HomeMy WebLinkAboutLT-2021-016LT -2O2L-OL6.AI RPO RT- F LY I N
2021 LODGING TAX SERVICES AGREEMENT
BETWEEN KITTITAS COUNTY AND KIfiITAS COUNTY AIRPORT
This Contract, effective January t,2O2t is made and entered into by and between KITTITAS
COUNry ("County"), acting as agent for and on behalf of the City of Ellensburg, a Washington
municipal corporation ("City"), a subdivision of the State of Washington, and KITTITAS COUNTY
AIRPORT ("Contractor"lfor the 2021 Bower's Field Fly-ln ("Event").
WHEREAS, the purpose of this Agreement is to provide for activities and expenditures
designed to increase tourism,
NOW THEREFORE, in consideration of the terms and conditions contained herein, or
attached and incorporated and made a part hereof, the County and the Contractor mutually agree
as follows:
Section 1. Scope of Work.
a. Contractor shall provide the services and staff described in its Application for Lodging Tax
Funds submitted to the Lodging Tax Advisory Committee, attached hereto as Exhibit "A"
which is attached hereto and incorporated herein by this reference.
b. Except as otherwise specifically provided in this Agreement, Contractor shall furnish the
following as required to perform the services, described in Paragraph (a) above, in accordance
with this Agreement: Personnel, labor and supervision; technical, professional and other
services. All such services, property and other items furnished or required to be furnished,
together with all other obligations performed, or required to be performed, by Contractor
under this Agreement are collectively referred to herein as "Services."
c. Contractor shall commence, perform and complete such Services in accordance with Exhibit
"8" which is attached hereto and incorporated herein by this reference.
Section 2. Pavment.
a. As full compensation for satisfactory performance of the Contractor's Services, the County
agrees to pay Contractor the sum of six thousand seven hundred ($6,700.00) (City of
Ellensburg lodging tax funding).
b. Additional payment terms: The County will make payment to the Contractor only on a
reimbursement basis, as receipts/invoices for any items including marketing and/or
advertising are submitted to the County, not to exceed the sum of six thousand seven
hundred (S6,700.00) (City of Ellensburg lodging tax funding).
c. Services/Expenses that are reimbursed must be dated during the current year and final date
to submit reimbursements requests is January 15,2022 after this date funds lapse.
d. Requests for reimbursements must be submitted to:
_2027 County Lodging Tax Funding Agreement Page 7
LT -2O2L-OL6-A I R P O RT- F LY I N
Kittitas County Auditor
Attn: Auditor's Accounting
205 West 5th Ave - Suite 105
Ellensburg, WA 98926
auditorsaccounting@co.kittitas.wa.us
Reporting requirements of your events will be required on prescribed forms from the County
Auditor.
f. Contractor is eligible to claim reimbursement for the following items and amounts only
r Print, broadcast media, and social media marketing
o Security, Transportation and Audio (Sound system) Equipment
g. Contractor is not eligible to claim reimbursement for any items not listed in Section 2 (f) and
is further expressly denied funding for the following items as requested in the application as
defined in Section 1(a): N/A
h. Contractors requesting reimbursement for event-specific expenses shall submit all claims as
no more than two reimbursement requests with supporting documentation at the conclusion
of the event.
Contractors must complete the Lodging Tax Reimbursement online training course provided
by the County Auditor's office prior to filing reimbursement claim. Requests for
reimbursement will not be accepted by the County Auditor prior to the training being
completed. The training may be found online at the Kittitas County Auditor's website at the
fol lowi ng add ress: http ://www.co. kittitas.wa. us/a ud itor/defa u lt.aspx
Section 3. Performance by Contractor.
Contractor shall not (by contract, operation of law or otherwise) delegate or subcontract
performance of any Services to any other person or entity without the prior written consent
of the County and City. Any such delegation or subcontracting without the County's or City's
prior written consent shall be voidable at the County's or City's option.
b. Contractor shall at all times be an independent contractor and not an agent or representative
of the County or City with regard to performing the Services. Contractor shall not represent
that it is, or hold itself out as, an agent or representative of the County or City. ln no event
shall Contractor be authorized to enter into any Agreement or undertaking for or on behalf
of the County or City. lt is understood that the Contractor and the Contractor's staff and
employees are not employees of the County or City and are not, therefore, entitled to any
benefits provided employees of the County or City.
Contractor shall comply with all applicable laws, ordinances, rules, regulations, orders,
licenses, permits, and other requirements, now or hereafter in effect, of any governmental
authority (including, but not limited to, such requirements as may be imposed upon the
County and applicable to Services). Contractor shall furnish such documents as may be
e
a
c
County Lodging Tax Funding Agreement Poge 2
LT -2021.-0T6-AI R PORT-F LY I N
required to effect or evidence such compliance. All laws, ordinances, rules, and orders
required to be incorporated into agreements of this character are incorporated into this
Agreement by this reference. Contractor agrees to obtain all required licenses and permits,
and further agrees to keep them in full force and effect during the term of this Agreement.
d. The County and the Contractor agree that in fulfilling the terms and conditions of this
Agreement neither shall discriminate on the basis of race, creed, color, national origin, age,
sex, marital status, or the presence of a physical, sensory, mental disability or any other
protected status recognized under local, state or federal law.
e The Services shall at alltimes be subject to inspection by and approvalof the County or City,
but the County's or City's making (or failure or delay in making) such inspection or approval
shall not relieve Contractor of its responsibility to perform the Services in accord with this
Agreement, notwithstanding the County's or City's knowledge of defective or non-complying
performance, or the substantiality or ease of discovering the same. Contractor shall provide
the County or City with sufficient, safe, and proper facilities and equipment for such
inspection and free access to such facilities.
f. This contract is subject to review by any Federal or State auditor. Contractor shall promptly
furnish the County or City, or their designee, or such Federal or State auditor with such
information related to the Services as may be requested by the applicable governmental
entity. Contractor shall preserve and maintain all financial records and records relating to
performance of Services under this Agreement for six (6) years after contract termination.
For such duration after the County or City makes final payment of compensation due
hereunder, Contractor shall provide the County or City access to (and the County or City shall
have the right to examine, audit and copy, with or without notice) all of Contractor's books,
documents, papers and records related to the Services or this Agreement.
g. Contractor understands and acknowledges that Contractor is solely responsible for its own
reporting and accounting of all state, federal, social security, and local taxes, of every nature,
arising from Contractor's performance of this Agreement. All compensation received by the
Contractor will be reported to the lnternal Revenue Service at the end of the calendar year in
accord with the applicable IRS regulations.
Section 4. Release. lndemnitv. and Hold Harmless.
The County or City assumes no liability for the Contractor's actions under this Agreement. Contractor
releases and shall defend, indemnify, and hold harmless the County and the City, their officers and
employees, agents, representatives, attorneys and/or volunteers, from and against all claims, costs,
liabilities, damages, and expenses, (including, but not limited to, reasonable attorney fees) which
arise or may arise or be alleged to arise out of or by reason of this Agreement including:
Any fault, negligence, strict liability or product liability of Contractor in connection with the
Services for this Agreement;
Any lien asserted upon any property of the County or City in connection with the Services for
this Agreement;
Any failure of Contractor, or of the Services, to comply with any applicable law, ordinance,
a
a
a
_2027 County Lodging Tox Funding Agreement Page 3
LT -202L-OI6-AI R PO RT-F LY I N
rule, regulation, order, license, permit and other requirement, now or hereafter in effect, of
any governmental authority; or
a Any breach of or default under this Agreement by Contractor
Section 5 ce with Public Records Law
a. ln compliance with Washington's public records law, the County will retain copies of any
documents associated with this Agreement, which may be required by law unless legally
exempt from such retention, for any applicable legally required retention period.
b. ln the event a public records request is made to the County or City for documents created in
relation to this Agreement, should legal uncertainty arise regarding the disclosability of any
documents under federal or state public records laws, the County or City shall provide notice
to Contractor pursuant to Washington's public records act, chapter 42.56 RCW, to allow
Contractor to seek a court injunction.
The County or City specifically shall not be liable to Contractor for the County's or City's
release under public records laws of any documents not otherwise exempt from disclosure
by trademark, copyright or other law.
Section 6. ln lnsurance Waiver.
With respect to performance of this Agreement and as to any claims against the County or City, their
Additional lnsureds, officers, agents and employees, the Contractor expressly waives its immunity under
Title 51 of the Revised Code of Washington, the lndustrial lnsurance Act, for injuries to Contractor's
employees and agrees that the obligations to indemnify, defend and hold harmless provided in this
Agreement extend to any claim brought by or on behalf of any employee of the Contractor. This waiver
is mutually negotiated by the parties to this Agreement.
Section 7. lnsura and Endorsements.
a. The County may require through a request in writing that the Contractor provide the County
with a certificate, binder, or policy of liability insurance, acceptable to the County in an
amount specified by the County.
b. Such liability insurance shall be such as will protect Contractor, its employees, agents and
representatives, from all claims, losses, harm, costs, liabilities, damages and expenses arising
out of personal injury (including death) or property damage that may result from performance
of the Services or this Agreement, whether such performance is by Contractor or any of its
employees, agents or representatives.
c. Should the County require such liability insurance, the Contractoragreesto provide proof of
insurance prior to commencing performance of this Agreement.
c
_2027 County Lodging Tax Funding Agreement Page 4
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d. Copies of the County's written request and the insurance documents provided by Contractor
shall be attached to this Agreement and by this reference will be made part hereof.
e. Wher:e insurance is requested by the County, all liability insurance policies shall be endorsed
to include the County and City as Additional lnsureds and shall stipulate that the insurance
afforded by the policies shall be primary insurance, and that any insurance, self-insured
retention, deductibles, or risk retention trusts maintained or participated in by the Parties
shall be excess and not contributory to any other insurance or self-insurance maintained by
the County or City. Contractor shall furnish the County a certificate of insurance with
Endorsement as evidence that the required policies are in full force and effect.
Section 8. Termination.
The County may, by written notice thereof to Contractor, terminate this Agreement as to allor any
portion of the Services not yet performed, whether or not Contractor is in breach or default. Upon
receiving such notice of termination, Contractor shall, except as otherwise directed by the County,
immediately stop performing the Services to the extent specified in the notice. ln the event the
County terminates the Contractor's Services, the Contractor is obligated and hereby agrees to refund
to the County all monies paid for Services not yet rendered by the Contractor, if any, as of the date
of the notice of termination.
Section 9. Miscellaneous.
The City is not a party to this Agreement but is an intended third-party beneficiary of this
Agreement and to the extent set forth herein certain of its provisions are for the benefit of
the City and are enforceable by City in its own name and capacity as a Washington municipal
corporation.
b. Contractor shall not (by contract, operation of law or otherwise) assign this Agreement or any
right or interest in this Agreement without the County's prior written consent.
c. This Agreement embodies the entire Agreement between the County and Contractor, and
supersedes any and all prior oral or written communications, proposals, conditions, promises,
representations, or understandings regarding the Services. No change, amendment or
modification of any provision of this Agreement shall be valid unless set forth in a written
amendment to the Agreement signed by both parties.
d. Notice for any purpose under this Agreement, except service of process, shall be given by the
Contractor to the Kittitas County Commissioners and the Kittitas County Auditor, 205 W 5th Ave.
Ellensburg, WA 98926. For all purposes under this Agreement, any notice by the County to the
Contractor shall be given to the Contracto/s address provided on the signature page. Notice
may be given by delivery or by depositing in the U.S. Mail, first class, postage prepaid, certified
mail, return receipt requested.
I County Lodging Tax Funding Agreement Page 5
LT -2O2L-OL6-AI R PO RT-F LY I N
The section and paragraph headings of this Agreement are for reference convenience only
and are not intended to restrict, affect or be of any weight in interpreting or construing the
provisions of such sections or paragraphs.
f. This Agreement may be executed in one or more counterparts and by facsimile, each of which
will be deemed an original, but all of which together will constitute one and the same
instrument.
g. Contractor warrants to the County that the individual signing on Contractor's behalf has the
requisite power and authority to enter into and to perform Contractor's obligations under
this Agreement. Contractor further warrants to the County that Contractor has made no
misrepresentation or misleading statement in connection with this Agreement, and is not in
violation of any applicable law, ordinance, or regulation the consequence of which will or may
materially affect Contractor's ability to perform its obligations under this Agreement.
h. lf any term or condition of this Agreement or the application thereof to any person(s) or
circumitances is held invalid, such invalidity shall not affect the other terms, conditions or
applications which can be given effect without the invalid term, condition or application. To this
end, the terms and conditions of this Agreement are declared severable.
The exclusive venue for any action brought to enforce this Agreement or any of its terms shall
be in Kittitas County, State of Washington.
The performance of this Agreement is subject to termination without liability by either party
upon the occurrence, or upon the prediction by the National Oceanic and Atmospheric
Administration, any other agency of the United States Government, or any agency of the
Government of the State of Washington of the occurrence of any circumstance beyond the
control of either party-including, without limitation, acts of God, war, acts of terrorism
within a fifty (50) mile radius of Kittitas County, government regulations, disaster,
pandemic/epidemic illness, strikes or threat of strikes (except that neither party may
terminate this Agreement for situations involving that party's own employees), civil disorder,
or curtailment of transportation facilities-to the extent that such circumstance makes it
illegal , impossible or economically impracticable for the parties to complete the duties and
mutual obligations agreed upon and imposed upon them herein. The ability to terminate this
Agreement without liability pursuant to this paragraph is conditioned upon delivery of written
notice from one party to the other within 10 days of such occurrence or upon delivery of
written notice from one party to the other within 24 hours of the receipt of notice of the
prediction of any of the above occurrences. To the extent feasible within the constraints
imposed by any event of the type described above, the parties agree that if the triggering
event is of apparently or likely transitory effect, the parties may negotiate such amendments
to the agreement that are mutually satisfactory and not otherwise contrary to law, including
but not limited to a change in the dates for completion of any portion or the entirety of this
agreement.
_2027 County Lodging Tox Funding Agreement Page 6
LT -2O2T-OL5-AI R PO RT- F LY I N
KITTITAS COUNTY
BOARD OF COUNTY
c
CONTRACTOR
t Ken 6raonnon- f8''*".t, Get"l
r IPrint Name]-R*,.r"*,rg tr€Ls
Vice C 3tto t\lLtro g A- frJ
t9\rei^flr*-,rr. wt4 - lptZ\,
ner &la at [Address] 0'
4% - GtJ] -L 3q
\
lerk of the Board
[Telephone]
xi-l-4,
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FORM
ttII
Deputy Prosecuting Attorney
t 7 County Lodging Tox Funding Agreement Poge 7
frh,br f {rfr'\
CLTAC: Application for Lodging Tax Grant Funding
Grant Application
Workshop - 2020*
Submittal lnstructions
& General
lnformation *
Dd ycu attend lhe Qant Applicaticn V\brkshop - 2020 hosieci by the lfttitas County Ctrarber of Cornlerce?
(? Yes
fNo
6 Yes,
I have read atrd understand S{rbtriltal krstrtctions and Gerreral lnfornatim fot lhe2121 Lodging Tax &anl Funcling
R'ocess
You are strongly encouraged to compose your responses lo the questions of this form with a desktop text
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Organization I nformation
Name of Organization * Kiltitas County Airport
Organization Address * sreei Address
1101 West Bowers Rd
Addless Lrne 2
clv
Ellensburg
hstal I Zip CoJe
98926
Stale I F|'ovince I Regiffr
&untry
Kittitas
Organization is a: *6 Business
f Non-Profit
(Note: Please submit W-9 for business or IRS Designation Letter for non-profit.)
Click here to view sample documents (redacted).
Upload Proof of ZOZO Kittitas County W9 (002).pdf
Organ izatiOn Status *
Acceptaije file Forn.ats include: JpG. FDF or TIFF.
Project Contact I nformation
First Name*Ken
Last Name *Grannan
Phone Number*509-607-61 34
_ ..*Ematl ken.grannan@co.kittitas.wa.us
Project or Event lnformation
'130.89KB
A
ProjecUEvent Mme* Borarers Field Fly-ln
Service Categories Oreck all categories that apply to this apSicatior
l- Tor.rrism promotion/marketing
V Operation of a special event designed to attract tourists
l- Operation of a tourism related facility
f other
Event Dates
Please provide any specific dates, or range of dates, on which your event or project will be held. You may add as many
dates or date ranges as necessary.
Event Dates
Start Dates*
81612021
ProjectiEvent
Location *
New or Ongoing
ProjecVEvent? *
Amount of Funding
Requested *
Funding Request Max
Tourism Seasons *
Application Questions: Part 1
End Dates
81712021
Bou,ers Field
a Ongoing Project/Event (More than four years in existence)
{l New Project/Event (Four or feuer years in existence)
$ 8000.00
lf you selected "&rgcring RojecVFrenf'above ftjs anount nBy not exceed 10% of the total expense budget of this
poject.
Fromthe list below, what season will your project enhance tourisn? Select any which ap$y.
f- Year-round (January - December)
l- Off Season (November - February)
l- Shoulder Season (October or March - May)
17 High Season (June - September)
Please answer each question completely, in the order listed. Please include anysupporting data within the
response narrative.
{ I ProjecUEvent Description
Please provide a description of your project/event.
Response 1:
ProjecVEvent*uescnptron
The Bovrrers Field Fly-ln is a regional event designed to bring in private.
experimental, corporate and military aircraft as static display for aviation
enthusiasts. 2021 u'ould mark the inaugural borirers field Fly-ln as the 2020 event
was cancelled due to Covid-19. We would draw on aircraft from the pacific
northwest and local agencies such as the DNR, CWU flight program. US Army,
Airlift Northwest, Washington Pilots Association and others. The event u,ould begin
on Friday evening with a initial fly-in and VIP dinner located at Bowers Field.
Saturday morning wruld open with a pancake breakfast and staging of incoming
daily aircraft. We r,lould provide opportunities for sponsorship and educaiional
booths for spectators and participants. There vr,ould be a food vendors to provide
lunch and snacks throughout the day on Saturday with the event closing late
afternoon.
The purpose of the Fly-ln is to increase Bor,rers Field's regional lmpact as an
important asset to central Washington. Bowers Field provides a strategic location
for the Washington State DOT Aviation program, Department of Natural Resources
Firefighting creus and a potential location for emergency evacuation or FEMA
center if there is a catastrophic event on tlre coast or mountain region. Not to
mention it houses the only 4-year aviation program in the Pacific Northrruest and
has a substantial general aviation interest from private and corporate pilots.
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List of lntended Use of Funds *
$6000 for print, broadcast media, social media
marketing
$2000 Security, Transportation and Audio (Sound
system) Equipment
2l Supporting Kiititas County as a tourism destination.
1. Auay from their place of residence or business and staying overnight in paid accommodations;
2. To a place fifty nriles or more avvay from their place of residence or business for the day or staying overnight;
3. or from another country or state outside of their place of residence or business.
You must provide the evidence utilized in determining your projections,
Response 2.1 *\{.hy would tourists lravel lo l(ttitas (}rrlty to attend your evelrl/activilyltacility?
Many travelers already stop at Bo\l€rs Field for refueling, recreational or business
purposes. Many tourists, being aviation enthusiasts and pilots attend aviation
events all over the country. We ra,rculd be able to encourage lourists to travel to
Kittitas County for many reasons, usually nice weather in August, abundance of
outdoor and recreational activities, food and beverage establishments within our
county, historical purposes and for the fun of the event. The bulk of our marketing
will be to the Seattle Metro area, Wenatchee, Moses Lake. Spokane, Walla Walla
and the TriCities all of which are 50+ miles avray. Studies from the lnternational
Council of airshor*s indicate that 32o/o of all spectators travel from 40+ miles away
and 12% travel from 100 miles or more. Considering the success of the Moses
Lake airshow in 2019, and their continued effort for June of 2021 , we believe there
is vast interest in aviation in our region. Our event being smaller and focused on
general aviation will drawa smaller cror.rd, hourever u,e believe seeing 1500+
spectators is attainable. The study also shorm 44o/o of spectators u,ere with an
average of trao children under ihe age of 18. With that information ue plan to
market to school age children and families for the t\ o-day event.
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Response 2.2 *
Application Questions: Parl. 2
Ilscribe the prior success of your evenVactivfuifacility in attracljon torl-ists.
This is the second proposed year for the event with the inaugural year being
cancelled due to Covid-19, therefore ue do not have historical data for this event.
We can use estimates based on other similar events that take place wilhin the
region. Many similar events draw several hundred to a few thousand parlicipants.
Last year Hospice friends easily raised over $'1000 in ihe {irst r,reek of promotions,
prior to stopping sponsor requests based on the Covid-19 Pandemic. This eveni
!1€s \{ell supported by our local commurrity and region.
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3llmpact
Response 3:
Measuring Results *
fjescribe how yor will plonrte your evenVarlivi$acility to itlract toufls1s.
The event will be promoted via regional and national agencies such as the
Washington Pilots Association, Eryerinrental Aircraft Association, Civil Air Patrol
and FM. We will promote via radio and broadcast media in eastern Washington
and print ads in various newspapers. We are also in the process of developing an
online presence for Bovrers Field with county lT approval rae will be able to promote
via web-based nrarkeiing programs with Facebook, Google and others.
Results will be measured through the use of registration fornrs for all aircraft
participants, online ticket sales. socjal media contacts and surveys done during the
evenl.
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Application Questions: Part 3
4lCollaboration
lf your organization collaborates or has created partnerships with other organizations, groups, or other
events, how is this accomplished?
4.1 Collaboration *We have reached out to Hospice Friends to help promote the event for 2A21 and
uiilize their volunteer corps to help facilitate the event as it rras initially their event
in 2020. We will also be uorking with CWU's aviation program, Department of
Natural Resources and the EM to facilitate onsite aviation operations. We are also
unrking with regional Civil Air Patrol units to being young aviators to the evenl for
ground operations assistance.
2500 character limt
4.2 Promoting Local*Bustness
4.3 Flost Hotel*
Describe how you will gomte loclging estalJishrrents, restalr,'ants, and business lcicated in l(tlitas Olrlntv
We will promote local lodging establishments through early marketing and
regisiration forms for participants of the event. We will wcrk with local hotels to
reserve blocks of rooms for those who have pre-registered for the event and
selected specific accommodations. We will wcrk with local restaurants to provide
Fly-ln special's for their patrons and plan to promoie other businesses willing to
provide special incentives for tourists relating to the Fly-ln. We will also promoie the
farmers markets and other timely events sCheduled lor the raeekend of our event.
Any business sponsors will be added to promotional materials and announced at
the event.
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ls ther-- a host hotd for your event or granl pro]ect? lf yes. lisl the holel.
6No
f Yes.
5lFuture Plans
Please explain what plans exist to allow this project to become self-sustaining. lnclude any plans for ticket
sales, event sponsors, and other cost-recovery models.
Future Plans*Future plans to make this event self-susiaining will primarily be from ticket sales,
vendor sales and event sponsorships. We will rely significantly on entrance tickets
and food and beverage sales lo sustain the event. Sponsorship funds will be less
than 2oo/o of the generated irrcome from the event in the initial years to guarantee
our revenue model r,rcrks. Once the model has been proven and the event shor.r,s
growth, ue will look to increase sponsorship rates.
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Application Questions: Part 4
6l Additional lnformation
Provide any additional information which will assist the Lodging Tax Advisory Committee in evaluating your
project and its benefit to tourism.
2020 lnformation lf you had a olanned event in 2020, wirelller il \,vas able to lal(e place or nol. please describe any successes ard
challeng.;es y6il gxpey;er1ged.
The event originally designed by Hospice Friends did not take place due to Covid-
19. There \.ryere many positive aspects of the original idea. As the person who
created this event for Hospice Friends. lfound tremendous support and excitement
from many of the following organizations; Airlift Norlhwest, Kittitas Valley Hospital,
Kittitas Valley Fire and Rescue. Department of Natural Resources, Tom Dent (State
Representative), County commissioners, City officials and many local businesses.
There uas interest form the US Army and civilian aircraft owners Wlling to support
the event. Over $1000 was raised in the first week of promotions, prior to stopping
sponsor requests based on lhe Covid-19 Pandemic.
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Additional lnformation ln detetnrining our projected spectator and lodging numbers u€ used the
Internatiorral Courrcil of Airshorars Study from 2018. This study stated that on
average 32% of spectator travel from 40+ miles and 12ok lravels 1 00+ miles to
attend aviation events. Wiih the expectation of approximately 1500 spectators \.{e
have based the participatiorr on these nunrbers. I have attached the graphs fronr
the lnternational council of Airshows to back up ihis data as this is a new event.
The other portion I have enclosed is to show that 44o/o of the attendees bring an
average of 2 children under the age of 18.
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Supporting Documents Ycr: nny upload any srppnrling docurenis such;:s graphs. inugles, dlagranr. n€rketing
''rEleyials.
elc.
Slide 1.pdf 110.72KE
Slide 27.pdf 60.39K8
You are allowed io subnil Lrp to il single i:}age (LS Lelter) docunr:nts in JFG. F{F o| llFFforrrat
7l Previous Lodging Tax Grant lnformation
Previous Years
Awarded Lodging Tax^*(JranIS
Fbs your event received Lcxlging-lax funds in previous ye:rrs'?
f No, this event/project has not previously received Lodging Tax Funding.
{r Yes, 1 year previous
f Yes,2 years previous
f Yes, 3 or more years previous
Overall Attendnace
2019 Actual*
U
0
Number of people travelling more than 50 miles for your event?
2019 Actual* 2021 Projected*
0 450
Number of people traveling from outside WA State for your event?
201 9 Actual* 2021 Projected*
420
The number of overnight guests who stay in paid accommodations in Kittitas County
for your event
2019 Actual*2021 Projected*
60
Number of paid lodging room nights resulting from you ev€nt/activityifacility?
2019 Actual* 2021 Projected*
202'l Projected *
1,500
35
h addition to field abclve, you nay upload the evidence to suppoll the prior years' r'oordnight infornation.
You nay upload up to thie€ single pages (LE Lefter), ol in{ornation. lf you a single m;lti-page docurrent, only the first
lhree pages will be considered. The fdlowing fornets. will be accepted: JPG, FS or TIFF
Wrat rrethodolcgy did you use to calculate the 2019 actual nunters?
l- Direct Count (preferred)
F lndirect Count
l- Representative Survey
l- lnformal Survey (preferred)
f- Structured Estimate
17 other N() L:vent
\r1,trat nEthoddogy w ill you me to calculate lhe upcoring nunl:ers?
17 Direct Count (preferred)
l- lndirect Count
J- Representative Survey
17 lnformal Survey (preferred)
[l Structured Estimate
f other
U
Prior Year Paid
Overnight Stay Data
2019 Methodology*
2021 Methodology*
Methodology
Narrative *
Application Questions: Part 5
ffe.ase expiain.
Projected numbers have been established through the lnternational Council of
Airshovtn and our local demographics. We follor,lred a study by the International
Council of Airshows lr,*ro do statistical surveys every 2 years. The last information
\ /as taken from the 2018 study. This study gave insight to spectator travels, ages,
and basic demographics across 1 1 different events. The study showed 32% of
spectators travel 40 miles or more to attend this type of event. lt also stated ihat
12o/otravel 100+ miles to attend aviation events. For clarification, this is spectator
numbers not participants. We estimate these numbers lo be much higher for
participants than spectators. We will assume 50-60% of participants will conre fronr
50+ miles away as ihey will fly-in. We also believe 25o/o or more of the participants
will come on Friday and stay over at local hotels and leave the following day.
To determine the actual numbers and areas of travel results will be measured
through the use of registration forms for all aircraft participants, online ticket sales,
social media contaots and surveys done during the event.
2500 nhar:rcter linii
SlFunding
Does your organization have, or have you applied for, grant funding from other sources? lf not. vilry not? lf yes, please
list the funding you have for the project, including any volunteer and rn-kind sources in Question 9l Project Budget
Overview.
Funding sources and amounts which have not yet been secirred will be listed separately. in the field(s) directly below.
Finally, what changes would occur if the project couldn't be funded?
Other Funding *
..*E&lanatron
Funding Shortfalls*
Matching Funds
Percentage
Dces your orclanizatir:n have. or ha'ye you applied f.r' frnding fronrother sc;Lrrces'.2
fYes ilNo
lf not, why,rol?
We u,ere notified within the past couple days that Hospice Friends was not pursuing
the Fly-ln for 2021 and ra,e have not had time to apply for other funding.
We will be seeking additional funding in the coming months.
2500 character limt
Vl,{rai changes ivill be rnCe if f unding ftx your reqLlesl is rut available or recorrrn-.nderl?
lf uie will not be able to receive funding we will pursue other sponsors and avenues
to reach out goal of 8000. We have reduced the amount form last years request to
lessen the burden on the Airport Budget if the funding is not available. lf funding is
not received from this grant opportunity and other sources are not attainable. we
will restructure our advertising budget.
2500 characler lidt.
163-75
%
lhis f ield ''vill auto fillwith the correct flercentaqe baseti txr yoLir irrpr-ri to budget section below
9l Project Budget Overview
Please complete budget for thrs project/proposal. lf your agency operates independently of this projecl application it may
not be necessary to submit the entire agency budget. You must submit a budget which specifically pertains to the
projectlevent for which you are requesting funding and adheres to the basic budget format shown below.
The budget must include anticipated revenues, ependitures, arrd any poteniial profit or loss. For projectslevents wtrich
are ongoing for more than one (1) year, please also submit actuals from the previous three (3) years of operations
(need not be consecutive) for the project/proposal if applicable.
For anyclaimed in-kind contributions valued at $500 or more and related to marketing/advertising, you must
submit verifying documentation which assures the contribution will be provided. For instance, if you are
claiming in-kind contributions in the form of advertising match, a binding contract itemi2ng the matching value and
obligating each party must be provided.
ATTENTION: ln an effort to allow an adequate level of flexibility for all applicants, not all fields in the budget portion are
required to be filled before this form is submitted. Providing all applicable data is your responsibility, failure to do
so will potentially jeopardize your application's chance for review.
Verification of ln-kind
Contributions
For any clain-rd in-krnd contributims valued at $500 or nr:re and rdated to rarketing/acivertising, you
'rlrst
subnit
verifying docunentation which assLrres the contributicxr will lle provided.
Budget Year
Edit if necessary 2017 2018 2019
Revenues From Consolidated Lodging Tax Grant
Past Actual 3
$ o.oo
Past Actual 3
$ 0.00
$ o.oo
$ 0.00
Past Actual 3
$ o.oo
Past Actual 2
$ o.oo
Past Actual 2
$ o.oo
$ o.oo
$ 0.00
Past Actual 2
$ 0.00
Past Actual 1
$ o.oo
Past Actual 1
$ o.oo
$ o.oo
$ o.oo
Past Actual 1
$ 0.00
Past Actual 1
2021
Projected
$ 8,000.00
Projected
$ 8000.00
$ 2500,00
$ 2600.00
Projected
I 0.00
Projected
306
LTAC Grant
Funding
All Other Revenues
Account Name
Ticket Sales
Concessions
Sponsorship
ln-Kind Contribtrtions (except volunteerism)
Account Name
Contributions of Volunteer Time
Past Actual 3 Past Actual 2
Number of Hours
Evidence of Volunteer Rease upload a single lilewhich offers evidence in support of the prqjected volLinleer lrours.
Contributions* VolunteerHourprojection.pdf
Calculated Value of
Projected Volunteer
Time
$ 7,209.36
112.27KB.
Past Actual 3
$ o.oo
Past Actual 2
$ 0.00
Past Actual 1
$ o.oo
Projected
$ 28309.36Revenue Totals
Expenses
Account Name
Advertising
Promotional
Materials
Tent Rentals
Lavatories
Hospitality / VIP
Security
Transportation
Audio Equipment
Expense Totals
Profit & Loss
Past Actual 3
$ 0.00
$ o.oo
Past Actual 3
$ 0.00
Past Actual 3
$ o.oo
Past Actual 2
$ 0.00
$ 0.00
Past Actual 1
$ 0.00
$ o.oo
Past Actual 1
$ 0.00
Past Actual 1
$ o.oo
Projected
$ 6000.00
$ 2000.00
$ 2000.00
$ 1500.00
$ 1000.00
$ 800.00
$ 700.00
$ 500.00
Projected
$ 14500.00
Projected
$ 13809.36
$ o.oo
$ o.oo
$ o.oo
$ o.oo
$ 0.00
$ 0.00
$ o.oo
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ o.oo
$ 0.00
$ o.oo
$ 0.00
$ o.oo
$ 0.00
Past Actual 2
$ o.oo
Past Actual 2
$ o.oo
Application Certification
The applicant here certifies and affirms: 1. That it does not now' nor will it during the performance of any contract arising
from this application, unlawfully discriminate against any employee, applicant for employment, client, customer, or other
person who might benefit from said contract, by reason of age, race, color, ethnicity, sex. religion, military status, sexual
orientation, creed, place of birth, or disability; 2. That it will abide by all relevant local, state and federal laws and
regulations and; 3. That it has read the infornration contained in the lnstructions on pages 1and2 and understands and
will comply with all provisions thereof.
Certified by:
Name*Ken Grannan
Sign
Applicant's Title * Airport Coordinator
llll-9Form
(Rev. October20'18)
Deparlment of the Treasury
lnternal Revenue Ssruice
Request for Taxpayer
ldentification Number and Certification
I
rc€-
Give Form to the
requester, Do not
send to the lRS.
Dale >0t- 0 -)0L
(dividends, including those from stocks or mutual
funds)
. Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
. Form 1099-8 {stock or mutual fund sales and certain other
transactions by brokers)
. Form 1099-5 (proceeds lrom real estate transactions)
o Form 1099-K {merchant card and third party network transactions)
. Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
. Form 1099-C (canceied debt)
. Form 1 099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TlN.
lf you do not return Form W-9 to the requester with a TIN, you might
be subject to backup withholding. See What is backup withholding,
later.
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I Name (as shown on your income on do not leave
2 Businoss name/disregardod entity name, if ditferent from above
4 Exemptions (codes apply only to
certain enlities, not individuals; see
instructions on page 3):
Exempt payee code (if any) 3
Exemption trom FATCA reporting
code (if any)
Wpties lo eccounls ma'nlainedoulsldBthc U S)
name
7 List account
Enter your TIN in the appropriate box. The TIN provided must maich the name given on line 1 to avoid
backup withholding. For individuals, this is generally your social security number (SSN), However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part l, later. For other
entities, it is your employer identification number (ElN). lf you do not have a number, see How to get a
t/V, later.
Note: lf the account is in more than one name, see the instructions for line 1, Also see What Name and
Number To Give the Fequester for guidelines on whose number to enter.
Under penalties of perjury, I certify.that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) | am exempt from backup withholding, or (b) I have not been notified by the lnternal Revenue
Service (lRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IFS has notified me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct,
Cerlification instructions. You must cross out it€m 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, conhibutions to an individual retirement arrangement (lRA), and generally, payments
other than intsrest and dividends, you are not required to sign the certification, but you must provide your correct TlN. See the instructions for Part ll, later.
ol
Sign
Here
General ln s
Section reJerences are to the lnternal Revenue Code unless otherwise
noted.
Future developmonts. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS must obtain your correct taxpayer
identlfication number [IlN) which may be your social securily number
(SSN), individual taxpayer identification number (lTlN), adoption
taxpayer identification numb€r (ATIN), or employer identification number
(ElN), to report on an information return the amount paid to you, or othor
amount reportable on an inlormation return. Examples of information
returns include, but are not limited to, the following.
. Form 1099-lNT (interest earned or paid)
3 Check appropriata box for federal tax classification of the person whose name is entered on line 1 . Check only one ol the
following seven boxes.
fl lndividual/sole proprietor or fl C Corporation n s Corporation E Partnership n Trusl/estate
singl6-member LLC
fl t-imiteO liabillty company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ) _
Note: Check the appropriats box in thB llns abov€ tor lho lax classification o, tho single.mgolb€r owner. Do nol ch€ck
LLC if the LLC is classilied as a singls-mEmbsr LLC lhat is disregardgd from tho own6r u*lo6s thg owl€r ol the LLC is
another LLC that is not disregorded from thB ov/ner for U,S. lgdetal lax purposeg. Othorwiso. a singlo-mombor LLC
is disregarded from lhe owner should check the appropriate box for the tax classification of its owner,
Other Political Subdivision
apt. or
utt"
(numbsr,
Suite 1
6 City, state, and ZIP
wA 98926
numbor
Part I
numbsr
9 1 6 0 0 1 3 4 I
Part ll
U.S, person
Signature of
Cat. No. 10231X Form W-9 {Fev. 10-2018}
Volunteer Hour Projection
Bowers Field Fly-ln
Volunteer hours projection for the Bowers Field Fly-in is strictly based on
information from past events held during mytime with Hospice Friends. The Car
show which spanned a Friday and Saturday averaged 300-400 hours of volunteer
time in preparation for the event. We anticipate approximately 280 hours of
volunteer time as follows:
Friday Evening:
r Admissions
o Airport Operations
o VIP Dinner:
Saturday Fly-ln Event:
o Admissions
o Airport Operations
o Crowd Control
o lnformation/FirstAid
Total Event Volunteer Hours
Ken Grannan
5 Volunteers for 4 Hours = 20 Hours
4 Volunteers for 5 Hours = 24 Hours
5 Volunteers for 4 Hours = 24 Hours
5 Volunteers for 5 Hours = 30 Hours
8 Volunteers for 12 Hours = 96 Hours
10 Volunteers for 8 Hours = 80 Hours
4 Volunteers for 8 Hours = 32 Hours
= 305 Hours
Distance Traveled to Attend the Air
Show by Air Show Spectators,
201 8 vs. 2008-2010 average
30
35
25
20
15
10
5
0
20.8
10.3
lessthan 10 10-20 miles 20-40 miles 40-60 miles 60-80 miles
miles
80-100
m iles
10.4
100+ miles
6.2 5.7 L
.6
Did you attend
today's show
with a child under
18 years of ag e?
lf yes, how
many children
were in your
group?
t2.
55.
44.3 L4.35.4
IYes INo rL t2 13 t4+
Mean Average:
2.17 children
per survey
respondent
37,6
Exhibit "8"
Guidelines and Requirements for
Expenditure Reimbursements from Lodging Tax
Section 1. Branding
Contractors who have been approved to utilize grant awards for advertising expenditures must
incorporate Kittitas County and the appropriate City of Cle Elum, Ellensburg, or Roslyn tourism
information as follows:
A. Websites and Social Media Sites must include the County's and appropriate City's tourism
website logo with an operational link to the site(s). The logo must be displayed on the
contractor's home page, it must be sized no smaller than% inch in height, and must be
surrounded by appropriate white space to allow easy recognition and legibility. Contractors
shall not change the logo(s) in color or appearance.
B. Print Advertising and Online Displav Advertising of all types ( including but not limited to
newspaper, periodicals, flyers, posters, billboards, direct mail, e-newsletters, third-party
websites, streaming displays, etc.) must include the County's and appropriate City's tourism
website logo. The logo must be sized no smaller than% inch in height, and must be surrounded
by appropriate white space to allow easy recognition and legibility. Contractors shall not change
the logo(s) in color or appearance.
C. Video Advertisine of alltypes (including but not limited to television, online, electronic kiosks,
motion billboards, etc.) must include the County's and appropriate City's tourism website logo.
The logo must be sized no smaller than% inch in height, and must be surrounded by appropriate
white space to allow easy recognition and legibility. Contractors shall not change the logo(s) in
color or appearance.
All logos and website information may be obtained by contacting the Director of Tourism, Kittitas
County Chamber of Commerce.
Section 2. Advertisi ng Reimbursements
Contractors seeking reimbursement from Lodging Tax Funds for advertising expenditures must adhere
to the following guidelines and requirements for each type of advertising media utilized.
A. Print Advertising:
L Print advertising placed with any media provider which operates exclusively outside of
Kittitas County may be reimbursed at1.00% of the cost, including any production costs. To
operate exclusively outside of Kittitas County, the provider must not be physically located in
the County and/or not distribute any media within the County.
2. Print advertising placed with any media provider which operates inside Kittitas County may
be reimbursed as follows:
a. For date-specific events, advertising the day of the event and up to 10 days prior to
the event may be reimbursed atIO0% of the cost, including any production costs.
b. For seasonal or year-round events, or for date-specific events outside of the time-
frame in Section 2 A, (2)(a) above, advertising reimbursement requests must include a
statement from the media provider specifying the percentage distribution to areas
outside of Kittitas County. Reimbursements will be allowed for the amount distributed
outside of Kittitas County, including any production costs.
B. Television Advertising:
1'. Television advertising placed with any media provider outside the Yakima/Kittitas DMA will
be reimbursed at 100% of the cost, including any production cost.
2. Television advertising placed with any media provider inside the Yakima /Kittitas DMA will
be reimbursed as follows:
a. For date-specific events, advertising the day of the event and up to 7 days prior to
the event may be reimbursed at1,OO% of the cost, including any production costs.
b. For seasonal or year-round events, or for date-specific events outside of the time-
frame in Section 2 8,2(al above, advertising may be reimbursed at the rate of 70% of
the total cost, including any production costs.
C. Online Advertisins:
L Online advertising and promotion may be reimbursed at 100% of the cost, including any
production cost.
2. Streamed media (radio, television, other) requests for reimbursement must include a
statement from the media provider specifying the percentage of recipients which are
outside of Kittitas County. Reimbursements will be allowed for the percentage distributed
outside of Kittitas County, including any production costs.
D. Direct Mail:
L Direct mail advertising may be reimbursed at 100% of the cost, including any production
cost, for each item mailed or shipped to a destination outside of Kittitas County. ln order to
receive reimbursement, a list of the addresses and a signed statement from the contractor
that the list is accurate, or other proof of delivery, must be provided along with other
req uired documentation.
E. Flvers/Posters:
L Flyers or posters which are placed outside of Kittitas County may be reimbursed at I00% of
the cost, including any production cost. ln order to receive reimbursement, a list of the
locations where flyers or posters were posted outside of Kittitas County, a signed statement
from the contractor that the list is accurate and a copy of the poster/flyer must be provided
along with other required documentation.
2. Banners which are placed inside of Kittitas County may be reimbursed atIOO% of the cost,
including any production costs. ln order to receive reimbursement, the banner cannot list a
specified date or location. Request can only be made one time.
3. Signage (site layout use only) which are placed inside of the venue/facility of the event may
be reimbursed at 100% of the cost, including any production costs. ln order to receive
reimbursement, the signage cannot list specified date or location. Request can only be
made one time. (i.e. ADA Parking/Parking, Loading Zone, Evacuation Route, Bathrooms, and
Stage locations)
F. Radio Advertisins:
L. Radio advertising placed with any media provider located outside of Kittitas County may be
reimbursed al LOOo/o of the cost, including any production cost.
2. Radio advertising placed with any media provider located inside of Kittitas County may be
reimbursed as follows:
a. For date-specific events, advertising the day of the event and up to 7 days prior to
the event may be reimbursed atlOO% of the cost, including any production cost.
b. For seasonal or year-round events , or for date-specific events outside of the time-
frame in Section 2 F,2(al above, advertising may be reimbursed at the rate of 30% of
the total cost, including any production costs.
G. Operation Reimbursement:
1. Operation costs may be reimbursed lOO% of the paid invoice cost. ln order to receive
reimbursement operations invoice must an approved cost from the Consolidated Lodging
Tax committee members list. lnvoice provided must include notation of payment with proof
of payment.
2. Mileage reimbursements that are outside of 50 miles of Kittitas County may be reimbursed
atIOOo/oofcost. lnordertoreceivereimbursement,asignedstatementfromthereceiver
along with other required documentation. Mileage reimbursement subject to IRS mileage
reimbursement rates which may change annually.
3. ltems not eligible for reimbursement:
a. Salaries of employees
b. Capitol purchases- any item with 3+ years life and over S5,0OO.
c. Licenses, permits, insurance, or credit card fees
w-g Request for Taxpayer
ldentification Number and Certification
) Go to www,irs.govlFormW9lor instructions and the latest information.
Give Form to the
requester. Do not
send to the lRS.
Form
(Rev. October 2018)
Deparlment of the Treasury
lnternal Revenue Service
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
2 Business name/disregarded entiiy name, if diflerent from above
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General ln ons
Section references are to the lnternal Revenue Code unless otherwise
noted.
Future developments. For the latest inforrnation about developments
related to Form W-9 and its instructions, such as legislation enacted
atter they were published, go lo www.irs.govlFormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
inlormation return with the IRS musl obtain your correct taxpayer
identification number [lN) which may be your social security number
(SSN), individual taxpayer identification number (lTlN), adoption
taxpayer identification number (ATIN), or employer identification number
(ElN), to report on an information return the amount paid to you, or oiher
amount reportable on an information return. Examples of information
returns include, but are not limited to, the following.
r Form 1099-lNT (interest earned or paid)
4 Exemptions (codes apply only to
certain entities, noi individuals: see
instructions on pago 3):
Exempt payee code {if any) 3
Exemption from FATCA reporting
code (if any)
(Applies lo Bcc@nls mainlained ouLide lhe U S.)
Requester's name and address {optional)
Date >0P0 --tuA
099-DlV {dividends, including those from stocks or mutual
funds)
. Form 1099-MISC (various types ol income, prizes, awards, or gross
proceeds)
. Form 1099-8 (stock or mulual fund sales and certain other
transactions by brokers)
. Form 1 099-5 (proceeds from real estate transactions)
. Form 1 099-K (merchant card and third pafty network transactions)
. Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
. Form 1099-C (canceled debt)
. Form 1 099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TlN.
lf you do not return Form W-9 to the requester with a TlN, you might
be subject to backup withholding. See What is backup withholding,
later.
account
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
backup withholding. For individuals, this is generaliy your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part l, later. For other
entities, it is your employer identification number (ElN). lf you do not have a number, see How to get a
IlN, later.
Note: lf the account is in more than one name, see the instructions for line 1. Also see What Name and
Number To Give the Requester tor guidelines on whose number to enter.
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my corect taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup wiihholding because: (a) I am exempt from backup withholdlng, or (b) I have not been notified by the lnternal Revenue
Service (lRS) that I am subject to backup withholding as a result of a failure to repod all inierest or dividends, or (c) the IRS has noti{ied me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certilication instructions, You must cross oui item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to reporl all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonmont of secured propedy, cancellation of debt, contributions to an individual reiirement arrangement (lRA), and generally, payments
othel than interesi and dividends, you are not required to sign the corlification, but you must provide your correct TlN. See the instructions for Part ll, later.
7
or
Sign
Here
I
rcf- L
3 Check appropriale box for federal tax classi{ication of the person whose name is entered on line 1 . Check only one of the
following sevon boxes.
f] lndividual/sole proprietor or fl C Corporation I s Corporation n Padnership f] Trust/estate
single-member LLC
I timiteO liabillty company. Enter the tax classitication (C=C corporation, S-S corporation, P=Partnership) ]
Note: Check the appropriaie box in tlre llne above lor the tax classiliEation ot Lha single-rrenrber owner. Clo nol check
LLC ii the LLC rs classiliod Bs a singlernenrbor l-LC that is disregarded from the orvner unless the olvnor ct lh€ LLC is
another LLC that i$ not disfegarded from lho o'rrner for U.S, federal tax purposss, Otherwi$e, a singlo-m€mb6r LLC lhat
is disregarded lrom the owner should check the appropriate box for the tax classjfication of its owner,
Other {se6 instnrctions} >
5 Address {numbsr, street, and apt. or suile no.} Ser: inslruc!io|rg.
w.5 Suite 105
6 stale, and
WA 98326
cation Number
Social numbor
Part I
id€nlification flumber
9 1 6 0 0 ,|3 4 I
Part ll
Signature of
U.S. person
Cat. No. 10231X rorm W-9 (R6v. 10-2018)