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City of La Porte - Police Department <br />STEP -2017 <br />Texas Department Of Transportation - Traffic Safety <br />Electronic Signature Authorization Form <br />This form identifies the person(s) who have the authority to sign grant agreements and <br />amendments for the Grant ID listed at the bottom of the page. <br />Name Of Organization: City of La Porte <br />Project Title: STEP Comprehensive <br />Authorizing Authority <br />The signatory of the Subgrantee hereby represents and warrants that she/he is an officer of <br />the organization for which she/he has executed this agreement and that she/he has full and <br />complete authority to enter into the agreement on behalf of the organization. I authorize the <br />person(s) listed under the section "Authorized to Electronically Sign Grant Agreements and <br />Amendments" to enter into an agreement on behalf of the organization. <br />Name: <br />Title:: <br />Signature:; <br />Date:: <br />Under the authority of Ordinance or Resolution <br />Number (if applicable) <br />Authorized to Electronically Sign Grant Agreements and Amendments <br />List Subgrantee Administrators who have complete authority to enter into an agreement on <br />behalf of the organization. <br />Print Name of Subgrantee Administrator in Title <br />TxDOT Traffic Safety eGrants <br />1. <br />N u cLc t3--� M A R ut s. <br />3 -- <br />2017-LaPorte-S-1YG-0037 Printed On: 9/20/2016 Page 1 of 1 <br />