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R'f)v, 24 ur 144 <br />RESOLUTION <br />DESIGNATION OF APPLICANT'S AGENT <br />North Carolina Division of Emergency Management <br />Organization Name (hereafter named Organization) Disaster Number. <br />Lee County Government <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 />1 <br />2011 Month: July Day: <br />Applicant's Federal Employer's Identification Number <br />56 - 6000313 <br />Applicant's Federal Information Processing Standards (FIPS) Number <br />PRIMARY AGENT <br />SECONDARY AGENT <br />Agent's Name <br />T. Shane Seagroves <br />Agent's Name John Crum ton <br />Crump ton <br />Lee County Government <br />organization Lee Count Government <br />Y <br />Official Position <br />Director of Emergency <br />official Position Count Man <br />Y 9 <br />Mailing Address PO Box 1968 ® <br />Mailing Address PO Box 1968 O <br />Sanford, NC 27331 City,State,Zip <br />- - - - -- <br />City ,State, Zip Sanford,.NC27331. <br />Daytime Telephone (919) 718 -4670 <br />( 919 } Daytime Telephone 718 -4605 <br />Facsimile Number (919) 718 -4630 <br />Facsimile Number (919) 777 - 9315 <br />Pager or Cellular Number (919) 770 -5563 <br />Pager or Cellular Number (919) 770 -2313 <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 />Primary and Secondary Agents are hereby authorized to execute and file applications for federal and /or state assistance on <br />that the above -named <br />behalf of the Organization for the purpose of obtaining certain state and federal financial assistance under the Robert T. Stafford Disaster Relief <br />Law 93 as amended) or as otherwise available. BE IT FURnIER RESOLVED that the above -named <br />& Emergency Assistance Act, (Public -288 <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 />and the assurances printed on the <br />Management Agency for all matters pertaining to such disaster assistance required by the grant agreements <br />reverse side hereof. BE IT FINALLY RESOLVED THAT the above -named agents are authorized to act severally. PASSED AND <br />APPROVED this da of .20 <br />GOVERNING BODY <br />CERTIFYING OFFICIAL <br />Name and Title <br />Name <br />Name and Title <br />Official Position <br />Cler,k to the Board <br />Name and Title <br />Daytime Telephone <br />CERTIFICATION <br />), Gaynell M. Lee (Name) duly appointed and Cleric to the Board ( 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-, Coon t� n f_ (Organization) on the m day of <br />20 _1I Commissioners <br />Date: S/7„v1,y11 Signature: / <br />Rev. 06/02 <br />