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P a g e 2 o f 12 <br /> <br /> <br />COVER PAGE <br /> <br />Applicant Contact Information <br /> <br />Applicant Organization’s Legal Name: Town of Chapel Hill <br /> <br />Applicant Organization’s Physical Address: 405 Martin Luther King Jr Blvd <br /> <br />Applicant Organization’s Mailing Address: 405 Martin Luther King Jr Blvd <br /> <br />Applicant Organization’s Web Address: www.townofchapelhill.org <br /> <br />Executive Director (if applicable): Mr. Maurice Jones <br /> <br />Telephone Number: 919-969-5075 E-Mail: jrichardson@townofchapelhill.org <br /> <br />Tax ID Number: 56-6001199 <br /> <br />Funding Request Summary <br /> <br />Please list all Fiscal Year 2021 Community Climate Action Grant funding requested for all projects you are proposing <br />and the proposed use of funds (please list program name only). Applicants will be asked to provide more details on their <br />proposed program budget in the Budget Worksheets attachment. <br />Project Equipment Operations Personnel Total <br />Cedar Falls Park Multipurpose Field LED Light <br />Conversion <br />$220,000 $220,000 <br /> <br /> <br />Totals $220,000 $220,000 <br /> <br />Briefly explain your proposed use of funds (2-4 sentences): <br /> <br />To the best of my knowledge and belief all information and data in this application is true and current. <br /> <br />Signature: 11/9/20 <br /> Applicant’s Authorized Signatory Date <br /> <br /> <br /> <br />The requested funds will be used to purchase and install 40 LED light fixtures to replace 48 existing, less <br />efficient metal halide fixtures located at the Cedar Falls Park multipurpose fields. <br />DocuSign Envelope ID: 74B52019-280F-41A8-B673-D36C5D62642B