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2. Resolution 5383 - Authorization for City's Bank Account
City of Kalispell Post Office Box 1997 - Kalispell, Montana 59903-1997 Telephone (406) 758-7000 Fax - (406) 758-7758 REPORT TO: Mayor Kennedy and City Council Members FROM: Amy Robertson, Finance Director At --- SUBJECT: Bank Signature MEETING DATE: August 17, 2009 BACKGROUND: This Resolution authorizes City Manager Jane Howington to sign on the City's bank account. The City Manager's signature appears on payroll and payable checks. This resolution does not change our existing agreement with Glacier Bank other than adding the manager's signature. RECOMMENDATION: Adoption of Resolution FISCAL EFFECTS: none Report compiled: August 11, 2009 RESOLUTION NO.5383 A RESOLUTION AMENDING RESOLUTION 5094, AUTHORIZING THE CITY MANAGER, FINANCE DIRECTOR, DEPUTY 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 I. See Exhibit "A", attached hereto and thereby made a part hereof. SECTION II. 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 THIS 17TH DAY OF AUGUST, 2009. Pamela B. Kennedy Mayor ATTEST: Theresa White City Clerk GLACIER BANK 202 MAIN STREET KALISPELL, MT 59901 (406) 756-4200 OWNERSHIP OF ACCOUNT - CONSUMER (Select One and Initial): ❑ Single -Party Account ❑ Multiple -Party Account ❑ Trust -Separate Agreement Dated: ❑ Other CHANGING TERMS OF ACCOUNT (Select One And Each Party Initial): ❑ Multiple -Party Account's terms may be changed by a single party ❑ Multiple -Party Account's terms may be changed only by agreement of all parties RIGHTS AT DEATH (Select One And Initial): ❑ Single -Party Account ❑ Multiple -Party Account With Right of Survivorship ❑ Multiple -Party Account Without Right of Survivorship ❑ Single -Party Account With Pay On Death ❑ Multiple -Party Account With Right of Survivorship and Pay on Death PAY -ON -DEATH BENEFICIARIES: To Add Pay -On -Death Beneficiaries Name One or More: OWNERSHIP OF ACCOUNT - BUSINESS PURPOSE I� SOLE PROPRIETORSHIP LI PARTNERSHIP ❑ LIMITED LIABILITY COMPANY ❑ CORPORATION: ❑ FOR PROFIT ❑ NOT FOR PROFIT © PUBLIC FUNDS BUSINESS: FINANCE COUNTY & STATE FLATHEAD MT OF ORGANIZATION: AUTHORIZATION DATED: 0 8 / 10 / 0 9 DATE OPENED 03/07/02 By ASHLIE HOLTZ INITIAL DEPOSIT $ ❑ CASH ❑ CHECK ❑ HOME TELEPHONE # (4 0 6 ) BUSINESS PHONE # DRIVER'S LICENSE # E-MAIL EMPLOYER MOTHER'S MAIDEN NAME 758-7700 (406) 758-7700 Name and address of someone who will always know your location: BACKUP WITHHOLDING CERTIFICATIONS TIN: 81-6001281 © TAXPAYER I.D. NUMBER - The Taxpayer Identification Number shown above (TIN) is my correct taxpayer identification number. © BACKUP WITHHOLDING - I am not subject to backup withholding either because I have not been notified that I am 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. ❑ EXEMPT RECIPIENTS - I am an exempt recipient under the Internal Revenue Service Regulations. SIGNATURE: I certify under penalties of perjury the statements checked in this section and that I am a U.S. person (including a U.S. resident alien). X (Date) ACCOUNT NUMBER 10163583 C005076 ACCOUNT OWNER(S) NAME & ADDRESS CITY OF KALISPELL FINANCE DIRECTOR FINANCE DEPT ATTN: AMY ROBERTSON PO BOX 1997 KALISPELL MT 59903-1997 35 FIRST AVE E Revised Date:08/10/09 ADDING JANE AS SIGNER ❑ NEW EXISTING TYPE OF © CHECKING ❑ SAVINGS ACCOUNT ❑ MONEY MARKET ❑ CERTIFICATE OF DEPOSIT ❑ NOW ❑ This is your (check one): GLACIER BUSINESS CK x❑ Permanent ❑ Temporary account agreement. Number of signatures required for withdrawal 1 FACSIMILE SIGNATURE(S) ALLOWED? ❑ YES E NO IX I SIGNATURE(S) - The undersigned agree to the terms stated on every page of this form and acknowledge receipt of a completed copy. The undersigned further authorize the financial institution to verify credit and employment history and/or have a credit reporting agency prepare a credit report on the undersigned, as individuals. The undersigned also acknowledge the receipt of a copy and agree to the terms of the following disclosure(s): D4 Deposit Account ® Funds Availability ® Truth in Savings ❑� Electronic Fund Transfers ® Privacy E� Substitute Checks 11) : IX I DEBRA J.DEIST I.D. # 0601619544104 D.O.B. 06/04/54 (2): IX I AMY H ROBERTSON I.D. # 0104019504131 D.O.B. 01/31/50 (3): Ix RICHARD G WILLS I.D. # 1205419634118 D.O.B. 12/18/63 (4): IX I JANE HOWINGTON I.D. # RU431875 D.O.B. 12/30/57 AGENCY (POWER OF ATTORNEY) DESIGNATION (Optional): To Add Agency Designation To Account, Name One or More Agents: (Select One and Initial): ❑ Agency Designation Survives Disability or Incapacity of Parties _ ❑ Agency Designation Terminates on Disability or Incapacity of Parties E< O ©1992 Bankers Systems, Inc., St. Cloud, MN Form MPSC-LAZ-MT 4/19/2004 (Page 1 of 21