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<br />Attachment A <br /> <br />FY04 Urban Areas Security Initiative - Application Cover Sheet <br /> <br />Applicant: <br /> <br />Core City / Transit Agency <br /> <br />Contact Information: <br /> <br />Authorized Agent Mailing Address <br /> <br />Name/Title <br /> <br />City, State, Zip Code <br /> <br />Area Code/Office Telephone Number <br /> <br />E-Mail Address <br /> <br />Maximum Amount Allocated (see page 7 of this Guide) $ <br /> <br />Total Amount Requested (as shown on the Project Narrative and Budget Worksheet) $ <br /> <br />Certification and Signature of Authorized Agent <br /> <br />J am the duly appointed Authorized Agent and have the authority to apply for this grant and submit this application on behalf <br />of the Core City / Transit Agency. By signing below. 1 hereby certify that the enclosed application represents the consensus <br />of the Core City, Core County, Transit Agency, and/or the Urban Area Working Group, as appropriate. <br /> <br />Signature of Core City/Transit Agency Authorized Agent <br /> <br />Printed Name <br /> <br />Date <br /> <br />Title <br /> <br />Printed Name <br /> <br />Signature of Core County Point of Contact <br />(neededfor Urban Area applications only) <br /> <br />Date <br /> <br />Title <br /> <br />For STATE use ONLY <br /> <br />Application reviewed/Grant award approved by: <br /> <br />Name <br /> <br />Date <br /> <br />Grant Performance Period: <br /> <br />OES ID # <br /> <br />Catalog of Federal Domestic Assistance #97.008 Award # <br /> <br />FY04 Urban Areas Security Initiative <br /> <br />Page 67 <br />