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Authorizing Resolution Of The

AUTHORIZING RESOLUTION OF THE

Insert Name Of Governing Body -- For Example, Town Council

CERTIFICATION:

I, Record Keeper Name, the Record Keeper Title of Name of Governing Body, do hereby

certify that the following is a true and correct copy of a resolution adopted by Name of

Governing Body at its duly called and held meeting on Month and Day, Year, at which a quorum

was present and acting throughout, and that the resolution has not been modified, rescinded, or

revoked and is at present in full force and effect:

RESOLVED, that the Name of Governing Body may enter into with and deliver to the

State of Connecticut Department of Emergency Services and Public Protection (formerly

the Department of Emergency Management and Homeland Security) any and all

documents which it deems to be necessary or appropriate; and

FURTHER RESOLVED, that Name of Officer, as Title of Officer of Name of Governing

Body, is authorized and directed to execute and deliver any and all documents on behalf

of the Name of Governing Body and to do and perform all acts and things which he/she

deems to be necessary or appropriate to carry out the terms of such documents, including,

but not limited to, executing and delivering all agreements and documents contemplated

by such documents.

The undersigned further certifies that Name of Officer now holds the office of Title of

Officer and that he/she has held that office since Month, Day, and Year.

IN WITNESS WHEREOF: The undersigned has executed this certificate this

day of

Month Year.

Name and Title of Record Keeper

PLACE

SEAL HERE

(or “L.S.” if

no seal

Authorizing Resolution Of The