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Qyg c pY <br /> r IFICAfION ON LAST PAGE <br /> J.R. SMITh,CLERK <br /> SUB-RECIPIENT AGREEMENT CHECKLIST <br /> DIVISION OF EMERGENCY MANAGEMENT <br /> MITIGATION BUREAU <br /> REQUEST FOR REVIEW AND APPROVAL <br /> SUB-RECIPIENT: Indian River County <br /> PROJECT#: 4283-95-R <br /> PROJECT TITLE: Indian River County, Countywide Wildfire <br /> CONTRACT#: H0259 <br /> MODIFICATION#: 1 <br /> SUB-RECIPIENT REPRESENTATIVE(POINT OF CONTACT) <br /> Beth Powell <br /> Indian River County <br /> 5500 77th Street <br /> Vero Beach, Florida 32967 <br /> Enclosed is your copy of the proposed contract/modification between Indian River County and <br /> the Florida Division of Emergency Management(FDEM). <br /> COMPLETE <br /> ® This form is required to be included with all Reviews,Approvals, and Submittal <br /> ® Signed electronic copy <br /> i_Z Reviewed and Approved <br /> ® Signed and Dated by Official Representative <br /> ® Copy of the organization's resolution or charter that specifically identifies the <br /> person or position that is authorized to sign, if not Chairman, Mayor, or Chief <br /> ❑ Attachment I - Federal Funding Accountability and Transparency Act (FFATA) <br /> completed, signed, and dated <br /> ❑ N/A for Modifications or State Funded Agreements <br /> ® Electronic Submittal to the Grant Specialist Veronica.ash@em.myflorida.com on <br /> If you have any questions regarding this contract, or who is authorized to sign it, please contact <br /> your Project Manager at(850) 692-9828 or email me at Liliana.hernandez@em.myflorida.com. <br />