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HomeMy WebLinkAboutApplication 2APPLICATION FOR -FEDERAL ASSISTANCE OMB Approval No. 0348-4 2. DATE SUBMITTED January 15, 2007 Applicant Identifier 1. TYPE OF SUBMISSION: Application Construction Non -Construction X Preapplication Construction Non -Construction 3. DATE RECEIVED BY STATE State Application Identifier 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier 5. 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 telephone number of person to be contacted on matters involving this application (give area code) Lt. Joseph Zahralban 786-256-5118 6. EMPLOYER IDENTIFICATION NUMBER (EON): 7. TYPE A. State OF APPLICANT: (enter appropriate letter In box) H. Independent School Dist. I. State Controlled Institution of Higher Learning J. Private University K. Indian Tribe L. Individual M. Profit Organization District N. Other (Specify USAR 5 9 6 3 7 5El 59-6000376 8. TYPE OF APPLICATION: If Revision, enter A. Increase Award D. Decrease Continuation Revision . letter(s) in box(es) ❑ ❑ B. Decrease Award C. Increase Duration Other (specify): B. County C. Municipal D. Township E. Interstate F. Intermunicipal G. Special © New appropriate Duration 9. NAME OF FEDERAL AGENCY: Federal Emergency Management Agency 10. CATALOG OF FEDERAL DOMESTIC TITLE US&R Task Force ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANTS PROJECT: - 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 06101 /07 Ending Date 08/30/08 a. Applicant b. Project 15. ESTIMATED FUNDING: 16. IS APPLICATION ORDER a. YES. b. No, 12372 THIS TO REVIEW DATE X SUBJECT TO REVIEW BY STATE EXECUTIVE PROCESS? PREAPPLICATION/APPLICATION WAS MADE AVAILABLE THE STATE EXECUTIVE ORDER 12372 PROCESS FOR ON: a. Federal $ 802,500.00 .0o b. Applicant $ .00 c. State $ .00 d. Local $ .00 PROGRAM IS NOT COVERED BY E.O. 12372 OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e. Other $ .00 f. Program Income $ .00 17. IS THE III Yes APPLICANT DELINQUENT ON ANY FEDERAL DEBT? If "Yes," attach an explanation. 0No g. TOTAL $ 802,500.00 .00 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATIONIPREAPPLICATION 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 Zahralban b. Title Program Manager 1 Task Force Leader c, Telephone Number 786-266-5118 d. Signature of Authorized Representative e. Date Signed 1/15/2007 Previous Edition Usable Authorized for Local Reproduction Standard Form 424 (Rev. 7-97) Prescribed by OMB Circular A-102