The Ad Ag 0455B form serves as a critical document for organizations engaging with Bank of America's Treasury Services, outlining the authorization and agreement terms for these services. This form is designed to be completed by an authorized representative of the client organization, asserting they have received and agreed to comply with the Bank of America Treasury Services Terms and Conditions Booklet. It enumerates the services covered and the financial obligations towards the bank, also indicating that the terms in the booklet supersede any previous agreements related to the services. Execution of this form by the client's authorized representative allows the client to request and utilize the bank's services, provided such use is approved by the bank and all requisite forms are duly filled, and any mandatory testing or training has been completed. This form also outlines the signing authority based on the type of organization, such as corporations, limited liability companies, partnerships, sole proprietorships, and governmental entities, specifying who must sign the document to authorize the provision of services. Moreover, it includes provisions for the delegation of authority, allowing the designation of employees or agents to conduct transactions on behalf of the client, underscoring the importance of clear and authorized communication channels between the client and the bank.
| Question | Answer |
|---|---|
| Form Name | Form Ad Ag 0455B |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | Certifying, revocation, 2010, designating |
AUTHORIZATION AND AGREEMENT FOR TREASURY SERVICES
I am an authorized representative of the organization specified below (the “Client”). The Client has received Bank of America’s Treasury Services Terms and Conditions Booklet (the “Booklet”) in the form and with the content posted on the website of Bank of America and agrees to adhere to the Booklet and any applicable User Documentation from Bank of America (“Bank”). The Services covered by the Booklet and the banks providing Services are listed on the accompanying List of Banks and Services, which we may change from time to time. Capitalized terms used in this Authorization and Agreement form, not otherwise defined, have the meanings given to them in the Booklet.
After I sign below on behalf of the Client, the Client may from time to time request the Bank to provide any of the Services described in the Booklet. The Client may begin to use any such Service once Bank has approved such use and has received all required and properly executed forms and the Client has successfully completed any testing or training requirements. The Booklet supersedes other agreements between the Client and the Bank, as described under the General Matters heading in the Booklet, with regard to the provision of Services.
I warrant that the Client has taken all action required by its organizational or constituent documents to authorize me to execute and deliver on behalf of the Client this Authorization and Agreement form and any other documents the Bank may require with respect to a Service. I am authorized to enter into all transactions contemplated by the provision of Services to the Client. These may include, but are not limited to, giving the Bank instructions with regard to Electronic Funds Transfer Services and designating employees or agents to act in the name and on behalf of the Client.
Guidelines for completion: |
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If Client is a: |
Who must sign: |
corporation |
any authorized officer |
limited liability company |
all members, or any authorized officer* |
partnership (general or limited) |
any general partner’ |
limited liability partnership |
the managing partner* |
sole proprietorship |
the sole proprietor |
governmental entity |
the Treasurer* |
*Includes any individual authorized under Client’s charter or organizational or constituent documents. The legal name of any member, managing member, manager or general partner who is signing and who is not an individual must appear in the signature block. Note that in most cases the Client must also complete the
Certification form which follows.
(ORGANIZATION’S/CLIENTS LEGAL NAME)
[Signature of Authorized Representative]
[Print Name of Authorized Representative]
[Print Title of Authorized Representative (include the legal name of any member, managing member, manager or general partner who is signing and who is not an individual)]
The following addresses may be used for giving notices in connection with this Booklet except as you or we provide the other different addresses to be used in conjunction with your accounts or particular Services.
Address for Client Notices:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Telephone: ( ) _____________________________________________
Fax: ( ) ___________________________________________________
Dated
[Signature of Authorized Representative, if two are required by Client]
[Print Name of Authorized Representative]
[Print Title of Authorized Representative (include the legal name of any member, managing member, manager or general partner who is signing and who is not an individual)]
Address(es) for Bank Notices: Bank of America, N.A.
Documentation Management
Concord, CA
Fax No.: (925)
and, if filled in; the following:
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
Telephone: ( ) ________________________________________
Fax: ( ) _________________________________________
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AUTHORIZATION AND AGREEMENT CERTIFICATION
I certify that each signature appearing on the previous page for Client is the true signature of a person authorized to execute the form on behalf of Client, and I further certify that I have full authority to execute this certification. The Bank is entitled to rely upon this certification until written notice of its revocation is delivered to the Bank.
Guidelines for completion: This Certification should not be signed by the individual who signed the Authorization and Agreement.
If Client is a: |
Who must sign: |
corporation |
any authorized officer |
limited liability company |
any member or authorized officer |
limited liability partnership |
any partner |
partnership (general or limited) |
any general partner |
sole proprietorship |
no signature required |
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governmental entity the entity’s counsel, or any other individual |
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as permitted by •the entity’s organizational documents |
The legal name of any member, managing member, manager or general partner who is signing and who is not an individual must appear in the signature block.
Note: If Client is not a U.S. based entity, it is not required to complete this certification, but must provide authorizing certificates or mandates.
Dated |
(ORGANIZATION’S/CLIENT’S LEGAL NAME) |
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‘Signature of Certifying Representative] |
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[Print Name of Certifying Representative] |
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[Print Title of Certifying Representative (include the legal name of any |
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member, managing member, manager or general partner who is signing |
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and who is not an individual)] |
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TREASURY SERVICES DELEGATION OF AUTHORITY FORM
This form is optional and is to be used when you wish to delegate authority to sign various authorization forms to someone other than the person who signed the Authorization and Agreement form in the front of this Booklet.
By signing below, you authorize the incumbent of the specified position listed in Section A or each person listed in section B below, acting alone, to execute documents that we may request, and any amendments or renewals thereof, pertaining to the use of Services, including but not limited to designating one or more persons (which may include himself or herself) authorized to initiate, amend, cancel, confirm or verify the authenticity of instructions to us for Services, whether given orally, electronically or by facsimile instructions, and to revoke any authorization granted to any such person, as he or she deems appropriate. The signer of this form has the same authority described above for each Service with us, unless otherwise specified. We are entitled to rely upon this delegation until written notice of its revocation is received by us.
Guidelines for Completion: Fill out either section A or section B, or both, depending on your needs.
•To delegate authority to any person holding a specific title, fill out section A.
•To delegate authority to specific individuals by name, fill out section B.
For each name or title, indicate “All” in the “Service” column if the person or title has authority to sign documents for all Services which you receive from us. Otherwise, indicate specific Services for which the person or title has authority. For each name or title, indicate the entity or entities for which the person or title has authority to sign documents.
A. TO DELEGATE AUTHORITY TO ANY PERSON HOLDING SPECIFIC POSITIONS
Title |
Service |
Entity |
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B. TO DELEGATE AUTHORITY TO SPECIFIC INDIVIDUALS
Name |
Service |
Entity |
Specimen Signature |
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CLIENT AUTHORIZATION
Client Authorization Instructions: The same person who signed the Authorization and Agreement for TREASURY SERVICES form must SIGN this Treasury Services Delegation of Authority form.
Dated |
(ORGANIZATION’S/CLIENTS LEGAL NAME) |
[Signature of Authorized Representative]
[Print Name of Authorized Representative]
[Print Title (include the legal name of any member, managing member, manager or general partner who is signing and who is not an individual)]
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