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HomeMy WebLinkAboutFully Executed DocumentKITTITAS COUNTY AGREEMENT FOR SERVICES PHMH26.006 This Agreement for Services (hereinafter "Agreement") is entered into by and between Kittitas County (hereinafter "County"), a political subdivision of the State of Washington, and WISE (hereinafter "Contracto/'). The purpose of this Agreement is as follows: provide training and technical assistance to Kittitas County Developmenta I Disabilities progra m su bcontractors and partners. The term of this Agreement shall be April 1, 2026, through June 30, 2026, unless the Agreement is terminated early or its term is extended as provided herein. The parties' addresses and points of contact for the administration of this Agreement are as follows: COUNTY CONTRACTOR 507 N Nanum Street Ste 102 Ellensburg, WA 98926 Kasey Knutson Human Services Manager Kittitas County Public Health Kasey. knutson @co. kittitas.wa. is 509-962-7515 L6000 Christensen Road Ste 308 Tukwila, WA 98188 Charly Walters Senior Technical Assistance and Training Manager charly@gowise.org 509-2L7-4L42 This Agreement includes the following, which are attached hereto and hereby incorporated by this reference Attachment "A": Attachment "B": Attachment "C": Attachment "D": Attachment "E": Attachment "F": Scope of Work Compensation lnsurance Requirements General Terms and Conditions W-9 (Contractor must complete and return to the County for payment) Fee Schedule Kittitas County Agreement for Services (rev. 5/14/25) Page 1 of 20 lN WITNESS WHEREOF, this Agreement has been executed by and on behalf of the parties through their authorized representatives, effective as of the latest date written below. KittitalCo u nty Agreement fo r Services (rev. 5 / La I 25) Page 2 of 20 &$ke C^^lsA^ Signature Printed Name Title oate:1'2O '* CONTRACTOR Chair KITTITAS COUNTY NTY COMMISSIONERS arr ABSENT Commissioner u(fuk,) BOARD B a 1 Clerk the Board tr Julie Kjorsvik @.,-fiandv Buchholz ATTACHMENT "A" SCOPE OF WORK . WISE training and/or consultation services listed via gowise.org o WISE consultation services for Kittitas County Public Health Department staff o Additional assistance related to the annual community summit o lndividualized Technical Assistance (lTA) for employment and day services providers via Developmental Disabilities Administration (DDA) services. Kittitas County Agreement for Services (rev. 5/L4/251 Page 3 of 20 ATTACHMENT "B,, COMPENSATION THE COUNTY WILL NOT PROCESS PAYMENT FOR SERVICES RENDERED UNDER THIS AGREEMENT UNTIL CoNTRACTOR SUBMITS A COMPLETED W-9 (SEE ATTACHMENT "E"). As full compensation for satisfactory performance of the work described in Attachment"A", and within thirty (30) days of receiving Contractor's itemized invoice, the County shall pay Contractor the following amount(s) plus any applicable taxes as detailed in Contractor's invoice: S 10,000 Unless otherwise provided herein, Contractor shall be solely responsible for Contracto/s travel and related expenses. Any uses of these funds outside of the listed allowable uses must be approved by Kittitas County in advance of the expenditure, in writing. All funds must be spent by June 30, 2026. No extension of the funding period will be granted. Reimbursement Procedures A. The Contractor shall submit invoices for services due once a month, which shall be emailed to Katie odiaga,KittitasCountyPublicHealthDepartment,at@' B. Att invoices must be submitted by the 20th day of the month fottowing the catendar month in which services were detivered. C. The Contactor must provide adequate backup documentation to support costs in each invoice. This includes a general ledger from the financial accounting system detailing transactions and expenditure dates for allowable activities within the period of performance. Payroll expenses must show employee names, hourly rate, number of hours, total pay, and project code. Benefits can be one line item but should include project code. Non-payroll expenses must include a copy of the receipt or payment invoice. Payments to subcontractors must be listed as a specific line item per subcontractor. D. All invoices must include invoice date and an invoice number. E. All invoices must also be accompanied by an updated Contractor Spending Form, as provided by Kittitas County, to ensure that billing record keeping matches County records' F. Failure to submit required monthly deliverable reports as outlined in Exhibit A: Scope of Work may result in delayed reimbursement payments or denial of invoices. G. Kittitas County is not liable for services provided unless the invoice is received on time or prior arrangements are agreed to in writing signed by the County. ln no event shall payments under this agreement total more than 510,000. Kittitas County Agreement for Services (rev.5/14/25) Page 4 of 20 ATTACHMENT'C" INSURANCE REQUIREMENTS Contractor shall secure and maintain in effect at all times during performance of work under this Agreement such insurance as will protect Contractor, its employees, and agents from all claims, losses, harm, costs, liabilities, damages and expenses arising out of Contractor's performance under this Agreement, including but not limited to personal injury (including death) or property damage' All insurance shall be issued by companies admitted to do business in the State of Washington and have a rating of A-, Class Vll or better in the most recently published edition of Best's Reports unless otherwise approved by the County. lf an insurer is not admitted, all insurance policies and procedttres for isstring the insrtrance pnlicies must comply with Chapter 48.1.5 RCW and 284-15 WAC. At a minimum, Contractor shall maintain and provide proof of the following selected options: Commercial General Liabilitv lnsurancer Coverage limits not less than: r $1,000,000 per occurrence, for all covered losses o $2,000,000 general aggregate . S1",000,000 products & completed operations aggregate . S1,000,000 personal and advertising injury, each offense . The policy must be endorsed to include the County and its officials, employees and agents as additional insu reds. Commercial Automobile Liabilitv lnsurance r Automobile Liability for owned, non-owned, hired, and leased vehicles, with an MCS 90 endorsement and a CA 9948 endorsement attached if 'pollutants' are to be transported. r Coverage limits not less than: . S1,000,000 combined single limit tr Excess or Umbrella Liabilitv r Contractor shall provide Excess or Umbrella Liability coverage of 55,000,000. This Excess or Umbrella Liability coverage shall apply, at a minimum, to both the CommercialGeneral and Automobile lnsurance policy coverages. lf used to meet limit requirements, coverage must be at least as broad as specified for underlying coverages, and must cover those insured in the underlying policies. . This requirement may alternatively be satisfied through Contractor's primary Commercial General and Automobile Liability coverage, or any combination thereof. ' The policy must be endorsed to include the County and its officials, employees and agents as additional insu reds. r Coverage shall be "pay on behalf", with defense costs payable in addition to policy limits. . There shall be no cross liability exclusion precluding coverage for claims or suits by one insu red against another. Workers' Compensation & Emolover's Liabilitv r Contractor shall provide Workers Compensation and Employer's Liability insurance on a state-approved policy form providing benefits as required by law with employer's liability limits no less than 51,000,000 per accident or disease. Kittitas County Agreement for Services (rev.5/74/251 Page 5 of 20 Professional Liabilitv / Errors and Omissions Liabilitv . Coverage limits not less than: r $1,000,000 each claim Contractor must provide evidence of this coverage on a policy form appropriate to Contractor's profession. ContractorshallfurnishtotheCountyaCertificateoflnsurance,@!whererequiredaboVe, as evidence that policies providing insurance required by this Agreement are in full force and effect' Contractor's insurance policies required above must apply on a primary non-contributing basis in relation to any other insurance or self-insurance available to the County. Contractor agrees to provide notice to the County at least thirty (30) days prior to cancellation, or any material alteration or non-renewal, of any of the above-required insurance coverages. Contractor shall assume full responsibility for all loss or damage from any cause whatsoever to any tools, machinery, equipment, or motor vehicles owned or utilized by Contractor, or Contractor's agents, employees, suppliers or contractors, as well as to any temporary structures, scaffolding and/or protective fences. Contractor shall have sole responsibility for ensuring the insurance coverage and limits required herein are also obtained by any subcontractors. NOTE: Notwithstanding any other provision(s)of this Agreement, no contract shallform underthis Agreement until and unless the following are provided to the County: (1) a copy of the Certificate(s) of lnsurance with all required endorsements, properly completed and in the amounts required, and (2) where requested by the County, a copy of the required insurance policies, including all required endorsements. Kittitas County Agreement for Services (rev.5/Ia/251 Page 6 of 20 ATTACHMENT'D" GENERAL TERMS AND CONDITIONS L. Scope of Contractor/s Services: Contractor agrees to provide to the County services as set forth in Attachment "A". No materials, labor, or facilities will be furnished by the County, unless otherwise provided herein. All work performed under this Agreement shall comply with applicable laws and regulations. 2. AccountinR and Pavment: Compensation to Contractor for services rendered under this Agreement shall be as set forth in Attachment "8". Where Attachment "8" requires payment(s) by the County, payment shall be based upon billings, supported unless provided otherwise in Attachment "8", by documentation of units of work actually performed and amounts earned, including, where appropriate, the total number of hours for the month and the total dollar payment requested. Unless specifically stated in Attachment "8", the County will not reimburse Contractor for any costs or expenses incurred by Contractor in performance of this Agreement, Where required, the County shall, upon receipt of appropriate documentation, compensate Contractor, no more often than monthly, through the County voucher system, for Contractor's services pursuant to the fee schedule set forth in Attachment "B". ln the event Contractor fails to perform any of its obligations under this Agreement within the time specified herein, then the County may withhold all monies due and payable to Contractor until such failure to perform is cured or otherwise adjudicated. The County will not process payment for services rendered under this Agreement until Contractor submits a completed W-9 (See Attachment "E"). 3. Taxes: Contractor understands and acknowledges that the County will not withhold Federal or State income taxes from payments made to Contractor. Where required by State or Federal law, Contractor authorizes the County to make withholding for any taxes other than income taxes (e.g,, Medicare). All compensation received by Contractor will be reported to the lnternal Revenue Service at the end of the calendar year in accordance with applicable IRS regulations. lt is the responsibility of Contractor to make its necessary estimated tax payments throughout the year, if any, and Contractor is solely liable for any tax obligation arising from Contractor's performance of this Agreement. The County will pay sales and use taxes imposed on goods or services acquired hereunder as required by law. Contractor must pay all other taxes, including but not limited to: business and occupation tax; or taxes based on (1) Contractor's gross or net income, or (2) personal property to which the County does not hold title. The County is exempt from federal excise tax. 4. lndependent Contractof: Contractor's services shall be furnished by Contractor as an independent contractor, and nothing stated herein shall be construed to create a relationship of employer-employee or a guarantee of future employment. Contractor acknowledges that its entire compensation under this Agreement is specified in Attachment "8", and that Contractor is not entitled to any County benefits, including but not limited to: vacation pay, holiday pay, sick leave pay, medical, dental, or other insurance benefits, or any other rights or privileges afforded to Kittitas County employees. 5. Assignment and Subcontractins: and Subcontracting: No portion of this Agreement may be assigned or subcontracted to any other individual, firm or entity without the express and prior written approval of the County. The Contractor may only subcontract work contemplated under this agreement if it obtains the prior written approval of the County. lf the County approves subcontracting, the Contractor shall maintain written procedures related to subcontracting, as well as copies of all subcontracts and records related to subcontracts. For cause, the County in writing may require the Contractor to amend its subcontracting procedures as they relate to this agreement, prohibit the Contractor from subcontracting with a particular person or entity, or require the Contractor to rescind or amend a subcontract. Every subcontract shall bind the Subcontractor to follow all applicable terms of this agreement. The Contractor is responsible to the County if the Subcontractor fails to Kittitas County Agreement for Services (rev.5/7a/251 PageT of 2O comply with any applicable term or condition of this agreement. The Contractor shall appropriately monitor the activities of the Subcontractor to assure fiscal conditions of this agreement. ln no event shall the existence of a subcontract operate to release or reduce the liability of the Contractor to the County for any breach in the performance of the Subcontractor's duties. Every subcontract shall include a term that County is not liable for claims or damages arising from a Su bcontractor's performance of the su bcontract. 6. Right to Review; Maintenance of Records: This Agreement is subject to review by any Federal or State auditor. The County or its designee shall have the right to review and monitor the financial and service components of the work performed under this Agreement by whatever means are deemed expedient by the County. Such review may occur with or without notice, and may include, without limitation, on-site inspection, inspection of all records or other materials which the County deems pertinent, and any and all communications with or cvaluation by service recipients under this Agreement. Contractor shall preserve and maintain all records relating to this Agreement for six (6) years after termination or expiration of the Agreement, and upon request shall make them available for review by any Federal or State auditor, the County, and/or any persons authorized by the County. 7. Modification 7.1. This Agreement may be amended by mutual agreement of the parties. Any such amendment shall be in writing and signed by both parties. 7.2 The County may unilaterally amend this Agreement at any time by written notice ("Change Notice") to Contractor, to modifo the work to be performed under this Agreement, within the general scope of the Agreement. Such changes may include, but are not limited to, changes in the exact scope of work to be performed (including modification, substitution, addition, or deletion of required tasks) and changes to the schedule of performance. lf any such Change Notice causes an increase or decrease to Contractol's cost of, or the time required for, performance of the work, an equitable adjustment in the compensation to Contractor and/or in the schedule for the performance of the work shall be made by the County to reflect such an increase or decrease. Notwithstanding any dispute or delay in arriving at a mutually acceptable equitable adjustment, Contractor shall proceed in accordance with all Change Notices. Within thirty (30) days after receipt of any Change Notice which, in Contractor's opinion, lacks an adequate adjustment, Contractor must submit to the County a written statement requesting a modified adjustment; otherwise, Contractor will forfeit its right to any such modified adjustment. The County retains the final right to determine adjustments hereunder. 8. Termination 8.1 This Agreement may be terminated at any time by mutual written agreement of the parties. 8.2 The County, by giving written notice, may terminate this Agreement at any time without cause and without further obligation to Contractor except for payment due for deliverables provided and/or services performed prior to the effective date of termination. An equitable adjustment in the contracted price for partially completed tasks will be made by the County, but such adjustment shall not include compensation for loss of anticipated profit on uncompleted work. 8.3 lf Contractor defaults by failing to perform any of its obligations under this Agreement, or becomes insolvent, is declared bankrupt or commits any act of bankruptcy or insolvency, or makes an assignment for the benefit of creditors, the County may, by written notice to Contractor, terminate the Agreement, and at the County's option, obtain performance of the work elsewhere. lf the Agreement is terminated under this paragraph, Contractorshall not be entitled to receive anyfurther payments underthis Agreement untilallof its obligations hereunder have been fully performed, and any extra cost or damage to the County shall be deducted Kittitas County Agreement for Services (rev. 5/14/25) Page 8 of 20 from any money due or coming due to Contractor. Furthermore, in the event of termination under this paragraph, Contractor shall bear the costs of any extra expenses incurred by the County in completing the work, and all damages sustained, or which may be sustained, by the County. 8.4 Termination of this Agreement by any means provided herein shall not excuse any party's performance of its obligations hereunder through the effective date of termination, except that the County shall not be obligated to pay for services that have not been performed or deliverables that have not been provided. 9. lndemnification 9.L To the fullest extent permitted by law, Contractor agrees to indemnify, defend and hold the County and its departments, elected and appointed officials, employees, agents and volttnteers, harmless frnm and against any and all claims, damages, losses and expenses, including but not limited to court costs, attorney's fees and alternative dispute resolution costs, for any personal or bodily injury, sickness, disease or death, for any damage to or destruction of any property (including the loss of use resulting therefrom), and for any other claims, damages, losses, and expenses sustained by the County, which (1) are caused in whole or in part by any act or omission, negligent or otherwise, of Contractor, its employees, agents or volunteers, or Contracto/s subcontractors, their employees, agents or volunteers; or (2) are directly or indirectly arising out of, resulting from, or otherwise connected with the performance of this Agreement; or (3) are based upon Contractor's or its subcontractors' use of, presence upon or proximity to the property of the County. This indemnification obligation of Contractor shall not apply in the limited circumstance where the claim, damage, loss or expense is caused by the sole negligence of the County. This indemnification obligation of Contractor shall not be limited in any way by the Washington State lndustrial lnsurance Act, RCW Title 51, or by application of any other workmen's compensation act, disability benefit act or other employee benefit act, and Contractor hereby expressly waives any immunity afforded by such acts. The foregoing indemnification obligations of Contractor are a material inducement to the County to enter into this Agreement, are reflected in Contractor's compensation, and have been mutually negotiated by the parties. 9.2 The County reserves the right, but not the obligation, to participate in the defense of any claim for damages, losses or expenses, and such participation shall not constitute a waiver of Contracto/s indemnity obligations contained in any section of this Agreement. 9.3 ln the event Contractor enters into subcontracts to the extent allowed under this Agreement, each such subcontractor shall indemnify the County on a basis equal to or exceeding Contractor's indemnity obligations to the County. 10. Venue and Choice of Law: ln the event that any litigation should arise concerning this Agreement, the venue for such action shall be in the Superior Court of the State of Washington in and forthe County of Kittitas. This Agreement shall be governed by the laws of the State of Washington. 11. Non-AppropriationofFunds: lftheCountydoesnotappropriatesufficientfundingforthisAgreement for any future fiscal period, the County will not be obligated to make payments for services performed after the end of the last fiscal period for which sufficient funding was appropriated. No penalty or expense shall accrue to the County in the event this provision applies. l-2. Contractor Commitments, Warranties, and Representations: Contractor represents and warrants as follows Kittitas County Agreement for Services Uev. 5/74/25) Page 9 of 20 tz.t Contractor is duly incorporated, validly existing and in good standing under the laws of the State of Washington, and has all requisite corporate power and authority to enter into and to perform its obligations under this Agreement. t2.2 Contractor has the authority to execute this Agreement, to make the representations and warranties set forth herein, and to perform its obligations hereunder' I2.3 This Agreement has been validly executed by an authorized representative of Contractor and constitutes a valid and legally binding and enforceable obligation of Contractor. L2.4 Contractor holds, or will obtain prior to commencing work under this Agreement, such licenses, permits and other authorizations from federal, state and local governmental attthnrities, nr from any applicahle industrial or professional certification or licensing bodies, as are necessary for the lawful performance of its obligations under this Agreement, and will maintain such throughout the term of this Agreement. 72.5 Contractor 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. Contractor is not subject to any order or judgment of any court, tribunal or governmental agency which materially and adversely affects its operations or assets in the State of Washington, or its ability to perform its obligations under this Agreement. L2.6 Contractor is not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered transactions by any Federal or State department or agency. I2.7 None of the representations or warranties in this Agreement, and none of the documents, statements, certificates or schedules furnished by Contractor in connection with the performance of the obligations contemplated under this Agreement, contains or will contain any untrue statement of a material fact or omits or will omit a material fact necessary to make the statements of fact contained therein not misleading. 13. Ownership of ltems Produced: All writings, programs, data, reports, films, recordings, or other materials prepared by Contractor and/or its consultants or subcontractors, in connection with the performance of this Agreement, shall be the sole and absolute property of the County. The County will have all rights of ownership therein, including but not limited to the right to use, copyright, trademark, andfor patent, and the ability to transfer any or all ownership rights. 14. lntellectual Propertv lnfringement: Contractor will defend and indemnify the County from any claimed action, cause or demand brought against the County, to the extent such action is based on the claim that information and/or materials supplied by Contractor infringe any intellectual property rights of any third party(ies). Contractor will pay all costs and damages attributable to any such claims finally awarded against the County in any action. Such defense and payments are conditioned upon the following: (1) Contractor shall be notified promptly in writing by the County of any notice of such claim; and (2) Contractor shall have the right hereunder, at its option and expense, to obtain for the County the right to continue using the information and/or materials that are the subject of such claim, provided no reduction in performance or loss results to the County. 15. Use of Countv Name and Logo: Contractor may not use the County's name, logo(s), trademark(s), or other identifying information, or identify the County as a current or former client, on its website or in any marketing or promotional materials without the prior written consent of the County. 15. Disputes: Any dispute between the parties arising under or relating to this Agreement shall be resolved informally if possible. However, in the event such a dispute cannot be so resolved, it shall be adjudicated Kittitas County Agreement for Services (rev.5/74/251 Page 10 of 20 by a dispute board ("Dispute Board") in the following manner: Each party shall appoint one member to the Dispute Board, the members so appointed shall jointly appoint an additional member to the Dispute Board, and the Dispute Board will evaluate the facts, Agreement terms, and all applicable statutes and rules, and make a determination as to the proper resolution of the dispute. Such determination shall be final and binding on both parties. The cost of resolution will be borne as allocated by the Dispute Board. Alternatively, if agreed to in writing by both parties, the parties may forego the option of establishing a Dispute Board to adjudicate the dispute, and instead pursue arbitration, jointly selecting an arbitrator acceptable to both parties. ln the event the parties choose to pursue arbitration, the parties agree that: (1) the fees and expenses ofthe arbitrator shall be shared equally by both parties to this Agreement, (2) each party shall bear its own costs and attorney fees, (3) arbitration shall be conducted according to the commercial arbitration procedures of the American Arbitration Association, and (a) the arbitrator's decision or award shall be final and binding on both parties. 17. Confidentialitv: Contractor, its employees, agents and volunteers, and any of Contractor's subcontractors and their employees, agents and volunteers, shall maintain the confidentiality of all information provided by the County or acquired by Contractor in performance of this Agreement, except upon the prior written consent of the Kittitas County Prosecuting Attorney or an order entered by a court after having acquired jurisdiction over the County. Contractor shall immediately provide the County notice of any judicial proceedings seeking disclosure of such information. Contractor agrees to indemnify, defend and hold harmless the County and its departments, elected and appointed officials, employees, agents and volunteers from all loss or expense, including but not limited to settlements, judgments, setoffs, attorneys'fees and costs resulting from Contractor's breach of this provision. Notwithstanding the foregoing, and to the extent that any information obtained by the Contractor hereunder is required to be shared with others by the explicit terms of the Scope of Work, this provision shall not be construed as prohibiting such sharing, provided there are no applicable laws or regulations prohibiting same. 18. Notices: Written notices required or permitted to be provided by one party to the other party under this Agreement may be provided by personal delivery, legal courier service, or certified mail, postage prepaid and return receipt requested. Notice may be provided by regular first class mail if simultaneous notice is provided by email. Notices given by Contractor shall be provided to the County's point of contact listed on page L of this Agreement, at the address there listed, and to the department head of the county department for which services under this Agreement are rendered. Notices given by the County shall be provided to Contractor at Contractor's address listed on page 1of this Agreement, 19. Prevailing Wage: Where labor to be performed under this Agreement is considered "public work" as defined in RCW 39.04.010, Contractor shall pay the prevailing rate of wages to all workers, laborers, or mechanics employed in the performance of work under this Agreement in accordance with RCW 39.12 and the rules and regulations of the Washington State Department of Labor and lndustries. The schedule of prevailing wage rates for the applicable locality or localities is determined by the lndustrial Statistician of the Department of Labor and lndustries. lt is Contractor's responsibility to verify the applicable prevailing wage rate. lt is understood that Contractor is responsible for obtaining and completing all required government forms relating to prevailing wage and submitting same to the proper authorities. Disputes regarding prevailing wage rates shall be referred for arbitration to the Director of the Department of Labor and lndustries. The arbitration decision shall be final and conclusive and binding on all parties involved in the dispute as provided for in RCW 39.12.050. 20. Standard of Care: Contractor shall perform its duties hereunder in a manner consistent with that degree of care and skill ordinarily exercised by members of the same profession or industry as Contractor currently practicing or working under similar circumstances. Contractor shall, without additional compensation, correct any of its services not meeting such a standard. 21. Nondiscrimination Kittitas County Agreement for Services (rev.5/14/251 Page 11 of 20 2t.t ln the performance of this Agreement, Contractor will not discriminate against any employee or applicant for employment on the grounds of age, race, creed, color, national origin, citizenship or immigration status, sex, sexual orientation, marital status, honorably discharged veteran or military status, orthe presence of any sensory, mental or physical disability or the use of a trained dog guide or service animal by a person with a disability; provided that the prohibition against discrimination because of such disability shall not apply if the particular disability prevents the proper performance of the particular worker involved. Contractor shall ensure that applicants are employed, and that employees are treated during employment, without discrimination because of their age, race, creed, color, national origin, citizenship or immigration status, sex, sexual orientation, marital status, honorably discharged veteran or military status, orthe presence of any sensory, mental or physical disability or the use of a trained dog guide or service animal by a person with a disability. Such requirements apply, without limitation, to the following: employment, promotion, demotion, transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation, and programs for training, including apprenticeships. Contractor shall take such action with respect to this Agreement as may be required to ensure full compliance with local, state and federal laws prohibiting discrimination in employment. 2L.2 Contractor will not discriminate against any recipient of any services or benefits provided for under this Agreement on the grounds of age, race, creed, color, national origin, citizenship or immigration status, sex, sexual orientation, marital status, honorably discharged veteran or military status, or the presence of any sensory, mental or physical disability or the use of a trained dog guide or service animal by a person with a disability. 2t.3 lf any assignment and/or subcontracting has been authorized by the County, said assignment or subcontract shall include appropriate safeguards against discrimination. 22. Waiver: The waiver of any default or breach of this Agreement, or the failure of a party to enforce any provision hereof or to exercise any right or privilege hereunder, shall not be deemed to waive any prior or subsequent default or breach, the enforcement of any provision hereof, or the exercise of any right or privilege hereunder, unless otherwise stated in a writing, signed by the parties hereto. 23. Headings: The headings of sections and paragraphs of this Agreement are for convenience of reference only and are not intended to restrict, affect, or be of any weight in the interpretation or construction of the provisions of such sections or paragraphs. 24. Survival: The provisions of paragraphs 2,3, 4, 6, 8, g, 10, 13, L4,15, L6, L7 , 19,20,22,24, and 28 of these General Terms and Conditions shall survive the completion, expiration, termination or cancellation of this Agreement for any reason. 25. Complete Agreement: This Agreement constitutes the entire agreement between the parties and supersedes any and all other agreements, understandings, negotiations and discussions, oral orwritten, express or implied, regarding the work to be performed hereunder. The parties agree that no other representations, inducements, promises, agreements, or warranties relating to this Agreement, oral or otherwise, have been made between the parties. Except as provided elsewhere in this Agreement, no modification or waiver of this Agreement shall be valid or binding unless in writing and signed by the parties. 26. Severabilitv: 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 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 to be severable. Kittitas County Agreement for Services (rev.5/7a/251 Page 12 of 20 27. Time: Time is of the essence in the performance of this Agreement unless otherwise agreed between the parties in a signed writing. 28. Construction: This Agreement has been mutually reviewed and negotiated by the parties, and should not be construed against the drafter. 29. Agreement Not for Benefit of Third Parties: This Agreement is entered into solely for the benefit of the parties hereto and vests no rights in, nor is it enforceable by, anythird parties. Kittitas County Agreement for Services (rev.5/M/251 Page 13 of 20 (') o ctttlloco .to 8.8> .:l oct:u fo rt.B o Eoou, ,",' Ulf'9 (Rev. March 2024) D€partment of the Treasury lntemal R€venu€ Service Before General Instructions Section references are to the lntemal Revenue Code unless otherwise noted. Future developments, For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go lo www.irs.govlFormW9' What's New Line 3a has been modified to clarify how a disregarded entily completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it shbuH check the "LLC" box and enter its appropriate tax classification' Request for Taxpayer ldentification Number and Certification Go to www.rins. govlFo,a'',wglor instructions and tho latest information. or Give form to the requester. Do not send to the lRS. New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to an-otlier flow-ihrough entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beieficialies, so that it can satis{y any applicable reporting requirements, For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the irartnership insvuctions for Schedules K-2 and K-3 (Form 1 065). Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return wiih ihe IRS is giving you this form because they For related to the W-9, see Purpose of Form below 1 Name ol entityfindividual. An 6ntry ie r€quired. (For a gole ptoprl€tor or disregarded entlty, 6nter the owner's nam€ on line 1, and enter the business/dlsregarded entlty's name on llne 2.) lnitiative 2 Business name/disregarded entity name, if ditf€rent from above. 4 Exemptlons (codes apply only to cortaln €ntities, not indlviduals; see instructions on page 3): Exemptpayeecod€(if any) 501(C) Exemptlon lrom Foreign Account Tax Compliance Act (FATCA) r€Porting code (if any) (Applies to accounts maintalned outside the united statesJ Requ€ster's name and dddress (optional) 7 List account numbe(s) here (optional) 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 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 IrN, later. Note: lf the account is in more than one name, see the lnstructions for line 1 , See also What Name and Number To Give the Requester lot 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) I am exempt from backup withholding, or (b) I have not been notified by the lnternal Revenue Service (lRS) that I am subject to back-up withholding as a result of a tailure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subiect 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. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are cunently subiect to backup withholding For real estate transactions, item 2 does not apply. For mortgage interest paid' because you have failed to report all interest and dividends on your tax retum' acquisitlon or abandonment of secured property, cancellation of debt, contributions to an individual retirement arangement (lBA)' and, generally' payments other than interest and are not to the but must conect llN. Se€ the lnstructions for Part later, Sign Here Date 313112025 3a Ch€ck the appropriate box lor f€deral tax classilication of the €ntitylndividual whoso name is only ons of the following seven boxes. ! tndividuat/soteproprietor ! Ccorporation I Scorporation ! Partnership ! TrusVestate ! f-lC. Enter tho tax classlflcatlon (C = C corporatlon, S = S corporation, P = Partner3hlp) Note: Check the ,,LLc,' box above and, in the entry space, ent€r the approprlate code (c, s, or P) for the tax classificatlon of th€ LLC, unless it ls a disregarded-eritlty. A disregarded entlty should instead check the approprlate box for th€ tax classilication of its own€r. Nonprofit OrganizationI Otner lsee lnslructions) entered on llne 1. Check gb lf on llne 3a you checked "Partnershlp" or "Trusvestat€," or ch€cked "LLC" and entored "P'as its tax classlflcation' and you are provlding this form to a partnershlp, trust, or estate in which you have an ownershlp int€rest, ch€ck thls box lf you hav€ any foreign partnors, owners, or ben€ficiaries. See instructions 5 Address (number, streot, and apt. or suite no'). See instructions. 16000 Christensen Road, Suite 308 I City, state, and zlP code Tukwila. WA 98188 number Part I 1 4 7 8 I 5 I91 Part ll Signatur€ of U.S. person cat. No. 10231X rorm W-9 (Rev.3-2024) Form W-9 {Rev. 3-20241 Pase2 must obtain your correct taxpayet identificatjon numb€r [IlN)' which may be your social security numbet {SSNI. individual taxpayer ideirti{ication number {mN}. adoption laxpayer identificstion number {ATIN), or employer identitication number {EllU, to report on an inforn:ration relum the amount paid to you, tr othsr arnount repottable on an informalion relum" Exarnples of informafion refums include, but are not limited to, fte following. o Form I099JNT {interest eamed cr paidf. o Form 1099-DlV idMdends, including those {rom stocks or mutual funds). . Form logg-MISC (various types of inoome. priz*s, awards, or gross proceeds). ' Form 1099-NEG inonemployee compensation), r Fonn 1099-8 (stock tr mutual lund sales and c€ttain other transactions by b:okers|. . Form 1009-5 (proceeds hom real estate tansaclions). . Form 1099-K (merchant card and third-party nglwork transaclionB). r Form 1098 (home mortgage interestl. 1098-E {student loan interest), and .1098-T (tuilion). r Form 1099-C {canceled debt}. r Form .l099-A (acquisilion or abandonment ol secured property). Use Form W-9 only if you are a U.S. person $ncluding a resident alien), to prov:de your conect TlN. Gaution: lf you don't retum Form \n/-9 to the requester with a TlN, you might be subiect to backup withholding.SeeWhat is backup withholding, laler. By signing the lilled-oul lorm, you: 1. Certify that the TIN you are giving b conec! {or you are waiting {or a number to be issued); 2. Cedify that you are noi subi€ct to backup withholding; or 3. Claim exemplion fiom backup withholding it you are a U'S- exempt payee; and 4. Certify lo your ron-Joreign status for purposes of lvilhholding under chapter 3 br 4 bf the Code {if applicable}: and 5. Certi{y that FATCA code{s} entered on lhis form {f any) indicating that you aie exempt from the FATGA reporting is conect' See What Js FATCA Reporting, later, for further infonnation. Note: lf you are a U-S. person and a requesler gives you a form other than Form W-9 to request yourTlN, you must use the requester's form if it is substantially similar to this Form W-9, Definition of a U.S. person, For federal tax purposes, you are considered a U.S. person il you are: o An individual who is a U"S. cillzen or U.5. residenl alien; . A partnership, corporation. company, or essociation created or orgiinized in tlre United States or under lhe laws of the United States; . An estate {other than a foreign estale): or . A domestic lrust {as def ned in Regulations seclion 301.7701-4. Establishing U.5. status for purposes of chapter 3 and chapter 4 withholding. Payments mads 1o foreign persons, including certatn distriburioni, alldcations of income, or transfers of sales proceeds, may be subject to wilhholding under chapler 3 or chaPler 4 ol the Code (sections 1M1-147 4), Under those rules, il a Form W-9 or other certiftcation of non-foreign status has not been received, a withholding agent, transferee, or pal*rership (payorl generally applies presumption niles lhat may require the payor to 'tdthhold apflicable lax trom the recipient, owner, traneferor, or partner {payee}. See Pub. 51.5, Wilhholding of Tax on Nonresident Aiens and Foreign Entities" The following persons must provide Form W-9lo the Payor for purposes of establishing its non-foreign slalus. r ln the case of a disregarded entity rsith a U.5. o*rner, lhe U-S. owner of lhe disregarded entity and not the disregarded enlity. o ln the case of a grantor trust with a U.S. granlo-r or other U'S. owner, generally, lhe U.S:grantor or olher U.S. owner of the grantor lrust and not the grantor trust- r ln the case of a U.S. trust {othe. than a grantor trusl), the U.S. trust and not the beneficiaries ol the bust. See Pub, 515 tor mors information on prouiding a Form W-9 or a certification of non-foreign status 1o avoid rvithholding' Kittitas County Agreement for Services (rev.5/14/251 Page 15 of 20 Foreign person. lf you are a foreign person or tfie U.S. branch ol a foreiqi bbnk that hds elected to be trealed as a U.S, person {under Regulations seclion 1.1441 -1S){2[v) ot other appfrcable section lor chapter 3 or 4 purposes), do not use Form W-9. lnstead. use the appropriate Form W-8 or Form 8233 {see Pub. 515}- ll you are a quatifibd foreiqn pension fund under Reguhions section 1.897fl)- l{d)' or ej partnership That is rvholly owned by qrlatified forelgn pension funds, that is treatdd as a non-foreign person for purposes sf s€clion 1445 withholding, do not use Fofm W-9. lnslead, use Form W-86(P (or other certifi cation ol non-foreign statusl. Nonresident alien who becomee a resident alien. Generally. only a nonresident alien individual may use the te.rns ol a lax treaty to .educe or eliminate U.S. tax on certain typeg of income" lloweuer' most tax treaties contain a provision knqwn as a saving clause. €xceplions specified in the saving clause may permil an exemption ftom tax to cbntinue for certain tylpes of income even after lhe payee has otherwise hpnnmc a I I S reidanl alien fnr tar nllrfnsc lf you are a U.S. resider* alien who is refoing on an exception contirined in th€ Baving clause ol a lax treaty to claitn an €xemplion from U.S. lax on certain typas of income, you must atlach a statement lo Form W-9 lhat specifies the {ollowing {ive iterns. 1. The tr€aty couniry. Generally, thia must be the sarne bealy urrcer which you claimed exempiion ftom tax as a nonresident albn. 2. The treaty article addressing the income. 3, Jhe arlicle number (or location) in the tax tre9ly that contains the saving clause and its excePtions. 4. The typ6 and amount of incorne that qualifies {sr tfte exemption from tax. 5. Sulficient facts to iustitr lhe exemption lrom tax under the terms cf the treaty article. Example. Anicb 2o of tha U.S.-China ;ncome tax ilealy allows an exemptibn from tax for scholarship income r+ceived by a Chinese studeht temporarily ptes€nt in the United States. Under U-S' law, this student will become a resident alien for tax purposes if their stay in the United Stales exceeds 5 calendar yeare. Howevet, paragraph 2 o{ the Jirst Protocol to the U.S.-China treaty (dated Apnl 30, 1984) allows the provisions of Article 20 to conlinue to apply even after the-Chinese student becomes a residenl alien o{ the United States. A Chines€ student who qualifies for lhis exception {under paragraph 2 of the first Protocol) and is relvino on this exceDlion to chirn an exemption from tax on their 6cholarshif oifellowship iniome would attach to Form W-9 a statemenl thal includes the inlormalion desatibed above to support that exemption. lf you are a nonresident 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 cerlain paymentsto you must under ceriain conditions withhold and pay to the IRS 2'l% of such payments. This is called ''backup withholding." Payrnenls that may be subjecl to backup withholding include, but aJe nat lirnited to, interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents. royalties, nonemployee pay, payrnents made in settlsment o{ payment card and third-patty net'trork l.ansactions, and certain paymdnti lrom fishing boat ope.ators Rsal eslate traneactions are not s{biecl to backup withholding. You wilt not be subject 1o backup withholding on payrnents you receive il you give ihe requester your corect TlN, nrake lhe proper cerli{ications, and report all your taxable interest and dividends on your tax return. Paynrents you receive witl be subject to backup wilhholding if: 1. You do not fumish your TIN to lh€ r€questel] Z.You do not certify your TIN rvhen required {see lhe inslruclions for Part ll for detailsli 3. The IRS tell6 the requester that you fumished an incorrect TIN; 4. The IRS tells you that you are subiecl to backup wilhholding because you did not report all ycur interest and dividends on ymr tax retum (for reportable inlerest and dividends only); or 5. You do not certi{y to the requesler that you are not subiect io backup withholding, ds describeii in item 4 under "8y signing the filled' out toim" above (for reportable interaat and dividend accounts opened after'1983 only). Fom W-9 {Rev.3-2024)Paoe 3 C,ertain payees and payments ar€ exempt from backup withholding. See Exempt pyee code,laler, and the separate lnstructions for the Requester of Form W-9 for more information. See also Fstabrishing U"S. status for purposes of chapter 3 and chapter 4 withhdding. eadier. What ls FATCA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires a parlieipating foreign financial institution to report all U.S. account holders that are specified U.S. persons. Ceriain payees are exempt ftom FATCA reporting. See Exemption from FATCA repofting code, later, and the Instructions for the Requester of Form W-9 for more informalion. Updating Your lnformation You must provide updated information to any person to whom you cloimod to bo nn oxompt poyoo if you aro no longor on oxompt payoo and anlicipale receiving reportabl€ paymenls in the futurc from lhis pereon. Fir example, ybu may need to provide updated information if you are a C corpcration that elects to be an S corporation, or if you are no longer tax exempt. ln addition, you must tumish a new Form W-g if the name or TIN changes for the account, for example, if the grantor of a gaantor trust dies. Penalties Failure to tumish TlN. ll you fail to fumish your conect TIN to a r€quesler, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cauae and not to willlul neglect' Civil penalty for false information with respect to withholding. lf you make a false statement rvith no reasonable basig that resufts in no backup withholding, you are subject to a 5500 penalty. Criminal penafty for falsifying informalion. Willfully falsi{ying certificatjons or affirmations may subject you to criminal penalties including fi nes and/or imprisonment. Misuse of TlNs. ll the requester discloses or usas TlNs in violation of federal law, the requester may be subiect to civil and criminal penalties. Specific lnstructions Line'l You musl enler one of the following on this line; do not leave this line blank. The name should match the nams on ycur tax retum, lf this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution {FFI}), list first. and then circle, the name cf the person or entity whose number you entered in Part I of Form W-9. if you are providing Form W-9 lo an FFI to document a ioint account, each holder of the qccounl that is a U.S. person must provide a Form W-9. . lndividual. Generally. enter the name shown on your tax retum. lf you have changed your last name wilhor.rt informing lhe Social Security Adminislration (SSAJ of tfre name change, enter your first name, the lasl name ae shown on your social security card, and your new last name. Note for MN applicant Enter your individual name as it was enlered on your Form W-7 application, line 'la. This should also be the same as the name you entered on the Form 1040 you filed with your application' . Sole proprietor, Enter your individual name as shown on your Form 1040 on line 1, Enter your business, lrade, or "doing business as" (DBA) name on line 2. ' Partnership, C corpcration, S corporation, or LLC, otherthan a disregardedentity. Enter the entity's name as shown on the enlity's tax retum on line 1 and any business, trade, or DBA name on line 2. r Other enlities. Enler your name as shown on required U.S. lederal tax documenls on line 1, This name should match the name shown on the charter or olher legal document creating the entity. Enler any business. trade, or DBA name on line 2. ' Disregarded entity, ln general, a businese entity lhat has a single owner, including an LLC, and is not a corparation, is disregarded as an entity separate from its owner (a disregarded entity). See Regulations section 3o1 .7701 -2(c)(2). A disregarded entity should check the appropriate box for the tax classification of itg owner. Enter ihe owneds name on line l - The name of the owner entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax retum on which the income should be reported. For Kittitas County Agreement for Services (rev. 5/7a/251 Page 16 of 20 example, if a foreign LLG that is lreated as a dieregarded entity for U'S. feder.il tax purposes has a singb owner tlnt is a U-S. person. lhe U.S. owner's name is required ia be providied on line I ' ll tfte direct owner of lhe entity is also a disregarded enti'ty" enter lhe first ownet that is not dbregarded for {ederal tax p*poses. Enter the disregarded entity's name on fine 2. lf tfie owner ol the disregaded entity is a foreign person, lhe o!,yner mu6t complele an appropriate Fonn W-8 instead of a Form W-9. This is lhe case even if the foreign person has a U'S. TlN. Lins 2 lf you have a business narne, lrade nam,e. DEIA name, cr disregarded entity name, enter it sn line 2" Line 3a Check the appropfiate box on line 3a for lhe U.S, lederal tax classificalion of lhe person r,'ihooe name is anlered an line 1. Check only one bax on line 3a. Line 3b Check thb box if you ale a partnership fincluding an LLC classifed as a partrrership for U.S- federal tax p.lrposesl, lrtnt, or estate thal has any foreign parlners. ownem, or beneficlaries, and you are providing this form to a partnerstrip, trust, ot €slale, in which you have an ownership interesl" You musl che€k the box on line 3b if you receive a Form W-8 (or documentary evidence) lron any pa*ner, owner, or beneficiary eslablishing loreign status Dr i{ you receirre a Form W-g trom any partsler, owner, or bene{iciary tftat has checked lhe box on line 3b. Note: A partnership that provides a Folm W-9 and checks box 3b may be required to complete $chedulet K-2 and K-3 tForm .1065i. For more information, see lhe Parlnercftip lnstructions for Schedules K-2 and K-3 (Form 10651. If you are required to comdete iine 3b btlt fail to do so, you may not receive the information necessary lo file a correcl information retum whh the IRS or fumish a conect Fayee statement to your partners or beneficiaries. See. for example, sections 6698, 6722, and 6724 lor penalties that may appty. Line 4 Exemplions lf you are exempt iiom backup wilhholding and/or FATCA reporting, eliter itt lle erpprul.xiate s;rawr orl litre 4 arry cod*{sf lftal rrray apply tt: you. Exempt payee code, . Generally, individuals {incfuding sole propietors} ara not exempt from backup rvithholding. . Except as provided belot'r, corporations are exempt from backup withholding for certain paynients, including interesl and dividends. . Corpomlions are ilot exempt frofiI backup withholding for paymeflte made in settlement of payffefit tard or third-party network transaclions. r Corporalions are not erernpt frorn backup whhholding wilh respect to attomeys'fees or gross proceeds paid to attomeys, and corporations thal provide medicel at health care s€rvices are not exempt with respect to payments repartable qn Form 1099-Ml$C. The {ollorring codes identrly paye€s that are exempt from backup wilhholding. Enter the appropriate code in the space on line 4. 1 -An organization exempt from tax under seclion 501{af, any lRA, or a custodial account undet section 403{bxil il the accounl satisfies the requirements of section a01(fl{21. lF the enlity/individual on line I isa(n|... THEN check the box for o Corporation Carporation, . lndividual or . Sole proprietorsfiip lndividual/sole prcprietor . ILC classified as a partnership for U.S, fedenl tax purposes or . LLCftar has filed Form 8832 or 2553 electing lo be laxed as a corporalion Limiled liability company and enter lhe appropriate lax clsification: P = Partnership, C=Ccorporalion.or S = S corporation. r Partnership Parlnership. o Trusl/estate Tru€tiestate" Fqrm W-9 {Flev.3-2024)Pase 4 Z-The United States or any of its agencies or instrumentalilies' 3-A state, the District of C,olumbia, a U.S. commonwealth or territory or any of lh€ir polilical suMivisions or instrumenlalilies. 4-A foreign govemmenl or any of its political subdivrsions, agencies, or instumentalities. 5-A corporation. 6-A dgaler in securilies or commodities required to register in the United States, the Dislrict of Columbia, ar a U.S, commonweallh or terilory. 7-A fulures commigsion merchant registered wilh lhe Commodity Futures Trading Commission. 8-A real estate investment trust. 9-An entity registered at all times during the tax year under lhe lnveslment Company Act of 1 940. 10-A conlrrron t{url furrd op6r-atcd by a bank undar scr:tiotr 504{a}. 'l 1 -A financial institution as defined under section 58'1. 12-A middleman known :n lhe investment community as a nominee or custodian. 13-A trust exempt from tax under section 664 or described in section 4947. The {ollowing chart shows types of paymenls that may be exempt from backup wilhholding. The chart applies to the exempt payees listed above, 1 13, lF the payment is lor THEN the paymenl is exempl lor... . lnterest and dividend payntents All exempt payees excepl lor I- r Brokertransactions b(empt payees 1 4andG through 11 and all C corporations. S corporations must nol entet atl exempt payee code because they are exempt only for sales oJ noncovered securities acquired pnor 1o 2Q12. . Barter transaclions Exempt payees 1 through 4. and F-A dealer in securilies, commodities, or derivalive iinancial inslruments fnc:uding notional principal contracts, futures, fotwards, and optiona) lhat is registered as such under the laws of lhe United Slateg or any stale, G-A real e€tate anvestment Uusl- H-A reEulated investment company as defined in section 851 or an entity registered at all times during tfie ta:t year under the lnvestsnenl CsmpanyAftof lg.l0. l-A common trust tund as defined in section 584{a). J-A bank as delined in section 581. K-,A broker. L-A lru€t Exempt lrom tax under section 664 or d€scribed in section aeaT{a){1.}. M-A lax-exempt trust undet a section 403{b} plan or section 457{9} pl€n Note: You may wish to consult wilh the financial inslilution requesting this lorm to determine whether the FATCA code and/or exempt payee code slrould be completed- Line 5 Enter your address {number, street, and apartmsnt or suite number}. This is where the requesler oI tfris Form W-9 will nrail your information retums. lf th;s address differs from the one the requester already has on fite. enter "NEW" at lhe top. lf a new address is provided, there is still a chance lhe old address will be used until the payor changes your address in their reoords. Line 6 Enter your city, slate, and ZIP ccde. Part l. Taxpayer ldentification Number {TlN} Enter your TIN in ihe appropriale box. l{ you are a residenl alien and you do not ha're, and are not eligible tc get, an SSN, your TIN is your :BS ITIN. Enter it in the entry space for the Social security number. tf you do not have an lTlN, see Flow to gel a Tlll below. lf you are a s.ole proprietor and you have an ElN, you may enter eitfier your SSN or ElN. lf you are a single-member LLC that is disregarded as an enlhy seoarale from its owner. enter the olvner's $SN {or ElN. if the owner iras on'e1. tf the LLC is classified as a corporation or Partnenhip, enter the entitlr's ElN. Note: See lrfihaf Alame and Number To Give the Reguester, later. for {urther clarification ol name and TIN cornbinations. How lo get a TlN. lf you do not have a TlN, apply {or one immediately. To apply for an SSN. get Form SS-5, Application for a Social Securily Card. from your local 9SA office or get lhis form online al rvww.SSA.gov. You may also gel this lorm by calling 80O-772-1213. Use Fonn W-7, Application lor IRS Individual Taxpayer ldenlification Number, to apply for an lTlN. or Form SS-4, Application for Employer ldentificalion Number, lo apply for an ElN. Ycu can apply for an EIN online by accessing lhe lFlS websile at irywwirs.govlE/N. Go to www.irs-govlFarms to view, download, or print Form W-7 and/or Form S5-+. Or, yuu Latt gu to www.irs.lprvl}xletFunns \s placc att ordet altd ha're Form W-7 xrdlor Fotm SS-4 mailed to you within 15 business days. lf yru are asked to complete Form W-9 bul do not have a TlN, apply {or a TIN and enter "Applied Fot" in the space lor the TlN, sign and date the fonn, and give it to the requester. For interest and dividend paymenls, and certain payrnents made r'{ith respect to readily tradable instruments, you will generally have 60 days lo gel a TIN and give it to lhe requester b€fore you are subiect to backup withholding on paymenls. The 60-day rule doee not apply to olher types of paymenls' Ycu wiil be subject to backup withholding on all such payments unttl you provide your TIN to the requester- Note: Entering "Applied For'' means that you have already applied {or a TIN or tirat you iniend to apply for one soon. See also Esfabl,shiltg l!.5. status for puryoses of chapter 3 and chapter 4 withholding, earlier, for when you may instead be subiect to withholding under chapter 3 or 4 of lhe Coda, Caution: A disregarded u.S- entity that has a foreign owner must use the appropriate Form W-8. r Paymenls over $600 required to be reported and direct sales over $5,ooo' Generally, exempt payees 1 through 5.'? Exempt payees 1 through 4,r Payments made in settlement of payment card or third-party network lransactions l See Form 1099-M|SC, Miscellaneous lnformation. and its instructions. 2 However, the following payments made lo a corporation and reportable on Form 1 099-MISC are not exempt from backup withholding: medical and health care payments, attomeys'fees, gross proceeds paid to an attorney reportable under seclion 6045{fl, and payments for services paid by a federal sxecutive agency. Exemption lrom FATCA reporting code. The following codes idenlify payees thal are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of lhe United States by cerlain foreign financial institulions. Therefore, i{ you are only submitting this form for an accounl you hold in the United States, you may leave this {ield blank. Consult with the person requesting this form if you are uncertain if the financial insliblion is subiect to these requirements. A requester may indicate that a code is not required by providing you wilh a Form W-9 with "Not Applicable'.{or any sidrilar indication) enlered on the line for a FATCA exemption code. A-An organization exempt from tax under seclion 501 {a) or any individual retirement plan as defined in section 77o1(a)(37l B-The United States or any of its agencies or instrumentaliti$. C-A state, the Dislrict of Columbia, a U-S- commonwealth or lenitory, or any of their political subdivisions or inslrumentalities. D-A corporation the stock of which is regulady traded on one or more established securilies markels, as described in Regulations section 1. 1.172-1 (c)(.1 )(i). E-A corporatisn that ie a member of lhe same expanded affiliated group as a corporation described in Regulations section 1.1 472-1 {cX1){i)- Kittitas County Agreement for Services (rev.5/14/251 Page 17 of 20 Form W-9 (Rev.3-2024)Poge 5 Part ll. Certification To establish to the withholding agent lhal you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates olhsn'rise. For a joint account, only the person whose TIN is shown in Part I should sign (when reguired). ln the case of a disregarded enlity, the person identified on line I must sign. Exempt payees, s* Exenpt payee code, earlier. Signature requirenrents. Complete the cerlificalion as indicaled in itemB Ithrough5below. l. lnterest, clividend, and barter exchange accounts openecl belore 1984 and broker sccounts considered aclive during 1983. You must give your correct TIN, but you do not haue to sign the certification. ? lnlprFst, dividend, hrnker, and hader clehange mrnllnls opened after 198i1 and broker accounts considered inactive during 1983. You must sign the cerlification or backup withholding will apply. lf you are subiect to backup withholding and you are merely providing your conect TIN lo the requester, you must cross oul hem 2 in the certification before signing the {orm. 3, Real estate transactions. You must sign the cetlilicatlon. You may cross out item 2 of the cedfication. 4. Other payments. You must give your conect TlN, but you do not have to sign the certification unless you have been nolified ihat you lrave previously given an incorrect TlN. "Other paynrents" include payments made in the cours€ of the requestar's trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments lo corporalions), paymenis to a nonemployee for services, payments made in setdement of.paJm€nt card andthiid-party network transactions, paymenls to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Mortgage inlerest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualilied luition progrqlu paymentb (u'ndei section 529), ABLE accounts (under section 529Af, lRA, Coverdell ESA, Archer MSA or HSA contributions or distribuiions, and pensicn distributions. You must give ycut corect TlN, but you do not have to sign lhe certification. What Name and Number To Give the Hequester For this type of account:Give name and SSN of: 1. lndividual 2- Two or more individuals (oint account) other lhan an accounl maintained by an FFI 3, Two or more U.S. peeons (joinl account maintained by an FFI) 4. Custodial account of a mins Pnifom Gift to Minors Act) 5. a. The usual revrcable sviflgs tuet {grmtor is drc trustee) b. So-called trusl accenl thal is not a legal or valid trust under staie law 6. Sole proprietorship s digregarded entity owned by an individual 7, Grantor trust filinq under Optional Filing Method 1 {see Flegulations srclion 1 -671 -a(bXzXiXAD" Kittitas County Agreement for Services (rev.5/74/25) Page 18 of 20 For this of account: 8- Disregtrded fltity not ovrned by m individul 9, A valid hust, estate, or gereim lnrst !0. Corporation or LLC electing corpoote status on Fm 883€ or Fsm 2153 1 1- Assffiiatim, club. rcligims, chsilable, edrahoml, or other til-exflpt orgnnialion 12- Partreruhip or multi-mmber LLC '13- A bdokBr or registeFd nminffi '14- Acsst with lhe Departmmt of Agricuhure in the name ol a public enlity {such c a state or lrcal goYffiffii, schoel dbtticl, or prisnl llu[ raeivet agt iuullutal p ult utrr paymtrts 15- tlnntortrustfilhg Fwm 1o4l or mder the Optional Filinq Metfto'd 2, requiring Fom l0O9 {se F€gulatioB srction 1.671 -4tbi{2XiXBD" Give name and EIN of Ttrem,m Legal eniiba The crpcralion J[€ ocqan,ixlim The pararerririp T*e brok*ry nmiree The publis *tify The actual owner of ihe rccwnt or. il rcmbined funds. the fict individwl on tlE ac@untr Fach holder of the rccount The minor? The grmtor-lruslei The ac{uai ownerl The ovrned The grmtor' The tnBt I List iirst and circle the name of lhe person whos€ number you fumish. lf only one peftion on a loint account has an SSN. lhat pe.son'g numb€r musl be fumished. 2Circle the minor's name and fumish the rninor'g SSN" rYou musl show vour individual narne on line 1. and enter your business or DBA name, il ahy, on line 2. You may use erther your SSN or EIN {if yau have oneJ, but the IRS encouiages you to use your SSN. { List first and circle the name of lhe lrust, estate, or pension trust' (Do not fumish the TIN of the personal representative or truslee unless tfie legal entity ilself is not designated in the account tille.i 'Nole: The granlor must also provide a Form Vy'-9 1o the trustee sflhe irust. .'For more information on optioflal filing methods for grantor uusts, see the lnstructions for Form 1041^ Note: lf no name is circled when more than qne nam€ is listed, the number lvill be considered io be that of the {irsl name listed. Secure Your Tax Records From ldentity Theft ldentitv theft occurs vrhen someone uses your p€Bonal inlormabon' such a-s your name, SSll, or other identifuing information, ruithoul your permission 1o commit fraud or otfter crimes. An idenlity thief may use your SSN to get a lob cr may {ile a tax return using your SSN to receive a refund- To reduce your risk . Protect your SSN, . Ensure your employer is p.olecting your SSN, and . Be careful when choosing a lax tetum p(eparer- lf your tax records are af{ected by identity theft and you receive a nolice lrom ihe IRS, respond right away to the nsrne and phone nurnber printed on the IFS rotice or letter. lf your tax records are noi curenlly affected by identity theft bul you lhinli you are at risk due to a losl or stolen purse or wallel questionable credit card activity, or a questionable credit report, conlact the IRS ldentity Theft Horline at 900-908-4490 or submil Form 14039" Fcr more information, see Pub. 5o2f , ldentity Theft lnlormalion for Taxpayers. Form w'9 (Rev.3-2024)Paqe 6 Victims of identity theft who are experiencing economic harm or a systemic problem, br are seeking help in resolving tax problems that have not been resolved through narmal shanneb, may be eligible for Taxpayer Advocate Service [AS] assistance. You san reach TAS by calling the TAS toll-fee case intake line at 877-777-477a orlfYfiDD 800-829-4059. Protect yourselt from suspieious ernails or phishing schemes. Phishing is lhe creation and use of ernail and websites designed to mimic legitimate business emails and websit€€. The mosl common act is sending an email lo a user falsely claiming to be an established legitimate enteprise in an attempt to sc€m the uaer into surenderirg private information that will be used lor identity theft. The IRS does not initiate contacts wilh taxpayers via emails. Also, lhe IBS does not requesl personal detailed information through email or a.sk taxpay€rs for the PIN numbers, passwords, or similar secret access infnrmatinn lnr their r.redil carrl, hank, nr nlhnr financial ncnnltnls lf you receive an unsolicited email cleiming to be from the lRS, forward this message lo phishing@in.gov. You may also report misuse of the IRS name, logo, or other IBS ptoperty to the Treasury lnspector General for Tax Administration fllGTA) at 8'o0-366-4484. You can forward suspicious emails lo the Federai Trade Commission at spam@uce,gov or report them at wwHl.ftc.gavlcomplainl. You can contact the FTC alwww.ftc.govlidtheft or 977-IDTHEFT (877-€8 'li}3gi. lf you have been the viclim ol identity theft. see www.ldentityTheft.gov and Pub. 5027. Go to wwl".i/s.govlldentityTheftla leam more about ideniity theft and how to reduce your risk. Kittitas County Agreement for Services (rev.5/74/251 Page 19 of 20 Privacy Act Notice Section 6109 of the lntemal Fleuenue Oode requires yuu to provide your conect TIN lo persons {includrng fuderal agencies} wfrro are required lo fib inlormation returns w[tf! lhe IRS to Eport fulter€€t, dividends. or certain other income paid to yor.r; morlgagp inlerest yor paid; lhe acquisition or abandonmenl of secured prroperty; the cancellation of debt; or conlributions you made tc an lRA, Archer MSA, or HSA. The oerson collectino this form uses the inlormation on the form to file informalion retufirs with the trRS, reportirg lFre above infonnation. Houtine uses of this iflfqnnation incfude giuing il to tfrie Department of Justice for civil and criminal tlligation and to cities. stalee, the Distdct of Columbia, and U.E. camrnoqrwealtfts and tenitories Jor usc in administering iheir laws. The inlonnarion rnay anso be disclosed to olher countries unier a keaty, tc {ederal and state agencies to enlorce civil and criminal laws, or to federal law erdorcernenl and int*lligence ogeneicr to eombat tcnarirm, You rnurl providc yolr Tllrl rYh+ther or not you are required lo file a lax relurrL Under se€{iofl 3406,. payors must lenerally withhold a percentage o{ taxable interest, dividends, and certain other payrnents lo a payee v{ho does nol give a TIN to the payor. Certain penalties may also apply lcr providinq false or fraudulant information. ATTACHMENT,,F,, FEE SCHEDULE Kittitas County Agreement for Services (rev.5/14/251 Page2O of 2O Uwise Fee Schedute Juty 1 ,zozs- June go, 2026 Welcome to the Wise Fee Schedule for 2025-2026. Our goal is to provide transparent and competitive pricing to ensure the highest quality of service for our clients. We have categorized our rates into different tiers to accommodate various needs and project requirements. Additionally, we offer specialized services and training programs to support professional development and customized employment certifications. Hourly Consulting Rates for Professional Services are as follows: Tier 1 - $t +O per hour (Program Support) Tier 2- $t 0S per hour (Professional Services) Tier 3 - $t ZS per hour (Directors) Special - lndividual Technical Assistance (lTA) services in WA State - $t OS Specialty Offers - Fees are determined based on project requirements. Training Programs -Traininq I Wise (qowise.ore) Customized Employment ACRE Certificate (WOA 100): $600 Customized Employment ACRE certification prepares students for sitting for the APSE CESP exam. For more information and to enro[[: httos://www.gowise.org/training/woal00/ Customized Employment ACRE Professional Certificate (WOA 200): $1750 Customized Employment Professional Level ACRE certification attendees must have either the ACRE Basic or Customized Employment certificate to attend. https://www.gowise.org/training/woa2O0/ Expenses: Per State, Federal or lnternational travel regulations on reimbursable basis. Mileage billed at the current IRS rate. Hourly rates do not include travel expenses. Special Gonsiderations: The above rates and registration fees do not include the cost of venues, interpreters, alternative formats for documents or other accommodation costs, the cost of supplying food, refreshments or supplies to participants in a training or technical assistance service/event. These expenses will be negotiated and proposed in addition to training and technical assistance rates. Third Pafi Brokering Services: A 157o Brokering Fee will be charged on any third-party invoice brokered through Wise. Brokered contracts exceeding $g5,000 in a fiscal year will have a reduced Brokering Fee of 107o. The Brokering Fee includes development of the subcontract, contract compliance monitoring, insurance, fiscal oversight, auditing services, fiscal reporting to the contractor and lRS. Third party consultants may be brokered within the Wise rate range per hour unless otherwise approved by the Executive Director, and/or the funder. International Projects: Each engagement will be negotiated in accordance with this fee schedule in US dollars. Final 6.30.2025