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Clean Fuel Standard <br />Aggregator Designation Form <br />Instructions: This form is used by the Washington State Department of Ecology (Ecology) to approve the <br />designation of a third -party aggregator by another party that is eligible to participate in the Clean Fuels Standard as <br />a credit generator or regulated party. Ecology must approve the designation of an aggregator in order for the <br />aggregator to report and generate credits or deficits on behalf of the company designating them. The information <br />submitted is subject to Ecology verification. Both the designating organization and the aggregating organization <br />must submit the signed and completed form to CFS@ecy.wa.gov. The aggregating organization must also upload <br />the signed and completed form to WFRS-CBTS by visiting their Organization Profile and clicking "Add <br />Designator(s)". <br />Section 1. Designating Organization <br />Company Name: Everett Transit / City of Everett <br />Physical Address: 3201 Smith Ave. Ste. 215 <br />City: Everett State/Province: WA Country: USA Zip: 98201 <br />0 Check here if mailing address is the same as above <br />Mailing Address: <br />City: State/Province: Country: Zip: <br />Legal Contact <br />If the designating organization does not have legal counsel, please list a person from the organization with authority <br />to accept legal responsibility for the organization. <br />0 By checking this box and signing below, I acknowledge my role as the legal contact for the designating <br />organization. <br />Name: Tim Benedict Title: Deputy City Attorney <br />Telephone: 425.257.8669 <br />Signature: <br />ECY 070-714 <br />Email: tbenedict@everettwa.gov Fax: n/a <br />Date: 3.21.23 <br />UM DEPARTMENT OF <br />ECOLOGY <br />11141 State of Washington December 2022 <br />