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If the population you protect is 50,000 or less, you <br />are required to provide a Non-Federal cost-share <br />equal to 10 percent of the total project cost. If the <br />population you protect is over 50,000, you are yes <br />required to provide a Non-Federal cost-share equal <br />to 30 percent of the total project cost. Are you willing <br />to compiy with this requirement? <br />Do you currently report to the nationat fire incident no <br />reporting system (NFIRS)? <br />If you answered yes, above, please enter your <br />FDIN? <br />If you answered no, above, wiii you report if you yes <br />receive this grant? <br />What services does your department provide? <br />Application number is 04942 <br />Fire Rescue (auto extrication, etc.) EMS (non- <br />transportation) Hazmat <br />• The total number of fire related fatalities in your o <br />jurisdiction over the last three years? <br />• On average, how many runs per year does your 1600 <br />department make? <br />• How many times have you received <br />Mutual/Automatic Aid? <br />• How many time have you given Mutual/Automatic 2 <br />Aid? <br />• What is the percentage of your annual operating 86 % <br />budget that is dedicated to personnel costs? <br />- What percentage of your annual operating budget is derived from: <br />Taxes? 100 % <br />Grants? <br />0% <br />Donations? <br />0% <br />Fund drives ? <br />a % <br />Vehicle Profiles <br />• What is the age of your oldest First Line vehicle? 6- 10 years <br />• What is the age of your newest First Line vehicle? 0- 5 years <br />- What is the highest miteage for your First Line Over 30,000 <br />vehicles? <br />• What is the lowest mileage for your First Line 0- 10,000 <br />vehicles? <br />•How many vehicles do you have within your department by the category specified belom/i <br />First Line Reserve <br />a. Engines (or pumpers): 4 1 <br />b. Aerial Apparatus: 1 0 <br />c.Tankers: 0 0 <br />d. Rescue Vehicies: 1 0 <br />e. Other: 3 0 <br />-I ICt AII VPFIINPGl1WIIPli '.iR(I/(1f (lI1PfA}P(I I1V V/lllfllPnAAMPfI+ I!I(:ItIfllflll }F1P VPS1f (1{ MAI111fA(:hIfP AnfI A11IP'.111P <br />