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DATE SUBMITTED <br />9/18/2018 <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />E19 - 025 <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Laura Osiadacz <br />Chairman of the Board of County <br />Commissioners, Jan1, 2017 - <br />Dec 31, 2020 <br />Obie O'Brien <br />Vice Chair of the Board of <br />County Commissioners, Jan 1, <br />2015-Dec 31, 2018 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Laura Osiadacz <br />Chairman of the Board of County <br />Commissioners, Jan1, 2017 - <br />Dec 31, 2020 <br />Obie O'Brien <br />Vice Chair of the Board of <br />County Commissioners, Jan 1, <br />2015-Dec 31, 2018 <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT (A-19) <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Darlene Mainwaring Director/E911 Coordinator of <br />KITTCOM, appointed <br />Judy Pless 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 />1. AUTHORIZING AUTHORITY <br />NAME OF ORGANIZATION <br />KITTITAS COUNTY <br />FY19 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