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OTSEGO COUNTY EMERGENCY MANAGEMENT PORTABLE GENERATOR REQUEST Grant provided by the Michigan Economic Development Corporation – Community Development Block Grant Urgent Need Program 2025. Date Submitted Name of Requesting Business Submitted By Address of Requesting Business Community/Township in which generator will serve? Contact Phone Number Contact Email I. HOW WILL THIS GENERATOR HELP TO IMPROVE THE IMMEDIATE THREAT TO HEALTH OR WELFARE OF THE COMMUNITY DURING TIME OF DISASTER THROUGH YOUR BUSINESS? II. TYPE OF REQUESTING BUSINESS (what products/service does your business provide to the community) Housing Fuel Hardware Financial Institution Pharmacy Grocery Store Health Provider Transportation Restaurant/Bar Convenience Store Agriculture Related The submission of this request does not guarantee a generator will be granted. 30 portable generators will be distributed evenly to businesses throughout 5 communities in Otsego County and must fulfill the need to benefit all, including low- and moderate-income families; or meet other community development needs such as immediate threat to health or welfare of the community during disaster. All generator request applications must be received by Thursday, September 14, 2025, by 5:00 p.m. mailed to OCEM, P.O. Box 642, Gaylord, Michigan 49734 Dated Received: Received By: