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APPLICATION SUMMARY - NC CDBG CORONAVIRUS ( CDB & CV ) PROGRAM <br /> 1 . Applicant ' s name Orange County, NC 2 . Date <br /> a . Mailing Address PO Box 8181 <br /> b . City and Zip Code Hillsborough, NC 27278 z Original <br /> C . County Orange County dated . <br /> d . Contact Person Erika Brandt <br /> e . Telephone Number 919 -2454331 ❑ Amendment <br /> £ Fax Number 91 M69 -3018 dated . <br /> g . e- mail address ebrandt@oran . e�tync . gov <br /> li . DUNS Number 0440417960000 <br /> � . Preparer' s Name N/A c . Telephone Number <br /> a. Firm ' s Name <br /> b . Mailing Address <br /> c . City and Zip Code f. Fax Number <br /> d . e -mail address <br /> 4 . Developer ' s Name N/A c. Telephone Number <br /> a . Mailing Address <br /> b . City and Zip Code a . Fax Number <br /> 5 . Development Name N/A <br /> a . Street Address <br /> b . City and Zip Code <br /> c . Ownership Entity <br /> 6 . Program 7 . Project 9 . CDBG - CV Funds <br /> Category Number g • Project Name Requested <br /> CV 1 Emergency Housing Assistance $ 90000 <br /> 10 . Certification by the Chief Elected Official <br /> a) I certify that to the best of my knowledge and belief <br /> 1 . Data in this application is true and correct, <br /> 2 . Opportunities have been provided for citizen participation and access to information concerning the proposed <br /> activities , <br /> 3 . This document has been duly authorized by the governing body of the applicant and the applicant will <br /> comply with the attached certifications and state standards if the assistance is approved <br /> b ) I acknowledge that, if funded , this application is part of the Grant Agreement . e <br /> a . Typed Name of Chief <br /> f <br /> Elected Official ➢ Penny Rich <br /> b . Typed Title ➢ Chair, qmpge County B rd f ommissionett! . : I fd I Ijw <br /> c . Signature ➢ t 1 ' 6r �' ;' '� <br /> ,x <br /> d . Typed Date ➢ Octeber 8 , 2020 <br /> For REDD Use Only <br /> Date Received . Application Number * <br /> 5 <br />