HomeMy WebLinkAboutApplicationAPPLICATION FOR
OMB Approval No. 0348-
-1-tUtKAL ASSISTANCE
2. DATE SUBMITTED
January 15, 2007
Applicant Identifier
1. TYPE
Application
OF SUBMISSION:
Preapplicat€on
3. DATE RECEIVED BY STATE
State Application Identifier
_
X
Construction
Non -Construction
—
Construction
Non -Construction
4. DATE RECEIVED BY FEDERAL AGENCY
Federal Identifier
6. APPLICANT INFORMATION
Legal Name:
South Florida Urban Search and Rescue DUNS: 072220791
Organizational Unit:
Florida Task Force II
Address (give city, county, State, and zip code):
1151 NW 7 ST
Miami, FI 33136
Name and tetephone number of person to be contacted on matters involving
this application (give area code)
Lt. Joseph Zahralban 786-256-5118
6. EMPLOYER IDENTIFICATION NUMBER (EIN):
7, TYPE OF APPLICANT: (enter appropriate letter In box)
5
9
6
3 7
5
ID
59-6000375
A. State H. Independent School Dist.
8. TYPE OF APPLICATION:
X New Continuation
If Revision, enter appropriate letter(s) In box(es)
A. Increase Award B. Decrease Award
.
C.
Revision
Increase Duration
B. County I. State Controlled Institution of Higher Learning
C. Municipal J. Private University
D. Township K. Indian Tribe
E, Interstate L. individual
F. Intermuniclpal M. Profit Organization
G. Special District N. Other (specify USAR
D. Decrease Duration Other (specify):
9. NAME OF FEDERAL AGENCY:
Federal Emergency Management Agency
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:
11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
TITLE US&R Task Force FY 2004 Cooperative Agreement 97.025
12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.):
City of Miami, Florida
13. PROPOSED PROJECT:
14. CONGRESSIONAL DISTRICTS OF:
Start Date
06/01/07
'Ending Date
08/30/08
a. Applicant
b. Project
16. ESTIMATED FUNDING:
16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE
ORDER 12372 PROCESS?
a. YES. THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE
TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR
REVIEW ON:
DATE
a. Federal
$ 802,500.00 .00
b. Applicant
$ .00
c. State
$ .00
d. Local
$ .0o
b. No.
X
III
PROGRAM IS NOT COVERED BY E.O. 12372
OR PROGRAM HAS NOT BEEN SELECTED BY STATE
FOR REVIEW
e. Other
$ .o0
f. Program Income
$ .00
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
Yea If "Yea," attach an explanation. ENo
g. TOTAL
$ 802,500.00 .00
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT, 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. Type Name of Authorized Representative
Lt. Joseph Zahratban
b. Title
Program Manager t Task Force Leader
c. Telephone Number
786-256-5118
d. Signature of Authorized Representative
e. Date Signed
1/15/2007
revious rdition Usable
Authorized for Local Reproduction
Standard Form 424 (Rev. 7-97)
Prescribed by OMB CircularA-102