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STATE OF CALIFORNIA <br /> DEPARTMENT OF GENERAL SERVICES <br /> OFFICE OF FLEET AND ASSET MANAGEMENT <br /> E�IGIBILITY APPLICATION(RENEWAL) <br /> SASP 201-A(Rev 11114) <br /> ELIGIBILITY RENEWAL APPLICATION STATE 8 FEDERAL SURPLUS PROPERTY PROGRAM <br /> A. Name of the Organization Port of Redwood City Telephone (650)306-4150 <br /> Address 675 Seaport Blvd. CityRedwood City Zip 94063 <br /> Fax Number(650)369-7636 E-mail Address portofrc@redwoodcityport.com <br /> Organization is a: PUBLIC GOVERNMENTAL AGENCY PRIVATE AGENCY/ORGANIZATION <br /> A. Conservation A. Homeless Program <br /> B. Economic Development B.Private Education-ADA <br /> C. Education-ADA C. Private Heaith <br /> D.Parks&Recreation D.Older Americans Act for Sr. Citizens <br /> E. Public Health E.Other, Explain <br /> F. Pubiic Safety <br /> xxx G.Other, Explain <br /> Department of the City Number of Service Sites <br /> Tqtal Number of Clients Served Each Day <br /> RESOLUTION g�2303 <br /> g, "BE IT RESOLVED by the Governing Board,and hereby ordered that the offical(s)an p�:dF"emp�e(s)whose name(s),title(s),and signature(s)are listed <br /> below shall be and is(are)hereby authorized as our representative(s)to acquire.surpJus;�[roperty through the auspices of the California State Agency for <br /> Surpius Property and accept responsibility for payment of incidental fees by th2 sfil'pfii9 Kst}��rty agency under the Terms and Conditions accompanying <br /> this form or fisted on the reverse side oF this form." <br /> ;:::>:�::«:<. <br /> NAME(Print or type) TITLE 'W�?4, E� E-MAIL ADDRESS <br /> Michael J.Giari Executive Director �� ` � � _. �.y�i mgiari@redwoodcityport.com <br /> Rajesh Sewak Mgr.of Finance&Admin. f � �'''� rsewak@redwoodcityport.com <br /> Donald Snaman Manager of Operetions dsnaman@redwoodcityport.com <br /> Christopher Fajkos Mgr.Environ.,Security 8 Safety ; _,�.�-��,,;;�---�'"',,.,.._.i•�--^"""' cfajkosQredwoodcitypoR.com <br /> �::::. <br /> :.::... <br /> <;:.., ,::,:::;. <br /> *Note:Alt signatures must be in oriainal form.;:::l�ti?�oaiet#���il:��int�ad sipnatures. <br /> The above resolution was PASSED AND ADOPTEE��this 2�'::::day of December 2p 15 by the Governing Board of the: <br /> _«..: <br /> Port of Redw�od Gity bythefoll�[�ya.x8::'AYES: 5 NOES: _�ABSENT: � <br /> �, Richard Claire Clerk of the Governing Board known as Port Commissioners of The City of Redwood Ciry <br /> Do hereby certify that the foregoing is a full,true,and correct resolution adopted by the governing board of the above named organization at <br /> the meeting thereof held at its regular place of ineeting on the date and by the vote abov a sai � ution is on file in the <br /> principal office of the Governing Board. <br /> Signed by: i fC� � <br /> Chairman Richard Claire <br /> NOTE:ALL LOCAL GOVERNMENT 8�NON-PROFIT INCORPORATED ORGANIZATIONS HAVE A GOVERNING BOARD,THEREFORE <br /> COMPLETE ONLY SECTIONS"A"&"B". THE FOLLOWING SECTION"C"IS FOR STATE AGENCIES ONLY. <br /> C. AUTHORIZED BY: <br /> Printed Name and Title of Chief Administrative Officer <br /> Signature of Chief Administrative O�cer Date <br /> STATE OF CALIFORNIA AGENCIES ARE REQUIRED TO PROVIDE THEIR STATE BILLING CODE# <br /> FOR STATE SURPLUS AGENCY USE ONLY <br /> Renewal Application Approved Renewal Application Disapproved <br /> Date: Signed: <br /> OFFICE OF FLEET AND ASSET MANAGEMENT�State of California�Govemmenf Operations Agency <br /> 1700 Nationat Drive�Sacramen[o,CA 45834�t 916.928.2550 f 916.928.7965 <br />