HomeMy WebLinkAboutExhibit 15City of Miami, Florida
Health Benefit Consulting Services and Actuarial Services
RFQ 05-06-005
6.2
CERTIFICATE OF AUTHORITY
(IF CORPORATION)
STATE OF
}
) SS:
COUNTY OF )
I HEREBY CERTIFY that a meeting of the Board of Directors of the
a corporation existing under the laws of the State of , held on , 20
the following resolution was duly passed and adopted:
"RESOLVED, that, as President of the Corporation, be and is hereby authorized to execute the Proposal dated,
, 20 , to the City of Miami and this corporation and that their execution thereof, attested by
the Secretary of the Corporation, and with the Corporate Seal affixed, shall be the official act and deed of this
Corporation."
I further certify that said resolution is now in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the corporation this
day of , 20 .
Secretary:
(SEAL)
FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE.
29
City of Miami, Florida Health Benefit Consulting Services and Actuarial Services RFQ OS-UO-UUJ
STATE OF
) SS:
CERTIFICATE OF AUTHORITY
(IF PARTNERSHIP)
I HEREBY CERTIFY that a meeting of the Partners of the
organized and existing under the laws of the State of , held on
, 20 , the following resolution was duly passed and adopted:
"RESOLVED, that, , as
authorized to execute the Proposal dated, 20
and that their execution thereof, attested by the
shall b.e the official act and deed of this Partnership."
I further certify that said resolution is now in full force and effect,
IN WITNESS WHEREOF, I have hereunto set my hand this , day of
20
Secretary:
(SEAL)
of the Partnership, be and is hereby
, to the City of Miami and this partnership
FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORMMAY DISQUALIFY YOUR
RESPONSE.
CERTIFICATE OF AUTHORITY
(IF JOINT VENTURE)
STATE OF
) SS:
COUNTY OF )
I HEREBY CERTIFY that a meeting of the Principals of the
organized and existing under the laws of the State of
, 20 , the following resolution was duly
"RESOLVED, that,
be and is hereby authorized to execute the Proposal dated,
official act and deed of this Joint Venture."
I further certify that said resolution is now in full force and effect.
as
20
IN WITNESS WHEREOF, I have hereunto set my hand this , day of
, 20
Secretary:
(SEAL)
, held on
passed and adopted:
of the Joint Venture
, to the City of Miami
FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM MAY DISQUALIFY YOUR
RESPONSE.
CERTIFICATE OF AUTHORITY
(if Individual)
STATE OF
"COUNTY Or
I HEREBY CERTIFY that as an individual, I
(Name of Individual)
and as a d/b/a (doing business as)
(if applicable)
) SS:
)
exist under the laws of the State of Florida.
"RESOLVED, that, as an individual and/or d/b/a (if applicable), be and is hereby authorized to execute the Proposal
dated, , 20 , to the City of Miami as an individual and/or d/b/a (if applicable) and
that my execution thereof, attested by a Notary Public of the State, shall be the official act and deed of this
attestation."
i further certify that said resolution is now in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of Notary Public this
, day of , 20
NOTARY PUBLIC:
Commission No.:
I personally know the individual/do not know the individual (Please Circle)
Driver's License #
(SEAL)
FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE