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SUB -RECIPIENT: <br />PROJECT #: <br />PROJECT TITLE: <br />CONTRACT #: <br />MODIFICATION #: <br />SUB -RECIPIENT AGREEMENT CHECKLIST <br />DIVISION OF EMERGENCY MANAGEMENT <br />MITIGATION BUREAU <br />FISCAL OPERATIONS UNIT <br />REQUEST FOR REVIEW AND APPROVAL <br />Indian River County <br />4283-95-R <br />Indian River County, Countywide Wildfire <br />H0259 <br />2 <br />SUB -RECIPIENT REPRESENTATIVE (POINT OF CONTACT) <br />Wendy Swindell <br />Conservation Lands Manager <br />1590 9th St SW <br />Vero Beach, Florida 32962 <br />A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <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 Submittals <br />Reviewed and Approved <br />Signed & Dated Electronic Copy 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 />❑ Attachment K — Certification Regarding Lobbying - completed, signed, and dated <br />® N/A for Modifications or State Funded Agreements <br />❑ Attachment L — Contracts with Non -Profit Organizations - completed, signed, and <br />dated <br />® N/A for sub -recipients other than Non -Profits <br />Electronic Submittal to the Grant Specialist Samantha Chaganis 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) 359-9349 or email me at Liliana.Hernandez@em.myflorida.com. <br />