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<br />~nnr If`ATIr1N1 CAD <br />Version 7/03 <br />FEDERAL ASSISTANCE 2.. DATE SUBMITTED Applicant Identifier <br /> May 25, 2005 IJ/A <br />1. TYPE OF SUBMISSION: 3, DATE RECEIVED BY STATE State Application Identifier <br />Application Pre-application NIA <br />Construction ~ Construction 4, DATE RECEIVED BY FEDERAL AGENCY Federal Identifier <br />Non-Constru tin ~ N n-Constru lion NIA <br />5. APPLICANT INFORMATION <br />Legal Name: Or anizational Unit: <br /> Department: <br />Orange County Emergency Management <br />Organ'¢ational DUNS: Division: <br />1400427127 <br />Address: Name and telephone number of person to be contacted on matters <br />Street: 1nvoNfn this a Ilcatlon (give area code) <br />P.O Box 8181 Prefix: First Name: <br /> Mr. Eric <br />City: Middle Name <br />Hillsborough Kendal <br />County: Last Name <br />Griffin <br />Orange <br />State: Zip Code Suffoc <br />North Carolina 27278 <br />Country: <br />United States of America Email: <br />egriffinr~co.orange.nc.us <br />6. EMPLOYER IDENTIFICATION NUMBER {EfN): Phone Number (give area code) Fax Number (give area code) <br />®-©aoaaoo 919-968-2050 979-968-4066 <br />8. TYPE OF APPLICATION: 7. TYPE OF APPLICANT: (See back of form for Application Types) <br />~' New ~ Continuation ~i Revision g <br />If Revision, enter appropriate letter(s) in box(es) <br />See back of form for description of letters) ^ ^ then {specify) <br />Other {specify) 9. NAME OF FEDERAL AGENCY: <br />Department of Justice, Office of Community Community Oriented Policl <br />10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTNE TITLE OF APPLICANT'S PROJECT: <br />0©-~ 1^ D^ Orange County 9-1-1 Center Radio Technology Upgrade Project <br />TITLE (Name of Program): <br />2005 Technology Initiative <br />12, AREAS AFFECTED BY PROJECT {Cities: Counties.. States, etc.): <br />County of Orange, Town of Chapel Hill, Town of Carrboro, Town of Hillsborough <br />13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF: <br />Start Date:- Ending Date: a. Applicant b Project <br />12/x8/2004 12/07/2005 4 <br />15.. ESTIMATED FUNDING: 16, IS APPLICATION SUBIECT TO REVIEW BY STATE EXECUTNE <br /> RDER 12 72 PROCESS? <br />a Federal a Yes ~ THIS PREAPPLICATION/APPLICATION WAS MADE <br />ER 12372 <br />r 147,996 AVAILABLE TO THE STATE EXECUTIVE ORD <br />b. Applicant PROCESS FOR REVIEW ON <br /> <br />c State DATE: <br /> <br />d Locai b No ~ .PROGRAM IS NOT COVERED BY E O 12372 <br /> <br />e Other ~ OR PROGRAM HAS NOT BEEN SELECTED BY STATE <br /> FOR REVIEW <br />f Program Income 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br />g TOTAL 147,996 Yes If 'Yes' attach an explanation ~ No . <br />TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATIONRRE TRUE AND CORRECT,. THE <br />18 <br />. <br />DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE <br />TTACHED ASSURANCES 1F THE ASSISTANCE IS AWARDED. <br />a. Aut o ' <br />~efnc ~ h~Name fiddle Name <br />M <br /> . <br />Last Name uffix <br />J <br />Link r. <br />Title <br />b .Telephone Number (slue area cods) <br />. <br />County Manager 919-245-23D0 <br />Signature oFAu pgeg~nt <br />iii Date Signed S <br />Previous Edition abie <br />Authorized for cal Reoroductlon <br />stanoaro roan c~4 trcev.a-cuusi <br />Prescribed by OMB CircularA-102 <br />