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IRREVOCABLE <br />LIMITED POWER OF ATTORNEY <br />LOCAL GOVERNMENT INVESTMENT POOL <br />The <br />Local Government Unit <br />hereby appoints the <br />Investment Manager of the Oregon State Excess Fund, as Attorney-in Fact and said officer shall have the Power of Attorney <br />to negotiate fund transfers to the Oregon Department of Transportation, Financial Services Branch, and delivered to said <br />Chief Financial Officer or Staff delegated the authority; for the State of Oregon, for the purpose of depositing this proceeds of <br />such fund transfer to the account of the Oregon Department of Transportation, Financial Services Branch with the State <br />Treasurer. <br />The <br />Local Government Unit <br />has deposited with the State <br />of Oregon Investment Pool the sum of $ in Account No. <br />The purpose of this deposit is to create a fund from which to pay its share of the cost of certain improvements to be made in <br />connection with <br />By this document it authorized the Chief Financial Officer of the Oregon Department of Transportation to draw or delegate <br />j the authority to draw on the account to pay project costs. The signature of State upon a voucher in a form acceptable to the <br />yu <br />the deposit identified above. <br />The authorized signature shall be furnished b the Chief Financial Officer of the Oregon Department of Transportation to the <br />State Treasury Department. <br />This Power of Attorney was authorized by <br />this <br />aay <br />19 by a vote of the majority of a quorum of its governing body. , <br />Approved by: <br />Title <br />Date <br />