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II. COMPANY DETAILS <br />1. NAME OF AGENCY: Indian River County Department of Emergency Services <br />MAILING ADDRESS: 4225 43rd Ave <br />CITYVero Beach COUNTY Indian River <br />ZIP CODE: 32967 BUSINESS PHONE: (772) 226-3900 <br />2. TYPE OF OWNERSHIP(i.e. Private, Government, Volunteer, Partnership, <br />etc.): <br />County Government <br />3. MANAGER'S NAME: David Johnson, Director of Emergency Services <br />ADDRESS: 4225 43rd Ave. Vero Beach, FL 32967 <br />PHONE #: (772) 226-3947 <br />4. PROVIDE NAME OF OWNER(s) OR LIST ALL OFFICERS, PARTNERS, <br />DIRECTORS, AND SHAREHOLDERS, IF A CORPORATION (attach a <br />separate sheet if necessary): <br />NAME ADDRESS POSITION <br />Susan Adams 1801 27th St. Vero Beach, FL 32960 Chairman <br />Joseph Fletcher 1801 27th St. Vero Beach, FL 32960 Vice Chairman <br />Joseph Earman 1801 27th St. Vero Beach, FL 32960 Commissioner <br />5. PROVIDE NAMES AND ADDRESSES OF AT LEAST THREE (3) LOCAL <br />REFERENCES <br />NAME ADDRESS PHONE # <br />N/A <br />N/A <br />N/A <br />U:\Beth\Beth Casano EOC\COPCN\RENEWAL PACKETS\COPCN Application.doc 2 <br />94 <br />