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DEPARTMENT OF HOMELAND SECURITY <br /> Federal Emergency Management Agency <br /> OMB Control Number:1660-0141 <br /> CONTROLLED EQUIPMENT REQUEST Expiration:06-30-2020 <br /> PAPERWORK BURDEN DISCLOSURE NOTICE <br /> FEMA Form 087-0-0-1 <br /> Public reporting burden for this data collection is estimated to average 45 minutes per response.The burden estimate includes the time for <br /> reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and submitting this form.This <br /> collection of information is required to obtain or retain benefits.You are not required to respond to this collection of information unless a valid OMB <br /> control number is displayed on this form.Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the <br /> burden to:Information Collections Management, Department of Homeland Security,Federal Emergency Management Agency,500 C Street,SW., <br /> Washington, DC 20472-3100,Paperwork Reduction Project(1660-0141)NOTE: Do not send your completed form to this address. <br /> A.General Information <br /> Name of Applicant or Recipient: City of Everett-Police Department State or Tribe:WA <br /> Program: Program Fiscal Year Award or Application Number(If known): <br /> Port Security Grant Program FY2020 EMW-2020-PU-APP-00030 <br /> Other Program: <br /> Project Title: Small Unmanned Aerial System Investment Justification Number: <br /> Project Number: Is this a law enforcement agency? Project Address: <br /> Yes 3002 Wetmore Ave.,Everett,WA 98201 <br /> B.Applicant or Recipient Point(s)of Contact <br /> Name: Jeff Hendrickson Name: Tracey L.Landry <br /> Address: Address: <br /> 3002 Wetmore Ave., Everett,WA 98201 3002 Wetmore Ave., Everett WA 98201 <br /> Phone:(425)257-7528 Phone:(425)257-8447 <br /> E-mail:JHendrickson@everettwa.gov E-mail:TLandry@everettwa.gov <br /> C.Sub recipient-General Information(If applicable) <br /> Name of Sub recipient(If applicable): N/A <br /> Project Title: Investment Justification Number: <br /> Project Number: Is this a law enforcement agency? <br /> Point of Contact: Address: <br /> Phone: E-mail: <br /> D.Policies <br /> Law Enforcement Agencies only-Does the Requesting Agency have policies on the following? <br /> Community Policing: Yes Community Input Yes <br /> Constitutional Policing: Yes Impact Considerations: Yes <br /> FEMA FORM 087-0-0-1 (03/16) 7 Page 1 of 6 <br />