HomeMy WebLinkAbout2002-091
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RESOLUTION NO. 2002-91
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RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO AUTHORIZING THE SUBMITTAL OF A GRANT APPLICATION TO
THE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) IN THE AMOUNT
OF $105,728.
BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF
SAN BERNARDINO AS FOLLOWS;
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SECTION 1. The Fire Chief or his designee is authorized to sign and submit a grant
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application to FEMA in the amount of $105,728 for San Bernardino City Fire Department's
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Wellness and Fitness Program. A copy of the grant application is attached as Attachment "A",
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and incorporated herein by reference.
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2002-91
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RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO AUTHORIZING THE SUBMITTAL OF A GRANT APPLICATION TO
THE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) IN THE AMOUNT
OF $105,728.
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I HEREBY CERTIFY that the foregoing resolution was duly adopted by the Mayor and Common
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Council of the City of San Bernardino at a i oint regular meeting thereof, held on the
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18th day of
March
, 2002, by the following vote, to wit:
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COUNCILMEMBERS AYES NAYS ABSTAIN ABSENT
ESTRADA x
LIEN x
MCGINNIS x
DERRY x
SUAREZ x
ANDERSON x
MCCAMMACK x
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Q.~U-t h. CletV,--
RachN-Clark, City Clerk
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The foregoing resolution is hereby approved this ~day of
March , 2002.
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Approved as to
Form and legal content:
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JAMES F. PENMAN,
City Attorney
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~7GJ~~,
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2002-91
Print Application
Attachrrent "A"
Page 1 of 10
Entire Application
Standard Form 424
Application Status: IN PROGRESS User: Norma Action Date: 3/1/2002
APPLICATION FOR
FEDERAL ASSISTANCE
1.TYPE OF SUBMISSION
2. DATE SUBMITTED
Applicant Identifier
3. DATE RECEIVED BY STATE State Application Identifier
NIA
Non.Construction
4. DATE RECEIVED BY
FEDERAL AGENGY
Federal Identifier
5.APPLlCANT INFORMATION
Legal Name
City of San Bernardino Fire Department
Address
200 East Third Street San Bernardino
California 92410 4889
8. EMPLOYER IDENTIFICATION NUMBER (EIN)
95.6000772
8. TYPE OF APPLICATION
New
Organizational Unit
N/A
Name and telephone number of the person to be contacted on
matters involving this application
Norma Camarena 909.384.5388
7. TYPE OF APPLICANT
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE
NUMBER 85.554
CFDA Assistance to Firefighters
TITLE Grant Program
9. NAME OF FEDERAL AGENCY
Federal Emergency Management Agency
11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT
Fire Operations and Firefighter Safety
12. AREAS AFFECTED BY PROJEGT (cities, counties, slales, etc.)
13. PROPOSED PROJECT:
Start Date:
End Date:
14. GONGRESSIONAL DISTRICTS OF:
a. Applicant
b. Project
a. Federal
b. Applicant
c. State
d. Local
e. Other
f. Program Income
105728
45312
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o
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16. IS APPLICATION SUBJECT TO REVIEW BY STATE
EXECUTIVE ORDER 12372 PROCESS?
NIA
15. ESTIMATED FUNDING
g. TOTAL
151040
17.IS THE APPLICANT DELINQUENT ON ANY FEDERAL
DEBT?
No
https://portal.fema.gov/firegrant/new/fire/print app .jsp ?prin t=true&ap number=
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Print Application
Are you a member of Fire Department or
authorized representative of a fire department?
Are you a member of Federal Fire Department or
contracted by the Federal government and solely
responsible for suppression of fires on Federal
property?
What kind of Department are you from?
If you answered combination, above, what is the
percentage of career firefighters in your department?
How would you characterize your
response/jurisdiction area?
How many active firefighters are in the
operations/EMS division of your department?
What is the square mileage for your jurisdictions
coverage area?
What is the permanent resident population of your
primary/first-response area or jurisdiction served?
How many stations are in your jurisdiction?
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
Title
Salutation
First Name
Middle Initial
Last Name
Day Phone
Evening Phone
Cell Phone
Fax
Email
Title
Salutation
First Name
Middle Initial
Last Name
Day Phone
Day Phone
Cell Phone
Fax
Email
2002-91
Page 2 of 10
Alternate Contact Information Number 1
Fire Chief
Larry
R
Pil2er
909-384-5286
909-384-5286
909-384-5281
pitzeUa@ci.san-bernardino.ca
Alternate Contact Information Number 2
Battalion Chief
Jess
Campos
909-384-5286
909-384-5286
909-384-5281
campos-ie@ci.san-bernardino.ca
yes
no
All paid/career
a suburban community
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59.3
205942
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Print Application
2002-91
fJU....UldllUII yuu ....1 Ult::l.il 1~ UVt::1 '-JU,UUU, yuu ct. t::
required to provide 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
reporting system (NFIRS)?
If you answered yes, above, please enter your
FDIN?
If you answered no, above, will you report if you
receive this grant?
What services does your department provide?
. The total number of fire related fatalities in your
jurisdiction over the last three years?
. On average, how many runs per year does your
department make?
. How many times have you received
Mutual/Automatic Aid?
. How many time have you given Mutual/Automatic
Aid?
Page 3 of 10
yt::::i
yes
36195
EMS (transportation) Fire Rescue (auto extrication,
etc.) EMS (non-transportation) Hazmat
. What is the percentage of your annual operating
budget that is dedicated to personnel costs?
. What percentage of your annual operating budget is derived from:
Taxes? 100 %
Grants?
Donations?
Fund drives?
Vehicle Profiles
. What is the age of your oldest First Line vehicle?
. What is the age of your newest First Line vehicle?
. What is the highest mileage tor your First Line
vehicles?
'What is the lowest mileage for your First Line
vehicles?
86 %
0%
0%
0%
16 + years
o . 5 years
Over 30,000
0-10,000
'How many vehicles do you have within your department by the category specified below?
First Line Reserve
a. Engines (or pumpers): 11 5
b. Aerial Apparatus: 2 1
c.Tankers: 2 0
d. Rescue Vehicles: 3 0
e. Other: 5 0
. List all vehicles owned and/or operated by your department, including the year of manufacture and mileage
of each vehicle:
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Page 4 of 10
Department Call Volume
How many responses per year by category?
Structure Fire
Vehicie Fires
Vegetation Fires
EMS and Rescue
Hazardous Condition/Materials Calls
Service Calls
Good Intent Calls
False Alarms
Other Calls and Incidents
318
298
355
18500
37
82
132
254
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Request Information
1. Activities of grant for which the funding has been applied via this
application.
FireFighting Equipment
Personnel Protective Equipment
Wellness and Fitness Programs
Training
No
2, Will this grant benefit more than one department?
3. If you answered Yes to Q3 above, please specify how?
Activity Number of Entries Total Cost Additional Funding
Firefighting Equipment 0 $ 0 $ 0 Personal Protective Equipment 0 $ 0 $ 0 Wellness and Fitness Programs 1 $
151040 $ 0 Training 0 $ 0 $ 0
Federal Rate Sharing (%)
Budget Object Class
a. Personnel
b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
f. Contractual
g. Construction
h. Other
i. Indirect Charges
Budget Source
Federal Share
Applicant Share
Total Budget
70/30
$ 12,000
$0
$0
$111,390
$ 2,500
$ 21,150
$0
$ 4,000
$0
$ 105,728
$ 45,312
$151,040
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. Print Application
2002-91
Page 5 of 10
Narratives
Please provide your narrative statement in the space provided below:
THE PROJECT THAT WE ARE REQUESTING TO BE FUNDED: The City of San Bernardino Fire
Department has no existing wellness and fitness program, nor a complete immunization porogram. Our
request for funding will assist in implementing a complete wellness and fitness program that will offer both the
entry physical examination and immunization program for all our fire safety personnel. Partcipation in the
wellness and fitness program would be mandatory for all fire safety personnel, non punitive. The wellness and
fitness program is intended to decrease the risk of death and strengthen their mental and physical capabilities
to withstand the stresses and stratins of their job. Firefighters respond to emergency incidents that require
extreme physical output and often result in negative physiological and psychological outcomes. Such
situations, over time can and will effect the overall wellness and fitness of our firefighters and emergency
responders. An adequate wellness and fitness program could minimize or eliminate these negative effects.
To ensure that our firefighters are physically and emotionally healthy to work in their fire service position, we
are committed to develop and implement a wellness and fitness program. Our firefighters will have the
opportunity to benefit from medical fitness and physical fitness assessment. The program is designed to
improve the health and longevity of our firefighters, increase their productivity and performance and provide a
cost-effective service to the community. The City of San Bernardino Fire Department wellness and fitness
program will follow the standard guidelines according to the Fire Service Joint Labor Management
Well ness/Fitness Initiative that was developed between the International Association of Fire Chiefs and the
International Association of Firefighters. HOWE WE PLAN TO USE THE GRANT FUNDS FOR EACH
MAJOR BUDGET ACTIVITY AS LISTED ON THE BUDGET FORM: To ensure the most efficient use of any
funds, we developed a Wellness and Fitness Committee to determine what is essential for our fire
department to implement the program. The following expenditures will commence the program in order to
benefit the health and safety of our firefighters. Personnel: $12,000 requested. This amount is budgeted for
fitness tests and trainer consultants to instruct and recommend to our firefighters the proper usage of the
equipment purchased for their health and safety. Fringe Benefits: $ 0 requested. Travel: $0 requested.
Equipment: $103,370 requested. The City of San Bernardino Fire Department has 12 fire stations and 2
battalion chief headquarters which are staffed by career firefighters. The equipment we intend to purchase
includes 12-lifefitness dual adjustable pulley, 12-lifefitness adjustable flat to incline bench with wheels, and
14-stairmaster stepmill7000PT with polar HR. Currently, no complete sets of equipment are located through
out our fire stations. Supplies: $2,500 requested. The cost of books and training aids will be paid for with
grant funds and will include a training log for each participant. Contractual: $21,150 requested. This cost is
associated with medical evaluation for each fire safety employee. This cost is projected at $150 per member.
The type of tests that the medical group will provide for each employee is physical evaluation, body
composition, laboratory test, audiometry, EKG, treadmill test, pulmonary function lung capacity/flow rate,
CBC, Lipid Test, and Chempanel. The physical and medical assessment will indicate where their weakness
and strengths are and what areas the firefighter needs to improve/concentrate. In addition, the medical
evaluation will assure that their overall health is not affecting their ability to perform. Construction: $0
requested. Other: $4,000 requested. Testing equipment needs to be purchased to evaluate all firefighters on
a semi-annual basis. The tests will determine oxygen uptake levels, strength, percent body fast, and flexibility.
WHY THIS PROGRAM WOULD BE BENEFICIAL TO OUR COMMUNITY AND/OR OUR DEPARTMENT:
Our department serves an area that demands a high level of fitness for on duty personnel. A program to
improve overall health and fitness would have a direct impact on the citizens of this community. The
community we serve will benefit by having firefighters responding to emergencies that are medically,
physically, and mentally in shape to perform their duties in a professional manner. These characteristics will
allow personnel to perform their physical tasks at a higher level with increased safety while maintaining their
mental alertness. Fire Department personnel will benefit by having access to a wellness and fitness program
that is positive, educational, and rehabilitating. Our program will strive to improve the overall wellness and
quality of life for our employees, maintaining a fit, healthy and capable firefighter throughout their career.
Another benefit for our City is a long-term financial saving. Injury and sick leave usage will be reduced;
thereby, controlling overtime costs and medical costs to the City, worker's compensation claims and other
indirect costs associated with injuries on and off the job. Work related injuries absorb sufficient amount of
allocated payroll costs and reduce services in other areas. Improved performance and reduced accident
and/or injury related costs, will have a direct and noticeable impact on our community. Benefits of reduced
service costs and increase of employees morale will directly enhance the safety of the City's fire personnel
and citizens. WHY THIS PROJECT CANNOT BE FUNDED SOLELY THROUGH LOCAL FUNDING: The City
of San Bernardino Fire Department currently has no firefighter wellness and fitness program. To establish an
overall wellness and fitness program requires $143,020 to accomplish the program beyond the initial phase.
This expense has not been attainable through traditional budgeting workshops. ADDITIONAL RELEVANT
INFORMATION THAT WE WOULD LIKE YOU TO CONSIDER WHEN EVALUATING OUR APPLICATION:
The City of San Bernardino Fire Department serves a resident population of over 205,942 and covers a
diverse service area of 59.3 square miles. In this service area there is approximately 19 miles of
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Page 6 of 10
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three major interstate freeways. The City of San Bernardino Fire Department staffs eleven fire engine
companies, 1 aircraft rescue firefighting vehicle, and two aerial truck companies housed in twelve stations in
the City. Also, under a unique partnership with the San Manuel Band of Mission Indians we provide fire and
emergency services to the San Manuel Indian Reservation. The City of San Bernardino Fire Department has
been actively attempting to implement a program but has been unable to secure adequate funding. Our
department has developed a program and its implementation is geared towards success with your support.
If you received a grant award in the 2001 process, does
your current request relate to your 2001 award?
Assurances Non-Construction Programs
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. 88-3S2) 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 6101-106), 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-
7~?R\ whir.h limit thA nnlitir.~1 ~r.tivitiAo::. of Amnlm/APo::. whno::.p nrinr.in~1 Amnlnvm,::mt
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2002-91
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activities are funded in whole or in part with Federal funds.
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 Speciai 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 pertormed 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, hospitais, and other non-profit organizations.
Signed by Norma on 2002-03-01 16:04:01.0
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 reguiations 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.
1. LOBBYING
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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 instructions. This 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 lhe award
documents for all the subawards at all tiers (including subgrants, contracts under grants and
cooperative agreements and subcontract(s)) and that all sub recipients shall certify and disclose
accordingly.
2, Debarment, Suspension and Other Responsibiiity 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 17.51 O-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 embezziement, lheft, forgery, bribery, falsification or destruction of records,
making false statements, or receiving stolen property.
(e) 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 dBfined 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) Establishina an on-aoina drua free awareness proaram to inform emplovees
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2002-91
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).
(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
200 East Third Street San Bernardino California
1201 West Ninth Street San Bernardino California
2121 North Medical Center Drive San Bernardino California
2641 North E Street San Bernardino California
1640 Kendall Drive San Bernardino California
1920 Del Rosa Avenue San Bernardino California
282 W 40th Streel San Bernardino California
3398 East Highland Avenue Highland California
202 Meridian Avenue San Bernardino California
502 South Arrowhead Avenue San Bernardino California
450 Vanderbilt Way San Bernardino California
https:llportal.ferna.gov/firegrantlnew/fire/princapp.j Sp ?print=true&app _ n urn ber=
Page 9 of 10
Zip
92410 -4889
92411 -2213
92411.1289
92405.3425
92407 .2800
92404 -5641
92407.3706
92346 -2106
92410 -1330
92346 -2040
92408.3552
03/0512002
. Print Application
2002-91
Page 10 of 10
Signed by Norma on 2002.03.01 16:04:01.0
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.
1. Type of Federal Action
Disclosure of Lobbying Activities
2. Status of Federal Action 3. Report Type
4. Name and Address of Reporting Entity:
5. If Reporting Entity in NO.4 is a Subawardee, Enter Name and Address of
Prime:
6. Federal DepartmenVAgency
7. Federal Program NamelDescription
8. Federal Action N umber if Known:
9. Award Amount if known
10a. Name and address of Lobbying Registrant:
(if individual, last name, first name, MI)
1 Db. Individuals Performing Services:
(including address if different from NO.1 Oa)
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/princapp.jsp ?prin t=true&app _n umber-
03/05/2002