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Home My WebLink About2002-062 FEMA Grant App - FirePrint Application Page 1 of 20 Entire Application Applicant Information Standard Form 424 Application number is 18511 Application Status: SUBMITTED User: Robert Cockell Action Date: 4~5~2002 Application signed by Robert Cockell on 41512002 APPLICATION FOR 2. DATE SUBMITTED Applicant Identifier FEDERAL ASSISTANCE 2002-04-05 00:00:00.0 18511 1 .TYPE OF SUBMISSION 3. DATE RECEIVED BY STATE State Application Identifier N/A Non-Construction 4. DATE RECEIVED BY Federal Identifier FEDERAL AGENCY 2002-04-05 00:00:00.0 5.APPLICANT INFORMATION Legal Name Organizational Unit Ashland Fire & Rescue N/A Address Name and telephone number of the person to be contacted on 455 Siskiyou Blvd Ashland matters involving this application Oregon 97520 1850 Robert Cockell 541-482-2770eXt 6. EMPLOYER IDENTIFICATION NUMBER (EIN) 7. TYPE OF APPLICANT 936002117 City also serving county 8. TYPE OF APPLICATION 9. NAME OF FEDERAL AGENCY New Federal Emergency Management Agency 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT NUMBER 85.554 Firefighting Vehicle CFDA Assistance to Firefighters TITLE Grant Program 12. AREAS AFFECTED BY PROJECT (cities, counties, states, etc.) 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Date: a. Applicant End Date' b. Project 15. ESTIMATED FUNDING 16. is APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. Federal 207000 N/A b. Applicant 23000 c. State 0 d. Local 0 e. Other 0 f. Program Income 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? g. TOTAL 230000 No https ://portal. fema. gov/firegrant/new/fire/print_app.j sp?print--true&app_number= 18511 7/15/02 Print Application Contact Information Page 2 of 20 Application number is 18511 Alternate Contact Information Number 1 Title Fire Chief Salutation Mr. First Name Keith Middle Initial E Last Name Woodley Day Phone 541-482-2770 Evening Phone 541-482-2770 Cell Phone Fax 541-488-5318 Email woodleyk@ashland.or.us Alternate Contact Information Number 2 Title Asst. Fire Chief/ Fire Marshal Salutation Mr. First Name David Middle Initial K Last Name Hard Day Phone 541-482-2770 Evening Phone 541-482-2770 Cell Phone Fax 541-488-5318 Email hardd@ashland.or.us https://portal. fema. gov/firegrantlnew/fire/print_app. j sp?print=true&app_number=18511 7/15/02 Print Application Department Characteristics (1) Page 3 of 20 Application number is 18511 Are you a member of Fire Department or authorized representative of a fire department? yes Are you a member of Federal Fire Department or contracted by the Federal government and solely no responsible for suppression of fires on Federal property? What kind of Department are you from? All paid/career If you answered combination, above, what is the percentage of career firefighters in your department? How would you characterize your response/jurisdiction a suburban community area? How many active firefighters are in the 25 operations/EMS division of your department? What is the square mileage for your jurisdictions 650 coverage area? What is the permanent resident population of your 31000 primary/first-response area or jurisdiction served? How many stations are in your department? 2 What is your department's average response time? 14 (minutes) If the population you protect is 50,000 or less, you are required to provide a Non-Federal cost-share equal to 10 percent of the total project cost. If the population you protect is over 50,000, you are required to provide yes a Non-Federal cost-share equal to 30 percent of the total project cost. Are you willing to comply with this requirement? Do you currently report to the national fire incident yes reporting system (NFIRS)? If you answered yes, above, please enter your FDIN? 0012 If you answered no, above, will you report if you receive this grant? What services does your department provide? EMS (transportation) Fire Rescue (auto extrication, etc.) https://portal.fema. gov/firegrantlnew/fire/print_app.j sp?print=true&app_number=18511 7/15/02 Print Application Department Characteristics (II) Page 4 of 20 Application number is 18511 * What is the total number of fire related fatalities in 1 your jurisdiction over the last three years? • On average, how many runs per year does your 2650 department make? In an average year, how many times does your 16 department receive mutual/automatic aid? . In an average year, how many times does your 50 department provide mutual/automatic aid? x What is the percentage of your annual operating 80 % budget that is dedicated to personnel costs? . What percentage of your annual operating budget is derived from: Taxes? 100 % Grants? 0% Donations? 0 % Fund drives ? 0% Vehicle Profiles What is the age of your oldest First Line vehicle? 16 + years *What is the age of your newest First Line vehicle? 0 - 5 years „ What is the highest mileage for your First Line Over 30 000 vehicles? , What is the lowest mileage for your First Line 20 001- 30 000 vehicles? , , •How many vehicles do you have within your department by the category specified below? First Line a. Engines (or pumpers): 2 1 b. Aerial Apparatus: 0 0 c.Tankers: 0 0 d. Rescue Vehicles: 2 3 e. Other: 5 0 Reserve * List all vehicles owned and/or operated by your department, including the year of manufacture and mileage of each vehicle: Engines-3 1973/1993 Brush pick-up-2 1991/1995 Rescue ambulance-5 1984/1998 Staff/support vehicles-3 1997/1999 Engines-31973/1993 Brush pick-up-2 1991/1995 Rescue ambulance-5 1984/1998 Staff/support vehicles-3 1997/1999 https:Hportal.fema.gov/firegrant/new/fire/print_app.j sp?print=true&app_number=18511 7/15/02 Print Application Department Call Volume Page 5 of 20 Application number is 18511 Department Call Volume How many responses per year by category? Structure Fire 58 Vehicle Fires 16 Vegetation Fires 95 EMS and Rescue 2102 Hazardous Condition/Materials Calls 36 Service Calls 94 Good Intent Calls 60 False Alarms 228 Other Calls and Incidents 0 https://portal.fema.gov/firegrantlnew/fire/print_app.j sp?print=true&app_number=18511 7/15/02 Print Application Page 6 of 20 Request Information Application number is 18511 Request Information 1. Activities of grant for which the funding has been applied via this FireFighting Vehicles application. 2. Will this grant benefit more than one department? Yes 3. If you answered Yes to Question 2 above, please specify how? Through our extensive mutual aid/auto aid agreements. These are local, county, state and federal. We work closly with ajoining jurisdictions and share joint responsibility for a very large wildland urban interface. We are part of county and state task force/strike team response groups. Also, act under the Washington/Oregon interface coflagration act. This vehicle would be our first choice to send on such assignments. https://portal.fema. gov/firegrantlnew/fire/print_app.j sp?print=true&app_number=18511 7/15/02 Print Application Page 7 of 20 Activity Number of Entries Total Cost Additional Funding Firefighting Vehicles 1 $ 230000 $ 0 https://portal.fema.gov/firegrantlnew/fire/print_app jsp?print=true&app_number=18511 7/15/02 Print Application Firefighting Vehicles Vehicle Details Page 8 of 20 *1. What type of vehicle will you use the grant funds to Type I-VI purchase? `If you answered other above, please specify ICS type III Wildland Urban Interface Pumper *2. Cost : $ 230000 *3. The purpose for this grant is to: New Initial purpose *4. How many vehicles of the type you are replacing 0 (purchasing) does your department currently own? *5. What is the newest (age) primary response vehicle in this N/A class you currently own? *6. What is the oldest (age) primary response vehicle in this N/A class you currently own? *7. What is the mileage on the primary response vehicle you 0-10 000 are purchasing (replacing)? , *8. Will this grant be used primarily for a Rapid Intervention No Team (RIT)? *9. Indicate the average number of annual responses for the 250 the vehicle you are replacing (purchasing): https://portal.fema.gov/firegrantlnewlfire/Print_app.j sp?print=true&app_number=18511 7/15/02 Print Applicatioii Additional Funding Page 9 of 20 Firefighting Vehicle Budget Object Class a. Personnel $ 0 b. Fringe Benefits $ 0 c, Travel $ 0 d. Equipment $ 0 e. Supplies $ 0 f. Contractual $ 0 g. Construction $ 0 h. Other $ 0 i. Indirect Charges $ 0 Explanation: https: //portal. fema. gov/firegrant/new/fire/print_app. j sp?print=true&app_number= l 8 511 7/15/02 Print Application Page 10 of 20 Total Budget Application number is 18511 Budget Object Class a. Personnel $ 0 b. Fringe Benefits $ 0 c. Travel $ 0 d. Equipment $ 230,000 e. Supplies $ 0 f. Contractual $ 0 g. Construction $ 0 h. Other $ 0 i. Indirect Charges $ 0 Indirect Cost Details Agency Indirect Cost Agreement with Indirect Cost Rate % Agreement Summary Budget Source Federal Share $ 207,000 Applicant Share $ 23,000 Federal Rate Sharing {%) 90/10 Non-Federal Resources (The combined Non-Federal Resources must equal the Applicant Share) Applicant $ 23,000 State $ 0 Local $ 0 Other $ 0 Other Resources Explanation Total Budget $ 230,000 https:llportal.fema.gov/firegrantlnew/fire/print_app.j sp?print=true&app_number=18511 7/15/02 Print Application Narrative Statement Application number is 18511 Narratives Please provide your narrative statement in the space provided below: Narrative Statement What is the project that we are requesting to be funded? Page I I of 20 The spec, bidding and purchase of one (1) new ICS Type III, Wildland Urban Interface fire engine. The purpose of this new piece of equipment is to increase both firefighter and community safety. This will be accomplished by providing a mobile (4X4), extremely maneuverable apparatus, designed to meet the needs of our steep, narrow roads, dense interface population and extreme wildland fuels problem. How do we plan on using the grant funds requested on the budget form? If awarded funds under "Firefighting Vehicles" we will be purchasing a new Wildland Urban Interface engine. This is an ICS Type III engine and will be the first of its kind to be owned or operated by Ashland Fire & Rescue. This engine will have the ability to operate with agility on the 30+% grades of our residential interface areas while still packing the fire-power needed to safely and quickly initial attack both wildland and structural fires. Also, this engine will be used for daily and seasonal automatic and mutual aid responses to county, state and federal agencies. Why will this program be beneficial to our community and to our department? After the devastating fire season of 2000, the President of the United States directed the Secretaries of Agriculture and the Interior, with input from state government, to develop a list of the urban wildland interface communities at highest risk of catastrophic wild fire. This list was based on three very specific criteria: Fire behavior potential, values at risk and infrastructure. As we have known for many years, Ashland Oregon was ranked at the top of the list. The community of Ashland most closely represents a community in the classic urban interface setting. Our city contains a high density of homes, businesses, and other facilities that continue across the interface. There is a lack of defensible space from which firefighters can safely work to provide protection. Our community watershed for municipal water is at high risk of being burned compared to other watersheds within the geographic region. There is a high potential for economic loss to our community and potential for high loss of houses and businesses. There are also unique cultural, historical and natural heritage values at risk. As other major, wildland urban interface fires have all too frequently demonstrated the greatest loss potential for our community would be the death or injury of our firefighters and citizens. This is where the proposed Type III engine will be at greatest benefit. The shorter wheel base, tighter turning radius and lighter weight of this Type III engine will give us the ability to negotiate the tight, twisting driveways, narrow bridges and endless miles of overgrown roadway in our interface. Firefighters will bring with them 500 gallons of water a 500 GPM pump and 30 gallons of class "A" foam along with the necessary personnel (2-in 2- out) and equipment to combat either wildland or structure fires. In the past we have looked to our small pick-up trucks with 30 GPM pumps to undertake this formidable task. These vehicles have been ineffective for some time. For the most part our large Type I engines lack the ability to maneuver in our interface and in many cases cannot get close enough to the residence to initiate protection measures or fire attack. The size of our Type I engines and the topography of our interface, make a timely and safe retreat during a wildfire incident all but impossible. In the wildland urban interface we must maintain the ability to arrive safely with the appropriate equipment and resources, make a quick initial attack and when necessary expedite the safe withdrawal of our people. These https://portal.fema.gov/firegrant/new/fire/print_app jsp?print=true&app_number=18511 7/15/02 Print Application Page 12 of 20 three components can mean the difference between a successful response and the loss of life to both firefighters and civilians. As demonstrated above, we believe the need is large and the benefits to the community and department are many. The first being increased firefighter safety while operating in the wildland urban interface. Second, the ability to provide quick initial attack (NFPA, Standard Time Temperature Curve) in hard to access areas prior to fires growing out of control will surely reduce the potential for untold human and economic loss to our community. Why can't this project be funded solely through local funding? Our department's budget is funded solely through the city of Ashland's general fund. In recent years, the city has taken on a number of large projects, such as: Financial aid to homeowners who reside within the city's vast wildland urban interface. This financial assistance is on going and provided for fuels reduction around the residences. Since 1996 the fire department has spent $30,000 per year in this important endeavor. We were recognized this month for leading our state in reducing the impact of a major fire in our wildland urban interface. For the first time in 2001 Ashland Fire & Rescue received moneyies to assist with this project through the National Fire Plan. Because of our standing as one of the nations highest risk communities we hope to receive additional aid in 2002. However, these funds can only be used for hazard reduction (fuels). Next, DEQ has required major changes (28 million) to our city's new, nearly completed wastewater treatment facility. These changes were unexpected and unfunded. Additionally, our department's budget growth has been capped at 3% for a number of years due to local and state economic trends. Currently the citizens of Oregon have passed a tax limitation, which makes the establishment of new taxes virtualy immpossible. Finally, we have many high life safety protection issues outside the interface. A few of these are; multiple low/high rise buildings including hotels and college dormitories, four large nursing home facilities, dozens of motels, a 140 year old downtown commercial district, a hospital and airport. These occupancies forced the department to replace (2002) one of our (2) first out Type I engines, a 22-year old Seagrave pumper plagued by ongoing safety and mechanical problems. With the construction and occupancy types located within our protection area, the ability to move volumes of water with LDH and high capacity pumps is a necessity. The purchase of this replacement Type I pumper has made it impossible to consider the purchase of this much needed interface engine without assistance in the form of this grant. We would like you to consider this additional information: Ashland Fire & Rescue provides fire suppression and EMS services to the 21,000 citizens of the city of Ashland Oregon and fire based ALS transport and auto-aid fire response to 10,000 county residents in the surrounding area. We serve a largely rural area with the heart of the city considered suburban. The city abuts the wildland of the rugged Siskiyou and Cascade Mountains on three sides. The growth of the past decade has led to a large number of people living within the Ashland wildland urban interface. Given the potentially explosive nature of fire in this area, a significant number of lives could be lost in a major wildfire event. This is a result of a combination of factors, including extreme fire hazard; extreme risk of ignition within an area of moderate to steep topography; limited and restricted access that hinders egress and rapid escape of our type I engines in a wildfire event; and the highly flammable nature of some of the homes that could ultimately contribute to wildfire behavior if allowed to become involved. Furthermore, the likelihood of at least partial (or worse) ineffectiveness of suppression efforts in a major wildfire event is to be expected based on our current equipment capabilities. These characteristics are similar to those in the Oakland Hills fire in 1991 when 25 lives were lost. The Ashland interface is dominated by a significant number of residences, structures, and other values-at-risk. Many of those values-at-risk would be lost in a significant wildfire event, at considerable loss to individuals and the community. In fact many homes have been constructed in areas that lie in the path of previous wildfire in the Ashland interface, such as the 750-acre Hillview fire and the 4000-acre 1959 wildfire in the north end of our wildland urban interface. Two key factors will dictate the success of our fire department and community in our growing wildland urban interface: 1) The well planned, systematic reduction of wildland fuels in and adjacent to the interface. Ashland Fire & Rescue has worked hard for many years to mitigate or at least reduce the scale and intensity of a wildfire event through our well-recognized fuels reduction program. We are currently working with state and https://portal.fema.gov/flregrantlnew/fire/print_app.j sp?print=true&app_number=18511 7/15/02 Print Application Page 13 of 20 federal agencies in an attempt to meet the new criteria set forth in Oregon Senate Bill 360-"Oregon Forest-Land Urban Interface Fire Protection Act'. 2) The ability to provide safe and quick access to the fire with the appropriate equipment will allow for quick initial attack and ultimate containment before small fires explode into larger, catastrophic wildfire. We possess the heart, knowledge and experience to undertake the greatest threat to life and property in the city of Ashland- a wildland urban interface fire. However, we still lack the appropriate tool to accomplish the task. We hope this year's Assistance to Firefighters Grant will provide us the necessary resources to protect our firefighters and citizens. If you received a grant award in the 2001 process, does No your current request relate to your 2001 award? https://portal.fema.gov/firegrantlnew/fire/print_app.j sp?print=true&app_number=18511 7/15/02 PrinL application Assurances And Certification Application number is 18511 Assurances Non-Construction Programs Page 14 of 20 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 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 constitute or presents the appearance of personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. Section 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. Sections 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (20 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 6101106), 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) Comprehensive Alcohol Abuse and Alcohol Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating nondiscrimination on the basis of alcohol abuse alcoholism; (g) sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290-dd-3 and 290-ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Section 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute under which application for Federal assistance being made; and (j) the requirements of any other nondiscrimination statute(s) which may apply to application. 7. 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 fair and equitable treatment of persons displaced whose property is acquired as a result of Federal federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply with the provisions of the Hatch Act (5 U.S.C. Sections 1501-1508 and 7324- 7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. https://portal.fema. gov/firegrant/new/fire/print_app. j sp?print=true&app_number=18511 7/15/02 Print Application Page 15 of 20 9. Will comply, as applicable, with the provisions of Davis-Bacon Act (40 U.S.C. Section 276a to 276a-7), Copeland Act (40 U.S.C. Section 276c and 18 U.S.C. Sections 874), and the Contract Work Hours and Safe 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. 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. Section 1451 et seq.); (f) conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. Section 7401 et seq.); (g) protection of underground source of drinking water under the Safe Drinking Water Act of 1974, as amended, (PL 93- 523); and (h) protection of endangered species under the Endangered Special Act of 1973, as amended, (P.L. 93-205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Section 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification protection of historic properties), and Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.) 14. Will comply with P.L. 93-348 regarding protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. Section 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. 19. It will comply with the minimum wage and maximum hours provisions of the Federal fair Labor Standards Act (29 U.S.C 201), as they apply to employees of institutions of higher education, hospitals, and other non-profit organizations. Signed by Robert Cockell on 2002-04-05 09:17:57.0 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 28 CFR Part 17, "Government-wide Debarment and suspension (Nonprocurement) 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 Federal Emergency Management Agency (FEMA) determines to award the covered transaction, grant, or cooperative agreement. https://portal.fema. gov/firegrantlnew/fire/print_app.j sp?print=true&app_number=18511 7/15/02 Print Application Page 16 of 20 1. LOBBYING A. As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons into a grant or cooperative agreement over $100,000, as defined at 44CFR Part 18, the applicant certifies that: (a) No federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with the making of any federal grant, the entering into of any cooperative agreement and extension, continuation, renewal amendment or modification of any Federal Grant or cooperative agreement. (b) If any other funds than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure of Lobbying Activities", in accordance with its instruction s.Th is form must be attached to certification if nonappropriated funds are to be used to influence activities. (c) The undersigned shall require that the language of this certification be included in the award documents for all the subawards at all tiers (including subgrants, contracts under grants and cooperative agreements and subcontract(s)) and that all subrecipients shall certify and disclose accordingly. 2. Debarment, Suspension and Other Responsibility Matters (Direct Recipient) As required by Executive Order 12549, Debarment and Suspension, and implemented at 44CFR Part 67, for prospective participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17.510-A, the applicant certifies that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency. (b) Have not within a three-year period preceding this application been convicted of or had a civilian judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain or perform a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. (c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification: and (d) have not within a three-year period preceding this application had one or more public transactions (Federal, State, or local) terminated for cause or default; and B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application. 3. Drug-Free Workplace (Grantees other than individuals) As required by the Drug-Free Workplace Act of 1988, and implemented at 44CFR Part 17, Subpart F, for grantees, as defined at 44 CFR part 17, Sections 17.615 and 17.620: (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, https ://portal. fema. gov/firegrantlnewlfire/print_app. j sp?print=true&app_number=18511 7/15/02 Print Application distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing an on-going drug free awareness program to inform employees about: (1) The dangers of drug abuse in the workplace; (2) The grantees policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; (c) Making it a requirement that each employee to be engaged in the performance of the grant to be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will: (1) Abide by the terms of the statement and (2) Notify the employee in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction. (e) Notifying the agency, in writing within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to the applicable FEMA awarding office, i.e. regional office or FEMA office. (f) Taking one of the following actions, against such an employee, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted: (1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement or other appropriate agency. (g) Making a good faith effort to continue to maintain a drug free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f). Page 17 of 20 (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 Signed by Robert Cockell on 2002-04-05 09:17:57.0 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 FEMA funding. States and State agencies may elect to use a Statewide certification. https : //portal. fema. gov/fi regrantlnew/fire/print_app. j sp?print=true&app_pumber=18511 7/15/02 Print Application Page 18 of 20 Disclosure of Lobbying Activities 1. Type of Federal Action 2. Status of Federal Action 3. Report Type & Tier(if known) 4. Name and Address of Reporting Entity( Reporting Entity 5. If Reporting Entity in No.4 is a Subawardee, Enter Name and Address Type.Subawardee): of Prime: 6. Federal Department/Agency 8. Federal Action Number if Known: 10a. Name and address of Lobbying Registrant: (if individual, last name, first name, MI) 7. Federal Program Name/Description 9. Award Amount if known 10b. Individuals Performing Services: (including address if different from No.10a) Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. https://portal.fema.gov/firegrantlnew/fire/print_app.j sp?print=true&app_number=18511 7/15/02 Print Application Additional Applicant Information Additional Information This fiscal year, are you receiving Federal funding from any other grant program for the same purpose for which you are applying for this grant? This fiscal year, are you receiving Federal funding from any other grant program regardless of purpose? Is the applicant delinquent on any federal debt? If yes, type explanation Mailing Address Mailing Addressl Mailing Address2 City State Zip No Yes No 455 Siskiyou Blvd Ashland Oregon 97520-1850 Page 19 of 20 https://portal.fema.gov/firegrant/new/fire/print_app jsp?print=true&app_number=18511 7/15/02 Print Application Page 20 of 20 https://portal.fema.gov/firegrantlnew/fire/print_app jsp?print=true&app_ lumber=18511 7/15/02 31' 1 1 y7N SECTION 1 (TO BE COMPLETED BY PAYEE) Standard Form 1199A A ORGANIZATION NAME D TYPE OF DEPOSITOR ACCOUNT Ashland Fire & Rescue Checking ADDRESS (street, route, P.O. Box, APO/FPO) E DEPOSITOR ACCOUNT NUMBER 455 Siskiyou Blvd CITY STATE ZIPCODE Ashland Oregon 97520 -1850 B NAME OF PERSON(S) ENTITLED TO PAYMENT Robert Cockell C CLAIM OR PAYROLL ID NUMBER Suffix Prefix 93-6002117 PAYEE/JOINT PAYEE CERTIFICATION I certify that 1 am entitled to the payment identified above, and have read and understood the back of this form. In signing this form, authorize my payment to be sent to the financial institution named below to be deposited to the designated account. SI NATURE DATE 153602541069 F TYPE OF PAYMENT Other, Grant Award ragciUr, OMB No 151-0007 G THIS BOX FOR ALLOTMENT OF PAYMENT ONLY (if applicable) TYPE AMOUNT JOINT ACCOUNT HOLDERS' CERTIFICATION (optional) I certify that I have read and understood the instructions, including the SPECIAL NOTICE TO JOINT ACCOUNT HOLDERS. SIGNATURE DATE SIGNATURE DATE SIGNATURE DATE 7l / 61 Z 1 SECTION 2 (TO BE COMPLETED BY PAYEE OR FINANCIAL INSTITUTION) GOVERNMENT AGENCY NAME GOVERNMENT AGENCY ADDRESS Federal Emergency Management Agency 501 C St SW Washington DEC 12345-6789 SECTION 3 (TO BE COMPLETED BY FINANCIAL INSTITUTION) NAME AND ADDRESS OF FINANCIAL INSTITUTION ROUTING NUMBER CHECK DIGIT us 64A.K (a 3 oob 30 "u A n0 C5k a 75,0 DEPOSITOR ACCOUNT TITLE C1-4 o f A-.&U an4 - Cast to u fM o AJ ?. FINANCIAL INSTITUTION CERTIFICATION 1 confirm the identity of the above-named payee(s) and the account number and title. As representative of the above-named financial institution, I certify that the financial institution agrees to receive and deposit the payment identified above in accordance with 31 CFR Parts 240, 209, and 210. PRINT OR TYPE REPRESENTATIVE'S NAME SIGNATURE OF REPRESENTATIVE TELEPHONE NUMBER DATE kc.1-1 rn e r Shit J jSZZ l 71 16o t o t https://portal.fema.gov/firegrant/new/fire/awards/sf 1199a_p jsp 07/14/2002 Panel Review Page 1 of 8 Award Package https://portal.fema.gov/firegrantlnewlfire_adminlawards/spec/award_package jsp?agreem... 09/29/2002 Panel Review Page 2 of 8 Federal Emergency Management Agency Washington, D.C. 20472 Mr. Robert Cockell Ashland Fire & Rescue 455 Siskiyou Blvd Ashland, Oregon 97520-1850 Re: Grant No. EMW-2002-FG-18511 Dear Mr. Cockell: Congratulations. Your grant application submitted under FEMA's FY 02 Assistance to Firefighters Grant Program for Firefighting Vehicle has been approved. The approved project costs amount to $230,000.00. The Federal share is 90 pement or $207,000.00 of the approved amount and your share of the costs is 10 percent or $23,000.00. As part of your award package, you will find FEMA's Grant Agreement Articles. Please make sure you read and understand the Articles as they outline the terms and conditions of your Grant award. Maintain a copy of these documents for your official file. You establish acceptance of the Grant and FEMA's Grant Agreement Articles when you request and receive any of the Federal Grant funds awarded to you. For your convenience, we will have an on-line system that will accept payment requests, The first step to request your grant funds is to ensure that FEMA has your correct Direct Deposit Information on-line. Once you have confirmed your Direct Deposit information, print a copy of it by clicking the Print SF 1199A button on the screen. Sign the form and take it to yOur bank to complete the bottom portion of the form. Once your bank has completed and signed the form, mail it, with the original signatures, to the address below: Federal Emergency Management Agency Financial & Acquisition Management Division Grants Management Branch Attn: Assistance to Firefighters Grant Program 500 C Street, SW, Room 350 Washington, DC 20472 The second step will be to request your grant funds. The system in which you can request payments electronically will be accessible in September 2002. You will receive notification via email when you can request payments on-line. If you have any questions or concerns regarding the process to request your grant funds, please call Marilynn Grim at 202-646-3459. Sincerely, Patricia A. English Senior Procurement Executive https://p~rta~~fema~g~v/~regrant/new/~re-admin/awards/spec/award-package.jsp?agre~m~~~ 09/29/2002 Panel Review Page 3 of 8 https://portal.fema.gov/firegrantlnewlfire_adminlawards/spec/award_package.j sp?agreem... 09/29/2002 Panel Review Agreement Articles Federal Emergency Management Agency Washington, D.C. 20472 AGREEMENT ARTICLES ASSISTANCE TO FIREFIGHTERS GRANT PROGRAM GRANTEE: Ashland Fire & Rescue PROGRAM: Firefighting Vehicle AGREEMENT NUMBER: EMW-2002-FG-18511 AMENDMENT NUMBER: TABLE OF CONTENTS Article I Project Description Article II Grantee Concurrence Article III Period of Performance Article IV Amount Awarded Article V Requests for Advances or Reimbursements Article VI Budget Changes Article VII Financial Reporting Article VIII Performance Reports Article IX FEMA Officials Article X Other Terms and Conditions Article XI General Provisions Article XII Audit Requirements Article 1 - Project Description Page 4 of 8 The grantee shall perform the work described in the approved grant application's Program Narrative. That narrative is made a part of these grant agreement articles by reference. The purpose of the Assistance to Firefighters Grant Program is to protect the health and safety of the public and firefighting personnel against fire and fire-related hazards. After careful consideration, FEMA has determined that the grantee's project, as detailed in submitted project narrative and budget information, submitted as part of the grantee's application (and considered part of this agreement by reference), was consistent with the program's purpose and worthy of award. As such, any deviation from the approved program narrative must have prior written approval from FEMA. Article II - Grantee Concurrence https://portal.fema.gov/firegrantlnewlfire_adminlawards/spec/award_package jsp?agreem... 09/29/2002 Panel Review Page 5 of 8 By requesting and receiving Federal grant funds provided by this grant program, the grantee accepts and agrees to abide by the terms and conditions of the grant as set forth in this document and the documents identified below. All documents submitted as part of the application are made a part of this agreement by reference. Article III - Period of Performance The period of performance shall be from 15-AUG-02 to 14-AUG-03 The grant funds are available to the grantee for obligation only during the period of performance of the grant award. The grantee is not authorized to incur new obligations after the expiration date unless the grantee has requested, and FEMA has approved, a new expiration date. The grantee has 90 days after period of performance to incur costs associated with closeout or to pay for obligations incurred during period of performance. Award expenditures are for the purposes detailed in the approved grant application only. The grantee cannot transfer funds to other agencies or departments without prior written approval from FEMA. Article IV - Amount Awarded The amount of the award is detailed on the Obligating Document for Award attached to these articles. Following are the budgeted estimates for object classes for this grant (including Federal share plus grantee match): Personnel $0.00 Fringe Benefits $0.00 Travel $0.00 Equipment $230,000.00 Supplies $0.00 Contractual $0.00 Construction $0.00 Other $0.00 Indirect Charges $0.00 Total $230,000.00 Article V - Requests for Advances or Reimbursements Grant payments under the Assistance to Firefighter Grant Program are made on an advance or reimbursable basis for immediate cash needs. When the grantee needs grant funds, the grantee fills out the on-line Request for Advance or Reimbursement. Payments under this grant program are made via direct deposit, therefore before a payment is made, grantees must confirm their on-line Direct Deposit information, print a copy, sign it and mail (with an original signature) the hardcopy to FEMA at the following address: Federal Emergency Management Agency Financial & Acquisition Management Division Grants Management Branch 500 C Street, SW, Room 350 Washington, DC 20472 Attn: Sylvia A. Carroll Article VI - Budget Changes Generally, changes in the budget-line items are permitted, as long as the original program narrative is accomplished. The only exception to this provision is for grants where the Federal share is in excess of $100,000.00. In grants where the Federal share exceeds $100,000.00, the budgeted line items can be changed, https://portal.fema.gov/firegrantlnewlfire_adminlawards/spec/award_package jsp?agreem... 09/29/2002 Panel Review Page 6 of 8 but if the cumulative changes exceed ten (10) percent of the total budget, FEMA must approve those changes. Article VII - Financial Reporting The Request for Advance or Reimbursement mentioned above, will also be used for interim financial reporting purposes. At the end of the performance period, or upon completion of the grantee's program narrative, the grantee must complete, on-line, a final financial report that is required to close out the grant. The Financial Status Report, is due within 90 days after the end of the performance period. Article VIII - Performance Reports The grantee must submit a semi-annual and a final performance report to FEMA. The final performance report should provide a short narrative on what the grantee accomplished with the grant funds and any benefits derived there from. The semi-annual report is due six months after the award date. Article IX - FEMA Officials Program Officer: Brian A. Cowan, Chief of the Grants Program Office, is the Program Officer for this grant program. The Program Officer is responsible for the technical monitoring of the stages of work and technical performance of the activities described in the approved grant application. Grants Assistance Officer: Richard Goodman, Chief of the Grants Management Branch, or Sylvia A. Carroll, Grants Management Specialist, is the Assistance Officer for this grant program. The Assistance Officer is the Federal official responsible for negotiating, administering, and executing all grant business matters. Grants Management Specialist: Marilynn Grim 202-646-3459 is the Grants Management Specialist for this grant award and shall be contacted for all financial and administrative grant business matters. Article X - Other Terms and Conditions A. Pre-award costs directly applicable to the awarded grant are allowable if approved in writing by the FEMA program official. B. The grantee agrees to maintain their operating expenditures in the funded grant category at a level equal to or greater than the average of their operating expenditures in the two fiscal years preceding the fiscal year in which assistance is awarded. C. The grantee agrees to provide information to the National Fire Incident Reporting System for the period covered by the grant. Article XI - General Provisions The following are hereby incorporated into this agreement by reference: 44 CFR, Emergency Management and Assistance Part 7 Nondiscrimination in Federally-Assisted Programs Part 13 Uniform administrative requirements for grants and cooperative agreements to state and local governments Government-wide Debarment and Suspension (Non-procurement) Part 17 and Government-wide Requirements for Drug-free Workplace (Grants) Part 18 New Restrictions on Lobbying https://portal.fema.gov/firegrantlnewlfire_adminlawards/spec/award_package jsp?agreem... 09/29/2002 Panel Review Page 7 of 8 31 CFR 205.6 Funding Techniques OMB Circular A-122 Cost Principles for Non-Profit Organizations OMB Circular A- Uniform Administrative Requirements for Grants and Agreements With Institutions of Higher 110 Education, Hospitals, and Other NonProfit Organizations Assistance to Firefighters Grant Application and Assurances contained therein. Article XII- Audit Requirements All grantees must follow the audit requirements of OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations. The main requirement of this OMB Circular is that grantees that expend $300,000.00 or more in Federal funds (from all Federal sources) must have a single audit performed in accordance with the circular. As a condition of receiving funding under this grant program, you must agree to maintain grant files and supporting documentation for three years after the conclusion of the grant. You must also agree to make your grant files, books, and records available for an audit by FEMA, the General Accounting Office (GAO), or their duly authorized representatives to assess the accomplishments of the grant program or to ensure compliance with any requirement of the grant program. https://portal.fema.gov/firegrantlnew/fire_adminlawards/spec/award_package jsp?agreem... 09/29/2002 Panel Review Page 8 of 8 FEDERAL EMERGENCY MANAGEMENT AGENCY OBLIGATING DOCUMENT FOR AWARDIAMENDMENT 1a. AGREEMENT NO. 2. AMENDMENT 3. RECIPIENT NO. 4. TYPE OF 5. CONTROL NO. EMW-2002-FG-18511 NO. 93-6002117 ACTION W355357N AWARD 6. RECIPIENT NAME AND 7. ISSUING FEMA OFFICE AND ADDRESS 8. PAYMENT OFFICE AND ADDRESS ADDRESS FEMA/Financial and Grants Management FEMA/Financial Services Branch Ashland Fire & Rescue Division 500 C Street, S.W., Room 723 455 Siskiyou Blvd 500 C Street, S.W., Room 350 Washington DC, 20472 Ashland Washington DC, 20472 Oregon, 97520-1850 Specialist: Marilynn Grim 202-646-3459 9. NAME OF RECIPIENT PHONE NO. 10. NAME OF FEMA PROJECT COORDINATOR PHONE NO. PROJECT OFFICER 541-482-2770eXt Brian Cowan (202) 646-2821 Robert Cockell 11. EFFECTIVE DATE OF 12. METHOD OF 13. ASSISTANCE ARRANGEMENT 14. PERFORMANCE PERIOD THIS ACTION PAYMENT Cost Sharing From: 15-AUG- To:14-AUG-03 15-AUG-02 SF-270 02 Budget Period From:01-OCT- To:30-SEP-02 01 15. DESCRIPTION OF ACTION a. (Indicate funding data for awa rds or financial changes) PROGRAM CFDA NO. ACCOUNTING DATA PRIOR AMOUNT CURRENT CUMMULATIVE NAME (ARCS CODE) TOTAL AWARDED THIS TOTAL AWARD NOW ACRONYM XXXX-XXX-XXXXXX-XXXXX- AWARD ACTION FEDERAL XXXX-XXXX-X + OR (-) COMMITMENT AFG 83.554 2002-03-6410RA-64000000- $0.00 $207,000.00 $207,000.00 $23,000.00 4101-D TOTALS $0.00 $207,000.00 $207,000.00 $23,000.00 b. To describe changes other than funding data or financial changes, attach schedule and check here. N/A 16 a. FOR NON-DISASTER PROGRAMS: RECIPIENT IS REQUIRED TO SIGN AND RETURN THREE (3) COPIES OF THIS DOCUMENT TO FEMA (See Block 7 for address) 16b. FOR DISASTER PROGRAMS: RECIPIENT IS NOT REQUIRED TO SIGN This assistance is subject to terms and conditions attached to this award notice or by incorporated reference in program legislation cited above. 17. RECIPIENT SIGNATORY OFFICIAL (Name and Title) DATE N/A N/A 18. FEMA SIGNATORY OFFICIAL (Name and Title) DATE Sylvia Carroll 18-JUL-02 Go B BT k https://portal.fema.gov/firegrantlnewlfire_adminlawards/spec/award_package jsp?agreem... 09/29/2002