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DocuSign Envelope ID:25D7535C-94DF-4869-A143-BOA7DD1251F8 <br /> North Carolina FY 2017 HSGP Sub-Recipient Application <br /> Due: 3/3/17 <br /> This application and budget for FY 2017 Homeland Security Grant Program funds must be submitted <br /> by email to Nleghan Brown, NCEM Homeland Security Planner(y1eghan.browiva ncdps.<<ov) no later <br /> than Friday, March 3rd' 2017. <br /> Part 1: Basic Information <br /> 1.) Project Name <br /> Trailer/Ramps <br /> Project Version (Choose Version 1 unless resubmitting application with changes) <br /> Version 1 <br /> 2.) Project Description <br /> This project will provide two (2) All-Terrain Vehicles specialized vehicles and one enclosed <br /> trailer. These will be used for CBRNE and Haz-Mat incidents and natural and man-made <br /> disasters and will come with cargo boxes to hold various equipment to include CBRNE and <br /> Haz-Mat equipment. Cabarrus County has agreed to host, maintain and manage this project. <br /> The equipment will be trailer based and available for deployment in all DPR 7 counties as <br /> well as deployment regionally and statewide. Cabarrus County Emergency Medical Services will <br /> serve as the sponsor for this project. Jimmy Lentz, Assistant Director, will be the central point of <br /> contact and overall project manager. <br /> 3.) State, Local (DPR), or Local Non-DPR Local <br /> Project <br /> If Local, select DPR number DPR 7 <br /> 4.) Total Funding Requested <br /> $34,088 <br /> A. Applicant Information <br /> (When awarded a grant, the applicant will be referred to as the sub-recipient) <br /> Applicant <br /> Cabarrus Count <br /> DUNS Number 086861630 <br /> Tax ID Number 56-6000281 <br /> Registered in SAM? Yes <br /> (Registration is required) <br /> Type of Organization Government Entity (Nonprofits must provide proof of status) <br /> B. Applicant Point of Contact Information <br /> (Primary point of contact for all communication regarding the grant, if more than one, add another box <br /> Name Jimmy Lentz <br /> Agency Cabarrus County Emergency Medical Services <br /> Title Assistant Director <br /> Phone Work 704-920-2606 1 Phone Mobile 704-791-4278 <br /> Mailing Address 31 Willowbrook Drive, NW <br /> November 30, 2016 NC Emergency Management Page 1 of 4 <br /> Attachment number 1 \n <br /> F-8 Page 195 <br />