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<br />APPLICATION FOR <br />, ' FEDERAL ASSISTANCE <br /> <br />OMB Approva' No. 03A8-o043 <br /> <br />Prel/JpJica tion <br />o ContINC'ion <br /> <br />2. DATE SUBMrTT'ED <br />30 June 1989 <br />J. DATE RECEIVED ~y STATE <br />, <br /> <br />Applicant k:lentifier <br /> <br />I. TYPE OF SUBMI$.StoN: <br />App/iUlion <br />~truclion <br /> <br />~ruction <br />I. APPLICANT INFOAMAnoN <br />l.eQal NIl",.: <br />State of Colorado <br /> <br />State Application IdenlifNiM' <br /> <br />4. DATE RECftvED BY FEDERAl. A.OENCY <br /> <br />Federal Identiliet <br /> <br />o Non-ConstrucUon <br /> <br />Address ("iWl city. C()Unty. "ate, and zip code): <br />E.O.C. Camp George West <br />Golden, Colorado 80401 <br />(Jefferson County) <br /> <br />OrganizlJtional Unit: <br />Division of Disaster Emergency Servioes <br />Name il!Ind telephone number or the person 10 be contacted on mattfH'S tnvolvtnQ <br />thi, appJicahon (give aru code) <br /> <br />Paul S. Baldwin <br />(303) 273-1790 <br /> <br />Il1l New <br /> <br />o Continu~l:tion <br /> <br />o Revision <br /> <br />7. TYPE OF APPliCANT: (enter appropn"lIte leUlIr in box) <br />A. Stale H. Independent School Dist. <br />B. County l. $tale Controlled Institution of Hioher Learning <br />C. Municipal J. Private University <br />D. Township K. Indian Tribe <br />E. Interstate L. Individual <br />F. Intermunicipal M. Prolil Organization <br />G. Special District N. OUlEtf (Specify); <br /> <br />I. EMPLOYER IDENnFICAnON NUMBER (fiN): <br />~ <br /> <br /> <br />L TYPE Of APPLICATION: <br /> <br />If R9Vision. enter apPf'oprial& Ielter(s) in boJc(es): 0 0 <br />A. Increase Award B. Doctease Award C. Increase Duration <br />O. Decrease Duration Other (sp9Cify); <br /> <br />t. NAMe: OF FEDERAL AGENCY: <br />Federal Emergency Management Agency <br /> <br />to. CATALOG OF FEDERAL DOMEsnc <br />ASSISTANCE NUMBER: <br /> <br />Comprehensive Cooperative <br />Agreement (see Item 11) <br /> <br /> <br />t t. DESCRIPTIVE TmE OF APPI.JCAN"T'S PROJECT: <br /> <br />11lLE: <br /> <br />See Attached Sheet <br /> <br /> <br />AFFECTED BV PROJECT (cities, counties. slales, tHe.): <br /> <br />State of Colorado <br /> <br />13. PROPOSED PROJECT: I.e. CONGRESSIONAL DISTRICTS OF: <br />Starl Dale Ending Dale a, Applicant <br /> <br />!b.Pr_t <br /> <br /> <br />1 Oct 89 30 Sept 90 <br /> <br />15. ESTIMATED FUNOINO: <br /> <br />J <br /> <br />1,799,348 <br /> <br />,00 <br /> <br />11. IS APPUCAnON SUBJECT TO REVIEW BV STATE EXECvnVE ORDER 12312 PROCESS'1 <br /> <br />a, YES. THIS PAEAPPLICATIONfAPPL!CAT10N WAS MADE AVAILABLE TO THE <br />STATE EXECUTlVE ORDER 12372 PROCESS FOR REVIEW ON, <br /> <br />Appliunl S <br /> <br />321,329 <br /> <br />,00 <br /> <br />DATE <br /> <br />J <br /> <br />,00 <br /> <br />b NO. [ZJ PROGRAM IS NOT COVERED BY E.O. 12372 <br /> <br />o OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW <br /> <br />J <br /> <br />785,475 <br /> <br />.00 <br /> <br />J <br /> <br />,00 <br /> <br />PrOQram Income <br /> <br />J <br /> <br />.00 <br /> <br />17. IS THE APPLICANT DELINQUENT ON A.NY FEDERAL DEBT? <br /> <br />TOTAl <br /> <br />J 2,906,152 <br /> <br />.00 <br /> <br />DYe. <br /> <br />If "Yes. ~ att.cl'l an explana11Ofl. <br /> <br />l!l No <br /> <br />11. TO THE BEST OF MY KNOWLEDGE AND BELIEf. ALL DATA IN THIS APPlICATlQN,PREAPPLlCAnON ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY <br />AU THO BY THE GOVERNING BODY OF THE .APPLICANT ,.AND THE APPLICANT WILL COMPLY WITH THE AnACHEP ASSURANCES IF THE ASSISTANCE IS AW.ARO~O <br /> <br />me of Aulhonzed Representallve <br />Richard E. Hatten <br /> <br />b TItle Director" Disaster <br />Emergency Services <br /> <br />c Telephone number <br />(303) 273-1624 <br /> <br />SlgnalUl8 01 AuthOrized Repfesenlahve <br /> <br />_~Lt~ <br /> <br />e Dale Signed <br /> <br />.. ..1... _ _~_ . ~L/_~ <br /> <br />( <br /> <br />6/30/li <br />lanaard Olm .124 I V -I.88) <br />P'esCltooC1 by OMS (;..'......1.11 A.102 <br />