Highway Safety Project Agreement, Conditions and Certifications - Memorial Day 1A. GRANTEE: 2A. Project Title: Memorial Day Enforcement Campaign 2B. Project Number: Task Number(s): 1B. Address: 2D. CFDA Number: 2E. Project Amount: 1C. FEIN: 3. Grant Period: 5/11/2015 through 9/30/2015 1D. DUNS: 1E. Fund Type: 4. Vendor: 1F. Federal Required Signatures By signing below, the Governmental Body and the Department agree to comply with and abide by all provisions set forth and any Appendices thereto. 5A. GRANTEE Project Director: 5B. GRANTEE Authorizing Representative: Name: Name: Title: Address: Address: Phone: Phone: E-mail: E-mail: Signature Date Signature Date William M. Barnes, Chief Counsel Date (Approved as to form) By: Jared Thornley, Director Date Jeff Heck, Chief Fiscal Officer Date Division of Traffic Safety Director, Office of Finance & Administration By: Randall S. Blankenhorn, Secretary Date Department of Transportation By: Print Name Print Title
Highway Safety Project Agreement, Conditions and Certifications - Memorial Day 1A. GRANTEE: 2A. Project Title: Memorial Day Enforcement Campaign 1B. Address: 2B. Project Number: Task Number(s): 2D. CFDA Number: 2E. Project Amount: 1C. FEIN: 3. Grant Period: 5/11/2015 through 9/30/2015 1D. DUNS: 1E. Fund Type: 4. Vendor: 1F. Federal Required Signatures By signing below, the Governmental Body and the Department agree to comply with and abide by all provisions set forth and any Appendices thereto. 5A. GRANTEE Project Director: 5B. GRANTEE Authorizing Representative: Name: Name: Title: Address: Address: Phone: Phone: E-mail: E-mail: Signature Date Signature Date William M. Barnes, Chief Counsel Date (Approved as to form) By: Jared Thornley, Director Division of Traffic Safety Date Jeff Heck, Chief Fiscal Officer Director, Office of Finance & Administration Date By: Randall S. Blankenhorn, Secretary Department of Transportation Date By: Print Name Print Title
TS%2008%20Memorial%20Day.docx