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9 <br /> EXHIBIT A <br /> Initial Election to Receive Emergency Communication Services <br /> from Snohomish County 911 <br /> To be returned to: Snohomish County 911 <br /> 1121 S.E. Everett Mall Way, Suite 200 <br /> Everett,WA 98208 <br /> For Agencies becoming Principals: <br /> The undersigned, as party to the Snohomish County Regional Public Safety <br /> Communications Agency Interlocal Agreement(the "Agreement")and a Principal in <br /> Snohomish County 911, hereby confirms that it elects to receive from Snohomish County <br /> 911 Emergency Communication Services as defined in the Agreement, for its <br /> Police depai tuient/operation <br /> Fire/Emergency Medical Services department/operation <br /> as and when such service becomes available in accordance with the Agreement. <br /> (Cities and Towns: If both services are not checked above,please indicate below the <br /> service provider that will be providing such service, and whether that is being provided <br /> per a service contract with your jurisdiction or as a matter of law (i.e., annexation into a <br /> Fire District). <br /> For Agencies becoming Associate Agencies: <br /> The undersigned, as party to the Agreement hereby confirms that it will be an Associate <br /> Agency of Snohomish County 911. Associate Agency receives <br /> Local Policing services by contract with <br /> Fire/Emergency Medical Services by contract with <br /> For all signatory agencies: <br /> Contact information for the elected depai tinent/operation(s)is set forth below <br /> Signed this day of , 2017. <br /> Agency Name: <br /> By: <br /> Its: <br /> A-1 <br /> 58 <br />