California Emergency Management Agency Cal EMA 130 - 2015-11-19 STATE OF CALIFORNIA Disaster No:
CALIFORNIA EMERGENCY MANAGEMENT AGENCY Cal EMA ID No: 059-91011
Cal EMA 130
DESIGNATION OF APPLICANT'S AGENT RESOLUTION
FOR NON-STATE AGENCIES
BE IT RESOLVED BY TIIE Board of Directors OF TILE Costa Mesa Sanitary District
(Governing Body) (Name of Applicant
THAT General Manager , OR
(rale of Authorized Agent
Finance Manager OR
(Title of Authorized Agent)
Wastewater Maintenance Superintendent
Vale of Authorized Agent)
is hereby authorized to execute for and on behalf of the Costa Mesa Sanitary District a public entity
(Name of Applicant)
established under the laws of the State of California, this application and to file it with the California Emergency Management Agency'for
the purpose of obtaining certain federal financial assistance.under Public 1 a 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 Costa Mesa Sanitary District a public entity established under the laws of the State of California
(Name of Applicant)
hereby authorizes its agent(s)to provide to the California Emergency Management Agency for all matters pertaining to such state disaster
assistance the assurances and agreements required.
Please check the appropriate box below:
QThis is a universal resolution and is effective Ibr all open and futures 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 19th day of November 20 rJ
Michael Scheafer, President
(Name and Title of Governing Body Represenwn cel
Arthur Perry, Vice President
Mame and Title olGoverning Body Represcnanive l
Robert Ooten, Secretary
(Name and Title fir Governing Body Representative
CERTIFICATION
Noelani Middenway duly appointed and District Clerk of
(Name} I
Costa Mesa Sanitary District do hereby certify that the above is a true and correct cup,ofa
(Name of Applicant)
Resolution passed and approved by the Board of Directors of the Costa Mesa Sanitary District
(Governing Body i Mame of Applicant}
on the 19th day of _ November 10 15
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Cal FMA 130(Rey 4111 Page I