AUTHORIZATION AND AGREEMENT FOR TREASURY SERVICES
AUTHORIZATION AND AGREEMENT FOR TREASURY SERVICES
I am an authorized representative of the organization specified below (the "Client"). The Client has received Bank of America's Treasury Services
Terms and Conditions Booklet (the "Booklet") and agrees to adhere to the Booklet and any applicable User Documentation from Bank of America
("Bank"). The Services covered by the Booklet and the banks providing Services are listed on the accompanying List of Banks and Services,
which we may change from time to time. Capitalized terms used in this Authorization and Agreement form, not otherwise defined, have the
meanings given to them in the Booklet.
After I sign below on behalf of the Client, the Client may from time to time request the Bank to provide any of the Services described in the
Booklet. The Client may begin to use any such Service once Bank has approved such use and has received aU required and properly executed
forms and the Client has successfully completed any testing or training requirements. The Booklet supersedes other agreements between the
Client and the Bank, as described under the General Matters heading in the Booklet, with regard to the provision of Services.
I warrant that the Client has taken all action required by its organizational or constituent documents to authorize me to execute and deliver
on behalf of the Client this Authorization and Agreement form and any other documents the Bank may require with respect to a Service. I am
authorized to enter into all transactions contemplated by the provision of Services to the Client. These may include, but are not limited to, giving
the Bank instructions with regard to Electronic Funds Transfer Services and designating employees or agents to act in the name and on behalf of
the Client.
Guidelines for completion:
If Client is a: Who must sign:
corporation ..................... .any authorized officer
limited liability company. . . . . . . . . . . .all members, or any authorized officer*
partnership (general or limited) . . . . . . .any general partner*
limited liability partnership. . . . . . . . . .the managing partner*
sole proprietorship ............... .the sole proprietor
governmental entity. . . . . . . . . . . . . . . .the Treasurer*
* Includes any individual authorized under Client's charter or organizational or constituent documents. The legal name of any member,
managing member, manager or genera! partner who is signing and who is not an individual must appear in the signature block. Note that
in most cases the Client must also complete the Certification form which follows.
9/26/05
Dated
City of Clearwater
(CLIENT'S~E~AL NAME), .J . /
'n/1'A/lrL/~" ~7?l~-u-.---. ./
[Signature]
Margaret L. Simmons
[Print Name]
Finance Director
[Print Title (include the legal name of any member, managing
member, manager or general partner who is signing and who
is not an individual)J
[Signature, if two are required by Client]
[Print Name]
[Print Title (include the legal name of any member, managing
member, manager or general partner who is signing and who
is not an individual)]
The following addresses may be used for giving notices in connection with this Booklet except as you or we provide the other different addresses
to be used in conjunction with your accounts or particular Services.
Address for Client Notices:
City of Clearwater
Cash & Investments Manager
P.O. Box 4748
c: 1 P rl rw;::Ji- p r 2 1<'T, 117 l) R - 4 7 4 R
Telephone: G.nJ 56 - 4 5 3 2
Fax: G2JJ 562-4535
Address(es) for Bank Notices:
Bank of America, N.A.
Documentation Management (CA4-706-04-07)
P.O. Box 27128
Concord, CA 94527-9904
Fax No.: (925) 675-7131
and, if filled in, the following:
Telephone: L-J
Fax: L-J
AD-AG-0455B
II
AUTHORIZATION AND AGREEMENT CERTIFICATION
I certify that each signature appearing on the previous page for Client is the true signature of a person authorized to execute the form on behalf
of Client, and I further certify that I have full authority to execute this certification. The Bank is entitled to rely upon this certification until written
notice of its revocation is delivered to the Bank.
Guidelines for completion: This Certification should not be signed by the individual who signed the Authorization and Agreement
If Client is a: Who must sign:
corporation ..................... .any authorized officer
limited liability company. . . . . . . . . . . .any member or authorized officer
limited liability partnership. . . . . . . . . .any partner
partnership (general or limited) . . . . . . .any general partner
sole proprietorship ............... .no signature required
governmental entity. . . . . . . . . . . . . . . .the entity's counsel, or any other individual as permitted by
the entity's organizational documents
The legal name of any member, managing member, manager or general partner who is signing and who is not an individual must appear in the
signature block.
Note: If Client is not a U.S. based entity, it is not required to complete this certification, but must provide authorizing certificates
or mandates.
Dated
(CU~E)~. f-j_ ..9- ..
[Signat ] C .
YV\+~'\l~ E. Go ~dQ.o...u.....
[Print Nam~ !
\...:.,., \c.U"'K...
[Print Title (inciud the legal name of any member, managing
member, manager or general partner who is signing and who
is not an individual)]
II
AD-AG-0455B
TREASURY SERVICES DELEGATION OF AUTHORITY FORM
This form is optional and is to be used when you wish to delegate authority to sign various authorization forms to someone other than the
person who signed the Authorization and Agreement form in the front of this Booklet.
By signing below, you authorize the incumbent of the specified position listed in Section A or each person listed in section B below, acting
alone, to execute documents that we may request, and any amendments or renewals thereof, pertaining to the use of SeNices, including but not
limited to designating one or more persons (which may include himself or herself) authorized to initiate, amend, cancel, confirm or verify the
authenticity of instructions to us for Services, whether given orally, electronically or by Facsimile instructions, and to revoke any authorization
granted to any such person, as he or she deems appropriate. The signer of this form has the same authority described above for each Service
with us, unless otherwise specified. We are entitled to rely upon this delegation until written notice of its revocation is received by us.
Guidelines for Completion: Fill out either section A or section B, or both, depending on your needs.
· To delegate authority to any person holding a specific title, fill out section A.
· To delegate authority to specific individuals by name, fill out section B.
For each name or title, indicate "All" in the "SeNice" column if the person or title has authority to sign documents for all Services which you
receive from us. Otherwise, indicate specific SeNices for which the person or title has authority. For each name or title, indicate the entity or
entities forwhich the person or title has authority to sign documents.
A. TO DELEGATE AUTHORITY TO ANY PERSON HOLDING SPECIFIC POSITIONS
Title
SeNice
Entity
Finance Dir L '" 1 1
Asst. Finance Directo all
Cash & Investments Mg all
B. TO DELEGATE AUTHORITY TO SPECIFIC INDIVIDUALS
CLIENT AUTHORIZATION
Client Authorization Instructions: The same person who signed the Authorization and Agreement for Treasury SeNices form must sign this
Treasury Services Delegation of Authority form.
9/26/05
Cit~ of GleaFwa~er
(CLlENrS LE AL NAME)
( /Y]b up..zL ~ ~-4l?T1. ~
[Signature] -
Mar~aret L Simmons
[Print Name]
Finance Director
[Print Title (include the legal name of any member, managing
member, manager or general partner who is signing and who
is not an individual)]
Dated
AD-AG-0455B
II
Moskun, Steve
To:
Subject:
Akin, Pam
Bank of America Contract
The Bank of America has asked us to sign a document (aka the red book) to gain access to their web site. I have review
the document had have found nothing to be objectionable. The Cities of St Petersburg and Tampa have signed the
document without modification. So has the Pinellas School Board and the Hillsborough Clerk of the Court.
However, feel free to make any modification you deem necessary.
~n+~Nk y# ~\\,
y.- r~
RECEIVED
SEP 1 3 2005
CITY ATTORNEY
1