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Cal OES 130 (Rev.9/17/20) <br />Page 1 <br />PRINT <br />State of California <br />CALIFORNIA GOVERNOR’S OFFICE <br />OF EMERGENCY SERVICES <br />RESET <br />Cal OES 130 Cal OES ID No: ___________________ <br />DESIGNATION OF SUBRECIPIENT’S AGENT RESOLUTION <br />Hazard Mitigation Grant Program and Building Resilient Infrastructure and Communities <br />BE IT RESOLVED BY THE ____________________________ OF THE _____________________________ <br />(Governing Body) (Name of Applicant) <br />THAT ___________________________________ (Title of Authorized Agent), <br />OR _____________________________________ (Title of Authorized Agent), <br />OR _____________________________________ (Title of Authorized Agent), <br />is hereby authorized to execute for and on behalf of the ________________ (Name of <br />Subrecipient), a public entity established under the laws of the State of California, this <br />application and to file it with the California Governor’s Office of Emergency Services for <br />the purpose of obtaining certain federal financial assistance under Public Law 93-288 as <br />amended by the Robert T. Stafford Disaster Relief and Emergency Assistance Act of 1988, <br />and/or state financial assistance under the California Disaster Assistance Act. <br />THAT the ________________________ (Name of Subrecipient), a public entity established <br />under the laws of the State of California, hereby authorizes its agent(s) to provide to the <br />California Governor’s Office of Emergency Services 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 Grants up to <br />three (3) years following the date of approval below. <br />This is a Grant specific resolution and is effective for only: <br /> Grant name/number(s) ____________________________ <br />Passed and approved this _________ day of __________, 20_____. <br />________________________________________ <br />(Name and Title of Governing Body Representative) <br />________________________________________ <br />(Name and Title of Governing Body Representative) <br />________________________________________ <br />(Name and Title of Governing Body Representative) <br />CERTIFICATION <br />I, __________________ (Name), duly appointed and _________________ (Title) of <br />___________________ (Name of Applicant), do herby certify that the above is a true and <br />correct copy of a Resolution passed and approved by the _____________________ <br />(Governing Body) of the ____________________(Name of Applicant) on the _________ day <br />of _____________, 20_____. <br />Signature: ______________________________ Title: ______________________________ <br />113