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KITTITAS COUNTY <br />AGREEMENT FOR SERVICES <br />PHMH-017 <br />This Agreement for Services (hereinafter Agreement) is entered into by and between Kittitas County <br />(hereinafter "County"), a political subdivision of the State of Washington, and Kittitas County Health Network <br />(hereinafter "Contractor"). <br />The purpose of this Agreement is as follows: Kittitas County Health network will serve local youth through <br />a community -based one-to-one mentoring model. <br />The term of this Agreement shall be from January 15Y, 2026, through December 31', 2027, unless the <br />Agreement is terminated early or its term is extended as provided herein. <br />The parties' addresses and points of contact for the administration of this Agreement are as follows: <br />COUNTY <br />507 N Nanum St Suite 102 <br />Ellensburg WA 98926 <br />CONTRACTOR <br />110 W 6th Ave PMB #393 <br />Ellensburg WA 98926 <br />Kasey Knutson Alicia Pierce <br />Human Services Manager Project Director <br />Kittitas County Public Health Department aliciao healthierkittitas.or <br />kasey.knutson@co.kittitas.wa.us 509-925-5246 <br />509.962.7090 <br />This Agreement includes the following, which are attached hereto and hereby incorporated by this <br />reference: <br />Attachment "A": <br />Scope of Work <br />Attachment "B": <br />Compensation <br />Attachment "C": <br />Insurance Requirements <br />Attachment "D": <br />Reporting <br />Attachment "E": <br />General Terms and Conditions <br />Attachment "F": <br />W-9 (Contractor must complete and return to the County for payment) <br />Attachment "G": <br />Retirement Status Form (Contractor must complete and return to the County <br />for payment if Contractor is an individual, as opposed to a corporate business <br />entity) <br />Attachment "H": <br />Subcontracting <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 1 of 23 <br />