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SIGNATURE AUTHORIZATION FORM <br />WASHI NGTON STATE MILITARY DEPARTMENT <br />CAMP MURRAY, WASHINGTON 98430-5122 <br />NEW FORM WILL REPLACE PREVIOUS FORMS <br />NAME OF ORGANIZATION <br />KITTITAS COUNTY <br />DATE SUBMITTED <br />10/21/2020 <br />PROJECT DESCRIPTION <br />FY20 SECO County Basic Service Operations <br />Contract <br />CONTRACT NUMBER <br />E20 - 0214 <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Brett Wachsmith <br />Chair of the Board of County <br />Commissioners, Jan 1, 2019- <br />Dec 31 ,2022 <br />Laura Osiadacz <br />Vice Chair of the Board of <br />County Commissioners, Jan 1, <br />2017-Dec 31,2020 <br />2. AUTHORIZED TO S'G'V CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Brett Wachsmith <br />Chair of the Board of County <br />Commissioners, Jan 1, 2019- <br />Dec 31 ,2022 <br />Laura Osiadacz <br />Vice Chair of the Board of <br />County Commissioners, Jan 1, <br />2017-Dec 31,2020 <br />IO S'GA' REQUESTS FOR REIMBURSEMENT <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />George Long Director/E91 I Coordinator of <br />KITTCOM, appointed <br />Kittitas County Budget & <br />Finance, appointedJudy Pless <br />Please complete form with any new contract or any time personnel changes <br />Submit one original to State Egl1 Office