />Contractor's Address <br />606 W 3rd Ave <br />Ellensburg, WA 98926 <br />Project Contact <br />Name Susan Grindle <br />Title CEO <br />Chairman <br />Vice Chairman <br />Commissioner <br />Attest: <br />Clerk of the Board <br />Approved as to Form: <br />Deputy Prosecuting Attorney <br />County's Address <br />205 West 5th Ave, Suite 108 <br />Ellensburg, WA 98926 <br />Project Contact <br />Name Chelsey Loeffers <br />Title Public Health Director <br />