NS ORD-1997-036 COPSFAST Grant Award and Grant Project Ordinance

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U.S. Department of Justice CF'DA No-16.7'10 Office of Community Oriented Policing Services SAI No.//«state spocas#vn)y): Date submitted to SPOC: I Universal Hide Program-ApplicaUon Form This form is to be completed by jurisdictions wishirig to apply-for 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 755%of the approved salary and benefits of each officer over three years unless waiver is authorized,up to a cap of 575,000 per officer,with the federal share decreasing 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 Sheriff Oepartment Applicant Agency EIN Number(Assigned by the IRS): (If your department has been assigned an EIN number by the Office of f ustice Programs,please use that assigned number. Otherwise,your Internal Revenue Service EIN number should be used.) Applicant Agency ORI Number(Assigned by FBI for UCR Reporting): NCO3901330 Congressional District 4t Are you contracting for law enforcement services? O No Q Yes If"yes,"enter the name and agency informa- tion of the contract law enforcement department in the Law Enforcement Executive Information section below. ExecubA liftmuMiQ: Law Enforcement Executive's Name: Albert L.- Pendergrass Title: Sheriff Agency Name: Orange County Sheriff Office Address: 144 E Ma=arat I ana - City, u;i l Choy-01,,gh State: N.C_ Zip Coder 27?78 Telephone: (919) 644-3050 FAX: (919) 732-6403 Name of contact person in your department who is familiar with this grant 13nn r Telephone: (9141 644-In5n F4)(: 09191 732-640' (OV