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DocuSign <br />Certificate Of Completion <br />Envelope Id: AEBE006C30A54332AF1 ED6ACDCECFAF7 <br />Status: Completed <br />Subject: Please DocuSign: WSU 23-66233-001 Interagency Agreement.docx, SBO Countract Routing Form.docx <br />Division: <br />Local Government <br />Program: State Broadband Office <br />ContractN umber: 23-66233-001 <br />DocumentType: Contract <br />Source Envelope: <br />Document Pages: 18 Signatures: 2 <br />Envelope Originator: <br />Certificate Pages: 5 Initials: 2 <br />Connie Rivera <br />AutoNav: Enabled <br />1011 Plum Street SE <br />Envelopeld Stamping: Enabled <br />MS 42525 <br />Time Zone: (UTC -08:00) Pacific Time (US & Canada) <br />Olympia, WA 98504-2525 <br />connie.rivera@commerce.wa.gov <br />IP Address: 198.239.157.62 <br />Record Tracking <br />Status: Original <br />8/4/2022 8:43:07 AM <br />Security Appliance Status: Connected <br />Storage Appliance Status: Connected <br />Signer Events <br />Matt Michener <br />mafthew.michener@wsu.edu <br />Matthew Michener, Assistant Director <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Accepted: 8/5/2022 8:31:20 AM <br />ID:3937eef0-0655-4a52-b924-5802338d661e <br />Connie Rivera <br />connie.rivera@commerce.wa.gov <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via DocuSign <br />Tony Hnason <br />tony.hanson@commerce.wa.gov <br />Washington State Department of Commerce <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via DocuSign <br />Holder: Connie Rivera Location: DocuSign <br />connie.rivera@commerce.wa.gov <br />Pool: StateLocal <br />Pool: Washington State Department of Commerce Location: DocuSign <br />Signature Timestamp <br />"°"edN Sent: 8/4/2022 8:43:28 AM <br />Aia/Lw_r Viewed: 8/5/2022 8:31:20 AM <br />C1N'4A"1QEfAuFr' Signed: 8/5/2022 8:32:43 AM <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 69.166.59.4 <br />°8 Sent: 8/5/2022 8:32:45 AM <br />Viewed: 8/5/2022 10:20:58 AM <br />Signed: 8/5/2022 10:21:23 AM <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 147.55.134.122 <br />Sent: 8/5/2022 10:21:26 AM <br />I I tt Viewed: 8/8/2022 8:45:57 AM <br />��� Signed: 8/8/2022 8:47:30 AM <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 198.239.10.243 <br />