Laserfiche WebLink
Governor’s Office of Land Use and Climate Innovation– Extreme Heat and Community Resilience Program – Round 1 <br />Grant Number: LCI SPPD24132, City of San Leandro <br />Page 31 <br />Attachment 1: Authorized Signatory Form <br />Attachment 1: Authorized Signatory Form <br />I hereby verify that I am an authorized Grantee representative and signatory and, as <br />such, can sign and/or delegate authorization to sign and bind Grantee as it relates to <br />the above-referenced Grant Agreement and grant related documents. <br /> <br />Grantee Authorized Signatory: <br /> <br />Name: Title: <br /> (Type or Print Name) <br /> <br />Signature: Date: <br /> <br /> <br />Delegated Authorized Signatories: <br /> <br />1. Name: Title: <br /> (Type or Print Name) <br /> <br />Signature: Date: <br /> <br />Document(s) Authorized to sign: <br /> All Grant Related Documents <br /> Grant Agreement <br /> Grant Amendments <br /> Budget Amendments <br /> Reports <br /> Invoices <br /> Other ______ <br /> <br /> <br />2. Name: Title: <br /> (Type or Print Name) <br /> <br />Signature: Date: <br />Document(s) Authorized to sign: <br /> All Grant Related Documents <br /> Grant Agreement <br /> Grant Amendments <br /> Budget Amendments