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Certificate S GomPletion <br />Envelope ld : F24ED3D0'D4D6-499A-9588-1 246949365D1 <br />Subject: Complete with Docusign: Kittitas- DRF Backfill SFY 2026 Contract 'pdf <br />Division: <br />Community Services and Housing <br />Program: chg <br />ContractN umber i 26-461 O8'2O7 <br />DocumentType: Contract <br />Source EnveloPe: <br />Document Pages: 15 Signatures:2 <br />Certificate Pages: 5 lnitials:2 <br />AuloNav: Enabled <br />Envelopeld StamPing: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & Canada) <br />dl docusign <br />Status: Completed <br />Envelope Originator: <br />Esmeralda Zavala-Montalvo <br />10'll Plum Street SE <br />MS 42525 <br />Olympia, WA 98504-2525 <br />esmeralda.zava la-montalvo@commerce.wa. gov <br />lP Address: 198.238.75.163 <br />Location: DocuSign <br />Location: Docusign <br />Timestamp <br />Sent: 8/4/2025 1:58:10 PM <br />Viev,red: II412A25 3:30:23 PM <br />Signed: 814i2025 3:30:42 PM <br />Sent: 8/4/2025 3:30:43 PM <br />Viewed: 8t4 12025 4:05:41 PM <br />Signed: 8/4/2025 4:06:39 PM <br />Sent: 8/512025 8:01:20 AM <br />Viewed: 81512025 8:07:46 AM <br />Signed: 9/2/2025 12:36:43 PM <br />Record Tracking <br />Status: Original <br />81412025 '1:49:01 PM <br />Security Appliance Status: Connected <br />Storage Appliance Status: Connected <br />Signer Events <br />Julie Montgomery <br />julie.montgomery@commerce.wa-gov <br />Washington State Department of Commerce <br />Security L€vel: 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 />Ghelsey Loeffers <br />Chelsey.loeffers@co. kittitas.wa. us <br />Public Health Direcior <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Dlsclosure: <br />Accepled: 81512025 8:07:46 AM <br />lD: e4927969-daff-46e1 -bb20-2dcc2geaca78 <br />Holdet: Esmeralda Zavala'Montalvo <br />esmeralda.zavala-montalvo@commerce-wa.gov <br />Pool: Statelocal <br />Pool: Washington Siate Department of Commerce <br />Signatum <br />Signalure Adoption: Pre-selected Style <br />Using lP Address: 147.55'149.237 <br />Signature Adoption: Pre-selected Style <br />Using lP Address: 147.55.149.143 <br />Signature Adoption: Pre-selected Style <br />Using lP Address: 66.243.254.,l8 <br />B <br />g <br />ffi,,s^