HomeMy WebLinkAboutKittitasCounty FY23 SAF - EQUIPContractsDATE SUBMITTED
PROJECT DESCRIPTION CONTRACT NUMBER
E22-304
SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE
Laura Osiadacz
Chair, Board of County
Commissioners, 1/1/21-12/31/24
Cory Wright
Vice Chair, Board of County
Commissioners 1/1/21-12/31/24
2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS
SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE
Laura Osiadacz
Chair, Board of County
Commissioners, 1/1/21-12/31/24
Cory Wright
Vice Chair, Board of County
Commissioners 1/1/21-12/31/24
3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT (A-19)
SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE
George Long E911 Coordinator
Brian Carlson Budget & Finance Director
Please complete form with any new contract or any time personnel changes.
Submit one original to State E911 Office
1. AUTHORIZING AUTHORITY
NAME OF ORGANIZATION
KITTITAS COUNTY
FY22-23 SECO Equipment Contract
SIGNATURE AUTHORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
CAMP MURRAY, WASHINGTON 98430-5122
NEW FORM WILL REPLACE PREVIOUS FORMS