AG 22-118 - KING COUNTYRETURN TO: PW ADMIN EXT: 2700 ID #: '- `() tA
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT/DIV: PUBLIC WORKS 1 V%
2. ORIGINATING STAFF PERSON: L ���yti� EXT: 21 3 3. DATE REQ. BY- s' Bl Z�C7z-�
3. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG
?&REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT DOCUMENT (E.G. BOND RELATED DOCUMENTS)
{❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL
❑ OTHER
H2 4u 5 -oil 14
4. PROJECT NAME: 7QCL-. fe.je [7q�-
5. NAME OFCONTRACTOR:
ADDRESS: 300 L4 CV#— ''C� .SODA 5ZL .yv\t We- °� L104 TELEPHONE: 'Z06' Z 63 DLZL
E-MAIL: "62VVc-Vt@ ytzy c!�' FAX:
SIGNATURENAME: ��\i °t� C.�i st^^��1 TITLE:,IAV-- e,d; %za-a
Sler%h't- .ear
6. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER
REFERENCED EXHIBITS ❑ PROOF OF AUTHORITYTO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
CFW LICENSE # BL EXP. 12/31/ UBI # . EXP. / /
7. TERM: COMMENCEMENT DATE: S� Zo Z--L- COMPLETION DATE: I 170 2 -L
8. TOTAL COMPENSATION: $ W4t- g g--0 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED: ❑ YES J IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: / A31 + ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
❑ PURCHASING: PLEASE CHARGE TO:
9. DOCUMENT / CONTRACT REVIEW INmAL / DATE REVIEWED INITIAL / DATE A..PPROVED
❑ PROJECT MANAGER
❑ DIVISION MANAGER
❑ DEPUTY DIRECTOR
r}ERECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
x LAw DEPT Oft, S I La ZL
10.. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: y VL+yl ?-O'L %- COMMITTEE APPROVAL DATE: "L6120'LZ
SCHEDULED COUNCIL DATE: 51_ (-LVZT-- COUNCIL APPROVAL DATF I3IZ0ZZ
11. CONTRACT SIGNATURE ROUTING jj
❑ SENTTO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: 6 1 3I ZO'2-Z
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFIQATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
(INCLUDE DEPT. SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.)
INITIAL / DATE SIGNED
❑ FINANCE DEPARTMENT
❑ LAw DEPT
❑ SIGNATORY (MAY OR IRECTOEZ} IC "Z-Z—
❑ CITY CLERK
❑ ASSIGNED AG # AG# 22-118
❑ SIGNED COPY RETURNED DATE SENT: 10-21-22
❑ RETURN ONE ORIGINAL
COMMENTS:
ExECUTE ° ORIGRv,1L5 e tit :�•- EX �1`a'i Y\ . �� : �n �Zt �.
er. e4
I/20I8
L/UUUJIIy.II CIIVCIUPV IW. IC/ULJJUVUUmk,
KING COUNTY TAX TITLE TERMS of SALE
This is an offer by King County to sell real property under the "Terms" detailed below. By signing
these Terms and providing King County with the full Payment of the Purchase Price, the Buyer
accepts King County's offer under the following Terms.
1. King County, a political subdivision of the State of Washington (the "Seller") is the
owner of that certain real property located at SW 347th PI, Federal Way, King County, State of
Washington, the legal description of which is attached hereto as Exhibit A (the "Property"). The
Property was the subject of a foreclosure order of the King County Superior Court and the Seller
acquired the Real Property in trust for the taxing districts by deed under Recording Number
20040127000635 by virtue of RCW 84.64.200 in tax title status as the result of no qualifying
bids being received at a tax foreclosure sale.
2. City of Federal Way, a(n) Washington Municipal Corporation (the "Buyer"), accepts
Seller's offer and agrees to purchase the Property under these Terms of Sale (the "Terms").
Buyer is advised and agrees that the Terms are not intended as legal advice, and if the Buyer has
questions they shall seek the advice of an attorney.
3. In consideration of the conveyance of the Property, Buyer shall, in full payment
therefore, pay to Seller a total purchase price of Five Hundred Dollars ($500.00) (the "Purchase
Price"). Buyer shall provide Seller with a wire transfer for the full amount of the Purchase
Price ("Payment") and a signed copy of the Terms. The agreement to purchase the Property shall
be effective as of the date these are received by the Seller. -
4. King County's sale of the Property is not subject to real estate excise tax per WAC 458-
61A-205. For purposes of timely filing the required real estate excise tax affidavit (REETA)
claiming a governmental transfer exemption, only, Buyer permits Seller, or Seller's agent, to
sign the REETA on Buyer's behalf.
5. Buyer acknowledges and agrees that the Property is sold "As Is" and
"Where Is" without any representations or warranties expressed or implied.
6. By agreeing to these Terms, and providing the Seller with the Payment and a signed copy
of the Terms, Buyer enters into a binding contract to purchase the Property and agrees to and is
subject to the Terms as a matter of contract.
7. Buyer is required to conduct all due diligence of the Property prior to agreeing to the
Terms and accepting Seller's offer. Buyer is to rely solely on their own investigation of the
Property and shall not rely on any information provided or to be provided by Seller. Buyer
acknowledges and agrees that King County is not liable or bound in any manner by any verbal or
written statements, representations, or information pertaining to the Property, or the operation
thereof, furnished by any agent, employee, or contractor of King County, any real estate broker,
or any other person.
King County Tax Title Terms of Sale
L/UI;UJIIYII CI IVCIuytC IL/. IClUL/JJ000Mk-
8. Seller has not made, does not make, and specifically negates and disclaims any
representations, warranties, promises, covenants, contracts or guarantees of any kind or character
whatsoever, whether express or implied, oral or written, past, present or future, of, as to,
concerning, or with respect to the value, nature, quality, or condition of the Property (collectively
"Condition of the Property"), including, without limitation; the actual, threatened or alleged
existence, release, use, storage, generation, manufacture, transport, deposit, leak, seepage, spill,
migration, escape, disposal or other handling of any Hazardous Substances in, on, under or
emanating from or into the Property, and the compliance or noncompliance of or by the Property
or its operation with applicable federal, state, county and local laws and regulations, including,
without limitation, Environmental Laws and regulations and seismic/building codes, laws and
regulations. For purposes of this Agreement, the term "Environmental Law" shall mean: any
federal, state or local statute, regulation, code, rule, ordinance, order, judgment, decree,
injunction or common law pertaining in any way to the protection of human health, safety, or the
environment, including without limitation, the Comprehensive Environmental Response,
Compensation and Liability Act of 1980, 42 U.S.C. § 9602 et. seq. ("CERCLA"); the Resource
Conservation and Recovery Act of 1976, 42 U.S.C. § 6901 et seq. ("RCRA"); the Washington
State Model Toxics Control Act, RCW ch. 70.105D ("MTCA"); the Washington Hazardous
Waste Management Act, RCW ch. 70.105; the Federal Water Pollution Control Act, 33 U.S.C. §
1251 et seq., the Washington Water Pollution Control Act, RCW ch. 90.48, and any laws
concerning above ground or underground storage tanks. For the purposes of this Agreement, the
term "Hazardous Substance" shall mean: any waste, pollutant, contaminant, or other material
that now or in the future becomes regulated or defined under any Environmental Law.
9. To the maximum extent permitted by RCW ch. 64.06, Buyer expressly waives the right
- ------ to receive from King County a seller disclosure statement ("Seller Disclosure Statement").
Nothing in any Seller Disclosure Statement delivered by King County creates a representation or
warranty by King County, nor does it create any rights or obligations on any party.
10. By agreeing to the Terms, Buyer approves and accepts the Condition of the Property, and
agrees to purchase the Property and accept the Condition of the Property "AS IS, WHERE IS"
with all faults and patent or latent defects. Buyer shall have no recourse against King County for,
and waives, releases and discharges forever King County from, any and all past, present or future
claims or demands, and any and all past, present or future damages, losses, injuries, liabilities,
causes of actions (including, without limitation, causes of action in tort) costs and expenses
(including, without limitation fines, penalties and judgments, and attorneys' fees) of any and
every kind or character, known or unknown (collectively, "Losses"), which the Buyer might
have asserted or alleged against King County arising from or in any way related to the Condition
of the Property, including without limitation, matters related to Hazardous Substances or
Environmental Laws.
11. GENERAL INDEMNITY AND HOLD HARMLESS. The Buyer agrees for itself, its
agents, contractors, successors, and assigns, to defend, indemnify, and hold harmless King
County, its appointed and elected officials, and its employees and agents, from and against
liability for all claims, demands, suits, and judgments, including costs of defense and
attorney fees thereof, which are caused by, arise out of, or are incidental to the Buyer's
King County Tax Title Terms of Sale
UUUUJIIY.II CI IVl7IUPt! IW. IC/ULIJJUUUMI.
purchase of the Property, except to the extent of King County's sole negligence. The
Buyer's obligations under this section shall include:
(1) The duty to promptly accept tender of defense and provide defense to the County at the
Buyer's own expense, including reasonable attorney fees; and
(2) The Buyer agrees to defend, indemnify, and hold King County harmless for claims by the
Buyer's employees (if applicable) and agrees to waive, as respects King County only, its
immunity under Title 51 R.C.W., which waiver has been mutually negotiated by the
parties.
12. Seller shall convey to Buyer the title to the Property by Quit Claim Deed in substantially
the form attached hereto as EXHIBIT B. In conveying the Property by Quit Claim Deed, Seller
makes no title warranties whatsoever and Buyer takes subject to all easements, leases, licenses,
conditions, encroachments, restrictions, liens, taxes, assessments, fees, charges, and other
encumbrances (together "Encumbrances"), whether such Encumbrances are of record or not.
The Parties acknowledge and intend that any property interests in the Property in favor of the
County in effect prior to the acquisition of the Property by the County at the tax foreclosure sale
pursuant to RCW 84.64.200 did not merge with the County's tax title ownership of the Property
and remain in full force and effect.
13. Notwithstanding any other provision herein, Buyer will take ownership and
responsibility for the operation, safety, and maintenance of any and all stormwater facilities,
drainage facilities, and/or natural or manmade drainage conveyance systems located within the
Real Property. This includes, without limitation, ongoing compliance with the applicable
jurisdiction's National -Pollutant Discharge Elinftafio"ystem (NPI)ES) Municipa -Stormwater
permit and any applicable local Stormwater Management Program Plans.
14. The Closing shall occur within sixty (60) business days of the Seller receiving the signed
Terms and the Payment. At the Closing, Seller shall execute the Quit Claim Deed, a Bill of Sale
in substantially the form of Exhibit C, and a Certificate of Non -Foreign Status substantially in
the form of Exhibit D, shall record the executed Quit Claim Deed, and shall have the original
Quit Claim Deed, Bill of Sale, and Certificate of Non -Foreign Status emailed to Buyer at the
email address provided in Section 17 of the Terms. Seller shall not be responsible for payment
of any taxes, assessments, fees, or other charges related to the Property. '
15. Buyer represents and warrants that Buyer has full power and authority to execute the
Terms and to perform Buyer's obligations hereunder.
16. The following exhibits described herein and attached hereto are fully incorporated into
this Agreement by this reference:
EXHIBIT A Legal Description
EXHIBIT B Quit Claim Deed
EXHIBIT C Bill of Sale and Assignment
EXHIBIT D Certificate of Non -Foreign Status
King County Tax Title Terms of Sale
UUI:UOIIJ.II CI IVWUP" IV. UVJJUUUM%1
17. Buyer is to provide the below information:
City of Federal Way, a Washington Municipal Corporation
Name in which Buyer would like to take title to the Property
33325 8th Ave, Federal Way WA 98003
Address
253-835-2700
Phone number
ej.walsh@cityoffederalway.com
Email
EXECUTED on the dates set forth below.
Buyer: i of Federal Wa
Its: Public Works Director
5/16/2022
Date:
King County Tax Title Terms of Sale
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EXHIBIT A.
LEGAL DESCRIPTION
THE NORTH 30 FEET OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF THE
NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 24, TOWNSHIP
21 NORTH, RANGE 3 EAST, OF THE W.M., LESS COUNTY ROAD.
APN: 242103-9114
King County Tax Title Terms of Sale
10/5/22, 2:24 PM
Landmark Web Official Records Search
Instrument Number: 20220712001333 Document:QCD Rec: $205.50 Page-1 of 3
Excise Docs: 3199893 Selling Price: $0.00 Tax Amount: $10.00 Record Date:7/12/2022 5:18 P
Electronically Recorded King County, WA
DocuSign Envelope 0: E14DD7F7-8FD5-498D-BB47-FC048F089772
AFTER RECORDING RETURN TO:
City of Federal Way
Attn: Public Works
33325 8" Ave
Federal Way, WA 98003
QAT CLAIM DEED
Grantor-- King County, Washingto?0
Grantee - - City of la edera-1 Way
Legal - - - - PTN 5E '/ 24-21-3 /�
Tax Acet. — 242103-9114 ��•
The Grantor, KING COUNTY, a political subdiv isionAhe State of Washington, for and in
consideration of the sum of $500,00, conveys and quitclulnto Grantee;, City of.Federal Way, a
Washington Municipal Corporation, the following real property situated in King County,
Washington an -described in EXHIBITA,_attacht_d e o and —incorporated herein by this reference
including after acquired title.
The real property was the subject of a foreclosure order of the King County Superior Court and the
Grantor acquired the real property in trust for the taxing districts by virtue of RCW 84,64.200.
Grantor holds tax title properties in trust for the taxing districts as provided in RCW 36.35.020.
Grantor is conveying the real property to Grantee as provided for in RCW ch. 36.35
GRANTOR
KING COUNTY
BY:
Julie Oclkrrniv. Manager, Real Estate Services
DATE: (p I ;�0 1 a b as
Approved as to Form:
UM Signetlby:
BY:
ern.-��- �-_--._.--
Deputy f'ro. gj�lg JW�M)cy
https://recordsearch.kingcounty.gov/LandmarkWeb/search/index?theme=.blue§ion=searchCriteriaParcelId&quickSearchSelection=# 1 /3
10/5/22, 2:24 PM
Landmark Web Official Records Search
Instrument Number: 20220712001333 Document:QCD Rec: $205.50 Page-2 of 3
Record Date:7/12/2022 5:18 PM King County, WA
DocuSign Envelope ID: E14DD7F7-8FD5-498D-8B47-FC048F089772
N[)TARY BLOCK r+Ulf. KING COUNTY
STATE OF WASHINGTON )
) SS
COUNTY OF KING j
On this - - day of 2022, before me, the undersihnecl a
Notary Public in and for the ,5ratq ' R'ashirrgton, ditty commissioned and sworn, personally appeared
JULIE OCKERALO to me known to be the .Wanager of the Real Estate Services section of the King
County Department of Executive Services, and who executed the foregoing instrument and acknowledged
to me that SHE was authorized to execute said instrument on behalf of'KVVG COUNTYfor the uses and
purposes therein mentioned. �I
a'V TNESS my hand and official seal hereto ed the day and year in this certificate above written.
Notary Public in and for the
State of Washington, residing l
. r
ate o
Ie
NoaryPub6c ri
t Yrimed Name
stcWaahkKp
My Apanuxra
City and State -
My appointment expires 4-1 w/zlez--1
https://recordsearch.kingcounty.gov/LandmarkWeb/search/index?theme=.blue§ion=searchCriteriaParcelId&quickSearchSeIection=# 2/3
10/5/22, 2:24 PM
Landmark Web Official Records Search
Instrument Number: 20220712001333 Document:QCD Rec: $205.50 Page-3 of 3
Record Date:7/12/2022 5:18 PM King County, WA
DocuSlgn Envelope ID: E14DD7F7-8FD5-498D-8847-FC048F089772
EXHIBIT A
To Quit CIaim Deed
Legal Description
THE NORTH 30 FEET OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF THE
NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 24, TOWNSHIP
21 NORTH, RANGE 3 EAST, OF THE W.M., LESS COUNTY ROAD.
�N: 2421 D3-9114
`O
S
https://recordsearch.kingcounty.gov/LandmarkWeb/search/index?theme=.blue§ion=searchCriteriaParcelld&quickSearchSelection=# 313
UUI:UJIIJ.II CI IVCIUF/C IU. ICluUJ:1000/1l-
EXHIBIT C.
BILL OF SALE AND ASSIGNMENT
THIS BILL OF SALE is made as of this day of , 2022, by KING
COUNTY, a political subdivision of the State of Washington ("Seller"), in favor of City of
Federal Way, a Washington Municipal Corporation ("Buyer").
NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of
which is hereby acknowledged, Seller does hereby absolutely and unconditionally give, grant,
bargain, sell, transfer, set over, assign, convey, release, confirm and deliver to Buyer all of
Seller's right, title and interest in and to any and all equipment, furniture, furnishings, fixtures
and other tangible personal property owned by Seller that is attached, appurtenant to or used in
connection with the real property legally described on the attached Exhibit A.
IN WITNESS WHEREOF, Seller has executed this Bill of Sale as of the date first above
written.
SELLER:
By:
Name: Julie Ockerman
Title: Manager, Real Estate Services
King County Tax Title Terms of Sale
DocuSign Envelope ID: 525CD194-1068-4970-1311 D-098867DF4281
BILL OF SALE AND ASSIGNMENT
THIS BILL OF SALE is made as ofthis 30th day of June , 2022, by KING
COUNTY, a political subdivision of the State of Washington ("Seller"), in favor of City of
Federal Way, a Washington Municipal Corporation ("Buyer").
NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of
which is hereby acknowledged, Seller does hereby absolutely and unconditionally give, grant,
bargain, sell, transfer, set over, assign, convey, release, confirm and deliver to Buyer all of
Seller's right, title and interest in and to any and all equipment, furniture, furnishings, fixtures
and other tangible personal property owned by Seller that is attached, appurtenant to or used in
connection with the real property legally described on the attached Exhibit A.
written.
IN WITNESS WHEREOF, Seller has executed this Bill of Sale as of the date first above
SELLER:
r77,1i
Signed by:
By: h
Name: �9I�1�5an
Title: Manager, Real Estate Services
DocuSign Envelope ID: 525CD194-1088-4970-1311D-098867DF4281
F.XHTRTT A
To Bill of Sale and Assignment
Legal Description
THE NORTH 30 FEET OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF THE
NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 24, TOWNSHIP
21 NORTH, RANGE 3 EAST, OF THE W.M., LESS COUNTY ROAD.
APN: 242103-9114
LJUVUO1Y1I CIIVCIUFIC IU. I C l UUJVVUUMI,
EXHIBIT D.
Seller's Certification of Non -Foreign Status under
Foreign Investment in Real Property Tax Act (26 U.S.C. 1445)
Section 1445 of the Internal Revenue Code provides that a transferee of a U.S. real
property interest must withhold tax if the transferor is a foreign person. For U.S. tax purposes
(including Section 1445), the owner of a disregarded entity (which has legal title to a U.S. real
property interest under local law) will be the transferor of the property and not the disregarded
entity. To inform the transferee that withholding of tax is not required upon the disposition of a
U.S. real property interest by King County ("Transferor"), the undersigned hereby certifies the
following on behalf of Transferor:
1. Transferor is not a foreign corporation, foreign partnership, foreign trust, or
foreign estate (as those terms are defined in the Internal Revenue Code and
Income Tax Regulations);
2. Transferor is not a disregarded entity as defined in Section 1.1445-2(b)(2)(iii);
3. Transferor's U.S. employer identification number is 91-6001327;
4. Transferor's office address is King County Facilities Management Division, Real
Estate Services Section, Room 800 King County Administration Building, 500
Fourth Avenue, Seattle,_W-A--98.1.04. _
Transferor understands that this certification may be disclosed to the Internal Revenue
Service by transferee and that any false statement contained herein could be punished by fine,
imprisonment, or both.
Under penalties of perjury I declare that I have examined this certification and to the best
of my knowledge and belief it is true, correct, and complete, and I further declare that I have
authority to sign this document on behalf of Transferor.
King County, Transferor:
By:
Name: Julie Ockerman
Title: Manager, Real Estate Services
DATE:
King County Tax Title Terms of Sale
DocuSign Envelope ID: 525CD194-10138-4970-1311 D-098867DF4281
Seller's Certification of Non -Foreign Status under
Foreign Investment in Real Property Tax Act (26 U.S.C. 1445)
Section 1445 of the Internal Revenue Code provides that a transferee of a U.S. real
property interest must withhold tax if the transferor is a foreign person. For U.S. tax purposes
(including Section 1445), the owner of a disregarded entity (which has legal title to a U.S. real
property interest under local law) will be the transferor of the property and not the disregarded
entity. To inform the transferee that withholding of tax is not required upon the disposition of a
U.S. real property interest by King County ("Transferor"), the undersigned hereby certifies the
following on behalf of Transferor:
Transferor is not a foreign corporation, foreign partnership, foreign trust, or
foreign estate (as those terms are defined in the Internal Revenue Code and
Income Tax Regulations);
2. Transferor is not a disregarded entity as defined in Section 1.1445-2(b)(2)(iii);
3. Transferor's U.S. employer identification number is 91-6001327;
4. Transferor's office address is King County Facilities Management Division, Real
Estate Services Section, Room 800 King County Administration Building, 500
Fourth Avenue, Seattle, WA 98104.
Transferor understands that this certification may be disclosed to the Internal Revenue
Service by transferee and that any false statement contained herein could be punished by fine,
imprisonment, or both.
Under penalties of perjury I declare that I have examined this certification and to the best
of my knowledge and belief it is true, correct, and complete, and I further declare that I have
authority to sign this document on behalf of Transferor.
King County, Transferor:
DOc Signed by:
By: _ f
Name: ' ffc. m.n
Title: Manager, Real Estate Services
DATE: 7/1/2022
DocuSign-
Certificate Of Completion
Envelope Id: AB845DCC2F06449C9F341 E76D35066AC
Subject: Please DocuSign: 242103-9114_Terms of Sale.docx
Source Envelope:
Document Pages: 11 Signatures: 1
Certificate Pages: 5 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Record Tracking
Status: Original
5/12/2022 11:41:18 AM
Security Appliance Status: Connected
Storage Appliance Status: Connected
Signer Events
EJ Walsh
ej.walsh@cityoffederalway.com
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 5/13/2022 8:20:27 AM
ID:759a319b-cf2a-4ffa-9cc8-636726f2287f
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Completed
Holder: Amanda Tran
atran@kingcounty.gov
Pool: Fed Ramp
Pool: King County General (ITD)
Signature
EuSlg�xdby-
MP—3EMNC5
Signature Adoption: Pre -selected Style
Signed by link sent to
ej.walsh@cityoffederalway.com
Using IP Address: 146.129.247.195
Signature
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Hashed/Encrypted
Security Checked
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Status: Completed
Envelope Originator:
Amanda Tran
401 5th Ave
Suite 100
Seattle, WA 98104
atran@kingcounty.gov
IP Address: 73.181.199.231
Location: DocuSign
Location: DocuSign
Timestamp
Sent: 5/12/2022 11:42:40 AM
Resent: 5/16/2022 2:46:14 PM
Viewed: 5/16/2022 3:13:06 PM
Signed: 5/16/2022 3:14:02 PM
Timestamp
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Timestamps
5/12/2022 11:42:40 AM
5/16/2022 3:13:06 PM
5/16/2022 3:14:02 PM
5/16/2022 3:14:02 PM
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