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NORTH CAROLINA LOCAL GOVERNMENT APPLICATION FOR FFY 2015 EMPG FUNDING <br /> Grant Period: October 1,2014—September 30,2016 <br /> 1.1 EM Agency Name Orange County Emergency Services <br /> 1.2 Street Address,City 510 Meadowlands Drive, Hillsborough,NC 27278 <br /> 1.3 DUNS 9 Digit Number 069420961 1.4 Z:p Code+4 217 2 7 8 8 5 0 4 <br /> 1.5 SAM Registered? es,No Yes Expiration Date May 14, 2015 <br /> LOCAL EMERGENCY MANAGEMENT PROGRAM <br /> For AS Of ame L7 <br /> At <br /> .. t,0* <br /> Time(%) Current Date of Employment <br /> 1.6 EM,Pro am Manager rmt/T a in Name te' 5°84 �s��°, Salary in Cnrrent.Positicin <br /> I (P yp <br /> Below <br /> W. Kirby Saunders 100% $65,000 June 30, 2014 <br /> 1.10 Personnel Data: Complete for personnel supported with FFY 2015 EMPG Program funds <br /> a. All EMPG Program funds (Federal and match) allocated towards Local emergency management $ 0 <br /> personnel? <br /> b. All EMPG Program funds (Federal and match) allocated towards Non-Local emergency management $0 <br /> personnel? <br /> c. Total Number of Local emergency management full-time equivalent(FTE)personnel (including those $3 <br /> supported and not supported by the EMPG Program)? <br /> d. Number of Local emergency management full-time equivalent (FTE <br /> )personnel supported (fully or 0 <br /> partially) by the EMPG Program? <br /> e. Number of Local emergency management personnel supported (fully or partially) by the EMPG Program? 0 <br /> f. Cost Share or In-Kind Match explanation in detail? <br /> EM Coordinator is fully devoted to Emergency Management Activities <br /> *Area Coordinator must verify the percentage of time devoted to Emergency Management activities. <br /> Local EM Program Manager Signature <br /> Area Coordinator Signature <br /> Branch Manager Signature <br /> EM Application Form 66(Rev.4/14) Page 3 <br />