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EXHIBIT G <br /> DATA ENTERED ON THE A-299 FORM <br /> Washington State Parks&Recreation Commission—Recreational Boating Program <br /> Request for Boating Safety Program Approval <br /> Application Year: <br /> za1 <br /> AGENCY INFO <br /> Agency Name Agency Size <br /> Everett Police Department Large <br /> Agency Signing Officer Title Signing Officer First Name <br /> Chief Dan <br /> Signing Officer Last Name Dedicated Account Number <br /> Templeman 002-333-6702-400 <br /> STAFFING <br /> Roles SAW ID Rank First Name Last Name Commission FT/PT Email Address Date of Training Non-WA Parks <br /> Marine L.E. Current? Courses <br /> Training <br /> Marine Lieutenant Ryan Dalberg Regular Full time rdalberg®everet N/A for <br /> Lead twa.gov this <br /> position <br /> Boating Detective Sean Barentine Regular Full time sbarentine@eve Yes <br /> Safety rettwa.gov <br /> Of3icer,Lea <br /> Updated 10/28/2020 Page 21 of 25 <br />