California Public Employees’ Retirement System
Financial Office | Pension Contracts and Prefunding Programs Division P.O. Box 942703, Sacramento, CA 94229‐2703
888 CalPERS (or 888‐225‐7377) | TTY: (877) 249‐7442 | www.calpers.ca.gov
Certification of Governing Body’s Action
I hereby certify that the foregoing is a true and correct copy of a Resolution adopted by the
____________________________________________________________________ of the (governing body)
_________________________________________________________________________ (public agency)
on ________________________.
(date)
_______________________________________
Clerk/Secretary
_______________________________________
Title
PERS‐CON12 (rev. 1/22/19)