CC RESOLUTION 4176State of California
Department of General Services
State Agency for Surplus Property
701 Burning Tree Road
Fullerton, CA 92633 (714) 449 -5900
RESOLUTION NO. 4176
ELIGIBILITY RENEWAL APPLICATION
FEDERAL SURPLUS PROPERTY PROGRAM
Name of organization City of E1 Se
Address 350 Main Street
Organization is a:
PUBLIC AGENCY X
A.
Conservation
B.
Economic Development
C.
Education
D.
Parks and Recreation
X E.
Public Health
F.
Public Safety
G.
2 or more listed
H.
Other (includes
library /museums)
I.
Homeless Program
SASP Form 201 -A 3!92
Telephone (310)524 -2395
City El Segundo County LA ZIP 90245
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) TITLE SIG T E
Craig S. Pedego Fire Chief
Steve Tsumura Environmental Safety Manager
David Burns Emergency Services Coordinator
John W. Gilbert Administrative Battalion Chief
Roger E. Groman General Services Manager
PASSED AND ADOPTED this _I st day of August X 2000 by the Governing Board of
City Council of the Ci ry of F1 gegnndo by the following vote:
Ayes: 5 ; Noes: 0 Absent: 0
I, Cathy Domanr Clerk of the Governing Board of City of F1 Se,gundc
do hereby certify that the foregoing is a full,
true, and correct copy of a` resolution adopted by the Board at a mogul ar meeting thereof held
at its regular place of meetingt the date and by the vote above stated, which resolution is on file in
the office of the Board. '
(Signed)
OR
AUTHORIZED this day of
Name of Chief Administrative Officer
, 1s , by:
(Signed)
FOR STATE AGENCY USE
Application approved:
Comments or additional information:
Application disapproved:
Date: Signed:
(Title)
State of California RESOLUTION NO. 4176 SASP Form 201 -A 3/92
Department of General Services
State Agency for Surplus Property
701 Burning Tree Road ELIGIBILITY RENEWAL APPLICATION
Fullerton, CA 92633 (714) 449 -5900 FEDERAL SURPLUS PROPERTY PROGRAM
9
Name of organization City of El Segundo Telephone (310)322 -4670
Address 350 Main Street City El Segundo County L.A. ZIP 90245
Organization is a:
PUBLIC AGENCY X
A.
Conservation
B.
Economic Development
C.
Education
D.
Parks and Recreation
E.
Public Health
X F.
Public Safety
G.
2 or more listed
H.
Other (includes
library /museums)
I.
Homeless Program
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) TITLE S NA U
Rick Longobart Equipment Maintenance Super.
PASSED AND ADOPTED this 1st day of August M2000 by the Governing Board of
City Council of the City of E1 Segundo by the following vote:
Ayes: 5 ; Noes: 0 ; Absent: 0
I Cathy Domarm ,Clerk of the Governing Board of City, of E1 Segundo
do hereby certify that the foregoing is a full,
true, and correct copy of a resolution adopted by the Board at a –fig - whic— h re meeting thereof held
at its regular place of meeting at the date and by the vote above stated, solution is on file in
the office of the Board.
r
(Signed) QYrtaw/ ,s
OR
AUTHORIZED this day of
Name of Chief Administrative Officer
(Signed)
Application approved:
Comments or additional information:
, 19 by:
FOR STATE AGENCY USE
Date: Signed:
Application disapproved:
CERTIFICATION
STATE OF CALIFORNIA ]
COUNTY OF LOS ANGELES ] SS
CITY OF EL SEGUNDO ]
I, Cathy Domann, Deputy City Clerk of the City of El Segundo, California, DO
HEREBY CERTIFY that the whole number of members of the City Council of the said City
is five; that RESOLUTION NO. 4176 ELIGIBILITY RENEWAL APPLICATION FEDERAL
SURPLUS PROPERTY PROGRAM, was duly passed and adopted by the said City
Council, approved by the Mayor of said City, and attested by the City Clerk of said City,
all at a regular meeting of the said Council held on the 1ST day of AUGUST, 2000, and
the same was so passed and adopted by the following vote:
AYES: Mayor Gordon, Mayor Pro -Tem Jacobs, Council Members
McDowell, Wernick and Gaines
NOES: None
ABSENT: None
ABSTENTION: None
WITNESS MY HAND THE OFFICIAL SEAL OF SAID CITY this 3RD day of August 2000.
l.f:���0�2QrJVt'L
Cathy Domann, Deputy City Clerk,
City of El Segundo, California
(SEAL)