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Home My WebLink AboutCity of Tamarac Resolution R-2006-052Temp Reso. #10937 Page 1 April 11, 2006 CITY OF TAMARAC, FLORIDA RESOLUTION NO. R-2006 - 5a'k A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF TAMARAC, FLORIDA AUTHORIZING THE APPROPRIATE CITY OFFICIALS TO SUBMIT AN APPLICATION TO THE U.S. DEPARTMENT OF HOMELAND SECURITY FOR ASSISTANCE TO FIREFIGHTER GRANT PROGRAM FUNDS FOR REPLACEMENT OF THE FIRE STATION 41 GENERATOR AND FUEL TANK WITH A NEW GENERATOR AND FUEL TANK IN THE AMOUNT OF $100,000 PROVIDING FOR A 20 PERCENT CASH MATCH OF $25,000 IN LOCAL FUNDS FOR A TOTAL PROJECT COST OF $125,000 IN THE EVENT OF APPROVAL OF THE APPLICATION; PROVIDING FOR ACCEPTANCE OF THE AWARD AND EXECUTING OF DOCUMENTS UPON APPROVAL; PROVIDING FOR CONFLICTS; PROVIDING FOR SEVERABILITY; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the City Commission of the City of Tamarac desires to improve emergency management capabilities within the City in the fundamental areas of response and recovery; and WHEREAS, the U. S. Department of Homeland Security provides grants to local governments for modifications to fire stations and facilities through the Assistance to Firefighters Grant Program, and WHEREAS, Tamarac Fire Station #41 is a critical facility and serves as a Field Operations Center during emergencies, and WHEREAS, the City desires to replace the Fire Station #41 generator and upgrade the fuel tank; and 1 Temp Reso. #10937 Page 2 April 11, 2006 WHEREAS, the Fire Station #41 generator and fuel tank are over 25 years old; and WHEREAS, providing for a replacement generator with fuel tank will further enable the City of Tamarac to house essential personnel and equipment, thus ensuring continuity of government services during times of disaster; and WHEREAS, the granting agency requires that, in the event of approval of the application, the City match the 2006 Assistance to Firefighters Grant Program request of $100,000 with a 20 percent cash match in local funds in the amount of $25,000 for a total project cost of $125,000; and WHEREAS, the Assistant City Manager and the Fire Chief recommend approval; and WHEREAS, the City Commission of the City of Tamarac deems it to be in the best interest of the citizens and residents of the City of Tamarac to submit an application to the U.S. Department of Homeland Security for Assistance to Firefighters Grant Program funds for a replacement generator with fuel tank at Fire Station #41. NOW THEREFORE BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF TAMARAC, FLORIDA: Section 1: The foregoing "WHEREAS" clauses are HEREBY ratified and confirmed as being true and correct and are HEREBY made a specific part of this resolution. Section 2: The appropriate City Officials are HEREBY authorized to submit an Assistance to Firefighters Grant Program application for a generator and fuel tank in the amount of $100,000 to the U.S. Department of Homeland Security providing for a 20% cash Temp Reso. #10937 Page 3 April 11, 2006 match in local funds of $25,000 for a total project cost of $125,000 in the event of approval of the application. A copy of said application is attached hereto as Exhibit A. Section 3: Upon approval of the application, the appropriate City officials are HEREBY authorized to accept the award and execute the necessary documents following legal review. Section 4: Upon approval of the grant award, the appropriate City Officials are HEREBY authorized to amend the existing Fire Rescue Fund Budget in the amount of $125,000 and appropriate said funds including any and all subsequent budgetary transfers to be in accordance with proper accounting standards. Section 5: All resolutions or parts of resolutions in conflict herewith are HEREBY repealed to the extent of such conflict. Section 6: If any clause, section, other part or application of this Resolution is held by any court of competent jurisdiction to be unconstitutional or invalid, in part or in application, it shall not affect the validity of the remaining portion or applications of this Resolution. Temp Reso. #10937 Page 4 April 11, 2006 Section 7: This Resolution shall become effective immediately upon its passage and adoption. PASSED, ADOPTED AND APPROVED this l I day of A I 12ri 1 2006. r r BETH FL NSBAUM-TALABIS O MAYOR ATTEST: 6"�CORD OF COMMISSION VOTE: 4 MARION SWENS N, CMC MAYOR FLANSBAUM-TALABISCO CITY CLERK DIST 1: V/M PORTNER DIST 2: COMM. ATKINS-GRAD DIST 3: COMM. SULTANOF DIST 4: COMM. DRESSLER zjj 1 HEREBY CERTIFY that I have approved this RESOLUTION as to form. "' j31P4 SAMUEL S. qOF CITY ATTORN 1 Preparer Information Overview EXHIBIT A Page 1 of 1 Did you attend -one of the workshops conducted by DHS's regional fire program specialist? Yes, I have attended workshop 'Are you a member, or are you currently involved in the management, of the fire department or non- affiliated EMS organization applying for this grant with this application? No, I am a grard writer or otherwise not affiliated with this applicant If you are a grant writer or otherwise not affiliated with this applicant, please complete the information below. If you are a member/officer of this applicant, please do not complete the information requested below. After you are finished press the Save and Continue button below. • Preparer's Name • Address 1 Address 2 ' City • State • Zip Is there a grant -writing fee associated with the preparation of this request? If you answered yes above, what is the fee? Preparer Information Michael Gresek 7525 NW 88th Avenue Tamarac Florida 33321 - 2401 No ittps://portal.fema.gov/firegrant/jsp/fire2006/applicationlnew_over-view.j sp?view=print&print=true&app_n... 3/28/2006 Contact Information Contact Information Page 1 of I Alternate Contact Information Number 1 Title Deputy Fire Chief Prefix Mr. First Name Kingman Middle Initial • Last Name 5chuldt t Business Phone 954-597-3807 Ext. -Home Phone 954-475-2475 Ext. Mobile Phone/Pager Fax 954-597-3810 *Email kingmans@tamarac.org Alternate Contact Information Number 2 . Title Assistant City Manager Prefix Ms. . First Name Diane Middle Initial • Last Name Phillips • Business Phone 954-597-3510 Ext. -Home Phone 954-597-3510 Ext. Mobile Phone/Pager Fax 954-597-3520 Email dianep@tamarac.org lttps://portal.fema.gov/firegrant/j sp/fire2006/applicationJeontact_info.j sp?view=print&print=true&app_nu... 3/28/2006 Applicant .information Applicant Information Page 1 of 1 Organization Name Type of Applicant -Type of Jurisdiction Served If other, phase enter the type of Jurisdiction • Employer Identification Number . Does your organization have a DUNS Number? If yes, please enter the DUNS Number Headquarters or Main Station Physical Address . Physical Address 1 Physical Address 2 R City • State W. Mailing Address Mailing Address 1 Mailing Address 2 . City • State Zip Account Information • Type of bank account • Bank routing number - 9 digit number on the bottom left hand corner of your check *Your account number Additional Information " For this fiscal year (Federal) is your organization receiving Federal funding from any other grant program that may duplicate the purpose and/or scope of this grant request? • If awarded the AFG grant, will your organization expend more than $500,000 in Federal funds during your organization's fiscal year in which this AFG grant was awarded? . Is the applicant delinougnt on any Federal debt? If you answered yes to any of the additional questions above, please provide an explanation in the space provided below:. City receives Community Development Block Grant Funds City of Tamarac Fire Rescue Fire Department/Fire District City 59-1039552 Yes 077270940 I III1I11111010Will:=•.TJ Tamarac Florida 33321 - 2401 Need help for ZIP+4? 7525 NW 88th Avenue Tamarac Florida 33321 - 2401 Need help for ZIP+4? Checking 063000021 2090001028714 No Yes No ittps://portal.fema.gov/firegrant/jsp/fire2006/application/applicant_info J sp?print=true&view=print&app_n... 3/28/2006 Fire Department Characteristics (Part I) Department Characteristics (fart 1) Page I of I * Are you a member of a Federal Fire Department or contracted by the Federal government and solely responsible No for suppression of fires on Federal property? • What kind of organization do you represent? All Paid/Career If you answered combination, above, what is the percentage of % career members in your organization? If you answered volunteer or combination or paid on -call, how many of your volunteer Firefighters are paid members from another career department? What type of community does your organization serve? Urban • What is the square mileage of your first -due response area? 12 • What percentage of your response area is protected by 95 % hydrants? In what county/parish is your organization physically located? If you have more than one station, in what county/parish is your Broward main station located? • Does your organization protect critical infrastructure of the No state? How much of your jurisdiction's land use is for agriculture, wild 3 land, open space, or undeveloped properties? . What percentage of your jurisdiction's land use is for 16 commercial, industrial, or institutional purposes? • What percentage of your jurisdiction's land is used for 81 % residential purposes? How many occupied structures (commercial, industrial, residential, or institutional) in your jurisdiction are more than 0 four stories tall? • What is the permanent resident population of your 55588 Prim ary/First-Due_Response Area or jurisdiction served? • How many active firefighters does your department have who 101 perform firefighting duties? * How many stations are in your organization? 3 • Do you currently report to the National Fire Incident Reporting Yes System (NFIRS)? If you answered yes above, please enter your FDIN/FDID 10202 What services does your organization provide? Structural Fire Suppression Wildland Fire Suppression Medical First Response Basic Life Support Advanced Life Support Hazmat Operational Level Rescue Operational Level Rescue Technical Level ittps.-//portal. fema.gov/firegrant/j sp/fire2006/application/gen_ques.j sp?view=print&print=true& app_numb... 3/28/2006 Department Characteristics (Part II) Department Characteristics (Part II) Page 1 of 1 . What is the total number of fire -related civilian fatalities in your jurisdiction over the last three years? • What is the total number of fire -related civilian injuries in your jurisdiction over the last three years? What is the total number of line of duty member fatalities in your jurisdiction over the last three years? What is the total number of line of duty member injuries in your jurisdiction over the last three years? Over the last three years, what was your organization's average TOTAL operating budget? . What percentage of your TOTAL budget is dedicated to personnel costs (salary, overtime and fringe benefits)? What percentage of your annual operating budget is derived from: Enter numbers only, percentages must sum up to 100% Taxes? Grants? Donations? Fund drives? Fee for Service? Other? If you entered a value into Other field (other than 0), please explain 2005 2004 84 % 0% 0% 0% 0% MIN 16% "Other" represents revenue to the City of Tamarac from Plan Review and Inspection Fees and from Transport Fees. How many vehicles does your organization have in each of the types or classs of vehicle listed below? You must include vehicles that are leased or on long --term loan as well as any vehicles that have been ordered or otherwise currently under contract for purchase or lease by your organization but not yet in your possession. Enter numbers only and enter 0 if you do not have any of the vehicles below. Total Number of Type or Class of Vehicle Total Number Riding Positions Engines (or Pumpers): Pumper, Pumper/Tanker, Rescue/Pumper, Foam Pumper, CAFS Pumper, Quint (Aerial device 3 of less than 76 feet), Type I, Type II, Type III Engine Tankers: 0 Tanker, Tender, Foam Tanker/Tender (greater than 1,250 gallon tank capacity) Aerial Apparatus: Aerial Ladder Truck, Telescoping, Articulating, Ladder Towers, Platform, Tiller Ladder Truck, 1 Quint (Aerial device of 76 feet or greater) Brush/Quick attack : Brush Truck, Patrol Unit (Pick up w/ Skid Unit), Quick Attack Unit, Mini -Pumper, Type IV, Type V, 0 Type VI Engine Rescue Vehicles: Rescue Squad, Rescue (Light, Medium, Heavy), Technical Rescue Vehicle, Hazardous Materials 6 Unit Other: EMS Chase Vehicle, Air/Light Unit, Rehab Units, Bomb Unit, Technical Support (Command, 1 Operational Support/Supply), Hose Tender, Salvage Truck, ARFF (Aircraft Rescue Firefighting), Command/Mobile Communications Vehicle, Fire Boats (more than 13 feet long), Other Vehicle Lttps://portal.fema.gov/firegrant/jsp/fire2006/application/org_char.jsp?view=print&print=true&app_number= 3/28/2006 Department Call Volume Department Call Volume Page 1 of l " How many responses per year by category? (Enter whole numbers only. If you have no calls for any of the categories, enter 0) Structural Fires Vehicle Fires Vegetation Fires EMS Response Calls Rescue Hazardous Condition/Materials Calls Service Calls Good Intent Calls/False Alarms Other Calls and Incidents • Please indicate the number of times your department provides or receives mutual aid. Do not include first -due responses claimed above. In an average year, how many times does your organization receive mutual/automatic aid? In an average year, how many times does your organization provide mutual/automatic aid? ittps://portal.fema.gov/firegrant/jsp/fire2006/applicationlresponse.jsp?view=print&print=true&app_number- 3/28/2006 Request Information Request Information Page 1 of 1 • 1. Select a program for which you are applying. Remember, you can only apply for one program this year. You can apply for as many activities within a program as you need. (If you modify your selection, you will lose data entered under the original activity.) Program Name Operations and Safety • 2. Will this grant benefit more than one organization? Yes If you answered Yes to Question 2 above, please explain. Project will benefit two other municipal departments with which Tamarac has automatic aid agreements and potentially a third with whom Tamarac is presently negotiating an agreement. ittps:llportal. fema.gov/firegrant/jsp/fire2006/applicationlrequestdetails/requestlnfo. i sp?print=true&view=r... 3/28/2006 Request Details Request Details Page 1 of 1 The activities for program Operations and Safety are listed in the table below. Activity Number of Entries Total Cost Equipment 0 $ 0 Modify Facilities 1 $ 100,000 Personal Protective Equipment 0 $ 0 Training 0 $ 0 Wellness and Fitness Programs 0 $ 0 Additional Funding Action View Dgtails $ 0 View Additional,Funding $ 0 View Details, $ 0 View Details View Additional F-un in $ 0 View Details $ 0 View Details https://portal. fema.gov/firegrant/jsp/fire2006/application/requestdetails/activitySummary.j sp?print=true&vi... 3/28/2006 Budget Page 1 of 1 Budget B,,add qt Object Class a. Personnel $ 0 b, Fringe Benefits $ 0 c. Travel $ 0 d. Equipment $ 0 e. Supplies $ 0 f. Contractual $ 0 g. Construction $ 100,000 h. Other $ 0 i. Indirect Charges $ 0 Federal and Applicant Share Federal Share $ 80,000 Applicant Share $ 20,000 Federal Rate Sharing (°/a) 80/20 " Non -Federal,.. Rg5pur e5 (The combined Non -Federal Resources must equal the Applicant Share of $ 20,000) a. Applicant $ 20000 b. State $ c. Local $ d. Other Sources $ If you entered a value in Other Sources other than zero (0), include your explanation below. You can use this space to provide information on the project, cost share match, or if you have an indirect cost agreement with a federal agency. Total Budget $ 100,000 Zttps://portal.fema.gov/firegrant/j sp/fire2006/application/budget_total .j sp?view=print&print=true&app_nu... 3/28/2006 Ass'urances•and Certifications Assurances and Certifications Page 1 of 7 Form 20-16A You must read and sign these assurances by providing your password and checking the box at the bottom of this page. Note: Fields marked with an * are required. Assurances Non -Construction Programs Note: Certain of these assurances may not be applicable.to your project or program. If you have any questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. Section 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P,L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. Sections 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. Section 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. Sections 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290-dd-3 and 290-ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Acts of 1968 (42 U.S.C. Section 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and 0) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Title II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or Federally assisted programs. These requirements apply to all interest in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply with provisions of the Hatch Act (5 U.S.C. Sections 1501-1508 and 7324-7328), which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. Sections 276a to 276a- 7), the Copeland Act (40 U.S.C. Section 276c and 18 U.S.C. Sections 874), and the Contract Work Hours and ittps ://portal. fema.gov/firegrant/j sp/fire2006/applicationlassurances_forms_combined. j sp?view�print&prin... 3 /28/2006 Assurances and Certifications Page 2 of Safety Standards Act (40 U.S.C. Sections 327-333), regarding labor standards for Federally assisted construction sub agreements. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in flood plains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. Section 1451 et seq.); (f) conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. Section 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Section 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. Section 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. 19. It will comply with the minimum wage and maximum hours provisions of the Federal Fair Labor Standards Act (29 U.S.C. 201), as they apply to employees of institutions of higher education, hospitals, and other non-profit organizations. Signed by on https://portal.fema.gov/firel rant/jsp/fire2006/application/assurances forms combined _jsp?view=print&prin... 3/28/2006 Assurances° and Certifications Form 20.16C Page 3 of 7 You must read and sign these assurances by providing your password and checking the box at the bottom of this page. Note: Fields marked with an * are required. Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters and Drug -Free Workplace Requirements. Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form. Signature on this form provides for compliance with certification requirements under 44 CFR Part 18, "New Restrictions on Lobbying; and 44 CFR Part 17, "Government -wide Debarment and Suspension (Non -procurement) and Government -wide Requirements for Drug -Free Workplace (Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Homeland Security (DHS) determines to award the covered transaction, grant, or cooperative agreement. 1. Lobbying A. As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons (entering) into a grant or cooperative agreement over $100,000, as defined at 44CFR Part 18, the applicant certifies that: (a) No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for influencing or attempting to influence an'officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with the making of any Federal grant, the entering into of any cooperative agreement and extension, continuation, renewal amendment or modification of any Federal grant or cooperative agreement. (b) If any other funds than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure of Lobbying Activities", in accordance with its instructions. (c) The undersigned shall require that the language of this certification be included in the award documents for all the sub awards at all tiers (including sub grants, contracts under grants and cooperative agreements and sub contract (s)) and that all sub recipients shall certify and disclose accordingly. 2. Debarment, Suspension and Other Responsibility Matters (Direct Recipient) A. As required by Executive Order 12549, Debarment and Suspension, and implemented at 44CFR Part 67, for prospective participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17.510-A, the applicant certifies that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency. (b) Have not within a three-year period preceding this application been convicted of or had a civilian judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain or perform a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. (c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification: and (d) Have not within a three-year period preceding this application had one or more public transactions (Federal, State, or local) terminated for cause or default; and B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application. 3. Drug -Free Workplace (Grantees other than individuals) As required by the Drug -Free Workplace Act of 1988, and implemented at 44CFR Part 17, Subpart F, for grantees, as defined at 44 CFR part 17, Sections 17.615 and 17.620: https://portal.fema.gov/fi.regrantljsp/fire200h/applicationlassurances_fon ns_combined.jsp?view=print&prin... 3/28/2006 Assurances and Certifications (A) The applicant certifies that it will continue to provide a drug -free workplace by: Page 4 of '7 (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing an on -going drug free awareness program to inform employees about: (1) The dangers of drug abuse in the workplace; (2) The grantees policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; (c) Making it a requirement that each employee to be engaged in the performance of the grant to be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will: (1) Abide by the terms of the statement and (2) Notify the employee in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction. (e) Notifying the agency, in writing within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to the applicable DHS awarding office, i.e. regional office or DHS office. (f) Taking one of the following actions, against such an employee, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted: (1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement or other appropriate agency. (g) Making a good faith effort to continue to maintain a drug free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f). (B) The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant: Place of Performance Street City State ME Action If your place of performance is different from the physical address provided by you in the Applicant Information, press Add Place of Performance button above to ensure that the correct place of performance has been specified. You can add multiple addresses by repeating this process multiple times. Section 17.630 of the regulations provide that a grantee that is a State may elect to make one certification in each Federal fiscal year. A copy of which should be included with each application for DHS funding. States and State agencies may elect to use a Statewide certification. Signed by on https:Hportal.fema.gov/firegrantJisp/fire2006/application/assurances forms combined.jsp?view—print&prin... 3/28/2006 A,ssurances and Certifications Page 5 of 7 ittps://portal.fema.govlfiregrantljsplfire2006lapplicationlassurances_forms_combined.j sp?view=print&prin... 3/28/2006 Assurances and Certifications FEMA Standard Form LLL Huge 6 of 7 Only complete if applying for a grant for more than $100,000 and have lobbying activities. See Form 20-16C for lobbying activities definition. You must read and sign these assurances by providing your password and checking the box at the bottom of this page. Note: Fields marked with an * are required. Standard Form LLL: Disclosure of Lobbying Activities 1. * Type_,ofFgderal Action 2. *Status of Federal Action . 3. * Rep QdType This subsection is for Material Change only Year Quarter Date of last report: 4. * Name and Address of Reportinq_Enti *Reporting Entity Type Tier (if known) *Name *Street *City *State *Zip Need help for ZIP+47 5. If Reporting Entity in No.4 is a Subawardee, enter name and address of Prime: Name Street City State Zip Need help for ZIP+4? 6. * Federal Department/Agency 7. * Federal Program Name/Description 8. Federal Action Number if known: 9. Award Am_ount.if known: 10a. Neme and addressof_Lobbying Registrant: (if individual, Last Name, First Name, MI) Name Street City State Zip 10b. Individuals Performing Services: (include address if different from No.10a) (Last Name, First Name, MI) https://portal.fema.gov/firegrant/jsp/fire2006/application/assurances forms combined._jsp?view=print&grin... 3/28/2006 Assurances and Certifications Page 7 of 7 Name Street City State Zip Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Signed by on .ittps://portal.fema.gov/firegrant/jsp/fire2006/application/assurances—forms_combined.jsp?view=print&prin... 3/28/2006 !J