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APPLICANT AGENCY INFORMATION <br />Agency Name or Tribe (Applicant/Organization): City of Everett <br />Authorizing Official's Name: Cassie Franklin <br />Authorizing Official's Title: Mayor <br />Authorizing Official's Email: cfranklin@everettwa.gov <br />Please list any individuals who have been delegated signature authority on behalf of the authorizing official to <br />enter into grant agreements: <br />Project Contact Name: Tracey Landry <br />Project Contact Email: tlandry@everettwa.gov <br />Fiscal Contact Name: Amanda Harper <br />Fiscal Contact Email: aharper@everettwa.gov <br />Project Contact Title: Police Services Program Manai <br />Project Contact Phone: (425) 257-8447 <br />Fiscal Contact Title: Adminstrative Coordinator <br />Fiscal Contact Phone: (425) 257-8538 <br />As the duly authorized representative of the applicant, I hereby acknowledge the applicant has received <br />notice that if awarded funding the recipient, and any subrecipients, will comply with the requirements, as <br />applicable, in this application. Applicants unable to comply will be prohibited from receiving these funds. <br />1. I have the authority to make the following representations on behalf of myself and the Applicant. I understand <br />that these representations will be relied upon as material in any Department decision to make an award to <br />the Applicant based on its application. <br />2. I certify that the Applicant has the legal authority to apply for the federal assistance sought by the application, <br />and that it has the institutional, managerial, and financial capability (including funds sufficient to pay any <br />required non-federal share of project costs) to plan, manage, and complete the project described in the <br />application properly. <br />Signature of Authorized Official or Delegate Date <br />WA State STOP Formula Grant Program Renewal Application for FFY 2021 4 <br />