HomeMy WebLinkAboutDesignation of Applicant's Agent Resolution (3)12/10/09
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Be it resolved by _____________________________ of ___________________________
(Governing Body) (Public Agency)
_____________________, _____________________ is hereby designated the authorized
(Name of New Agent) (Title)
representative and _________________________________, ___________________is designated
(Name of Alternate) (Title)
the alternate for and in behalf of __________________________________________, a public
(Public Agency Name)
agency established under the laws of the state of Washington.
The purpose of this designation as the authorized representative is to obtain federal and/or state
emergency or disaster assistance funds. These representatives are authorized on behalf of the
__________________________ to execute all contracts, certify completion of projects, request
payments, and prepare all required documentation for funding requirements.
Passed and approved this ________ day of ______________, 20______.
____________________, _________________ ____________________, ____________________
(Signature) (Title) (Signature) (Title)
______________________, _________________ ____________________, __________________
(Signature) (Title) (Signature) (Title)
_______________________, _________________ _____________________, _______________
(Signature) (Title) (Signature) (Title)
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I, ___________________, duly appointed and __________________ of _____________________,
(Name) (Title) (Public Agency)
do hereby certify that the above is a true and correct copy of a resolution passed and approved by
the _________________ of _________________ on the ______ day of ______________, 20_____.
(Governing Body) (Public Agency)
Date: ________________
_____________________ ___________________________________
(Official Position) (Signature)
Kittitas County County of Kittitas
Judy Pless Budget Finance Manager
Jerry Pettit County Auditor
County of Kittitas
Kittitas County
1st September 20
Chairman, Board Co Commissi
Vice-Chairman Board Co Comm
Co Commissioner
Julie Kjorsvik Clerk of the Board County of Kittitas
Kittitas County County of Kittitas 1st September 20
September 1, 2020
Clerk of the Board