Orange County NC Website
Browse       Search
DESIGNATION OF APPLICANT'S AGENT <br />RESOLUTION <br />BE IT RESOLVED BY <br />THAT <br />*(Name oflncumbent) <br />3 <br />OF <br />(Public Entity) <br />(Governing Body) <br />duly appointed and <br />OR <br />Governor's Authorized Representative, <br />*(Name of Incumbent) <br />is hereby authorized to execute for and in behalf of <br />a public entity established under the laws of the State of North Carolina, <br />this application and to file it in the appropriate State office for the purpose of obtaining certain Federal <br />financial assistance under the Disaster Relief Act (Public Law 288, 93rd Congress) or otherwise available <br />from the President Disaster Relief Fund. <br />THAT , a public entity established under the laws of the State <br />of North Carolina ,hereby authorizes its agent to provide to the State and to the Federal <br />Emergency Management Agency (FEMA) for all matters pertaining to such Federal disaster assistance the <br />assurance and agreements printed on the reverse side hereof. <br />Passed and approved this day of <br />(Name and Title) <br />(Name and Title) <br />(Name and Title) <br />CERTIFICATION <br />I, <br />resolution passed and approved by the <br />on the <br />Date: <br />Clerk to the Board <br />(Official Position) <br />of <br />(Title) <br />do hereby certify that the above is a true and correct copy of a <br />(Governing Body) <br />day of <br />2003. <br />(Official Position) <br />2003. <br />of <br />(Public Entity) <br />(Signature) <br />* Name of incumbent need not be provided in those cases where the governing body of the public entity desires to authorize any <br />incumbent of the designated official position to represent it. <br />FEMA Form 90-ti3. MAR Rl F nAA_T1nC <br />