Orange County NC Website
Print Grant Pre-Application Information <br />~3 <br />~~ CERTIFICATIONS: PROJECT DIRECTOR ~~ <br />Pre Application Number 297 <br />Project Director* <br />I certify that I agree to comply with the general and fiscal terms and conditions of this application <br />including special conditions; to comply with the provisions of the Act governing these funds and all <br />other federal laws; that all information presented is correct; that there has been appropriate <br />coordination with affected agencies; that I am duly 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 />incurred 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 will not supplant <br />state or local funds; and, that I 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 />Craig Blackwood <br />Orange County Emergency <br />Management <br />(919) 968-2050 <br />Title: Data Technician <br />Address: P.O. BOX 8181 <br /> <br />Hillsborough. NC 27253-8181 <br />Bonded: r Yes r 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 11 <br />http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfm 1/26/2005 <br />