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STATE OF CALIFORNIA <br />CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES Cal OES ID No: <br />CAL OES 130 <br />RESOLUTION 112119-A <br />111-91004 <br />DESIGNATION OF APPLICANT'S AGENT RESOLUTION <br />FOR NON -STATE AGENCIES <br />BE IT RESOLVED BY THE Board of Directors OF THE Cone'o Recreation and Park District <br />(Governing Body) (Name of Applicant) <br />THAT General Manager _ OR <br />(Title of Authorized Agent) <br />Chair, Board of Directors OR <br />(Title of Authorized Agent) <br />(Title of Authorized Agent) <br />is hereby authorized to execute for and on behalf of the _ Coneio Recreation and Park District a public entity <br />(Name of Subrecipient) <br />established under the laws of the State of California, this application and to file it with the California Governor's Office of Emergency Service. <br />for the purpose of obtaining certain federal financial assistance under Public Law 93-288 as amended by the Robert T. Stafford Disaster Relief <br />and Emergency Assistance Act of 1988, and/or state financial assistance under the California Disaster Assistance Act. <br />THAT the Coneio Recreation and Park District , a public entity established under the laws of the State of California, <br />(Name of Subrecipient) <br />hereby authorizes its agent(s) to provide to the Califomia Governor's Office of Emergency Service for all matters pertaining to such state <br />disaster assistance the assurances and agreements required. <br />Please check the appropriate box below: <br />❑ This is a universal resolution and is effective for all open and futures Disasters/Grants up to three (3) years following the date of approval <br />below. <br />❑✓ This is a Disaster/Grant specific resolution and is effective for only Disaster/Grant name/number(s) <br />Passed and approved this day of 2019 <br />Jim Friedl General Manager <br />(Name and Title of Governing Body Representative) <br />(Signature) <br />(Name and Title of Governing Body Representative) <br />CERTIFICATION <br />DR -4407 <br />Aline Reynders , duly appointed and Executive Assistant of <br />(Name) (Title) <br />Coneio Recreation and Park District , do hereby cer* that the above is a true and correct copy of a <br />(Name of Applicant) <br />Resolution passed and approved by the Board of Directors of the Conejo Recreation & Park District <br />(Governing Body) (Name of Applicant) <br />on the day of , 2019 . <br />(ftnararej <br />Cal OES 130 (Rev.03/278/17) Page I <br />Executive Assistant <br />(Title) <br />