Certificate of Designation

For Service of Notice of Claim

of

TOWN OF JAY

(Pursuant to Section 53 of the General Municipal Law)

It is hereby certified that:

FIRST: TOWN OF JAY is a public corporation as defined in Section 66 of the General Construction Law of the State of New York.

SECOND: The name of the public corporation is: TOWN OF JAY

THIRD: The principal location of the public corporation is in the county of: ESSEX

FOURTH: The public corporation hereby designates the Secretary of State of the State of New York as its agent upon whom a Notice of Claim against the public corporation may be served.

FIFTH: The name, post office address and email address of an officer, person or designee, nominee or other agent-in-fact to which the Secretary of State shall transmit a copy of any Notice of Claim served upon the Secretary of State as the Public Corporation’s agent is:

Post Office Address:	TOWN OF JAY TOWN CLERK BEATRICE PELKEY PO BOX 730 11 SCHOOL LANE AU SABLE FORKS, NY 12912
Email Address:	SUPERVISORSCLERK@TOWNOFJAY.NET

SIXTH: The time limit for service of a Notice of Claim upon the public corporation is: In any case founded in Tort, where a Notice of Claim is required to be filed, it shall be served within 90 days after the claim arises per GML section 50-e and applicable provisions of NYS law.

SEVENTH: Any statutory provisions uniquely pertaining to the public corporation and the commencement of an action or proceeding against it are as follows: The provisions of NYS GEN. Mun. Law 50-e shall apply. All requirements relating to form, content, time limitations, exceptions,extentions,and other procedural requirements with respect to a notice of claim and it's filing will apply to the notice of claim served upon the Secretary of State. The Town will have the same defenses avaiable as to the nature, sufficiency, legality, defects, and appropriateness of the notice of claim, or to any challenges to the timliness of service of the notice of claim.

EIGHTH: The New York State Vendor Identification Number (Vendor ID) for the public corporation is: REDACTED

Note: If the public corporation does not have a Vendor ID issued by the Office of the State Comptroller the Department of State will contact the public corporation regarding issuance of a Vendor ID when fees for service of Notices of Claim are available for distribution. The public corporation will not receive distributions of its share of fees for service of Notices of Claim until it has been assigned a Vendor ID by the Office of the State Comptroller.

NINTH: Distributions to the public corporation for its share of fees for service of Notices of Claim will be sent to the following Remittance Address:

TOWN OF JAY TOWN CLERK PO BOX 730 11 SCHOOL LANE AU SABLE FORKS, NY 12912

Note: The Remittance Address for public corporations with a Vendor ID must match the public corporation’s Remittance Address in the New York State Vendor Management System. If the Remittance Address provided does not match the address on file in the New York State Vendor Management System, the public corporation’s share of fees cannot be distributed. To update the public corporation’s Remittance Address on file in the New York State Vendor Management System the public corporation must access and update its vendor record at www.osc.state.ny.us.

Date: July 12, 2013

RANDALL T. DOUGLAS		SUPERVISOR TOWN OF JAY
Signature		Title of Signer

FILED BY THE NYS DEPARTMENT OF STATE ON: 07/12/2013

FILE NUMBER: 20130712000833