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HomeMy WebLinkAboutAFS between KC and Easton Schoola KITTITAS COUNTY AGREEMENT FOR SERVICES This Agreement for Services (hereinafter "Agreement") is entered into by and between Kittitas County (hereinafter "County"), a politicalsubdivision of the State of Washington, and Easton School District (hereinafter "Contractor" ). The purpose of this Agreement is as follows:1./IOth funding to Easton School district to contract with a licensed mental health care provider to provide mental health services to the students in Easton School District. The term of this Agreement shall be from July t't,2026, through June 30th, 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 205 West 5th Ave, Suite 108 Ellensburg, WA 98926 Kasey Knutson Human Services Manager Kittitas County Public Health Department Kasev. knutson @co. kittitas.wa.us 509.962.7090 1893 Railroad Street Easton. WA 98925 Aaron Kombol Superintendent Easton School district superintendent@easton,wednet.edu s09.656.2317 This Agreement includes the following, which are attached hereto and hereby incorporated by this reference: Attachment "A": Attachment "8": Attachment "C": Attachment "D": Attachment "E": Attachment "F": Kittitas County Agreement for Services (rev.5/14125) Page 1 of 21 Scope of Work Compensation lnsurance Requirements Reporting 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/M/25) Page 2 of 21 CONTRACTOR Signatu Printed Name Title k^*uX*u J"l*I -t|Date: I BOARD OF COUNTY COMMISSIONERS KITTITAS COUNTY Chair tr ABSENT Commissioner w lor /auDate Cler Attest c ATTACHMENT'?" SCOPE OF WORK ln addition to providing all material and labor, the Contractor shall perform the following activities: Contract with a licensed mental health care provider to provide mental health services for the students of Easton School District as described in the Easton School District proposal. Kittitas County Agreement for Services (rev.5/74125) Page 3 of 21 ATTACHMENT,,B,, 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: S17,900. Allowable direct expenses include, but are not limited to, salaries, wages, benefits, direct client services, pronrotiorr, outreaclr acl.ivities, necessary supplles, professional development and training, travel, equipment, and subcontracts. Purchases of clothing, incentives, video games and related items are not allowed. Food and gift card purchases require prior approval by Kittitas County. All expenses must be necessary and directly related to the scope of work as outlined in Exhibit A. 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 expenditure, in writing. 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 funding is based on local tax and fee revenue. lf local economic conditions result in insufficient funds to compensate at the stated levels, the County reserves the right to renegotiate funding amounts to remain within available revenue balances. The County will notify the Contractor immediately if financial forecasting or actuals indicate such a circumstance. All funds must be spent by June 30, 2027. No extension of the funding period will be granted. Reimbursement Procedu res 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.odiaga@co.kittitas.wa.us. B. A[[ invoices must be su bm itted by the Last day of the month f otlowing the catendar month in wh ich services were delivered. 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 517,900. Kittitas County Agreement for Services (rev. 5/t4/25\ Page 4 of 21 Contractor will refer to their approved documents submitted through the funding request process for the t/L}th of 1% Mental Health and Chemical Dependency Tax Grant. Any changes or updates made to the activities or budget listed in those documents must be approved by Kittitas County through the appointed contract manager in advance, in writing. Kittitas County Agreement for Services lrev.5/t4/251 Page 5 of 21 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 48.15 RCW and 284-15 WAC. At a minimum, Contractor shall maintain and provide proof of the following selected options: X CommercialGener I Liabilitv lnsurance Coverage limits not less than: o $1,000,000 per occurrence, for all covered losses o $2,000,000 general aggregate r $1,000,000 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. 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: . $l-,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. &Em r's Liabil 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 S1,000,000 per accident or disease. Kittitas County Agreement for Services (rev.5/14/25) Page 6 of 21 I x x 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. 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. 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 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.5/L4/25l' Page 7 of 21 ATTACHMENT ''D'' REPORTING Contractor shall provide quarterly progress reports using the template provided. Please submit progress reports to the clerk at hea lthandhumanservices@co.kittitas.wa.us. o Quarter 1 (January-March) report due on the last day of April. o Quarter 2 (April-June) report due on the last day of July. o Quarter 3 (July-September) report due on the last day of October. r Quarter 4 (October-December) report due on the last day of January. The report shall include, at a minimum: r A narrative of project activities during the reporting period, including progress on the activities outlined in your Scope of Work (Attachment "A"). o A narrative of project successes during the reporting period. o A narrative of project challenges during the reporting period. The County retains the right to request clarification or additional information of the applicant as needed to assess project progress and/or appropriate use of funds. Failure to submit the required reports may result in delayed reimbursement payments, denial of invoices, or contract termination. Contracts, reporting, and invoicing documentation is subject to public disclosure. Please refrain from using individual names in these documents. These documents may be posted to the Kittitas County Public Department's Website at any time to provide transparency in the use of tax funding. Kittitas County Agreement for Services (rev.5/14/25) Page 8 of 21 ATTACHMENT'E" GENERAL TERMS AND CONDITIONS 1. 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 Pavment: Compensation to Contractor for services rendered under this Agreement shall be as set forth in Attachment "8". Where Attachment "B" requires payment(s) by the County, payment shall be based upon billings, supported unless provided otherwise in Attachment "B", 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 theCountytomakewithholdingforanytaxesotherthanincometaxes(e.g.,Medicare). Allcompensationreceived 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.5h4/25) Page 9 of 21 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 underthis Agreement. Contractor shall preserve and maintain all records relating to this Agreement for six (6) years atter 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 moy, 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. 5lMl25) Page 10 of 21 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 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 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. 11. 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. ].2.Contractoreqm:Contractorrepresentsandwarrantsas follows Kittitas County Agreement for Services (rev.5/U/25) Page 11 of 21 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. 12.2 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. 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 lndustrial or professional certification or licensing bodies, as are necessary for the lawful pertormance of its obligations under this Agreement, and will maintain such throughout the term of this Agreement. t2.5 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. 12.6 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. I2J 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. L3. 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, andf or patent, and the ability to transfer any or all ownership rights. 1.4. 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. 1"5. 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. 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 12 of 21 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 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. 'I7. 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 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 L of 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 39.12.060. 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. 21. Nondiscrimination Kittitas County Agreement for Services (rev. 5/14l25l Page 13 of 21 zt.t ln the performance of this Agreement, Contractorwill 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 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. 21.2 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 shal I incl ude appropriate safeguards aga inst 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, tO, 13, !4,15, 16, 17,19,20,22,24, 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 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/t4125) Page 1,4 of 2L 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, any third parties. Kittitas County Agreement for Services (rev.5/t4/251 Page 15 of 21 ,",,lllf-g ATTACHMENT'F" Request for Taxpayer ldentlfication Number and Certification Go to ww*rrr.govlFom$n br lnstructlons and the lateEl lnformation. (8w. Mnrch 2024) D€partmcnt of lho Troasury lntomal Rovonuo Soruico Glvo form to th€ roquester. Do not send to the lRS. ci odt6cl 5 oc 9.8 E3 !5 'ESO,oIE'u I o 3 Before Enter your TIN in the appropriato box. The TIN provided must match the name given on lin€ 1 to avoid backup wilhholding. For indlviduals, this is genorally your soclal socudly numbor (SSN). Howevsr, for a rosldont all€n, solo proprielor. or dlsr6gard6d anlity, seo th6 lnstrucllons for Part l, lalor. For olhor entitios, it I9 your employar ldantificatlon number (ElN). ll you do not have a numb€r, see How to gel a nN, later. Notor lf lho account is in moro than ono namo, seo lho lnstructions for line 1. Soo also What Nams dnd Numbor To Qive the Roquasler for guldelines on whoso numb€r lo 6nl6r. glgnslult ot U,g. p.rlon Drl. For rolatod to lh€of Form W-9, soo of Form, b6low. I Nsme ol entity/indlvldusl. An eniry ls requirsd. (For a sle proprietor or disrogarded entity, enler tho owne.'s oome on llm 1, and cnlor tho business/dlsrogorded 6ntily's nams on line 2.) 2 BuslnNs namo/dbrogardod onlity nomo, il difloronl trom abovo. 4 €xomptiorc (codos apply only to ceriain entltl6. not indivlduals; see lnslruclbns on page 3): Exomot mys codo (ll Any) Exornptlon trom Foroion Accourll Tax Complianco Act {I^TCA) ropo.liDg cods (il my) (Applios ,o occounts maintainod oulsldo lho Unilsd Sldtos,J Requosl6r's nama and addr$s (opllonar) 7 [ ,st mcounl ilumbo(s) hore (opt'onal) or Under penallias of periury, I certify that: 1. The number shown on this form i9 my cor.ect taxpayor idontilication numb€r (or I am walting tor e numbor to bo issued lo mo)t and 2. I sm not subjoct to backup wilhholding b€cause {a) I am ox€mpt from backup wllhholding, or (b) I hav€ nol beon notitied by tho lnt€mrl Rovonuo Sorvice (lRS) thst I am sublsct to backup withholdlng a$ a r€sult ol a lallure lo roport all intersst or dividends, or (c) tho IRS has notified mo that I am no longor subiact to backup wlthholdlngi and 3. lam a U.S. citi?€n or other U.S. porson (dollnod bolow); and 4, Tho FATCA codo($) ont6r6d on this form (if any) lndlcullng lhal I am oxompl from FATCA roportlng is conoct. C.nmcailon lnstructlon!. You musl cross out itom 2 obov6 ll you h&vo boon notlllod by tho IRS thal you aro currcnlly subjoct lo backup wllhholding bocauso you havo lailed to roporl all lntorast and dlvidond8 on your tax rotum. For roal estate lransactlons, itom 2 doos noi apply. For mortgago interosi pald, ncquisitlon or abandonment of securod property, cnncellatlon of dobt, conlribdions to sn lndlvidual rstiromont anangomenl {lRA), nnd, generally, paymonls othor thnn lntorost and dlvldond8,o16 not lo lho corlillcot{on, but mugt corroct TlN. Soo tho instrucllons for Parl ll lotot. Slgn Hore General lnstructions Section r€fgr€nces are to lh€ lntemal R€venuo Cod€ unloss othsrwlse notsd. Future devslopmonts. For lho lal6st lnlormalion about dovolopmonts r€lated lo Form W-9 and its lnslrucllons, such as leglslatlon enacted atler th6y were published, go to wwurrs.govlFormWg, What's New Lin€ 3a has be€n moditled to clarity how a disrggardsd €ntity completes lhis lin€. An LLC that is a disregarded €nllty should check the approprlale box for tho tax classlllcatlon of ils owner, Olher\lllse, lt should check lhe "LLC" box and enler its appropriate lax classlticatlon. Now llno 3b has b6€n add6d to lhis form. A llow-lhrough onttly is r€qulred lo complol€ thls llne lo lndicate that it has dlroct or lndirdcl foreign partneB, owners, or bensliclarles when it provides tho Form W-9 lo anothsr flow'through ontity in which it has an ownorshlp intorost. this chang6 ls intondod lo provido a tlow-through €ntily with inlormntlon r€garding the status o, its lndlroct forolgn partnors, ownors, or b€n€liciari6s, so that it can satisfy any applicable reportlng r€qulromsnts. For example, a padnership that has any indir€ct lor€ign partners may bo roquired to complete Schodulos K-2 and K-3. S€o lho Partn€rshlp lnstructions for Schodules K-2 and K-3 (Fonn 1065). Purpose of Form An lndlvidual or ontlty (Form W-9 roquester) who is requlred to flle an inlormation retum with the IRS is giving you thls lorm because they 3r Check lho spproprial€ box lor lodeml lax classitlcation ot tho entilylndividual \./hog€ name l! €nlered on line 1. Check only ona ol tha following sav€n box€s. f] lndlviduausolopropilolor ! Ccorporatlon I Scorporallon il Parlmrchip f] TrusVostalo n LLC, Entor the lax clssslllcntion (C = C mrpnntlon, S = S corporatlon, P. Parlnorshlp) Noto: Ch*k lh€ "LLC' box above and, ln lh€ ontry space, 6nter th6 appropdate cods (C, S, or P) for tft" t"i- clas$ltlcatlon ol lho LLC, unloss ll ls a dlero0ardod trtlty. A diBrogardod ontlly should lnsload ch6ck th6 approprlsi€ I Other (aoe lnstructions) 3b ll on lin6 36 you chscked "PiltnoBhip'or "Ttusv$tnto." or eheckod ''LLC" and ontorod "P' as its lsx classification, and you s6 provldlng thls fom lo e p{rln6€hip, lrust, or estflls in which you havo 0n owrershlp inlorosl, chock lhls tlox ll you havo nny forelgn p{rtnoE, ownors, or bonellclarias. 360 insln,cllong n 6 Addreer (nurnba., Blreet, Rnd npt. or guite no.). 56€ ln8tnlcllon8, 0 City. $tato. a d ZIP codo Part I Part ll Cal. No. 1o231X Kittitas County Agreement for Services (rev. 5/74/251 Page 15 of 21 rom W-O (Fev. s-aOZq) Form W-9 {Rev. 3-2024}Pae2 must obtain your corect taxpay€r id€ntification numbor (flN), which may be your social secudg number (SSN), individual taxpayer identjficalion number (ffiN), adoption taxpayer identification number (ATIN), or employer identification number SIN), to reporl on an information retum the amount paid to you, or other amount reportable on an informalion relum. Examples ol information returns include, but are nol limited to, the following. . Form 1099-lNT (interest eamed or paid|. r Form 1099-DlV (dividends, including those lrom stocks or mutual tunds). o Form 1099-MISC {various types of income, priz€s, awards, or gross proceeds). . Form 1O99-NEC (nonemployee compensation). . Form lO99-B (stock or mutual fund sales and certain other transactions by brokers). r Form lo99-S (proceeds from real ostate tmnsactiofls). . Form 1099-K (merchent card and thirdaarty network transactions). o Form lo98 Oorne mortgag€ int€rcstl, '1098-E (student loan interEst), and 1o98-T(tuition). r Fom 1O99-C (canceled deb0. . Fom '1O99-A (acquisition or abandonment of securcd property). Use Form W-9 only if you are a U.S. person fncluding a resident alien), to proride your conect TlN. Caulion: lf you don't retum Form W-9 to the requester with a TlN, you might be subiecr to backup withholding. See What is backup witl'tholding,laler. By signing the filled-out form, you; 1. Certily that lhe TIN you are giving is conect (or you are waiting for a number lo be issued); 2. Certit that you are not subiect to backup withholding; or 3. Claim exemplion from backup withholding if you are a U.S. exempt payee; and 4. Certify to your non-foreign stalus for purposee of withholding under chapter 3 or 4 of the Code (if applicable); and 5. Cerii! that FATCA code(s) entered on this form (fany) indicating that you are exempt from the FATCA reporting is con€ct. S€€ What rs FATCA Reporting, later, for further information. Noto: lf you are a U.S. person and a requester gives you a form olher than Form W-9 to request your TlN, you must use the requestels form if it is substantially similarto this Form W-9. Definition of a U.S. penon. Forfederal tax pulposes, you are considered a U.S. person if you are: . An individual who is a U.S. citizen or U.S- resident alien; . A partnerthip, corporation, company, or association created or organized in the Unit€d Stat€s or under the laws of the Unit€d States; . An estato (other than a foreign estatol; or . A dornestic trust {as definad in Regulations section 3O1.7701-7). Establishing U.S. siatus for purposes of cfiapter 3 and chapter 4 withholding. Payments made to forsign p€rsons, including certain distributionq allocations ol income, or lransfers of salee proceeds, may be subiect to withholding under chapter 3 or chapter 4 of ths Cod€ (s€clions 1441-14741" Under thcse rules, if a Form W-9 or olher certification of non-foreign stafus has not been received, a withholding agent, transleres, or parherehip (payor) ganerally appli€s presumption rul6s that may require lhe payor to withhold applicable tax from the recipient, owner, fansferor, or partner (payee). See Pub. 51 5, Withholding of Tax on Nonresident Aliens ard Foreign Entities. The following persons must provide Form W-9 to lhe payor for purposes of establiahing its non-foreign status. r ln the case of a disregarded entity with a U.S. owner, lhe U.S, owner of the dieregarded entity and not the disregarded entity. . ln the case of a grantor trust with a U.S. granlor or olher U.S. ownsr, generally, th€ U.S. grantor or other U.S. owner of lhe granlor lrust and not the granlor trust. o ln the case of a U.S. lrust (other than a grantor truet), the U.S. trust and not the beneficiaries of the trust. See Pub. 515 for mor€ informalion on providing a Form W-9 or a certification of non-ioreign status to avoid withholding. Kittitas County Agreement for Services (rev. 5/M|25) Page L7 of 2L Foreign person, ll you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person (under Regulalions section 1.1aa1-1(b)(2)$v) or other applicable section for chapter 3 or 4 purpos$), do not uss Form W-9. lnetead, use the appropriate Form W-B or Form 8233 (see Pub. 515). lf you are a qualified foreign p€ruion fund under Regulations section 1.897(l)-1(d), or a partnerehip that is wholly owned by qualified foreign penaion funds, lhat i9 treat€d aB a non-loreign person for purpo$os of gection 1 445 withholding, do not use Form W-9. lnstead, use Form W-8D(P (or other certification of non-for€ign status). Nonregident alien who becomee a resident alien. Generally, only a nonresident alien indivirJual may use the terms of a tax tr€aty to reduce or diminate U.S. tax on certain typee of income. However, most tax lreaties conlain a provision known as a saving clause. Exceptions specfied in the saving clause may pemil an exemption fom tax to continue for certain types of income even after lhe payee has othenrrise become a U.S. resident alien for tax purposes. ll you are a U.S. resident alien who is relying on an exception conlainsd in the saving clause ol a tax treaty lo claim an exemption hom U.S. tax on certain tlpes of income, you must attach a statement to Form W-9 that specifies ihe {olloaring five items. l. The trcaty country. Generally, this must be the same treaty urder which you claimed exemplion from tax as a nonresident alien. 2. Ths keaty article addressing the income. 3. The article number {or location) in lhe tax treaty that contains the saving clause and its exceptions. 4. The brpe and amounl of incorn€ that qualifies for the exemption from tax. 5. Sufficient facts to justry the €xemption from tax under the lerms of th€ treaty article. *ample, Article 2o ol the U.S.-China income tax treaty allows an exemplion fiom tax for scholarship income received by a Chinese student t€mporarily present in the United States. Under U.S. law, thig studeni will become a resident alien for tax purposes if their slay in the United States exceeds 5 calendar yeare. However, paragraph 2 of the lirst Protocol to the U.S.-China treaty (dated April30, 1984) allows the provisions of Article 20 to continue to apply ev€n after the Chinese student becomea a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first Protocol) and ia relying on this exceplion to claim an exemption from tax on their scholarship or fellowship income would attach to Form W-9 a slalement that includes lhe inlormalion deecribed above to support lhat exemplion. lf you are a nonresident alien or a foreign entity, give the requester tha appropriate completed Form W-8 or Form 8233. Backup Withholding Wrat is backup withlrolding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such pafnents. This is called "backup wilhholding.' Payments thal may be subiect to backup withholding include, but are not limited lo, interest, tax-exempt int€r€st, dividends. broker and barter exchange transactions, rents, royallies, nonemployee pay, payrnents made in setilemenl of payment card and thi.d-patty n€twork transaclions, and certain paymenG from lishing boat operators. Real estate transactions are not subiect to backup withholding. You will not be subject to backup withholding on payments you receive il you give the requester your con€ct TlN, make the proper cerlifications, and report all your taxable interest and dividends on your tax retum. Payments you receive will be subiect to backup withholding ift '1. You do not fumish your TIN to the requesteq 2.You & not cerlify your TIN when required {see lhe instnrctions for Part ll for details); 3. The IRS tells lhe requester that you fumished an inconect TIN; 4. The IRS tells you tlrat you are suLriect to backup withholding because you did not report all your inlerest and dividends on your iax retum (for reportable inter$t and dividends only); or 5. You do not certify to the requestsr thal you are not subject to backup withholding, as described in item 4 under "By signing the fllled- out form" above (for repotlable interest and dividend accounts opened after '198:i onl9. Fom W-9 {Rev. 3-20?4)Poge 3 Certain payees and payments ar€ exempt lrom backup withholding. See Exernpt payee code, later, snd the separate lnstructions lor the Requester ol Form W-9 for more information. See also Estattisl"hg U.S, status for puryoses of chapter 3 and chapler 4 withholding, eadiet. What ls FATCA Heporting? The Foreign Account Tax Compliance Act (FATCA) requires a panicipating for€ign linancial institution to report all U.S. accounl holders that are epecified U.S. peeons. Certain payees are exempt from FATCA reporting . See Exemption trun FATCA repofting code,later, and the lnetructions for the Request€r of Form W-9 for more information. Updating Your lnformation You must provide updated information to any pereon lo whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipoto roooiving roportablo paymonto in tho futuro from lhis pereon. For example, you may need to provide updated information if you are a C corporation that slects to be an S corporation, or if you are no longer tax exempt. ln addition, you must fumish a new Form W-9 if the name or TIN changes for lho account. for example, if the grantor oI a grantorlrust dies. Penalties Failure io furnish TlN. ll you iail to fumish yorr conect TIN to a r€qu€st€r, you ar€ subiect to a penalty ol $50 lor sach such hilure unless your lailure is due lo reasonable cause and not to willful negl€ct. Civil penalty for false information with respect to withholding. lf you make a false statement with no reasonable basis that results in no backup withholding, 1ou are subiect to a $5{}O pena}U. Griminal penalty for lalsilying information. Wilfully fa]sifying certifications or affirmations may subjact you to cdminal penalties including fi nes and/or imprisonment Misuse of TlNs. lf the requester disclosas or uses TlNs in violation ol lederal law, the requester may be subject to civil and criminal penalties. Specific lnstructions Line I You must enter one of lhe following on this line; do not leavs lhis line blank. The name should match the name on yourtax refum. lf thie Form W-9 is lor a joint account (other than an aceount maintained by a foreign financial institution {FFl), list first, and then circle, the name of lhe person or enlity whose number you entered in Part I ol Form W-9. lf you are providing Form W-9 to an FFI lo document a ioint account, each holder of the account that is a U.S. person must provide a Form W-9. . lndividual. Generally, enter the name shown on your tax r€turn. lf you have changed your last name without informing the Social Security Administration (SSA) of the name change, onter your first name. lhe last name as shown on your social security card, and your new lasl narne. Note for lTlN applicant: Enter your individual name as it was entered on your Form W-z application, line 1a. This should also be lhe eame as lhe name you enter€d on the Form 104O you filed with your applicalion. . Sole proprietor. Enter your individual name as shown on your Form 1 040 on line 1 . Enler your business, trade. or "doing business as" (DBA) name on line 2. . Partnership, G corporation, S corporation, or LLC, other than a disregarded entity. Enter the enlily's name as shown on the entity's tax r€tum on line 1 and any business, trade, or DBA name on line 2. o Other entities. Enier your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on th€ charter or other legal document creating the entity. Enler any business, trade, or DBA name on line 2. . Disregarded entity. ln general, a business entity that has a single owner, including an LLC, and is not a corporation, is disregarded as an entity separate from its owner (a disregarded entily). See Regulations s€ction 3o1 ,7701 -2(cX2). A disregarded entity should check ths appropriate box for the tax classification ol its owner. Enter the owne/s name on line 1. The name of the owner entered on line 'l 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.5/74/25) Page 18 of 21 example, if a loreign LLC thal is f€ated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is reguired lo be provided on line 1. lf tfie direct owner of the entity is also a disregarded entity, 6nt6r the lirst owner that is not dbregarded for lederal tax purpees. Enter the disregarded entity's name on line 2. lf lhe owner ol the disregarded entity is a foreign person, ths oyi'ner mugt complete an appropriate Form W-8 irntead of a Form W-9. This is lhe case even if the loreign person has a U.S. TlN. Line 2 lf you have a business name, trade name, DBA name, or disregarded entity name, enter it on line 2. Llne 3a Check the appropriate box classificalion of the pereon one box on line 3a. whose name is entered on line 1. Check only Line 3b Check this box ff yor are a partnership (including an LLC classified as a parhership for U.S. federal tax purposes), lrust, or estat€ that has any foreign partners, ownem, or beneficiaries, and you are providing this form lo a partn€rship, trust, or €state, in which you have an ownership interest. You mtrst check the box on line 3b if you receive a Form W-8 (or documentary evidence) from any partner, owner, or beneficiary establishing foreign status or if you receive a Form W-9 from any partner, owner, or beneficiary that has checked the box on line 3b, Note: A parlnership lhat provides a Form W'9 and checks box 3b may be required lo complete Schedules K-2 and K-3 {Form 1065). For more information, see the Partn€rehip lnstructions for Schedules K-2 and K-3 (Form 1065). lf you are required lo complete line 3b bul fail to do so, you may not receive the information necessary to file a conect information retum with the IRS or fumish a conect payee statement to your partners or beneficiaries. See, for example, sections 6698, 6122, and 8724 lat penaltles that may apply. Line 4 Exemptions lf you are exempt from backup withholding andlor 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 lrom backup withholding. o Except as provided below, corporations are exempt lrom backup withholding for certain payments, including interest and dividends. . Corporations are not exempl from backup wilhholding for paymentg made in settlenent ol payment card or third-party network transactions. o Gorporations are not exempt lrom backup whhholding wilh respect to attomeys'lees or gross proceeds paid to attomeys, and corporations lhal provide medical or health care serviceg are not exempl with respect to paymentB reportable on Form 1099-M|SC. The {ollowing codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space on lin€ 4. 1 -An organization exempt from tax under section 501(a), any lRA, or a custodial accont under secl;on 403tbx7) if the account satisfies the requirements of seclion 4010(2). on line 3a for the U.S. federal tax lF the enlityfindividual on line I is a(n) ... THEN check the bor lor. . . Gorporation Corporalion. o lndividual or . Scle proryietorship lndividual/sole proprietor . LLC classified as a partnership tor U.S. federal tax purpos€,s or r LLC that has filed Form 8832 or 2553 electing to be taxed as a corporation Limited liabiliV company and enter the appropriate tax classification: P = Partnership, C=Ccorporation,or S = S corporation. . Partnership Partnership. r Trusvestate TrusUestate. Form W-9 (gev.3-2024)Pase 4 2-The United Stat€s or any of its agencies or instrumentalities. 3-A state, lhe District ol Columbia a U.S. commonwealth or territory, or any of their political subdivisions or instrum€ntalities. 4-A foreign govemment or any of its political subdivisions, agencias, or inskumentalities. 5-A corporation. 6-A dealer in secudties or commodities requircd to regbter in the United States, the Dislrict ol Columb*a, or a U.S. commonweahh or tenitory. 7-A futures cornmission merchant r€gistered wilh the Commodity Futures Trading Gommission. 8-A real estate investment tust. 9-An entity registercd at ell times during the tax y'ear under lhe lnvestment Company Act of 1940. 10-A common tsust fund operated by a bank under s€ction 584(a). 1 1 -A linancial institution as defined under section 581. 12-A middleman known in the investment community as a nomines or custodian. 13-A lrust exempt from tax under section 664 or described in section 4947. The lollowing chart shows types of paymenb that may be exempt from backup wilhholding. The chart applies lo the €xempt payees listed above, 1 through 13. lF the payment is for. . .THEN the payment ie exempl lor . .. o lnterest and dividend payments All exempt payees except tor 7. r Broker Exompt pay€ee I lhrough 4 and 6 through 11 and all C corporations. S corporations must not ent€r an exempt paye€ code because they are exempt only for sales ol noncovered securilies acquired lo 2012. r Barter transactions Exempt payees 1 thro4h 4. end r Paymsnts over $600 required to Generally, exempt paye€s be reporled and direct sales over $5,(x)or 1 through 5.? . Payments made in settlement of Exempt payees 1 through 4. payrnent card or third-party network transactions r See Form 1099-M|SC, Miscellaneous lnformation, and its instructions. 2However, the lollowing payments made lo a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care paymenls, attomeys'fees, gross proeeeds paid to an atlorn€y reportable under section 8045(0, and payments for services paid by a federal executive agency. Exemption lrom FATCA repoding code. The following codes klentify payess that are exempt lrom reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United Statee by certain foreign financial inetitutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the p€rson r€questing this lorm if you are uncertain il ths financial institulion is subi€cl to th€e€ requir€ments, A requester may indicats that a code is not required by providing you with a Form W-9 with "Not Applicable'(or any similar indication) entered on the line for a FATCA exemption code. A-An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 77o1(al(371, B-The United States or any of its agencies or instrum€fllalitie€. C-A state, the Dstdct ol Columbia, a U.S. commonwealth or tenitory, or any of their political subdivisions or inslrumentalities. D-A corporation the stock of which is regularly lraded on one or more established securities markets, as described in Regulalions section 1.1a72-1{c)(1[). E-A corporation thal is a member ol the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c[lm). Kittitas County Agreement for Services (rev.5/14/25) Page 19 of 21 F-A dealer in securities, commoditias, or derivative linancial inslruments (including notional principal conlracts, futures, fonaards, and options) that is registered as such under the laws of the United States or any state. G-A real estate investment trusl. H-A regulated investnent compa.rry ae defined in section 851 or an €ntity rEgistered at all limes during lhe tax yoar under the lnvestment Company Act ol 1940. l-A common trust fund as defined in section 584{a). J-A bank as delined in section 581. K-A broker. L-A trust exempt from tax under s€ction 664 or described in section 4s47{aX1}. M-A lax-exempt trust under a secfion 403(b) plan or section 457(gl plan. Notel You nray wish to cor$ult with tlte lirrur{.,ial irrstituliun requestirrg this form to determine whether the FATCA code ancllor exempt payee code should be comdeted. Line 5 Enter your address (number, street, and apartment or suite numb€r). This is where the requester of this Form W-9 will mail your information retums. lf this address differs from the one the regusst€r alroady has on file, enter 'NEV\|' at the top. lf a new address is provided, there is etill a charrce the old address will be used until lhe payor changes your address in their records. Line 6 Enter your city, state, and ZIP code. Part l. Taxpayer ldentification Number (TlN) Enter your TIN in the appropriate box. lf you are a resident alien and you do not have, and are not eligible to get, an SSN, your TIN is your HS fflN. Enter it in the entry spacs for the Social security number. lf you do not have an fflN, see Flow fo pt a I/N below. lf you are a sole proprietor and 1lou have an ElN, you may enter either your $SN or ElN. lf you are a single-member LLC that is dbregarded as afi €nthy separate from its owner, enter the ownels SSN (or ElN, if the owner has one). lf the LLG is classilied as a corporation or parlnership, enter the entity's ElN. Note: Ses Whal Name aN Number To Give lhe R€gusstar, later, for further clarification of name and TIN combinalions. llow to get a TlN. lf you do not have a TlN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Secudty Card, lrom your local SSA office or get lhis lorm online at www.SSAgov. You may also gel this form by calling 800-772-1213. Use Form W-7, Application for IRS lndividual Taxpayer ldentification Number, to apply for an fflN, or Form SS-4, Application for Employer ldentification Number, to apply for an ElN. You can apply for an EIN online by accessing the IRS website at www.irs.govlFlN. Go to www.irs.govlForms to view, download, or print Form W-7 and/orForm SS-4. Or, you can go to wwft irs.govlOdeforms to place an order and have Form W-7 and/or Form S94 mailed to you within 15 business 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 the epace for the TlN, sign and date the form, and give it to the requester. For intersst and dividend payments, and certain payments made with respect to readily tradable inslruments, you will genarally have 60 days lo get a TIN and give it to the requester before you are sublect to backup withholding on payments. The 60-day rule does not apply to other types ol payments. You will be subjecl to backup withholding on all such paymenta until you provide yourTlN to the requester. Note: Entering "Appli€d Fof' means that you have already applied for a TIN or that you intend to apply for one soon. See also Estab/ishing U.S. slalus forpurposes of chapter 3 and chapter 4 withholding, earlier, for when yan may instead be sublecl to withholding under chapter 3 or 4 ot the Code. Gaution: A disregarded U.S. entity that has a loreign owner must use the appropriate Form W-8. Form W-9 (Rev.3-2024)Poge 5 Part ll. Certification To establish to the withholding agent lhat 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 otherwise. For a joint account, onh/ th€ person whose TIN is shown in Part I should sign (when required). ln the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee cade, earlier. Signatura requirements, Complete the cerlification as indical€d in itemelthroughSbelow. l. lnterest, dividend, and barter exchange accounts opened belore 1984 and broker accounts considared active during 1983. You must give your conect TlN. but you do not have to sign the certification. 2. lnlerest, dividend, broker, and barter erchange accounts opened after l0[Xl and hroker accounls consideled inaclive during {98i1. You must sign the certification or backup withholding will apply. lf you are subject to backup withholding and you are merely providing your conect TIN to the requester, you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign lhe certification. You may cro€s out itom 2 of the cerlifEation. 4. Other payments. You must giv€ your conect TlN, but you do nol have to sign lhe certification unless yur have been notified that you have previously given an incorrect TlN. "Other payrnents" include payments made in the course of the requester's trade or business for rents, royallies, goods {other than trills for merchandise}, medical and heafth care services fncluding payrnents lo corporations), payments to a nonemdoyee lor services, payments made in setdement of paym€nl card and lhird-party network transactions, payments to certain fishing boat cr€w members and fishermen, and gross proceeds paid to attomeys (including payments to corporations). 5. Modgage interest paid by you, acquisition or abandonmenl of secured property, cancellation of debt, qualified tuition program payments {under section 52E, ABLE accounts (under section 529A}, lRA. Coverdell ESA, Archer MSA or HSA contribuiions or dietributiong, and peneion distributions. You must give your correct TlN, but you do not have to sign the cerlification. What Name and Number To Give the Requester For thig of accounl:Give name end SSN of: For this of accounl: 8. Disreg*ded entity nol owned by an individual 9. A valid kust, estat6, or pemion trust 10. Corporalion or LLC oleciing corporalo 3talus on Form 8832 or Form 2553 1 1. Associatio.r, club, relQio.rs, charitable, educalional, or oth6r lax-ex6mpl organization 1 2. partnership or muhi-mernber LLC 13. A broker or registered nominee 14, Accounl with the Departmmt of Agricuhure h the name of a public €nlity {such as a state or local govemment, school dislrict, or prison) that receives agdcultural program paymcnt8 15. Grantor trust liling Fom '1041 or wder the Optional Filing Method 2. requidng Form 1O99 (see Hequlatiore section !.671 -4tb)t?Xi)€)1" Give name and EIN of: The mar Legal entity{ The corporation The organization The parhership The broker or nominee The public enlity 1. The trust ! List lirst and circle the name of lhe person whose number you fumish. lf only one person on a joint account has an SSN, that person's number must be fumished. ?Circle the mino/s name and fumish the minor's SSN. 3You must show vour individual name on line l. and enter vour business or DBA name, if any, on line 2. You may use either your SSN or EIN [f you have one), bul the IRS encourages you to use your SSN. {List lirsl and circle lhe name of the trust, eslale, or pension lrust. (Do not fumish lhe TIN of the personal representative or truslee unless the legal entity itself is not designated in the account lille.) 'Note: The grantor must also provlde a Form W-9 to the trustee of tha trust. "For more information on optional filing methods for grantor fusle, so€ the lnstructions for Form 1041. Note: lf no name is circled when more than one name is listed, the number will be considered to be that of lhe first name listed. Secure Your Tax Records From ldentity Theft ldentity theft occurs when som€one uses your personal information, such as your name, SSN, or other identifoing information, without your permission to commit fraud or other crimes. An identity thief may use your SSN to get a lob or may file a tax r€tum using your SSN to receive a refund. To reduce your risk: r Protect your SSN, . Ensure your employer is protecting your SSN, and . Be careful when choosing a lax retum preparer. ll your tax records are alfected by identity theft and you receive a notice from the lRS, respond right away to the name and phone number printed on the IRS notice or letter. lf your lax records are noi cunently affect€d by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity, or a questionable credit report, c,ontact the IRS ldentity Theft Hotline at 800-90&449O or submh Form 14039. For more information, see Pub. 5027, ldentity Theft lnformation for Taxpayers. 2. Two or mora individuals (ioint account) other lhan an account mainlained by an FR 3. Two or more U.S. persone (joint accoml maintained by an FFI) 4. Custodiala&ount of a mins f.lniform Gift lo Minors Act) 5. a. Th€ usual r€vocable savings bust {granlor is a!:o truslee} b. So-called tn.al lccoont that is not a legal s vatd trut under slate law 6. Sole proprietorship or disregarded entity owned by an individual 7. Grantor trust filing wder Optioml Filing Method 1 {seo Regulatiors sectbn 1.671 -4{blt2xixAl)" The actual owner of lhe account or, il combined funds, the first individual on lhe accounll Each holder of tha account The minoF The granlor-truste! The qcluol owerl Tha o*neF The grantor' Kittitas County Agreement for Services (rev.5/74/25) Page 2O of 2L Form W-9 (Rev.3-2024)Page 6 Victims of identity lheft wtro are experiencing economic harm or a systemic problem, or are seeking hetp in resolving tax proHems lhat have not been resolved through normal channels, may be eligible lor TaxpayerAdvocate Service ffAS) assistance. You can reach TAS by calling the TAS toll-free case intake lin€ at 877-777-4778 orTTY/TDD 800-829-4059. Protect yourself lrom suspicious enrails or phishing schenns. Phishing is the craation and use ol email and websites designed to mimic legitimate businees emails and webgites. The most common act is sending an ema;l to a user fabely claiming to be an established legitimate enterprise in an attsmpt to scam ihe user into sunendering private information that will be used for identity theft. the IRS does not initiate conl,acts wilh taxpayers via emails. Also, the IRS doeg not requ€sl personal detailed information through email or ask taxpayers lor the PIN numbee. passwords, or similar secret access information for their credit card, bank, or other financial accounts. lf you receivc an unsolicited email clairnirrg to be frorn lhe lRS, fonvard this message tophrbhing@its.gw. You may also report misuee of the IRS name, logo, or other IBS property to the Treasury lnepector General for Tax Administration (flGTA) at 800-366-4484. Ybu can forward euspicious emails to the Federal Trade Commission at spam@uc€.gov or report them alwww.ftc.govlcomplaint. You can contact th€ FTC al www.ftc.govlidthaft or g77-IDTHEFT (877-435-4338|. lf you have be€n the victim of identity thefi, see www,ldentityTheft.gov and Pub. 5027, Go to www.its.govlldentityTheft lo leam more about identity theft and how to reduce your risk. Privacy Act Notice Section 610e ol the lrnemal Revenue Code requiree you lo provide your conect TIN lo persons (including federal agencies) who are required to lile information retums whh the IRS to report interest, dividends, or certain other income paid to you; mortgags interest you paid; the acquisition or abandonnent of secured prop€rt$ the cancellation ol debt; or coniributions you made to an lRA. Archer MSA or HSA" The person collecting this lorm rises the information on the form to file information retums with the lRS, reporting lhe above information. Routhe uses of this information include giving it to lhe Department of Justice lor civil and criminal litigation and to citi€s, $tate8, th€ District of Columbia, and U.S. commonweahhs and lenitories for use in administering their laws. The information may also b€ disclosed to other countri€s under a treaty, to federal and state agenciss to enforce civil and criminal laws, or lo federal law enforcement and intelligence agencies to combat tenorigm. You must provide your TIN whether or not you are required to filc a tax rctum. Under section 34@, payos rrlust generally withhold a percentage of taxable interest, dividends, and c€rlain olhor payrnents to a psyse who does not give a TIN to the payor. Certain penalties may also apply for providing false or fraudulent information. Kittitas County Agreement for Services (rev. 5/74/25) Page 2L of 2t