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AFS between Kittitas County and AtWork!
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08. August
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2026-08-04 10:00 AM - Commissioners' Agenda
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AFS between Kittitas County and AtWork!
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Last modified
7/30/2026 12:16:00 PM
Creation date
7/30/2026 12:05:34 PM
Metadata
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Template:
Meeting
Date
8/4/2026
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 an Agreement for Services between Kittitas County and ATWork!
Order
17
Placement
Consent Agenda
Row ID
147059
Type
Agreement
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Farm W9 t%la v. 3-2M4) <br />2-The United States or arty of iu agerra� or irsavmertaf teis <br />3-A state. the D ivt id of Cotambia. a U.S. axrrnormaaft or Mrmoga <br />or any of their pditicd s:.�s cr ors n ens ies. <br />3 -A foreign government or any of its paivocai suLdivsiens. N <br />or instru mentalities. <br />5-A corporation- <br />6 -A dealer in securities or o xnmcdtes required to register in the <br />tlnhad States, the Distnzt of Cokurbia. or a U.S. commonwealth of <br />terrhory- <br />-A futures commission mercharx mg�tered nith tha Ce+mmodty <br />Futures Trading Carrion- <br />S-A real estate investment trust_ <br />9-An entity registered at ad byres dx" the taco Year LrKW fire <br />tnvestm0nt Comparry Act o: 1940 <br />10-A common trust fiend operated by a bank tinder section 583{a}_ <br />11-A fnarx irm4hition as deitroed under section 561. <br />12-A middleman kite m in the iRw�`tmient community as a nominee ar <br />custodian. <br />13--A trust exe..mpi from tax under secular 664 or described in section <br />4947. <br />The iokaing chart shows. types of payments that may be exempt <br />from backup withholding. The chart apc& s to the exempt payees fisted <br />above, 1 through 13_ <br />IF the payment is for... <br />THEN the payrnens is exempt <br />for.-- <br />• Interest and dividand payments <br />.All exempt payees except <br />for 7. <br />• Broker transactions <br />Exempt payees 1 t rmigh d and 6 <br />through 111 and all C corporations. <br />S corptraliors mtisi not enter an <br />exempt payee code because they <br />are exempt only for cabs of <br />noncovered sec-urrags acquired <br />prior to 2012. <br />• Barter exeharxe transactions <br />Exempt payees 1 trough 4. <br />and paVoriage dividends <br />• Payments over SCM regiired to <br />Gwerallly„ exempt paye�,—, <br />be reported and drect safes over <br />1 ttrrc t* 5.' <br />S5,uo0' <br />• Nyments made in settlement of <br />Exempt payees 1 >frrvugn 3, <br />payment card or third -party <br />network tranw.rions <br />iSee Farm 1o99-lAISO. Misc--naneouslnfanrmW&m asd its irstruc6ons. <br />ZHorsa!ver. the 101lovring paymems made to a carpomton and <br />reportable on Fenn TOgg-MISC are notev-vVfrom bacl <br />viithholdiing: medical and heWzh care payrnenls, attornays lees. grass <br />proceeds paid to an attcrr y reportable under section 60-1-S 3. and <br />payments far servic*m paid by a federal executive e agency. <br />Exemption from FATCA reporting coda. The fabmrng codes identify <br />payees that are exerwo from reporting under FATt k These r "- <br />apply to persons submitting this form !kr amounts. ma ritaiirred outside <br />of the Merited States by certan leceign financial instim1horts. Thwefore. if <br />you are only submang this fcrrn Tor an amount vnu hold in tfsa United <br />States, you may leave this feid blank. Coruvb with Ihie persm <br />req resting Ihs form it you are unozr-ain if the 5namial instihAon is <br />subfect to these requrernerts. A requester may indcafe that a code is <br />not required by providing you with a Ferrrt'Al-9 with "Not Apphtabte" Or <br />any swrxfar irtdi attornj artera!d on the line for a;WGA exemptiaet code. <br />A -An ergari ation exempt from tax under section 5WW or any <br />iridvidual retirermerit pia r as defined in section 7701W4 <br />B-Tile llnft-ed States or any of its agencies or insbumetrtaiities. <br />C-A slate. the District at Columbia. a U.S. cornmonwealtti or <br />territory. or any of their Political sibdivsiorrs or nstrum+entalities. <br />U-A corporation the stock of which is regularly traded on one or <br />more established sea3ftes markets, as described in Regutaauns <br />section 1.14.72-1(c)(1) aii <br />E--A corporation that is a men -her of the same expanded affiliated <br />group as a corporation described h R-,grlatans section 1.1472-1(cX1)@- <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 17 of 22 <br />P.94-4 <br />F-A dealer in s2CW>ti- a3mr cr der Calve Inatnciai <br />irismmertts tirK:kidwq rao3ocal pnmpal m fusses. %�ards <br />---d opborrsp that is regstered as sLch urrdar We lanes of the V 1nred <br />or atrry state. <br />G-A reall estate rnVSt rertt trua, <br />H -A regulated xNesi Twi aar4sh _- dshried in sedw $51 or an <br />entity ragrsterod at all t r mas dm3 the tax x-ar und=s lire kn estment <br />Compairl Act of 1940_ <br />I -A common trust hind as deed in section 564* <br />J-A bsnk as da5ned irr secti.-rr asT- <br />K-A broken <br />L--A trust exempt horn tax under s€-bon Sac- ed in sec op <br />hi -A lax -exempt trust under a section 4400:r pbn or sewn 457 ra <br />purl <br />Note: You may viish to corsuft with the fimiinciai irrstftboe requesting <br />this iorrn to determinewbedtar the FATCA coda ar.6ar exerrm payee <br />coda shodd be completed <br />Line 5 <br />Enter your address (number. street. and apartment or site mtmberi. <br />This is vrbere the requester o i des rcnn W-9 ,rill mail yaur information <br />reAsrrs. If this addrrs difiars fr vm ti_ oxre tt* requee%,er already has on <br />fife. enter `NEVr at the tap_ If a ms'a address is pro%i&.tL tilers is still a <br />char the old address rnill ba used utbl tee page drai-Ves yver <br />address in their records. <br />Line 6 <br />Enter yotr citystate. and ZIP coda <br />Part I. Taxpayer Identification Number (TIN) <br />Enter your TIN in the ,WW*priate box.11 you are a feside!rt aban and <br />you da not have. and are rot efiobli to 9---L an SS,$L your TTN is your <br />IRS rT:N_ Enter it in the entry, space far tf'te Social: securfsy nt7rber. If you <br />do not have an MM. sea W4! M to net a Flo.` beiov►. <br />tf }vu are a sole lxopm-w and you brave an DR, as u may enter either <br />your SSN or RN. <br />tf you are a singe_ -member LLC does rS disregarded as an enr ty <br />separate from its owner. ens the owners %K Sox IN. c Sire i7mrw has <br />one}. If tie LLC is classified as a corporation ar partnersHP. enter th8 <br />entity's, EINL <br />Note: Cs�e May Name ard,%V76ar To Gue Me Rea;6-scerlater. for <br />h v#w cIe<riaeatioai of name and TIN o: rr radxs. <br />How to get a TIN. If you dD not rear&- a TIN. apply for are irnmediately. <br />To apply for an SSN, gat Form SS-5- k-PI catia't Rv a Social Security <br />Card. fram }vur local SSA o€ e. or gel ?kris form drGue al <br />www.SSA goe. You may also get this farm by cat" M-772-1213. line <br />Form'aal`--7. App€icabion for M frRkmdtW Tapayer Ider0cation <br />Number. to apply for an VW or Form SS-i. Appiicatiora br ErWayw <br />Identification Numri._,r. tc apply for an EIR Yaw can ap#ily for an ON <br />online by acoesssx idea !ire webew al r►mrr93-9W971. Go to <br />w%-.v.)mgov1Far m to view. dcnrload or prier- f orrxr LY-7 andrLor Form <br />SS-s. or, you vwk go W wurmvr F sass fArcierFrlrr.^s W pW a an Vden anal <br />have Form W-7 an&or Form SS = mailed to you 15 iecsiness <br />It you are asked to complete Form'R-9 bva de rot trawz a 11N. appiY <br />for a TIN and enter `?Applied ForI in ttie space or tare Tiff_ sign etrd data <br />the forum, and give it to the requestUL For inler�at ani *Adend <br />payments, and certain payrnerds male -with re c to readily "dabps <br />instrument_ y ou wil pen erailly have W days to gAt a TI N and give it tr3 <br />the requester bdyre y;ar are subject la backap z&14 nbderg on <br />payments. The 6"�Y� nle does not applyla ulthar types xr payments. <br />You ailf be suL*t to backup wdhlralhrig an all' such payments until <br />you provilE! yc rr TIN to the rec}.rster_ <br />Note: Entering "Applied Fcc mears them you hie a h-ady applied for a <br />TIN or Inat you intend tot apply for one soar See also €srab4153 .-g U 5 <br />sfaws brpwposes & U.Iap _r3 a d cftapW1 i+itPorZpd nq- smiter, for <br />when you may insteed be stbiect to siitf'hddirg order OWAer 3 or 1 of <br />the Coda. <br />Caution: A disreparded U.S. err*.ity oral tss a aomign owner must use <br />the appropriate Fom 6•l-8_ <br />
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