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City of La Porte Police Department <br /> STEP CMV 2019 <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 CMV <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 /> C �fiy ill /4r• 4 r . <br /> Signature: <br /> Date: <br /> 82s / 8 <br /> Under the authority of Ordinan a or R solution f 210 I c/_Q� <br /> Number(if applicable) I <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 /> 01 A-r-Gut,s "1ec'IIR4r-G� S 6T•/P/ofrCCfi /n%!i <br /> 2. <br /> Co r' b 1 Ai e h-►�l n of G G', 'hi ry) R n A-6 E it <br /> 1 <br /> gf ri A t. p 197hr A el- Ars i• 64 i C- fr Plnrk wr- <br /> 2019-LaPorte-S-CMV-00011 Printed On: 7/31/2018 Page 1 of 1 <br />