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Home My WebLink AboutFY16 Signature Authorization Form SAF AmendmentDATE SUBMITTED 4/5/2016 PROJECT DESCRIPTION CONTRACT NUMBER E16 - 020a 1. AUTHORIZING AUTHORITY SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE Obie O'Brien Chairman Board of County Commissioners, Jan 1, 2015 - Dec 31, 2018 Paul Jewell Vice Chairman Board of County Commissioners, Jan 1, 2013- Dec 31, 2016 2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE Obie O'Brien Chairman Board of County Commissioners, Jan 1, 2015 - Dec 31, 2018 Paul Jewell Vice Chairman Board of County Commissioners, Jan 1, 2013- Dec 31, 2016 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT (A-19) SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE Darlene Mainwaring Director of KITTCOM, appointed Judy Pless Kittitas County budget & Finance, appointed Please complete form with any new contract or any time personnel changes. Submit one original to State E911 Office NAME OF ORGANIZATION Kittitas County FY16 E911 County Contract SIGNATURE AUTHORIZATION FORM WASHINGTON STATE MILITARY DEPARTMENT CAMP MURRAY, WASHINGTON 98430-5122 NEW FORM WILL REPLACE PREVIOUS FORMS