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SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br />your business entity. <br />Corporation <br />Caeca ire --ems Inc . <br />[Service Provider's Complete Legal Name] <br />By: (J_t4 L C - 1-A—. <br />Typed/Printed Name: j]e� <br />Its: 14-5b0c.►o- e \irNEiP..—r- <br />Date: 101 Z 5 j 2- <br />Partnership <br />(general) <br />[Service Provider's Complete Legal Name] <br />a Washington general partnership <br />By: _ <br />Typed Printed Name: <br />_ <br />General Partner <br />Date: <br />Partnership <br />(limited) <br />[Service Provider's Complete Legal Name] <br />a Washington limited partnership <br />By: <br />Typed/Printed Name: <br />General Partner <br />Date: <br />Sole <br />Proprietorship <br />Typed/Printed Name: <br />Sole Proprietor: <br />Date: <br />Limited <br />Liability <br />Company <br />[Service Provider's Complete Legal Name] <br />a Washington limited liability company <br />By: <br />Typed/Printed Name: <br />Managing Member <br />Date: <br />Page 11 <br />GeoEngineers PSA 2021 <br />