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Signature HereDr. Paula Russell Will Sign Here

Signature HereAuthorized Signer Will Sign Here

12/19/2024

I.N.Will Update Upon Signing

12/19/2024

I.N.Will Update Upon Signing

Signature HereHR Group Will Sign Here

Signature HereOPM Directors Group Will Sign Here

12/19/2024

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Document Signers

- 1 Form Preparer or Initiator
- 2 Authorized Signer
- 3 Michael Celio
- 4 HR Group
- 5 Adrianne Tovar
- 6 OPM Directors Group
- 7 Dr. Paula Russell

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City of Stamford

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

Michael Celio

Adrianne Tovar

Dr. Paula Russell