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RESOLUTION DESIGNATION OF APPLICANT'S AGENT North Carolina Division of Emergency Management Organization Name (hereafter named Organization): Disaster Number: Cabanus County Applicant's State Cognizant Agency for Single Audit purposes (If Cognizant Agency is not assigned, please indicate): NC Department of Public Safety- Emergency Management Applicant's Fiscal Year (FY) Start Month: Day: July 1st Applicant's Federal Employer's Identification Number: 56- 6000281 Applicant's Federal Information Processing Standards (FIPS) Number: PRIMARY AGENT SECONDARY AGENT Agent's Name Agent's Name Robert Smith Kelly Sifford Organization Organization Caban us County Caban us County Official Position Official Position Emergency Management Director Planning & Development Services Director Mailing Address Mailing Address PO Box 707 PO Box 707 City, State, Zip City, State, Zip Concord, NC 28026 Concord, NC 28026 Daytime Telephone Daytime Telephone 704 - 920 -2562 704 - 920 -2142 Facsimile Number Facsimile Number 704 - 920 -2415 704 - 920 -2227 Pager or Cellular Number Pager or Cellular Number E IT RESOLVED BY the governing body of the Organization (a public entity duly organized under the laws of the State of North Carolina) that the above -named Primary and Secondary Agents are hereby authorized to execute and file applications for federal and/or state assistance on behalf of the Organization for the purpose of obtaining certain state and federal financial assistance under the Robert T. Stafford Disaster Relief & Emergency Assistance Act, (Public Law 93 -288 as amended) or as otherwise available. BE IT FURTHER RESOLVED that the above -named agents are authorized to represent and act for the Organization in all dealings with the State of North Carolina and the Federal Emergency Management Agency for all matters pertaining to such disaster assistance required by the grant agreements and the assurances printed the reverse side hereof. BE IT FINALLY RESOLVED THAT the above -named agents are authorized to act severally. I on PASSED AND APPROVED this 15th day of October 2012 GOVERNING BODY CERTIFYING OFFICIAL Name and Title Name Elizabeth Poole, Chair Name and Title Official Position Larry Burrage, Vice -Chair Clerkto the Board of Cabanus County Commissioners Name and Title Daytime Telephone Robert Can uth, H. Jay White Sr., Christopher Measmer, Commissioners 704 - 920 -2109 CERTIFICATION I, (Name) duly appointed and Clerk of the Board (Title) of the Governing Body, do hereby certify that the above is a true and correct copy of a resolution passed and approved by the Governing Body of Caban us County (Organization) on the 15th day of October, 2012 Date: 15- Oct -12 Signature: Rev. 03/04 Attachment number 1 F -6 Page 105