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6• TA C'1 L1&CACIFC)RN12-0 <br />CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES Cal OES ID No: <br />CAL OES 130 <br />DESIGNATION OF SUBRECIPIENT'S AGENT RESOLUTION <br />Hazard Mitigation Grant Program and Pre -Disaster Mitigation Program <br />BE IT RESOLVED BY THE <br />THAT <br />(Governing Body) <br />(Title of Authorized Agent) <br />(Title of Authorized Agent) <br />OF THE <br />(Name of Applicant) O <br />OR <br />OR � ; <br />V <br />� <br />(Title of Authorized Agent) <br />is hereby authorized to execute for and on behalf of the V , a public entity <br />(Name of SubrecipieZAAssistance <br />established under the laws of the State of California, this application and to file it with the Calif's Office of Emergency Service. <br />for the purpose of obtaining certain federal financial assistance under Public Law 93-288 as amobert T. Stafford Disaster Relief <br />and Emergency Assistance Act of 1988, and/or state financial assistance under the California D Act. <br />THAT the a public entity est 4wed under the laws of the State of California, <br />(Name of Subrecipient) <br />hereby authorizes its agent(s) to provide to the California Governor's Office of E Service for all matters pertaining to such state <br />disaster assistance the assurances and agreements required. �O <br />Please check the appropriate box below. <br />❑This is a universal resolution and is effective for all open and fu asters/Grants up to three (3) years following the date of approval <br />below. <br />❑This is a Disaster/Grant specific resolution and is effective I"6r 7t+i y Disaster/Grant name/number(s) <br />Passed and approved this day o\Y� _'20 <br />,^ (Name and Title of Governing Body Representative) <br />(Name and Title of Governing Body Representative) <br />(Name and Title of Governing Body Representative) <br />ACERTIFICATION <br />I, , duly appointed and <br />(Name) <br />do hereby certify that <br />It) (Name of Applicant) <br />Resolution passed and approved by the <br />(Governing Body) <br />on the day of , 20_. <br />(Signature) <br />Cal OES 130 (Rev.03/28/17) Page 1 <br />of <br />(Title) <br />the above is a true and correct copy of a <br />of the <br />(Name of Applicant) <br />(Title) <br />415 <br />