Laserfiche WebLink
SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />CAMP MURRAY, WASHINGTON 98430-5122 <br />NEW FORM WILL REPLACE PREVIOUS FORMS <br />NAME OF ORGANIZATION <br />DATE SUBMITTED <br />KITTITAS COUNTY <br />612212020 <br />PROJECT DESCRIPTION <br />CONTRACT NUMBER <br />FY20 SECO County Basic Service Operations <br />Contract <br />E21-024 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Darlene Mainwaring <br />Chair of the Board of County <br />Brett Wachsmith <br />Commissioners, Jan 1, 2019 - <br />Dec 31, 2022 <br />Vice Chair of the Board of <br />Judy Pless <br />Vice Chair of the Board of <br />Laura Osiadacz <br />County Commissioners, Jan 1, <br />County Commissioners, Jan 1, <br />2017 -Dec 31, 2020 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Darlene Mainwaring <br />Chair of the Board of County <br />Brett Wachsmith <br />Commissioners, Jan 1, 2019 - <br />Dec 31, 2022 <br />Judy Pless <br />Vice Chair of the Board of <br />Laura Osiadacz <br />County Commissioners, Jan 1, <br />2017 -Dec 31, 2020 <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT (A-19) <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Darlene Mainwaring <br />Director/E911 Coordinator of <br />KITTCOM, appointed <br />Judy Pless <br />Kittitas County Budget & <br />Finance, appointed <br />Please complete form with any new contract or any time personnel changes. <br />Submit one original to State E911 Office <br />