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Docusign Envelope lD: CCDS6BBF-645D-4579-9C75-FB03991 1CF89 <br />CONTRACTOR SIGNATU RE REQUIRED <br />TITLE; <br />StlrLt Ft= <br />DATE: <br />7-t'7-f-l <br />Washington State <br />Health Care Authority <br />SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL <br />PLEIGE ALSO PRINT OR TYPE NAME: <br />€t'AY /t4YE^llS' <br />ORGANIZATION NAME: (if applicable) <br />Kt rrtrl 9 Ec,LtilrY'f4EAlFl;'g 6fF t <a <br />23 HCA Contract #K7843