HomeMy WebLinkAboutRES-2014-022 Resolution Authorizing the Designation of Orange County Agent for FEMA Public Assistance GJ
RESOLUTION
DESIGNATION OF APPLICANT'S AGENT
North Carolina Division of Emer enc Mans ement
Organization Name(hereafter named Organization) Disaster Number:
Qrap FE -Ll 1l(-p- -M
Applicant's SAte Cognizant Age cy for Single Audit purposes(If Cognizant Agency is not assigned,please indicate):
Applicant's Fiscal Year(FY)Start
Month: Da
Applicant's Federal Employer's Identification Number
Applicant's Federal Information Processing Standards(FIPS)Number
0Y7 - 155 -
PRIMARY AGENT SECONDARY AGENT
Agent's Name Agent's Name
Organization 0r Organization
Qv� � Courr
Official Position Official Position
' f-inov�c.�al rv�CeS Man r ti ah
Mailing Address Mailing Address
�•�• I "�l•O• u t I
City,State,Zip City,State,Zip
i11sb ro i 11 v h C
Daytime Telephone Daytime Telephone •
-Ll 15 - Z4 152)
Facsimile Number .Facsimile Number
"I l mot-(oy .. 3Z �I�- L �{-• � 2
Pager or Cellular Number Pager or Cellular Number
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BE 1T RESOLVED BY the governing body of the Organization(a public entity duly organized under the-laws of-the State of North Carolina)
that the abovb-named Primary and Secondary Agents are hereby authorized to execute and file applications for federal and/or state assistance on
behalf of the Organization for the purpose of obtaining certain state and federal financial assistance under the Robert T.Stafford Disaster Relief
&Emergency Assistance Act,(Public Law 93-288 as amended)or as otherwise available.BE IT FURTHER RESOLVED that the above-named
agents are authorized to represent and act for the Organization in all dealings with the State of North Carolina and the Federal Emergency
Management Agency for all matters pertaining to such disaster assistance required by the grant agreements and the assurances printed on the
reverse side hereof. BE IT FINALLY RESOLVED THAT the above-named agents are authorized to act severally. PASSED AND
APPROVED this dg of 20
GOVERNING BODY CERTIFYING OFFICIAL
Name and Title Name 4 w
Name and Title Offic' ositi �.-�•e�.'ek=L
Name and Title Daytime Ulephone
Zw
CERTIFICATION
I, Dpy�,,t... (Name)duly appointed and (fJ02&j(_6 ��itle)
of the Governing Body,.do hereby cert' that a above is a true and correct copy of a resolution passe and
approved by the verning Body of (Organization)on the day of
At 20!
Date: Signature:
Lj Rev.06/02
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17
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