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Resolution 5881 - Glacier Bank SignatoriesRESOLUTION NO.5881 A RESOLUTION AMENDING RESOLUTION 5383, AUTHORIZING THE CITY MANAGER, FINANCE DIRECTOR, AND CITY TREASURER TO EXECUTE CHECKS, DRAFTS OR OTHER ORDERS WITHDRAWING FUNDS FROM CITY ACCOUNTS WITH GLACIER BANK. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF KALISPELL, MONTANA, AS FOLLOWS: SECTION 1. Exhibit "A", attached hereto and fully incorporated herein shall, until later amended, be the controlling authorization for the named city officers with signatory authority over City accounts held with Glacier Bank. SECTION 2. This Resolution shall become effective immediately upon passage by the City Council and approval by the Mayor. PASSED AND APPROVED BY THE CITY COUNCIL AND SIGNED BY THE MAYOR OF THE CITY OF KALISPELL THIS 6TH DAY OF AUGUST, 2018. ATTEST: Alimee Brunckhorst, CMC City Clerk SEAL s 1892 0NTANP' �'ON II Mark Johnson Mayor 119VIIIVIIN��NIlIIIIIIVIII�IIINIRflntiNllillkll�Bi��IMI��IIIIVIIINIIIiVIIIIIIIII�IIVNIIII{�IIIUVIIIIInIIiIIIIB Account Agreement osi.._ .0.11i , _ AddressInstitution Name & GLACIER BANK PO BOX 27 KALISPELL, MT 59901 (406) 756-4200 BY: MARCELLA ANDREWS C005076 Revised Date: 07/16/18 Revision Reason: CHANGING SIGNERS Ownerlftner Information Name RICHARD G WILLS Relationship SIGNER Address Mailing Address (if different) Gov't Issued Photo ID (type, number, state, issue date, exp.date) - Other ID (description, details) Employer Previous Fin i Inst. E-Mail Work Phone Home Phone: Mobile Phone: Birth Date: SSNrFIN: Ownership of Account The specified ownership will remain the same for all accounts. (For consumer accounts, select and initial.) ❑ Single -Party Account ❑ Multiple -Party Account ❑ Sole Proprietorship or Single Member LLC ❑ Partnership ❑ LLC-enter tax classification (❑ C Corp ❑ S Corp ❑ Partnership) ❑ C Corporation ❑ S Corporation ❑ ❑ Trust -Separate Agreement Dated: x❑ Public Funds Beneficiary Designation (Check appropriate ownership above - select and initial below.) ❑ Single -Party Account ❑ Single -Party Account with Pay -On -Death (POD) ❑ Multiple -Party Account with Right of Survivorship ❑ Multiple -Party Account with Right of Survivorship and POD ❑ Multiple -Party Account without Right of Survivorship (Check appropriate beneficiary designation above.) Signature Card -MT Bankers Systems- VMPr4 Wolters Kluwer Financial Services i6 2016 Internal Use CITY OF KALISPELL RURAL DEVELOPMENT GRANT PO BOX 1997 KALISPELL MT 59903-1997 Enter Non -Individual Owner Information on page 2. There is additional Owner/Signer Information space on page 2. ❑ If checked, this is a temporary account agreement. Number of signatures required for withdrawal: 1 The undersigned authorize the financial institution to investigate credit and employment history and obtain reports from consumer reporting agency(ies) on them as individuals. Except as otherwise provided by law or other documents, each of the undersigned is authorized to make withdrawals from the account(s), provided the required number of signatures indicated above is satisfied. The undersigned personally and as, or on behalf of, the account owner(s) agree to the terms of, and acknowledge receipt of copy(ies) of, this document and the following: © Terms & Conditions ❑ Truth in Savings 0 Funds Availability ❑ Electronic Fund Transfers x❑ Privacy © Substitute Checks ❑ Common Features x❑ Specific Account Details ❑ Agency Designation (See Owner/Signer Information for Agency Designation(s).) Agency Designation (select and initia/): ❑ Survives OR ❑ Terminates on disability or incapacity of parties. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. L, RICHARD G WILLS I.D. # D.O.B. (2): [X J IE HAWES I.D. # D.O.B. (3): IX I I.D. # D.O.B. (4): IX 1 I.D. # D.O.B. MPMP-LAZ-MT 3/15/2015 Page 1 of 2 IIP�IIIIVI6�1'�16'll'I'I�NIIV�IIIIIIIIIIII�IIIIYiI�I!BV'fl�i�1114�IIIV'V1IIII IIIIflIIIIIIIiAIII! IVIIIII9IVIIVII611V''llll,ENTITY AUTHORIZATION NTITY CERTIFICATIONS. I, RICHARD G WILLS )IRECTOR (Authorization Signer's name), certify that: I am a/the _ (Authorization signers title) designated to act on behalf of CITY OF KAL ISPELL (Authorizing Entity). Authorizing Entity is a PUBLIC FUNDS ype of entity, like a "non-profit" corporation) and its Taxpayer Identification Number 81-6001281 . I am authorized and directed to execute an iriginal or a copy of this Authorization to Financial Institution, and anyone else requiring a copy. Authorizing Entity is duly organized, validly existing lnd in good standing under the laws of MONTANA and is duly qualified, validly existing and in good standing in all jurisdictions where \uthorizing Entity operates or owns or leases property. Authorizing Entity has the power and authority to provide this Authorization, to confer the )owers granted in this Authorization and to carry on Authorizing Entity's business and activities as now conducted. The designated Agents have the )ower and authority to exercise the actions specified in this Authorization and Authorizing Entity properly adopted these authorizations and appointed he Agents and me to act on its behalf. Authorizing Entity will notify Financial Institution before reorganizing, merging, consolidating, recapitalizing, iissolving or otherwise materially changing ownership, management or organizational form. Authorizing Entity will be fully liable for failing to notify =inancial Institution of these material changes. Authorizing Entity conducts business and other activities under the additional trade name or fictitious name of and Authorizing Entity has the legal power and authority to use this trade name or fictitious name. Authorizing Entity will not use any trade name or fictitious name without Financial Institution's prior written consent and will preserve Authorizing Entity's existing name, trade names, fictitious names and franchises. 3ENERAL AUTHORIZATIONS. I certify Authorizing Entity authorizes and agrees that: GLACIER BANK (Financial nstitution) is designated to provide Authorizing Entity the financial accommodations indicated in this Authorization, subject to the Financial Institution's ules and regulations from time to time. All prior transactions obligating Authorizing Entity to Financial Institution by or on behalf of Authorizing Entity are ratified by execution of this Authorization. Any Agent, while acting on behalf of Authorizing Entity, is authorized, subject to any expressed estrictions, to make all other arrangements with Financial Institution which are necessary for the effective exercise of the powers indicated within this 4uthorization. The signatures of the Agents are conclusive evidence of their authority to act on behalf of Authorizing Entity. Unless otherwise agreed :o in writing, this Authorization replaces any earlier related Authorization and will remain effective until Financial Institution receives and records an -xpress written notice of its revocation, modification or replacement. Any revocation, modification or replacement of this Authorization must be accompanied by documentation, satisfactory to Financial Institution, establishing the authority for the change. Authorizing Entity agrees not to combine ,)roceeds from collateral securing any debts owed to Financial Institution with unrelated funds. SPECIFIC AUTHORIZATIONS. The following persons (Agents) are authorized to act on behalf of Authorizing Entity in fulfilling the purposes of this Authorization: Individual's Name, Title, & if applicable, Representative Entity's Name and Relationship to Authorizing Entity (a) RICHARD G WILLS-- DIRECTOR (b) JULIE 14AWES - SIGNER Authorizing Entity has adopted any facsimile signatures indicated above. Financial Institution may rely on those facsimile signatures that resemble the specimens within this Authorization or the specimens that Authorizing Entity periodically files with Financial Institution, regardless of by whom or by what means the signatures were affixed. Authorizing Entity authorizes and directs the designated Agents to act, as indicated, on Authorizing Entity's behalf to: (Indicate a, b, c, d, a and/or f to exercise each specific power): AB_ Open or close any share or deposit accounts in Authorizing Entity's name, including, without limitation, accounts such as share draft, checking, savings, certificates of deposit or term share accounts, escrow, demand deposit, reserve, and overdraft line -of -credit accounts. Number of signatures required Enter into and execute any preauthorized electronic transfer agreements for automatic withdrawals, deposits or transfers initiated through an electronic ATM or point -of -sale terminal, telephone, computer or magnetic tape using an access device like an ATM or debit card, a code or other similar means. Number of signatures required Enter into and execute commercial wire transfer agreements that authorize transfers by telephone or other communication systems through the network chosen by Financial Institution. Number of signatures required Endorse for cash, deposit, negotiation, collection or discount by Financial Institution any and all deposit checks, drafts, certificates of deposit and other instruments and orders for the payment of money owned or held by Trust. Number of signatures required 1 Entity Authorization VMPC591 (1402).00 Bankers Systems to VMP,e AUTH-ENTITY 211/2014 Wolters Kluwer Financial Services 9 2014 Page 1 of 2 I'VIIIIIIIVII�I�IIId�I���11111@IIIVIVII0111!IAIVIVIWIIIN�IIUIIIhIN'IVIIIIIIIIIIInIIIIIG�VIN�lll�llll'NCIAccount Agreement Date: 12/14/09 AddressInstitution Name & GLACIER BANK PO BOX 27 KALISPELL, MT 59901 (406) 756-4200 BY: MARCELLA ANDREWS C005076 Revised Date: 07/16/18 Revision Reason: CHANGING SIGNERS OwnerlSigner Information Name RICHARD G WILLS Relationship SIGNER Address Mailing Address (if different) Gov't Issued Photo ID (type, number, state, issue date, exp. date) - Other ID (description, details) Employer Previous Financial Inst. E-Mail Work Phone Horne Phone: Mobile Phone: Birth Date: SSNrrIN: :Qwnership of Account specified ownership will remain the same for all accounts. ,The (For consumer accounts, select and initial.l ❑ Single -Party Account ❑ Multiple -Party Account ❑ Sole Proprietorship or Single Member LLC ❑ Partnership ❑ LLC-enter tax classification I ❑ C Corp ❑ S Corp ❑ Partnership) ❑ C Corporation ❑ S Corporation ❑ _ ❑ Trust -Separate Agreement Dated: l Public Funds DesignationBenefiblary (Check appropriate ownership above - select and initial below.l ❑ Single -Party Account ❑ Single -Party Account with Pay -On -Death (POD) ❑ Multiple -Party Account with Right of Survivorship ❑ Multiple -Party Account with Right of Survivorship and POD ❑ Multiple -Party Account without Right of Survivorship /Check appropriate beneficiary designation above./ Signature Card -MT Bankers Systems VMP© Wolters Kluwer Financial Services () 2015 Enter Non -Individual Owner Information on page 2. There is additional Owner/Signer Information space on page 2. ❑ If checked, this is a temporary account agreement. Number of signatures required for withdrawal: 1 The undersigned authorize the financial institution to investigate credit and employment history and obtain reports from consumer reporting agency(ies) on them as individuals. Except as otherwise provided by law or other documents, each of the undersigned is authorized to make withdrawals from the account(s), provided the required number of signatures indicated above is satisfied. The undersigned personally and as, or on behalf of, the account owner(s) agree to the terms of, and acknowledge receipt of copy(ies) of, this document and the following: © Terms & Conditions ❑ Truth in Savings 0 Funds Availability ❑ Electronic Fund Transfers © Privacy © Substitute Checks ❑ Common Features Q Specific Account Details ❑ Agency Designation (See Owner/Signer Information for Agency Designation Is).) Agency Designation (select and initial): ❑ Survives OR ❑ Terminates on disability or incapacity of parties. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. f / 1 V 1 RICHARD G WILL irD. (2): LX JULIE HAWES I.D. # D.O.B. (3): IX, I.D. # D.O.B. A: LX I.D. # D.O.B. ...III MPMP-LAZ-MT 3/15/2015 Page 1 of 2 1911�VIIIIIIIIIIIIIdIIIIIIIVIIIIIIBIOSIIYVdINiIII�IIIfl11111161BIIlY'NIIII'IIRII�'IIII�IVhIVI�VlIlA1iNIIIV'VBENTITY AUTHORIZATION ENTITY CERTIFICATIONS. I, RICHARD G WILLS DIRECTOR (Authorization Signers title) designated to act on behalf of (Authorizing Entity), Authorizing Entity is a PUBLIC (type of entity, like a 'non -Profit- corporation) and its Taxpayer Identification Number _ (Authorization Signer's name), certify that: I am a/the CITY OF KALISPELL FUNDS 81-6001281 I am authorized and directed to execute an original or a copy of this Authorization to Financial Institution, and anyone else requiring a copy. Authorizing Entity is duly organized, validly existing and in good standing under the laws of MONTANA and is duly qualified, validly existing and in good standing in all jurisdictions where Authorizing Entity operates or owns or leases property. Authorizing Entity has the power and authority to provide this Authorization, to confer the powers granted in this Authorization and to carry on Authorizing Entity's business and activities as now conducted. The designated Agents have the power and authority to exercise the actions specified in this Authorization and Authorizing Entity properly adopted these authorizations and appointed the Agents and me to act on its behalf. Authorizing Entity will notify Financial Institution before reorganizing, merging, consolidating. recapitalizing, dissolving or otherwise materially changing ownership, management or organizational form. Authorizing Entity will be fully liable for failing to notify Financial Institution of these material changes. ❑ Authorizing Entity conducts business and other activities under the additional trade name or fictitious name of and Authorizing Entity has the legal power and authority to use this trade name or fictitious name. Authorizing Entity will not use any trade name or fictitious name without Financial Institution's prior written consent and will preserve Authorizing Entity's existing name, trade names, fictitious names and franchises. GENERAL AUTHORIZATIONS. 1 certify Authorizing Entity authorizes and agrees that: GLACIER BANK (Financial Institution) is designated to provide Authorizing Entity the financial accommodations indicated in this Authorization, subject to the Financial Institution's rules and regulations from time to time. All prior transactions obligating Authorizing Entity to Financial Institution by or on behalf of Authorizing Entity are ratified by execution of this Authorization. Any Agent, while acting on behalf of Authorizing Entity, is authorized, subject to any expressed restrictions, to make all other arrangements with Financial Institution which are necessary for the effective exercise of the powers indicated within this Authorization. The signatures of the Agents are conclusive evidence of their authority to act on behalf of Authorizing Entity. Unless otherwise agreed to in writing, this Authorization replaces any earlier related Authorization and will remain effective until Financial Institution receives and records an express written notice of its revocation, modification or replacement. Any revocation, modification or replacement of this Authorization must be accompanied by documentation, satisfactory to Financial Institution, establishing the authority for the change. Authorizing Entity agrees not to combine proceeds from collateral securing any debts owed to Financial Institution with unrelated funds. SPECIFIC AUTHORIZATIONS. The following persons (Agents) are authorized to act on behalf of Authorizing Entity in fulfilling the purposes of this Authorization: Individual's Name, Title, & if applicable, Representative Entity's Name and Relationship to Authorizing Entity (a) RICHARD G WILLS - DIRECTOR (b) _JULIE HAWES - SIGNER Authorizing Entity has adopted any facsimile signatures indicated above. Financial Institution may rely on those facsimile signatures that resemble the specimens within this Authorization or the specimens that Authorizing Entity periodically files with Financial Institution, regardless of by whom or by what means the signatures were affixed. Authorizing Entity authorizes and directs the designated Agents to act, as indicated, on Authorizing Entity's behalf to: (Indicate a, b, c, d, a and/or f to exercise each specific power): Open or close any share or deposit accounts in Authorizing Entity's name, including, without limitation, accounts such as share draft, checking, savings, certificates of deposit or term share accounts, escrow, demand deposit, reserve, and overdraft line -of -credit accounts. Number of signatures required Enter into and execute any preauthorized electronic transfer agreements for automatic withdrawals, deposits or transfers initiated through an electronic ATM or point -of -sale terminal, telephone, computer or magnetic tape using an access device like an ATM or debit card, a code or other similar means. Number of signatures required Enter into and execute commercial wire transfer agreements that authorize transfers by telephone or other communication systems through the network chosen by Financial Institution. Number of signatures required AB Endorse for cash, deposit, negotiation, collection or discount by Financial Institution any and all deposit checks, drafts, certificates of deposit and other instruments and orders for the payment of money owned or held by Trust. Number of signatures required 1 Entity Authorization VMPC591 (1402).00 Bankers Systems - VMP© AUTH-ENTITY 2/1/2014 Wolters Kluwer Financial Services G 2014 Page 1 of 2 Account Agreement Institution Name & Addiess GLACIER BANK PO BOX 27 KALISPELL, MT 59901 (406) 756-4200 BY: MARCELLA ANDREWS C005076 Revised Date: 07/16/18 Revision Reason: CHANGING SIGNERS Name DOUGLAS R RUSSELL Relationship SIGNER Address Mailing Address (if different) Gov't Issued Photo ID (type, number, state, issue date, exp. date) - - Other ID (description, details) Employer Previous Financial Inst. E-Mail Work Phone Home Phone: Mobile Phone: Birth Date: SSN/TIN: 'Ownership of Account The specified ownership will remain the same for all accounts. (For consumer accounts, select and initial./ ❑ Single -Party Account ❑ Multiple -Party Account ❑ Sole Proprietorship or Single Member LLC ❑ Partnership ❑ LLC-enter tax classification (❑ C Corp ❑ S Corp ❑ Partnership) ❑ C Corporation ❑ S Corporation ❑ ❑ Trust -Separate Agreement Dated: x❑ Public Funds Beneficiary Designation (Check appropriate ownership above - select and initial below.) ❑ Single -Party Account ❑ Single -Party Account with Pay -On -Death (POD) ❑ Multiple -Party Account with Right of Survivorship ❑ Multiple -Party Account with Right of Survivorship and POD ❑ Multiple -Party Account without Right of Survivorship (Check appropriate beneficiary designation above./ Internal Use Date: 03/07/02 CITY OF KALISPELL FINANCE DIRECTOR ZERO BALANCE OPERATING ACCOUNT PO BOX 1997 KALISPELL MT 59903-1997 Enter Non -Individual Owner Information on page 2. There is additional Owner/Signer Information space on page 2. ❑ If checked, this is a temporary account agreement. Number of signatures required for withdrawal: 1 The, undersigned authorize the financial institution to investigate credit and employment history and obtain reports from consumer reporting agency(ies) on them as individuals. Except as otherwise provided by law or other documents, each of the undersigned is authorized to make withdrawals from the account(s), provided the required number of signatures indicated above is satisfied. The undersigned personally and as, or on behalf of, the account owner(s) agree to the terms of, and acknowledge receipt of copy(ies) of, this document and the following: © Terms & Conditions ❑ Truth in Savings 0 Funds Availability ❑ Electronic Fund Transfers 0 Privacy © Substitute Checks ❑ Common Features x❑ �pecific Account Details ❑ Agency Designation (See Owner/Signer Information for Agency Designation(s).) Agency Designation (select and initial): ❑ Survives OR ❑ Terminates on disability or incapacity of parties. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. (1h IX � J DOUGLAS R RUSSELL I.D. # RICHARD G WILLS D.O.B. I.D. # D.O.B. (3): [X JULIVE��HAWES I.D. # D.O.B. (4): IX I.D. # D.O.B. Signature Card -MT Bankers Systems- VMP1v, MPM P-LAZ-MT 3/15/2015 Wolters Kluwer Financial Services t_: 2015 Page 1 of 2 IIIBIIIIII@IIIIIINIIIhRIIIIIY'IIYIII�IIIIIVIIIIIIII BIViIIV1119�4W1116111fl111'11111111111�11�161tiAlIIdIIIIII�I�YiAllllllENTITY AUTHORIZATION ENTITY CERTIFICATIONS. I, RICHARD G WILLS (Authorization Signer's name), certify that: I am a/the DIRECTOR (Authorization Signers title) designated to act on behalf of CITY OF KALISPELL (Authorizing Entity). Authorizing Entity is a PUBLIC FUNDS (type of entity, like a "non-profit" corporation) and its Taxpayer Identification Number 81- 6 001281 . 1 am authorized and directed to execute an original or a copy of this Authorization to Financial Institution, and anyone else requiring a copy. Authorizing Entity is duly organized, validly existing and in good standing under the laws of MONTANA and is duly qualified, validly existing and in good standing in all jurisdictions where Authorizing Entity operates or owns or leases property. Authorizing Entity has the power and authority to provide this Authorization, to confer the powers granted in this Authorization and to carry on Authorizing Entity's business and activities as now conducted. The designated Agents have the power and authority to exercise the actions specified in this Authorization and Authorizing Entity properly adopted these authorizations and appointed the Agents and me to act on its behalf. Authorizing Entity will notify Financial Institution before reorganizing, merging, consolidating, recapitalizing, dissolving or otherwise materially changing ownership, management or organizational form. Authorizing Entity will be fully liable for failing to notify Financial Institution of these material changes. ❑ Authorizing Entity conducts business and other activities under the additional trade name or fictitious name of and Authorizing Entity has the legal power and authority to use this trade name or fictitious name. Authorizing Entity will not use any trade name or fictitious name without Financial Institution's prior written consent and will preserve Authorizing Entity's existing name, trade names, fictitious names and franchises. GENERAL AUTHORIZATIONS. I certify Authorizing Entity authorizes and agrees that: GLACIER BANK (Financial Institution) is designated to provide Authorizing Entity the financial accommodations indicated in this Authorization, subject to the Financial Institution's rules and regulations from time to time. All prior transactions obligating Authorizing Entity to Financial Institution by or on behalf of Authorizing Entity are ratified by execution of this Authorization. Any Agent, while acting on behalf of Authorizing Entity, is authorized, subject to any expressed restrictions, to make all other arrangements with Financial Institution which are necessary for the effective exercise of the powers indicated within this Authorization. The signatures of the Agents are conclusive evidence of their authority to act on behalf of Authorizing Entity. Unless otherwise agreed to in writing, this Authorization replaces any earlier related Authorization and will remain effective until Financial Institution receives and records an express written notice of its revocation, modification or replacement. Any revocation, modification or replacement of this Authorization must be accompanied by documentation, satisfactory to Financial Institution, establishing the authority for the change. Authorizing Entity agrees not to combine proceeds from collateral securing any debts owed to Financial Institution with unrelated funds. SPECIFIC AUTHORIZATIONS. The following persons (Agents) are authorized to act on behalf of Authorizing Entity in fulfilling the purposes of this Authorization: Individual's Name, Title, & if applicable, Representative Entity's Name and Relationship to Authorizing Entity (a) RIC14ARD G WILLS - DIRECTOR (b) DOUGLAS_R_ RUSS_ELL - SIGNER (c) JULIE HA1WES - SIGNER (d) (e) (f) c Signature or Facsimile Signature Authorizing Entity has adopted any facsimile signatures indicated above. Financial Institution may rely on those facsimile signatures that resemble the specimens within this Authorization or the specimens that Authorizing Entity periodically files with Financial Institution, regardless of by whom or by what means the signatures were affixed. Authorizing Entity authorizes and directs the designated Agents to act, as indicated, on Authorizing Entity's behalf to: (Indicate a, b, c, d, a and/or f to exercise each specific power): Open or close any share or deposit accounts in Authorizing Entity's name, including, without limitation, accounts such as share draft, checking, savings, certificates of deposit or term share accounts, escrow, demand deposit, reserve, and overdraft line -of -credit accounts. Number of signatures required Enter into and execute any preauthorized electronic transfer agreements for automatic withdrawals, deposits or transfers initiated through an electronic ATM or point -of -sale terminal, telephone, computer or magnetic tape using an access device like an ATM or debit card, a code or other similar means. Number of signatures required Enter into and execute commercial wire transfer agreements that authorize transfers by telephone or other communication systems through the network chosen by Financial Institution. Number of signatures required ABC Endorse for cash, deposit, negotiation, collection or discount by Financial Institution any and all deposit checks, drafts, certificates of deposit and other instruments and orders for the payment of money owned or held by Trust. Number of signatures required 1 Entity Authorization Bankers Systems t4 vMp:v, v -ENTIT ( /1/2014 AUTH-ENTITY 277/2014 Wolters Kluwer Financial Services 2014 - Page i of 2 �VIIIVIB�InRl�lVll'VIIVIIINI�IRIVIIII@IIII4IUVIIIIINIIIINRI�IIIIVIIu�IIIPiVIV�IVIItlIIINIIIIIINIIII��nll�l'V Account Agreement Date: __. _. AddressInstitution Name & GLACIER BANK PO BOX 27 KALISPELL, MT 59901 (406) 756-4200 BY: MARCELLA ANDREWS C005076 Revised Date: 07/16/18 Revision Reason: CHANGING SIGNERS Ownerlftner Information Name DOUGLAS R RUSSELL Relationship SIGNER Address Mailing Address (if different) Gov't Issued Photo 10 (type, number, state, issue date, exp. date) - Other ID (description, details) Employer Previous Fin ncial lnst E-Mail Work Phone Home Phone: Mobile Phone: Birth Date: SSN/TIN: Ownership of Account The specified ownership will remain the same for all accounts. )For consumer accounts, select and initial.) ❑ Single -Party Account ❑ Multiple -Party Account ❑ Sole Proprietorship or Single Member LLC ❑ Partnership ❑ LLC-enter tax classification (❑ C Corp ❑ S Corp ❑ Partnership) ❑ C Corporation ❑ S Corporation ❑ ❑ Trust -Separate Agreement Dated: x❑ Public Funds Beneridary Designation (Check appropriate ownership above - select and initial below.) ❑ Single -Party Account ❑ Single -Party Account with Pay -On -Death (POD) ❑ Multiple -Party Account with Right of Survivorship ❑ Multiple -Party Account with Right of Survivorship and POD ❑ Multiple -Party Account without Right of Survivorship Tin (Check appropriate beneficiary designation above.) Signature Card -MT Bankers Systems tw VMP's Wolters Kluwer Financial Services t; 2015 Internal Use CITY OF KALISPELL FINANCE DIRECTOR PO BOX 1997 KALISPELL MT 59903-1997 Enter Non -Individual Owner Information on page 2. There is additional Owner/Signer Information space on page 2. ❑ If checked, this is a temporary account agreement. Number of signatures required for withdrawal: 1 The undersigned authorize the financial institution to investigate credit and employment history and obtain reports from consumer reporting agency(ies) on them as individuals. Except as otherwise provided by law or other documents, each of the undersigned is authorized to make withdrawals from the account(s), provided the required number of signatures indicated above is satisfied. The undersigned personally and as, or on behalf of, the account owner(s) agree to the terms of, and acknowledge receipt of copy(ies) of, this document and the following: © Terms & Conditions ❑ Truth in Savings Ed Funds Availability ❑ Electronic Fund Transfers KI Privacy © Substitute Checks ❑ Common Features Ej Specific Account Details ❑ Agency Designation (See Owner/Signer Information for Agency Designation(s).) Agency Designation (select and initial): ❑ Survives OR ❑ Terminates on disability or incapacity of parties. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. [X OU S R R SSELL I.D. # D.O.B. (2): IX RICHARD G WILLS I.D. # D.O.B. _�_ �Is (3): [X JULIE HAWES I.D. # D.O.B. (4): IX I.D. # D.O.B. MPMP-LAZ-MT 3/15/2015 Page 1 of 2 Ilplllldlll�lllll911�11'I�fll!119111111!I�nlPlllllllll IVIIIIIIII@VIIIVIIIIIIf OIIIRIIIIIIIIYIIIIIIIIIIIIIN�IINIVIIIIIIIIIIENTITY AUTHORIZATION ENTITY CERTIFICATIONS. I, RICHARD G WILLS DIRECTOR (Authorization signers title) designated to act on behalf of (Authorizing Entity). Authorizing Entity is a PUBLIC (type of entity. like a "non-profit" corporation) and its Taxpayer Identification Number (Authorization Signer's name), certify that: I am a/the CITY OF KALISPELL FUNDS I am authorized and directed to execute an original or a copy of this Authorization to Financial Institution, and anyone else requiring a copy. Authorizing Entity is duly organized, validly existing 81-6001281 and in good standing under the laws of MONTANA and is duly qualified, validly existing and in good standing in all jurisdictions where Authorizing Entity operates or owns or leases property. Authorizing Entity has the power and authority to provide this Authorization, to confer the powers granted in this Authorization and to carry on Authorizing Entity's business and activities as now conducted. The designated Agents have the power and authority to exercise the actions specified in this Authorization and Authorizing Entity properly adopted these authorizations and appointed the Agents and me to act on its behalf. Authorizing Entity will notify Financial Institution before reorganizing, merging, consolidating, recapitalizing, dissolving or otherwise materially changing ownership, management or organizational form. Authorizing Entity will be fully liable for failing to notify Financial Institution of these material changes. ❑ Authorizing Entity conducts business and other activities under the additional trade name or fictitious name of and Authorizing Entity has the legal power and authority to use this trade name or fictitious name. Authorizing Entity will not use any trade name or fictitious name without Financial Institution's prior written consent and will preserve Authorizing Entity's existing name, trade names, fictitious names and franchises. GENERAL AUTHORIZATIONS. I certify Authorizing Entity authorizes and agrees that: GLACIER BANK (Financial Institution) is designated to provide Authorizing Entity the financial accommodations indicated in this Authorization, subject to the Financial Institution's rules and regulations from time to time. All prior transactions obligating Authorizing Entity to Financial Institution by or on behalf of Authorizing Entity are ratified by execution of this Authorization. Any Agent, while acting on behalf of Authorizing Entity, is authorized, subject to any expressed restrictions, to make all other arrangements with Financial Institution which are necessary for the effective exercise of the powers indicated within this Authorization. The signatures of the Agents are conclusive evidence of their authority to act on behalf of Authorizing Entity. Unless otherwise agreed to in writing, this Authorization replaces any earlier related Authorization and will remain effective until Financial Institution receives and records an express written notice of its revocation, modification or replacement. Any revocation, modification or replacement of this Authorization must be accompanied by documentation, satisfactory to Financial Institution, establishing the authority for the change. Authorizing Entity agrees not to combine proceeds from collateral securing any debts owed to Financial Institution with unrelated funds. SPECIFIC AUTHORIZATIONS. The following persons (Agents) are authorized to act on behalf of Authorizing Entity in fulfilling the purposes of this Authorization: Individual's Name, Title, & if applicable, Representative Entity's Name and Relationship to Authorizing Entity (a) RICHARD G WILLS - DIRECTOR (b) DOUGLAS R RUSSELL - SIGNER (c) JULIE HAWES - SIGNER M (e) Authorizing Entity has adopted any facsimile signatures indicated above. Financial Institution may rely on those facsimile signatures that resemble the specimens within this Authorization or the specimens that Authorizing Entity periodically files with Financial Institution, regardless of by whom or by what means the signatures were affixed. Authorizing Entity authorizes and directs the designated Agents to act, as indicated, on Authorizing Entity's behalf to: (Indicate a, b, c, d, a and/or f to exercise each specific power): Open or close any share or deposit accounts in Authorizing Entity's name, including, without limitation, accounts such as share draft, checking, savings, certificates of deposit or term share accounts, escrow, demand deposit, reserve, and overdraft line -of -credit accounts. Number of signatures required Enter into and execute any preauthorized electronic transfer agreements for automatic withdrawals, deposits or transfers initiated through an electronic ATM or point -of -sale terminal, telephone, computer or magnetic tape using an access device like an ATM or debit card, a code or other similar means. Number of signatures required Enter into and execute commercial wire transfer agreements that authorize transfers by telephone or other communication systems through the network chosen by Financial Institution. Number of signatures required ABC Endorse for cash, deposit, negotiation, collection or discount by Financial Institution any and all deposit checks, drafts, certificates of deposit and other instruments and orders for the payment of money owned or held by Trust. Number of signatures required 1 Entity Authorization t� VMPC591 (1402).00 Bankers Systems Ver Vt/otters Kluwer Financiaall SServices =: 2014 AUTH-ENTITY 2/1/2014 Page 1 of 2 Beneficial Owner Legal Entity Customer Exclusion Certification Form Please initial the exclusion that applies to your entity; A Financial institution regulated by a Federal functional regulator or bank regulated by a State bank regulator; A government entity. ( a department or agency of the United States, of any State, or of any political subdivision of a State; or Any entity established under the laws of the United States, or any State, or of any political subdivision of any State, or under an interstate compact; A Publicly traded company or a Subsidiary of a publicly traded company (Any entity - other than a bank - whose common stock or analogous equity interests are listed on the New York, American, or NASDAQ stock exchange; or any entity organized under the laws of the United States or of any State at least 51% of whose common stock or analogous equity interests are held by a listed entity); An issuer of a class of securities registered under section 12 of the Securities Exchange Act of 1934 or that is required to file reports under section 15(d) of that Act; _ An investment company, as defined in section 3 of the Investment Company Act of 1940, that is registered with the Securities and Exchange Commission under that Act; An investment adviser, as defined in section 202(a)(11) of the Investment Advisers Act of 1940, that is registered with the Securities and Exchange Commission under that Act; _ An exchange or clearing agency, as defined in section 3 of the Securities Exchange Act of 1934, that is registered under section 6 or 17A of that Act; An entity registered with the Securities and Exchange Commission under the Securities Exchange Act of 1934; A registered entity, commodity pool operator, commodity trading advisor, retail foreign exchange dealer, swap dealer, or major swap participant, each as defined in section la of the Commodity Exchange Act, that is registered with the Commodity Futures Trading Commission; A public accounting firm registered under section 102 of the Sarbanes—Oxley Act; A bank holding company (BHC), as defined in section 2 of the BHC Act of 1956 (12 U.S.C. 1841) or savings and loan holding company, as defined in section 10(n) of the Home Owners' Loan Act (12 U.S.0 1467a(n)); _ A pooled investment vehicle that is operated or advised by a financial institution excluded under (e)(2)(i); —An insurance company that is regulated by a State; A financial market utility designated by the Financial Stability Oversight Council under Title Vill of the Dodd - Frank Wall Street Reform and Consumer Protection Act of 2010; —A foreign financial institution established in a jurisdiction where the regulator of such institution maintains beneficial ownership information regarding such institution; —A non-U.S. governmental department, agency or political subdivision that engages only in governmental rather than commercial activities; and _ A legal entity only to the extent that it opens a private banking account subject to § 1010.620. I hereby cer ' e ab ve ii ' ial exclus' n applies to ___Z64 (entity). Signatur Date: Version 2018.04.26 Page 1 of 1