HomeMy WebLinkAboutApplication for Federal AssistanceAPPLICATION FOR Version 7/03
FEDERAL ASSISTANCE 2. DATE SUBMITTED Applicant Identifier
March 10, 2009 0
1. TYPE OF SUBMISSION:
3. DATE RECEIVED BY STATE
State Application Identifier
Application
Pre -application
0
RxConstruction
Construction
4. DATE RECEIVED BY FEDERAL AGENCY
Federal Identifier
Non -Construction
Non -Construction
5. APPLICANT INFORMATION
Legal Name: City of Miami - Florida Task Force II
Organizational Unit: 0
Organizational DUNS: 72220791
Department: 0
Address: 1150 SW 22 ST
Division: 0
Street: 0
Name and telephone number of person to be contacted on matters
City: Miami
involving this application (give area code)
County: Miami Dade
Prefix: Captain IFirst Name: Joseph
State: Florida
Middle Name: 0
Country: 0
Last Name: Zahralban
6. EMPLOYER IDENTIFICATION NUMBER (EIN):
Suffix:
59-6000375
Email: usar miami ov.com
Phone Number: 786-256-5118 Fax Number: 305-400-5090
S. TYPE OF APPLICATION:
❑X New Continuation Revision
7. TYPE OF APPLICANT: (See back of Form for Application Types)
If Revision, enter appropriate letter(s) in box(es)
0
See back of Form for description of letters
El F-1
9. NAME OF FEDERAL AGENCY:
Other (Specify):
U.S. Department of Homeland Security f
Federal Emergency Management Agency (FEMA)
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:
11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
9 7 0 2 5
TITLE: Urban Search & Rescue Response System
Urban Search & Rescue Response System
12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.):
Statewide
13. PROPOSED PROJECT: Coordinate Statewide Emergency Management Program
14. CONGRESSIONAL DISTRICTS OF:
Start Date:
Ending Date:
a. Applicant b. Project:
05-01-09
8/31/2010
0 1 0
15. ESTIMATED FUNDING:
16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE
a. Federal
$ 1,056,910 ,oD
ORDER 12372 PROCESS?
a. YES THIS PREAPPLICATION/APPLICATION WAS MADE
b. Applicant
D0
AVAILABLE TO THE STATE EXECUTIVE ORDER 12372
c. State
$ 00
PROCESS FOR REVIEW ON:
DATE:
d. Local
00
b. NO. x PROGRAM IS NOT COVERED BY E.O. 12372
e. Other
00
OR PROGRAM HAS NOT BEEN SELECTED BY STATE
f. Program Income
$ 00
FOR REVIEW
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
g. TOTAL
$ 1,056,910 .00
Yes If "Yes," attach an explanation 51 No
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT, THE
THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE
ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
a. Authorized Representative:
Prefix: First Name: Joseph Middle Name:
Last Name: Zahralban Suffix:
b. Title: Captain c. Telephone Number: 786-256-5118
d. Signature of Authorized Representative: e. Date Signed:
Tuesday, March 10, 2009
Previous E n sable Standard Form 424 (Rev.09-2003)
Authoriz or oval Reproduction Prescribed by OMB Circular A.102
Section 5
SF 424