Laserfiche WebLink
DATE SUBMITTED <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />E23 - 019 <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Laura Osiadacz <br />Chair, Board of County <br />Commissioners, 1/1/21-12/31/24 <br />Cory Wright <br />Vice Chair, Board of County <br />Commissioners 1/1/21-12/31/24 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Laura Osiadacz <br />Chair, Board of County <br />Commissioners, 1/1/21-12/31/24 <br />Cory Wright <br />Vice Chair, Board of County <br />Commissioners 1/1/21-12/31/24 <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT (A-19) <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />George Long E911 Coordinator <br />Brian Carlson Budget & Finance Director <br />Please complete form with any new contract or any time personnel changes. <br />Submit one original to State E911 Office <br />1. AUTHORIZING AUTHORITY <br />NAME OF ORGANIZATION <br />KITTITAS COUNTY <br />FY23 SECO County Basic Service Operations <br />Contract <br />SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />CAMP MURRAY, WASHINGTON 98430-5122 <br />NEW FORM WILL REPLACE PREVIOUS FORMS