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Attachment A <br />APPLICATION FOR <br />N <br />Version 9103 <br />FEDERAL ASSISTANCE <br />2 DATE SUBMITTED — <br />07/1312005 <br />Applicantldentlller <br />TYPE E OF SUBMISSION: 3. DATE RECEIVED BY STATE State Application Identifier 0 <br />,licallon ToConstruction Non- Construction n - Construction ' <br />5. APPLICANT INFORMATION Organizational Unit: <br />' Legal Name: City of Durham <br />' Organizational DUNS: 07556fi695 <br />Department: Durham Police Department <br />Division: Fiscal ServlceslGrants Mgmt <br />Address: <br />Name and telephone number of person to be contacted on matters Involving <br />Ihis application (give area code) <br />" Street /:^ 101 City Hall Plaza <br />Prefix: Mr. ' First Name: I B <br />Middle Name: Lamont <br />'last Name: Taylor <br />Suffix: �� • Email: lemon Aaylor@durhamnc,gov <br />• Phone Number (give area code) Fax Number (give area code) <br />Street2: <br />• City: Durham <br />• State: NC ' Zip Code: 27701 <br />County Durham <br />_ <br />� ' Country USA <br />_ <br />6. 'EMPLOYER IDENTIFICATION NUMBER (SIN) <br />SS 6000225 <br />919 -560 -4309 <br />919- 560 -4971 <br />8 TYPE OF APPLICATION: <br />Q New ❑ continuation Revision <br />It Revision enter appropriate lefter(s) in boxes) <br />A Incea,ia Award a Decreaaa Award C incense Duration <br />D Decrease Duration Omer (spec0y): <br />7 • TYPE OF APPLICANT: Local Government <br />9.' NAME OF FEDERAL AGENCY: <br />Community Oriented Policing Services <br />:ATAL.OG OF FEDERAL. DOMESTIC ASSISTANCE <br />11 • DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: <br />TITLE: <br />Durham NC MSA interoperabiilly Expansion Project <br />12. *AREAS AFFECTED BY PROJECT (cues cwnuec sans smi <br />Durham and Orange Counties <br />13.. • PROPOSED PROJECT: <br />14. • CONGRESSIONAL DISTRICTS OF: <br />' Start Date <br />D9lOtl2005 <br />•Ending Date <br />08131/2006 <br />' a Applicant <br />b Project <br />4 <br />�— <br />15.' ESTIMATED FUNDING: <br />16, IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE <br />ORDER 12372 PROCESS? <br />e YES. THIS PREAPPUCATION/APPLICATION WAS MADE AVAILABLE TO <br />THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: <br />Q YES DATE 07/10 /2005 <br />b ❑ PROGRAM IS NOT COVERED BY ED 12372 <br />❑ OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW <br />*a Federal 5 2,998,740.00 <br />• b Applicant S 999,580.00 <br />•c State 5 0.00 _ <br />• d. Local -..�. s 0.00 <br />' e Other s 0.00 <br />- (.. Program Income s E��p.00 <br />17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL. DEBT? <br />❑ Yes if 'Yes,' attach an explanation Q No <br />g TOTAL S <br />1F,t <br />18.. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATIONIPREAPPUCATION ARE TRUE AND CORRECT, THE DOCUMENT RAS BEEN DULY AUnICRI2ED BY THE <br />GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. <br />a Authorized Prefix Mr. 'First Name: Patrick Middle Name <br />�csontative <br />• last Name: Baker _ �Suffix: u <br />' o Title: City Manager • c Telephone Number (give area Cade): 919 - 560.4222 <br />' Email: Detrick baker ®durhamne gov Pent Number (give area code): 919 - 5604949 <br />tl Signature of Authorized Representative: Completed on submission to Grants Gov <br />a Date Signed: Completed on submission to Grants gov <br />Prevlaus Edition U.N. <br />Authorized for Local Repraductlon <br />Standard Form 424 (Rev x -n) <br />Praauihed by OMB firu,U, A•102 <br />