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uuuustgrl EllvgluPg lu. +uJo+Yg l-Jtor-+9UZ-YODI- I lE lrolDy+ lJ <br />*ffitG CONTRACT FACE SHEET <br />For lnternal Routing Use <br />(lnstructions on lnstructions Tab) <br />ECOLOGY <br />Type: Contract <br />CGP System #: <br />Contract#: C2500178 <br />Amendment f: <br />Work Assignment #: <br />Contractor Statewide Vendor - SWV #:swv0010475-07 EIN: <br />Contractor Namel Kittitas Countv Public Health <br />Contract Title / Description / Bid #:pollution Prevention Assistance (PPA) - technical assistance and education outreach to small businesses. <br />Programl MOO.HWTR <br />Project Officen Andrew Maher Phone:L2 <br />Secondary Proiect Officer (i.e., Budget Analyst)r Ellen Hafer Phone s64-233-8638 <br />Stafi completed DES Contrqd !!e!n!ng Yes <br />(check all that apply)fl Goods/Services RCW 39.26 f-l Decision to Contract <br />f,l lnteragency RCW 39.34 fl DES State Contract s <br />l'l lr RCW 39.26 l'*l Competitive Bid # <br />T-l Public Works RCW 39.04 f-l Sole Source # <br />l-l Arch./Ens.RCW 39.80 i l Direct Buy <br />fl Other: <br />OWMBE: (check all that apply)N OMWBE [l WA Small Bus.Tl WA Veteran Bus. <br />Subcontractor:fl Uses Sub Contractor <br />AMENDMENT: (check allthat apply)E Time Extension <br />lncrease <br />Decrease <br />Amount of Amendment <br />[J oth.r' <br />Total of Contract after <br />Amendments: <br />TERM:Start Date 717/2025 End Date:6l30/2027 <br />How To Encumber and Disburse: <br />Progra m Budget Manager Completes <br />contract cost s 125,608.84 <br />Sales Tax (PW only):5 <br />Total Eligible cost:s 125,608.84 <br />Required information: <br />MIC (8 char)Fund/EAl Project - Sub-Proj <br />9M997D10 23N/D10 <br />(Required for Single-year Operating Appropriations & <br />contracts extending beYond current biennium) <br />Prior Bien's Current Bl <br />FY:2026 <br />Current Bl <br />FY:2021 Totals <br />62,804.42 62,804.42 r-25,608.84 <br />Fiscal Staff:Budget <br />Budget Total must equal Total Elitible cost <br />Federolly Funded? No Federol Amount <br />GL:Subsidiary:Misc: <br />Remarks: <br />Date <br />t/ar-l< T. Gaffney (sign ed:rectrcni:ally) 6/22/tgt5 g7 <br />Contracts <br />ECY 010-53 Rev 2/2024 <br />Date