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Signature HereClick to Sign

07/07/2026Click to Sign

Signature HereKristen Romo Will Sign Here

07/07/2026

Signature HereTim Dolehanty Will Sign Here

07/07/2026

Signature HereLiaison Committee Chair Will Sign Here

07/07/2026

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Department Head
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Other Signers (The signers below will be invited to sign once the above signers have signed.)

	Kristen Romo
	Tim Dolehanty
	Liaison Committee Chair

412A Authorization to Enter Into a Contract Form

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Other Signers (The signers below will be invited to sign once the above signers have signed.)

Kristen Romo

Tim Dolehanty

Liaison Committee Chair