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DocuSign Envelope ID:C8D9258E-OB18-4FBC-9A51-15AOE32Al2BA <br /> 29 <br /> CONTRACT NO„,45615VW <br /> VW-TRANSIT BUS PROGRAM <br /> Attachment C <br /> E <br /> 1'bi-tse I Diesel Bus and Vehicle 1'o rx�r rrra€,f.rll>Irltcrrtinrt <br /> PlQww..nae appfi42adonN are out cowidoFQd c%)nfili4 titial business irsti.iMiation- All rc. ite,iapplic atiwris and <br /> oswciiati�al a ri� ,public seewd pos Noilh C.'avollita Cloiior al Stutolos§132-1,except iif <br /> "CUTAi&Wictl"or"Inide.s.curct"data us de.lineal and clu iiliecl in Nuath C°irolin a Cisnurul.StulfWc.,➢ j <br /> N66-1 S2(3)wid tlitl't 1:10 indiv:trwd as Aicli by lab the drill.of khe illi€ital r�.t�utc.aiplalieia€ic�i � <br /> Nubmiltul. <br /> Applicant Contact Information <br /> Proj cut Title NCID <br /> l tecita�4ir tl8 ulat[11y <br /> .. ,. °Litnan�lcalt � ,�Ji <br /> Orbalnization Name Orguniaation Tarx Idenlilwolion Dumber(TIES) <br /> CiIEY �"iXIItl1�N, Crt <br /> Orgunizatition Mai !n Aa4dres <br /> 111 lid <br /> City state Zits Code. <br /> V .. <br /> Authorized RiPrrv:tcntaative Name: <br /> Authoriyed Representative.E-mail Aadre—ss zcxl Re}stikartnuaivc Phone Numb-or <br /> Pr sj-ect MtxoRger Name (primaryy c unmet) <br /> Prgje'l Manager E-null Address Pro1o:t fanagpr Phorie Number <br /> Financial Conluel Name <br /> Financial Conlaret E-mail Address Finaarta`iul Cont ...:. <br /> av;t Phone N[tnabcRr <br /> alla �aaauaiultcex . 777777 <br /> Project Details <br /> I'rownani Tyne Eligible,Applicant Terse <br /> Traji it nuc R,cplacs mem(ENIA-2h) Qa+ursuiielit <br /> VehicWNuipm-ont Type: Project Tylx <br /> Olass 4-8'rranclt Bus ReplaceMent(EMA-2b) Vehicle Replacement <br /> WK 0- <br /> Lklurimcrt of Em Qgmlily,Divi�iuu k:,rAir Qwlity August 2,21]19 1 <br /> Page 14 at 26 <br />