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SAMPLE <br />Lessee: «LesseeName» <br />CERTIFICATE OF INCUMBENCY <br />Lease Schedule No.: «LeaseNumber» Dated: «SystemDate» <br />I, the undersigned Secretary/Clerk identified below, do hereby certify that I am the duly elected or <br />appointed and acting Secretary/Clerk of the above Lessee (the "Lessee"),apolitical subdivision duly <br />organized and existing under the laws of the State where Lessee is located, that I have the title stated <br />below, and that, as of the date hereof, the individuals named below are the duly elected or appointed <br />officers of the Lessee holding the offices set forth opposite their respective names. <br />[NOTE: Use same titles as Authorized Representatives stated in Resolutions.] <br />Name Title Signature <br />Name Title Signature <br />IN WITNESS WHEREOF, I have duly executed this certificate and affixed the seal of such <br />Lessee as of the date set forth below. <br />Signature of Secretary/Clerk of Lessee <br />Print Name: <br />Official Title: <br />[SEAL] <br />Date: <br />