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<br />DocuSign Routing Form <br /> <br />Local Government Division <br />Contract Number: 20-6221C-115 Amendment A Contract End Date: 6/30/23 <br />Grantee Name: Kittitas County <br />Project Name: CDBG-CV CV2 <br />Contract Total: $447,130 <br />The amendment has been approved by the CV2 Project Manager and the CDBG-CV Section <br />Manager. <br />Review by (Title): Name: Date: Initials: <br />Managing Director <br />Tina Hochwender <br />Operations/Budget <br />Manager <br />(before AD signature) <br />Tony Hanson <br /> <br />*** This form is completely customizable. You can edit or remove the information above. Note: this <br />is for DocuSign recipients with the Recipient action of NEEDS TO SIGN can initial that they have <br />reviewed and approved the document in DocuSign. This is the only way they will be able to void <br />(stop) the DocuSign envelope if an error is found. *** <br />** This document is set up to be merged out of CMS, if you choose to use it as is. Click here for How <br />to Merge Documents from CMS Instructions. ** <br />Updated February 2021 <br />DocuSign Envelope ID: AB551410-E673-49BA-99CD-6E49493F64AE <br />7/19/2021 | 11:09 AM PDT <br />7/19/2021 | 12:05 PM PDT