Agenda - 10-05-1999 - 8d - Laserfiche WebLink

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DESIGNATION OF APPLICANT'S AGENT 2 , BE TT RESOLVED BY (Governing Body) OF (Public Entity) THAT (Name of Incumbent) (Offccial Position) OR Governor's Authorized Representative, is hereby authorized to execute for and in behalf of a public entity established under the laws of the State of this application and to file it in the appropriate State office for the purpose of obtaining certain Federal financial assistance under the Disaster Relief Act (Public Law 288, 93rd Congress) or otherwise available from the President's Disaster Relief Fund. THAI' , a public entity established under the laws of the State of .hereby authorizes its agent to provide to the State and to the Federal Emergency Management Agency (FEMA) for all matters pertaining to such Federal disaster assistance the assurances and agreements printed on the reverse side hereof. Passed and approved this day of ~ 19 , . (Name and Title) (Name and Title) (Name and Title) CERTIFICATION I, ,duly appointed and of (Title) . do hereby certify that the above is a true and correct copy of a resolution passed and approved by the of (Governing Body) (Public Entity) on the day of , 19 Date: (Official Position) RESOLUTION (Signature) ~- * Name of incumbent need not be provided in those cases where the governing body of the public entity desires to authorize any incumbent of the designated official position to represent it. ' Rev. QRM!