Laserfiche WebLink
II SIGNATURE AUTHORIZATION FORM <br /> WASHINGTON STATE MILITARY DEPARTMENT <br /> Camp Murray, Washington 98430-5122 <br /> Please read instructions on reverse side before completing this form. <br /> NAME OF ORGANIZATION DATE SUBMITTED <br /> City of Everett Office of Emergency Management 10/28/2019 <br /> PROJECT DESCRIPTION CONTRACT NUMBER <br /> Emergency Management Performance Grant (EMPG) between the E20-142 <br /> City of Everett and the WA State Military Department p <br /> 1. AUTHORIZING AUTHORITY <br /> SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br /> Cassie Franklin Mayor, City of Everett <br /> - - <br /> 2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> Cassie Franklin Mayor, City of Everett <br /> 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> Brent Stainer Director, Everett OEM <br /> II <br /> Rachael Doniger Emergency Management Coord. <br /> \\NAC-1\VOL1\HOME\KARENB1....\WP\SIGNAUTH Revised 3/03 <br /> 51 <br />