HomeMy WebLinkAboutCC RES 95-048State of California
Department of General Services
State Agency for Surplus Property
701 Burning Tree Rood
Fullerton, CA 92633 (714) 449-5900
RESOLUTION NO. 95-48
ELIGIBILITY RENEWAL APPLICATION
FEDERAL SURPLUS PROPERTY PROGRAM
Name of organization City nf Palm nasarr
Address 73-510 Fred Waring Drive
Organization is a:
PUBLIC AGENCY
A
B
C
D
E
'F
G
H
Conservation
Economic Development
Education
Parks and Recreation
Public Health
Public Safety
2 or more listed
Other (includes
library/ museums)
Homeless Program
City
P l nosart;
SASP Form 201-A 3/92
go
Telephone (614) 3L.A-flA1 1
County -11-1-ver,f4dcZIP 92260
NONPROFIT AGENCY
J Private Education
K Private Health
L. Older Americans Act for Sr. Citizens
M. Homeless Program
NOTE: Categories J-K-L-M
Number of sites
Enrollment or number of clients served
RESOLUTION
"BE IT RESOLVED by the Governing Board, OR by the Chief Adminisrative Officer of those
organizations which do not have a governing board, and hereby ordered that the official(s) and/or
employee(s) whose name(s), title(s), and signature(s) are listed below shall be and is (are) hereby
authorized as our representative(s) to acquire federal surplus property from the California State
Agency for Surplus Property under the Terms and Conditions listed on the reverse side of this form."
NAME —(Print or type)
Dick Frll kern
Tom Theobald
Ken Weller
TITLE SIGNATURE
Asst. City Mgr.-1Dir, Public Wks
Maintenance Sprviaq Manager
Emarjnry Servires Coordinator
PASSED AND ADOPTED this 8th day of June ,19 95 , by the Governing Board of
by the following vote:
Ayes: 5 • Noes: 0 • Absent: O
I, Sheila R. Gilligan Clerk of the Governing Board of City of Pair, npaert
do hereby certify that the foregoing is a full,
true, and correct copy of__ -solution adopted by the Board at a regular meeting thereof held
at its reg"xt lac ace of. meet' the date a:.d by the vote above stated, which resolution is on file in
the office o e,Board. '
(Signed
OR
AUTHORIZED this day o 19 , by:
Name of Chief Administrative Officer
(Signed)
FOR STATE AGENCY USE
Application approved: Application disapproved:
Comments or additional information -
Date: Signed.
;Title,