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DESIGNATION OF SUBGRANTEE'S AGENT <br />FEMA/GRANTEE PUBLIC ASSISTANCE PROGRAM <br />Florida Division of Emergency Management <br />Sub -Grantee <br />City of Casselberry <br />Primary Agent <br />Secondary Agent <br />Agent's Name <br />Agent's Name <br />Carol A. Conroy <br />Randy Newlon <br />Signature <br />Signature <br />Organization / Official Position <br />Organization / Official Position <br />City of Casselberry, Finance Director <br />City of Casselberry, City Manager <br />Mailing Address <br />Mailing Address <br />95 Triplet Lake Drive <br />95 Triplet Lake Drive <br />City, State, Zip <br />City, State, Zip <br />Casselberry, FL 32707 <br />Casselberry, FL 32707 <br />Daytime Telephone <br />Daytime Telephone <br />407-262-7700 Ext. 1131 <br />407-262-7700 Ext. 1130 <br />Facsimile Number <br />Facsimile Number <br />407-262-7746 <br />407-262-7745 <br />E-mail Address <br />E-mail Address <br />cconroy@casselberry.org <br />rnewlon@cassel berry, org <br />The above Primary and Secondary Agents are hereby authorized to execute and file Application for Public <br />Assistance on behalf of the Sub -grantee for the purpose of obtaining certain Grantee and federal financial <br />assistance under the Robert T. Stafford Disaster Relief & Emergency Assistance Act, (Public Law 93-288 as <br />amended) or otherwise available. These agents are authorized to represent and act for the Sub -Grantee in all <br />dealings with the State of Florida, Grantee, for all matters pertaining to such disaster assistance previously <br />signed and executed by the Grantee and Sub -grantee. Additional authorized contacts may be registered on the <br />Grantee's PA Website www,florida a.or for full or read only access by the above authorized Agents. <br />Chief Financial Officer <br />Sub -Grantee's <br />Authority/Board/Commission <br />Name <br />Official's Name <br />Carol A. Conroy <br />Charlene Glancy <br />Signature <br />Signatu;e- <br />Organization / Official Position <br />Organization / Official Positt`n ` <br />City of Casselberry, Finance Director <br />City of Casselberry, Mayor/C�rf�missioner <br />Mailing Address <br />Mailing Address <br />95 Triplet Lake Drive <br />95 Triplet Lake Drive <br />City, State, Zip <br />City, State, Zip <br />Casselberry, FL 32707 <br />Casselberry, FL 32707 <br />Daytime Telephone <br />Daytime Telephone <br />407-262-7700 Ext. 1131 <br />407-262-7700 <br />Facsimile Number <br />Facsimile Number <br />407-262-7746 <br />407-262-7745 <br />E-mail Address <br />E-mail Address <br />cconroy@casselberry.org <br />cglancy@casselberry.org <br />Sub -Grantee's Grantee Cognizant Agency for Single Audit purposes:: <br />Florida Division of Emergency Management <br />Sub -Grantee's Fiscal Year (FY) Start <br />Month: October Day: 1 <br />Sub -Grantee's Federal Employer's Identification Number (EIN) <br />59-1056912 <br />Sub -Grantee's FIPS Number (If Known) <br />117-11050-00 <br />Sub- ta)tge-;,Authority/Board/Commission Signature <br />