Common use of Corporate Signature Clause in Contracts

Corporate Signature. By: Its: By: Its: CORPORATE NOTARY FORM STATE OF WASHINGTON ) )ss. County of ) On this day of , 199 , before me the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared to me known to be the President and Secretary, respectively, of the corporation that executed the foregoing instrument, to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that authorized to execute the said instrument and that the seal affixed (if any) is the corporate seal of said corporation. Witness my hand and official seal hereto affixed the day and year first above written. Notary Public in and for the State of Washington, residing at My commission expires (If the Developer is an individual delete the signature block and Notary Statement above and use one similar to the following.) INDIVIDUAL SIGNATURE & NOTARY By: STATE OF WASHINGTON ) )ss. County of Xxxxxxxx ) On this day personally appeared before me , to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that he/she signed the same as a free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN under my hand and official seal this day of , 199 . NOTARY PUBLIC in and for the State of Washington, residing at My commission expires CITY OF LACEY By: (Name of City Manager), City Manager Approved as to form: By: (Name of City Attorney), City Attorney EXHIBIT "A" LCA 9_- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) Map Include the following: • A boundary around all benefited properties • If benefited properties are not contiguous, outline each of them with a bold line • Map ID number for each benefited parcel • Constructed facility, including pipe diameter, length if used in latecomer calculations, label as to sewer, force main, STEP main, Lift Station, waterline, booster pump • Section corners and/or quarter corners • The developer’s development, subdivided if appropriate • A few key street names Do not include • Planning designations unless used as a basis for latecomer fee calculations • Other unrelated data Title Block • Name of firm preparing map • EXHIBIT A LCA 9_- (get this number from the City) • DEVELOPMENT NAME Legend • Scale bar • North Arrow • Map ID number symbol • Symbols for special facility construction if appropriate EXHIBIT "B" LCA 9_- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) COST, FEE CALCULATION & DISTRIBUTION Cost Summary Construction Cost $ Sales Tax $ Design $ Survey & Construction Inspection $ City Plan Check & Inspection Fees and Permits $ Right-of-way or Easement Costs $ Preparation of LCA agreement $ Other $ Total $ NOTE: Tabulate and submit documentation for all costs. This documentation will not be filed with the auditor but must be submitted to and approved by the City to be included as a reimbursable cost. Acceptable documentation includes receipts or suppliers invoice, with project identification and marked paid. Latecomer Fee Basis • Indicate basis for distribution of costs Frequently used methods include • Frontage • Area • Combination of Frontage & Area, with Frontage costs based on the City approved front foot charge in effect at time of acceptance. (Found in the Development Guidelines, Appendix A, page A-2 or A-3 as amended on A-6.) Area costs then account for over sizing or extra depth and cover all costs not covered by Frontage Fees. .If this is used we will check to assure that your documented costs are greater than the City approved front foot rate. Alternatively, the area charges can be based on documented extra costs for over sizing or extra depth and documented costs for an eight inch collection or distribution line. • ERU (Equivalent Residential Unit) defined by ordinance as equivalent to one single family household and equal to 900 cubic feet of water use per month. (Useful in some commercial or multifamily cases.) • Show formula for calculating fee Latecomer Fee Distribution (Table or Spreadsheet printout. Columns to be included depends on the method of calculating fee. They may include the following:) Map ID Frontage Area F. Cost A Cost Total Fee Owner Address Total (Sum) (Sum) (Sum) (Sum) (Sum) (Note; Mark the fee for the developer as PAID) EXHIBIT "C" LCA 9_- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) BENEFITED PROPERTIES Map ID Assessors Parcel No Recorded in Vol. & Page (Insert Legal Description Here) Map ID Assessors Parcel No Recorded in Vol. & Page (Insert Legal Description Here)

Corporate Signature. By: Its: By: Its: CORPORATE NOTARY FORM STATE OF WASHINGTON ) )ss. County of ) On this day of , 199 20 , before me the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared to me known to be the President and Secretary, respectively, of the corporation that executed the foregoing instrument, to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that authorized to execute the said instrument and that the seal affixed (if any) is the corporate seal of said corporation. Witness my hand and official seal hereto affixed the day and year first above written. Notary Public in and for the State of Washington, residing at My commission expires (If the Developer is an individual delete the signature block and Notary Statement above and use one similar to the following.) INDIVIDUAL SIGNATURE & NOTARY By: STATE OF WASHINGTON ) )ss. County of Xxxxxxxx ) On this day personally appeared before me , to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that he/she signed the same as a free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN under my hand and official seal this day of , 199 20 . _ NOTARY PUBLIC in and for the State of Washington, residing at My commission expires CITY OF LACEY By: (Name of City Manager), City Manager Approved as to form: By: (Name of City Attorney), City Attorney EXHIBIT "A" LCA 9_- 20- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) Map Include the following: •  A boundary around all benefited properties •  If benefited properties are not contiguous, outline each of them with a bold line •  Map ID number for each benefited parcel •  Constructed facility, including pipe diameter, length if used in latecomer calculations, label as to sewer, force main, STEP main, Lift Station, waterline, booster pump •  Section corners and/or quarter corners •  The developer’s development, subdivided if appropriate •  A few key street names Do not include •  Planning designations unless used as a basis for latecomer fee calculations •  Other unrelated data Title Block •  Name of firm preparing map •  EXHIBIT A LCA 9_- 20- (get this number from the City) •  DEVELOPMENT NAME Legend •  Scale bar •  North Arrow •  Map ID number symbol •  Symbols for special facility construction if appropriate EXHIBIT "B" LCA 9_- 20- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) COST, FEE CALCULATION & DISTRIBUTION Cost Summary Construction Cost $ Sales Tax $ Design $ Survey & Construction Inspection $ City Plan Check & Inspection Fees and Permits $ Right-of-way or Easement Costs $ Preparation of LCA agreement $ Other $ Total $ NOTE: Tabulate and submit documentation for all costs. This documentation will not be filed with the auditor but must be submitted to and approved by the City to be included as a reimbursable cost. Acceptable documentation includes receipts or suppliers invoice, with project identification and marked paid. Latecomer Fee Basis •  Indicate basis for distribution of costs Frequently used methods include •  Frontage •  Area •  Combination of Frontage & Area, with Frontage costs based on the City approved front foot charge in effect at time of acceptance. (Found in the Development Guidelines, Appendix A, page A-2 or A-3 as amended on A-6.) Area costs then account for over sizing or extra depth and cover all costs not covered by Frontage Fees. .If this is used we will check to assure that your documented costs are greater than the City approved front foot rate. Alternatively, the area charges can be based on documented extra costs for over sizing or extra depth and documented costs for an eight inch collection or distribution line. •  ERU (Equivalent Residential Unit) defined by ordinance as equivalent to one single family household and equal to 900 cubic feet of water use per month. (Useful in some commercial or multifamily cases.) •  Show formula for calculating fee Latecomer Fee Distribution (Table or Spreadsheet printout. Columns to be included depends on the method of calculating fee. They may include the following:) Map ID Frontage Area F. Cost A Cost Total Fee Owner Address Total (Sum) (Sum) (Sum) (Sum) (Sum) (Note; Mark the fee for the developer as PAID) EXHIBIT "C" LCA 9_- 20- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) BENEFITED PROPERTIES Map ID Assessors Parcel No Recorded in Vol. & Page (Insert Legal Description Here) Map ID Assessors Parcel No Recorded in Vol. & Page (Insert Legal Description Here)PROPERTIES

Corporate Signature. By: Its: By: Its: CORPORATE NOTARY FORM STATE OF WASHINGTON ) )ss. County of ) On this day of , 199 20 , before me the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared to me known to be the President and Secretary, respectively, of the corporation that executed the foregoing instrument, to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that authorized to execute the said instrument and that the seal affixed (if any) is the corporate seal of said corporation. Witness my hand and official seal hereto affixed the day and year first above written. Notary Public in and for the State of Washington, residing at My commission expires (If the Developer is an individual delete the signature block and Notary Statement above and use one similar to the following.) INDIVIDUAL SIGNATURE & NOTARY By: STATE OF WASHINGTON ) )ss. County of Xxxxxxxx ) On this day personally appeared before me , to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that he/she signed the same as a free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN under my hand and official seal this day of , 199 20 . _ NOTARY PUBLIC in and for the State of Washington, residing at My commission expires CITY OF LACEY By: (Name of City Manager), City Manager Approved as to form: By: (Name of City Attorney), City Attorney EXHIBIT "A" LCA 9_- 20- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) Map Include the following: • A boundary around all benefited properties • If benefited properties are not contiguous, outline each of them with a bold line • Map ID number for each benefited parcel • Constructed facility, including pipe diameter, length if used in latecomer calculations, label as to sewer, force main, STEP main, Lift Station, waterline, booster pump • Section corners and/or quarter corners • The developer’s development, subdivided if appropriate • A few key street names Do not include • Planning designations unless used as a basis for latecomer fee calculations • Other unrelated data Title Block • Name of firm preparing map • EXHIBIT A LCA 9_- 20- (get this number from the City) • DEVELOPMENT NAME Legend • Scale bar • North Arrow • Map ID number symbol • Symbols for special facility construction if appropriate EXHIBIT "B" LCA 9_- 20- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) COST, FEE CALCULATION & DISTRIBUTION Cost Summary Construction Cost $ Sales Tax $ Design $ Survey & Construction Inspection $ City Plan Check & Inspection Fees and Permits $ Right-of-way or Easement Costs $ Preparation of LCA agreement $ Other $ Total $ NOTE: Tabulate and submit documentation for all costs. This documentation will not be filed with the auditor but must be submitted to and approved by the City to be included as a reimbursable cost. Acceptable documentation includes receipts or suppliers invoice, with project identification and marked paid. Latecomer Fee Basis • Indicate basis for distribution of costs Frequently used methods include • Frontage • Area • Combination of Frontage & Area, with Frontage costs based on the City approved front foot charge in effect at time of acceptance. (Found in the Development Guidelines, Appendix A, page A-2 or A-3 as amended on A-6.) Area costs then account for over sizing or extra depth and cover all costs not covered by Frontage Fees. .If this is used we will check to assure that your documented costs are greater than the City approved front foot rate. Alternatively, the area charges can be based on documented extra costs for over sizing or extra depth and documented costs for an eight inch collection or distribution line. • ERU (Equivalent Residential Unit) defined by ordinance as equivalent to one single family household and equal to 900 cubic feet of water use per month. (Useful in some commercial or multifamily cases.) • Show formula for calculating fee Latecomer Fee Distribution (Table or Spreadsheet printout. Columns to be included depends on the method of calculating fee. They may include the following:) Map ID Frontage Area F. Cost A Cost Total Fee Owner Address Total (Sum) (Sum) (Sum) (Sum) (Sum) (Note; Mark the fee for the developer as PAID) EXHIBIT "C" LCA 9_- 20- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) BENEFITED PROPERTIES Map ID Assessors Parcel No Recorded in Vol. & Page (Insert Legal Description Here) Map ID Assessors Parcel No Recorded in Vol. & Page (Insert Legal Description Here)PROPERTIES

Corporate Signature. By: Its: By: Its: CORPORATE NOTARY FORM STATE OF WASHINGTON ) )ss. County of ) On this day of , 199 20 , before me the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared to me known to be the President and Secretary, respectively, of the corporation that executed the foregoing instrument, to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that authorized to execute the said instrument and that the seal affixed (if any) is the corporate seal of said corporation. Witness my hand and official seal hereto affixed the day and year first above written. Notary Public in and for the State of Washington, residing at My commission expires (If the Developer is an individual delete the signature block and Notary Statement above and use one similar to the following.) INDIVIDUAL SIGNATURE & NOTARY By: STATE OF WASHINGTON ) )ss. County of Xxxxxxxx Txxxxxxx ) On this day personally appeared before me , to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that he/she signed the same as a free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN under my hand and official seal this day of , 199 20 . NOTARY PUBLIC in and for the State of Washington, residing at My commission expires CITY OF LACEY By: (Name of City Manager), City Manager Approved as to form: By: (Name of City Attorney), City Attorney EXHIBIT "A" LCA 9_- 20- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) Map Include the following: • A boundary around all benefited properties • If benefited properties are not contiguous, outline each of them with a bold line • Map ID number for each benefited parcel • Constructed facility, including pipe diameter, length if used in latecomer calculations, label as to sewer, force main, STEP main, Lift Station, waterline, booster pump • Section corners and/or quarter corners • The developer’s development, subdivided if appropriate • A few key street names Do not include • Planning designations unless used as a basis for latecomer fee calculations • Other unrelated data Title Block • Name of firm preparing map • EXHIBIT A LCA 9_- 20- (get this number from the City) • DEVELOPMENT NAME Legend • Scale bar • North Arrow • Map ID number symbol • Symbols for special facility construction if appropriate EXHIBIT "B" LCA 9_- 20- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) COST, FEE CALCULATION & DISTRIBUTION Cost Summary Construction Cost $ Sales Tax $ Design $ Survey & Construction Inspection $ City Plan Check & Inspection Fees and Permits $ Right-of-way or Easement Costs $ Preparation of LCA agreement $ Other $ Total $ NOTE: Tabulate and submit documentation for all costs. This documentation will not be filed with the auditor but must be submitted to and approved by the City to be included as a reimbursable cost. Acceptable documentation includes receipts or suppliers invoice, with project identification and marked paid. Latecomer Fee Basis • Indicate basis for distribution of costs Frequently used methods include • Frontage • Area • Combination of Frontage & Area, with Frontage costs based on the City approved front foot charge in effect at time of acceptance. (Found in the Development Guidelines, Appendix A, page A-2 or A-3 as amended on A-6.) Area costs then account for over sizing or extra depth and cover all costs not covered by Frontage Fees. .If this is used we will check to assure that your documented costs are greater than the City approved front foot rate. Alternatively, the area charges can be based on documented extra costs for over sizing or extra depth and documented costs for an eight inch collection or distribution line. • ERU (Equivalent Residential Unit) defined by ordinance as equivalent to one single family household and equal to 900 cubic feet of water use per month. (Useful in some commercial or multifamily cases.) • Show formula for calculating fee Latecomer Fee Distribution (Table or Spreadsheet printout. Columns to be included depends on the method of calculating fee. They may include the following:) Map ID Frontage Area F. Cost A Cost Total Fee Owner Address Total (Sum) (Sum) (Sum) (Sum) (Sum) (Note; Mark Mxxx the fee for the developer as PAID) EXHIBIT "C" LCA 9_- 20- (Use LCA # assigned by City) (INSERT DEVELOPMENT NAME HERE) BENEFITED PROPERTIES Map ID Assessors Parcel No Recorded in Vol. & Page (Insert Legal Description Here) Map ID Assessors Parcel No Recorded in Vol. & Page (Insert Legal Description Here)