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Home My WebLink AboutReso 72-25 Approving the California Office of Emergency Services Form 130 – Designation of Applicant’s Agent Resolution for Non-State Agencies Reso. No. 72-25, Item 5.2, Adopted 08/19/2025 Page 1 of 1 RESOLUTION NO. 72 – 25 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF DUBLIN APPROVING THE CALIFORNIA OFFICE OF EMERGENCY SERVICES FORM 130 – DESIGNATION OF APPLICANT’S AGENT RESOLUTION FOR NON-STATE AGENCIES WHEREAS, for the City of Dublin to be eligible to obtain certain disaster cost reimbursements from the State of California and the Federal Emergency Management Agency (FEMA), the City Council must approve California Office of Emergency Services (CalOES) Form 130 – Designation of Applicant’s Agency Resolution for Non-State Agencies (Form 130); and WHEREAS, Form 130 designates the positions the City Council authorizes to apply for public assistance and recovery funding on behalf of the City for a three-year period; and WHEREAS, the current Form 130 was approved by the City Council on March 21, 2023, with an expiration date of March 21, 2026, and must be updated to replace the Director of Administrative Services with the Finance Director position designation. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Dublin does hereby approve the CalOES Form 130 – Designation of Applicant’s Agent Resolution for Non-State Agencies, attached hereto as Exhibit A, with an expiration date of August 19, 2028. PASSED, APPROVED AND ADOPTED this 19th day of August 2025, by the following vote: AYES: Councilmembers Josey, Morada, Qaadri and Mayor Hu NOES: ABSENT: Councilmember McCorriston ABSTAIN: ______________________________ Mayor ATTEST: _________________________________ City Clerk Docusign Envelope ID: 1330011D-6EDE-41EC-B429-F5DAE68E87ED DESIGNATION OF APPLICANT'S AGENT RESOLUTION FOR 12167$7($*(1&,(6 %(,75(62/9('%<7+(2)7+( *RYHUQLQJ%RG\1DPHRI$SSOLFDQW 7+$725 7LWOHRI$XWKRUL]HG$JHQW 25 7LWOHRI$XWKRUL]HG$JHQW 7LWOHRI$XWKRUL]HG$JHQW LVKHUHE\DXWKRUL]HGWRH[HFXWHIRUDQGRQEHKDOIRIWKH 1DPHRI$SSOLFDQW DSXEOLFHQWLW\HVWDEOLVKHGXQGHUWKHODZVRIWKH6WDWHRI&DOLIRUQLDWKLVDSSOLFDWLRQ DQGWRILOHLWZLWKWKH&DOLIRUQLD*RYHUQRU·V2IILFHRI(PHUJHQF\6HUYLFHVIRUWKH SXUSRVHRIREWDLQLQJIHGHUDOILQDQFLDODVVLVWDQFHIRUDQ\H[LVWLQJRUIXWXUHJUDQW SURJUDPLQFOXGLQJEXWQRWOLPLWHGWRDQ\RIWKHIROORZLQJ -Federally declared Disaster (DR), Fire Mitigation Assistance Grant (FMAG), California State Only Disaster (CDAA), Immediate Services Program (ISP), Hazard Mitigation Grant Program (HMGP), Building Resilient Infrastructure and Communities (BRIC), Legislative Pre-Disaster Mitigation Program (LPDM), XQGHU -3XEOLF/DZDVDPHQGHGE\WKH5REHUW76WDIIRUG'LVDVWHU5HOLHIDQG (PHUJHQF\$VVLVWDQFH$FWRIDQGRUVWDWHILQDQFLDODVVLVWDQFHXQGHUWKH &DOLIRUQLD'LVDVWHU$VVLVWDQFH$FW - Flood Mitigation Assistance Program (FMA)XQGHU6HFWLRQRIWKH1DWLRQDO )ORRG,QVXUDQFH$FWRI - National Earthquake Hazards Reduction Program (NEHRP) 86&RGHE $L[DQG86&RGHE%1DWLRQDO(DUWKTXDNH+D]DUGV 5HGXFWLRQ3URJUDPDQGDOVR7KH&RQVROLGDWHG$SSURSULDWLRQV$FW'LY) 'HSDUWPHQWRI+RPHODQG6HFXULW\$SSURSULDWLRQV$FW3XE/1R - California Early Earthquake Warning (CEEW)XQGHU&$*RY&RGH²*RY7LWOH 'LY&KDSWHU$UWLFOH6HFWLRQV 7KDWWKH DSXEOLFHQWLW\HVWDEOLVKHGXQGHUWKH 1DPHRI$SSOLFDQW ODZVRIWKH6WDWHRI&DOLIRUQLDKHUHE\DXWKRUL]HVLWVDJHQWVWRSURYLGHWRWKH *RYHUQRU·V2IILFHRI(PHUJHQF\6HUYLFHVIRUDOOPDWWHUVSHUWDLQLQJWRVXFKVWDWH GLVDVWHUDVVLVWDQFHWKHDVVXUDQFHVDQGDJUHHPHQWVUHTXLUHG 67$7(2)&$/,)251,$ &$/,)251,$*29(5125 62)),&(2)(0(5*(1&<6(59,&(6 '(6,*1$7,212)$33/,&$17 6$*(175(62/87,21 12167$7($*(1&,(6 2(6)3'5HY &DO2(6,'1RBBBBBBBBBBBBB OES-)3' Rev. 2022 3DJHRI City Council City of Dublin City Manager Assistant City Manager Finance Director City of Dublin City of Dublin Exhibit A to the Resolution 5(&29(5<',5(&725$7( ),1$1&,$/352&(66,1*',9,6,21 Docusign Envelope ID: 1330011D-6EDE-41EC-B429-F5DAE68E87ED Please check the appropriate box below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ev. 2022 3DJHRI ✔ 19 August 25 Sherry Hu, Mayor Marsha Moore City Clerk City of Dublin City Council City of Dublin 19 August 25 City Clerk Docusign Envelope ID: 1330011D-6EDE-41EC-B429-F5DAE68E87ED Cal OES Form 130 Instructions A Designation of Applicant’s Agent Resolution for Non-State Agencies is required of all Applicants to be eligible to receive funding. A new resolution must be submitted if a previously submitted resolution is older than three (3) years from the last date of approval, is invalid, or has not been submitted. :KHQFRPSOHWLQJWKH&DO2(6)RUP$SSOLFDQWVVKRXOGILOOLQWKHEODQNVRQSDJHV DQG7KHEODQNVDUHWREHILOOHGLQDVIROORZV Resolution Section: Governing Body7KLVLVWKHJURXSUHVSRQVLEOHIRUDSSRLQWLQJDQGDSSURYLQJWKH $XWKRUL]HG$JHQWV ([DPSOHVLQFOXGH%RDUGRI'LUHFWRUV&LW\&RXQFLO%RDUGRI6XSHUYLVRUV%RDUGRI (GXFDWLRQHWF Name of Applicant7KHSXEOLFHQWLW\HVWDEOLVKHGXQGHUWKHODZVRIWKH 6WDWHRI&DOLIRUQLD ([DPSOHVLQFOXGH6FKRRO'LVWULFW2IILFHRI(GXFDWLRQ&LW\&RXQW\RU1RQSURILW DJHQF\WKDWKDVDSSOLHGIRUWKHJUDQWVXFKDV&LW\RI6DQ'LHJR6DFUDPHQWR &RXQW\%XUEDQN8QLILHG6FKRRO'LVWULFW1DSD&RXQW\2IILFHRI(GXFDWLRQ 8QLYHUVLW\6RXWKHUQ&DOLIRUQLD Authorized Agent 7KHVHDUHWKHLQGLYLGXDOVWKDWDUHDXWKRUL]HGE\WKH*RYHUQLQJ%RG\ WR HQJDJH ZLWK WKH )HGHUDO (PHUJHQF\ 0DQDJHPHQW $JHQF\ DQG WKH&DOLIRUQLD *RYHUQRU·V2IILFHRI(PHUJHQF\6HUYLFHVUHJDUGLQJJUDQWVIRUZKLFKWKH\KDYHDSSOLHG 7KHUHDUHWZRZD\VRIFRPSOHWLQJWKLVVHFWLRQ 7LWOHV2QO\7KHWLWOHVRIWKH$XWKRUL]HG$JHQWVVKRXOGEHHQWHUHGKHUHQRWWKHLU QDPHV7KLVDOORZVWKHGRFXPHQWWRUHPDLQYDOLGLIDQ$XWKRUL]HG$JHQWOHDYHV WKHSRVLWLRQDQGLVUHSODFHGE\DQRWKHULQGLYLGXDO,I´7LWOHV2QO\µLVWKHFKRVHQ PHWKRGWKLVGRFXPHQWPXVWEHDFFRPSDQLHGE\HLWKHUDFRYHUOHWWHUQDPLQJ WKH$XWKRUL]HG$JHQWVE\QDPHDQGWLWOHRUWKH&DO2(6$$1DPHV GRFXPHQW7KHVXSSRUWLQJGRFXPHQWFDQEHFRPSOHWHGE\DQ\DXWKRUL]HG SHUVRQZLWKLQWKH$JHQF\HJDGPLQLVWUDWLYHDVVLVWDQWWKH$XWKRUL]HG$JHQW VHFUHWDU\WRWKH'LUHFWRU,WGRHVQRWUHTXLUHWKH*RYHUQLQJ%RG\·VVLJQDWXUH 1DPHVDQG7LWOHV,IWKH*RYHUQLQJ%RG\VRFKRRVHVWKHQDPHVand WLWOHVRIWKH $XWKRUL]HG$JHQWVZRXOGEHOLVWHG$QHZ&DO2(6)RUPZLOOEHUHTXLUHGLI DQ\RIWKH$XWKRUL]HG$JHQWVDUHUHSODFHGOHDYHWKHSRVLWLRQOLVWHGRQWKH GRFXPHQWRUWKHLUWLWOHFKDQJHV 67$7(2)&$/,)251,$ &$/,)251,$*29(5125 62)),&(2)(0(5*(1&<6(59,&(6 '(6,*1$7,212)$33/,&$17 6$*(175(62/87,21 12167$7($*(1&,(6 2(6)3'5HY 5(&29(5<',5(&725$7( ),1$1&,$/352&(66,1*',9,6,21 OES-)3'- Rev. 2022 3DJHRI Docusign Envelope ID: 1330011D-6EDE-41EC-B429-F5DAE68E87ED Checking Universal or Disaster-Specific Box:$8QLYHUVDOUHVROXWLRQLVHIIHFWLYHIRUDOO SDVWGLVDVWHUVDQGIRUWKRVHGHFODUHGXSWRWKUHH\HDUVIROORZLQJWKHGDWHRI DSSURYDO8SRQH[SLUDWLRQLWLVQRORQJHUHIIHFWLYHIRUQHZGLVDVWHUVEXWLWUHPDLQV LQHIIHFWIRUGLVDVWHUVGHFODUHGSULRUWRH[SLUDWLRQ,WUHPDLQVHIIHFWLYHXQWLOWKH GLVDVWHUJRHVWKURXJKFORVHRXWXQOHVVLWLVVXSHUVHGHGE\DQHZHUUHVROXWLRQ Governing Body Representative7KHVHDUHWKHQDPHVDQGWLWOHVRIWKHDSSURYLQJ %RDUG0HPEHUV ([DPSOHVLQFOXGH&KDLUPDQRIWKH%RDUG'LUHFWRU6XSHULQWHQGHQWHWF7KH QDPHVDQGWLWOHVcannot EHRQHRIWKHGHVLJQDWHG$XWKRUL]HG$JHQWV$ PLQLPXPRIWKUHHDSSURYLQJERDUGPHPEHUVPXVWEHOLVWHG,IOHVVWKDQWKUHH DUHSUHVHQWPHHWLQJPLQXWHVPXVWEHDWWDFKHGLQRUGHUWRYHULI\DTXRUXPZDV PHW Certification Section: Name and Title7KLVLVWKHLQGLYLGXDOLQDWWHQGDQFHZKRUHFRUGHGWKHFUHDWLRQDQG DSSURYDORIWKLVUHVROXWLRQ ([DPSOHVLQFOXGH&LW\&OHUN6HFUHWDU\WRWKH%RDUGRI'LUHFWRUV&RXQW\&OHUN HWF7KLVSHUVRQcannotEHRQHRIWKHGHVLJQDWHG$XWKRUL]HG$JHQWVRU $SSURYLQJ%RDUG0HPEHU,IDSHUVRQKROGVWZRSRVLWLRQVVXFKDV&LW\0DQDJHU DQG6HFUHWDU\WRWKH%RDUGDQGWKH&LW\0DQDJHULVWREHOLVWHGDVDQ $XWKRUL]HG$JHQWWKHQWKDWSHUVRQFRXOGVLJQWKHGRFXPHQWDV6HFUHWDU\WR WKH%RDUGQRW&LW\0DQDJHUWRHOLPLQDWH´6HOI&HUWLILFDWLRQµ 67$7(2)&$/,)251,$ &$/,)251,$*29(5125 62)),&(2)(0(5*(1&<6(59,&(6 '(6,*1$7,212)$33/,&$17 6$*(175(62/87,21 12167$7($*(1&,(6 2(6)3'5HY 5(&29(5<',5(&725$7( ),1$1&,$/352&(66,1*',9,6,21 OES-)3'- Rev. 2022 3DJHRI Docusign Envelope ID: 1330011D-6EDE-41EC-B429-F5DAE68E87ED