HomeMy WebLinkAbout33 - CC-14 - Attachment 2 - 5/5/2015STATE OF CALIFORNIA
GOVERNOR'S OFFICE OF EMERGENCY SERVICES Cal OES ID No:
Cal OES 130
DESIGNATION OF APPLICANT'S AGENT RESOLUTION
FOR NON -STATE AGENCIES
BE IT RESOLVED BY THE
OF THE
(Governing Body) (Name of Applicant)
THAT OR
(Title of Authorized Agent)
OR
(Title of Authorized Agent)
(Title of Authorized Agent)
is hereby authorized to execute for and on behalf of the , a public entity
(Name of Applicant)
established under the laws of the State of California, this application and to file it with the California Governor's Office of Emergency
Services for the purpose of obtaining certain federal financial assistance under Public Law 93-288 as amended by the Robert T. Stafford
Disaster Relief and Emergency Assistance Act of 1988, and/or state financial assistance under the California Disaster Assistance Act.
THAT the , a public entity established under the laws of the State of California,
(Name of Applicant)
hereby authorizes its agent(s) to provide to the Governor's Office of Emergency Services for all matters pertaining to such state disaster
assistance the assurances and agreements required.
Please check the appropriate box below:
❑This is a universal resolution and is effective for all open and future disasters up to three (3) years following the date of approval below.
❑This is a disaster specific resolution and is effective for only disaster number(s)
Passed and approved this
I,
(Name)
(Name of Applicant)
Resolution passed and approved by the
of
20
(Name and Title of Governing Body Representative)
(Name and Title of Governing Body Representative)
(Name and Title of Governing Body Representative)
CERTIFICATION
duly appointed and
(Title)
of
do hereby certify that the above is a true and correct copy of a
(Governing Body)
on the day of 120—.
(Signature)
Cal OES 130 (Rev.9/13) Page 1
of the
(Name of Applicant)
(Title)