Agenda - 02-03-1998 - 8g - Laserfiche WebLink

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5 U.S. Department of lustlce CFDA Noy 16.710 Office of Community Oriented Policing Services sw o. ry« N.r, saoc.~. Mryr. Date subictitted to SPOG Uni~ersai Hiring Program-Application form This form is to be completed by jurisdictions wishing to' applyfor grants to pay for salaries and benefits of new or rehired police officers under the Universal Hiring Program. Complete the information below. By signing this form you also acknowledge your understanding that Universal Hiring grants provide a maxi- mum federal contribution of T% of the approved salary and benefits of each officer over three years unless a waiver is authorized, up to a cap of 575,000 per officer, with the federal share deczeasing and local share increasing from year to year. All budget calculations must be based on the salary of an entry level officer in your department. All requested information must be typed. Applicant Organization's Legal Name:Orange County Gh~riff Oeoartment Applicant Agency EIN Number (Assigned by the IRS): (If your department has been assigned arc EIN number by the Office of justice Programs, Please use that assigned number. Otherwise, your Internal Revenue Service EIN number should be used.) Applicant Agenry ORI Number (Assigned by FBI for UCR Reporting): NC0390~)70 Congressional District: ~tti Are you contracting for law enforcement services? O No Q Yes If "yes," enter the name and agency informa- tion of the contract Iaw enforcement deparhneret in the Iuur Enforcement Executive Information section below. Law Enforcement Executive's Name: Albert l Pendergrass Title: chor; ff Agency Name: Orange County Sheriff Office Address: City : N; ~ 1 ~~ugh State: K, r. _ Tip Coder ~~?~~ Telephone: (919) 644-3050 FAX: (919) 732-6403 Name of contact person in your department who is familiar with this grant n~~ rr~ ~A~ n~,p -- Telephone: _ (~)-fi 4-3nsn _ _ FAX: ~_~ 73 -6103 (Oz;.