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HomeMy WebLinkAboutKittitas County & The Alano Clubt, KITTITAS COUNTY AGREEMENT FOR SERVICES PHMH26.008 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 Kittitas County Alano Club (hereinafter "Contractor"). The purpose of this Agreement is as follows: Utilize Ihe 2026 One-Time Opioid Abatement Strategies funding to assist the Alano Club with providing a safe, clean, and stable environment for individuals affected by opioid and substance use disorder. The term of this Agreement shall be July 1-, 2026, through June 30,2027, 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 This Agreement includes the following, which are attached hereto and hereby incorporated by this reference: Kittitas County Public Health 507 N Nanum Street Ste 102 Ellensburg, WA 98926 Kasey Knutson Human Services Manager Human Services Kasey.knutson@co. kittitas.wa.us 509-962-7515 Attachment "A" Attachment "B" Attachment "C" Attachment "D" Attachment "E": Kittitas County Agreement for Services (rev.5/7a/25) Page 1 of 19 Kittitas County Alano Club 213 West 3'd Street Ellensburg, WA 98926 Theo Denner Board of Directors President Kcac2025@gmail.com s09-899-0112 Scope of Work Compensation lnsurance Requirements General Terms and Conditions W-9 (Contractor must complete and return to the County for payment) 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. Kittitas County Agreement for Services (rev.5/L4125) Page 2 of 19 ,kz f Signature Printed Name 7 rc; i). nf Title CONTRACTOR z6Date: TL.a Ptnacr BOARD OF COUNTY COMMISSIONERS KIfiITAS COUNTY v o,c&,tu 4- Brett Wa ith, L La Date Attest:( sslo'4 lnu Clerk of the Boa zrtulie Kjorsvik n Mandy Buchholz a a ATTACHMENT "A" SCOPE OF WORK Provide structured recovery meetings and events at no cost to the community. Support a portion of the operating expenses for peer-based recovery services. o Mortgage o Garbage o lnsurance o Taxes o Utilities o Supplies o Carpet cleaning Contractor will refer to their approved proposal documents submitted through the funding request process for additional scope of work detail. Any service provider offering transportation must ensure that drivers hold valid driver's licenses and have a background screening completed to include a driving abstract in order to safely perform the services. a a Kittitas County Agreement for Services (rev.5/t4/25) Page 3 of 19 ATTACHMENT '/8" COMPENSATION THE COUNTY WILL NOT PROCESS PAYMENT FOR SERVICES RENDERED UNDER THIS AGREEMENT UNTIL CoNTRACTOR SUBMTTS 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 16,813. Contractor will refer to their approved budget document submitted through the funding request process for line-item expenses. Any changes or updates to the budget must be approved by Kittitas County through the appointed contract manager in advance of the expcnditurc, in writing. Unless otherwise provided herein, Contractor shall be solely responsible for Contractor'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 writi ng. All funds must be spent by June 30, 2027, No extension of the funding period will be granted. Reim bursement Procedures A. The Contractor shall submit invoices for services due once a month, which shall be emailed to Katie Odiaga, Kittitas County Public Health Department, at katie.odiasa@co.kittitas.wa.us. B. A[[ invoices must be submitted by the last day of the month fottowing the catendar month in which services were delivered. C. The Contractor 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 projectcode. Non-payrollexpenses must include a copyof the receiptor 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 $10,9t9. Kittitas County Agreement for Services (rev.5/t4/25) Page 4 of 19 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 procedures for issuing the insurance policies 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 lnsurance ' Coverage limits not less than: e $L,000,000 per occurrence, for all covered losses o $2,000,000 general aggregate o $L,000,000 products & completed operations aggregate o $L,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 insureds. X Commercial Automobile Liabilitv lnsurance . 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. ' Coverage limits not less than: o $1,000,000 combined single limit Excess or Umbrella Liabilitv . 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 Commercial General 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 insureds. ' 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 insured against another. Workers' Compensation & Emplover's Liabilitv . 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.5lMl25) Page 5 of 19 Professional Liabilitv / Errors and Omissions Liabilitv . Coverage limits not less than: o $1,000,000 each claimr Contractor must provide evidence of this coverage on a policy form appropriate to Contractor's profession. Contractor shall furnish to the County a Certificate of lnsurance, with endorsement where required above, 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. Conffactor agrees to provide notice to the Lounty at least thirty (3U) days prror to cancellatron, 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 shall form under this 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.5lt4/25) Page 5 of 19 ATTACHMENT "D' GENERAL TERMS AND CONDITIONS t. 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. Accounting and Payment: Compensation to Contractor for services rendered under this Agreement shall be as set forth in Attachment "B", 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 "8". 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 Contractor: 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 "B", 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 Subcontracting: 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/t4/25) PageT of t9 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 Subcontractor's performance of the subcontract. 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 evaluation by service recipients under this Agreement. Contractor shall preserve and maintain all records relatlng to thls Agreement for slx (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 modify 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 Contractor'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, Contractor shall not be entitled to receive any further payments under this Agreement until all of 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/M/251 Page 8 of 19 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 9.1 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 volunteers, harmless from and ogoinst ony and all clainrs, danrages, lusses arrd expenses, lncluding but not lrmited 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 Contractor'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 Contractor'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 for the County of Kittitas. This Agreement shall be governed by the laws of the State of Washington. Ll-. Non-Appropriation of Funds: lf the County does not appropriate sufficient funding for this Agreement 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. L2. Contractor Commitments, Warranties, and Representations: Contractor r follows Kittitas County Agreement for Services (rev.5lt4/251 Page 9 of 19 epresents and warrants as . 12.1 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. I2.2 Contractor has the authority to execute this Agreement, to make the representations and warranties set forth herein, and to perform its obligations hereunder. L2.3 This Agreement has been validly executed by an authorized representative of Contractor and constitutes a valid and legally binding and enforceable obligation of Contractor. I2.4 Contractor holds, or will obtain prior to commencing work under this Agreement, such licenses, permits and other authorizations from federal, state and local governmental authorities, or from any applicable industrial or profcssional certification or licensing bodies, as dre rleLessdry lur l"lre law[ul performance of lts obligations under this Agreement, and will maintain such throughout the term of this Agreement. 12.5 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. 1,2.6 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. 12.7 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 andf 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, and/or patent, and the ability to transfer any or all ownership rights. L4. lntellectual Propertv Infringement: 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 m ay 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. 16. 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.5/14/25) Page 10 of 19 b.y 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 of the 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 (4) the arbitrator's decision or award shall be final and binding on both parties. t7. Confidontiolitv: Contracto r, its enrployees, agents arrd vululrLeels, 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 1 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 1 of this Agreement. l-9. Prevailins 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.L2.060. 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. 2l-. Nondiscrimination Kittitas County Agreement for Services (rev.5/14/25) Page 11 of 19 zL.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, 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; 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, 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. Such requirements apply, without limitation, to the following: employment, promotion, demotion, transfer, recruitment or recruitment advertising, layoff or ternrination, rates of pay ur r:rtlrer forttts uI corttperrsatiurr, alrd pluglallrs [ur 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. 27.2 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. 21.3 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, 6,8,9, t0, 13, L4, 15, 16,17 ,19,20,22,24, and 28 of these GeneralTerms 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 or written, 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/t4/25) Page 12 of 19 . 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. Aereement 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/t4/25)l Page 13 of 19 ,",," llU'9 ATTACHMENT "E" Request for Taxpayer ldentification Number and Certlfication Go to rutaw.,irs.govlFormW9lor lastructlons and the latest intormauon. Givo form to the rsquoster, Do not send to tho lRS, (R€v. MRrch 2024) Depsilmsnt of lhs Trsasury lntomal Bovonuo Soruico o c,6(!o 5 aE s'€ bEglr o6 'd oIo rO ah Botore you For r6lal6d to lho of Form soe o(balow. I Nam€ ol Entity/indlvlduol. An 6ntry is requitod. (For a sle p;oprietor ordisregarded cnlity. enlor ths owner's oame on llno 1. and snter tho businesvdlsregtrrded on 2.1 9 2 Eusln$s nmo/disrogsrdod ontity nomo, il trom abovo. 4 Exomptions (codo3 apply only to cortoin enlills, not indivldurls; see lnslruclions on pag6 3): Erurrrpt payw rurlv (ll ntry) Fxomptlon lrom Forolon Accounl Tex Complianco Act (fAICAl roporllno codo {ll any) (Applids lo accounls maintalnod rulsldo lhr Utif.d Slalos.) HoqtrBslor'8 nnmo and sddrass (optloner) 7 t.,$l aceounl h6re Enter your TIN in ths appropriate box. The TIN provlded must match the name given on line 1 lo avoid backup withholding. For indlviduals, this is genorally your social socurity number (SSN). However, for a resldenl allon, sole proprietor, or disregarded 6nlity, se6 lhe lnslructlom for Parl l, later. For olher entities, it ls your 6mploy6r identillcation number (ElN). lf you do nol have a numb€r,3ee How to get a IrN, later. Not!: lf tho account is ln moro than one name, soe lho instnrctions for lino 1. See also What Namo and Number To Glve tho Raquostot lot guidolinos on whoso numbor to anlar. Under ponalties ot peiury, I cedity that: 'L Tho numbor shown on this form is my corroct tnxpaysr idontifioBtion numb€r {or I am walllng for a ntrmbsr mo): and 2, I om not subjcct to oxompt trom backup withholdlng, or (b) I hav6 by tho lntornal Revenuo Se/vlc€ (lRS) lhat I I r€sult ol a failure to report all lntorost or IRS has notiliod riro that I am no longsr sublect to backup wlthholdlng; and 3, I am e U.S. cilizen or other U.S. porson (deflnod bolow)i and 4. The FATCA codo(s) onlo.6d on thi$ form (lf ftny) lndlcnting lhat I am oxornpt from FATCA reporllng gadmcs{lon lnsiruotlon., You mu$t cro6s out llotn 2 abovo lf you hevo boon notlliod by lho IRS cullonlly subjoct lo backup wlthholding b€cRu$o you havo fsiled lo roport all lnt€rgst and dlvidonds on your tax totufi. For rodl astato 2 does not apply. For rnort0ago intarcst pald, acqulsltlon or obandonmEnt ol securod propsrly, cancollatlon of dsbt, conlrlbutions to sn end, gonorally, pnylmnts olhor thnn lntorost ond aro not to tho but musl lor Parl lator. Slgn Hers tLl I ot backup wllhholding b€cnuse (a) I am am $ub,oct to backup wlthholdlng 08 General lnstructions Section r€t€ronces are to ths lnlenral R€venue Cods unl€ss otherwlse notod. Future d€wlopmentr. For the ldtost lnformation about dovolopment$ relatod lo Form W-9 and lts lnstruclions, such as leglslallon enact€d atter lhey were published, go 10 www.hs.gov/FormW9, What's New Une 3a has been rnodilied to clari{y how a disregarded €ntity completes lhis lln€. An LLC that ls a disregarded €ntlty should chock the approprlate box lor the tax claseillcatlon of ils owner. Oth6n^rlso, it should check the "LLC" box and ent6r its appropriate lax cla3sificatlon. Now llno 3b has boon rddod to this form. A flow-lhrough ontity is required to comploto lhis line lo lndicat€ lhat al has diroct or lndlrocl loreign parlners, owners, or b€neficiarles when it provides tho Form W-g to onothor tlow-through entity in which it has sn ownsrshlp intorost. This chango is int€ndod to provldo a flow-through ontity with informallon r€garding th€ status ol its lndir€cl lorolgn partnors, ownors, or b€noticiari€s, so lhat it can satisly any applicabl€ r€porling requirements. For example, a parln€rship lhat has any indit€ct torsign partners may be roquirod to complete Schedules K-2 and K-3. So€ tho Parlnorshlp lnstructions tor Schodules K-2 and K-3 (Form I 065). Purpose of Form An lndlvldual or entlty (Fonn W-g requeslo4 who is requlred to flle an inlormation r€tum with the IRS is giving you this toiln becauss thoy 3e Check lhe approprlala box tor federal lax clas8iflcalioo ot th6 slilyindrvdual whoss namr is €nlered on lrns 1. Chack only ona ol ths followlng s6v6n box€s. n hdlviduatholoproprlotor I ccorporatlon n scorpor.llon ! Prrtnoruhlo ! Tnrsyostato f] LLC. Errtur llNlarolasglllcrllurr(C * Curlnrallun, S* 3t;ut|xrHllutt, F - Pu?lrof$hlp! tlol.: Check tho "LLC* box abov6 and, ln lh6 6nlry spac€, 6nl6r tha appropriala codr {C. S, or P) for ltr" t"i- clflgslllcallon ol lhe LLC, unless ll ls { di$eoardod ontlty. A disro0ardod ontity should lnBlaad chock ths aDproprlnlo El'Othor (eoo ln8tuctlon8) box lor tho tu clarssllicotion ot itgdDt c-3 3b lf on lino 3a you chsckod "Parlnorship" or "Trusvoslolo," or chockod 'LLC" end antgrod "1,' os ils ldx clo$iilicstion, and you 616 p?ovldlng thl3 lom lo 6 paintrship, lrust, or aslat8 in which you havo sn ownorsnlp inter68l, chock thls box ll you havo 8ny torol0n parln96, ownors. or banoficlflrlos. Saa lnslnrcllon$n 6 AddroBB Blr6dt, dnd 6pt, or sslte 0 Crty,ztP numbcr Part I Part ll 3l0nrlull ol U,8, p.iron Dolc Cat. No. 10231X Kittitas County Agreement for Services (rev.5/74/25) Page 14 of 19 rom W-O {Rev- o-eozq) $ormW-Q (Bev.?-2V241 Pqe2 must obtain your corect to(p:ry€r identification number flN), which may b6 your social aecurity number (SSN), individual taxpayer identificalion number (fflN), adoption taxpayer idenlification number (ATIN), or employer identification number (ElNl. to r€port on an information retum lhe amount paid to you, or other amount reportable on an information relum. Examples of information relums include, but ar6 not limited to, the following. . Form 1099lNT {inlerest eamed or paid). r Form 1O99-D|V (dividends, including those from stocks or mutual funds). o Form 1099-MISC {various types of incoma, prizes, awards, or gross proceeds). . Form 1O99-NEC {nonemployee comp€nsation}. o Form 1O99-B (stock or mutual fund sales and cerlain other transactions by brckers). r Form 1o99-S hroceeds from r€al €state fansac{ions}. . l-orm 1090-K (merchant card and third-party netwo* transactions). . Form 1og8 (home mortgags interesl), 1098-E {student lorin inlerest), and "1098-T (tuition). . Form 1099-C (canceled debt). r Form 1099-A (acquisition or abandonment ol secured property). Use Form W-9 only if you are a U.S. person {ncluding a resident alien), to provide your conect TlN. Caution: lf you don't retum Fotrn W-9 to the requester with a TlN, you mighl be subiect to backup wifrholding. S* What is backup withholding,laler. By eigning the filled-out form, your 1, Csrtit that the TIN you are giving is conect (or you are waiting {or a numb€r lo be issued); 2. C€nify that you are not su$ect to backup wilhholding; or 3. Claim exemplion from backup withholding il you ar6 a U.S. €x€mpt pay€6; and 4, Qertity lo your non-foreign statue for putposes of wilhholding under chaptor 3 or 4 of the Code {if applicable}; and 5. Certify thal FATCA code{s) entered on this lorm $f any) indicating that you are exempt from th€ FATCA reportirq is conect. *a What ls FATCA Reporting, later. for further in{ormalion. Note: lf you are a U.S. person and a reguester gives you a form other than Form W-9 to request your TlN, yan must use the requeste/s form if it is substantially similar to this Fotm W-9. Definition of a U.S. person. Forlederal tax purposes, you ar6 considered a U.S. person if you are: o An individualwho is a U.S. cilizen or U.S. resklent alien; . A partnership, corporation, company, or association created or organized in the United States or under the laws ol tie United States; . An estate (othar than a foreign €state); or . A dornestic trust (as defined in Regulalions section 301.7701-4. Establishing U.S. status lor purposes of chapter 3 and chapler 4 whhholding. Payments made lo forsign p€cions, including certain distributions, allocations of income, ortransfsn of sales proceeds, may bs subiect to wilhholding under chapter 3 or chapt€r 4 of the Code (sections 1441-14741. Under those rules, if a Form W-9 or olher certification of non-foreign status has not been received, a withholding agent, transteree, or partnership (payo4 gensrally appli€s pr$umption rules lhat may require lh€ payor to withhold applicabls tax from the recipient. owner, traneferor, or pafiner (pay€e). See Pub. 51 5, Wilhholding of Tax on Nonresident Aliens and Foreign Entities. The following p€nlons must provide Form W-9lo the payor for purpoeea of establishing its non-foreign slatus. . In lhe case of a disregarded ontity with a U.S. or*ner, the U.S. owner of the dieregarded entity and not the disregarded entity. r ln ihe cage of a grantor trust with a U.S. grantor or olher U.S. owner, g€nerally, the U.S. grantor or other U.S. owner of the grantor trust and not th6 granlor trusl. o ln the case of a U.S. trust (other than a grantor trustl, the U.S. trust and not the beneficiaries of the trust. See Pub. 515 tor more information on providing a Form W-9 or a certification of non-foreign status lo avcid withholding. Kittitas County Agreement for Services (rev.5/Ia/25) Page 15 of 19 Foreign person. ll you are a foreign person or the U.S. branch o{ a foreign bbnk that has elected to b€ treat€d ae a U.S. p€reon (und€r Regulations section 1.1441-1(b)(2[iv] or other applicable section for chapter 3 or 4 purposes,, do not use Form W-9. lnstead, us€ the appropriate Form W-8 or Form 8233 (see Pub. 5'15). lf you are a qualified foreign pension fund under Regulations section 1.897(l)-1(d), or a parlner€hip that is wholly owned by qualified foreign pension funds, that is treated as a non-foreign person for purposss ol s€ction 1 445 withholding, do not use Form W-9. lnstead, use Form W-8EXP (or other certification of non-foreign siatus). Nonresident albn who becomes a resident alien. Generally, only a nonresident alien individual may use th6 terms of a tax troaty to reduce or eliminate U.S. tax on certain types of income" However, most tax lreaties conlain a provision known as a saving clause. Exceplions specified in the saving clause may permit an exemption from tax lo continu€ for certain types of income even after lhe payee has otherwise become a U.S. resident alien lor tax purpos€s. lf you rre a U.S. reridenl alien who ie rolying on an oxcoptaon conlained in ths saving clause of a tax lreaty to elaim an exemplion from U.S. tax on certain types of income. you must attach a statement to Form W-9 that specifies the follo,ving five ilems. 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty articla addressing the income. 3. The article number (or localion) in the tax treaty that contains the saving clauee and its exceptions. 4. The type and amount of incoma thal qualilies lor the €xemption from tax. 5. Sufficieni lacts lo justify the ox€mption trom tax under the terms of the treaty article. Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarghip income received by a Chinese student t€mporarily preaeni in the United States. Under U.$. law, thig student will b€come a r€sidont ali€n for tax pulposss if their etay in lhe United States exceeds 5 calendar years. Howeve r , paragraph 2 of the first Protocol to ths U.S.-China treaty (dated April 30, 1984) allowe the provisione of Article 20 to conlinue to apply even after the Chinese student becomeo a resident alien of the United States. A Chinese student who qualifies for this exc€ption (under paragraph 2 of the first Prolocol) and is relying on thie exception to claim an exemption from tax on their icholarship oi fellowship income would attach to Form W-9 a statement that includes the information described abovo to support that exemplion. lf you are a nonresident alien or a foreign entity. give the r€qu€ster the approp,riate completed Form W-8 or Form 8233, Backup Withholding What is backup withholding? Persons making certain paymenls to you must under certain condilions withhold and pay to the IRS 24% of such payments. This is called 'backup withholding." Payments thal may be subiect to backup withholding include, but at€ not limiled to, inlerest, tax-exempt interest, dividends. broker and barter exchange lransac,tions, rents, royallies, ntmemployee pay, payments made in setllem€nt ot payment card and third-party network transactions, and certain paymenls from lishing boat operators. Real estate lransactions are nod subject to backup withholding. You will nol be subject to backup wilhholding on paymente you receive il you give lhe requester your conect TlN, make the proper certifications, and report all your taxable interest and dividends on your ta)( relum. Payments you receive will be subject to backup withholding if: 1. You do not fumish your TIN to lhB requeslor; 2. You do not certify your TIN when required (see lhe instructions for Part ll for details); 3. the IBS tells the requesterthat you fumished an inconect TlNi 4. The IRS tells you that you are su$ecl to backup withholding because you did nol report all your inter€st and dividends on your tax r€tum for reportable interest and dividends only); or 5. You do not cerli{y to the requester that you are not subiecl to backup withholding, ae described in item 4 under "By signing the filled- out form" above (for reportable interesl and dividend accounts opened after 1983 only). Form W-9 (nev. 3-2024)Page 3 Certain payees and payments are exempt from backup wilhholdirq. See Exernptpayee code, later, and the separate lnstructions forlhe Requester of Form W-9 for more information. See also Esfab/ishrng U.S. status for purpses of chapter 3 and chaptet 4 withhdding, eadier. What ls FATGA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial inslitution to report all U.S. account holders that are specified U.S. persons. Certain payees are ex€mpt from FATCA reporting . See Exempt-an from FATCA repiling cde.later, and lhe lnstructione for ihe Requesler of Form W-9 for more information. Updating Your lnformation You must provide updated informalion to any pereon lo whom you claimed to be an exempt payee if you are no longer an exempi payee and anticipate receivinq reportable paymenb in the tuturs from this person. For example, you may need to provide updated information if you are a C corporaiion that elecls lo be an S corporalion, or if you are no long€r tax exempt. ln adclition, you must fumish a new Form W-9 if the name or TIN changes for lhe account, for example, if lhe gmntor ol a grantor trust dies. Penalties Failure to fumigh TlN. lf you bil to fumish yorr correct TIN to a requester, you ar€ subiect to a penalty ol $5O for each such fuilure unless your failure is due to reasonable cause ard not to wi[ful neglect. Civil penalty for lalse informalion with respect to withholding. lf you make a false statemenl with no reasonabls basis that resuhs in no backup withholding, you are su$ect to a $5ffi pana$. Criminal penahy for fahifying information. Wiltfully lalsifying certificalions or afftrmations may subiect you to criminal pernlties including fi nes and/or imprisonmenl Misuee of TlNs. lf the requester discloses or uses TlNs in violation of lederal law, the requester may be subjecl to civil and criminal penelties. Specific lnstructions Line I You must enl€r one of iha following on this line; do not leave this line blank. The name should match the name on your tax relum. lf this Form W-9 ia for a ioint account (othor than an account maintained by a foreign financial institution (FFt[. liet firut, 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 Fom W-g to an FFI to document a ioint account, each holder of ths account that is a U.S. person muet provide a Form W-9. . lndividual, Generally, ent€r tho name shown on your tax retum, lf you have changed your last name without informing lhe Social Security Administration (SSA) ol $e name change, €nter your firsl name, lhe last name as shown on your social security card, and your new last name. Nole for lTlN applicant: Enter your individual narne as it was entered on your Form W-7 application, line 1a. This should also be lhe same as the name you entered on the Form 10lt() you filed with your applicalion. . Sole proprietor. Enter your individual name as shown on your Form 1040 on line 1. Enter your business" trade, or "doing brniness as" (DBA) name on line 2. . Partnership, C corporation, S corporation, or LLG, other than a disregarded entity. Enterihe entity's name as shown on ihe entity's tax rstum on line 1 and any business, trads. or DBA narne on line 2. o Other entities. Enter your name as slrown on reguired U.S. federal tax documenls on line 1. This name should malch the name shown on the charler or other legal document creating the entity. Enter any business. trade, or DBA name on line 2. . Disregarded entity. ln general, a txrsiness enthy lhat has a single owner, including an LLC, and is not a corporation, is disregarded as an entity s€parale from iis owner (a disregarded entity). See Fegulations sectfon 301.7701-2(cl(21. A disregarded entity should check the appropriate box for the tax classification of its owner. Enter the owner's nam€ on line 1. The name of lhe owner enlered on line 1 should never be a disregarded entily. The name on line 1 should bc lha name shown on the income tax retum on which the income should be reported. For Kittitas County Agreement for Services (rev.5lM/25) Page 15 of 19 example, if a foreign LLC that is lreated as a divegarded entity lor U.S. federal tax purposes has a single owner that is a U.S. persofl, the U.S. ownels narne is required to be provided on line 1. ll the direct owner of the entity is also a disregarded entity, enter lhe lirst owner that is not disregarded for federal tax purposes. Enler lhe disregarded entity's name on fine 2. lt the owner of the disregarded entity is a foreign person. the owner must complete an appropriate Form W-8 irstead of a Form W-9. This is the case even if the foreign person has a U.S. TlN. Line 2 lf you have a businees narne, lrade name, DBA name, or dbregarded entity nam€, enter it on line 2. Line 3a Check the appropriate box on line 3a for lhe U.S. federal tax classification of the pereon lvhos€ name is entered on line 1. Check only one box on line 3a. Line 3b Check thb box il you are a partnership (including an LLG classified as a partnership for U.S. lederal tax purposes), trust, or estate that has any foreign partners, owners, or beneficiaries, and you are providing this form lo a partnership. trust, or estate, in which you have an ownership interest, You must check the box on line 3b if you receive a Form W-8 (or documentary evidence) from any partner, owner, or beneliciary establishing foreign stalus or if you receive a Form W-g lrom any partner, own€r, or beneficiary thal has checked the box on line 3b. Note: A parlnership that provides a Form W-9 and checks box 3b may be reguired lo complele Schedulee K-2 and K-3 (Form 1065). For more information, see the Parlnerghip lnstructions for Scheduleg K-2 and K-3 (Form 1065). ll you are required lo complete line 3b but fail to do go, you may nol receive the information necessary to file a correcl informalion retum with the IRS or fumish a conect payee statement lo your partn€rs or beneficiaries. See, for example, BectionB 6898, 6722, and6724 fo( penalties that may apply. Line 4 Exemptions lf you are exempt from backup withholding and/or FATCA reporting, enter 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 whhholding. . Except as provided below, corporations are exempt from backup wilhholding for certain paymenG, including interest and dividends. . Corporations are not exempl trom backup withholding for payments made in settlenrent of payment card or third-party network transaclions. . Corporations are not exempt trom backup withholding with retpect lo attomeys'lees or gross proceeds paid to attomeys, and corporations thal provide medical or health care s€ruices are not exempl with respect to payments reportable on Form 1099-M|SC. The following codes identify payoes that are exempt from backup withholding. Enter the appropriate code in the space on line 4. 'l -An organization exempt from tax under section 501(a), any lRA, or a custodial account under seciion 403(bX7) if tbe account satisfies the requirements of sec'tion ao1(0{2). lF lhu untily/irrtlivirlual urr lhrc I is a(n) ... THEN chcch lhe bue lur , . , r Corporation Corporation. o lndividual or . Sole proprietorship lndividual/sole proprielor. . LLG classified as a partnership for U.S. lederal tax purposes or o LLC that has filed Form 8€$2 or 2553 electing to be taxed as a corporation Limfted fi ability company enter the appropriate tax classification: P = Partnership, C-Ccorporation,or S = S corpontion. and . Parhership Partnership. o TrusVestate TrusUestate. Formw-g (4.v.3-20241 2-The Uniled Stales or any of its agencies or instrumenlalities. 3-A state, tho District of Columbia, a U.S. comnronwealtfi or territory, or any of tht*r political subdivisions or instum€ntalities. 4-A foreign govemmenl or any of its politicalsubdivisions, agencies, or instrumentalities. 5-A corporation. 6-A dealer in securilies or commodities required to register in the United States, lhe District of Columbria or a U.S. convnonwealth or terdtory. 7-A futures commission merchant registeed with the Comrnodity Fufu res Trading Commission. 8-A real estate inveslm€nl tust. s-An sntity registered at all times during the tax y€ar under the lnveslment Company Act of 194o. 10-A common trust fund operated by a bank under section 584{a). 1 1 ...A finoncial institulion as dcfincd undcr saction 301. 12-A middleman known in the investment community as a nominee or custodian. 13-A trust sxempl trom tax under section 664 or d€scribed in section 4947. The lollowing chart shows typ€s of payments lhal may be exempt from backup withholding. The chart applies to the ex€mpt pay€es listed above, l through 13. lF the payment is for. .THEN the paymcnl is exempt lor . .. r lnterest and dividend payments All exempt payees except tor 7. r Broker 4 6 F-A dealer in s€curities, commodities, or derivative linancial inslruments {including nolional principal conlracts, future€, forurards, and options) that is registered as such under the laws of the United Slales or any state. G-A real estate investment trwt. H-A regulated inve€bnent comparry as defined in section 851 or an entity rsgbtered at all tirnes during lhe tax year under the lnvestment Company Act ol 1940. l-A common trust fund as defined in section 584(a)" J-A bank as defin€d in s€ction 581. K-A broker. L-A lrust exempt from tax under section 664 or described in section 4s47{a}{l). M-A tax-exempt trust und6r a section o3p) plan or eection 457{9} plan. Nolp: Yrrr may wieh tn nomrrlt wilh lhe financial inslitulion requerting this form to determine whether the FATCA c.ode and/or exempt payee code should be completed. Llne 5 Enter your address (number, slreet, and aparlment or 6uite numbe4. This is wh€re lhe requaster of thie Form W-9 will mail your information retumg. lf this address differs {rom lhe one the requesler already has on file, enter "NEVV"' at lhe top. lf a new address is provided, there is still a chance the old addreas will be used until lhe payor changes your address in their records. Line 6 Enter your city, state, and ZlP coda. Part l. Taxpayer ldentification Number (TlNl Enter your TIN in ihe appropriate trox. lf you are a resident alien and you do not have, and are nol eligible to get, an SSN, yourTlN is your IRS lTlN. Enter it in the entry space for the Social security number. lf you do not have an fflN, see How lo pt a ilN below. ll 1ou are a sole propdetor and you have an ElN, you may enter either your SSN or ElN. ll llou are a single-nrember LLC that is dbregarded as an entity separal€ from ils owner, enter th€ ownels SSN (or ElN, if the owner has one). lf the LLC is classified as a corporaliofl or parlnership, enter the entity's ElN. Note: See What Nane ard Number To Give tlte Hequester, later, for {urther c,larification ol name and TIN combinalions. llow to get a TlH. lf you do not have a TlN, apply lor one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or gat this form online at www.SSA.gov. You may also get this form by calling 800-772-1213. Use Form W-7. Application for IRS lndividual Taxpayer ldentification Number, to apply for an lTlN, or Form SS-4, Application lor Employer ldentification Number, to apply for an ElN. You can apply for an EIN online by accessing the IBS websile alwww.irs.govlElN. Go to www.irs.gov/Forms to view, download. or print FormW-7 and/or Form SS-4. Or; you can go lo www.irs.govlOrdertorms to place an order and have Form W-7 and/or Form SS-4 mailed to you within 15 buginess days. lf you are asked to complet€ Form W-9 but do not have a TlN, apply for a TIN and enter "Applied For" in th€ space for the TlN, eign and date the form, and give il to the requester. For intaregt and dividend payments, and certain payments made with respect to readily tradable instruments, you will generally have 60 days to get a TIN and give it to the requester b€fore you are subiect to backup withholding on paymehts. The 60-day rule does not apply to other types ol payments. You will be subjeci to backup withholding on all such payments until you provide your TIN to the requester. Note: Entering "Applied Fof means that you have already applied for a TIN or that you intend to apply for one soon. See also Estabfishtng U.S. slatus forpirrposes ol chaptet g and chapter 4 withholding, eulier,tor when you may instead be subject to withholding under chapter 3 or 4 ot lhe Code. Caution: A disregarded U.S. enrity that has a foreign owner must use the appropriat€ Form W-8. 4 payees 11 andthrough all C corporalions. S corporations must not enter an exempt paye€ code because lhey are exempt only for sales of noncovered securities acquired lo 2012. . Barter exchange transactions Exempt payees 1 through 4. and dividends o Paynenls over $600 required to Generally. exempt payees be reported and direct sales over $5,OO0r 1 through 5.' . Payrnents made in settlernenl of Exemptpaye€s 1 through 4. payment card or third-party network transactions l See Form 1099-MISC. Miscellaneous lnformation, and its instructions. 2 However, the following payments made to a corporation and reportable on Form 1O99-MISC are not exempl from backup withholding: medical and health care payments, attomeys'fees, gross proceeds paid to an attorn€y reportable under seciion 6045(0, and payrnenls for services paid by a federal oxecutive ageocy. Exemption lrom FATCA reporting code, The following codes klentify payees that ars exempt from reporting under FATCA. These codee apply to persons oubmifting this lorm lor accounts maintained outside of lhs United States by certain foreign financial institutione. Therefore, if you are only submitting ihis form for an account you hold in lhe United Statos, you may leave this field blank. Consult with the person reguosting thia fom if you are uncertain if the financial institution i8 subi€cl to lho8e requirements. A r€quester may indicalg lhat a code i3 not required by providing you wilh a Form W-9 with "Not Applicable'(or any similar indicalion) entered 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 seclon 7701(aX37). B-The United Slates or any of its agencies or instum€ntalities. C-A state, the Dstdct of C,olumbia, a U.S. commonwealth or tenitory, or any of their political subdivisions or instrumentalities. D-A corporation the stock of which is regdady lraded on one or more established securities markets, as described in Regulations section 1.1472-1(cX1Xi). E-A corporation that is a memberof lhe same expan# affiliated group es a corporation described in Regulations section 1.1472-1(c[1}[i. Kittitas County Agreement for Services (rev.5h4/25) Page 17 of 19 Form W-g {Rev,3-2024)Page 5 Part ll. Certification To establish to the withholding agent ihat you are a U.S. per6on, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent ev€n if item 1, 4, or 5 below indicates othsr'lvise. For a joint account, only ihe person whose TIN is shown in Part I should sign (when required). ln the caoe of a disregarded entily, the peroon identified on line 1 musl sign. Exempt payees, see Exempt payee code, earlier. Signature requirements. Complete the certitication ae indicated in itemsl through5below. l. lnterest, dividend, and barter exchange accounte opened belore 19&l and broker accounls considered active during l98il. You must give your correct TlN, but you do not have to sign the certification. 2. lnteresl, dividend, broker, and bader exchange accounts opened after 198i1 and broker accounls considered inactive during l98l|. You must stgn the certficatlon or backup wthholding will apply. lf you are subject to backup withholding and you are merely providing your conect TIN to the rsquester, you must cross ont item 2 in the certification before signing lhe form. 3, Real estate transactions. You must sign lhe cerlification. You may cross out item 2 ol the certiftcation. 4. Ofher payments. You must give your conect TlN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TlN. "Other payrnenlsn include payments made in the course ol lhe requester's tnde or business for renls, royallies, goods (other than bills for merchandiae), medical and heahh care services (including payrnents to corporations), paFnenls to a nonemployee for services, payments made in satdemeni of paymsnt card and third-party network transactions, paynenls to cartain fishing boat cr6w members and fishermen, and gross proceeds paid to attomayo {including paym€nte to corporalions). 5, Mortgage interest paid by you, acquieition or abandonment of secured property, cancsllation of debt, qualified tuition program paymentC {under section 529), ABLE accounla (under eection 529A}, lRA, Coverdell ESA, Archer MSA or FISA conlritrutions or dietributions, and peneion dislributione. You must give your conect TlN, but you do not have to sign the certification. What Name and Number To Give the Requester For thie of account:Give name and SSN of: 1. lndividual 2.Two or more individuals (ioint account) other lian an account maintained by an FFI 3. Two or morc U.S. persons toint accoml maintained by an Ffi) 4- Cuslodial accoml of a mins (Uniform G;ft to Minors Ac{) 5- a. The usual revocable mvings kust {grantor is abo tustee} b. So-called tnBt acc&nt thst is not a legal s valid trust mder state lav, 6. Solo proprietorship or disregarded eitity omed by il individual 7. Granior bust filing rmder Optlrul Filing Method 1 {se Regulatiorrs section 1.671 -a{bX2XiXAD" The Kittitas County Agreement for Services (rev. 5/L4/25) Page 18 of 19 For thig of accountl 8, Digregarded enlity not owned by an individual 9- A valid trugt, estai6, or ponsion lrwt 10. Corporation or LLC ebcting corporate siatus on Form 8832 or Fo?m 2553 t 1. Associalim. club, religior:e, chsitable, educalional, or other lax-exf,npl organizalion .t2. partnerghip or multi-member LLC 13. A broker or registered nominee 14. Account with the Department of Agriculture frr the name ol a public mlity {such as a state or local gowmrnent, school district. or prison) lhat receives agricultuml progrm DaYmenls 15. Granlor irusl fling Form 1041 or wder lhe Optional Filing Melhod 2, requiring Form 1089 {s* Regulations section 1.67.1 -4{bXaHil{B}}" Give name and EIN of: The owner Legal entity{ Tha corporation The organization The parhersfiip The broks or nominee Tle public entity The aetual owner of the sccount or. il combined funds, the firet individual on ttle accouoll Each holder ofthe account The minor2 The grantor-lrust*r The actiral ownerl The owners The grantor' Th€ trus! 1 Ust first and circle the name of lhe person whose number you fumish. lf only one person on a ioint account has an SSN, that person's number must be fumished. ?Circle the minols name and fumish lhe minor's SSN, 3You must show vour individual name on line 1. and enter vour business or DBA name. if a'ny. on line 2. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN. {List first and circle the name of lhe 1ru6t, estale, or pension lrust. (Do not fumish the TIN of the personal r€presentative or trusles unl€se the legal entity itself is not designated in lhe account title.) 'Nole: The grantor must also provide a Form W-9 to the trustee of lhe trust. " For more information on optional filing methods for granlor trusts, seg the lnstructions for Form 1041. Note: lf no name ie circled when more than ong name is listed, the number will be considered to be that of lhe first name listed. Secure Your Tax Records From ldentity Theft ldentity rheft occurs when som€on€ uses your pectonal informalion, such as your name, SSN, or other identifying information, without your permission to commit {raud or other crimes. An identity thief may use your SSN to get a iob or may file a tax r€turn using your SSN to receive a refund. To redwe your risk: r Protect your SSN, ' Ensure your employer is protecting your SSN, and . Be careful when choosing a tax relum preparer. lf your tsx records are alfected by identity theft and you receive a notice lrom the lRS, respond right away to the name and phone number printed on the IRS notice or letter. lf your tax records are not cunenlly affected by identity theft but you think you are at risk due to a losl or stolen purse or wallet, questionable credit card activity, or a queslionable credit report, contact the IRS ldentity Theft Hotline al 800-90&449O or submit Form '14O39. For more information. see Pub. 5027, ldentity Theft lnlormalion for Taxpayers. Form W-9 {Fev. 3-20241 Pose 6 Victims of identity lheft who are exp€riencirg economic harm or a systemic problem. or are seeking help in resolving tax proHems that have not been r€solved through normal channeb, may be eligible for Taxpayer Advocate Servic,e flAS) assistance. You can reach TAS by calling the TAS toll-ftee case intake line at 877-777-4778orTNlTDD 800-829-4059. Protecl youmelf lrom suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websit€s. The most common acl is sending an email to a user falsely claiming lo be an establighed legilimate enterprise in an att€mpt to scam lha us€r into sunendering private information that will be used lor identity lhefi, The IRS does not initiate contacts wilh taxpayers via emails. Also, the IRS does not reguest peftional detailed information lhrough €mail or ask taxpayers for the PIN numberc, passwords, or similar s€cr€t access information for their credit card, bank, or other financial accounts. lf ynrr rer:eive an unioliciled emeil claiming to bo from tho lB8, lorward this meesage tophlshing@in.gov. You may also report misuse of lhe IRS name, logo, or other lFlS property to the Treasury lnspector General for Tax Administration (IIGTA) at 800-386-4484, You can fonrrrard suspicious emails to th€ Federal Trade Commission at spam@uce,gov or report them at www,ftc.govlcomplaint. You can contact th€ FTC al www.ftc.gov/idtheft or 877 -IDIHEFT (877 -438-4338r. lf you have been the victim of identity theft, se www.ldentityTheft .gov and Pub. 5o27. Go to www.irs.govlldenlityTheftlo leam more about identity theft and how to reduce your risk. Kittitas County Agreement for Services (rev.5/74/25) Page 19 of 19 Privacy Act Notice Section 61O9 of the lntemal Revenue Code requires you to provide your conect TIN to persons {including federal agencies) who are required to fih information retums wilh the IRS to report intetest, dividends, or cedain othsr income paid to you; mortgage interest you paid; the acquisition or abandonment of secured goperty; the cancellalion of debt; or conlributions you made to an lRA, Archer MSA, or HSA. The person collecting this form uses the inlormation on the form to file informaiion retums with the lBS, reportirg the above information. Routine uses of this information include giving it to the Department ol Justice for civil and criminal litigation and to cities, slates, lhe District o{ Columbia, and U,S. commonwealths and tenitories lor use in administering their laws. The information may also be disclosed to oihsr countries under a treaty. to federal and stat€ agencies to enforce civil and criminal lawe. or to federal law enforcoment and intelligence agenciee to combat tenorism. You must provide your nN whether or not you are required to filo a tax rotum. Undor ocotion 3406, poyor! mutt generally withhold a percentage of taxable interest, dividends, and cerlain other pafn€nto to a payee who does not give a TIN to the payor. Certain penaltiee may aleo apply for providing false or fraudulent informalion.