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Home My WebLink About1995-02-14 - RESOLUTIONS - APPLICATION EMERGENCY SERVICES (2)RESOLUTION NO. 95.16E A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SANTA CLARITA, CALIFORNIA, DESIGNATING THOSE OFFICIALS AUTHORIZED TO FILE APPLICATION TO THE SATE OFFICE OF EMERGENCY SERVICES TO OBTAIN CERTAIN FEDERAL AND STATE FINANCIAL ASSISTANCE WHEREAS, the President of the United States declared that a major disaster exists in the County of Los Angeles on January 9, 1995, due to severe winter storms that began on January 3,1995. WHEREAS, certain federal financial assistance under P. L. 93-288 as amended by Robert T. Stafford Disaster Relief and Emergency Assistance Act of 1988, or state financial assistance under the Natural Disaster Assistance Act if available to the public entity. NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of Santa Clarita that: George Caravalho, City Manager or Kenneth Pulskamp, Assistant City Manager or Rick Putnam, Director, Parks, Recreation and Community Services is hereby authorized to execute for and on behalf of the City of Santa Clarita, a public entity established under the laws or the State of California, this application and to file it in the Office of Emergency Services for the purpose of obtaining certain federal financial assistance under P. L. 93-288, as amended by Robert T. Stafford Disaster Relief and Emergency Assistance Act of 1988 and/or state financial assistance under the National Disaster Assistance Act. THAT the City of Santa Clarita, a public entity established under the laws of the State of California, hereby authorizes its agents to provide the State Office of Emergency Services for all matters pertaining to such state disaster assistance the assurances and agreements required. PASSED, APPROVED AND ADOPTED this 14th day of February, 1995. MAYOR s—. ATTEST: ITY CLERK STATE OF CALIFORNIA) COUNTY OF LOS ANGELES) § CITY OF SANTA CLARITA) I, Donna M. Grindey, City Clerk of the City of Santa Clarita, do hereby certify that the above and foregoing Resolution was duly adopted by the City Council of the City of Santa Clarita at a regular meeting thereof, held on the 14th day of February, 1995 by the following vote of Council: AYES: COUNCILMEMEERS: Heidt, Boyer, Pederson, Smyth, Darcy NOES: COUNCILMEMBERS: None ABSENT: COUNCILMEMBERS: None TY CLERK REP/AEM/de EMERPREP\fZwd.m State of CA1(Soeala OFFICE or EKEWEaCr SERVICES DESIGNATION APPLICANTS AGENT RESOLUTION BE IT RESOLVED BY THE City Council OF THE City of Santa Clarita THAT George Ca Nameo Ci Manager Name OR Kenneth Pulskamp Assistant City Manager Name OR Rick Putnam Director ParksRecreation & Cam. Services (Name) is hereby authorized to execute for and in behalf of the Ciof Santa Clarita a public entity established under the laws of the State of California, this app cation and to Eft it in the O Emergency Services for 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, or state financial assistance under the Natural Disaster Assistance AcL THAT the City of Santa Clari��__, a public Cathy established under the laws of the State of California, hereby authorizes ns agent to provide to the State Office of Emergency Services for all matters pertaining to such state disaster assistance the assurances and agreements required. Passed and approved this CERTIFICATION I, Daroa M. Grinds duly appointed and City Clerk � of ) City of Santa Clarita do hereby certify that the above is a true and correct copy of a resolution passed and approved by the City Council of the City of Santa Clarity on the 14th day of February . 1995 Date: 2/14/95 Signature OES Foes 130 (10199) DAD rota s 7 E ==A_.0 VENDOR DATA RECORD (Required in lieu of IRS W-9 when doing business with the State of California) STD 2u (TEM. 3.i2: -E=ARTMENTIO;;CE' PLEASE S-=EEr ADDRESS -' P^ RETURN TO: C:"+ STATE LPCCCE City of Santa Clarita ....._............... Page PURPOSE: Information contained in this form will be used by State agencies to prepare Infor- mation Returns (Form 1099) and forwithholding on payments to nonresident vendors. (See Privacy Statement on reverse.) (Gat F.Ft MJ) STREET ADDRESS I ARE YOU SUBJECT TO FEDERAL SACK -9 23920 Valencia Blvd., Suite 300 WITHHOLDNO+ TRV.STATE-•J h:CCE fSr wmunrPrti Av!RS Form W-97 Santa Clarita, CA 91355 ❑ YES ❑ No INSTRUCTIONS: (1). Check box indicating type of business entity and provide taxpayer identification number (2). Check box indicating resident or nonresident. (See reverse for additional information). (3). Check one or more VENDOR ACTIVITY boxes specifying vendor activity type. VENDOR TYPE I RESIDENCY STATUS a VENDOR ACTIVITY e ❑CORPORATION IfnMF.c.•a. E-�C-r.• is-.H.PAcon AY,mO.•I j I Resident - Oualdied to do business in CA I ❑ Permanent place of business in CA LJ Non Resident (See Reverse) ❑ INDIVIDUA"OLE PROPRIETOR (Entw• $u: uS.:.nry Acc.nt IW.mON <MY. ri0r FEIN) r— LJ Resident ❑ Non Residen: (See Reverse) ❑PARTNERSHIP IE -w F.P... crnporN AfIMM1on:n NmnON/ ❑ .Resident ❑ Non ❑ ESTATE OR TRUST IFMI+FIP1.4 C'rWC)N %JIn11h0 tN N1M1 I I IR Reverse) was a CA resident at - At least one trustee is a CA ! Non Resident (See A I hereby certify under If my residency status ❑ MEOICALSERVCES(urc1.4.VPIn.Fny. I ❑ FPO.+nY. PFKnoMP.W.SERVICES SPI.—Illy. WroPKIrC. .rCI ❑EOUPMEN tE1ft RENT ❑ /j I ❑ OTHER — /SP.PhI ❑NON �� O.Y EMPLOYEE COMPENS N/AM:W6�gI ❑ ECUPMENLSJPPLrS ,.p.•n W .nP.. +PPebn, .rc) (EI.mP Aew sMM Nwro:PwpJ SERV S(Mc4!d.galnPFlry, ❑MEDICAL P".M. N APy. P fa~ ', swap .r) 1 1 REST (E..rnP lrNn SMa rrtnl qy I RENT ❑ ROYALTIES ❑ PRIZESANDAWAROS ❑ OTHER rS~,W of perjury that the Information provided on this document is true and correct. chance. I wig nromDtly Inform vou. A'+HOR Ac7 VCM1rJ�iEPRESENrATrvES NAME (rry.or P..nl I TITLE Steve Stark {; Director of Finance SMT:JR I DATE I �) TELEPHONE NUMBER �Jr 805-255-4925 -- ...—�... _—_ ----- —1------- ---- OFFICIAL STATE USE ONLY CONTRACT . EA,E .•.-MSER 0~1y) NONRESIDENT Wlr.HOLDNC ❑NONFMP,OViEMEDICAL COMPENSATION ❑ SERVICES ❑ RENT E]OTHER❑ STANDARD RATE w=FpE'AE.E 'v[]V; C.CE c:=S A)E AJV:V:ST41,tE MINA. i?:LDV U22 I) iChu C.)N IN '.ALS DATE J INITIALED ❑ WAIVED 1 1-72 ❑ 3- ❑ a ❑ S. ❑ 6 ❑ 7-- ❑ REDUCED RATE