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Certificate Of Completion <br />Envelope Id: E55C1 F1 D-134E-4C4B-80A0-DDF1244892C7 <br />Subject: Kittitas County - SFY27 DRF Amendment A.docx <br />Division: <br />Community Services and Housing <br />Program: DRF <br />ContractNu tuber: 26-46108-207 <br />DocumentType: <br />Contract Amendment <br />Source Envelope: <br />Document Pages: 2 Signatures: 0 <br />Certificate Pages: 5 Initials: 2 <br />AutoNav: Enabled <br />Envelopeld Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & Canada) <br />Record Tracking <br />Status: Original <br />3/25/2026 2:12:03 PM <br />Security Appliance Status: Connected <br />Signer Events <br />Julie Montgomery <br />julie.montgomery@commerce.wa.gov <br />Compliance Team Manager <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 />Kathy Kinard <br />Kathy.Kinard@commerce.wa.gov <br />Managing Director <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via Docusign <br />Chelsey Loeffers <br />Chelsey.loeffers@co.kiffitas.wa.us <br />Public Health Director <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Accepted: 8/5/2025 8:07:46 AM <br />ID:e4927969-daff-46e1-bb20-2dcc29eaca78 <br />Tedd Kelleher <br />tedd.kelleher@commerce.wa.gov <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Holder: Esmeralda Zavala-Montalvo <br />0 docusign_ <br />Status: Sent <br />Envelope Originator: <br />Esmeralda Zavala-Montalvo <br />1011 Plum Street SE <br />MS 42525 <br />Olympia, WA 98504-2525 <br />esmeralda.zavala-montalvo@commerce.wa.gov <br />IP Address: 198.238.29.2 <br />Location: DocuSign <br />esmeralda.zavala-montalvo@commerce.wa.gov <br />Pool: StateLocal <br />Signature Timestamp <br />os Sent: 3/25/2026 2:28:01 PM <br />3� Viewed: 3/25/2026 2:45:09 PM <br />Signed: 3/25/2026 2:47:02 PM <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 198.239.10.164 <br />Sent: 3/25/2026 2:47:03 PM <br />Viewed: 3/25/2026 2:58:08 PM <br />Signed: 3/25/2026 2:58:09 PM <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 147.55.134.118 <br />Sent: 3/30/2026 10:56:22 AM <br />