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FY 2020-2021 EMPA AGREEMENT DISASTER RECOVERY CENTER BASIC REQUIRMENTS PHYSICAL LOCATION: Name: Physical Address (no PO Box): City: County: State: Zip GPS: LAT LONG Directions/Landmarks: CONTACT PERSONS (POC): Facility Point Of Contact: Name Phone: Address: City: State: Zip: After hours POC: Name Phone: Address: City: State: Zip: Alternative POC: Name Phone: Address: City: State: Zip: Emergency Management Director: Name Phone: Address: City: State: Zip: SITE CHARACTERISTICS: Date available: Begin: End: Lease required: Y ❑ N ❑ Cost$ Space available: sq. ft. Hours of use: Keys: DRC use parking spaces: ADA parking spaces: Total: Parking lot lights: YE N ❑ Outside building lights: YE N ❑ ADA accessibility: Exterior notes: Response Time: Police: Fire: Nearest hospital: Name Phone: Address: Distance: Time: Local crime summary: Local hazards summary: 54