HomeMy WebLinkAboutr10249femaapplicationStale of California
OFFICE OF
EMERGENCY SERVICES OES ID #
DESIGNATION OF APPLICANT'S AGENT RESOLUTIO N
FOR NON-STATE AGENCIE S
BE IT RESOLVED BY THE City Council OF THE City of San Luis Obisp o
(Governing Body)(Name of Applicant )
THAT D avid Hix, Deputy Director Utilities , OR
(Title of Authorized Agent )
Howard Brewen, Water Reclamation Facility Supervisor ,OR
(Title of Authorized Agent )
Carrie Mattingly, Utilities Directo r
(Title of Authorized Agent )
is hereby authorized to execute for and in behalf of the City of San Luis Obispo ,a public entity
(Name of Applicant )
established under the laws of the State of California, this application and to file it in the Office of Emergency Services fo r
the purpose of obtaining certain federal financial assistance under P .L . 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 Disaste r
Assistance Act.
THAT the City of San Luis Obispo ,a public entity established under the laws of the State of California ,(Name of Applicant )
hereby authorizes its agent(s) to provide to the State Office of Emergency Services for all matters pertaining to such stat e
disaster assistance the assurances and agreements required .
q This is a universal resolution and is effective for all open and future disasters .
® This is a disaster specific resolution and is effective for only disaster number(s)1952
CERTIFICATION
Elaina Cano ,duly appointed and City Clerk o f
(Name)(Title )
City of San Luis Obispo ,do hereby certify that the above is a true and correct copy of a
(Name of Applicant )
resolution passed and approved by the City Counci l
(Governing body)
on the 77e/~.5 day f I71ff‘2C y ,20 / /.
(Title)
OES Form 130 (03/08)DAD Form
Page I
Passed and approved this /_5 T 'V day of /77/9-rt-C 1V ,20 / ,'
(Na
Council Members:
(Name and Title of Governing Body Representative )
of the City of San Luis Obisp o
(Name of Applicant)
-,—
(Signature)
City Clerk
h~~o /oa `f9
Slate ar CaBloaia
OFFICE OT
EMERGENCY SERVICES OES ID
OES Form 130 Instruction s
When completing the OES Form 130, Applicants should fill in the blanks on page 1 . The blanks are to be fille d
in as follows :
Resolution Section :
Governing Body :This is the individual or group responsible for appointing and approving the Authorize d
Agents . Examples include : Board of Directors, City Council, Board of Supervisors, etc .
Name of Applicant :This is the official name of the agency, city, county, or state organization that has applie d
for the grant . Examples include : Sacramento Public Water Works ; City of Sacramento ; Sacramento County ; or
California Highway Patrol .
Authorized Agent :These are the individuals that are authorized by the Governing Body to engage with FEMA
and OES regarding grants applied for by the Applicant . There are two ways of completing this section :
1.Titles Only : If the Governing Body so chooses, the titles of the Authorized Agents should b e
entered here, not their names . This allows the document to remain valid if an Authorized Agen t
leaves the position and is replaced by another individual . If Titles Only is the chosen method, thi s
document should be accompanied by a cover letter naming the Authorized Agents by name and
title. This cover letter can be completed by any authorized person within the agency (e .g.: City
clerk, the Authorized Agent, Secretary to the Director, etc .) and does not require the Governin g
Body's signature .
2.Names and Titles : If the Governing Body so chooses, the names and titles of the Authorized Agent s
should be listed . This will require a new OES Form 130 if any of the Authorized Agents ar e
replaced or leave the position listed on the document .
Governing Body Representative :These are the names and titles of the approving board members. Example s
would include Chairman of the Board, Director, Superintendent, etc. These typically will not be the Authorize d
Agent .
Check Boxes:Select either Universal (this resolution applies to all open and future disasters) or Disaste r
Specific (this resolution applies only to the specified disasters . If Disaster specific, fill in the blank with th e
disaster numbers for which this resolution applies.
Certification Section :
Name and Title :This is the individual that was in attendance and recorded the resolution creation and approval .
Examples will include City Clerk, Secretary to the Board of Directors, County Clerk, etc . This person should not
be one of the Authorized Agents to eliminate any concerns with possible "Self Certification."
OSS Form 130 (03/03) PAD Form
Page 2