HomeMy WebLinkAboutLT-2023-003-DruBru_RLT-2023-OO3-DRU BRU GLOW RUN
2023 TODGING TAX SERVICES AGREEMENT
BETWEEN KIfiITAS COUNTY AND DRU BRU TAPROOM AND BREWERY
This Contract, effective January t, 2023, is made and entered into by and between -
KlrTlrAs couNTY ("county"), a subdivision of the state of washington, and the DRU BRU
TAPRooM AND BREWERY ("contractor"), for the SNoQUALMtE TUNNEL 5K GLow RUN("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 "B" 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 one thousand and seven hundred dollars (S1,700.00)
(Kittitas Co. 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 one thousand and seven
hundred dollars (S1,700.00) (Kittitas Co 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 I0,2023, after this date funds lapse.
d. Requests for reimbursements must be submitted to:
Kittitas County Auditor
Attn: Auditor's Accounting
2023 County Lodging Tax Funding Agreement Page 7
LT-2023-OO3-DRU BRU GLOW RUN
205 West 5th Ave - Suite 105
Ellensburg, WA 98926
a ud itorsa ccounting@ co. kittitas.wa. us
e. 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
Adverting to extend the reach and increase participation
Race expenses, such as water cups, trash cans, parking signage
Help offset our parking lot rental fee so we can support more guests
a
a
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):
h. Contractors requesting reimbursement for event-specific expenses shall submit all claims as
no more than two reimbursement requests with supporting documentation.
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 bv 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. Any such delegation or subcontracting without the County's prior written
consent shall be voidable at the County's option.
b. Contractor shall at all times be an independent contractor and not an agent or representa-
tive of the County 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. ln no event shall
Contractor be authorized to enter into any Agreement or undertaking for or on behalf of the
County. lt is understood that the Contractor and the Contractor's staff and employees are
not employees of the County and are not, therefore, entitled to any benefits provided
employees of the County.
c. 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
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,
a
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LT-2023-OO3-DRU BRU GLOW RUN
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, or mental handicap.
The Services shall at all times be subject to inspection by and approval of the County, but
the County'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 knowledge of defective or non-complying
performance, or the substantiality or ease of discovering the same. Contractor shall provide
the County 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 its 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 makes final payment of compensation due hereunder,
Contractor shall provide the County access to (and the County 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 assumes no liability for the Contractor's actions under this Agreement. Contractor
releases and shall defend, indemnify, and hold harmless the County, its 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 AgreemenU
Any lien asserted upon any property of the County in connection with the Services for this
Agreement;
a Any failure of Contractor, or of the Services, to comply with any applicable law, ordinance,
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
e
a
a
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Section 5. Compliance 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 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 shall provide notice to
Contractor pursuant to Washington's public records act, chapter 42.56 RCW, to allow
Contractor to seek a court injunction.
c. The County specifically shall not be liable to Contractor for the County's release under public
records laws of any documents not protected by trademark, copyright or other law.
Section 5. lndustrial Insurance Waiver.
With respect to performance of this Agreement and as to any claims against the County, its 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 Contracto/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. lnsurance 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 Contractor agrees to provide proof of
insurance prior to commencing performance of this Agreement.
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.
Where insurance is requested by the County, all liability insurance policies shall be endorsed
to include the County as an Additional lnsured and shall stipulate that the insurance
afforded by the policies shall be primary insurance, and that any insurance, self-insured
e
2023 County Lodging Tax Funding Agreement Page 4
LT-2023-OO3-DRU BRU GLOW RUN
retention, deductibles, or risk retention trusts maintained or participated in by the Parties
shall be excess and not contributory to any other insurance maintained by the County.
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 all or 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
a. 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.
b. 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.
c. 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.
Sth Ave. Ste. 108, Ellensburg, WA 98926. For all purposes under this Agreement, any notice by
the County to the Contractor shall be given to the Contractor'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.
d. 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.
Thls 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.
f. 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
e
2023 County Lodging Tax Funding Agreement Page 5
LT-2023-OO3-DRU BRU GLOW RUN
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.
g. lf any term or condition of this Agreement or the application thereof to any person(s) or
circumstances 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.
h. The exclusive venue for any action brought to enforce this Agreement or any of its terms
shallbe 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.
2023 County Lodging Tax Funding Agreement Poge 6
LT-2023-OO3-DRU BRU GLOW RUN
KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
Chair
Vice Chair
Commissioner
ATTEST
Clerk of the Board
APPROVED AS TO FORM
Deputy Prosecuting Attorney
CONTRACTOR
IPrint Name]
[Address]
2023 County Lodging Tax Funding Agreement Poge 7
E*h ib i t A
9129122, 10:51 AM LTAC Clerk Review
CLTAC: Clerk Application Review
Clerk Verification *Please confirm whether the applicant attended the workshop or not.
Yes
No
Organ ization I nformation
Name of Dru Bru Taproom and Brewery
Organization *
Current Year Grant
Application
Workshop*
Organization
Address*
Upload Proof of
Organization Status*
W-9 form -signed_201 B.pdf
Acceptable file formats include: JPG, PDF or TIFF,
State / Province / Region
WA
Country
Kittitas
176.66K8
Did you attend the Grant Application Workshop for the current year hosted by the Kittitas County Chamber of
Commerce?
Yes
No
Street Address
Palouse to Cascades State Park Trail - Hyak Parking
Address Line 2
City
Snoqualmie Pass
Postal i Zip Code
98068
Business
Non-Profit
Organization is a:*
(Note: Please submit W-9 for business or IRS Designation Letter for non-profit.)
Click here to view sample documents (redacted).
Project Contact I nformation
First Name*Sara
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Last Name*Giuffrida
Phone Number* 206-372-6551
Email*sara@drubru.com
Project or Event lnformation
ProjecVEvent Name* Snoqualmie Tunnel 5k Glow Run
Service Categories Check all categories that apply to this application
Tourism promotion/marketin g
Operation of a special event designed to attract tourists
Operation of a tourism related facility
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*
7t8t2023
ProjecVEvent
Location *
New or Ongoing
ProjecVEvent? *
Amount of Funding
Requested *
Funding Request Max 1,860
End Dates
7t8t2023
Snoqualmie Tunnel, Snoqualmie Pass
Ongoing ProjecUEvent (More than four years in existence)
New ProjecUEvent (Four or fewer years in existence)
$ 1700.00
lfyou selected "Ongoing ProjecUEvent" above this amount may not exceed 10% ofthe total expense budget of
this project.
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Tourism Seasons*From the list below what season will your project enhance tourism? Select any which apply
Year-round (January - December)
Off Season (November - February)
Shoulder Season (October or March - May)
High Season (June - September)
Application Questions: Part 1
Please answer each question completely, in the order listed. Please include any supporting data within the
response narrative,
1 | ProjecUEvent Description
Please provide a description of your projecUevent.
Response 1:
ProjecUEvent
Description *
Video Link
List of lntended Use of Funds*
Adverting to extend the reach and increase
participation
Race expenses, such as water cups, trash cans,
parking signage
Help offset our parking lot rental fee so we can
support more guests
2l Supporting Kittitas County as a tourism destination
All-ages, glow in the dark, 5k (walk or run) through the historic Snoqualmie tunnel
We light the tunnelwith LED lights, plus everyone is outfitted with glow gear. lt's a
"fun run" so all ages and skills are welcome. Last year we had about 650 people
participate. We also include several local small business partners who set up
booths to bring awareness and brand visibility. We do not charge the partners to
participate in this event since they are volunteering their time and enhancing the
overall guest experience. Our parking lot also requires a Discover Pass so we're
supporting the WA Parks organization as well since every participant will need to
purchase one to park at the event site.
2500 character limit
Please provide us link to a brief video summary of you organization's event/project. You MUST be present at the
Q&A meeting to qualify for funding.
https : //d rive. g oog le. co m/f i le/d/1 WH K5 3 kd S I
N R0 1 _xLlvnWvUwY 4yz7 _Hja/view?
usp=sharing
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'1. Away from their place of residence or business and staying overnight in paid accommodations;
2. To a place fifty miles or more away 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 *Why would tourists travel to Kittitas County to attend your evenVactivity/facility?
It's truly a one of a kind experience. The Snoqualmie Tunnel by itself is news
worthy and very special therefore when paired with an all-ages 5k it becomes a
very talkable event.
2500 character limit
Response 2.2*Describe the prior success of your eventiactivity/facility in attraction tourists.
I have data from the race website that shows people came from all over WA state.
I will upload it as a reference doc. lt also shows a wide range of ages. lt's a very
inclusive, fun event. We had over 650 people participate last year and several
people said it was their first time at Snoqualmie Pass. I'm confident we can get 70-
800 people next year with the right funding and marketing support.
2500 character limit
Application Questions: Part 2
3l lmpact
Response 3:
Measuring Results*
Describe how you will promote your evenvactivity/facility to attract tourists.
Targeted emails to surrounding school districts.
Submitting the event to all 5k race websites and event calendars.
Making sure its added to relevant event calendars (Chamber of Commerce etc).
Paid Facebook and lnstagram ads. We have found boosting to be very successful
We hang physical posters up in high traffic areas inside and outside of Kittitas
County. We invest in postcards that are given out at events, festivals and social
gatherings. We have two tap room businesses and heavily promote the event at
each location. We share event assets with our partners so they will help cross
promote the event as well. We also provide discount codes to select non-profits.
2500 character limit
Application Questions: Part 3
4l Gollaboration
lf your organization collaborates or has created partnerships with other organizations, groups, or other events,
how is this accomplished?
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4.1 Collaboration*
4.2 Promoting Local
Business *
LTAC Clerk Review
We invite 6-8 local businesses (Partners) to have booths up at the event. Each
partner is featured on the race website, gets their logo added to the race t-shirt,
receives a discount code and marketing materials to help cross promote the
event. We also try to use local businesses for our event needs, for example
getting our t-shirts printed locally vs using a large national company.
2500 character limit
Describe how you will promote lodging establishments, restaurants, and business located in Kittitas County
We can include a list of recommended establishments on our website as well
include callouts and coupons in our email communications.
2500 character limit
4.3 Host Hotel*ls there a host hotel for your event or grant project? lfyes, list the hotel.
No
Yes.
5l Future Plans
Please explain what plans exist to allow this project to become self-sustaining. Include any plans for ticket
sales, event sponsors, and other cost-recovery models.
Future Plans *There is a registration price. We try our best to keep the registration fee low so its
not a barrier to participate since one of our main goal is to drive traffic and
awareness to the area and to have all participants stop by our establishment (Dru
Bru) before they head home.
We are considering paid event sponsorship for large companies/organizations.
We currently do not charge our "Partners" to participate since they are typically
small business owners.
2500 character limit
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.
Additional lnformation I've uploaded a few reference photos since seeing is believing and we've found
the images are a great marketing tool and really grab people's attention.
2500 character limit
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LTAC Clerk Review
You may upload any supporting documents such as graphs, images, diagrams, marketing materials, etc.
DSC00681 2359x3539.jp9 1.02M8
Registrations_percity.pdf 231 .2KB
DSC_7961.jp9 1.1M8
You are allowed to submit up to 3 single page (US Letter) documents in JPG, PDF or TIFF format
7l Previous Lodging Tax Grant lnformation
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Supporting
Documents
Previous Years
Awarded Lodging Tax
Grants*
Overall Attendance
Past Actual*
648
Has your event received Lodging Tax funds in previous years?
No, this evenVproject has not previously received Lodging Tax Funding.
Yes, 1 year previous
Yes, 2 years previous
Yes, 3 or more years previous
Projected *
725
Number of people travelling more than 50 miles for your event?
Past Actual* Projected *
550 600
Number of people traveling from outside WA State for your event?
Past Actual* Projected *
00
The number of overnight guests who stay in paid accommodations in Kittitas
County for your event
Past Actual* Projected *
040
6/1 0
Number of paid lodging room nights resulting from you event/activity/facility?
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Past Actual*
0
Prior Year Paid
Overnight Stay Data
Past Methodology*
Projected
Methodology*
Methodology
Narrative *
Application Questions: Part 5
8l Funding
LTAC Clerk Review
Projected *
0
ln addition to field above, you may upload the evidence to support the prior years' room/night information.
You may upload up to three single pages (US Letter), of information. lf you a single multi-page document, only
the first three pages will be considered. The following formats, will be accepted: JPG, PDF or TIFF
What methodology did you use to calculate the 2019 actual numbers?
Direct Count (preferred)
lndirect Count
Representative Survey
I nformal Su rvey (preferred)
Structured Estimate
Other;Did not capture lodging
data
What methodology will you use to calculate the upcoming numbers?
Direct Count (preferred)
lndirect Count
Representative Survey
lnformal Survey (preferred)
Structured Estimate
Other
Please explain.
I don't have firm lodging data from previous years
2500 character limit
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Does your organization have, or have you applied for, grant funding from other sources? lf not, why not? lf yes, please
list the funding you have for the project, including any volunteer and in-kind sources in Question 9l Project Budget
Overview.
Funding sources and amounts which have not yet been secured will be listed separately, in the field(s) directly below
Finally, what changes would occur if the project couldn't be funded?
Other Funding *Does your organization have, or have you applied for funding from other sources?
Yes No
Explanation *lf not, why not?
I was unaware of the process and options available
2500 character limit
Funding Shortfalls*What changes will be made if funding for your request is not available or recommended?
Less marketing budget to promote the event and therefore less visibility,
awareness and participation.
Higher registration fees to offset the event expenses, which could result in fewer
participates.
2500 character limit.
Matching Funds
Percentage
Verification of ln-kind
Contributions
1426.47
This field will auto fill with the correct percentage based on your input to budget section below.
For any claimed in-kind contribulions valued at $500 or more and related to marketing/advertising, you must
submit verifying documentation which assures the contribution will be provided.
9l Project Budget Overview
Please complete budget for this projecUproposal. lf your agency operates independently of this project application it
may not be necessary to submit the entire agency budget. You must submit a budget which specifically pertains to
the projecUevent for which you are requesting funding and adheres to the basic budget format shown below.
The budget must include anticipated revenues, expenditures, and any potential profit or loss. For pro.yects/events which
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 projecUproposal if applicable.
For any claimed 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 itemizing 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.
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Budget Year
Edit if necessary 2018 2019 2022
Revenues From Consolidated Lodging Tax Grant
Past Actual 3
LTAC Grant Funding $ 0.00
All Other Revenues
Account Name
sara@drubru.com
Past Actual 3
$ 1s166.00
Past Actual 2
$ 0.00
Past Actual 2
$ 18477.00
Past Actual 2
$ 0.00
Past Actual 2
$ 18477.00
Past Actual 1
$ 0.00
Past Actual 1
$ 22327.00
Past Actual 1
$ 0.00
Past Actual 1
$ 22327.00
2023
Projected
$ 1,700.00
Projected
$ 24250.00
Projected
$ 0.00
Projected
35
Projected
$ 26774.60
ln-Kind Contributions (except volunteerism)
Account Name Past Actual 3
$ 0.00
Contributions of Volunteer Time
Number of Hours 1B
Evidence of Volunteer
Contributions *
Calculated Value of
Projected Volunteer
Time
Past Actual 3
$ 15166.00
Past Actual 3 Past Actual 2 Past Actual 1
1B 28
Please upload a single file which offers evidence in support of the projected volunteer hours
Dru Bru Mail - WSSSM Volunteers - please confir.. . 230.12K8
$ 824.60
Revenue Totals
lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77445185642?hideHeader=true 9/10
9129122. 10:51 AM
Expenses
Expense Totals
Profit & Loss
Certified by
Name*
Past Actual 3
$ 12700.00
Past Actual 3
$ 12700.00
Past Actual 3
$ 2466 00
Sara Giuffrida
Past Actual 2
$ 14850.00
Past Actual 2
$ 14850.00
Past Actual2
$ 3627.00
LTAC Clerk Review
Past Actual 1
$ 18900.00
Past Actual 1
$ 18900.00
Past Actual 1
$ 3427.00
Projected
$ 18600.00
Projected
$ 18600.00
Projected
$ 8174.60
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. fhat it will abide by all relevant local, state and federal
laws and regulations and, 3. That it has read the information contained in the lnstructions on pages 1 and 2 and
understands and will comply with all provisions thereof.
Applicant's Title* Owner, Marketing
lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77445185642?hideHeader=true 10t10
UD5
Form llll-g
{Rsv. November 201 7)
Doparlm€nt of the lreasury
lntemal Rflenue Seruice
on your tax Name is on
above
not lsavo thiB blank.
Give Form to the
requester, Do not
send to the lRS.
4 Exemptions (codes apply onlv to
certain entities, not individuals: see
instructions on page 3):
Exempt payee code (if any)
Exemplion from FATCA reporiing
code (if any)
Request for Taxpayer
ldentification Number and Gertification
> Go to www,irs.govlFormWg lor instructions and the latest information.
2
1 Name
Signature of
U.S. person )
BRU
account numb€{(s} hers {optione0
name,
c'i
c)
O)do-
Eo,6OEcto>'ll'a)oi16
O- .o
=(,
o,o.U'
0)oa
{Apptes to accounts tnaialriltd autside lhe U S)
Bequester's nam6
Enter your TIN in the appropriate box, The TIN provided must match the name given on
backup withholding. For individuals, this is generally your social security numuer lsstrt;.resident alien, sole proprieior, or disregarded entity, see the jnstructions for part l, later.
ontilies, il is your employer identilication number (ElN). lf you do not have a number, see
TtN, later.
line 1 to avoid
However, for a
For other
How to get a
Note: lf the account is in more than one name, see the inslructions for line 1. Also see What Name and
Number To Give the Requesler for guidelines on whose number to enter.
Under penalties of perjury, I cerlify that:
'1. The number shown on this form is my correct taxpayer identlfication number (or I am waiting for a number to be issued to me); and2. I am not subject to backup withholding because: (a) I am exempt from backup withholdlng, or (b) I have not been notified by the lnternal RevenueService (lRS) that I am subject to backup withholding as a result of a failure to report all interesi or dividends, or (c) the IRS has notified me that I amno longer sub.ject to backup wilhholding; 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 repoding is correct.
Certilication instructions. You must cross ou1 item 2 above if you have been notified by the IRS that you are currsntly subject to backup withholding becauseyou have failed to reporl all inierest and dividends on your tax return. For real estate transactions, item2 does not appiy. For mortgage interest paid,-
acquisition or abandonmenl of secured propeny, cancellation of debt, contributions to an individual retirement arrangement (lR4,;"d generally, payments
other than interest and dividends, you are not requires[g16i7g;$hgggddisdjpn, but you musl provide your correct Tlti. See the instructi6ns for Fah i, later.&DNt cn=John Dr! E.nst,
o=Dru BrU ou,Here
General I ns
T4JS
Dat€r 2018-01.17 13r0!-):14
-08'00'
Dare > 01117119
. Form 1099-DlV (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 from real estatetransactions)
r Form 1 099-K (merchant card and third party network transactions)
. Form 1098 {home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
. Form 1099-C (canceled debt)
. Forrn 1 099-4 (acquisition or abandonment of secured property)
Use Form W-9 only it you are a U.S. person (including a resident
alien), to provide your correct TlN.
If you do not return Fom W-9 to the raqueste( with a TlN, you might
be subject to backup withholding. See What is backup withholding,
later.
Section references are to the lnternal Rovenue Code unless otherwise
noted.
Future developments. For the latest informalion about developments
related to Form W-9 and its instruciions, such as legislation enacted
after th€y were published, go to www.irs.govlFormWg.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return wilh the IRS must obtain your correct taxpayer
identification number [lN) which may be your social security number
(SSN), individual taxpayer identification number (lTtN), adopiion
taxpayer ldentification number (ATIN), or employer identification number
(ElN), to report on an information return the amount paid to you, or other
amount reportable on an information return. Examples of information
returns include, but are not limited to, the following.. Form 1 099-lNT (interest earned or paid)
3 Check appropriate box for federal tax classification of lhe person whose name is entered on line 1. Check only one of the
following seven boxes.
I lndividualaole proprietor or n c corporation n s corporation n rartnership f] TrusVestate
single-member LLC
E] fimiteO liability company. Enter the lax classification {C=C corporation, S=S corporation, p=parlnership) t !
Not€: Check the appropriate box rn tha line above for lhe til classitication of ih€ single-membor owngr, Do not check
LLC if the LLC is classifi€d as a single-member LLC that is disregaided from the owner unless the owner of the LLC is
ano,ther LLC that ls not disregarded from the owner for U.S, federal tax purposes. Otherwise, a single-member LLC
ls disregarded llom the owner should check lhe appropriate box for the tax classitication of its own-er.
Other
apt. or suite no.) See instructions.5 Address {numbor, street,
PO
SN 98068E
state, and ZIP code
NumberPart I
Part ll
Cat. No. 10231X FormW-9(R6v. 11-2017)
Form W-9 (Rev. 1 1 -201 7)Page2
By signing the tilled-out form, you:
1. Ceftify that the TIN you are giving is correct (or you are waiting for a
number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt
payee. lf applicabte, you are also certifying that as a U.S, person, your
allocable share of any partnership income from a U.S. hade or buiiness
is not subject to the withholding tax on foreign partners' share of
effectively connected income, and
4. Certify that FATCA code(s) entered on this form (if any) indicating
that you are exempt Jrorn the FATCA reporting, is correct.'See Whal is
FATCA repofting, later, for further information.
Note: lf you are a U.S. person and a requester gives you a form other
than Form W-9 to request yourTlN, you must use the requesler,s form if
it is substantially similar to this Form W-9.
Definition ol a U.S. person. For federal tax purposes, you are
considered a U.S. person if you are:
e An individual who is a U.S. citizen or U.S. resident alien,
. A partnership, corporation, company, or association created or
orgaoized in the United States or under the laws o{ the United States;
. An estate (other than a foreign estate); or
. A domestic trust (as defined in Regulations section 301.270.!-7).
Special rules for partnerships. Pannerships that conduct a trade or
business in the United States are generally required to pay a withholding
tax under section 1446 on any foreign partners, share of efiectively
connected taxable income from such business. Further, in certain cases
where a Form W-9 has not been received, the rules under section 1446
require a partnership to presume that a partner is a foreign person, and
pay the section 1446 withholding tax. Therefore, if you are a U.S. person
that is a partner in a partnership conducting a trade or business in the
Uniied States, provrde Form W-9 to the partnership to establish your
U.S. status and avoid section 1446 withholding on your share of
partnership income.
ln the cases below, the following person must give Form W-9 to the
partnership for purposes of establishing its U.S. status and avojding
withholding on its allocable share of net income from the partnership
conducting a trada or business in the united States.
. ln the case ol a disregarded entity with a U.S. owner, the U.S. owner
of the disregarded entity and not the entity;
. ln lhe case of a grantor trust with a U.S. grantor or other U.S. owner,
generally, the U.S. grantor or other U.S. owner of the grantor trust and
not the trust; and
r ln the case o{ a U.S. trust (other than a grantor trust), the U.S. trust
(other than a grantor trust) and not the beneticiaries of the trust.
Foreign person. lf you are a foreign person or the U.S. branch of a
foreign bank that has elected to be treated as a U.S. person, do not use
Form W-9. lnstead, use lhe appropriate Form W-8 or Form 8233 (see
Pub. 515, Withholding ot Tax on Nonresident Aliens and Foreign
Entitles).
Nonresident alien who becomes a resident alien, Generally, only a
nonresident alien individual may use the terms of a tax treaty to reduce
or eliminate U,S. tax on certain types of income- However, most tax
treaties contain a provision known as a ,,saving clause." Exceptions
specified in the saving clause may permit an exemption from tax to
continue for certain types of income even alter the payee has otherwise
become a U.S. resident alien for tax purposes.
lf you are a.U.S. resldont alien who is rolying on an €xception
contain€d in the saving clquGo ol a tax troaiy io ctaim an oitemption
from u.s. tax on certain typeg of rncoma, ydu rnusl attach a statement
to Form W-9 that specitios lhe fotlowlng liiro items.
1. fhe treaty counlry. Generally, this must be the same traalv under
which you claimed gxemfrlion from tax as a nonresident alien.'
2. The treaty article addressing the income.
3. The. arlicle number (or location) in the tax treaty that contains the
saving clause and its exceptions.
, 4. The type and amount of income that qualifies for the exemption
from tax-
5, Sufficient Jacls to justify the exemption from tax under the terms ofthe koaty article.
Example. Arllcle 20 of the U"S,-China incom€ tax treaty allows an
examption trom tax for scholarshlp incoms recelvsd by aChineso
sludent temporarily pros€nl in th€ United States. Undcir U.S. law, this
sludent will become a r€sidsnt ah€n tor tax purpos€s if his or h6r slay tn
lhe United States oxco€ds 5 calendar years. Hdwevor, paragaph Z 6t
rhe tirsr Protocol to the U.S,-China treirty (dated Aoril 3b. tgbqi attows
the provlsions of Arliclo 20 to continue tb bpply evbn after tho Chiness
studonl becomos a residenl alien of the Uniti:ri States. A Chiness
studsnt who qualifi66 for this exception (undor paragraph 2 ol the first
prolocol) and is. relying on this excaplion to claim an exemplion lrom tax
on his or hor scholarship or fellowship income would attach to Form
W-9 a statemont that includes lhc informalion doscribed abovo lo
support that exemption.
lf you.are a nonrgsid€nl alien or a foreign entity, give the requester the
appropriate completed Form W-8 or Form 8233. -
Backup Withholding
What is backup withholding? Persons making certain payments to you
must under cerlain conditions withhold and pay to the IRS 2g% ot such
payments. This is called "backup withholding.', Payments that may be
subject to backup withholding include interest, tax-exempt interest,
dividends, broker and barter exchange transactions, rents, royaliies,
nonemployee pay, payments made in settlement of payment card and
third parly network transactions, and ceftain payments from fishing boat
operators. Real estate transactions are not subject to backup
withholding.
You will not be subject to backup withholding on payments you
receive if you give the requester your correct TlN, make the proper
certifications, and report all your laxable interest and dividends on your
tax return.
Payments you receive will be subiect to backup withholding if:
1. You do not furnish your TIN to the requester,
2. You do not certiiy your TIN when required (see the instructions for
Part ll for details),
3. The IRS tells the requester that you furnished an incorrect TlN,
4. The IRS tells you that you are subject to backup withholding
because you did not report all your interest and dividends on your tax
return (for reportable interest and dividends only), or
5, You do not certify to the requester that you are not subject to
backup withholding under 4 above (for reportable interest and dividend
accounls opened afte|I 983 only).
Certain payees and payments are exempt from backup withholding.
See Exempt payee code, later, and the separate lnstructions for the
Requester of Form W-9 for more information.
Also see Speclal rules for partnershrps, earlier.
What is FATCA Reporting?
The Foreign Account Tax Compliance Act (FATCA) requires a
participaiing foreign financial institution to repofi all United States
account holders that are specified United States persons. Certain
payees are exempt trom FATCA reporting. Sea Exemption from FATCA
,epofting code, laler, and the Instructions for the Requester of Form
W-9 for more information.
Updatin g Your lnformation
You must provide updated information to any person to whom you
claimed to be an exempt payee if you are no longer an exempi payee
and anticipate receivlng reportable payments in the future from this
person. For example, you may need to provide updated information if
you are a C corporation thai elects to be an S corporation, or if you no
longer are tax exempt. ln addition, you must furnish a new Form W-9 if
the name or TIN changes tor the account; for example, if the grantor of a
grantor trust dies.
Penalties
Failure to furnish TlN. lf you fail to furnish your correct TIN to a
requester, you are subject to a penalty oi $50 for each such failure
unless your failure is due to reasonable cause and not to willful neglect.
Civil penalty for false information with respect to withholding. 11 you
make a false statement with no reasonable basis that results in no
backup withholding, you are subject to a $500 penalty.
Form W-9 (Rev. 1 1 -201 7)Page 3
Crlmlrul ponalty_for faleifying lnformation. Willfully falsifying
cortilicalions or at{irmations may subiect you to criminal p6naities
includlng lines andlor imprisonment.
Misuse ol TlNs. lf the r€quester discloses or uses TlNs in violation of
federal law, the requester may be subiect to civil and criminal penalties.
Specific lnstructions
Line I
You must enter one of the following on this line; do not leave this line
blank. The name should match the name on your lax return.
lf this Form W-9 is for a joint account (other than an account
maintained by a foreign financial institution (FFl)), list first, and then
circle, the name of the person or entity whose number you entered in
Part I of Form W-9. lf you are providing Form W-g to an FFI to document
a joint account, each holder of the account that ls a U.S. person must
provide a Form W-9.
a. lndividual, Generally, enler the name shown on yout lax return. lf
yo! lalg changed your last name without Informing the Social Security
Administralion (SSA) of the name change, enler your first nanre, the laii
name as shown on your social security card, and your new last name.
Note: lTlN applicant: Enter your individual name as it was entered onyour Form W-7 application, fine 1a. This should also be the same as the
name you entered on the Form 104O/IO40NIO4OEZyou filed with your
applicalion.
b. Sole proprietor or single-member LLC. Enter your individual
name as shown on your 1040/104ON104OEZ on line 1. you may enter
your business, trade, or "doing business as,, (DBA) name on line 2.
c, Partnership, LLC that is not a single-member LLC, C
corporation, or S corporation. Enter the entity's name as shown on the
entity's tax return on line 1 and any business, trade, or DBA name on
line 2.
d, Other entities. Enter your name as shown on required U,S. federal
tax documents on line 1. This name should match the name shown on the
charter or olh€r legal documonl creating the entity. you may enter any
business, trade, or DBA name on line 2.
.. e, Disrcgarded enllty. For U.S. lodsral tax purposes, an entity that is
disregarcled as an enlily separate from lts owner is kealed as a
'?lsregarded entity." See R€gutations section S01.ZZO1 -2\cX2Xiii). Enter
the ownor's name on line L The ngme of the entity entered on lino 1
should never be a dlsregarded entity. The name on line 1 should be the
name shown on the income tax return on which the income should be
repoded. For oxample, if a fofeign LLC that is iroated as a disregarded
entity for U.S. federal tax purpoEes has a singte ownor thal is a 0.S.
person, the U.S. owner's name is required to be provided on llne 1. lf
the direct owner of the entity is also a disregarded entity, enter the first
owner that is not disregarded ior federal tax purposes. inter the
disrogarded entity's name on line p, "Business namB/disregardBd entity
nams." lf lhs owner of the disr€garcted entity is a foroign person, the
owner must complete an appropriate Form W-8 instead of a Form W_9.
This is the case €ven if the foreign person has a U.S. TlN.
Line 2
lfyou have a business name, trade name, DBA name, or disregarded
entiiy name, you may enter it on lins 2,
Line 3
Check the appropriate box on line 3 {or the U.S. federal tax
classification of the person whose name is entered on line 1. Check only
one box on line 3.
Line 4, Exemptions
lf you are exempt from backup withholding andlor FATCA reporting,
€nter in the appropriate space on line 4 any code(s) that may apply to
you.
Exempt payee code,
. Generally, individuals (including sole proprietors) are not exempt from
backup withholding.
. Except as provided below, corporations are exempt from backup
withholding for cenain payments, including interest and dividends.. Corporations are not exempt from backup withholding for payments
made in settlem€nt of payment card or third party network transactions.. Corporations are not exempt from backup withholding with respect to
attorneys' fees or gross proceeds paid to attorneys, and corporations
that provide medical or health care services are not exempt with respect
to paymsnts reportable on Form 1099-MlSC.
The following codes identify payees that are exempt from backup
withholding. Enter the appropriate code in lhe space in line 4.
1-An organization exempt from tax under section S01(a), any lRA, or
a custodial account under section 403(b)(7) if the account satisfies the
requiremenls of section 401(0(2)
2-The United States or any of its agencies or instrumentalities
3-A state, the District of Columbia, a U.S. commonwealth or
possession, or any of their political subdivisions or instrumentalities
4-A foreign government or any of its political subdivisions, agencies,
or instrumentalities
5-A corporation
6-A dealer in securities or commodities required to register in the
United States, the District of Columbia, or a U.S. commonwealth or
possession
7-A futures commission merchant registered with the Commodity
Futures Trading Commission
8-A real estate investment trust
S-An entity registered at all times during the tax year under the
lnvestment Company Act ot 1940
10-A common trust tund operated by a bank under section 594(a)
1 1 -A financial institution
12-A middleman known in the investment community as a nominee or
cuslodian
1 3-A trust exempt from tax under section 664 or described in section
4947
lF the entity/person on line 1 is
a(n)...
THEN check the box for
' Corporation Corporation
. lndividual
. Sole proprietorship, or. Single-member limited liability
company (LLC) owned by an
individual and disregarded for U.S.
federal tax purposes.
lndividual/sole proprietor or single-
member LLC
. LLC treated as a partnership for
U.S. federal tax purposes,
. LLC that has filed Form 8832 or
2553 to be taxed as a corporation,
or
. LLC thal is disregarded as an
€ntity separate from its owner but
the owner is another LLC that is
not disregarded for U.S. federal tax
purposes.
Limiied liability company and enter
the appropriate tax classification.
(P= Partnershlp; C- C corporation;
or S= S corporation)
. Partnership Partnership
Trust/estate Trustlestate
Form W-9 (Rev, 1 1-2017J Page 4
lF the payment is for
lnterest and dividend payments
Broker transactions
Bafter exchange transactions and
patronago dividends
Payments over required to be
reporled and direct sales over
$s,0001
THEN the payment is exempt
for. . .
AII exempt payees except
lor 7
Exempt payees 1 through 4 and 6
through 1 l and all C corporations
S corporations must not ent€r an
exempt payee code because they
are exempt only for sales of
noncovered securities acquired
prior to 2012.
Exempt payees 1 through 4
Generally, exempt payees
1 through 52
- The following chart shows types of paymonts that may be exempt
from backup withholding. The chart applies io the exempt payees iisted
above, l through 13.
M-A tax exempt trust under a section 403(b) plan or section 4S7(g)
plan
Note: You may wish to consult with the financial institution requesting
this form io determine whether the FATCA code and/or exempt paye6
code should be completed.
Line 5
Enter your address (number, street, and apanment or suite number).
This is where the requester ol this Form W-9 will mail your information
returns. lf this address differs from the one the requester already has on
file, writ€ NEW at the top. lf a new address is provided, there is still a
chance the old address will be used until the payor changes your
address in their records.
Line 6
Enter your city, siate, and ZIP code.
Part l. Taxpayer ldentification Number fflN)
Enter your TIN in the appropriate box. lf you are a resident alien and
you do not have and aro not eligible to get an SSN, yourTlN is your IRS
individual taxpayer identification number (lTlN). Enter it in the social
security number box, lf you do not have an lTlN, see How to get a TIN
below.
lf you are a sole proprietor and you have an ElN, you rnay enter either
your SSN or ElN.
lf you are a single-member LLC that is disrogarded as an entity
separate from its owner, enter the owner's SSN (or ElN, if the owner has
one). Do not enter the disregarded entity's ElN. lf the LLC is classified as
a corporation or partnership, enter the entily's ElN.
Note: See What Name and Number To Give the Eeguesler, later, for
fufiher clarification of name and TIN combinations.
How to get a TlN. lf you do not have a TlN, apply for one immediately.
Io apply for an SSN, get Form SS-5, Application for a Social Security
Card, from your local SSA office or get this form online at
www,SSA.gov. You may also get this form by calling 1-AOO-772-1213.
Use Form W-7, Application for IRS lndividual Taxpayer ldentijication
Number, to apply for an lTlN, or Form SS-4, Application for Employer
ldentification Number, to apply for an ElN. You can apply for an EIN
online by accessing ihe IRS website al www.irs.govlBusrnesses and
clicking on Employer ldentification Number (ElN) under Starting a
Business. Go to www.irs.gov/Forms to view, download, or prinl Form
W-7 and/or Form SS-4. Or, you can go to www.irs,govlOrderForms lo
place an order and have Form W-7 and/or SS-4 mailed to you within 1O
business days,
_ lf you are asked to complete Form W-9 but do not have a TlN, apply
for a TIN and write "Applied For" in the space for the TlN, sign and daie
the form, and give it to the requester. For interest and dividend
payments, and certain payments made with respect io readily tradable
instruments, generally you will have 60 days to get a TIN and give it to
the requester before you are subject to backup withholding on
payments. The 60-day rule does nol apply to other types of payments.
You will be subject to backup withholding on all such paymenls until
you provide your TIN to the requester.
Note: Entering "Applied For" means that you have already applied for a
TIN or that you intend to apply for one soon.
Gaution: A disregarded U.S. entity that has a foreign owner must use
the appropriate Form W-8.
Part ll. Cedification
To establish to the withholding agent that you are a U.S. person, or
resident alien, sign Form W-9. You may be requested to sign by the
withholding agent even i{ item 1, 4, or 5 below indicates otherwise.
For a joint account, only the person whose TIN is shown in part I
should sign {when required). ln the case of a disregarded entity, the
person identified on line 1 must sign. Exempt payees. see Exempt payee
codq eadier.
Signature requirements. Complete the csrtification as indicated in
items-l through 5 below.
Paymenls made jn settlement of Exempt payees 1 through 4
payment card or third party
transactions
1 See Form 1099-M|SC, Miscellaneous lncome, and its instructions.
2 Ho*ever, the following payments macte to a corooration andreportable on Form 1OSg-MISC ar€ not exsmpt fiom backup
withhoJding: medical and health care paymenls, attorn€ys'fees, gross
proceeds paid to an attorney reportable under section 6045(0, and
payments for services paid by a federal executive agency.
Exemption from FATCA repo*ing code. The following codes identify
payees that are exempt trom reporting under FATCA. These codes
apply to persons submitting this form for accounts maintained outside
of the United States by certain foreign financial institutions. Therefore, if
you are only submitting this form for an accouni you hold in the United
States, you may leave this field blank. Consult with the person
requesting this form if you are uncedain if the tinancial institution is
subject to these requirements. A requester may indicate that a code is
not required by providing you with a Form W-9 wilh ,,Not Applicable', (or
any similar indication) written or printed on the line for a FATCA
exemption code.
A-An organization exempt from tax under section S01{a) or any
individual retirement plan as defined in section 7701(a)(Jl)
B-The United States or any of its agencies or instrumenlalities
C-A staie, the District of Columbia, a U.S. commonwealth or
possession, or any of their political subdivisions or instrumentalities
D-A corporation the stock of which is regularly traded on one or
more establish6d securities markets, as described in Regulations
section 1.1 472-1 (cX lXi)
E-A corporalion that is a member of the same expanded affiliated
group as a corporation described in Regulations section 1.1472-1(c){1)(i}
F-A dealer in securities, commodities, or derivative financial
instruments (including notional principal contracts, lutures, foruvards,
and options) lhat is registered as such under the laws of the United
States or any staie
G-A real estate investment irusl
H-A regulated investment company as defined in section g51 or an
entity regist€red at all times during the tax year under the lnvestment
Company Act of 1940
l-A common trust fund as defined in section 584(a)
J-A bank as defined in section 581
K-A broker
L-A trust exempt from tax under section 664 or described in section
as47(al(1)
Form W-9 {Rev. 1 1 -201 7)Page 5
1. lnterest, dividend, and barter exchange accounts opensd
before 1984 and broker accounts considered active during 1993.
You must give your correct TlN, but you do not have to sign the
cenification.
2, lnterest, dividend, broker, and barter exchange accounts
opened after 1983 and broker accounts considered inactive during
1983. You must sign the certification or backup withholding will apply. lf
you are subject 1o backup withholding and you are merely providing
your correct TIN to the request€r, you must cross out item 2 in the
certification before signing the form.
3. Real estate ttansactions. You must sign the certification. you may
cross out item 2 of the certification.
4. Olher paym€nts. You must give your correct TlN, but you do not
have to sign the cerli{ication unless you have been notified that you
have previously given an incorrect TlN. ',Other payments', include
payments made in the course of the roquester's trade or business for
renls, royalties, goods (other than bills for merchandise), medical and
health care services (including paym6nts to corporations), payments to
a nonemployee for services, payments made in settlement of payment
card and third party network transactions, payments 10 certain fishing
boat crew members and fishermen, and gross proceeds paid to
attorneys (including payments to corporations).
5. Mortgage interest paid by you, acquisition or abandonment of
secured proporty, cancellation of debtr qualitied tuition program
payments (under section 529), ABLE accounts (under section S2gA),
lRA, Coverdell ESA, Archer MSA or HSA contributions or
distribuiions, and pension dislributions, you must give your correct
TlN, but you do not have to sign the certification.
14.
For this of account:Give name and EIN of:
The public entity
The trust
Agricultur€ in the name of a public
entlty (such as a slate or looal
government, school district, or
prison) that receives agricultural
program payments
1 5. Grantor trust filing under the Form
1041 Filing Method or the Optional
Form 1099 Filino Method 2 {see
section 1.671 -4(b)(2X|XS))
1 List firs! and circle the name ol ths
lf only one person on a joint accor:nt
musl be furnished.
whose number you lurnish,
SSN, that person's numbar
What Name and Number To Give the Requester
For this type ot account:Give name and SSN ol:
person
has an
2 Crrcle the minor's name and furnish the minor's SSN.
3 You must show your individual name and you may also enter your
business or DBA rrame on the "Business name/disregarded entjty'i
name line. You may use either your SSN or EIN (if you have one), but the
IRS encourages you to use your SSN.
4 List first and circle the name of the trust, estate, or pension trust. (Do
not furnish the TIN of the personal representative or trustee unless the
legal entity itself is not designated in the account title.) Also see Spec/b/
rules for parlnersh,ps, earlier.
*Note: The grantor also must provide a Form W-9 to trustee of trust.
Note: lf no name is circled when more than one name is listed, the
number will be considered lo be that of the first name listed.
Secure Your Tax Records From ldentity Theft
ldentity theft occurs when someone uses your personal information
such as your name, SSN, or other identifying information, without your
permission, to commit fraud or other crimes. An identity thief may use
your SSN to get a job or may file a tax .eturn using your SSN to receive
a refund.
To reduce your risk;
' Protect your SSN,
. Ensure your employer is protecting your SSN, and
r Be careful when choosing a tax preparer.
lf your tax records are affected by identity theft and you receive a
nolice from the lRS, respond right away to the name and phone number
printed on the IBS notice or letier.
lf your tax records are not currently affected by identity theft but you
think you are at risk due to a lost or stolen purse or wallet, questionable
credit card activity or credit report, contact the IRS ldentity Theft Hotline
at 1 -800-908-4490 or submit Form 1 4039.
For more in{ormaiion, see Pub. 5027, ldentity Theft lnformation for
Taxpayers.
Victims of identity theft who are experiencing economic harm or a
systemic problem, or are seeking help in resolving tax problems that
have not been resolved through normal channels, may be eligible for
Taxpayer Advocate Service (TAS) assistance. You can reach TAS by
calling the TAS toll-free case intake line at 1-877-7TT-41t8 or ITynDD
1 -800-829-4059.
Protect yourself lrom suspicious emails or phishing schemes.
Phishing is the creation and use of email and websites designed to
mimic legitimate business emails and websites. The most common act
is sending an emailto a user falsely claiming to be an established
lggitimate enterprise in an attempt to scam the user into surrendering
private information that will be used tor ideniity theft.
1. lndividuai
2. Two or more individuals (joint
account) other than an acgount
malntained by an FFI
3. Two or more U.S. persons
0oint account mainlained by an FFI)
4. Custodial account of a minor
(Unilorm Gift to Minors Act)
5. a. The usual revocable savings irust
(grantor is also trust06)
b. So-called trust accornt ihat is not
a legal or valid trust under state Iaw
6. Sole proprietorship or disregarded
enlity owned by an individua{
7. Grantor trust filing under Opiional
Form '1099 Filing Method 1 (see
Regulations seclion 1 .671 -a{bX2Xi)
(A)
For this type of account:
8. Disregarded {inlily not owned by an
jndividual
9- A valid kust, estate, or pension lrust
10. Corporation or LLC electing
corporate slatus on Form 8032 or
Form 2553
1 1. Association, club, religious,
charitable, educational, or other lax-
exempl organization
'12. Partnership or multi-member LLC
1 3, A broker or registered nominee
The individuai
The actual owner ol the account or, if
combined funds, the first individual on
the accountl
Each hoider of the account
The minor'
The grantor-trusteel
The aclual owner'
The owner'
The granior'
Give name and EIN ol:
The owner
Legal entitya
The corporation
The organization
The partnership
The broker or nominee
FormW-9{Rev. I1-2017)Page 6
The IRS does not initiate contacts with taxpayers via emails. Also, the
IRS does not roquest pBrsonal dotailed jnformalion through email or ask
taxpayers for the PIN numbers, passwords, or similar seclet access
information tor their credit card, bank, or other financial accounts.
lf you recoive an unsolicited email claiming to be from the lRS,
forwar{this message to ph,shing@ks.gov. you may also repod misuse
of the IRS name, logo, or other IRS property to the'Treasury lnspeclor
General for Tax Administration ffIGTA) at 1-800-366-4484, you can
forward suspicious emails to the Federal Trade Commission at
spam@uce.gov or report tham al www.ftc,govlcomplaint. you can
contact the.FTC at www.ftc.gov/idtheft or 877-IDTHEFT (B7Z-438-4339).
lf you have been the victim of identity theft, see www.ldentityTheft.gov
and Pub. 5027.
Visit www.i/s. govlldentityTheft to learn more about identity theft and
how to reduce your risk.
Privacy Act Notice
Section 6109 of the lnternal Revenue Code requires you to p/ovide your
correct TIN to persons (including fed€ral agencies) who are required to
flle information returns with the IRS to report interest, dividends, or
certain other income paid to you; mortgage interest you paid; the
acquisition or abandonment of secured property; the cancellation ot
debt; or contributions you made to an lRA, Archer MSA, or HSA. The
person collecting this form uses the information on the torm lo file
information returns with the lRS, reporting the above information.
Routine uses of this information include giving it to the Department of
Justice for civil and criminal litigation and to cities, states, the District of
Columbia, and U.S. commonwealths and possessions for use in
admtnistering their laws. The information also may be disclosed to other
countries undet a treaty, to federal and state agencies to enforce civil
and crjminal laws, or to federal law enforcement and intelligence
agencies lo combal tenorism. You must provide your TIN whether or
not you are required to file a tax return. Under section 3406, payers
must generally withhold a percentage of taxable interest, dividend, and
certain other payments to a payee who does not give a TIN to the payer.
Certain penalties may also apply for providing false or fraudulent
information.
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 or URL with an operational link to the site(s). The URL landing page must use the
correct logos and have a link to centralwashingtonoutdoor.com. Contractors must either keep
the landing page active until time of reimbursement or use a screen capture for full
reimbursement. (lf you are using a live logo as the link to CWO, please ensure the hyperlink is
shown in the screen capture). 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 Display Advertising of all types (including but not limited to
newspaper, periodicals, flyers, posters, billboards, direct mail, e-newsletters, third-party
websites, streaming displays, social media etc.) must include the County's and appropriate
City's tourism website logo (or URL with a one-click away operational hyperlink). The URL
landing page must use the correct logos and have a link to centralwashingtonoutdoor.com.
Contractors must either keep the landing page active until time of reimbursement or use a
screen capture for full reimbursement. (lf you are using a live logo as the link to CWO, please
ensure the hyperlink is shown in the screen capture). 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 Advertising of all types (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. Advertisins 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
1. Print advertising placed with any media provider which operates exclusively outside of
Kittitas County may be reimbursed at 7OO% 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 at LOO% 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)(al 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 atLOO% 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 at IOO% 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 7O% of
the total cost, including any production costs.
C. Online Advertisins:
L. On line advertising and promotion may be reimburse d at IOO% 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:
1. Direct mail advertising may be reimbursed at LOO% 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
required documentation.
E. Flvers/Posters;
t. Flyers or posters which are placed outside of Kittitas County may be reimbursed at 100% of
thecost,includinganyproductioncost. lnordertoreceivereimbursement,alistofthe
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 at 7OO% 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 orderto 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 Advertising:
L. Radio advertising placed with any media provider located outside of Kittitas County may be
reimbursed al LOO% 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 ofthe event and up to 7 days prior to
the event may be reimbursed al tOO% 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, 2lal above, advertising may be reim bursed at the rate of 3O% 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
at tOO% of cost. ln order to receive reimbursement, a signed statement from the receiver
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 55,000.c. Licenses, permits, insurance, or credit card fees