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SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />Camp Murray, Washington 98430-5122 <br />Please read the instructions on reverse side before completing this form. <br />NAME OF ORGANIZATION <br />City of Everett <br />DATE SUBMITTED <br />April 2024 <br />PROJECT DESCRIPTION <br />Public Assistance Program, Disaster 4481-DR-WA <br />CONTRACT NUMBER <br />D20-122 <br /> <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br /> <br /> <br />Cassie Franklin Mayor <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br /> <br /> <br />Cassie Franklin Mayor <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />3. DESIGNATED APPLICANT AGENT AND ALTERNATE <br />SIGNATURE PRINT OR TYPE NAME TITLE <br /> Jim Sande Emergency Management Director <br /> <br /> Dan Templeman Senior Executive Director <br />