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I~ <br />Assurance of Participation Form <br />This form provides written assurance that all First Responder disciplines within the county and <br />within all municipalities in the county were provided an opportunity to participate in this grant <br />program. <br />County Manager (or Principal Chief fbr the Eastern Band of the Cherokee Indians) (signing on behalf of <br />county first responder agencies within the county and largest municipality within the county which provides first <br />responder agencies in that municipality and any additional municipality with a population of 25,000 people or <br />greater)) <br />I certify that all eligible cou agencies and first responder agencies in the other munieipnlities were provided an <br />opportugifjl to,participate' t tis grant program. <br />Manager <br />Orange County ~ _ 6- !f <br />Jurisdiction Date <br />City Munager (of the largest incorporated municipnlity within the county who provides firs[ responder services) <br />I certify that my first responder agencies were provided an opportunity to participate in this grant program. <br />~~ `~' ~~rb~~~ Town Of Chaoel Hill ~ ~ <br />City Manager Signature Jurisdiction Date <br />City Manager (if' applicable, of any additional incorporated municipality with a population of 25,000 people or <br />greater that provides first responder services) <br />I certify that my first responder agencies were provided an opportunity to participate in this grant program. <br />N/A <br />City Manager Signature <br />Jurisdiction <br />Date <br />City Manager (if applicable, of any additional incorporated municipality with a population of25,000 people or <br />greater that provides first responder services) <br />I certify that my first responder agencies were provided an opportunity to participate in this grant program, <br />N/A <br />City Manager Signature Turisdiction Date <br />~~Qo~{ Z~ r-~5 S ~~SGP~~- f TPP <br />