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PSA between KC and AtWork!
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09. September
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2026-09-01 10:00 AM - Commissioners' Agenda
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PSA between KC and AtWork!
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Last modified
8/27/2026 12:13:49 PM
Creation date
8/27/2026 12:05:31 PM
Metadata
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Meeting
Date
9/1/2026
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
31
Placement
Consent Agenda
Row ID
148367
Type
Agreement
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page 4 <br />Form W-9 (Rev. 3-2024) <br />2—The United States or any of its agencies or instrumentalities. <br />3—A state, the District of Columbia, a U.S. commonwealth or territory, <br />or any of their political subdivisions or instrumentalities. <br />4—A foreign government or any of its political subdivisions, agencies, <br />or instrumentalities. <br />5—A corporation. <br />6 —A dealer rn securities or commodities required to register in the <br />United States, the District of Columbia. or a U.S. commonweatth or <br />territory. <br />7—A futures commission merchant registered with the Commodity <br />Futures Trading Commission- <br />B—A real estate investment trust. <br />9—An entittyy registered at all times during the tax year under the <br />Invesiment%ompany Act of 1940. <br />10—A common trust fund operated by a bank under section 584(a)- <br />11—A financial institution as defined under section 581. <br />12—A middleman known in the investment community as a nominee or <br />custodian. <br />13—A trust exernpt from tax under section 664 or described in section <br />4947. <br />The following chart shoves types of payments that may be exempt <br />from backup withholding_ The chart applies to the exempt payees listed <br />above. 1 through 13. _ <br />IF the payment is for... <br />THEN the payment is exempt <br />for... <br />• Interest and dividend payments <br />All exempt payees except <br />for 7. <br />• Broker transactions <br />Exempt payees 1 through 4 and 6 <br />through 11 and all C corporations- <br />3 corwaticm must rat enter an <br />exempt payee code because they <br />are exempt only for sales of <br />nonowered sacurittesacquired <br />prior to 2012. <br />• Barter exchan&? transactions <br />Exempt payees 1 through 4. <br />and patronage dividends <br />• Payments Over S600 required to <br />Generally, exempt payees <br />be reported and direct sales over <br />1 through 5.2 <br />55.000' <br />• Payments made in settlement of <br />F=xempt payees 1 through 4- <br />payment card or fft3fd-party <br />nemovk transactions <br />1 See Form 1099-MISC. Miscellaneous Information. and its instructions. <br />However, the following paymares made to a corporation and <br />reportable on Form 1099=tvt1SC are not exempt from backup <br />withholding: medical and health care payments, attorneys' fees. gross <br />proceeds paid to an attorney reportable under section 6043(f). and <br />payments for services paid by a federal executive agency - <br />Exemption from FATCA reporting code. The following codas identify <br />payees that are exempt from reporting under FATCA. These codes <br />apply to persons submitting this form for accounts maintained outside <br />of the United States by certain foreign financial institutions. Therefore, if <br />you are only submitting this form for an account you hold in the United <br />States, you may leave this field blank. Consult with the person <br />requesting this form if you are uncertain it the financial institution is <br />subject to these requirements. A requester may indicate that a code is <br />not required by providing you with a Form W-9 with "Not Applicable' (or <br />any similar indication) entered an the line for a FATCA exemption code. <br />A— An organization exempt from tax under section 501(a) or any <br />individual retirement plan as defined in section 7701(aK37). <br />B—The United States or any of its agencies or instrumentalities. <br />C—A state, the District of Columbia, a U.S. commonwealth or <br />territory. or any of their political subdivisions or instrumentalities. <br />D—A corporation the stock of which is regularly traded on one or <br />morn established sacurities markets, as described in Regulations <br />section 1.1472-1(c)(1)(). <br />E—A corporation that is a member of the same expanded affiliated <br />group as a corporation described in Regulations section 1.1.172-1(cXIhi), <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 19 of 21 <br />F—Adealer in securities. corrrinodities. or derivaliv8 financial <br />insi umartLa fincluding national principal contracts. fuitres, forvva'ds, <br />and options) that is registered as such undef the taws of the United <br />States a any state. <br />C—A real estate cwestment ftst- <br />H—A regulated rrnrestment eamparry as defined in section 851 or an <br />entity registered at all times during the tax year under the ImLestment <br />Company Ar_t of 1440, <br />1—A common [nisi fu id as defined in sections 58-11af. <br />J—A bank as defined in section let. <br />K—A broker. <br />L—A Rust exempt from tax under section W or described in section <br />4947(a)(1)- <br />fd—A tax-exempt trust under a section 4tb) Phr or section :.57(91 <br />plan. <br />Note: You may wish to coirsult witty the financial institution requesting <br />this form to determine whather the FATCA code arrdlar exempt payee <br />code should be completed. <br />dine a <br />Enter your address (number. street, and aparbr nt a suite number). <br />This is where the requester of this Form W-9 will mail your information <br />returns. if this address differs from the one the requester already has on <br />file. enter 'NEW" at the top. If a now address is provided, there is still a <br />chance the old address vvifl be used until the payorchaitg s your <br />address in their records. <br />Line 6 <br />Enter vow city, state. and ZIP coda. <br />Part I. Taxpayer Identification Number (TIN) <br />Enter your TIN in the appropriate boot. It you are a resident alien and <br />you do not have. and are not elirgble to get. an SSN. your nN is your <br />IRS ITIN. Enter it in the entry space for the Social security nurnber. If you <br />do not have an [TIN, see Flory to get a 77N below. <br />if you are a sole proprietor and you have an EIN, you may -nter either <br />your SSN or FIN. <br />it you area single- member LLC that rs disregarded as an entity <br />separate from its owner. enter the o 'rer's SSN [or Ella. if the anvner has <br />ante=- if the LLC is classed as a oorporaiian or partnership. enter the <br />entity's EIP1 <br />Note: So-- What Name 4Ftd Nunoer To Give lire Aequestar, later. for <br />further clarification of name and TIN =T&riatiorrs. <br />Flaw to get a TIN, if you do not have a TTN. apply tar one nmMediataly. <br />To apply for an SSW. gat Form SS-5. Application for a Social Security <br />Card. from your local SSA office or get this form onruis at <br />trnrx.SSA gov. You may al -so get this form by calftrg a00-7-72-1213. Use <br />Form W-7. Application for IRS IndMdLW Taxpayer Identification <br />Number. to apply for an ITIN, or Form SS-1. Application for Employer <br />Identification f itxni>?r. to apply for an EiN. You can apply for an EIN <br />or>Cne by aco.�ssing tits IRS vrebsite at -"w.ira9ov.'0N. Go to <br />LriYiY.i15-govlForms to vi?w, download, or pylon Farm ►`1-7 a-id:'or Form <br />SS-4. Or, yriu can yu, tv www.ivs.9uv!0idWRxerW ter pgace etc wd ar W'd <br />have Form W-7 and gr Form S-S-4 mailed to you'cvithci 15 business <br />days. <br />If you are asked to complete Form W-9 but do rat have a TIN, apply <br />for a TIN and enter -Applied Poo'' in the space for the TIN, sign and date <br />the firm. and gn�e it to dmie requester. Far irtlerest and &vfdend <br />payments. a-4 certain payments made siith respect to readily tradable <br />instruments. you xi$ generally have 60 days to get a TIN and give a to <br />the requester befog you are subject to backup v:rthhafdrng on <br />Yogi will be subject to backup idirule does ot apply to 09Wt on all such Payments untils <br />you provide your TIN to the requester. <br />Note: Entering 'Applled For' means that you have already applied for a <br />TIN or that you intend to apply for one soon. See also fis`Nnu US. <br />status for purposes of chapter and dhafrfer 4 wifftf,^aiayrig. earlier. for <br />when you may instead be subject to Mth o4diN :order chapter 3 or 4 of <br />the Code. <br />Caution: A disregarded U -S. amity that has a'ofeign owner must use <br />The appropr.ate Form W-8. <br />
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