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Exhibit A - LCTOP Authorized Agent Form

Santa Rosa City Council
March 14, 2023

Document
Exhibit A - LCTOP Authorized Agent Form
Meeting
March 14, 2023
Body
Santa Rosa City Council
Original file
53 KB
Text extracted from the city's file for reading and search. Open the original on legistar.granicus.com. That file is the official record.

Authorized Agent
AS THE
Director of Transportation and Public Works
(Chief Executive Officer/Director/President/Secretary)
OF THE
City of Santa Rosa
(Name of County/City/Transit Organization)
I hereby authorize the following individual(s) to execute for and on behalf of the named Regional Entity/Transit Operator, any actions necessary for the purpose of obtaining Low Carbon Transit Operations Program (LCTOP) funds provided by the California Department of Transportation, Division of Rail and Mass Transportation. I understand that if there is a change in the authorized agent, the project sponsor must submit a new form. This form is required even when the authorized agent is the executive authority himself. I understand the Board must provide a resolution approving the Authorized Agent. The Board Resolution appointing the Authorized Agent is attached.

Rachel Ede, Deputy Director - Transit
OR
(Name and Title of Authorized Agent)
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OR
(Name and Title of Authorized Agent)
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OR
(Name and Title of Authorized Agent)
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OR
(Name and Title of Authorized Agent)
Jason Nutt
Director of Transportation and Public Works
(Print Name)
(Title)
(Signature)
Approved this
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EXHIBIT A
FY 2022-2023 LCTOP

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