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Attachment K <br /> Department of Community Affairs <br /> Neighborhood Stabilization Program <br /> Florida Small Cities Community Development Block Grant(CDBG)PrograMCDR.G <br /> SIGNATURE AUTHORITY FORM <br /> _.&�i7�tA2,oflpinal ature Authq�t contract, <br /> y,��,A�teach 2009 AUG 24 PM <br /> ................ <br /> 1 ke c j p i e*n't 6niria_i I Government DUNS <br /> ber <br /> Indian River County.... 1Q -4X-10-40-01+13 079208989 <br /> "I..—.�l.-.-.-,-..- ........ _qB ........ <br /> ... <br /> ailing Address(Street or Post Office Box) <br /> 27"Street <br /> City,State and Zip Code <br /> i Vero Beach, Florida 32960-3388 <br /> Beach,Contact <br /> ....... ...... ....... <br /> Project Contact Person Telephone# <br /> (772)226-1254«_..... ... <br /> Robert M. Keating,Community Development Director E-mail Address <br /> �keMling2irogy.corn <br /> ............ <br /> Financial Contact Person Telephone# <br /> (772)226-1205 <br /> Diane Bernardo—Finance Director i E-mail Address <br /> Funds(RFPs)from the Florida Small Cities CDBG Program require (check one): one signature I two <br /> signatures of individuals authorized below. No more than two individuals can be authorized to use FloridaPAPERS, CIDBG <br /> contracts require that at least one(1)RFFs;must be submitted each quarter and should reflect all expenditures <br /> Incurred during that reporting period. <br /> Typed Name Date iSi atur <br /> Robert M. Keatin Communes Dev Director AM)6 <br /> ­11'.......-...__"'g .......................9,111 ­­­­ .- I Ad&iss <br /> X ]Check here if the above person will be the E Mai <br /> d siqfla�e� <br /> qf!q!�ioePAPERS user. bkeating@ircqov.com <br /> Typed Name Signature <br /> .........................-........._­­............. ................ <br /> Check he-.......,..._.-.........._..... <br /> ere if the above person will be the 11 E-mail Address <br /> L qes19noted f9�lda PAPERS user. <br /> Typed Name Date Signature <br /> Check here if the above person will be the E-mail Address <br /> I desiqnated FloridaPAPERS user. <br /> ......................... <br /> I certify, as the recipient's Chief Elected Official,that the above signatures are of the Individuals authorized to sign Requests for <br /> Funds and to submit RFPs electronically to the Small Cities Community Development Block Grant Program using FloridaPAPERS. <br /> i.................... _.....».__........_................._.-...._.............._. <br /> ped Name e <br /> k,§,...,Davis,BCC Chairman .............. <br /> �_�. 6f_.F <br /> M <br /> I [X] Check here if your local government utilizes Electronic Funds Transfer EFT from the St e of Florida. <br /> I [X] Check here if your local government will be working on a reimbursement basis. <br /> If this signature authority form pertains to a housing grant,check here If your local government will use an escrow account <br /> for housinq activities. <br /> CDBG payments to localgovernments using EFTare automatically deposited in the local government's general account. If the <br /> I account is interest bearing,the CDBG funds must be transferred to a non-interest bearing account. Please call the CDBG <br /> Program at 850/922-1878 or 487-3644 If you have questions. You can check the status of your deposit at the Comptroller's <br /> website: <br /> L ocal go vernm en ts not receiving EFT,and not working on a reimbursement basis,must e sta b I I s h a non-Interest bearIng account. <br /> Provide account information for the financial institution (insured by FDIC)below. All signatures on the account must be bonded. <br /> Name of Financial Institution Account Number <br /> RBC Bank 053100850-7680027195 <br /> ............. <br /> treet Address or Post Office Box Telephone Number <br /> 1417 Centura ................ 52J 4 <br /> ........... .................. <br /> City,State and Zip Code <br /> !__Rock 27802 <br /> ...........­.......... ........ ........ ........... <br /> SmeadSoft Reprint Date:Friday,March 11,2016-13:45:37-OfficialDocuments:6484,Attachment Id 1,Page 57 <br />