Title

Association of
Governmental Risk Pools
Post Office Box J
1023 Jim Thorpe Blvd
Prague, OK 74864-1045

(405) 567-2611
Fax: (405) 567-3307

RESOLUTION APPOINTING DESIGNATED REPRESENTATIVE TO THE
ASSOCIATION OF GOVERNMENTAL RISK POOLS
Click here for a Downloadable Version. (Microsoft Word Format)

WHEREAS, the ______________________________________________________
(Name of Pool or Organization)
desires membership in the Association of Governmental Risk Pools; and
WHEREAS, the organizational By-Laws of the Association of Governmental Risk Pools requires the governing Board of a Regular Member to appoint a Designated Representative who shall vote on matters on behalf of the Regular Member;
NOW, THEREFORE, BE IT RESOLVED by the governing board of the ___________________________________________ (Name of Pool or Organization), that it appoints the following person as its Designated Representative to the Association of Governmental Risk Pools.

Designated Representative: ___________________________________________________________
Name
__________________________________________________________
Title

Passed this _____________ day of __________________, ____________
Day, Month, Year

_____________________________________________________________ Signature of President or Chair

Attested: _____________________________________________________
Signature of Secretary