HomeMy WebLinkAboutEntire ApplicationApplication Number: EMW-2012-FO-06964
Entire Application
Overview
Pagel of 18
•Did you attend one of the workshops conducted by DHS's regional fire program specialist?
Yes, I have attended workshop
•Was a workshop offered within 2 hours drive?
Yes
'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?
Yes, I am a member/officer of this applicant
f you answered No, please complete the information below. If you answered Yes, please skip the Preparer Information section.
Fields marked with an • are required.
• Preparers Name
• Address 1
Address 2
• City
*State
• Zip
Preparer Information
Need halo for TIP447
In the space below please list the person your organization has selected to be the primary point of contact for this grant This should be a Chief Officer or
long time member of the organization who will see this grant through completion. Reminder. if this person changes at any time during the period of
performance please update this information. Please list only phone numbers where we can get in direct contact with the POC.
Primary Point of Contact
Title Fire Captain
Prefix (check one) Mr.
• First Name Adrian
Middle Initial E
• Last Name Plasencia
• Business Phone (e.g. 123.456-7890) 305-416-5450 Ext.
• Home Phone (e.g. 123-456-7890) • 305-235-3410 Ext.
Mobile Phone/Pager (e.g. 123-456-7890) 305-951-3958
Fax (e.g. 123-456-7890) 305-400-5354
• Email (e.g. user@xyz.org) aplasencia@miamigov.com
Contact Information
Alternate Contact Information Number 1
• Title Deputy Fire Chief
Prefix Mr.
• First Name Reginald
Middle Initial K
• Last Name Duren
• Business Phone 305-416-5403 Ext.
'Home Phone 954-476-5822 Ext.
Mobile Phone/Pager 954-258-5204
Fax
*Email rduren@miamigov.com
Alternate Contact Information Number 2
Title Director Grants Administration
Prefix Ms.
• First Name Lillian
https://eserviees.fema.gov/FemaFireGrant/firegrant/jsp/fire2012/application/print app.jsp... 10/15/2012
Application Number: EMW-2012-FO-06964 Page 2 of 18
Middle Initial P
• Last Name 8londet .
• Business Phone 305-416-1536 Ext.
"Home Phone . 305-416-1500 Ext.
Mobile Phone/Pager 305-903-1315
Fax
'Email Iblondet@miamigov.com
https://eservices.fema.gov/FemaFireGrant/firegrant/jsplfire2012/application/print app.jsp... 10/15/2012
Application Number: EMW-2012-FO-06964 Page 3 of 18
Applicant Information
EMW-2012-FO-06964
Originally submitted on 07/06/2012 by Robert Turner (Userid: rduren)
Contact Information:
Address: 1151 NW 7 ST. 3RD FLOOR
City: Miami
State: Florida
Zip: 33136
Day Phone: 3054165438
Evening Phone:
Cell Phone: 9548565959
Email: rturner@miamigov.com
Application number is EMW-2012-FO-06964
• Organization Name City of Miami Department of Fire Rescue
• Type of Applicant Fire Department/Fire District
• Type of Jurisdiction Served City
If other, please enter the type of Jurisdiction
• Employer Identification Number 59-6000375
• What is your organization's DUNS Number? 072220791 (call 1-866-705-5711 to get a DUNS number)
Headquarters or Main Station Physical Address
• Physical Address 1 1151 NW 7th Street
Physical Address 2 N/A
• City Miami
• State Florida
• Zip 33136 - 3604
Need helo for Z P+4?
Mailing Address is the same as the Physical Address
• Mailing Address 1 1151 NW 7th Street
Mailing Address 2 N/A
• City Miami
• State Florida
33135 - 3604
Need hero for ZLF+47
• Please describe at grants that you have received from DHS, for example, 2008 AFG grant for a vehicle or 2010 HSGP grant for exercises. (Enter N/A if
Not Applicable).
The City of Miami Department of Fire Rescue has received the following grants from the Federal Government via the Department of Homeland Security
and/or the Assistance to Firefighter Grant Program:
• Zip
2011 AFG for Personal Protective Equipment and Exhaust Extraction System
2010 FEMA/USAR for Equipment, Training, Support, Management, and Procurement
2010 UASI for Training, Personnel, and Equipment for Terrorism Events
2010 AFG for SCBA and Exhaust Extraction System
2009 AFG for PPE and Generator Project
2009 UASI for Training, Personnel, and Equipment for Terrorism Events
2006 UASI for Training, Personnel, and Equipment for Terrorism Events
2007 UASI for Training, Personnel, and Equipment for Terrorism Events
2006 AFG for Extractors, Auto -Pulses, and Generators
2006 UASI for Training, Personnel, and Equipment for Terrorism Events
2006 FEMA/USAR for Training, Personnel, Equipment, and Operations
2006 Fire Prevention and Safety for Firefighting and Arson Detection Equipment
2005 SAFER Grant for Hiring Firefighters
2005 UASI for Training, Personnel, and Equipment for Terrorism Events
2004 FEMA/USAR for Training, Personnel, Equipment, and Operations
2004 UASI for Training, Personnel, and Equipment for Terrorism Events
2004 AFG for CAD System
2003 AFG for Station Alerting System
2003 UASI for Training, Personnel, and Equipment for Terrorism Events
2002 AFG for Implementation of an Urban Firefighter Skills
Account Information
• Type of bank account Checking
^ Bank routing number- 9 digit number orrthe bottom left hand corner of 063000021
your check
^Your account number 2695204833948
A.dditiona I Information
https://eservices.fema.gov/FemaFireGrant/firegrant/jsp/fire2012/application/print_app.j sp... 10/15/2012
Application Number: EMW-2012-PO-06964 Page 4 of 18
• For this fiscal year (Federal) is your organization receiving Federal
funding from any other grant program that may duplicate the purpose No
and/or scope of this grant request?
• If awarded the AFG grant, will your organization expend rnore than
$500,000 in Federal funds during your organization's kcal year in which Yes
this AFG grant was awarded?
• Is the applicant delinquent on any Federal debt? No
If you answered yes to any of the additional questions above, please provide an explanation in the space provided below:
The City of Miami Department of Fire -Rescue (MFR) is a recipient of the Assistance to Firefighters Grant (AFG), as well as the UASI and other federal
grants. MFR will spend more than $500,000 in federal funds during the fiscal year in which the AFG is awarded.
•
Furthermore, the City of Miami (City) receives over $50,000,000 In federal grants annually. These grants are awarded to the City by various federal
agencies to Implement a host of programs and services Including, but not limited to, public safety, education, housing development, home buying and
rental assistance, fire prevention, meals, transportation, public works and infrastructure, after -school care, economic development initiatives, emergency
preparedness, job creation, training, green initiatives, art and cultural programs. The City utilizes financial management systems, procedures and controls
to ensure funds are used according to grants' requirements and federal regulations. In adherence to OMB A-133, a single audit is completed annually.
Department Characteristics (Part I)
• Are you a member of a Federal Fire Department or contracted by the
Federal government and solely responsible for suppression of fires on No
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
• Is your Organization considered a Metro Department? Yes
• What is the square mileage of your first -due response area? 35
• Wnat percentage of your response area is protected by hydrants? 100
• In what county/parish is your organization physically located? If you have Miami -Dade
more than one station, in what county/parish is your main station located?
• Does your organization protect critical infrastructure of the state? Yes
• How much of your jurisdiction's land use is for agriculture, wildland, open 5
space, or undeveloped properties?
• What percentage of your jurisdiction's land use is for commercial and 29
industrial purposes?
•. What percentage of your jurisdiction's larid is used for residential 66
purposes?
How many occupied structures (commercial, industrial, residential, or
institutional) in your jurisdiction are more than three stories tall? Do not 600
include structures which are not regularly occupied such as silos, towers,
steeples, etc.
• What is the permanent resident population of your PrimarvlFirst-Due 399457
Response Area or jurisdiction served?
• Do you have a seasonal increase in population? Yes
If "Yes" what is your seasonal increase in population? 4222 r
• How many active firefighters does your department have who perform 606
firefighting duties?
• How many ALS level trained members do you have in your 450
department/organization?
• How many stations are operated by your organization? 14 i
• Is your department compliant to your local Emergency Management Yes
standard for the National Incident Management System (NIMS)?
• Do you currently report to the National Fire Incident Reporting System Yes
(NFIRS)?
If you answered yes above, please enter your FDIN/FDID 01042
• What percent of your active.firefighters are trained to the level of 100
Firefighter I?
• What percent of your active firefighters are trained to the level of 100
Firefighter II?
https://eservices.fema.gov/FemaFireGrant/ffregrant/jsp/fire2012/application/print app.jsp... 10/15/2012
Application Number: EMW-2012-FO-06964 Page 5 of 18
If you answered less than 100% to either question above, are you
requesting for training funds in this application to bring 100% of your
firefighters into compliance with NFPA 1001?
If you indicated that less than 100% of your firefighters are trained to the Firelighter II level and you are not asking for training funds in this application,
please describe in the box below your training program.and your plans to bring your membership up to Firefighter 11.
WA
• What services does your organization provide?
Structural Fire Suppression
Occasional Fire Prevention Program
Maritime operationstFirefighling
• Please describe your organization and/or community that you serve. We recommend typing your response in a Word Document outside of this
application, then copying and pasting it into the written field. There is a 4000 character limit.
The City of Miami, known as the `Gateway to the Americas`, is a compact microcosm of economic, soda', and ethnic diversity. With a 2010 census
population of 399,457 and 183,994 housing units, Miami is the largest city within Miami -Dade County - the seventh -largest metro area in the nation with
over 5.4 million residents. Miami's population swells to over 1,000,000 during daytime business hours between residents, tourists, business commuters
and visitors in general. It is a compact, 35 square mile, urban area surrounded by the ocean, which makes it vulnerable to many natural disasters and
targets for terrorist activities.
•
MFR is currently staffed with 606 fire professionals who respond to a myriad of fire related emergencies and over 93,000 alarms every year, These
responses are provided by fire professionals who are stationed at one of our 14 fire stations. MFR is one of the busiest fire departments in the nation in
responses per firefighter (busier than New York, Los Angeles, and many other major urban departments). As the second largest fire department in Miami -
Dade County, MFR faces many unique challenges in serving the City of Miami - one of the most diverse and densely populated cities in the U.S. (14,408
persons per square mile). The majority of its residents come from minority backgrounds, with 70% Hispanic/Latino and 19.2% Black. Furthermore, 58% of
its population is foreign-bom and over 78% speak a language other than English at home, including Spanish and Creole; creating a language barrier in the
community.
Economically, the city is one of great contrasts and is often referred to as the 'Tale of Two Cities". Though it serves as one of the nation's leading centers
for trade, banking, and finance, it is considered among the poorest cities of its size in the country. In the last five years, Miami has been in the unenviable
category as one of the five most impoverished communities in the nation. Miami has a poverty rate of 27.3% and a high rate of unemployment (14.68% vs.
8.5% for Florida), substandard housing and illiteracy. All of these dynamics create great challenges for the Miami Fire Department.
In the last five years, Miami has been in the epicenter of the foreclosure crisis. Property values have plummeted more than 50% and the high number of
foreclosed and abandoned properties have created unique problems for the city and MFR. The city has 802 registered unsafe structures, mainly owned by
absentee owners. Since they are poorly maintained, these properties pose immediate danger to residents and result in dangerous fire hazards.
Consequently, neighborhoods are vulnerable and have an increased need for fire department services. MFR is challenged with providing adequate service
to meet the community's increasing demands while enduring a 23% funding decrease since 2010 and straining already limited resources.
Miami also has a multitude of critical infrastructure that is integral to both the Miami and the US, induding,the National Access Point (electronic gateway to
the Americas), Brickell Financial District, Wilkie 0. Ferguson Jr. US Federal Courthouse, the new Port of Miami Tunnel, AAA arena, Marlins Stadium and
several other heavily populated structures. This infrastructure poses a high casualty risk, as well as the possibility of crippling not only Miami's economy,
but the nation's economy as well.
In addition to the million plus tourists and other persons traversing through Miami every day, Miami has a vast number of undocumented immigrants, which
are rising in numbers each year; a dense population with the largest concentration of high-rises per capita in the US when compared to cities of like size or
larger populations (even New York); the largest concentration of international banks; and according to the Department of Homeland Security, is ranked
11th amongst the highest risk cities threatened by terrorism in the nation.
Fire Department Characteristics (Part II)
Emergency Medical Responder
Basic Life Support
Advanced Life Support
Formal/Year-Round Fire Prevention Program
Haz-Mat Operational Level
Haz-Mat Technical Level
Rescue Operational Level
Rescue Technical Level
2D11 2010 2009
• What is the total number of fire -related civilian fatalities in your jurisdiction over the last 3 4 4
three years?
• What is the total number of fire -related civilian injuries in your jurisdiction over the last 16 15 15
three years?
• What is the total number of line of duty member fatalities in your jurisdiction over the last 0 0 0
three years?
• What is the total number of line of duty member injuries in your jursdictior. over the last 215 200 210
three years?
• Over the last three years, what was your organization's average operating budget? 82138679
^ What percentage of your TOTAL budget is dedicated to personnel costs (salary, overtime 94 o,
and fringe benefits)?
• What percentage of your annual operating budget Is derived from:
Enter numbers only, percentages must sum up to 100%
Taxes? 93 %
EMS Billing? 7 %
Grants? 0 %
https://eservices. fema,gov/FemaFireGrant/firegrant/j sp/fire2012/application/print_app. j sp... 10/15/2012
Application Number: EMW-2012-FO-06964 Page 6 of 18
Donations? 0 %
Fund drives? 0 %
Fee for Service? 0 %
Other? 0 %
If you entered a value into Other field (other than 0), please explain N/A
• Please describe your organization's need for Federal financial assistance. We recommend typing your response In a Word Document outside of this
application, then copying and pasting it into the written field. There is a 4000 character limit.
For the last two years, the city's administration declared 'fiscal urgency`, which Is defined as an economic crisis so dire it allows a municipality to void all
labor contracts pursuant to section 447.4095 of the Florida Statute. In 2011 the budget for MFR was approved at $88,013,463, due to budget cuts, It was
reduced to $72,315,697. Again in FY12, MFR's budget was further reduced to $68,047,000, a significant decrease undermining long-term planning and the
ability to respond to emergency situations
A January 2012 Miami Herald article stated, °Miami could be facing a budget deficit for the fourth year in a row, as high as $35 million due to flat revenues
and pension costs'. For over 10 years, there have been no Funds budgeted for the acquisition of physical fitness equipment. This undermines MFR's ability
to quickly respond to the myriad of emergency calls received annually, putting in jeopardy the health and safety of firefighters and citizens alike. Therefore,
MFR and the City of Miami are in dire need of financial assistance to purchase physical fitness equipment, which cannot be included in the already
strained budget.
Miami is a municipality incorporated in the state of Florida, which does not have income taxes to assist in supporting local govemmental administrative and
municipal services, such as firefighters.' Due to a lack of Finandal support and a 49% reduction in property values in the last 6 years, revenue intake and
projections for the city have been significantly reduced. With nearly half of all South Florida mortgages underwater, plenty of foreclosed homes and only a
slight improvement in housing sales, the 2012 housing market has been unremarkable. There is speculation the market has hit bottom, yet thousands of
foreclosures frozen due to paperwork errors have not been marketed. Home prices are down to 2002 Ievels and property tax collections are down
accordingly. For example, Downtown Miami added about 22,785 condo units in the boom years but the city's tax revenue collection did not increase to
make up for the loss in property value. Currently, these new residential towers and condominiums are about 93% occupied (21,226 units), increasing the
need for munidpal and emergency services.
MFR's budget is funded from the city's General Fund which is 03% supported by property taxes; therefore the city's diminished tax base had a profoundly
negative impact on our department In addition, increasing costs for supplies and equipment further decrease the MFR budget and with the declining
economy, increased poverty levels, and increased demands on resources, relief from these troubled circumstances is not likely in the near future. With
stagnant revenues, the City of Miami is also facing a deficit or fiat revenue for FY13. To address the tax revenue shortfalls city-wide and create a balanced
budget, the city Is again faced with implementing measures to eliminate jot positions, reduce paid holidays, decrease pension benefits, and increase
employee insurance costs, in addition to other operational and capital project reductions. This is reminiscent of an August 8, 2011 Miami Herald article
reporting that, 'Mayor Regalado and City Manager Martinez have proposed the remaining cuts come from not filling 372 positions, holding off on some
police training and not buying new police cars or fire equipment for a year°.
MFR is in a precarious position, barely able to cover its day to day operations and lacking funding to address immediate needs of physical fitness
equipment to respond to emergencies and to ensure the health and safety of citizens and firefighters. MFR can only meet these critical needs if funds are
allocated from this grant.
• How many vehicles does your organization have in each of the types or class of vehicle listed below? You m ust 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.)
Type or Class of Vehicle
Engines or Pumpers (pumping capacity of 750 gprn or greater and water capacity of 300
gallons or more):
Pumper, Pumper/Tanker, Rescue/Pumper, Foam Pumper, CAFS Pumper, Type I or Type II Engine Urban
interface
Ambulances for transport and/or emergency response
Tankers or Tenders (pumping capacity of less than 750 gallons per minute (gpm) and water
capacity of 1,000 gallons or more):
Aerial Apparatus:
Aerial Ladder Truck, Telescoping, Articulating, Ladder Towers, Platform, Tiller Ladder Truck, Quint
Brush/Quick attack (pumping capacity of less than 750 gpm and water carrying capacity of
at least 300 gallons):
Brush Truck, Patrol Unit (Pick up w( Skid Unit), Quick Attack Unit, Mini.Puntper, Type III Engine, Type IV Engine,
Type V Engine, Type VI Engine, Type VII Engine
Rescue Vehicles:
Rescue Squad, Rescue (tight, Medium, Heavy), Technical Rescue Vehicle, Hazardous Materials Unit
Additional Vehicles:
EMS chase Vehicle, AirlLighl Unit, Rehab Units, Bomb Unit, Technical Support (Command, Operational
Support/Supply), Hose Tender, Salvage Track, ARFF (Aircraft Rescue Ftrelighiing), Command/Mobflo
Communications Vehicle,
Department Call Volume
Number
Number of Number of of Seated
Front Line Reserve
Apparatus Apparatus Riding
Positions
11
8 114
24 12 108
0
6
0
3
8
0 0
4 60
D 0
0 16
0 27
2011 2010
• How many responses per year by category? (Enter whole numbers only. It you have no calls for any at the categories. enter o)
2009
https://eservices.fema.gov/FemaFireGrantifiregrant/jsp/fire2012/application/print app.jsp... 10/15/2012
Application Number: EMW-2012-FO-06964 Page 7 of 18
Working Structural Fires 737 813 673
False Alarms/Good Intent Calls 5817 6034 6516
Vehicle Fires 261 274 108
Vegetation Fires 276 172 236
EMS -BLS Response Calls 31627 28869 28154
EMS-ALS Response Calls 41096 43001 42525
EMS -BLS Scheduled Transports 0 0 0
EMS-ALS Scheduled Transports 0 0 0
Vehicle Accidents w/o Extrication 6739 6352 5438
Vehicle Extrications 364 220 94
Other Rescue 167 150 111
Hazardous Condition/Materials Calls 411 591 415
Service Calls 922 937 852
Other Calls and Incidents 3032 3827 3725
Total 91449 91240 88847
• How many responses per year by category? (Enter whole numbers only. II you have no calls ror any or the categories. enter 0)
What is the total acreage of all vegetation 8 5 7
fires?
• Haw many responses per year by category? (Enter whole numbers only. 0 you have no colts for any or the categories, enter 0)
In a particular year, how many times does
your organization receive mutual/automatic 2 2 2
aid?
In a particular year, how many times does
your organization provide mutual/automatic 266 69 137
aid? (Do not include first -due responses
claimed above).
Total Mutual / Automatic Aid 268 71 139
Out of the mutual/automatic aid responses, 12 3 7
how many were structure fires?
https://eservices. fema. gov/FemaFire Grant/firegrant/j sp/fire2012/appli cation/print_app. j sp, .. 10/ 15 /2 012
Application Number: EMW-2012-FO-06964 Page 8 of 18
Request Information
1. Select a program for which you are applying. If you are interested in applying under both Vehicle Acquisition and Operations and Safety, and/or
regional application you will need to submit separate applications.
Program Name
Operations and Safety
2. Will this grant benefit more than one organization?
No
If you answered Yes to Question 2 above, please explain.
N/A
3. Enter Grant -writing fee associated with the preparation of this request. Enter 0 if there is no fee.
$0
Request Details
The activities for program Operations and Safety are listed in the table below.
Activity Number of Entries Tdtal Cost
Equipment 0 $ 0
Modify Facilities 0 $ 0
Personal Protective Equipment 0 $ 0
Training 0 $ 0
Wellness and Fitness Programs 1 $ 167,720
• Total Funding for all EMS requested in this application
Grant -writing fee associated with the preparation of this request.
Wellness and Fitness
$0
$0
Additional Funding
$0
$0
$0
$0
$0
Are you
Doeyour organs
ation ths
requesting Will this a�vllity Ibe
Program Area currently funding for activity be offered to
offer this this activity mandatory? alr
activity? in this members?
�' application?
• Initial Physical Exam Yes No Yes Yes
• Job Related Immunization Program - Yes No Yes Yes
• Periodic Physical Exam/Health Screening Yes No Yes Yes
• Behavioral Health NFPA 1500 or equivalent
Yes No No Yes
Behavioral health programs are described in NFPA 1500 chapter 11. Ir you have any questions call the AFG help desk a1866-274-0960.
Wellness and Fitness Program
Wellness and Fitness Details
1.. What will your program offer during the grant year? (select one) Formal fitness and injury prevention program
2• . Does your organization currently offer this activity? No
3.. Are you requesting funding with this application? Yes
4.. Will this program be mandatory? No
5' . Will this program be offered to all? Yes
Budget Item - Formal fitness and injury prevention program
*Item Exercise Equipment
Sme.
•?lease provide further description of the item Barbell
lthaell that is fixed
is
selected above. Bafixed within steel rails that provides a safe and ideal way for users of all strength
levels to perform a wide range of upper and lower body exercises.
• Select Object Class Equipment
If you selected other above, please specify N/A
• Number of units 14 (whole number only)
https://eservices. fema. gov/FemaFireGrant/firegrant/j sp/fire2012/application/print_app.j sp... 10/15/2012
Application Number: EMW-2012-F0-06964 Page 9 of 18
* Cost per unit $ 2875 (whole ddlaramounts only)
Budgettem - Formal fitness and injury prevention program
'Item . " • Exercise Equipment
'Please provide further description of the item Commerdal treadmill which
selected above. delivers a smooth, safe, and responsive running performance with exceptional durability to meet at
exercise goals.
' Select Object Class Equipment
If you selected other above, please specify N/A
' Number of units 14 (y4wle number only)
Cost per unit $ 3670 (whole dollaramounts only)
Budget Item - Formal fitness and injury prevention program
'Item Exercise Equipment
Stair machine/Stepmill.
'Please provide further description of the item Revolving staircase with high and deep steps which most closely duplicates the workout of real
selected above. stair -climbing.
-Staircase revolves at varying speeds.
Select Object Class Equipment
If you selected other above, please specify N/A
* Number of units 14 (Mole number only)
Cost per unit $ 4710 (whole dollar amounts only)
Budget Item - Formal fitness and injury prevention program
'Item Exercise Equipment
'Please provide further description of the item Adjustable bench for proper form and support across a range of motions. Offers a wide range of
selected above. exercises In conjunction with the Smith machine.
' Select Object Class Equipment
If you selected other above, please specify N/A
' Number of units 14 (whole number only)
Cost per unit $ 725 (whole dollar amounts only)
Firefighting Wellness and Fitness Programs -Narrative
*Section # 1 Project Description: In the space provided below include clear and concise details regarding your organization's projects description and
budget. This includes providing local statistics to justify the needs of your department and a detailed plan for how your department will implement the
proposed project. Further, please describe what you are requesting funding for including budget descriptions of the major budget items, i.e., personnel,
equipment, contracts, etc.? '3000 characters
NEED
MFR seeks $167,720 to purchase and equip 14 of its stations with the following physical fitness equipment: 14 treadmills, 14 stair machine/step mills, 14
Smith machines and 14 adjustable benches. The equipment wit be used to reduce work related injuries and to increase the health and wellness of MFR's
606 firefighters, who sustained 215 on -duty injuries last year.
Annually, MFR answers over 93, 000 calls from 14 stations in 35 square miles, resulting in one of the top ten call volumes per firefighter in the U.S. Daily,
they protect the almost 1 million individuals who live, work, or visit this densely populated city. Miami also has the most high- rises per capita in the U.S. of
like size cities or larger, thus necessitating a high level of physical activity and cardiovascular fitness in the daily activities of our firefighters, who respond to
incidents such as, hurricanes, fallout from political turmoil from other countries, terrorist attacks and other emergencies.
IMPLEMENTATION
MFR will purchase 14 treadmills, 14 stair machine/step mills, 14 Smith machines and 14 adjustable benches to be installed In the 14 MFR stations. They
will provide at firefighters the opportunity for regular exercise training according to NFPA 1853, 4.4.2. MFR will achieve universal participation in health and
fitness by allocating on duty time for physical fitness and affording members the equipment, facility, and time to pursue health -related goals. In addition,
MFR has recently established a physical fitness committee to promote exercise, fitness, health, education, and wellness department wide. The committee
will develop physical fitness standards, physical assessments and a physical fitness program as recommended in NFPA 1583.
This project is ready to be acted upon and MFR expects no delays in processing funding and making purchases within a 12 month period.
CURRENT SITUATION
A comprehensive risk analysis revealed that a lack of physical fitness reduces the health and safety of firefighters and by consequence, the community's
safety.
Much of MFR's fitness equipment is old, dysfunctional and unavailable. Firefighting demands a high levet of physical activity and cardiovascular fitness. In
particular, fires and emergencies at high-rise buildings require optimum physical fitness. The lack of adequate fitness machines reduces firefighter's
opportunity to physically prepare for these situations.
The proposed equipment will significantly Increase firefighter's strength, aerobic, and cardiovascular fitness. The physical fitness, health and safety of
firefighters will improve, thereby, improving fire response capabilities and the city's safety.
https://eservices.fema.gov/FernaFireGrant/firegrant/jsp/fne2012/application/print_app jsp.,. 10/15/2012
Application Number: EMW-2012-FO-06964 Page 10 of 18
*Section # 2 Cost/Benefit: In the space provided below please explain, as clearly as possible, what will be the benefits your department or your community
will realize if the project described is funded (i.e, anticipated savings and/or efficiencies)? Is there a high benefit for the cost incurred? Are the costs
reasonable? Provide justification for the budget items relating to the cost of the requested items. '3000 characters
CURRENT SITUATION
Currently, MFR has exhibited an increase in work related injuries and workmen's compensation claims. This increase in claims and expenditures has
resulted in en increase of $173,728 or 29% in costs and a 17% increase in claims over 5 years. In addition, the increase in injuries has negatively impacted
department staffing and the budget (overtime costs) resulting from members being restricted from combat positions due to health and injury issues.
BENEFITS FOR DEPARTMENT
Purchase of the equipment will ensure compliance with NFPA 1853 by assisting MFR in developing and maintaining the health and fitness of firefighters so
that they may safely perform their duties. This proactive approach to health and fitness correlates to a decrease in debilitating occupational injuries, a
reduction in worker's compensation claims, and a decrease in acute chronic health problems. Furthermore, an array of studies has demonstrated the
effectiveness of the routine use of cardiovascular equipment, in improving wellness and reducing heart disease. This would equate to significant savings to
both MFR and the residents of Miami.
A recent study by Harvard Medical School, demonstrated that exercise reduced the risk of heart disease by up to 41 %. In addition, exercise promotes
weight loss, stronger heart and lungs, reduced stress, reduced risk of heart disease and some types of cancer, better sleep, and a reduction in injuries.
BENEFITS FOR COMMUNITY
This physical fitness equipment will provide immediate improvements to the health and safety of firefighters and the public through the increased
effectiveness of MFR's ability to respond to fire emergencies. MFR firefighters serve 183,994 housing units in the city and approximately 110,948 are multi-
unit structures.:A physically fit force will be better prepared to save countless lives and protect property in our densely populated city. The fitness
equipment and program will also benefit the public by reducing workmen's compensation claims' costs which are transferred to the public as wet as time
loss due to Injury and health issues.
JUSTIFICATION FOR BUDGET ITEMS
Wthout this funding, MFR firefighters will continue utilizing inadequate physical fitness equipment, resulting in continued risk to firefighter safety and health,
compromise of maximum response efficacy, and increased costs associated with injuries and health issues. The compromise in performance in turn
increases risk for residents and businesses who will not receive full fire response capability. Stations have been surveyed to determine the equipment
needed:
- Treadmills 14 @ $3,670 each
- Stair machine/step mill 14 @ $4,710 each
- Smith machines 14 @ $2,875 each
- Adjustable benches 14 @ $725 each
Purchase of this equipment will ensure compliance with NFPA 1853 and improve firefighter health and safety.
* Section # 3 Statement of Effect How would this award affect the daily operations of your department (i.e., describe how frequently the equipment be
used or what the benefits will provide the personnel in your department)? How would this award affect your department's ability to protect lives and
property in your community'? '3000 characters
If awarded this AFG Grant, funds will have immediate and long-term effects on the firefighters' performance and health. Immediate effects will be the
expeditious implementation of exceptional physical fitness equipment and a fitness program in all 14 Miami fire stations facilitating the immediate use of
this equipment by all 606 members and directly improving their health and fire response performance.
This physical fitness equipment will Increase firefighter efficacy and reduce injuries, as they will be in top physical form to respond to intense structural,
vehicular, and marine fires. Firefighters will not have limitations on rescue efforts due to inadequate fitness capabilities. As stated earlier, MFR is an urban
fire -fighting department that operates shifts 24 hours a day, 7 days a week. Our stations typically respond to an average of 18 calls a day. Every day, the
public expects firefighters to respond to their emergencies.
In addition, MFR is called on for mutual aid by four other municipal departments and automatic aid by another. MFR has taken on the challenge of
preparing its area to respond swiftly to CBRNE events and natural disasters resulting from its geographic location as a central hub for Central and South
America and its location in one of the world's most storm -prone areas.
Daily, firefighters respond to scenes where, due to a multitude of events (the age of the building; the presence of hazardous materials in cargo trucks, train
cars, and/or boats; the purposeful intent of an arsonist; or the neglect of buildings, unoccupied due to foreclosure), fires are intense and unpredictable.
Therefore, physical fitness is critical to allow firefighters to effectively and safely perform in these situations. Currently, a vast majority of individuals face
higher risks of personal injury and health issues due to the unavailability of essential physical fitness equipment and structured workout routines.
606 firefighters in MFR face a high probability that they may be injured or face health issues and become unable 10 support daily emergency operations.
Firefighters and residents are put at risk that could be prevented with the purchase of the physical fitness equipment and the implementation of a workout
routine as recommended by NFPA 1583.
Anticipated outcomes include:
• Increased performance at fire incidents
• Increased safety to all MFR members
• Increased compliance with NFPA 1583
• Decrease in injuries and health issues
• Increased ability to provide services to Miami
• Decreased costs to Miami residents due to decreasing workmen's compensation claims
* Section # 4 In the space provided below include details regarding your organization's request not covered in any other section. *3000 characters
MFR responds to an array of hazards and protects Infrastructure that is critical to both the state and nation. With so many high rises and vulnerable
https://eservices.fema.gov/FemaFireGrantifiregrant/jsp/fire2012/application/print app.jsp... 10/15/2012
Application Number: EMW-2012-F0-06964 Page 11 of 18
structures it Is imperative that MFR members be In proper physical condition and available to effectively perform at these incidents to save lives and protect
property.
Recently, MFR had a member suffer a heart attack while at a drill. His survival, thankfully, was attributed to his rapid transportation to an appropriate
hospital. This incident could have possibly been prevented if exercise and fitness were routinely engaged. As a result of this incident, members or MFR are
highly motivated to participate in a physical fitness program, make changes to unhealthy lifestyles, and will surely utilize the physical fitness equipment
purchased with AFG grant funds.
MFR is a very busy department with over 93,000 calls per year. WW1 high workloads and low morale due to extensive pay and benefit cuts, functional
physical fitness equipment will Improve morale and decrease stress department wide.
The physical fitness equipment Is optimal for the needs of MFR, where the equipment will be used daily and ensure members health for years to come.
This equipment has been researched to assure its effectiveness and longevity. MFR will properly maintain the equipment and provide members with time
on duty to pursue physical fitness and wellness improvement.
MFR is requesting this funding to ensure it has the physical fitness equipment necessary to facilitate the improvement of physical conditioning and wellness
among all members of MFR to effectively perform at the array of incidents la which its firefighters respond.
Budget
Budget Object Class
a Personnel $ 0
h. Fringe Benefits $ 0
c. Travel $ 0
d. Equipment $ 167,720
e. Supplies $ 0
f Contractual $ 0
g. Construction $ 0
h. Other $ 0
i. Indirect Charges $ 0
j. State Taxes $ 0
Federal and Applicant Share
Federal Share $ 134,176
Applicant Share $ 33,544
Federal Rate Sharing (%) 80/20
• Non -Federal Resources (The combined Non -Federal Resources must equal he Applicant share et 5 33,544)
a. Applicant $ 33,544
b. State $ 0
c. Local $ 0
d. Other Sources $ 0
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 cast agreement with a federal agency.
Total Budget $ 167,720
https://eservices,fema. gov/FemaFireGrantlfiregrant/j sp/fire2012/appli cation/print_app, j sp... 10/15/2012
Application Number: EMW-2012-FO-06964 Page 12 of 18
Narrative Statement
For 2011 and on, the Narrative section of the AFG application has been modified. You will enter individual narratives for the Project Description,
Cost -Benefit, Statement of Effect, and Additional Information In the Request Details section for each Activity for which you are requesting funds.
Please return to the Request Details section for further Instructions. You will address the Financial Need in Applicant Characteristics II section of
the application. We recommend that you type each response In a Word Document outside of the grant application and then copy and paste It Into
the spaces provided within the application.
https://eservices.fema.gov/FemaFireGrant/firegrant/j sp/fire2012/application/piint_app.jsp... 10/15/2012
Application Number: EMW-2012-F0-06964 Page 13 of 18
Assurances and Certifications
FENA Form SF 424E
You must read and sign these assurances. These documents contain the Federal requirements attached to all Federal grants including the right
of the Federal government to review the grant activity. You should read over the documents to become aware of the requirements. The
Assurances and Certifications must be read, signed, and submitted as a part of the application.
Note: Fields marked with an' are required.
O.M.B Control Number4040-0007
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 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. 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) §§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 finandng 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.
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, 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.
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 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 S10,000 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; (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).
1Z 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 105 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 etseq.).
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.
https: //eservices.fema.gov/FemaFireGrant/firegrant/j sp/fire2012/application/print_app. j sp... 10/15/2012
Application Number: EMW-2012-F0-06964 Page 14 of 18
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 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.
Signed by Adrian Plasencia on 06(27(2012
https://eservices.fema.gov/FemaFireGnantlfiregrant/j sp/fue2012/application/print_app.j sp... 10/15/2012
Application Number: FMW-2012-FO-06964 Page 15 of 18
Form 20-16C
You must read and sign these assurances.
Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters and Drug -Free Workplace Requirements.
Note: Fields marked with an * are required.
O.M.B Control Number 1660-0025
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 10 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 redpients 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, mating 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 e 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:
(A) The applicant certifies that it will continue to provide a drug -free workplace by:
(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.
https://eservices.fema.gov/FemaFireGrant/firegrant/j sp/fire2012/application/print_app.jsp... 10/15/2012
Application Number: EMW-2012-F0-06964 Page 16 of 18
(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, Stale, 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).
(8) 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 Zip 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 Adrian Plasencia on 06/27/2012
https://eservices.fema.gov/FemaFireGrant/firegrant/jsp/fire2012/application/print app.jsp... 10/15/2012
Application Number: EMW-2012-FO-06964 Page 17 of 18
FEMA Standard Form LLL
Only complete If applying for a grant for more than $100,000 and have lobbying activities. See Form 20-16C for lobbying activities definition.
This form Is not applicable
https://eservices.fetna.gov/FemaFireGrant/firegrant/jsp/fire2012/application/print app.jsp... 10/15/2012
Application Number: FMW-2012-F0-06964 Page 18 of 18
Submit Application
Application 100% complete, Submitted
Please click on any of the following links to visit a particular section of your application. Once all areas of your application are complete, you
may submit your application.
Application Area Status
Overview Complete
Contact Information Complete
Applicant Information Complete
Applicant Characteristics (I) Complete
Applicant Characteristics (11) Complete
Department Call Volume Complete
Request Information com ete
Request Details cmnoiate
Budget Canpitle
Narrative Statement Complete
Assurances and Certifications Complete
PLEASE READ THE FOLLOWING STATEMENTS BEFORE YOU SUBMIT.
• YOU WILL NOT BE ALLOWED TO EDIT THIS APPLICATION ONCE IT HAS BEEN SUBMITTED. If you are not yet ready to submit this
application, save it, and log out until you feel that you have no more changes.
• When you submit this application, you, as an authorized representative of the organization applying for this grant, are certifying that the
following statements are true:
To the best of my knowledge and belief, all data submitted in this application are true and correct
This application has been duly authorized by the governing body of the applicant and the applicant will comply to the Assurances and
Certifications if assistance is awarded.
To sign your application, check the box below and enter your password in the space provided. To submit your application, click the Submit
Application button below to officially submit your application to FEMA.
Note: the primary contact will be responsible for signing and submitting the application. Fields marked with an • are required.
I, Adrian E Plasencia, am hereby providing my signature for this application as of 06. Jul-2012.
https://eservices. fema. gov/FemaFireGrant/firegrant/j sp/fire2012/application/print_app. j sp... 10/15/2012