HomeMy WebLinkAboutFY18 SAF - Kittitas CountyDATE SUBMITTED
10/17/2017
PROJECT DESCRIPTION CONTRACT NUMBER
E18-024
1. AUTHORIZING AUTHORITY
SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE
Paul Jewell
Chairman, Board of County
Commissioners
Laura Osiadacz
Vice-Chairman Board of County
Commissioners
2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS
SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE
Paul Jewell
Chairman, Board of County
Commissioners
Laura Osiadacz
Vice-Chairman Board of County
Commissioners
3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT (A-19)
SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE
Darlene Mainwaring Director
Judy Pless Budget-Finance Manager
Please complete form with any new contract or any time personnel changes.
Submit one original to State E911 Office
NAME OF ORGANIZATION
Kittitas County
FY18 SECO County Basic Service Operations
Contract
SIGNATURE AUTHORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
CAMP MURRAY, WASHINGTON 98430-5122
NEW FORM WILL REPLACE PREVIOUS FORMS