HomeMy WebLinkAboutKittitasCounty-FY23 SAF - BSO ContractsDATE SUBMITTED
PROJECT DESCRIPTION CONTRACT NUMBER
E23 - 019
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
FY23 SECO County Basic Service Operations
Contract
SIGNATURE AUTHORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
CAMP MURRAY, WASHINGTON 98430-5122
NEW FORM WILL REPLACE PREVIOUS FORMS