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Home My WebLink AboutRESO 9884STATE OF CALIFORNIA GOVERNOR’S OFFICE OF EMERGENCY SERVICESCal OES 130 Cal OES ID No:______________________ 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 day of , 20 (Name and Title of Governing Body Representative) (Name and Title of Governing Body Representative) (Name and Title of Governing Body Representative) CERTIFICATION I,,duly appointed and of (Name)(Title) ,do hereby certify that the above is a true and correct copy of a(Name of Applicant) Resolution passed and approved by the of the (Governing Body)(Name of Applicant) on the day of , 20 . (Title) Page 1 (Signature) Cal OES 130 (Rev.9/13) 20 4482DR-CA City Council City of Palo Alto City Manager Director of Administrative Services (Chief Financial Ofﬁcer) Assistant Director of Administrative Services City of Palo Alto City of Palo Alto 4 May 20 Adrian Fine, Mayor of the City of Palo Alto Beth Minor City Clerk City of Palo Alto City Council City of Palo Alto 4th May City Clerk Certificate Of Completion Envelope Id: DDF60AB6320D4483961EE4492CB4BC06 Status: Completed Subject: Please DocuSign: RESO 9884 Designation of Applicant's Agent Reso for Non-State Agencies.pdf Source Envelope: Document Pages: 1 Signatures: 2 Envelope Originator: Certificate Pages: 2 Initials: 0 Kim Lunt AutoNav: Enabled EnvelopeId Stamping: Disabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 250 Hamilton Ave Palo Alto , CA 94301 kimberly.lunt@cityofpaloalto.org IP Address: 199.33.32.254 Record Tracking Status: Original 5/6/2020 2:39:20 PM Holder: Kim Lunt kimberly.lunt@cityofpaloalto.org Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: City of Palo Alto Location: DocuSign Signer Events Signature Timestamp Adrian Fine adrian.fine@cityofpaloalto.org Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 108.228.10.70 Sent: 5/6/2020 2:42:15 PM Viewed: 5/6/2020 2:54:20 PM Signed: 5/6/2020 2:54:28 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Beth Minor Beth.Minor@CityofPaloAlto.org City Clerk City of Palo Alto Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 174.85.96.67 Signed using mobile Sent: 5/6/2020 2:54:29 PM Viewed: 5/6/2020 3:37:07 PM Signed: 5/6/2020 3:37:42 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 5/6/2020 2:54:29 PM Envelope Summary Events Status Timestamps Certified Delivered Security Checked 5/6/2020 3:37:07 PM Signing Complete Security Checked 5/6/2020 3:37:42 PM Completed Security Checked 5/6/2020 3:37:42 PM Payment Events Status Timestamps