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Peers Rising Amendment 1
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2026-04-21 10:00 AM - Commissioners' Agenda
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Peers Rising Amendment 1
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Last modified
4/16/2026 1:16:28 PM
Creation date
4/16/2026 1:10:42 PM
Metadata
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Template:
Meeting
Date
4/21/2026
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve Amendment 1 to the Agreement for Services between Kittitas County and Peers Rising
Order
8
Placement
Consent Agenda
Row ID
143720
Type
Agreement
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Form W-9 (Rev- 3-202.4) <br />Part II. Certification <br />To ?slebliah to [her timthholding agent that you era a U.S P'Mn. [x <br />resideiir afren, sign Form W-8. You may be guested to sign by the <br />y,ithhotding agent even if item 1. 3. or S below indreaL-5 riIJ1 vrnse- <br />Pot a joint actatsnt. only 1hi parson whose Tly is shown rn Part I <br />0ould sign when :egwred). In the case Of a disr093fdadenW ti10 <br />parson identified on fine- t must sign. exempt payees. see, ExemptPaYe.- <br />code. earlier. <br />Signature requirements. Complete the certification as indicated in <br />items 1 through 5 below- <br />1. Interest, dividend. and barter exchange accounts opened <br />before 1984 and broker accounts considered Active during l9$3- <br />You must gore your correct TIN. but you do not rlavx to sign the <br />certification. <br />2. Interest, dividend, broker, and barter exchange accounts <br />opened after f9a3 and hroker accounts considered inactive during <br />19a You must sign the cwtihr alion Or ttackup withhol[irlg 1vd! 3PPly. If <br />you are sub*t to backup withholding and you me rn?rrsty providirrg <br />your c(rreet TIN to the reques car. you must cross out Rem 2 in the <br />Certification before signing the form. <br />3. Real estate transactions. You must sign the certification. You may <br />cross out item 2 of the certification. <br />d. Other payments. You must give your correct TIN. but you do not <br />have to sign the tertificalion unless you have been nc)dfi,-d that you <br />hau3 preyitsusly given an incorrect TIN. 'Other payments' mctude <br />payments made in zhn course at the requester's trade or business for <br />rants, royaities. goods (other than hiIL4 for -rearchandrse), medical and <br />health care services (including payments to corporaRors). paym'nts m <br />a nonemptoyee for seivices+ pal mtms made in senigrnent of payment <br />card and Child -party newrork transact+Otls, payments to certain fishing <br />boa! crew rnemban and itsterms-r. and gross proceeds paid W <br />atlomeys (including payments to corpordVerts). <br />5. Mortgage interest Raid by you, acquisition or ahandonntent al <br />secured property. cancellation of debt. qualified tuition orngrarn <br />payments )under section 529). ABLE accounts (under section 5291A). <br />IRA, CovRsrdetl ESA, Archer N1SA or HSA contributions or <br />distribulions. and pension rfixtributions_ You must 91e yazu-'exyect <br />TIN L but you do not nave to sign the certification. <br />What Name and Number To Give the Requester <br />For this type of account: I Give name and SSN at <br />i Individual <br />The iodual <br />Two or mar= ndmiduals tjanc acoauni) <br />The a tuUt aa•n:t ai die account 3'. <br />other than an act,unt m Lintain=d by <br />rf cor ibo-d.. bin-- th- firs': ndmduai <br />an FR <br />pan &C <br />3- Two or more U S Persons <br />each howl aF he acaunt <br />Cicint account maintained by an F"Ftl <br />S. Custodial account of a rumor <br />Pr--Cr <br />(Uniform Gift to Pdinors Act) <br />3 a- The usual revrxabl_ c uings tr�.st <br />'he {lr7ritar-ti'�c <br />(grantor is also trustee) <br />h- So-called trust account that is neat <br />Tii- aYza-rl °+uner` <br />a legal cr valid trust under slat_= w, <br />3. Sole Proprietorshipardrsr--9wd-d <br />T^`- <br />errtity owned by an i ndii,•iduat <br />7 Granter trust filing underClptionaf <br />Tin=,rscoe" <br />Rung 14tethad I. NeeA:gafamdn: <br />7tC!,cn <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 21 of 24 <br />For this type of account <br />s- oisregarded'nwy no t wontl by r. <br />individual <br />9. A valid trust estate. car p-:nscan'Se6t <br />10. Corpomfico r LLC 6--Q --xwaL- <br />status on Fc+rn v-n or Fora <br />11. Association, club. raki,-cus_e.NuG41e• <br />educational. or Othel tea=x-Ernpt <br />organ©lion <br />12. Partnership car multi -mink- LLC <br />13- A broker or r-a6teced mmirnee <br />1 d-- Accent :76 the DepSrll -'n of <br />Ag�ruias- 01hC 1�r. �e vt s :+:Ci Y <br />.Arty Isueh as .1 stay orloeat <br />go,csrunarrt. school Jezmct. or Prx'nt <br />that receives acincultwal Pit <br />payments <br />(5 Grantor trust firing Farm 1041 or <br />tinder the Optional Flog?- <br />-&*R tnR i xm 1099 rx- Rtoub"or.s <br />season 1.6TtatbltVdiAlir <br />Page 5 <br />Give name, and EIN Of - <br />The aartr <br />Legai �e ty= <br />ltrr:,_rpw a6rin <br />eliz aeganr�aaea <br />The wr:f-e<d+ip <br />The brak=r or rev m <br />EFe auwl -- eit&f <br />The cast <br />' List first and circle the name of the patsort wlrase number you rumtsh. <br />If only one person on a joint account has an SStd, that person's number <br />must be fumished. <br />Circle the minor's name and Furnish G`1= minors SSN. <br />and <br />-1 rout <br />or DBA-lame. f Any GnGn � YOU may use- either yourtSSN ❑i EIN liril <br />yvu have onej, but the IM eticottrages YOU 3o u5e your SSN. <br />' Lisr first and cirde the name Of 111? trust- Mare. or pltn4ron trust. to* <br />not fumish the TIN at the pe-rscnA mnte�- umh w r <br />Begat enliry ilseU is roll destgnalad in 3ccaunt tille.f <br />'Note- The grantor must 950 M'+1d 8 r tin %l`1-9 to the trust," of th3 <br />trust. <br />-' Far more inforrnattari an apBortal N,-49 me#X#s for grantor trusts, sm�- <br />the Insiluctions for Form 1(7-31- <br />Uote: if no name is Ertl d whim m0M I" one name L-1 listed. the <br />number vrnfl be onsidered to t)► th-V o?vte firsanam- listed <br />Secure Your Tax Records From Identity Theta <br />Idenvty that. occurs whorl sosr.'t+rr visas yrxu F :rwnaf rnh-innation' <br />such as your nary-- 5S�_ or n1w r-dctn+auon.:100i t vow <br />permisston to wmrttrr t-aud or iAhar -rwrYs .ter et±- brf rtr*f ruay 35e <br />your !>SN to get a,ob at may ble a ax ---nor •,6^4 rvw SSNI to rani. _ <br />a refund. <br />To reduce your risk: <br />• Protect your SSN& <br />• Ensure your Fmpleyer is p ,T=c un9 ;•o x SS.11. acrid <br />• Be careful when choosing a 1-25A f--I m P`aPM"=- - <br />q your tax recon�s car , Okfted by wM r,W- -Tv dxaatd;+racer, a <br />notice ,`tam llse CFCs_ r �-4xm right away :o them -me and ppn.? nurnAw <br />ormt-ad tin tilt kRS notice -car tat[,+ <br />if yottr tas re- COrdls afe not dur1-,g af:`o- -M t by dens ty tkt[ but ;au <br />lhink you are at «sf ,fit- to ales- car etoien rui s~ ff, cornet- t: s�We <br />erg card a:trnty. of a gtyS11o1ra{� oriel rq <br />Fdenrit4 Thtft Radii- at-SW-3J3"&r-,D r ilobzzr,t"Csm t t 31 <br />For mare CtiorrrMton_ see put? Sri_'+ inert-{ The" 400i rAbw Ica <br />Taxpayers- <br />
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