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is <br />Page 11 of 15 <br /> <br />• <br />• <br />CERTIFICATIONS: PROJECT DIRECTOR a ~ <br />Pre Application Number 297 <br />Project Director' <br />f certify that l agree to comply with the general and fiscal terms and conditions of this application <br />including special conditons; to comply with the provisions of the Act governing these funds and all <br />other federal taws; that all information presented is correct; that there has been appropriate <br />coordination with affected agencies; that I am duty authorized by the Applicant to perform the tasks <br />of Project Director as they relate to the terms and conditions of this grant application; that costs <br />~cuned prior to grant approval may result in the expenses being absorbed by the implementing <br />agency; That the receipt of grantor funds through the Governor's Crime Commission wi[t not supplant <br />state or local funds; and, that 1 understand that federal funds are limited to a maximum of twenty- <br />four months. <br />Name: <br />Agency: <br />Phone: <br />Signature: <br />`NOTE: <br />Crate Biaclcwood <br />Orange County Emergency <br />Management <br />X919) 968-2050 <br />Title: Data Technician <br />Address: p,0. Box 8181 <br />Hillsborough. NC 27253-8181 <br />Bonded: ~" Yes f No <br />The Project Director, Financial Officer, and Authorizing Official CAN NOT be the same person. <br />Staff funded under this grant may not be any of the authorizing officials without direct Crime <br />Commission approval. <br />THIS APPLICATION IS NOT COMPLETE WITHOUT THE ABOVE SIGNATURE. <br />Page 1 t <br />file://C:IDOCUME 11empIoyeeILOCALS--11Temp\W8DK961.htm <br />1/26/2005 <br />