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RESOLUTION <br />DESIGNATION OF APPLICANT'S AGENT <br />North Carolina Division of Emer enc Mana ement <br />Organization Name (hereafter named Organization) Disaster Number: <br />Orange County 1490 <br />Applicant's State Cognizant Agency for Single Audit purposes (If Cognizant Agency is not assigned, please indicate): <br />Health and Human Services <br />Applicant's Fiscal Year (FY) Start <br />Month: Da <br />Applicant's Federal Employer's Identification Number <br />56 - 6000327 <br />Applicant's Federal Information Processing Standards (FIPS) Number <br />-NA " <br />PRIMARY AGENT SECONDARY AGENT <br />Agent's Name Agent's Name <br />Kenneth T. Chavious Nick Waters <br />Or anization Organizatio <br />C <br />range County ounty <br />range <br />Official Position <br />Finance Director Official Position <br />Emer enc M mt. Director <br />Mailin Ad ress <br />P <br />ox 8181 <br />~ Mailing Address <br />. <br />. same <br />z, <br />City.il~sbo ough, NC 27278 <br />l <br />i City,state,( ame) <br />Da <br />y <br />time Telephone Daytime Tele hone <br />2 <br />9~9 <br />919-245-2453 - <br />45-3030 <br />Facsimile Number Facsimile Number <br />919-644-3324 <br />Pager or Cellular Number Pager or Cellulaz Number <br />BE IT RESOLVED BY the governing body of the Organization (a public entity duly organized under the laws of the State of North Carolina) <br />that the above-named Primary and Secondary Agents are hereby authorized to execute and file applications for federal and/or state assistance on <br />behalf of the Organization for the purpose of obtaining certain state and federal financial assistance under the Robert T. Stafford Disaster Relief <br />& Emergency Assistance Act, (Public Law 93-288 as amended) or as otherwise available. BE IT FURTHER RESOLVED that the above-named <br />agents are authorized to represent and act for the Organization in all dealings with the State of North Carolina and the Federal Emergency <br />Management Agency for all matters pertaining to such disaster assistance required by the grant agreements and the assurances printed on the <br />reverse side hereof. BE IT FINALLY RESOLVED THAT the above-named agents are authorized to act severally. PASSED AND <br />APPROVED this da of 20 <br />GOVERNING BODY CERTIFYING OFFICIAL <br />Name and Title Name <br />Donna Baker <br />Name and Title Official Position <br />Clerk to the Board <br />Name and Title Daytime Tele hone <br />9~9=245-2130 <br />CERTIFICATION <br />I, Donna Baker ,(Name) duly appointed and Clerk to the Board (Title) <br />of the Governing Body, do hereby certi that the above is a true and correct copy of a resolution passed~nd <br />approved b the Governin Body of ~' CC`w~ c'a~u,~ Organization. on the ~ day of <br /> <br />Date: (l ~ 5 ~~0113 Si a ~ ~~ -~ <br />Rev. 06/02 ~~~' ~,r;i~ <br />~~ <br />/ - F _i..~. ~. <br />^~~ <br />/ ?y:S <br />~*opfC f~ aY q~~Qd <br />QQ~'s ~;,200,~ -d <br />//- d ~ - 03 <br />~i <br />