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DocuSign" <br />Certificate Of Completion <br />Envelope ld: AE8E006C30A54332AF1ED6ACDCECFAF7 Status: Compteted <br />Subject: Please Docusign: WSU 23-66233-001 lnteragency Agreement.docx, SBO Countract Routing Form.docx <br />Division: <br />Local Government <br />Program: State Broadband Office <br />ContractNum ber: 23-66233-001 <br />DocumentType: Contract <br />Source Envelope: <br />Document Pages: 18 Signatures: 2 <br />Certificate Pages: 5 lnitials: 2 <br />AutoNav: Enabled <br />Envelopeld Slamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & Canada) <br />Record Tracking <br />Status: Original <br />81412022 8:43:07 AM <br />Security Appliance Status: Connected <br />Storage Appliance Status: Connected <br />Signer Events <br />Matt Michener <br />matthew.michener@wsu.ed u <br />Matthew Michener, Assistant Director <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Accepted: 81512022 8:31 :20 AM <br />lD: 3937eef0-0655-4a52-b924-5802338d661 e <br />Connie Rivera <br />connie. rivera@commerce.wa.gov <br />Security Level: Email, Accounl 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 <br />connie. rivera@commerce.wa. gov <br />Pool: StateLocal <br />Pool: Washington State Department of Commerce <br />Signature <br />^,r41+ <br />A,nd';u^tr <br />Envelope Originator: <br />Connie Rivera <br />1011 Plum Street SE <br />MS 42525 <br />Olympia, WA 98504-2525 <br />connie. rivera@commerce.wa.gov <br />lP Address: 198.239.1 57.62 <br />Location: DocuSign <br />Location: DocuSign <br />Timestamp <br />Senl: 81 412022 8 :43:28 AM <br />Viewed: 81512022 8:31:20 AM <br />Signed: 8/5/2022 8:32:43 AM <br />Sent:. 8l 512022 8 :32:45 AM <br />Viewed: 81512022 10:20:58 AM <br />Signed: 8/5/2022 1O,'2'l:23 AM <br />Sent: 81512022 10:21 :26 AM <br />Viewed: 81812022 8:45:57 AM <br />Signed: 8/8/2022 8:47:30 AM <br />lsa{sloEMrc <br />Signature Adoption: Pre-selected Style <br />Using lP Address: 69.166.59.4 <br />Signature Adoption: Pre-selected Style <br />Using lP Address: 147.55.134.122 <br />Signature Adoption: Pre-selected Style <br />Using lP Address: 198.239.10.243 <br />G <br />G