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10 <br /> RESOLUTION <br /> DESIGNATION OF APPLICANT'S AGENT <br /> North Carolina Division of Emergency Management <br /> Organization Name(hereafter named Organization) Disaster Number: <br /> Orange County FEMA-4393DR-NC <br /> Applicant's State Cognizant Agency for Single Audit purposes(If Cognizant Agency is not assigned,please indicate): <br /> Applicant's Fiscal Year(FY)Start <br /> Month: July Day: 01 <br /> Applicant's Federal Employer's Identification Number <br /> 56 - 6000327 <br /> Applicant's Federal Information Processing Standards(FIDS)Number <br /> 037 - 135 - <br /> PRIMARY AGENT SECONDARY AGENT <br /> Agent's Name Sarah Pickhardt Agent's Name Patrick Mallett <br /> Organization Organization <br /> Orange County Emergency Services Orange County Planning&Inspections Department <br /> Official Position Division Chief of Emergency Management Official Position Deputy Director Development Services <br /> Mailing Address 510 Meadowlands Dr. Mailing Address 131 W.Margaret Lane,suite 201,PO Box 8181 <br /> p <br /> City,State,Zip Hillsborough, NC 27278 City,State,zip Hillsborough, NC 27278 <br /> Daytime Telephone (919) 245-6135 Daytime Telephone (919) 245-2577 <br /> Facsimile Number Facsimile Number <br /> Pager or Cellular Number Pager or Cellular Number <br /> BE IT RESOLVED BY the governing body of the Organization (a public entity duly organized under the laws of the State of North Carolina) <br /> that the above-named Primary and Secondary Agents are hereby authorized to execute and file applications for federal and/or state assistance on <br /> behalf of the Organization for the purpose of obtaining certain state and federal financial assistance under the Robert T.Stafford Disaster Relief <br /> &Emergency Assistance Act,(Public Law 93-288 as amended)or as otherwise available.BE IT FURTHER RESOLVED that the above-named <br /> agents are authorized to represent and act for the Organization in all dealings with the State of North Carolina and the Federal Emergency <br /> Management Agency for all matters pertaining to such disaster assistance required by the grant agreements and the assurances printed on the <br /> reverse side hereof. BE IT FINALLY RESOLVED THAT the above-named agents are authorized to act severally. PASSED AND <br /> APPROVED this day of 20 <br /> GOVERNING BODY CERTIFYING OFFICIAL <br /> Name and Title Name <br /> Name and Title Official Position <br /> Name and Title Daytime Telephone <br /> CERTIFICATION <br /> (Name)duly appointed and (Title) <br /> of the Governing Body,do hereby certify that the above is a true and correct copy of a resolution passed and <br /> approved by the Governing Body of (Organization)on the day of <br /> ,20 . <br /> Date: Signature: <br /> Rev.06/02 <br />