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UWa <br />OF THE <br />Attachment D— Signature Authority Form 1 2015 <br />(Secretary/Director/President/Chancellor/Chairperson) <br />(Name of the Organization) <br />I hereby authorize the following individual(s) to execute for and on behalf of the named organization, <br />any actions necessary for the purpose of obtaining federal financial assistance provided by the federal <br />Department of Homeland Security and sub -granted through the California Governor's Office of <br />Emergency Services. <br />,OR <br />,OR <br />Signed and approved this day of 20 <br />(Signature) <br />