HomeMy WebLinkAboutResolution - 2698 same acmromie —
OFFICE OF
EMERGENCY SERVICES
ri �OJG
DESIGNATION OF --_
PLICANT°S AGENT RESOLUTION
BE IT RESOLVED BY THE CIS OFTHE CIi` OF S`i!! DACI?€its
(Governing Body) (Name of Applicant)
T14AT City. p"`anal der OR
(Title of Authorized Agent)
Cc.r.^ur i ty Devel corlent Di sector OR
(Title of Authorized Agent)
(Title of Authorized Agent)
is hereby authorized to execute for and in behalf of the City of San Jacinto a public entity
established under the laws of the State of California,this application and to file it in the Office of Emergency Services for the purpose
of obtaining certain federal financial assistance under P.L. 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.
Cit1i n10 'inn •1 i.�'::t.yr
THAT the � ` _._,a public entity established under the laws of the State of California,hereby
authorizes its agent(s)to provide to the State Office of Emergency Services for all matters pertaining to such state disaster assistance
the assurances and agreements required.
Passed and approved this 3 PC day of `�C�� 20
�a
(Name and Title) L n IS di Sv U!a05 i:dyor
(Name and Title)
(Name and Title)
CERTIFICATION
C9 t�,! Clerk
duly appointed and of
(;Varna) (Title)
t e City of San J ca C i n t.o do hereby certify that the above is a true and correct copy of a
resolution passed and approved by the C 7= r CCU C i f of the C i t; o f S a t' J a,C i n t on the
F, (Governing body) (Naive of Applicant)
day of `: ,20 .
Date:
ti
C1t , Clei-k F c, >� C
-
(Official Position)
r!^yy { C
(Si ature) � � ' •""
i
OES Form 1.0(11-02)DAD Form