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IRIZEVOCABL~ <br />LIMITED POWER OF ATTORNEY <br />LOCAL GOVERNM~NT INVESTM~NT POOL <br />, hereby appoints the Investment Manager <br />of Oregon State Excess Fund, as attomey-in-fact for it, and said officer shall have the <br />Power of Attorney to negotiate transfers to the Oregon Department of Transportation and <br />delivered to said officer by either the Chief Financial Officer or Staff delegated the <br />authority for the State of Oregon, for the purpose of depositing the proceeds of such fund <br />transfers to the account of the Oregon Department of Transportation, with the Oregon <br />State Treasurer. <br />, has deposited with the State of Oregon Investment <br />Pool the sum of $ in Account No. . The purpose of <br />this deposit is to create a fund from which to pay its share of the cost of certain <br />improvements to be made in connection with <br />This document authorizes the Chief Financial Officer of the Oregon Department <br />of Transportation to draw, or delegate the authority to draw, on the account to pay project <br />costs. The signature of the State upon a voucher in a forrn acceptable to the custodians of <br />the State Investment Pool shall constitute proper authority for the withdrawal of money <br />up to the amount of the deposit identified above. <br />The authorized signatures shall be furnished by the Chief Financial Officer of the <br />Oregon Department of Transportation to the State Treasury Department. <br />The local agency can withdraw interest earned by this account, as it deems <br />appropriate. <br />The local agency, by approval of individual County/State or City/State proj ect <br />finance agreements, delegates autkiority to the Administration Manager, or duly appointed <br />representative, to execute appropriate fund transactions. <br />By the power vested in the Administrative Manager, this Power of Attorney is authorized <br />~'y , this day of , 20_ <br />Approved by: <br />Title: <br />Date: <br />; `' . <br />