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HomeMy WebLinkAboutGrant Application Package1 GiRANTS.GOV" Grant Application Package Opportunity Title: Offering Agency: CFDA Number: CFDA Description: Opportunity Number: Competition ID: Opportunity Open Date: Opportunity Close Date: Agency Contact: National Urban Search And Rescue (US&R) Response System Department of Homeland Security - FEMA 97.025 National Urban Search and Rescue (US&R) Response System DHS -I0 -DOD -025-000-01 02/25/2010 1 03/15/2010 Catherine Deel Response Directorate, Operations & Rescue Branch Phone: 202-646-3796 E-mail: Catherine.Deel@fema.gov Division, Urban Search This opportunity is only open to organizations, applicants who are submitting grant applications on behalf of a company, state, local or tribal government, academia, or other type of organization. ' Application Filing Name: City of Miami - Florida Task Force II Mandatory Documents Optional Documents Attachments Disclosure of Lobbying Activities (SF -LLL) Move Form to Mandatory Documents for Submission Compete Application for Federal Assistance (SF -424) Assurances for Non -Construction Programs (SF -42 Grants.gov Lobbying Form Move Form to Budget Inrormatioii for `15on Cons( rtictionr Program Delete..,, - Move Form to Optional Documents for Submission Submission Us( Oilier Afitachmenfs; Form <r i ':,`". ' Move Form to Delete Enter a name for the application in the Application Filing Name field. - This application can be completed In its entirety offline; however, you will need to login to the Grants.gov website during the submission process. You can save your application at any time by clicking the "Save" button at the top of your screen. - The "Save & Submit" button will not be functional until all required data fields in the application are completed and you clicked on the "Check Package for Errors" button and confirmed all date required data fields are completed. OOpen and complete all of the documents listed in the "Mandatory Documents" box. Complete the SF -424 form first. Z. It Is recommended that the SF -424 form be the first form completed for the application package. Data entered on the SF -424 will populate data fields In other mandatory and optional forms and the user cannot enter data in these fields. - The forms listed in the "Mandatory Documents" box and "Optional Documents" may be predefined forms, such as SF -424, forms where a document needs to be attached, such as the Project Narrative or a combination of both. "Mandatory Documents" are required for this application. "Optional Documents" can be used to provide additional support for this application or may be required for specific types of grant activity. Reference the application package Instructions for more information regarding "Optional Documen(s". - To open and complete a form, simply dick on the form's name to select the item and then dick on the => button. This will move the document to the appropriate "Documents for Submission" box and the form will be automatically added to your application package. To view the form, scroll down the screen or select the form name and dick on the "Open Form" button to begin completing the required data fields. To remove a form/document from the "Documents for Submission" box, dick the document name to select It, and then dick the <= button. This will return the form/document to the "Mandatory Documents" or "Optional Documents" box. - All documents listed in the "Mandatory Documents" box must be moved to the "Mandatory Documents for Submission" box. When you open a required form, the fields which must be completed are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter Invalid or Incomplete information in a field, you will receive an error message. OClick the "Save & Submit" button to submit your application to Grants.gov. 3= - Once you have properly completed all required documents and attached any regUred or optional documentation, save the completed application by clicking on the "Save" button. - Click on the "Check Package for Errors" button to ensure that you have completed all required data fields. Correct any errors or if none are found, save the application package. The "Save & Submit" button will become active; dick on the "Save & Submit" button to begin the application submission process. You will be taken to the applicant login page to enter your Grants.gov username and password. Follow all onscreen instructions for submission. OMB Number. 4040-0004 Expiration Date: 03/31/2012 Application for Federal Assistance SF -424 ' 1. Type of Submission: F] Preapplication Q Application F1 Changed/Corrected Application ' 2. Type of Application: Pfl New F1 Continuation F1 Revision ' If Revision, select appropriate leiter(s): • Other (Specify): ' 3. Date Received: 4. Applicant Identifier. 03r252010 5a, Federal Entity Identifier. 5b. Federal Award Identifier. IF State Use Only: 6. Date Received by State: E== 7. Stale Application identifier. 8. APPLICANT INFORMATION: 'a. Legal Name: City of Miami - Florida Task Force II ' b. Employer/Taxpayer Identification Number (EINIfIN): ' c. Organizational DUNS: 0722207910000 59-6000375 d. Address: ' Streeti: 1150 SW 22ND STREET Street2: ' City: MIAMI Counly/Padsh: `Stale: FL: Florida Province: 'Country: USA: UNITED STATES ' Zip / Postal Code: 133129-2738 e. Organizational Unit: Department Name: Division Name: f. Name and contact information of person to be contacted an matters Involving this application: Prefix: ' First Name: Middle Name: JOSEPH `Last Name: ZAHRALBAN Suffix: Title: CAPTAIN Organizational Affiliation: • Telephone Number. 1786-256-5118 Fax Number. 305-400-5090 'Email: USAR@MIAMIGOV.COM Application for Federal Assistance SF -424 * 9. Type of Applicant 1: Select Applicant Type: C: City or Township Government Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: ' Other (specify): ' 10. Name of Federal Agency: Department of Homeland Security - FEMA 11. Catalog of Federal Domestic Assistance Number: 97.025 CFDA Title: National Urban Search and Rescue (US&R) Response System * 12. Funding Opportunity Number: DHS -10 -DOD -025-000-01 * Tide: National Urban Search And Rescue (US&R) Response System 13. Competition Identification Number: Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): Add, Attachment -befete Attachme[t View Atfach'rnent * 15. Descriptive Title of Applicant's Project: Urban Search & Rescue Response System Attach supporting documents as specified in agency instructions. -771 Add Atl`achinents t7e(ete Attaitmen#� V{evv'Attarhrilerits <:' Application for Federal Assistance SF-424 16. Congressional Districts Of: ' a. Applicant L.� b. Program/Project Attach an additional list of Program/Project Congressional Districts if needed. `, Add Attachmeflt.' �' peiete Attachment: V+ew `Attacfii�ent ">, 17. Proposed Project: "a. Start Date: 05/01/2010 ' b. End Date: 10/31/2010 18. Estimated Funding (j): ' a. Federal 1, 041, 900.00 b. Applicant 0.00 ' c. State 0.00 d. Local 0.001 e. Other 0.00 'I Program Income 0.00 'g.TOTAL 1,041,900.00 ' 19. is Application Subject to Review By State Under Executive Order 12372 Process? n a. This application was made available to the State under the Executive Order 12372 Process for review on F1 b. Program is subject to E.O. 12372 but has not been selected by the State for review. Q c. Program is not covered by E.O. 12372. • 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) Yes QX No If "Yes", provide explanation and attach � ,Add �ttachmznt r;Defefe Aitaehmerif View A#tachlfnent�,:- 21. *By signing this application, I certify (1) to the statements contained in the list of certifications" and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances" and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) Q "'IAGREE "" The list of certifications and assurances, or an intemet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: ' First Name: JOSEPH Middle Name: 'Last Name: ZAHRALBAN Suffix:--� ' Title: CAPTAIN "Telephone Number. 786-256-5118 Fax Number. 305-400-5090 "Email: USAR@MIAMIGOV.COM " Signature of Authorized Representative: JOSEPH ZAHRALBAN ' Date Signed; 103125=10 CERTIFICATION REGARDING LOBBYING Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: (1) 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 an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering Into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other 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 contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, We 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,00 0 and not more than $100,000 for each such failure. Statement for Loan Guarantees and Loan Insurance The undersigned states, to the best of his or her knowledge and belief, that: If any 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 commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subjec t to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. ' APPLICANT'S ORGANIZATION City of Miami - Florida Task Force II PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Prefix: ' First Name: JOSEPH Middle Name: " Last Name: IZAHRALBAN Suffix: C� "Title; CAPTAIN "SIGNATURE: IJOSEPH ZAHRALBAN 'DATE: 3/25/2010 OMB Approval No.: 4040-0007 Expiration Date: 07/30/2010 ASSURANCES - NON -CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have 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 cost) 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 or organizational conflict of interest, or 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. §§4728-4763) relating to prescribed standards for merit systems for programs funded under one of the 19 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.§§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. §794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U. S.C. §§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) §§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 Vlll of the Civil Rights Act of 1968 (42 U.S.C. §§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. Will comply, or has already complied, with the requirements of Titles 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 interests in real property acquired for project purposes regardless of Federal participation in purchases. Will comply, as applicable, with provisions of the Hatch Act (5 U.S.C. §§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. Previous Edition Usable Standard Form 4248 (Rev. 7-97) Authorized for Local Reproduction Prescribed by OMB circular A-102 Will comply, as applicable, with the provisions of the Davis - Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327- 333), regarding labor standards for federally -assisted construction subagreements, 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. 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 floodplains 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. §§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. §§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. §§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. §§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 Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non -Profit Organizations." 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing this program. * SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL * TITLE JOSEPH ZAHRALBAN I CAPTAIN * APPLICANT ORGANIZATION * DATE SUBMITTED City of Miami - Florida Task Force II I 03/25/2010 Standard Form 4246 IRav, 7-87) Back BUDGET INFORMATION - Non -Construction Programs OMB Approval No. 4040-0006 Expiration Date 07/30/2010 SECTION A - BUDGET SUMMARY Grant Program Function or Activity (a) Catalog of Federal Domestic Assistance Number (b) Estimated Unobligated Funds New or Revised Budget Federal (c) Non -Federal (d(d) Federal (e) Non -Federal (f) Total (g) 1. anR readiness Grant Gr istration fi Management 97.025 $ $ I l d y I -� $ 1,041,900.00 $ 1,041,900.00 2. Training 3. mcr•,pment 4• Storage Maintenance I [5. Totals Isi $ I Is I 1,041,900.00 $i $ 1,041,900.00 Standard Form 424A (Rev. 7- 97) Prescribed by OMB (Circular A -102) Page 1 SECTION B - BUDGET CATEGORIES 6. Object Class Categories (1) (2) $ GRANT PROGRAM, FUNCTION (3) $ OR ACTIVITY (4) Total i (� USSiR Readiness Orant Aiminiatration s Management Training Equipment Storage c Maintenance a. Personnel $ 4321000.00 35,000.00 0.00 $0.00 1111 $ 467,000.00 b. Fringe Benefits 99,779.00 ��—� 0.00 o.o0 0.0o e9,779.00 c. Travel 1 66,000.00 sa,000.00 0.00 izo,aoo.00 d. Equipment 13,390.00 0.00 rte--- I 158,371.00 0.00 171,761.00 e. Supplies �— 5,000.00 0.00 �— 5,000.00 f. Contractual �— 88,360.00 0.00 I L 100,000.00 188,360.00 g. Construction �--� �'� (� h. Other L L Total Direct Charges (sum of 6a -6h) 694,529.00 100,000.00 89,000.00 158,371.00 $I 1,041,900.00 J. Indirect Charges k. TOTALS sum of 61 and 6' �� $ 694, s -29-o$ $ 89,000.00 $ 158,371.00 $ 1oo,o00.o0 $ 1,041,900.00 7. Program Income $--� $--� $—� $--� J$F- Autnorized for Local Reproduction Standard Form 424A (Rev. 7-97) Prescribed by OMB (Circular A-102) Page 1A SECTION C - NON-FEDERAL RESOURCES (a) Grant Program (b) Applicant (c) State (d) Other Sources (e)TOTALS 9. 10. 12. TOTAL (sum of lines 8-11) It SECTION D - FORECASTED CASH NEEDS Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter 13. Federal $ $ 14. Non -Federal $ 15. TOTAL (sum of lines 13 and 14) $ $$1 1 $ I $ SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT (a) Grant Program FUTURE FUNDING PERIODS EARS (b)Flrst (c)Second (d) Third a Fourth 17. F- 18. 19. 20. TOTAL (sum of lines 16 -19) SECTION F - OTHER BUDGET INFORMATION 21. Direct Charges: 22. Indirect Charges: o 23. Remarks: Authorized for Local Reproduction Standard Form 424A (Rev. 7- 97) Prescribed by OMB (Circular A -102) Page 2 Other Attachment File(s) 'Mandatory Other Attachment Filename: position Descriptions. doc Delete Mandatory Other Attachment Vlew Mandatory, Other Attectimentl To add more "Other Attachment" attachments, please use the attachment buttons below. AddOptioneCOtherAltachmentr Delete Optiona.IOlh6(A06hrnOptfl ,View„OpfionafOthetAttachment' US&R APPLICATION TABLE OF CONTENTS US&R APPLICATION CHECKLIST .4 NOTE: THIS INFORMATION WILL POPULATE OTHER FORMS (i.e., SF. FORM 424) PREPARER INFORMATION CONTACT INFORMATION APPLICANT INFORMATION Section A Preparer Contact Information Section 4 Preparer Contact Information APPLICATION FOR Verson 7103 FEDERAL ASSISTANCE 2 DATESUBMITTED Applicant Identifier March 10, 2010 0 1. TYPE of SUBMISSION: 3, DATE RECEIVED BY STATE Slate Application Identifier 0 Application Pre-appilcallon BConstruction 8 Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier x Non-Construction Non-Construction 5. APPLICANT INFORMA71ON Legal Name: City of Miami - Florida Task Force Il Organizational Unit: 0 Organizational DUNS: 72220791 - Deparlment: 0 Address: - 1150 SW 22 ST Division: 0 Street' - - 0 - - Name and telephone number of person to be contacted on matters City: -Miami Involving this application (give area code) County. Miami Dade - Prefix Captain First Name: Joseph - State: Florida Middle Name: 0 Last Name: Zahralban Country. United States 6. EMPLOYER IDENTIFICATION NUMBER (FJN): SufPoc - 59-6000375 Email: - usaflftlaml oV.com Phone Number. 786-2563118 Fax Number: 305-400-5090 . - 8. TYPE OF APPLICATION: 7. TYPE OF APPLICANT: (See back of Forth for Appllcaoon Types) ❑X New ElContdnuatton Revision If Revision, enter appropriate letter(s) in boxes) 0 See back of Form for description of letters M El 9. NAME OF FEDERAL AGENCY: Other (Specify): U.S. Department of Homeland Security / Federal Emergency Management Agency (FEMA) 10, CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANTS PROJECT: 9 7 0 2 5 I TITLE:. Urban Search & Rescue Response System-- - Urban Search 8 Rescue Response System 12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.): Statewide 13. PROPOSED PROJECT: Coordinate Statewide Emergency Management Program 14, CONGRESSIONAL DISTRICTS OF: Stan Date: Ending Date: a. Applicant b. Project 5.1-10 /6/31/2011 - - U .,Q...-: 15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. Federal;, - - - 1,041,900 - ,00 a. YES THIS PREAPPLICATION/APPLICATION WAS MADE b. Applicant 1c. .00 - AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: State ; Do DATE: January 0, 1900 d. Local - . ... _ .. .00 b. NO. IS NOT COVERED BY E,0.12372 a. Other .00 BPROGRAM OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW f. Program Income It 00 IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? 17. g. TOTAL It - - 1,041,900 .00 Yes If Yes," attach an explanation X No 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT, THE THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a. Authorized Representative: Prefix First Name: Joseph Middle Name: 0 Last Name: 0 SuBiz b. Title: 0 c. Telephone Number: d. Slgnatufe rAulhorized Representative: e. Dale Signed: Prevlo#LoiGan Usable .Authoftzed for Local Reproduction Section 5 SF 424 Standard Form 424 (Rev.09.2003) Prescribed by OMB Circular A-102 BUDGET INFORMATION Non Construction Programs Grant Program Catalog of Federal Function Domestic Assistance Estimated Unobligated Funds or Activity Number (a) (b) Federal Non -Federal Federal 1. US&R Readiness (c) (d) (e Grant 97.025 0.00 0.001 1,041,900.00 Q OMB Approval No 0348 004477 . New or Revised Budget Non -Federal Total $ 1,041,900.00 5 Totals $0.00 $1,041,900.00 $0 00 $1 041,900.00 & Maint $0.00 _... ;., . ... _... '„> SECTION B BUQGET,C�lT GORifvS$. 89,779.00 6. Object Class Categories �,. GRANT PROGRAM, FUNCTION OR ACTIVITY (1)Admin. & M mnt (2) Training 3 Equt ment 4 171,761.00 0.00 5,000.00 a. Personnel $432,000.00 $35,000.00 $0.00 N/A 0.00 b. Frin a Benefits 100,000.00 1,041,900.00 0.001 89,779.00 0.00 0.00 $100,000.00 c. Travel 66,000.00 54,000.00 0.00 d. Equipment 13,390.00 0.00 158,371.00 e. Supplies es 5,000.00 0.00 0.00 f. Contractual 88,360.00 0.00 0.00 . Construction N/A N/A N/A h. Other 0.00 0.00 0.00 i. Total Direct Charges sum of 6a -6h 694,529.00 89,000.00 158,371.00 Indirect Char es 0.00 0.00 0.00 k TOTALS(sum of Sr and 6) $694,529.00 $89,000.001 $158.371.001 177 7. Program Income Authorized for Local Reproduction Previous Edition Usable Section 6 SF 424A $ 1,041,900.00 Standard Form 424A (Rev. 7-97) Prescribed by OMB Circular A-1 02 0.00 0.00 0.00 $0.00 $1,041,900.00 r & Maint $0.00 Total (g $467,000.00 0.00 89,779.00 0.00 120,000.00 0.00 171,761.00 0.00 5,000.00 100,000.00 188,360.00 N/A 0.00 N/A 0.00 100,000.00 1,041,900.00 0.001 0.00 $100,000.00 $1,041,900.00 Standard Form 424A (Rev. 7-97) Prescribed by OMB Circular A-1 02 SECTION';=wC ..NON (a) Grant Program FEDERAL ;RESOURCES. (b) Applicant $ ,.-4 " ^"' r X . (c) State (d) Other Sources (e) TOTALS 8. $ $ $0.00 0.00 9 10. 1 1. 0.00 0.00 12 TOTAL sum oflines 8-11) S'ECTI,ON D $0.00 CASTED $0.00 GA:0 'NEEDS $0.00 $0.00 13. Federal Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter $0.00 $ $ Is $ 14. Non -Federal 0.00 15 TOTAL sum of lines 13 and 14) SECTION. E.BU.DGET.ESTIMATES.OF`EEDER�L $0.00 $0.00 $000 .. '. FUNb5_NEEDED,FORLEALANCE C3�THE_ PROJECT $0.00 a Grant Pro ram 16. ..,> FUTURE FUNDING PERIODS ears (b) First $ (c) Second $ (d) Third $ (e) Fourth $ 17. 18. 19. 20 TOTAL (sum of lines 16-19) $0.00 $0.00 $0.001 $0.00 .._ . ..... _ , r- . SECTION.F . OTHER B.4D:GET.IN.FORMATIQN j: „.. r .s..:. r 21. Direct Charges: 22. Indirect Charges: 23. Remarks: Authorized for Local Reproduction Standard Form 424A (Rev. 7-97) Page 2 Section 6 SF 424A FORM LINKS Print and fill out the forms contained in these links. Once completed, please be sure to scan and email with rest of the application packet. Send original to Program and Grants offices. SF424B - Assurances http:/twww_qrants.gov/techlib/SF424B-Vl. I.Pdf SF LLL - Disclosure of Lobby Activities http://www. tehouse.gov/omb/�grants/sflll. pdf Section 7 Form Links to 424B LLL National Urban Search & Rescue Response System US&R Task Force Readiness Cooperative Agreement Budget Narrative Purpose of Agreement The purpose of this Readiness Cooperative Agreement is to continue the development and maintenance of National Urban Search and Rescue (US&R) Response System resources to be prepared for mission response and to provide qualified personnel in support of Emergency Support Function -9 (ESF-9) activities under the National Incident Management System (NIMS) and the National Response Framework (NRF). Our Task Force agrees to manage the continued development and maintenance of this National US&R Response System resource. We will be prepared to provide qualified, competent US&R personnel in support of ESF-9 activities under the National Response Framework. Specifically, the FY2010 US&R Grant Guidance and the accompanying budget narrative provides our plan to accomplish our objectives identified by DHS/FEMA. This work plan identifies the key areas that our Task Force will focus its continued readiness efforts. These key areas are admistrative and program management, training, support, equipment cache preparedness, maintenance and storage. These key areas are detailed in the Statement of Work. This Cooperative Agreement will allow our Task Force to maintain a high standard and condition of operational readiness. It is the intent of our Task Force to comply with the US&R Response System FY 2010 US&R Grant Guidance throughout the duration of this agreement. While portions of the FY2010 US&R Grant Guidance are included in the budget narrative, we acknowledge compliance with the FY2010 US&R Grant Guidance in its entirety. Section 8 Purpose of Agreement ADMINISTRATION h MANAGEMENT RiFt i^q+lh va�eet hKee Dl�:rm�erad,wk a+�eam3atMaa�4M�ubarsn�d�� rm�+. aAx lhyaaa arin�;Mmwca�wnkw��penwtpoiu"tMwt �: ,: h+h+'an�ll�•F'�h°.4d°nn.IwR.mos�,ramw,►mat�4nt"urlrieau�mrw •r�u+A�omtnbw� w.SaA�a+apgmmwm_»emtpgtrnw�eebmemjed¢�gea �d+ea+e�nRec.�v �t�?e+M�Jtwui��p�m�i�a.�w�ddetaW.egaiayddehnk�.d,!�Ia+�r�leEq,�uena�l,.d•wn ,rrauonr #C+R91gdele�.OI+TLd{lbge Yd ttlee9�t 1R � plpleWeeeysd tlk T+sk 1'4oG �Ner 1(eb Malee[etAe � un{v b gae�de onkel a�wgaY.Y �� enaee! d �p 7H teen4%x pee' �'+redRwe¢, �uesNlon d'Ida YeeA�aualcs R,.ld4p„kranfMi Meh>rgkd Uraq rSo Knvwde wapaaeNe nda+�k > u Y �� �§ '�� neeaonnel SnWrim i Edn a Gomm ruin v Aftk*0.1. YruOa Thm m me Rl s Task vice a regs*kV for the FY2010 CoopaatMe AWwwt for me egWMw t obje dm sadv me Moos"wq ftg� C-9RY• However, due fo U. dyr lc p oyraq the regLdrmw is for mese kt (wld* the amuea approwW at dw d award ro dsk ob)ed Gast) mar dmr- Arty daapes to Wed Marx wW be rdleded In the PMwmasce Renals, Wim the reason for me dwW r t d and 0¢ Task Form wW not be rt WV d to Y br* a budget dsange if fns m oa ttm approves( cads tis, asdwrtmd by pogrom Oda a drecdsma. ewueoe AamMYtmMr Manapwnew Tb— — th. h.—w.—Ud"WrerMiYw t.r th. tYmlO C.,—.0- A, --.L tt..l.Y.f, dw r M. dr.wk P"..r r^rk- ^ f th.— lb— ,nq d�- w•" h"-wpM tdecW ht &a P.rlbtmo.m Rep.d; wRh M. ores for am dwga mwd. h�eMH he6w KtanYatrarbytcrats hf medlcxt °� rerta6 eK '4jte Yxskm w N 4nRxi fhYTasK Fatx FkA%xt 5veipvMl fxkapjace 6ixc�adxiKz trd. Preffdm Otre�Ylve'2005-009 4<•. a qn/e aela�f RwiaKME MOM, t x Ne,iYM,NM Menponvnf indked CbSU se uen I18Ki��0en NwYpemwR Personnel Salaries d Fringe Benefits s..lm io I.s*V swbffi iD TmWV These arc the Kms our Task face antUpates requking for the FY2010 Cooperat ee Agreement for the equonmt ob)u:t dans faits Ike Tralnln0 Phoprwrt Category ffoweva, due to the dVOR k pogvam, the reW*-Wnts For drew Mems (wft* the aorourt approved at done of avrmd for this abject dass) may change. Any duaam In llsted nems wM be rdleded In the pcftmarfce Reports, noting the reason for the Berge and the Task force vAY not be required to sm" a budget drange If Mars are on the approved adfe Ilsts, authorized by program gddarce a dkecgves. Rolkg or floating e%Apment requims Vie specificatlom to be submlCed to th Program Olkt Grand Asskbnce Ufr for prior approval. 6.6.to Tr.hft These are the hems our Task Farce antldpaks regWA g for the F12010 CaapcaUft Agtanentt. Home ei, due to the dynauic nogrogri, Ute mqubtr is Ar d se teens may flange and any dunges Mg be reflected In Ute Performance Reports. wkh the reason for the cha"ee hated. A btrrlget do ge Is not required to be sufaMed tithe costs In dds olegvy Y FIs remain One sane and Remy are aYowable under the FY1010 Grant Guidance, Okcihes Guidam and Cad* List S.kn 10 T,.Ww Contractual Sxlbn 10 Tmb v $. Von to rnhro Iodi'ed costs S.U. 10 TNnFq Personnel Salaries & Personnel Salad- and FrImo R—Mov M., so iOia�SL.7- $0 , W, 3.01- 11 Equppmwt Travel 5.dlw17 Eq.o..l Thew are the Rems our Task Face aniticipates requ"V for the FY2010 Cooperative Agreement for the equipment ObW lass WKIU the Equipment Program Category. Hmhcov, dW b the dynwnk program, the requirements for Vx5e Rem (YAttgn the amount appoved at time or award for this object class) MY diange, Ann changes tDlsWd items V41 be relented In the PebmwsceRepDrts, noting the reason (or Die dwW and the Task Force will not be required to whit a budget ChM 9 Items are on the aPPUVW CRChe M, auftrtzed bi, program gulba"M a directives. Paing Of (bating A-- - - S.dl- It EqUp...1 WMO Sugaininert and Maintenance 1 1 tMOOD Cache W items (Repair) $28,371 1 71 Tracor (AderWj $130,0MOD 11 1 $D ..:Ir.: so $0 Total $158,371 S.dl- It EqUp...1 Suuolies These arethe Reins our Task Fa¢ anticpates regdting for the FY2ot0 Ccoperadvo Agreernent. However, 6ae to the *mmlc program, me requhements for these Items may charge and any charhges will be nenectEd h the Fplfomarxe Reports, with the reason for the Change noted. A budget change Is not regrind to be submitted far approval Y the costs in this OkW class renals as approved at tlme of award and the Items are allowable in aamrdartr.4 wth the statment of work, program guidance and dkedlves. sacum 11 Egrp—M Contractual .. .._.1�w�� _.1.. .�n.. •'r � a .. ..'4. ::.vi ... ±1%'�' i.. . tv.`A..��.^. .4..:... '� �.li In d1e �ina nrkw Inst anY w�trltng kitormalJop fa' lfie Foht�achlal oats d servkes rentals Iii for equlnrlkiY. � � s.d.n 11 EgWp..M oaw lttunMi$;' W-11,1MITI,xao' r .`'p nrJ..._.'.. $::36'allnikfdak.P�iri?c t+G�l f3s?TotalCufii. �' _ x.'�: �r''..,? So' sa' r so. Sm lou I I Eq.lm-1 Iodircd Cmfs ... an.• z':Q...�:. �y .'ri. �. 4�i�%.e^' n�•'IG' cY`..;�.5. �:i,�'�,:.." tatlH'• �., � �.' Total awl- 11 E9Wluaanl Personnel Salaries & Fringe Benefits —A A—. "ArzQ $0; Totals 6.111.n 12 slor-P .- Equipment Sedbn 12 6twge Melntowcc Suppges s-dion 12 along. Makten_o Contractual Se'". 12 Stoma Mahten m nt"0 '«,><,f"O..",TP...�C66t`� i- $fig i to 11.00 se'"m 12 6loraee Malrgcnanca Indirect Costs Indirect Costs iiem"$Ca" a a'"a�i'� r- hid, .�'�i, i',:. ,'; XlOetn . p..��. 'r ���1ta�:'."r,.�'CU,�..s�i�''���`� 8ase5%i+Youat3,;"+'.'. ' �kei�teiitage." '��_�. $n �6,��~w�,: Tofal Corti• Total #D;i 6ea0on 12 Eor.p M.W.wnm BUDGET SUMMARY This summary will be populated based on figures entered into other sections of this narrative. lActivity Sum 1,041,900.001 Ob'ect Class SumF-77�041 900.00 ITotal 11!1��::-�i.��:�!�-��: $1rO41T970070-01 Section 13 Budget Summary Administration & Management 694 529.00 Tralning -"$89100a Equipment $158;371.00 Maintenance 00,000.00 bIJIM Personnel 467,000:00 Frime Benefits 89;779.00 Travel 120 .00 E(juipment Wi,761.00 Supplies 5,000.,00 Contractual iB8 360;00 Other 7'i 7 10 .00, Indirect Charges 40.00 lActivity Sum 1,041,900.001 Ob'ect Class SumF-77�041 900.00 ITotal 11!1��::-�i.��:�!�-��: $1rO41T970070-01 Section 13 Budget Summary APPENDIX 1 - POSITION DESCRIPTIONS Please MI In posihan deSMPO ns below, or attach ,ore -typed dPSC7tpd S. Section 14 Appenoix - Position Descriptions Section U Appendix -Position Descriptions APPENDIX 2 - BUDGET CLARIFICATION (additional space, if needed) Please use the bbcks bebw to darify any Items you weren? able to & into the other portions of the narrative Section 15 Appendix 2 - Budget Clarification Section 15 Appendix 2 - Budget Cleriticatlon Section 15 Appendix 2 - Budget Clarilloallon Section 15 Appendix 2 - Budget Clad icallon Sectlon 15 Appendfx 2 - Budget CladOcalion DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 0348-0046 (See reverse for public burden disclosure.) 1 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: ❑Ia. contract ❑a. bid/offer/application ❑ a. initial filing b. grant b. initial award b. material change c. cooperative agreement c. post -award For Material Change Only: d. loan year quarter e. loan guarantee date of last report f. loan insurance 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is a Subawardee, Enter Name El Prime ❑ Subawardee and Address of Prime: Tier , if known: Congressional District, if known: Congressional District, if known: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, if applicable: 8. Federal Action Number, if known: 9. Award Amount, if known: 10. a. Name and Address of Lobbying Entity b. Individuals Performing Services (including address if (if individual, last name, first name, Ml): different from No. 10a) (last name, first name, Ml): (attach Continuation Sheet(s) SF-LLLA, if necessary) 11. Amount of Payment (check all that apply): 13. Type of Payment (check all that apply): $ ❑ actual ❑ planned EJ a. retainer b. one-time fee ❑ c. commission 12. Form of Payment (check all that apply): ❑ a. cash E] d. contingent fee El b. in-kind; specify: nature ❑ e. deferred value E] f. other; specify: 14. Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), employee(s), or Member(s) contacted, for Payment Indicated in Item 11: Ah (attach Continuation Sheet(s) SF-LLLA, if necessary) 15. Continuation Sheets SF-LLLA attached: ❑ Yes ❑ No 16. Information requested through this form Is authorized by He 31 U.S.C, section Signature: 1352. This disclosure or lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made Print Nam Tei ��' Z-�l"A �l �;;<-�v 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 wig be available for public Inspection. Any person who falls to file the required disciosure shall be Title: /'d subject to a dull penalty of not less that $10,000 and not more than $100,000 for easuch rar2 J rure. Telephone No.: 7 f� 5 Date: 1 b i b ch / ` !/ f Fgtleral Use Only I Authorized for Local Reproduction i r r, ,, 2 I I .:, ,,.. .u, .I I ..f.. I: I Standard Form LLL (Rev. 7-97) INSTRUCTIONS FOR COMPLETION OF SF -LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the Initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each paymentor agreamenito make payment to any lobbying entity for Influencing or attempting to influence an officer or employeeof any agency, a Member of Congress, an officer or employeeof Congress, or an employeeof a Member of Congress in connection with a covered Federal action. Use the SF-LLLA Continuation Sheet for additional information if the space on the form Is Inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional Information. 1. Identify the type of covered Federal action for which lobbying activity Is and/or has been secured to influence the outcome of a covered Federal action. 2. Identity the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the Information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, Stale and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizationallevel below agency name, If known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP -DE -90-001." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, State and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b) Enter the full names of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name, First Name, and Middle Initial (MI). 11 • Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriatebox(es). Check all boxes that apply. if payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal official(s) or employee(s) contacted or the officer(s), employee(s), or Member(s) of Congress that were contacted. 15. Check whether or not a SF-LLLA Continuation Sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name, title, and telephone number. According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this Information collection is OMB No. 0348-0046. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing Instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503. OMB Approval No. 4040-0007 Expiration Date 04/30/2008 ASSURANCES - NON -CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of Information. Send comments regarding the burden estimate or any other aspect of this collection of Information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have 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 cost) 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 or organizational conflict of interest, or 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. §§4728-4763) relating to prescribed standards for merit systems for programs funded under one of the 19 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. B8-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education 8 Amendments of 1972, as amended (20 U.S.C. §§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. §794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§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) §§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 Vlll of the Civil Rights Act of 1968 (42 U.S.C. §§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, (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. Will comply, or has already complied, with the requirements of Titles it 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 federaily-assisted programs. These requirements apply to all Interests in real property acquired for project purposes regardless of Federal participation in purchases. Will comply, as applicable, with provisions of the Hatch Act (5 U.S.C. §§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. Previous Edition Usable Standard Form 4248 (Rev. 7-07) Authorized for Local Reproduction Prescribed by OMB Circular A-102 9. Will comply, as applicable, with the provisions of the Davis - Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327- 333), regarding labor standards for federally -assisted construction subagreemenls. 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 floodplains in accordance with EO 11988; (a) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 at 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. §§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. §§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 11966, 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 or 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 at 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. §§4801 at 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 Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non -Profit Organizations." 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing this program. Standard Form 4248 (Rev. 7-97) Back FL Oq�Q9 TPA QySFAACH � ��� South Florida Urban Search and Rescue Excerpts from Strategic Platt (Position Descriptions) ADMINISTRATION FL-TF2 will maintain administrative staffing organized as a Division of the City of Miami Fire Rescue Department with the following dedicated full time personnel: Program Manager: Establish division goals and objectives; coordinate all task force grant goals to comply with cooperative agreements; oversee day- to-day task force operations. Staff Lieutenant: Responsible for all Finance and Procurement activities within the organization. Provide supervisory assistance to the Program Manager. Staff Lieutenant: Responsible for all personnel issues within the organization. (Overtime reporting, time sheets, etc). Provides supervisory assistance to the Program Manager. Part Time Personnel are also utilized as Discipline Coordinator positions. This allows for the most cost effective means of personnel allocation. They are utilized on an as needed basis and do not burden the organization with the cost of full time salaries. The following part time positions have been established within the Table of Organization: • Administrative Assistant: Responsible for the administrative support of the team and daily reconciliation of non -emergency paperwork • Training Coordinator: Responsible for the timely delivery of training in accordance with the requirements set forth by FEMA. (Approximately 30 courses delivered in a two year period) • Logistics Coordinator/ Warehouse Manager: Responsible for all response equipment contained within the organization (over 20,000 individual items). Also responsible for excess property. • Financial Officer: Responsible for the financial oversight of team activity. Assist with day to day financial support and management of grant goals. • Medical Coordinator: Responsible for the implementation and oversight of the Medical Team. This responsibility includes response activities during deployments, readiness activities, and team welfare. • Communications Coordinator. Responsible for the readiness and implementation of the communications plan. Ensures communications equipment is functional and deployable. • Hazmat Coordinator. Responsible for the WMD component of the Task Force. (One fully stocked tractor trailer containing about 1.2 million dollars in equipment.) • Canine Coordinator: Responsible for the readiness of the K-9 and search component of the Task Force. Ensures that all search team members are in Adazrz FEMA '• compliance with requirements set forth by FEMA. • Public Information Officer. Ensures that the message released by this Task Force is in line with the position of the Department of Homeland Security and the Sponsoring Agency, The City of Miami Fire Department. • Rescue Team Coordinator: Responsible for the oversight of all Rescue equipment. Assists with the institution of rescue methodology and the implementation and maintenance of light, medium and heavy rescue vehicles. • Task Force Leaders: Utilized on an as needed basis for special projects requiring management oversight with regard to higher level administrative duties. (example: hurricane reimbursements, audits)Additionally responsible to function as non -department member liaison. • Transportation Officer: Responsible for the entire task force fleet (3 tractors, 5 fifty foot trailers, 2 box trucks, 3 flatbeds, 2 suburbans, 1 F-350, 1 F-550, 1 Excursion, 2 forklifts, 4 off road ATV's). Establishes and implements a transportation policy for active drivers and a transportation plan during deployments. • Personnel Support Coordinator. Responsible for the administration of the Personnel Support Program to include Critical Incident Stress Management, Employee Assistance, Assisting personnel and family with needs during times of deployment. • Flood / Swiftwater Coordinator: Responsible for the Flood/Swiftwater cache, maintenance, and training in support of FEMA Directives.