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CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
ORIGINAL
Subject: Resolution ratifying submittal of an on-line grant
application for the FY 2006 Staffing for Adequate
Fire and Emergency Response (S.A.F.E.R.) to the
Department of Homeland Security Federal
Emergency Management Agency.
From:
Michael J. Conrad, Deputy Chief
Dept:
Fire
Date:
June 26, 2006
MC/C Meeting Date:
July 10, 2006
Synopsis of Previous Council Action:
06/20/06
Grants Ad Hoc Committee-Item recommended for approval.
RECOMMENDATION:
Adopt resolution.
'~/-~
Signature
Contact Person: Michael J. Conrad. Deputy Chief
Phone: (909) 384-5286
Supporting data attached: Staff Report. Resolution. and Application
Ward:
Citywide
FUNDING REQUIREMENTS:
Amount:
Source:
$310.500 (oyer a 5-year period)
FEMA's Grant Funding Share
Amount:
Source:
$1.250.087 (over a 5-year period)
City's Share-To be determined upon award.
Finance:
~-eSD, ;}Dflb- 25"'3
Council Notes:
7jJDjn(P
Agenda Item No. --.31
ST AFF REPORT
SUBJECT
Resolution ratifying submittal of an on-line grant application for the FY 2006 Staffing for
Adequate Fire and Emergency Response (S.A.F.E.R.) to the Department of Homeland Security
Federal Emergency Management Agency.
BACKGROUND
The Department of Homeland Security has announced the availability of grant funding for Fiscal
Year 2006 Staffing For Adequate Fire and Emergency Response (SAFER) Grant Program. The
on-line application period opened on May 30, 2006 and is scheduled to close on June 30, 2006.
On June 20, 2006, the Fire Department attended the Grants Ad Hoc Committee to request
authorization to submit the on-line grant application (attachment A) prior to Council's approval.
The Grants Ad Hoc Committee authorized the Fire Department to proceed with submittal of the
application.
SAFER assists fire departments throughout the United States by awarding grants directly to fire
departments to enhance their ability to protect the health and safety of the public, as well as
fire fighting personnel facing fire and fire-related hazards. This is the second year Fire is
applying for the highly competitive SAFER grant. The city was not awarded during last year's
application process.
Priority for SAFER grant applications is given to those Fire Departments who are seeking grant
funding to achieve compliance with National Fire Protection Association (NFPA) 1710 -
industry standards of having a minimum of four-personnel staffing for the first arriving engine
on a fire scene. Priority is also given to applicants whose newly hired firefighters are certified at
the Firefighter I level within the first six months of emplo}ment.
The Fire Department is requesting authorization to submit an application to hire three (3) new
firefighters to provide four-person staffing at one of the fire stations which currently is staffed
with three (3) firefighters. The City of San Bernardino and the San Bernardino Professional
Firefighters have agreed through a Memorandum of Understanding that the City would fund an
additional 9 firefighter positions over the next three years. The purpose of hiring these additional
firefighters is to incrementally increase staffing of all engine companies to four personnel.
Acquisition of the SAFER grant will help offset the cost of hiring these new firefighters.
Deadline for the grant application is June 30, 2006; there are no exceptions. The performance
period for the grant will start when the grant is awarded and will end five years after the
performance period begins. The SAFER grant requires Grantees to maintain their current
staffing levels as declared at the time of application, plus the new firefighter positions,
throughout the five-year performance period.
FINANCIAL IMPACT
The Federal share of salarieslbenefits is limited to a total of $1 03,500 per position over the five-
year performance period, with the Federal share decreasing over the five-year period while the
city's share increases. The total amount needed to fund these positions is $1.560,587 for the
five-year performance period. The Department of Homeland Security's grant amount for this 5-
year period is estimated to be $310,500. The City's match is estimated to be $1,250,087 over the
5-year grant period and will have to be funded by the General Fund if no alternate source of
funding can be identified.
The total estimated amount needed to fund all three firefighter positions for the five-year period,
including both the City's match and the Department of Homeland Security's grant contribution is
detailed below:
Year One
Year Two
Year Three
Year Four
Year Five
TOTAL
U.S. Department of
Homeland Security
Grant Contribution
$111.780
$ 99,360
$ 62.1 00
$ 37.260
$ 0
$310.500
City Contribution
$ 155,562
$ 188,700
$ 248,285
$ 297,181
$ 360,359
$1,250,087
Total
$ 267.342
$ 288,060
$ 310.385
$ 334.441
$ 360359
$ L560,587
If the Fire Department is awarded this grant, a staff report requesting a budget amendment to
appropriate the required funds will be brought back to the Mayor and Common Council for
approval. The Fire Department's match, in the amount of $155,562, will need to be funded by
the General Fund in fiscal year 2006/2007 if awarded.
RECOMMENDA nON
Adopt resolution.
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I
RESOLUTION NO.
2
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO RATIFYING SUBMITTAL OF AN ON-LINE GRANT APPLICATION
FOR THE FY 2006 STAFFING FOR ADEQUATE FIRE AND EMERGENCY RESPONSE
(S.A.F.E.R.) GRANT SUBMITTED TO THE DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY.
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BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO AS FOLLOWS:
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SECTION 1. The Mayor and Common Council hereby ratify the Fire Chiefs submittal of
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the on-line grant application to the Department of Homeland Security Federal Emergency
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Management Agency for the FY 2006 Staffing For Adequate Fire and Emergency Response Grant
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Program. A copy of the on-line grant application is attached as Attachment "A", and incorporated
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herein by reference.
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#])
1
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO RATIFYING SUBMITTAL OF AN ON-LINE GRANT APPLICATION
FOR THE FY 2006 STAFFING FOR ADEQUATE FIRE AND EMERGENCY RESPONSE
(S.A.F.E.R.) GRANT SUBMITTED TO THE DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY.
2
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4
5
I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor and
6
Common Council of the City of San Bernardino at a
meeting thereof, held on the
7
day of
, 2006, by the following vote, to wit:
8
Council Members:
ABSTAIN ABSENT
AYES
NAYS
9
ESTRADA
10
BAXTER
11
MCGINNIS
12
DERRY
13
KELLEY
14
JOHNSON
15
MCCAMMACK
16
17
18
Rachel G. Clark, City Clerk
19
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The foregoing resolution is hereby approved this
day of
,2006.
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Approved as to Form:
25
JAMES F. PENMAN,
26 City Attorney
27 By: fa- 9/~
28
t1 . 2
Patrick J. Morris, Mayor
City of San Bernardino
Print Application
Page 1 of17
Entire Application
Attachment "A"
Overview
Are you a member, or are you currently involved in the management of the fire department or organization
applying for this grant with this application?
Yes, I am a member/officer of this applicant
If you answered No, please complete the information below and press the Save and Continue button. If you answered Yes,
please do not complete the information requested below and press the Save and Continue button.
Note: If you answered No to the above question, the fields marked with an . are required.
Preparer Information
. Preparer's Name
. Address 1
Address 2
. City
. State
'Zip
. Is there a grant-writing fee associated with the
preparation of this request?
If you answered yes above, what is the fee?
$
https://portal.fema.gov/firegrant/jsp/ safer2006/ application/print_ app.j sp ?print=true&app _ number=
6/13/2006
Print Application
Contact Information
Page 2 of 17
"Tille
Prefix
" First Name
Middle Initial
" Last Name
" Business Phone
"Home Phone
Mobile Phone/Pager
Fax
"E-mail
Alternate Contact Information Number 1
Disaster Coordinator
Mr.
Richard
Blackburn
909-384-5286 Ex!. 1113
909-384-5286 Ex!. 1113
909-384-5281
blackburn _ri@sbcity.org
"Title
Prefix
" First Name
Middle Initial
. Last Name
" Business Phone
"Home Phone
Mobile Phone/Pager
Fax
"E-mail
Alternate Contact Information Number 2
Fire Chief
Mr.
Larry
R
Pitzer
909-384-5286 Ex!.
909-384-5286 Ex!.
909-384-5281
pitzerJa@sbcity.org
https://portal.fema.gov/firegrant/jsp/safer2006/ app licationlprint_ app.j sp ?print=true&app _ number=
6/13/2006
Account Information
. Type of bank account
. Bank routing number - ~-9lgtl number on the bottom left hand corner
of your check
'Your account number
Additional Information
. For this fiscal year (Federal) is your jurisdiction receiving Federal
funding from any other grant program that may duplicate the purpose No
and/or scope of this grant request?
. If awarded this grant, will your jurisdiction expend greater than
$500,000 in Federal share funds during the Federal fiscal year in Yes
which the grant was awarded?
, Is the applicant delinquent on alJYfederal 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 San Bernardino has been awarded the Metropolitan Medical Response System and funding in the amount of $220,000
has been awarded for FY 2005 for the purchase of medical supplies, deployable shelters systems, video conferencing, in suit
communications for SCBAs, and respirator fit tester.
Print Application
Applicant Information
, Organization Name
'What kind of organization do you represent?
If you answered combination, above, what is the percentage of career %
members in your organization?
. Type of Jurisdiction Served
If other, please enter the type of Jurisdiction
'E:l1JpIOYerldentification Number
. Are you sharing an EIN with another organization?
If yes, please enter the name of the entity with whom you share an EIN
, Does your organization have a DUNJLNJJfl1P_er'?
If yes, please enter the DUNS Number
Headquarters Physical Address
, Physical Address 1
Physical Address 2
'City
. State
'Zip
Mailing Address
, Mailing Address 1
Mailing Address 2
'City
. State
'Zip
Page 3 of 17
City of San Bernardino Fire Department
All Paid/Career
City
95-6000772
No
Yes
143532153
200 East Third Street
San Bernardino
California
92410 - 4889
Need helo fOL~JP+4?
200 East Third Street
San Bernardino
California
92410 - 4889
-""lee(iJl!=l_[P_fQL~le.:!:11
Checking
121000248
4159283308
https://portal.fema.goy/firegrant/jsp/safer2006/ app lication/print _ app.j sp ?print=true&app _ number=
6/13/2006
. How many commercial, industrial, residential, or institutional
structures in your jurisdiction are more than four stories tall?
. What is the permanent resident population of your
Plim]3-D'lfir~t,Pwe Response Area or iurisdiction served?
. Please indicate if your department has an automatic/mutual
aid agreement with another community or fire department and Mutual aid
the type of agreement that exists.
The goal is for SAFER grantees to enhance their ability to attain 24-hour staffing and thus assuring their communities have
adequate protection from fire and fire-related hazards. The following questions are designed to help us understand the changes that
will occur in departments receiving grants.
For the following 4 questions only list the number of "firefighter" positions. Do not include company or command officer positions.
. At the time of application, how many authorized and funded
active, full-time firefighter positions are in your department?
. At the time of application, how many active volunteer
firefighters are in your department?
. If awarded this grant, how many authorized and funded active 154
full-time firefighter positions will be in your department?
. If awarded this grant, how many active volunteer firefighters
will be in your department?
. How many stations are in your organization?
. Do you currently report to the National Fire Incident Reporting Yes
System (NFIRS)?
Print Application
Applicant Characteristics (Part I)
. Are you a member of a fire Department or authorized
representative of a fire department?
. Are you a member of a Federal Fire Department or contracted
by the Federal government and solely responsible for
suppression of fires on Federal property?
. Does your organization protect critical infrastructure of the
state?
. Please indicate the type of community your organization
serves.
Page 4 of 17
Yes
No
Yes
Suburban
17
205942
151
o
o
12
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611312006
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Applicant Characteristics (Part II)
. What is the total number of fire-related civilian fatalities in your
jurisdiction over the last three years?
. What is the total number of fire-related civilian injuries in your
jurisdiction over the last three years?
. What is the total number of line of duty member fatalities in
your jurisdiction over the last three years?
. What is the total number of line of duty member injuries in
your jurisdiction over the last three years?
. What is your department's operating budget(including
personnel costs) for your current fiscal year and what was your
budget for the last three fiscal years?
Page 5 of 17
2005 2004 2003
3 1 9
2 5 3
0 0 0
0 1
28812300
27266840
24851947
23523460
. What percentage of your annual operating budget is derived from:
Enter numbers only, percentages must sum up to 100%
Taxes? 100 %
Grants? 0 %
Donations? 0 %
Fund drives? 0 %
Fee for Service? 0 %
Other? 0 %
If you entered a value into Other field (other than 0), please
explain
https:llportal.fema.gov/firegrantljsp/safer2006/ app licationlprint_ app.j sp ?print=true&app _ number=
611312006
Print Application
Department Call Volume
Page 6 of 17
. How many responses per year by category? (Enter whole numbers 2005 2004 2003
only; If you have no calls for any of the categories, enter 0)
Structural Fires 366 420 577
Vehicle Fires 311 301 345
Vegetation Fires 277 281 303
EMS 21704 22020 21544
Rescue 24 17 23
Hazardous Condition/Materials Calls 256 271 293
Service Calls 471 428 445
Good Intent Calls 876 658 653
False Alarms 702 586 610
Other Calls and Incidents 522 489 48
. Please indicate the number of times your department provides or receives mutual aid. Do not include first-due responses claimed
above.
In an average year, how many times does your organization
receive mutual/automatic aid?
In an average year, how many times does your organization
provide mutual/automatic aid?
244
217
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6113/2006
Print Application
Request Details
The activity for your organization is listed in the table below.
Activity
Hirinq Firefiqhters
Hiring Firefighters
. 1. The Hiring of FF activity requires a considerable cost-share on behalf of
the applicant and/or its governing body. As such, it is imperative that the local
governing body be aware of and support this application. Have you, as the
applicant, discussed this application and its long-term obligations with your
governing body and is your governing body willing to accept this long term
commitment?
. 2. If awarded a hiring grant, will the newly added firefighters be trained to at
least Firefighter I or equivalent within 6 months of employment?
. 3. If awarded a hiring grant, will the newly added firefighters be trained to at
least Firefighter II or equivalent within 24 months of employment?
. 4. If awarded a hiring grant, will the newly added firefighters be trained within
24 months of employment to at least the minimum level of EMS certification as
established by the local fire department?
. 5. Given the number of structure fires indicated in the "Call Volume" screen
of your application for 2005, how many times did you assemble the minimum
number of firefighting personnel at the scene in compliance with either NFPA
1710 or NFPA 1720 (whichever applies to your department)?
. 6. With staffing requested in this application, how many times would you
estimate you would have been able to assemble the minimum number of
firefighting personnel at the scene in compliance with either NFPA 1710 or
NFPA 1720 (whichever applies to your department)?
. 7a. Given the number of structure fires indicated in the "Call Volume" screen
of your application, what is the average actual staffing level on your first
arriving engine company or vehicle capable of initiating suppression activities?
. 7b. With staffing requested in this application and given the number of
structure fires indicated in the "Call Volume" screen of your application, what
would be the average actual staffing level on your first arriving engine
company or vehicle capable of initiating suppression activities?
. 8. Is your request for hiring firefighters based on a risk analysis and/or a
staffing needs analysis?
If Yes, describe how the analysis was conducted.
. 9. If awarded a grant for hiring additional firefighters, will you provide them
with an entry-level physical in accordance with NFPA 1582, Standard on
Comprehensive Occupational Medical Program for Fire Departments 2003
Edition, Chapter 6?
Budget Item
. How many full-time firefighter positions, including job-shares,
are you requesting?
If you are requesting assistance to fund a position that would be
"shared" by more than one individual, i.e., for job-share, please
indicate how many individuals would fill that position and provide
an explanation as to why the position is shared.
3
Page 7 of 17
Number of Entries
Yes
Yes
Yes
Yes
213
242
3.5
3.7
Yes
A review of NFPA requirements was conducted and
a review of existing call volume and staffing levels
were conducted.
Yes
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6113/2006
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Page 8 of 17
. What is the annual starting salary for firefighters in your
department?
. What is the average benefit rate for your department (as
calculated as a percentage of the annual salary)?
. If awarded, what is your estimate of the average annual
increase in salary for these firefighting positions as a result of
step increases, cost-of-living adjustments, incentive pay, etc.?
Show this figure as a percentage of the annual salary.
59808
49%
7.75%
Budget
Budget Matrix
First Second Third Fourth Fifth Total
12-Month Period 12-Month Period 12-Month Period 12-Month Period 12-Month Period
Personn~ 179,424 193,329 208,312 224,457 241 ,852 1,047,374
Benefits 87,918 94,731 102,073 109,984 118,507 513,213
Federal Share 111,780 99,360 62,100 37,260 0 310,500
Applicant Share 155,562 188,700 248,285 297,181 360,359 1,250,087
Total: 267,342 288,060 310,385 334,441 360,359 1,560,587
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6/13/2006
Print Application
Narrative Statement
Page 9 of 17
Project Description
. Please attach your narrative statement using no more than six single-spaced pages.
. A statement that describes why the applicant needs the grant funds, i.e., how the newly hired firefighters will be used within the
department and a description of the specific benefit these firefighters will provide for the fire department and community.
The City of San Bernardino greatly needs and would significantly benefit from SAFER grant funds, which wouid provide for a safer
working environment for our firefighting personnel and provide for the safety and well-being of the community. Specifically, the City
will use these grant funds to bring our emergency operations staffing up to levels that are consistent with NFPA 1710
recommendations for staffing and response times. The grant funds will be used to hire three (3) new firefighters in order to assist in
meeting four-person staffing of engine companies. These new firefighters will benefit the Fire Department and the community by
providing better service to the community, by providing the ability to have 2 - In 2 - Out (4 person staffing) on responses, and
providing for a safer environment for first responders.
. A statement regarding how the community and current firefighters are at risk without the needed firefighters, and to what extent
that risk will be reduced if the applicant is awarded.
Currently, the Fire Department staffs five of its twelve stations with only three personnel per shift. Because OSHA regulations do not
allow firefighters to enter a hazardous atmosphere, such as those found at a structure fire, without a minimum of four people, those
stations that have only three personnel are limited in what they can accomplish in a fire emergency. This is one of the primary
reasons NFPA 1710 recommends having a minimum of four personnel arrive at a fire scene before firefighting operations begins.
The delay that having only three people causes during initial attack operations significantly reduces the possibilities of firefighters
entering a burning structure to affect a rescue. By increasing the staffing on San Bernardino City's fire apparatus from three to four,
rescue and suppression operations can occur faster and more efficiently, which increases the odds of survival to the occupants.
Furthermore, San Bernardino's participation in Automatic Aid and Mutual Aid Agreements also benefits those regional communities
the City of San Bernardino responds to on a regular basis.
Increased staffing on the fireground will also decrease San Bernardino's firefighter injuries and fatalities, and improve the efficiency
of fireground operations. In addition, newly recruited firefighters will undergo an entry-level physical and receive any necessary
immunizations, thus further decreasing the potential for firefighter injuries and deaths.
. An explanation of the applicant's inability to address the need without Federal assistance.
The City of San Bernardino does not have the necessary financial resources, without Federal assistance, to increase staffing to a 2
In - 2 Out level. Without SAFER grant funds, the City will not be able to hire these new firefighters, thus placing its' current
firefighters at greater risk to injury or death and placing the community at greater risk of loss of life or property.
. A statement relating to how the applicant will ensure, to the extent possible, that they will seek, recruit, and hire members of racial
and ethnic minority groups and women to increase their ranks within their department.
The City of San Bernardino will ensure, to the extent possible, that we will seek, recruit, and hire members of race and ethnic
minority groups and women to increase their ranks within our department.
. A statement regarding how the applicant plans to meet the match requirements for the five-year performance period should they
receive the grant award. This statement should include any long-term plans to retain the new firefighter positions.
The City of San Bernardino plans to meet the match requirements for the five years required under the grant award by using
General Fund monies where possible. The City of San Bernardino's long-term plans include retaining the new firefighters positions
through City General Fund monies and both Federal and State grants where possible.
. A statement regarding how the applicant plans to meet the requirement to ensure that firefighter positions filled under the SAFER
grants are not discriminated against for, or prohibited from, engaging in volunteer activities in another jurisdiction during off-duty
hours.
The City of San Bernardino will not discriminate against or prohibit firefighters, filled under the SAFER grant, from engaging in
volunteer activities in another jurisdiction during off-duty hours.
. Please describe any grants that your department has received from DHS including the AFG. For example:
2002 AFG Fire Engine, 2003 UASI Equipment... (Enter "N/A" if Not Applicable).
EMW-2002-FG-06494/closed: 12/01/02 to 05/01/04
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611312006
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Page 10 of17
Awarded to develop and implement a Wellness Fitness Program. We purchased exercise equipment for all fire stations, provided
physical and assessment examinations and trained employees to be peer fitness trainers.
EMW-2003-FG-11600/closed: 09/17/04 to 09/16/05
Awarded to purchase defibrillators, self-contained breathing apparatus, XTS500 model III portable radios, Bendix King
GPH5102S000 handheld radios, clam shell batteries, and swiftwater rescue equipment.
EMW-2005-FP-01812/Active: 03/02/06 to 03/02/07
Awarded $85,000 for the purpose of a juvenile fire-setter program, general prevention/awareness, a fire safety trailer, and fire safety
props.
FY 2003 Homeland Security Grant Program-Part I
Awarded Date: 09/22/03 to 10/01/04
San Bernardino County Fire Department, Office of Emergency Services awarded the SBCFD $38,508 for fire equipment.
FY 2003 Homeland Security Grant Program-Part II
Awarded Date: 10/31/04 to 03/31/05
San Bernardino County Fire Department awarded the SBCFD $155,342.00 to purchase turnout gear, self-contained breathing
apparatus units, and communication equipment.
FY 2004 Homeland Security Grant Program
Status: Active
San Bernardino County Fire Department awarded the SBCFD $84,291 to purchase communication equipment and a mobile
command vehicle.
FY 2005 Homeland Security Grant Program
Status: Active
San Bernardino County Fire Department awarded the SBCFD $41,385 to purchase an incident response vehicle and 3 sets of
personal protective equipment.
FY 2002 Metropolitan Medical Response System (MMRS)-Phase I
Awarded Date: OS/24/02 to 11/24/03
Status: Active
The Public Health Service, Department of Health and Human Services, is in charge with assisting local government to plan,
develop, purchase special pharmaceuticals, initiate the equipping and identify the training requirements for a MMRS as the principal
resource in responding to the health and medical consequences of a chemical, biological, radiological, nuclear, and/or explosive
weapon of mass destruction event. SBCFD was awarded $400,000 to develop and implement the MMRS program.
FY 2002 MMRS-Phase II
Awarded Date: OS/24/02 to 11/24/03
Status: Active
Department of Health and Human Services awarded the SBCFD $200,000, as modification 2 to the initial contract.
FY 2002 MMRS-Phase III
Awarded Date: May 24, 2002 to November 24, 2003
Status: Active
Agency: Department of Health & Human Services/Dept. Homeland Security awarded the SBCFD $280,000, as modification 3 to the
initial contract.
EMW-2004-GR-0779
Performance Period: October 1,2004 through March 31,2006
Project Name: 2004 MMRS Program
Status: Active
Federal Emergency Management Agency awarded to the existing 124 MMRS jurisdictions and we have been awarded the
Capability Focus Area and the Sustainment of Enhanced Capabilities in the amount of $400,000.
FY 2005 MMRS
Status: Active
San Bernardino County Fire Department, Office of Emergency Services whom is required to administer the grant for the
Department of Homeland Security awarded the SBCFD $220,000. SBCFD will purchase medical supplies, respirator fit tester, in
suit communications for SCBAs, search cameras, deployable shelter systems, video conferencing, advanced life support
mannequin for training, and search camera.
FY 2001 Office of Traffic Safety (OTS)
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6/1312006
Print Application
Project No. EM0126
Awarded Date: 01/01/01 to 06/30/02
Status: Closed
OTS awarded the SBCFD $81,000 to purchase heavy rescue tool, airbag rescue system, and 20% for the heavy rescue.
Page 11 of 17
2005 OTS
Project No. EM0517
Awarded Date: 10/01/04 to 09/30/05
Status: Closed
San Bernardino County Fire Department was required to administer the grant for OTS and the city was awarded $90,000 for
extrication equipment.
2006 OTS
Project No. EM0604
Awarded Date: 10/01/05 to 09/30/06
Status: Active
OTS awarded the SBCFD $78,500 to purchase thermal imaging device and extrication equipment.
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6/13/2006
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Assurances and Certifications
Page 12 of17
Form 20-16A
You must read and sign these assurances by providing your password and checking the box at the bottom of this page.
Note: Fields marked with an . are required.
Assurances Non-Construction Programs
Note: Certain of these assurances may not be applicable to your project or program. If you have any questions, please contact the
awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is
the case, you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability
(including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning,
management and completion of the project described in this application.
2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State,
through any authorized representative, access to and the right to examine all records, books, papers, or
documents related to the award; and will establish a proper accounting system in accordance with generally
accepted accounting standards or agency directives.
3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or
presents the appearance of personal gain.
4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding
agency.
5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. Section 4728-4763) relating to
prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations
specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900,
Subpart F).
6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Tille
VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or
national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. Sections 1681-1683,
and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of
1973, as amended (29 U.S.C. Section 794), which prohibits discrimination on the basis of handicaps; (d) the
Age Discrimination Act of 1975, as amended (42 U.S.C. Sections 6101-6107), which prohibits discrimination on
the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to
nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis
of alcohol abuse or alcoholism; (g) Sections 523 and 527 of the Pubiic Health Service Act of 1912 (42 U.S.C.
290-dd-3 and 290-ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h)
Title VIII of the Civil Rights Acts of 1968 (42 U.S.C. Section 3601 et seq.), as amended, relating to
nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the
specific statute(s) under which application for Federal assistance is being made; and U) 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 Tille II and III of the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable
treatment of persons displaced or whose property is acquired as a result of Federal or Federally assisted
programs. These requirements apply to all interest in real property acquired for project purposes regardless of
Federal participation in purchases.
8. Will comply with provisions of the Hatch Act (5 U.S.C. Sections 1501-1508 and 7324-7328), which limit the
political activities of employees whose principal employment activities are funded in whole or in part with Federal
funds.
9. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. Sections 276a to 276a- 7), the
Copeland Act (40 U.S.C. Section 276c and 18 U.S.C. Sections 874), and the Contract Work Hours and Safety
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Page 13 of 17
Standards Act (40 U.S.C. Sections 327-333), regarding labor standards for Federally assisted construction sub
agreements.
10. Will comply, if applicable, with flood insurance purchase requirements of Section 1 02(a) of the Flood Disaster
Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the
program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or
more.
11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and
Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of
wetlands pursuant to EO 11990; (d) evaluation of flood hazards in flood plains in accordance with EO 11988; (e)
assurance of project consistency with the approved State management program developed under the Coastal
Zone Management Act of 1972 (16 U.S.C. Section 1451 et seq.); (f) conformity of Federal actions to State
(Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C.
Section 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water
Act of 1974, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered
Species Act of 1973, as amended, (P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Section 1271 et seq.) related to protecting
components or potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation
Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the
Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and
related activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.)
pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other
activities supported by this award of assistance.
16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. Section 4801 et seq.) which
prohibits the use of lead based paint in construction or rehabilitation of residence structures.
17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act
of 1984.
18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies
governing this program.
19. It will comply with the minimum wage and maximum hours provisions of the Federal Fair Labor Standards Act
(29 U.S.C. 201), as they apply to employees of institutions of higher education, hospitals, and other non-profit
organ izations.
Signed by Norma Camarena on 06/05/2006
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Print Application
Form 20-16C
Page 14 of 17
You must read and sign these assurances by providing your password and checking the box at the bottom of this page.
Note: Fields marked with an . are required.
Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters and Drug-Free Workplace
Requirements.
Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants
should also review the instructions for certification included in the regulations before completing this form. Signature on this form
provides for compliance with certification requirements under 44 CFR Part 18, "New Restrictions on Lobbying" and 44 CFR Part 17,
"Government-wide Debarment and Suspension (Non-procurement) and Government-wide Requirements for Drug-Free Workplace
(Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the
Department of Homeland Security (DHS) determines to award the covered transaction, grant, or cooperative agreement.
1. Lobbying
A. As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons (entering) into a grant
or cooperative agreement over $100,000, as defined at 44 CFR Part 18, the applicant certifies that:
(a) No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or
employee of congress, or an employee of a Member of Congress in connection with the making of any Federal grant,
the entering into of any cooperative agreement and extension, continuation, renewal amendment or modification of
any Federal grant or cooperative agreement.
(b) If any other funds than Federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of
congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement,
the undersigned shall complete and submit Standard Form LLL, "Disclosure of Lobbying Activities", in accordance
with its instructions.
(c) The undersigned shall require that the language of this certification be included in the award documents for all the
sub awards at all tiers (including sub grants, contracts under grants and cooperative agreements and sub contract(s))
and that all sub recipients shall certify and disclose accordingly.
2. Debarment, Suspension and Other Responsibility Matters (Direct Recipient)
A. As required by Executive Order 12549, Debarment and Suspension, and implemented at 44 CFR 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 44 CFR Part 17, Subpart F, for grantees, as defined at
44 CFR part 17, Sections 17.615 and 17.620:
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(A) The applicant certifies that it will continue to provide a drug-free workplace by:
Page 15 of 17
(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 grantee's 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 awarding office.
(f) Taking one of the following actions, against such an employee, within 30 calendar days of receiving
notice under subparagraph (d)(2), with respect to any employee who is so convicted:
(1) Taking appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State, or local health, law
enforcement or other appropriate agency.
(g) Making a good faith effort to continue to maintain a drug free workplace through implementation of
paragraphs (a), (b), (c), (d), (e), and (f).
(B) The grantee may insert in the space provided below the site(s) for the performance of work done in connection
with the specific grant:
Place of Performance
Street City State Zip Action
200 East Third Street San Bernardino California 92410 -4804
1201 West Ninth Street San Bernardino California 92411-2213
2121 North Medical Center Drive San Bernardino California 92411-1289
2641 North E Street San Bernardino California 92405-3425
1640 Kendall Drive San Bernardino California 92407-2800
1920 Del Rosa Avenue San Bernardino California 92404 -5641
282 West 40th Street San Bernardino California 92407 -3706
3398 East Highland Avenue Highland California 92346 -2106
502 South Arrowhead Avenue San Bernardino California 92408 -2040
202 Meridian Avenue San Bernardino California 92410 -1330
450 Vanderbilt Way San Bernardino California 92408 -3552
6065 North Palm Avenue San Bernardino California 92407 -5184
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If your place of performance is different from the physical address provided by you in the Applicant Information, press Add Place of
Performance bullon above to ensure that the correct place of performance has been specified. You can add muitiple addresses by
repeating this process muitiple 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 Norma Camarena on 06/05/2006
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6/13/2006
Print Application
FEMA Standard Form LLL
Page 17 of 17
Only complete if applying for a grant for more than $100,000 and have lobbying activities. See Form 20-16C for lobbying activities
definition.
If this lobbying form is not applicable, check "This form is not Applicable." and include this page with your application submission
This form is not applicable
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6/13/2006
.
** FOR OFFICE USE ONLY - NOT A PUBLIC DOCUMENT **
RESOLUTION AGENDA ITEM TRACKING FORM
Meeting Date (Date Adopte.d): . t\\) A I~ 3J- Resolution #
Vote: Ayesj ::J.Jj}LJJ~-+ Nays Abstain~
Change to motion to an/end original documents 0 Companion Resolutions
JDDb-~
Absent
"""
Null/Void After: ~ days /
Resolution # On Attachments: ~
PUBLISH 0 POST 0
Note on Resolution of attachment stored separately: 0
RECORD W/COUNTY 0 By:
Date Sent to Mayor:
Date of Mayor's Signature:
Date of Clerk/CDC Signature:
Reso. Log Updated: J4
Seal Impressed: i)(
Reso. # on Staff Repo~
Date Memo/Letter Sent for Signature:
I" Reminder Letter Sent:
Date Returned:
2"d Reminder Letter Sent:
Not Returned: 0
Request for Council Action & Staff Report Attached:
Updated Prior Resolutions (Other Than Below):
Updated CITY Personnel Folders (6413, 6429, 6433,10584,10585,12634):
Updated CDC Personnel Folders (5557):
Updated Traffic Folders (3985, 8234, 655, 92-389):
Yes -X- No By_
Yes Not By_
Yes No By_
Yes Not By_
Yes No By_
Copies Distributed to:
Animal Control
City Administrator
City Attorney
Code Compliance
Development Services
Others:
o EDA
o Facilities
-lSI 0t'r'\~ Finance
o Fire Department
o Human Resources
o Information Services
o Parks & Recreation
)Sl ~.wtl1YL\ (()Jolice Department
~S ~ Public Services
o Water Department
o
o
o
o
o
Notes:
Ready to File: ~
Date:
Revised 12/18/03