Authorization Signatures Petty Cash FundUMB i 1110013 (R 07/02)
ALL BANKS
COMMERCIAL SIGNATURE CARD
UMB #231 SALINA KANSAS ("BANK")
By opening or maintaining this account with Bank, the account holder named below ("Depositor") acknowledges and agrees as follows:
(1) this account and all the other deposit accounts maintained by the Depositor with Bank are governed by the terms of the Bank's
Deposit Account Agreement and the documents referred to therein as "Supplemental Disclosures," as revised by Bank from time to
time; (2) the Depositor has received a copy of the Deposit Account Agreement and the Supplemental Disclosures; (3) Bank is
authorized to honor the instructions of any one (1) of the authorized signers set forth below in the payment of funds or the transaction of
any other business involving this account, unless other Special Instructions are set forth below and an authorized officer of Bank has
approved the Special Instructions by signing in the space provided.
Account Title and Mailing Address:
❑ corporation
® Regular Checking
CITY OF SALINA WATER AND SEWAGE DEPARTMENT
❑ Sole Proprietor
❑ Performance
PETTY CASH FUND
❑ Partnership / Joint Venture
❑ Daily Investment
P O BOX 1307
❑ Limited Partnership
❑ Sweep Account
SALINA KANSAS
® Government / Public Funds
❑ Savings/Time
67402 1307
❑ Voluntary Unincorp. Assoc.
❑ Other
❑ Limited Liability Company
Account Number
❑ Fiduciary / Trust
3070000647
❑ Other
Address: No. & Street City
State Zip
Telephone Number
(If different
than above)
Iyicl(
)
Account Opened by: Amount of First Deposit Date Opened I.D. or License No.
ChexSystems Code
Last Banking Connection: Name of Bank Branch/Address
City State
Other Current Banking Connections:
Affiliated Accounts in this Bank
Special Instructions: (Requires written approval of authorized Bank Officer)
Signature by Bank Officer
NAME OF •- •-
1) CINDY BENEKE
2) CAROL SCHAEFFER
3) ROD FRANZ
4) --'
5) _
6)
•CERTIFICATION
I hereby certify that: (1) the information set forth on this Commercial Signature Card is true and correct; (2) each person named above
as Authorized Signer is currently authorized to act on behalf of Depositor as stated in this Signature Card by virtue of resolutions or
other authority documents currently in effect governing the Depositor; and (3) 1 am authorized to sign and deliver this Signature Card to
thR behalf of the Depositor.
A- 4-.74 - icy
Signed Title Date
W-9: Under penalties of perjury, I certify (1) that the number shown below is my correct Taxpayer Identification Number (interest
paid, if any, will be reported under this number) and (2) that I am exempt from backup withholding, or I am not subject to backup withholding as a
result of a failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup
withholding, and (3) that I am a U.S. person (including a U.S. resident alien). Cross out item (2) above if you have been notified that you are
subject to backup withholding because of under reporting i teres or dividends on your tax return.
Taxpayer I.D. 48 6017228 �,l�ctir� q
❑ EXEMPT Signature Title Date
To be accompanied by certified resolution or standard documentation required by Bank.
UMB i 1120001 (R 08102)
ORGANIZATION RESOLUTION AND AGREEMENT
Deposit Accounts and Related Services; Borrowing
Name of organization: City Of Salina Water and Sewage Department Petty Cash Fund
(the "Organization'), a (type of entity) organized under the laws of (state).
TRX ID Number of Organization: 48 6017228
The undersigned certifies to UMB NBA
(the "Bank') as follows:
1. Recordkeeper. I am the Secretary or Assistant Secretary, or an officer, partner, owner, principal, manager, member or other person having lawful custody of the
official records of the above Organization (the "Recordkeeper"). I am authorized to provide this document to the Bank.
2. Resolution and Agreement. At a meeting of the governing body of the Organization duly held on 4 -a l- Qg (date) and at which a quorum was
present and acting throughout, or pursuant to the unanimous written consent of its members, the following Resolution and Agreement was duly adopted and approved and
is currently in full force and effect, and has not been amended or rescinded.
DEPOSIT ACCOUNTS AND RELATED SERVICES
A. Opening and Nlaintaining Deposit Accounts. The Organization may open and maintain with Bank one or more checking, savings, and/or time deposit
accounts (collectively, the "Accounts") as determined from time to time by any Authorized Signer named in Section B below. The Accounts are governed by the
terms of the Bank's Deposit Account Agreement and the documents referred to therein as "Supplemental Disclosures," as amended by the Bank from time to time.
B. Account Signature Authority. Any one (1) of the following persons named in this Section B (each, an "Authorized Signer") is authorized to take
all action set forth in Sections A and B of this Resolution and Agreement.
Cindy Beneke!�C r
Carol Schaeffer
Each Authorized Signer named above, or if no individual person is named but only titles are given, then any person holding such title as specified from time to time in
an incumbency certificate provided by the Recordkeeper to the Bank, acting alone, has the authority, on behalf of the Organization and in its name, to: (1) sign and
deliver any application, signature card, or other document required by die Bank to open or maintain any Account, and to close or re -title such Accounts; (2) sign or
endorse for deposit or collection checks, drafts, acceptances, time deposit receipts, and any other orders for the payment of money, and the Bank is hereby authorized
and directed to honor the same, whether such items are payable to the order of the person signing or countersigning the same, and whether or not the same are
deposited to the individual credit of the person signing or countersigning the same or to the individual credit of any officer, employee or other Authorized Signer, (3)
issue stop payment orders with respect to any item drawn on an Account of the Organization; (4) obtain from the Bank such services as may be available from time to
time that provide electronic, telephone, computer or other form of information access to such Accounts; and (5) obtain from Bank one or more debit cards for the
purpose of making electronic fund transfers to or from Accounts that permit such access. Endorsements of items made payable to the Organization may also be made
by typing, writing or stamping the name of the Organization without adding the name of any particular person below that signature.
The Bank is hereby requested, authorized and directed to honor checks, drafts or other orders for the payment of money drawn in the Organization's name, when
bearing or purporting to bear the facsimile signature of any such Authorized Signer, and the Bank is entitled to honor all such checks, drafts or other orders,
regardless of by whom or, by what means the facsimile signature thereon may have been affixed, if such facsimile signature resembles the facsimile specimens
duly certified to or filed with Bank by an Authorized Signer.
C. Auxiliary Account Services. Any one (1) of the following persons named in this Section C, acting alone (each, an "Authorized Signer") is
authorized to take any action set forth in Section C of this Resolution and Agreement.
NAMP OF AUTHORIZED SIGNER
'T!TI E
SPECIMEN SIGNATURE OFAUTtIORIZFD SIGNER '
Cindy Beneke
Carol Schaeffer
2 LL si L)ic Q
C`
Rod Franz
f
Each such Authorized Signer has the authority, on behalf of the Organization and in its name, to enter into, sign, modify, amend or terminate agreements with
the Bank for "Auxiliary Account Services" (as defined below) in connection with the Accounts of the Organization, and to take whatever actions or enter into
whatever other agreements and provide whatever instructions or documents relating to the Auxiliary Account Services as Bank may require, upon such terms
and conditions as such Authorized Signer deems appropriate, and to approve the security procedures and other terms and conditions that become part of such
agreement. Each such Authorized Signer may execute, deliver, amend or cancel one or more authorizations (an "Authorization") designating one or more
individuals who are authorized to (1) initiate, confirm, amend and cancel payment orders or funds transfers, as set forth more fully in the Terms and Conditions
Governing Wire Transfers by UMB Bank or the Automated Clearing House Service Operating Agreement, if executed on behalf of Organization, whether or not
the person named in such Authorization is an Authorized Signer named in this Section C; and (2) issue or amend instructions related to any Auxiliary Account
Service.
As used in this Resolution and Agreement, the term "Auxiliary Account Services" includes, but is not limited to: (1) the investment of funds from Accounts of
the Organization into such investments as such Authorized Signer deems appropriate, whether such investments are offered by Bank or its affiliates, and whether
or not the investments are FDIC -insured; (2) wire transfer services; (3) automated clearing house (ACH) services; (4) obtaining one or more access devices
issued by Bank as a means of accessing the Organization's Accounts, including, but not limited to, any card, PM, code, program or product that will allow such
access for the purpose of obtaining information or to initiate electronic fund transfers to or from Accounts of the Organization, and to request Bank to issue such
access devices to other representatives of the Organization, whether or not such other representative is named in Section B above or in this Section C, (5) the
purchase or sale of foreign currencies on behalf of the Organization; and (6) other Treasury Management, cash or vault services as Bank may offer and such
Authorized Signer may request from time to time.
BORROWING AUTHORITY
D. Borrowing Representative(s). _ (required number) of the officers, employees or other representatives of the Organization named in this
cz—tinn D helnw (each. a "Rorrowine Reoresentative") is authorized to take all action set forth in this Section D of this Resolution and Agreement:
The Borrowing Representative(s) named above have the aulhority to borrow sums of money from the Bank from time to time on behalf of and in the name of the
Organization in such amounts, for such periods of time, and upon such terms as such Borrowing Representative(s) may deem advisable; to execute on behalf the
Organization any guaranty of the obligations of other persons or entities to the Bank; and to execute for and on behalf of the Organization notes, bonds,
debentures, other evidences of indebtedness, loan agreements, line of credit agreements, authority to loan or similar agreements, or guaranties in such form as
such Borrowing Representative(s) may determine; and to pledge, hypothecate, mortgage or otherwise in any manner whatsoever encumber or create a lien upon
any property of the Organization and to deliver such documents and property to the Bank, whether real or personal, tangible or intangible, including but not
limited to shares of stock, bonds, debentures, notes, accounts receivable, or other property, upon such terms and conditions as the Borrowing Representative(s)
may deem advisable, to secure payment of sums of money borrowed by the Organization from the Bank or to secure any such guaranty of the obligations of any
third party executed on behalf of the Organization, and to amend or modify the same.
Notwithstanding the foregoing, any one (1) of the Borrowing Representatives, acting alone, may (1) may effectuate any borrowing pursuant to such note, loan
agreement, line of credit agreement, authority to loan agreement, security agreement or any other document executed in accordance with the foregoing
authorization; and (2) delegate to any other representative of the Organization the power to obtain advances on behalf of the Organization from time to time
under any loan agreement, line of credit agreement, authority to loan or other agreement previously approved in accordance with the foregoing authorization,
even if the person to whom such authority to obtain advances is delegated is not named in this Resolution and Agreement.
GENERAL
Changes to Authorized Signer(s). The Organization agrees that the Recordkeeper signing this Resolution and Agreement, or any person designated in writing by
the Recordkeeper, is authorized to certify to the Bank the names and signatures of persons authorized to act on behalf of the Organization under the foregoing
Resolution and Agreement, and from time to time hereafter, as additions to or changes in the identity of said Authorized Signer(s) or Borrowing Representative(s)
are made, and such Recordkeeper or designee shall immediately report, furnish and certify such changes to the Bank, and shall submit to Bank a new signature card,
incumbency certificate or other document reflecting such changes in order to make such changes effective.
Bank's Right to Rely on This Resolution and Agreement. The undersigned Recordkeeper certifies that the foregoing Resolution and Agreement is in conformity
with the governing documents of the Organization, and that Bank is authorized to rely on and to continue to honor the instructions of any Authorized Signer(s) or
Borrowing Representative(s) identified herein or as subsequently certified as set forth above until Bank is notified in writing by the Recordkeeper or designee of the
amendment or revocation of such authority and Bank has had a reasonable period of time to act thereon. The Organization agrees and acknowledges that neither the
federal Electronic Fund Transfer Act (15 U.S.C. Section 1693 and following) nor Regulation E (12 C.F.R. Part 205) are applicable to any debit card or other access device
issued by Bank to Organization pursuant to this Resolution. The Organization hereby agrees to indemnify and hold the Bank harmless against any and all loss, cost,
damage, or expenses suffered or incurred by Bank arising out of or in any way related to Bank's reliance in good faith on the terms of this Resolution and
Agreement.
Incumbency Certificate. The undersigned Recordkeeper certifies that each person listed above as an Authorized Signer or as a Borrowing Representative currently
holds the office indicated adjacent to his or her name, and that the specimen signature adjacent thereto is the valid signature of such individual.
In witness whereof, the undersigned Recordkeeper has subscribed his or her name and, if appropriate or required, applied the seal of the Organization to this
Resolution and Agreement as of this Jd 0- day of ri _, 200:3.
See Guidelines for Completion, below.
R£CORD.KEEP£R
ADD1T10NAL OFFICER
Signature by Secretary, Assistant Secretary, or other person certifying to
Signature by Second Person, certifying to incumbency of Recordkeeper
this Resolution and A regment
►
Name (Type p �bb✓s `
Name (Type or print): iii.- Iv
or print):_
Signature:A1y .�..J /,�
Signature:
Title:
"Title:
Aff seal, if required by Organization's governing documents.
Additional Signatures of Members, Partners or Other Required Persons
The undersigned persons, being Members, General Partners, or other persons required under the governing documents of the foregoing Organization to approve the
foregoing R solution and Agreement, hereby consent to the adoption thereof.
Guidelines ror Completion for Customers that are U.S. legal entities:
• Corporat on: The Recordkeeper signing above should be the corporate secretary or assistant secretary. The second person may be the Chairman, President,
CEO, a Board member, the Treasurer or the CFO.
• Partners i , Limited Liability Partnership, Limited Liability Company, or Sole Proprietor: All general partners, all members, or the sole proprietor must sign
this form unless Organization's governing documents specify that a manager, managing general partner or other person may act. In any event, a second general
partner or member must sign in the second place. Sole proprietors do not require a second signature.
• Governmental Entity: The Treasurer must sign in the first place, unless the Organization's charter specifies otherwise. The entity's Chairperson,
Vice Ch irperson, or Counsel must sign in the second place.