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Fort Walton Beach Council agenda — 03-08-05 — reading text
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match was reduced
from $ 4, 200. 00 to $ 1, 500. 00.
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FE~ L EMERGENCY MANAGEMENT AGENCY
OBLIGATING DOCUMENT FOR AWARD/ AMENDMENT
1a. AGREEMENT NO. 2. AMENDMENT 3. RECIPIENT NO. 4. TYPE OF 5. CONTROL NO.
EMW- 2004- FG- 14435 NO. 59- 5000323 ACTION W397589N
e 5. RECIPIENT NAME AND
o
7. ISSUING OFFICE AND ADDRESS
AWARD
8. PAYMENT OFFICE AND ADDRESS
ADDRESS ODPlFinancial and Grants Management ODP/ Financial Services Branch
Fort Walton Beach Fire Division . 500 C Street, S. W., Room 723
Department 500 C Street, S. W., Room 350 Wa.shington DC, 20472
5 NE Hollywood Blvd Washington DC, 20472
Fort Walton Beach POC: Pamela Greene 202-646- 4397
Florida, 32548-4993
9. NAME OF RECIPIENT PHONE NO. 10. NAME OF PROJECT COORDINATOR PHONE NO.
PROJECT OFFICER 85D-833- 9565 Tom Harrington 202) 307- 2790
Robert Alden
11. EFFECTIVE DATE OF 12. METHOD OF 13. ASSISTANCE ARRANGEMENT 14. PERFORMANCE PERIOD
THIS ACTION PAYMENT Cost Sharing om: 04- FEB-
To: 03-FEB- 06
04- FEB- 05 SF- 270
Budget Period
om: 01- 0CT-
To: 3D-SEP- 05
15. DESCRIPTION OF ACTION
funding data for awards or financial changes)
a. ( Indicate
PROGRAM NAME CFDA NO. ACCOUNTING DATA PRIOR AMOUNT CURRENT CUMMULATIVE
ACRONYM ( AACS CODE) TOTAL AWARDED THIS TOTAL AWARD NON-
XXXX-XXX- XXXXXX- XXXXX- AWARD ACTION FEDERAL
XXXX- XXXX- X + OR (-) COMMITMENT
AFG 97. 044 2005- 62- 0364RE -63000000- $ 0. 00 $ 13, 500. 00 $ 13, 500. 00 $ 1, 500. 00
4101- R
TOTALS '$ 0. 00 $ 13, 500. 00 $ 13, 500. 00 $ 1, 500. 00
b. To describe changes other than funding data or financial changes, attach schedule and check here.
N/A
e 15 a. FOR NON- DISASTER PROGRAMS: RECIPIENT IS REQUIRED TO SIGN AND RETURN THREE ( 3) COPIES OF TH! S DOCUMENT
TO FEMA ( See Block 7 for address)
Assistance to Firefighters Grant - Fire Prevention and Safety Program recipients are not required to sign and return copies of this document.
However, recipients should print and keep a copy of this document for their records.
1Gb. FOR DISASTER ? ROGP~ MS: RECIPIENT IS NOT REQUIRED TO SIGN
This assistance is subject to terms and conditions LBched to this award notice or by incorporated reference in program legislation cited
at'"
above.
17. RECIPIENT SIGNATORY OFFICIAL ( Name and Title) DATE
N/ A N/ A
18. FEMA SIGNATORY OFFICIAL ( Name and Title) DATE
Sheila Parker Darby 03-FEB- 05
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Da . -'
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Print Application Page 1 of 20
Entire Application
e ~ ve~_______~~____~"__
Are you a member, or are you currently involved in the management, of the fire department Yes
applying. for this grant?
If you answered No, please complete the information below and click on the Save and Continue button. If you
answered Yes, please do not complete the information requested below and click on the Save and Continue
button.
Note: If you answered No to the above question, the fields marked with an .. are required.
Preparer Information
Organization Name
Address 1
Address 2
City
State
Zip
Is there a grant-writing fee associated with the
No
preparation of this request?
e If you answered yes above, what is the fee?
e
https:// porta1.fema.gov/ firegrant/jsp/ fire2004/ application/print_ ap .jsp? print=
true& app _nu... 2/ 21/2005
Print Application Page 2 of20
Contact Information
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