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Signature: <br />Print Narne: <br />UnitedHealthcare Insurance Company, as <br />signed by its authorized representative <br />J*r=*nr*_"Signature: <br />ScottWilliams <br />Title: VP, Network Management <br />pn1s, Jul 8,2026 <br />UnitedHealthcare of Washington, Inc., as <br />sigrred by its authorized representative <br />Signature: <br />Scott Williams <br />Print Name: CI,AY ,1,,-VFR S <br />Title: stfEetFF <br />Date: a - 3A-t"t <br />TIN att - t'oo l3 Lt1 <br />Kittitas County, as signed by its authorized <br />representative <br />Kittitas County, as signed by its authorized <br />representative <br />PrintName: CLIY t1y'r€Rs <br />Title:SHERIFF <br />Date: 6.t4'24 <br />TIN:l - I.DD,,t <br />Signature: <br />Print Name: <br />Title: VP, Network Management <br />Date: Jul 8,2026 <br />UnitedHealthcare of Oregon, Inc., as signed <br />by its authorized representative <br />Kittitas County, as signed by its authorized <br />representative <br />Signature: <br />Print Name:Scott \Mlliams <br />Signature d-u 4rts<to1-/ <br />Print Narne: CLA7 ."ryEp5 <br />Title: VP, Network Management Title:SAER,FF <br />pnls; Jul 8,2026 Date: 6. W'A/ <br />Qt-l'Dol3L/1TIN <br />UnitedLlealthcare2Ge n.,4 url.SlllG,4. B ll. rI'4.06. 2 5 <br />Confidential and Propiettuy