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Kittitas County & KCHN
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2026
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08. August
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2026-08-04 10:00 AM - Commissioners' Agenda
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Kittitas County & KCHN
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Last modified
8/11/2026 3:55:58 PM
Creation date
8/11/2026 3:55:46 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
Fully Executed Version
Supplemental fields
Item
Request to Approve an Agreement for Services between Kittitas County and the Kittitas County Health Network
Order
13
Placement
Consent Agenda
Row ID
147059
Type
Agreement
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'I <br />Form W-9 (Rev.3-2024)Poga 6 <br />Victims of ideniity thslt who are exp€riencing economic hann or a <br />syEternio probl€m, or are seeking help in resolving tax problems that <br />have not been resolved through normal chann€ls, may be eligible for <br />TaxpayerAdvocate Service (fAS) assistance. You can reach TAS by <br />calling the TAS toll-fee case intake line at 877-777-4778 orfTYffDD <br />800-829-4059. <br />Prolect yourself from suspicioue emails or phishing schenres, <br />Phishing is the creation and use of email and websites designed to <br />mimic legitimate business emails and websites. Th€ moat common act <br />is sending an email to a user lalsely claiming to be an established <br />legitimate enterprise in an attempt to scam lhe user into surrendering <br />private information that will be used lor identitytheft. <br />The IRS does not initiate contacts wilh taxpayers via emails. Aso, the <br />IRS does not regu€st personal detailed information lhrough ernail or ask <br />texpayom for tho PIN numbcrs. patlswords, ol silrrildr seursl ascess <br />information for their credit card, bank or other financial accounls. <br />lf 1tou receive an unsolicited email claiming to be ftom lhe lBS, <br />fonvard thb message to phsftl4g€irs.gov. You may also report misusa <br />of the IRS name, logo, or other IRS property to the Treasury lnspector <br />General for Tax Administration IIIGTA] at 800-366-4484. You can <br />lonvard suspicious emails to tha Federal Trade Cornrnission at <br />spam@uce.gov orreport them at wwvr.ftc.gwlcomfiainf. You can <br />contact the FTC at www,ftc.gavlidthef or 877-IDTHEFT {877-4i}8-4338). <br />lf you have been the viclim ol identity theft, s* www.ldentityTheft.gov <br />and Pub. 5027. <br />Go lo www,irs.govlldentityTheft lo leam more about identity theft and <br />how to reduce your risk. <br />Kittitas County Agreement for Services (rev.5/14/25l, <br />Page 19 of 19 <br />Privacy Act Notice <br />Section 6109 ol the lntemal Revenue Code requires you lo provide your <br />conect TIN to persons (including federal agencies) who are required lo <br />file information ratums whh lhe IRS to report interest, dividends, ot <br />certain other income paid to you; mortgage interest you paid; the <br />acquisition or abandonmeni of sscured property; the cancellation of <br />debt; or contribdions you made to an lRA, Archer MSA, or HSA. The <br />person collecting this form uses the information on the form to file <br />information retums with the lRS, reporting the above information. <br />Routine uses of thb information irrclude giving it to the Department ol <br />Justice for civil and criminal litigation and to cti€s, stale6. the District of <br />Columbia, and U.S. commonwealths and tenitories for use in <br />administering their laws. The information may also be disclosed to other <br />counlries under a treaty. to {ederal and state agencies to enforce civil <br />and cnmrnal laws, or to federal law enforcement and intelligence <br />agencies to combat tenorism. You must provide yourTlN whether or not <br />you are required to lile a tax retum. Under s€clion 3406, payors must <br />generally wirhhold a percentage ol taxable interest, dividerds, and <br />certain other payments to a payee rrho does not give a TIN to the payor. <br />Certain penalties may also apply for providing false or fraudulent <br />infrcrmalion.
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