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DocuSign Envelope ID: 1B46502C-936F-4363-9309-A1593E81EB36 <br /> Memorandum of Agreement (MOA/MOU) Information <br /> Please list all names and titles that should appear on the signature page of the MOA/MOU <br /> should your organization receive an award. Only one signatory is required; multiple spaces have <br /> been provided for entities with policies requiring multiple people to sign. If more space if needed <br /> please add rows identical to the ones below and notify NCEM. Names will appear in order <br /> entered below. <br /> NCEM grant MOAs are currently being disseminated and signed electronically via <br /> DocuSign. <br /> Name: Jim Groves <br /> Title: Director <br /> Email jgroves(a_dconc.gov <br /> Name: Kirby Saunders <br /> Title ksaunders@orangecountync.gov <br /> Email: Emergency Management Coordinator <br /> Name Steve Newton <br /> Title: Emergency Operations Director <br /> Email: steve.newton@chathamnc.org <br /> Proiect Overview: <br /> Project Title: Propane IQ Training <br /> Is your proposed activity joint Yes <br /> or regional in nature? <br /> If you answered yes above, Chatham, Durham, and Orange county will have responders in <br /> please explain, otherwise put the course. <br /> N/A: <br /> Would you like to request the <br /> State Hazardous Materials <br /> Regional Response Team No <br /> (RRT) participate in your <br /> HMEP grant activity? <br /> If you answered yes above, <br /> please describe desired RRT <br /> involvement (technical NA <br /> assistance, exercise <br /> participation, pre-planning, <br /> etc.), otherwise put N/A: <br /> 2018 Hazardous Materials Preparedness Project Application <br /> Page 5 of 8 <br />