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SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />CAMP MURRAY, WASHINGTON 98430-5122 <br />N EW FORM WILL REPLACE PREVIOUS FORMS <br />N AME OF ORGANIZATION DATE SUBMITTED <br />Kittitas County 2~6~20~8 <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />FY18 SECO County Basic Service Operations <br />Contract E18-024 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Chair Board of County <br />` <br />Laura Osiadacz Commissioners, Jan 1, 2017 - <br />_~>Dec 31, 2020 <br />`Vice Chair Board of County <br />~ f 1 Obie O'Brien Commissioners, Jan 1, 2015 - <br />~i~,~~ ,~---Dec 31, 2018 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />C hair Board of County <br />Laura Osiadacz Commissioners, Jan 1, 2017 - <br />Dec 31, 2020 <br />~Vice Chair Board of County <br />~Obie O'Brien Commissioners, Jan 1, 2015 -\`~I~ <br />'~Dec 31, 2018 <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT (A-19) <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />11.,~~~~~ o ~ ~'o , .,, ~~~~,N ~ •-~,~~ war <br />Darlene Mainwaring Director/E911 Coordinator of <br />KITTCOM, appointed~ ~ <br />_-~ <br />~Kittitas County Budget &~~~~~Judy Pless <br />Finance, appointed <br />Please c' plete form with any new contract or any time personnel changes. <br />Submit one original to State E911 Office