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State of Minnesota -U.S. Bank Commercial Card Solutions-Participating Addendum <br />Contract# 75413 Purchasing Card Contract# 75427 Fleet Card <br />Appendix A, Document 1-Minnesota CPV Member Addendum <br />CERTIFICATE OF AUTHORITY <br />1. Organizational Information. This Certificate of Authority has been completed on behalf of the following Entity (the <br />11 Government Entity"): <br />Entity Legal Name: <br />Federal Tax Identification <br />Number: <br />12. Authorized Persons. In accordance with the governance rules relating to the Government Entity, the following <br />individuals (the "Authorized Person(s)") are authorized, on behalf of the Government Entity, to execute and deliver to <br />U.S. Bank National Association ND ("U.S. Bank") and/or its affiliates the applicable Addendum(s), any applicable <br />addenda and/or amendments thereto and any other documents or writings required by U.S. Bank (collectively, the <br />"Documents") for the purpose of establishing one (1) or more card programs, extending credit and providing related <br />services to the Entity with U.S. Bank in the United Slates (collectively, the "Services"): <br />I ••m• <br />3. Execution Requirements. The governance rules relating to the Entity require the following number of Authorized <br />Persons to sign the Documents for the Services (choose only™ box): <br />D One (1) Authorized Person <br />D Two (2) Authorized Persons <br />4. Execution. By signing the Documents, each Individual signing in his or her capacity as an authorized signing officer <br />of the Entity and not in his or her personal capacity, certifies and warrants that (a) all action required by Government <br />Entity's organizational documents to authorize the signer(s) lo act on behalf of the Entity in all actions taken under <br />the Documents, including but not limited to, the authority to incur debt on behalf of the Government Entity, has been <br />taken, (b) each signer is empowered in the name of and on behalf of the Entity to enter into all transactions and <br />Services contemplated in the Documents, and (c) the signatures appearing on all supporting documents of authority <br />are authentic. <br />5. Certification. I certify that I am the __ and I am acting in my official capacity as an authorized officer who has <br />been given the authority by the Entity lo certify that the Authorized Person(s) has/have the full power and authority <br />under applicable law and the governance rules relating to the Entity to execute and deliver to U.S. Bank, on behalf of <br />the Government Entity, and to bind the Entity under, the Documents for the purpose of establishing and extending <br />the Services. I also certify that the name(s) and lille(s) of the Authorized Person(s) set forth above are correct and <br />that the signature appearing beside each name is a true and genuine specimen of his/her signature. <br />fl Printed Name of the __ of the Entityfl (Cannot be an Authorized Person listed In Section 2) <br />fi Signature of the of the Entityft Date <br />I certify that I am an officer of the Government Entity, and as such, I certify that the above-named __ is acting in <br />such capacity on behalf of the Government Entity, the signature below is my genuine signature and the signature <br />above is the genuine signature of such __ . <br />fl Printed Name & Title of Individual Signing Below ff (Cannot be an Authorized Person listed in Section 2) <br />fl Signature fl Attested by One (1) Other Individual of the Entity Date <br />Page 11 of 37