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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 <br />City of Everett <br />PROJECT DESCRIPTION <br />Emergency Management Performance Grant <br />DATE SUBMITTED <br />1/19/2022 <br />CONTRACT NUMBER <br />E22-221 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Cassie Franklin <br />Mayor <br />AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />Cassie Franklin <br />Mayor <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />Brent Stainer <br />Director, Emergency Mgmt <br />Rachael Doniger <br />Public Education Coord. <br />MAC-11VOL11HOMEIKARENBI....1WP\SfGNAUTH Revised 3/03 <br />