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CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION
ORIGINAL
From: Mat Fratus, Deputy Chief Subject: Resolution ratifying submittal of an on-line grant
application for the FY 2010 Assistance to Firefighters
Grant Program: Fire Prevention and Safety Grant to
Dept: Fire the Department of Homeland Security in the amount
of$96,463.
Date: February 17, 2011 MC/C Meeting Date: March 7, 2011
Synopsis of Previous Council Action:
01/22/07 Resolution#2007-24 ratifying the submittal of the 2006 Assistance to Firefighters Grant Program:
Fire Prevention and Safety Grant in the amount of$84,000.
10/03/05 Resolution#2005-332 authorizing the Fire Department to apply and administer the 2005 Fire
Prevention and Safety grant in amount of$85,000.
09/13/05 Grants Ad Hoc Committee Meeting-Item recommended for approval.
RECOMMENDATION:
Adopt resolution.
Signature
Contact Person: Doug Dupree, Fire Marshal Phone: (909) 384-5286
Supporting data attached: Staff Report, Resolution, and Application Ward: Citywide
FUNDING REQUIREMENTS: Amount: $77,171
Source: Department of Homeland-Funding Share
Amount: $19,292
Source: City's Cost Share (non-Federal Funds_
001-200-5XXX-0000-0047
Finance:
Council Notes: 1/
Agenda Item No. L
STAFF REPORT
SUBJECT
Resolution ratifying the submittal of an on-line grant application for the FY 2010
Assistance to Firefighters Grant Program: Fire Prevention and Safety Grant to the
Department of Homeland Security in the amount of$96,463.
BACKGROUND
The Department of Homeland Security has announced the availability of grant funding for
the Fiscal Year 2010 Fire Prevention and Safety Grant (FP&S) program. FP&S grants
provide financial assistance for specific fire prevention and safety activities. The on-line
grant application period closed February 4, 2011.
The Fire Department is requesting ratification of the submittal of the FP&S Grant on-line
grant application to provide partial funding for the department's Public Education Officer,
fire safety educational materials, and 10-year lithium battery powered smoke alarms. The
FP&S grant will provide funding to allow the Public Education Officer to devote 100% of
his time to fire prevention activities. Currently, 70% of this position salary is funded by
Disaster Management grants. The funding priority will be given to departments that
propose new door to door home smoke alarm installations and home safety inspections.
Though not a priority,public education and Juvenile Fire Setter programs are eligible.
Funds cannot be used to supplant current costs; the costs must be new to the department.
However; due to the City's current financial situation and the loss of 70% of this job
function, Fire submitted the on-line grant application. Notification of the grant awardees is
expected on or before September 30, 2011, with the one year performance period
beginning once the award is announced.
FINANCIAL IMPACT
There is no additional cost to the City. The FP&S grant will fund 80% of the wages and
benefits for the Public Education Officer position. Additionally, 80% of the cost for fire
prevention educational materials and smoke alarms will be funded. The net savings to the
City will be $77,171. Both the City's obligation and the Department of Homeland
Security's grant contribution are detailed below:
Grant Contribution City Contribution
Public Education Officer $61,971 $15,492
Prevention Materials/Smoke Alarms $15,200 3,800
TOTAL: $77,171 $19,292
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If the City is awarded this grant, the grant will likely be awarded during the next Fiscal
Year 11/12, which the Fire Department will budget for accordingly during the budget
process.
RECOMMENDATION
Adopt resolution.
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1 RESOLUTION NO.
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3 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF
SAN BERNARDINO RATIFYING THE SUBMITTAL OF AN ON-LINE GRANT
4 APPLICATION FOR THE 2010 ASSISTANCE TO FIREFIGHTERS GRANT
PROGRAM: FIRE PREVENTION AND SAFETY .GRANT TO THE
5 DEPARTMENT OF HOMELAND SECURITY IN THE AMOUNT OF $96,463.
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WHEREAS, in order to comply with a February 4, 2011, on-line application
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deadline, the City of San Bernardino Fire Department has submitted a grant application for
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the 2010 Assistance to Firefighters Grant Program: Fire Prevention and Safety Grant;
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10 NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND
11 COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS:
12 SECTION 1. The Mayor and Common Council hereby ratify the Fire Chief s
13 submittal of the on-line grant application to the Department of Homeland Security for the
14 2010 Assistance to Firefighters Grant Program: Fire Prevention and Safety Grant in the
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amount of $96,463. A copy of the grant application is attached as Exhibit "A" and
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17 incorporated herein by reference.
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i
I RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
2 BERNARDINO RATIFYING THE SUBMITTAL OF AN ON-LINE GRANT APPLICATION
FOR THE 2010 ASSISTANCE TO FIREFIGHTERS GRANT PROGRAM: FIRE
3 PREVENTION AND SAFETY GRANT TO THE DEPARTMENT OF HOMELAND
4 SECURITY IN THE AMOUNT OF$96,463.
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
7 on the day of , 2011,by the following vote, to wit:
8 COUNCIL MEMBERS: AYES NAYS ABSTAIN ABSENT
9 MARQUEZ
10 VACANT
11 BRINKER
12 SHORETT
13 KELLEY
14 JOHNSON
15 MCCAMMACK
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17
Rachel G. Clark, City Clerk
18 City of San Bernardino
19 The foregoing Resolution is hereby approved this day of , 2011.
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21
Patrick J. Morris, Mayor
22 City of San Bernardino
23 Approved as to form:
24 James F. Penman, City Attorney
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By:
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Print Application �xh "�" Pagel of 23
Entire Application
Preparer Information
Preparer Information
Prefix or Title Mr.
*First Name Doug
Middle Initial
*Last Name Dupree
Organization Name San Bernardino Fire Department
*Address 1 200 E. 3rd Street
*City San Bernardino
*State California
*Zip 92410 -4889
*Primary Phone 909-384-5388 Ext. work
*Secondary Phone 909-384-5389 Ext. home
Optional Phone Ext. Select
*Email dupree_do @sbcity.org
• Is there a grant-writing fee associated with the No
preparation of this request?
If-•,)u answered yes above, what is the fee? $
Are you the person to be contacted on matters involving this application?Yes
If no, please specify who should be contacted:
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Contact Information
- Primary Contact Information
Title Fire Marshal
Prefix Mr.
First Name Doug
Middle Initial
•Last Name Dupree
•Primary Phone 909-384-5388 Ext. work
*Secondary Phone 909-384-5389 Ext. home
Optional Phone Ext. Select
Fax
*Email dupree_do @sbcity.org
Alternate Contact Information
Title Deputy Chief
Prefix Mr.
.First Name Mat
Middle Initial
•Last Name Fratus
•Primary Phone 909-384-5286 Ext. work
*Secondary Phone 909-384-5287 Ext. home
Optional Phone Ext. Select
Fax 909-384-5281
*Email fratus_ma @sbcity.org
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Applicant Information
Eum/-2010-FP-00625
C ally submitted on 02/02/2011 by Norma Camarena (Userid: Norma Camarena)
Contact Information:
Address: 200 East Third Street
City: San Bernardino
State: California
Zip: 92410
Day Phone: 9093845286X1129
Evening Phone: 9093845388
Cell Phone: 9093845388
Email: camarena_no @sbcity.org
Application number is EMW-2010-FP-00625
•Organization Name City of San Bernardino Fire Department
•Type of Applicant Fire Department
If other, please enter the type of Applicant
*Are you a Fire Department? Yes
If yes, what type of department do you represent? Career
If you answered combination, above,
what is the percentage of career members in your organization?
•Are you a non-fire based EMS? No
,e of community served? Suburban
• Employer Identification Number 95-6000772
•What is your DUNS Number? 143532153
The San Bernardino City Fire Department's mission
statement is: The San Bernardino City Fire Department
is dedicated to protecting and serving our entire
community with a commitment to professionalism and
performance excellence. In crafting the mission
statement we recognized that we serve a very diverse
community.
The Fire Department responded to approximately 23,785
emergency calls in 2010. Of these calls approximately
2,655 are fire related. Twelve Engines, two Ladder
Trucks, and one Squad responded to these calls.
Our community demographics include 57.3 percent
Hispanic. Additionally the population of the San
Bernardino City Unified School consists of 68.9 percent
Hispanic. Recognizing the challenges posed by reaching
this community the Fire Department added a Spanish
speaking Public Education Officer in 2005. Since that
time we have been able to reach this community in ways
that are unprecedented in the department. The effect that
our outreach has had on the community is best
described in the words of our Public Education Officer, "I
want to start by saying that I am a Mexican-born Latino
who works for the San Bernardino City Fire Department
as a Bilingual Public Education Officer. My perspective is
informed as an English and Spanish speaking Latino
who has been working with Latinos for over 20 years. My
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experience has taught me that diversity is magnificent;
but sometimes very difficult. My goal as a public educator
is to simplify those difficulties by providing comfortable,
stress-free and valuable fire and life safety information to
the Spanish-speaking members of our communities.
Many of our Hispanic residents are immigrants who
come from developing countries,where the image of law-
enforcement and uniform-and-badge-clad government
employees is viewed very different from that of the
United States. Often these badge-bearing workers in
these countries are seen as corrupt,futile, and even
violent. With these negative associations and fears of
possible investigations into their own family's immigration
status, these families are afraid to come forward to report
delinquent acts or incidents that might involve someone
in uniform. It is due to this hesitance to report incidents,
coupled with language barriers and cultural unfamiliarity,
that sometimes it becomes very difficult to engage this
part of communities.
With our changing cultural landscape in mind, I have
tailored many of our public outreach messages in
correspondence to our Spanish-speaking audiences. I
have made, and maintained, positive and productive
working relationships with members of the Spanish
media. These media outlets have proven to be invaluable
with each and every campaign that we've ever
•Please describe your organization and/or community that you serve processed, whether in the form of public safety
announcements, commercials,Iive or recorded interviews
and news feeds; they have played a crucial part in our
effectiveness in reducing fires and fire-related injuries
and deaths."
Many of our brochures and much of the information
posted on our website is translated in Spanish.
In 2002 and 2003 the city of San Bernardino tragically
lost 20 people to fire related deaths. The fire death rate
was much higher than the national average for most
years in the 1990's. Through necessary budget cuts in
the late 80's and early 90's most of the fire prevention
staff was eliminated. During the last five years (2006—
2010)there was an average of two fire related fatalities a
year. While reduction in this area is significant the total
number of fires has also declined. Over the last four
years fire calls have declined aproximately 25 percent. It
is important to note that these are the years that both fire
prevention and public education programs were added
and expanded to levels never experienced by the
department. We attribute the success that we have had
in this area to both aggressive fire code enforcement as
well as a robust public education program with the ability
to reach the entire community.
During the last three years the city has suffered
catastrophic revenue shortfalls. These shortfalls
promoted the city to cut both personnel and services
throughout all city departments. Specifically through June
30, 2011, the fire department will have lost 20 firefighters
and seven administrative staff members including four
fire prevention staff members. Additionally the Public
Education Officer position is now funded at 30 percent.
These staffing cuts have seriously affected the Fire
Department's ability to continue to offer most of the
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public education programs that were previously in effect.
The city's budget situation continues to decline with the
city borrowing money and continuing to cut
programs/staff in order to remain solvent. While property
tax and sales tax revenue appears to have stabilized the
communities unemployment rate remains at over 18
percent. Aproximately 43 percent of our community is
receiving some type of government financial assistance.
The budget prediction for the remainder of fiscal
2010/2011 and 2011/2012 remains dire. This past
budget year the Fire Department's Public Education
Officer Position suffered a 70 percent cut. The person in
this position now devotes only 30 percent of his time to
fire safety education the remainder of time is spent in the
area of Disaster Preparations.
Please describe your organization's need for Federal financial
assistance. The City of San Bernardino is bordered by approximately
14 miles of wildland urban interface. This has presented
the Fire Department with unique challenges. Two
devasting fires in the last 30 years destroyed over 750
homes. Our wildland fire safety Public Education
program is an ongoing effort. Each year the residents
living in the wildland urban interface must be reminded of
the particular dangers that their properties are exposed
to. Additionally, the city allows safe and sane fireworks to
be discharged during the 4th of July holiday. The Fire
Department's 4th of July fire safety campaign is a huge
undertaking. The campaign includes distribution of
57,000 fliers to school children, sign and print media, as
well as broadcast media. The Public Education Officer
spends over 160 hours per year on this education effort
alone.
What is the permanent resident population of your Primary/First- 205942
Due Response Area or jurisdiction served? Note:If you are not a fire department or EMS organization,
you may enter a zero.
Headquarters Physical Address
Physical Address 1 200 East Third Street
Physical Address 2
•City San Bernardino
•State California
•Zip 92410 -4889
Mailing Address
•Mailing Address1 200 East Third Street
Mailing Address2
•City San Bernardino
State California
.Zip 92410 -4889
Account information
•Type of bank account Checking
•Bank routing number-9 digit number on the bottom left hand 121000248
r--ner of your check
ar account number 4159283308
Additional Information
•This fiscal year, are you receiving Federal funding from any other No
grant program for the same purpose for which you are applying for
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this grant?
This fiscal year, are you receiving Federal funding from any other Yes
grant program regardless of purpose?
ie applicant delinquent on any federal debt? No
If you answered yes to any of the additional questions above, please
provide an explanation in the space provided below:
Funding is being awarded to the City from the Metropolitan Medical Response System Grant in the amount of$321,221 for FY
2009; 2009 &2010 Urban Area Security Initiative Grant in the amount of$618,600; and the 2007, 2008, &2009 Regional
Catastrophic Preparedness Grant Program in the amount of$250,000. Also, we have been awarded the 2009 SAFER grant in
the amount of$2.7 million dollars.
0
•
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Request Information
Select one of the choices listed below. You can apply for a maximum of 3 projects within an activity.
modify your selection,you will lose data entered under the original activity.)
Program Name
Fire Prevention and Safety
Go Back
Request Details
The number of projects and cost for the activity Fire Prevention and Safety are listed in the table below.
Activity Number of Projects Total Cost
Fire Prevention and Safety 1 $96,463
j
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Fire Prevention And Safety Projects
General Education/Awareness Project(s)
,•e Prevention and Life Safety Education (General Education/Awareness)
Capabilities
In order to help identify what your organization's current fire prevention and life safety education capabilities are, please answer
the following questions. Please be sure to only address your current capabilities; you will answer questions about the proposed
project(s)that your application is requesting after completing this section.
* 1. Do you currently have a fire prevention and life safety Yes
education program?
1 a. If yes, check all that apply. Smoke alarm education
Smoke alarm distribution
Smoke alarm installation
Residential sprinklers
Fire extinguishers
Fire escape planning
Burn Prevention
Juvenile firesetting
Disaster preparedness
In-school programming
Community CPR/first aid
Fall Prevention
Other Wildland Interface Home Fire Safety
2. For the above selected programs, how is it implemented? Door to Door
Check all that apply. Public advertisement (i.e., media)
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School visits
Brochures/handouts
Open Houses
Fairs and festivals
Local civic organizations
Partnerships
Other Fire Department Website
3. Is/are your program(s)targeted at a specific group? Yes
3a. If yes, check all that apply. Adults over 65
Children under 14
Low-income families, neighborhoods
Other Hispanic Community
4. Does your program address a specific problem? No
4a. If yes, check all that apply.
5. On average, what is the total number of hours of fire
prevention and life safety education programs conducted
monthly by your organization?
50 hours or more
6. Do you evaluate your existing fire prevention and life safety Yes
ration programs?
6a. If yes, then how? (Check all that apply) Count/contacts/outputs
Fire data analysis
Injury/loss statistics
Surveys
7. Does your fire prevention and life safety education program Yes
have a dedicated coordinator?
7a. If yes, is this person certified to a recognized state or No
national standard?
7b. If no, will you be requesting funds to hire and/or certify a
dedicated coordinator in your grant request?
View Project
General Education/Awareness Project Information
*1. Project Public Education
)u selected other, above, please specify
Children under 14 Adults over 65
*2. Who is the target audience for the planned project?
Other Hispanic Population
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*3. What is your estimated size of the target audience? 150000
How was this target audience determined? Informal Assessment
Briefly describe method used (required if selected "None of the U.S. Census Bureau, 2005-2009 American Community Survey
above"above)
Deaths from fires and burns are the third leading cause of fatal
home injury (CDC 2010). The United States'mortality rate from
fires ranks eighth among the 25 developed countries for which
statistics are available (International Association for the Study
of Insurance Economics 2009). On average in the United
*5. Briefly describe (or provide)the appropriate statistics that States in 2009, someone died in a fire about every 175
correspond to your project and target audience (i.e. injury minutes, and someone was injured every 31 minutes (Karter
statistics, #of fires/arsons, firefighter fatalities, etc). 2010). Most victims of fires die from smoke or toxic gases and
not from burns (Hall 2001). About 85% of all fire deaths
occurred in the home (NFPA 2010).
Groups at increased risk of fire-related injuries and deaths
include: (1)Children Age Four and under(CDC 2010); (2)
Older Adults ages 65 and older(CDC 2010); and (3)The
poorest Americans (Flynn 2010).
The Fire Department has had an aggressive public education
and Juvenile Fire Setter program in the the past; however, this
year due to budget cuts 70 percent of the Public Education
Officer's time has be re-allocated to Disaster Preparedness. If
this grant is approved the Public Education Officer will be
*6. Describe the steps or methods that will be used to achieve restored to dedicating 100 percent of his time to Public
the goal and objectives of this project. Education and the Juvenile Fire Setters program. A campaign
will be developed which will include general fire safety
education and smoke alarm installation. Additionally, the
Juvenile Fire Setter program that is currently in place will once
again be a viable important program. The Public Education
Officer will be responsible for the implementation steps as
outlined in the narrative section.
*7. Will your organization periodically evaluate the project's Yes
impact on the community?
If you answered Yes to question 7 above, please specify: The Fire Department will develop a survey instrument
highlighting specific elements of the fire safety message being
given to the target group. This evaluation will include elements
to determine if the target group is indeed being reached with
the message. Ongong evaluation will be conducted to
determine if the message needs to be revised. Additionally, as
specific elements are implemented they will be evaluated for
their success, i.e. print media vs. broadcast media.
*8. Is it the applicant's intention to continue delivering this Yes
program after the grant year?
*9. In the space provided below, please provide a brief synopsis of the proposed project:
Education is a powerful tool in preventing fires and saving lives for"at risk" groups. The San Bernardino City Fire Department
(SBFD)offers bilingual fire prevention education to inform and heighten our community's fire safety awareness. Our primary
emphasis targets audiences ranging from the very young to the elderly, those with disabilities, and those who only speak
Spanish. SBFD is will provide a public education/smoke alarm installation program that is tailored to our community's language
and needs.
This grant proposal is intended to restore the fire department's ability to intervene in the lives of at risk children involved in
J,--cmiie Fire Setting behavior. At this point the fire department does not have the ability to continue this valuable program.
In the space provided below, please explain the experience you have in managing the type of project you are proposing:
The SBFD has demonstrated its ability in the past to develop both progressive and innovative fire safety education projects. Our
staff is educated in the latest developments related to fire safety education. Our Public Education Officer is an active member of
California Fire Chiefs'Association Fire Prevention Officers' Public Education Committee. Through monthly meetings this group
remains on the cutting edge of the public education message. The SBFD has been provided Fire Prevention and Safety Grants
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and other grants in the past. The SBFD successfully completed requirements related to these grants.
The SBFD has successfully provided a Juvenile Fire Setter program for the past three years. During this time period we have
rP--ived 122 referrals with 79 juveniles completing the program.
The narrative portion of the application should contain supporting information that allows for evaluation of this project. If you
are applying for a grant in the Fire Prevention and Safety Activity, your Narrative Statement must address the evaluation
elements outlined in the Program Guidance ().
Keep in mind that the evaluation of your application will also be based on a clear understanding of your proposal, your ability to
meet the objectives of the program, and your probability of successfully delivering your project to the population targeted. You
need to fully explain how the funds will be used to accomplish the goals of your project. To that end be sure to include
descriptions/justification for all budgeted items- items not justified may be disallowed.
Your narrative may not exceed five pages of text. You may type your project narrative in the space provided below however,
due to the built in "time out"feature, we recommend you create the narrative text in your word processing system and then copy
it into the space provided below. Images, attachments, and special characters or formatting (i.e.: quote marks, bold print, bullet
points, symbols, etc.)are not allowed.
FIRE SAFETY EDUCATION/SMOKE ALARM INSTALLATION PROGRAM
VULNERABILITY AND RISK
The risk factors that will be addressed by the proposed project include the following: (1) Housing -According to the National Fire
Protection Association (NFPA), between 2003-2006, more than 66 percent of home fire deaths occurred in homes without a
working smoke alarm; (2) Socio-economic factors—People who are poor may live in homes they own but they cannot maintain
and keep safe (NFPA 2007); (3) Language barriers prevent people from fully understanding safety procedures (OSHA 2009); and
(4) low-income residents.
One-quarter of U.S. households lack working smoke alarms, and the people least likely to have an alarm are often those at high
risk of being injured in a fire. Young children, seniors, and low income are not the only groups at increased risk for injury and
i due to a residential fire. In fact, those with no ability or limited ability to speak English are being increasingly recognized as
G ner group at substantial risk. For example, in 2006 a Philadelphia study was published by the University of Villanova in the
Association of Schools of Public Health. The study investigated the social and demographic correlates of nonfatal structural fire
injury rates for the civilian population for Philadelphia census tracts during 1993-2001. The results of the study concluded that the
ability to speak English has significant independent effects on fire injury rates in the community. (Shai, D. Public Health Rep.
2006 Mar—Apr; 121(2): 149-154.)
The proposed project is a collective SBFD effort, which will address the groups most at risk and risk factors, associated with
unintentional injuries and deaths from residential fires.
San Bernardino's estimated population, as of July 2009, is 205,942.As of 2006, it was the 18th largest city in California, and the
101st largest city in the United States. San Bernardino is part of the Riverside-San Bernardino-Ontario Metropolitan Area,which
is the 14th largest in the nation. In the City of San Bernardino, 34.3% of residents speak Spanish at home (18% speak English
not well, 9% don't speak English at all). 57.3% of San Bernardino's population is Hispanic; this population percentage is
significantly above the state of California average. 48.6% of the population, 43.2% receive government assistance and 23.5% of
families are below the poverty line. Out of the total population, 9.8% are under the age of 5 and 8.2% are age 65 and older.
The project being proposed will address the vulnerability and risks of low-income and Spanish speaking residents in targeted
communities within the City of San Bernardino. For example, in the City of San Bernardino, between the years 2006-2008, there
were a total of 709 residential fires reported. The Southwest and Northwest quadrants of the city had the greatest proportion of
those calls with a total of 441 over the three year period, which is more than 62% of all calls. These are areas that are
predominately low-income and Spanish-speaking residents.
The proposed solution to address the vulnerability and risks is two-fold: First, free smoke alarms will be given away to qualified
recipients and installed by fire department personnel. We will target the areas within the city which receive the highest residential
fire call volume. The availability of the free smoke alarms will be advertised electronically and through public safety
announcements within the local news media. Our dissemination campaign will contain contact information for the free smoke
?' -ns. Second, a limited door-to-door campaign will be implemented in the same targeted quadrants of each city.
The door-to-door campaign will offer residents free smoke alarms and installation, as well as battery testing and battery
replacement for already installed smoke alarms. Additionally, fire safety education in English or Spanish will be provided to
homeowners and residents in the target areas.
The proposed solution offered by this endeavor is based on the belief that the two approaches together will create an increased
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awareness that in turn, will generate requests for free smoke alarms by targeted residents. As such, the free smoke alarm
program should reduce the number of residential fire incidents and calls reported in the targeted areas of our city.
EMENTATION PLAN
Since the Public Education Program is an ongoing program, there will not be an official program implementation. Grant funding,
however, is necessary in order for this program to continue to exist. SBFD currently operates a FREE smoke alarm give-away
and installation program. In the last nine years we have provided our communities with 4,898 free smoke alarms. We will expand
our free smoke alarm program to include residents who rent single-family homes in our city.
Current statistics from the NFPA show that 93% of the homes in the United States now have at least one smoke alarm. However,
only 50% of those actually work, most fail to operate due to the lack of a fresh battery. This shows that 1) Public education is
necessary, and 2)that an alternative battery, one that lasts significantly longer, is needed in order to reduce the number of fire-
related incidents and fatalities in targeted areas.
We will purchase and distribute (with the option of free installation) 500 easy-to-install, dual-sensor smoke alarms with 10-year
lithium batteries within one year of the notice of grant award. We will incorporate the 10-year lithium battery operated smoke
alarms into our already existent free smoke alarm program, with the same previously mentioned guidelines.
The Public Education Officer(PEO)will be responsible for the overall administration of the proposed grant program. The PEO will
provide information to city residents regarding our free smoke alarm program, build community partnerships to assist with
information dissemination, coordinate smoke alarm installations with SBFD personnel, provide general fire safety education in
English or Spanish and conduct follow-up to determine product functionality and program effectiveness.
Here are some specific examples of how we plan to implement our outreach plan.
Reaching Out to the Community via Print and Electronic Media
The SBFD Web Page represents ongoing research and results regarding Local and National fire statistics; provides links to
related web sites; and advertises publications and other services to the public. Over 20 thousand people per month visit the site.
P Ade Fact Sheets:
ice Alarms
• Latest smoke alarm statistics
• Types of smoke alarms
• 9V and lithium battery smoke alarm
• FREE smoke alarm give-away and installation guidelines
Other topics
• Fire prevention information
• Fire safety basics
• What to expect after a fire
• Wildland fire safety
•Answers to frequently asked questions
Reaching out to the Public via Neighborhood Awareness Programs
Raise community awareness by educating homeowners on importance of working smoke alarms.
• Canvass targeted city neighborhoods with pertinent program information.
• Installation of residential smoke alarms/lithium powered smoke alarms
• Maintenance education
• Provide general fire safety education
• Provide a pre and post lesson survey
• Make all related information available in English or Spanish
• Follow-up with recipients
Reaching out to Practicing Professionals: Insurers
Provide educational workshops to provide most recent fire related statistics and fire prevention objectives.
The following brochures will be printed and disseminated to the target audience:
Prevention Information
• __,tenile Firesetter Intervention Program
• Ten Tips for Fire Safety
• Smoke Alarms Save Lives
• Wildland Fire Safety
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EVALUATION
Monitoring the effectiveness of the smoke alarm program will be evaluated on a monthly and annual basis. We will utilize four
stages to our program evaluation:
F . .,native Evaluation:We will test program plans, messages, materials, strategies, and activities for feasibility, appropriateness,
acceptability and applicability as it relates to our target population.
Process Evaluation: We will test whether the program is reaching the target population as planned. This will be accomplished by
counting the number of people or households reached. We will develop a tracking form to track the number of alarms intalled, and
the number of homes that didn't have a smoke alarm and/or a working smoke alarm.
Impact Evaluation: This part will measure the target population's knowledge, attitudes, beliefs, or behaviors associated with the
program. We will compare previous years'statistics to current year statistics that will provide concrete pre and post program
implementation data.
Outcome Evaluation: This will determine how well the program achieved our goal. We will program results with program goals
and objectives. The results will give us the ability to make a well-informed decision on whether our program activities need to be
modified or improved, expansion or reduction of services are needed, or whether additional assistance is needed to reach our
goals.
The tools that will be utilized for measuring program success include smoke alarm give-away and installation tracking forms and
surveys that will be distributed to homeowners who participate in the door-to-door campaign. The tracking form will also give us
the ability to count the total number of homes that didn't have, 1)smoke alarms, and/or, 2)working smoke alarms.
If we see no change in the number of fire-related injuries and fatalities, we will modify our program as necessary to attain our
goals.
Juvenile Fire Setter Program
NERABILITY AND RISK
Juvenile Fire Setter Program (JFSP)was designed to reach at risk individuals that have been identified to have fire setting
behavior. The JFSP has provided the city, as well as neighboring communities,with a multi-faceted JFSP. Juveniles and families
with children involved in fire setting behavior are evaluated, educated, and redirected at no cost to the individual's family.Also,
this program provides the means to reduce the number of juvenile fire setters and to refer chronic offenders to the appropriate
psychological health care professionals for further care. The purpose of the program is to reduce the number of juvenile related
fires by interrupting the fire setting behavior of identified juvenile fire setters. During the past three years the Fire Department has
received 122 referrals to the JFSP. Of those referrals 79 individuals completed the program. The JFSP is open to any juvenile
that is referred to the program; city residency is not a requirement.
The success of the JFSP is directly related to the collaborative efforts of many people and organizations including:
San Bernardino Police Department
San Bernardino City School District Police
San Bernardino City Schools
Juvenile DA/Juvenile Court
San Bernardino County Behavioral Medicine and Social Services
City of San Bernardino Mayor's Office
Young Visionaries
San Bernardino Chaplain Corps
This program has been very successful over the past four years; however, the program cannot be continued in its present form
without additional funding. The Fire Department's Public Education Officer was an integral part of this program. That person is no
longer able to devote any time to the JFSP. This leaves the JFSP in the hands of the Lead Arson Investigator who balances his
time between arson investigation related activities, duties as a Task Force Officer(TFO)with the Bureau of Alcohol Tobacco,
Firearms and Explosives and Terrorism Liaison Officer(TLO), and the JFSP. Due to the current staffing reduction we anticipate at
least a 75 percent reduction in the number of individuals that will be allowed to participate in the program.
r 30NING REGARDING THE TARGETED AUDIENCE(S)AS SUPPORTED BY A RISK ASSESSMENT
Over the years we have seen numerous cases where lack of appropriate intervention and services for juvenile fire setting
behavior had a detrimental impact. The following are a few instances of this occurring:
Case#1-Two identified self-admitted adolescent fire setters who progressed to serial arsonists. The subjects, who are now
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adults served jail and prison time for arson. Subject (1)was also involved in drugs and gangs. Subject (2) had a history of
adolescent sexual abuse.
r ,#2-A child under the age of four started a toy on fire using the stove while his mother was showering. With the burning toy
i. ving room was set on fire. The mother and child barely escaped the structure before the entire living room was engulfed in
fire. When questioned after the fire the child stated he was trying to kill his mother and would do be successful the next time.
These are but a few cases that we have seen over the years where intervention could have made long last impacts on many
lives. We have seen the effectiveness of this program first hand, lives have been changed.
Severe ramifications for not progressively addressing the problem of juvenile fire setting behavior in any community include:
• Dangerous and deadly fire activity continues.
• Risk factor increases without intervention.
• Children and juveniles set larger and more dangerous fires.
• Behavior escalates and transcends into other criminal and dangerous behavior
Juvenile fire setting behavior is not prejudicial and can effect any household in any community. Studies have shown that the
majority of normal children are interested in fire and nearly most have engaged in fire play(Eileen Barry-Juvenile Fire Setting:
Juvenile Offender Magazine).
Social workers across the nation have indicated that younger children exposed to sexual abuse will frequently have a history of
fire setting behavior. Maureen Whelan, SSP with the San Bernardino County (PERK) program indicated that there is a high
correlation between child fire setting and sexual acting out.
Mental Health Institute (Journal of Personality Assessment-8-96) reported that the pathology associates with juvenile fire setting
and is not merely a behavioral disorder, but often indicative of feelings of distress, alienation, depression and thought disorder.
This inner turmoil may aggravate the fire setting itself. Thus, a comprehensive treatment approach may be necessary.
The SBFD has often been the first point of contact for juvenile fire setting activity. Thus, the continuation of this program is
paramount. The fire setting problem must be mitigated at first contact by both education and intervention. Obtaining this grant will
v the Public Education Officer to once again dedicate time to this important program so that 100 percent of all referrals can be
. Enrolling juvenile fire setters in this program will have a positive effect on both fire death and injury rates and property
damage due to fire activity.
IMPLEMENTATION PLAN AND METHODS:
Since this is an ongoing program there will be no official implementation of the JFSP. Grant funds will allow the program to
continue. The strength of the JFSP will come from continued networking with our collaborators. The JFSP consists of three basic
components: Education, Intervention, and Law Enforcement. These three components are delivered as follows:
Education: Provided by the Fire Department's Public Education Officer and Lead Arson Investigator. Scheduled and non-
scheduled educational opportunities will be offered to juveniles and either parents/guardians through school, open houses, public
fire safety events, and one on one. A curriculum program has been developed.
Intervention: A referral system is currently in place to appropriately refer juveniles and their parents/guardians to the program.
This process allows members of the San Bernardino Fire Department, neighboring fire departments, and collaborators to refer
individuals to the JFSP. Once the referral form is completed contact is made with the family and the intervention process along
with proper documentation begins. It is the goal of the JFSP to seek appropriate disposition, through appropriate referral, whether
the need for disposition is through education, intervention/referral, or law enforcement procedures.
Law Enforcement: The juvenile system is designed to correct illegal activity through discipline. The juvenile system often handles
juvenile issues through Juvenile Probation and the Juvenile District Attorney's Office. Other agencies that enforce laws related to
criminal fires include the City of San Bernardino Fire Department and the City of San Bernardino Police Department. The Public
Education Officer and Lead Arson Investigator have built strong ties with these agencies during the life of the JFSP. All the
aforementioned agencies will have direct influence in addressing juvenile fire setter's issues.
EVALUATION:
Monitoring the effectiveness and progress of the JFSP will be evaluated on a monthly and annual basis. Participation statistics
will be collected on an ongoing basis. This will allow the SBFD to make adjustments to the program as required. The fire
rtment will track the number of fires set by juveniles to measure a change in this behavior. The program will have achievable
g_ _,s and will measure success on the number of contacts, either through scheduled educational opportunities, referral,
emergent or non-emergent intervention. The fire department successfully implemented this program three years ago with the
assistance of a Fire Prevention and Safety Grant. The program has been successful for the past three years with 122 referrals
and 79 completions. Over the years we have built lasting relationships with our partners in this effort. The issue at this time is
funding the Public Education Officer who is the lead person for this program.
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If we see no change in the number of juveniles involved in fire setting behavior we will re-evaluate the program with the help of
our collaborators. We will then institute changes to the program as necessary. We will continue to monitor the effectiveness of the
pr--ram and our ability to continue to solicit referrals from our partners in the community and our neighboring fire departments.
Suo TAINABILITY
Since the inception of our fire department we have been dedicated to serving members of our communities with the utmost
integrity and care, while at the same time protecting life, homes and our environment. As fire department services change with
the changing times, we are committed to providing services to our communities with continuous improvement in mind as it relates
to the reduction of fire incidents and fire fatalities.
However, due to the major economic recession impacting all communities nationwide, there are no guarantees that funds will be
available internally for our fire department to sustain our public education program long-term. However,we have a vested interest
in reducing unintentional injuries and death associated with residential fires within our communities. As such, we believe that
additional funding can be obtained through new grant program opportunities.
In the past, we have been able to successfully raise funds through donations that have been instrumental in the support of our
free smoke alarm program. Unfortunately, these sources are not guaranteed.
SBFD is committed to ensuring that each of our city residents is safe from fire related incidents; to providing the necessary fire
educational resources, including a free smoke alarm give-away and installation program; and to make sure that these resources
may remain available after the end of the grant project period.
The long-term sustainability of the public education program will depend on attaining similar funding opportunities in the future, as
local government budgets continue to be deteriorate.
Budget Item
*Item Public Education Officer Salary
*Select Object Class Personnel
If you selected other above, please specify
nber of units 1 (Whole number only)
*Cost per unit $ 58116 (Whole dollar amounts only)
* Description
The space to the right should be used to provide
further clarification and details on the costs(i.e.
personnel costs:number of hours/rate/staff;meeting This grant will be used to.fund 80 percent of the Public Education Officers salary.
costs:number of meetings/days/attendees;travel The hourly rate is $28.23.
costs,etc.)and types of items that you are requesting.
Budget justification should be included in the project
narrative.
Budget Item
*Item Public Education Officer Fringe Benefits
*Select Object Class Fringe Benefits
If you selected other above, please specify
• Number of units 1 (Whole number only)
• Cost per unit $ 19347 (Whole dollar amounts only)
• Description
The space to the right should be used to provide
further clarification and details on the costs(i.e.
personnel costs:number of hours/rate/staff;meeting This budget item includes PERS retirement, insurance benifits, unemployment
costs:number of meetings/days/attendees;travel insurance, and Medicare costs.
costs,etc.)and types of items that you are requesting.
Budget justification should be included in the project
narrative.
6--get Item
*Item Public Education Materials
*Select Object Class Supplies
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If you selected other above, please specify
* Number of units 1 (Whole number only)
* ( nst per unit $ 8000 (Whole dollar amounts only)
BROCHURES
3000 (pre-printed)— various $546.00
Brochures (SBFD designed)
* Description 1000 Juvenile Firesetter Intervention Program $180.00
The space to the right should be used to provide 1000 Fire Prevention Information $180.00
further clarification and details on the costs(i.e. 1000 Wildland Fire Safety $180.00
personnel costs:number of hours/rate/staff;meeting
costs:number of meetings/days/attendees;travel FIRE SAFETY MATERIALS
costs,etc.)and types of items that you are requesting.
Budget justification should be included in the project Badge Stickers 20,000 $1162.00
narrative. Plastic Fire Helmets 5,000 $2875.00
Fire Safety Coloring books 5,000 $1900.00
Fire Safety Pencils 5,000 $1100.00
Budget Item
*Item First Alert 10 Year Lithium Battery Powered Sealed Smoke Alarm
*Select Object Class Supplies
If you selected other above, please specify
• Number of units 500 (Whole number only)
• Cost per unit $22 (Whole dollar amounts only)
* Description
The space to the right should be used to provide
further clarification and details on the costs(i.e.
p- -)nnel costs:number of hours/rate/staff;meeting Smoke alarms to be used for free smoke alarm installation program
number of meetings/days/attendees;travel
c_ etc.)and types of items that you are requesting.
Budget justification should be included in the project
narrative.
National/State/Regional Programs and Studies Project(s)
Research And Development Projects
Budget
Budget Object Class
Budget Amount
Personnel 58,116
Benefits 19,347
Travel 0
Eouipment 0
,lies 19,000
Contractual 0
Construction 0
Other 0
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Indirect Charges 0
Indirect Cost Details (complete this section only if you have a Federally approved Indirect Cost Rate agreement). Please note
you must add the Indirect Costs as a line item within the Request Details section as they are not automatically calculated.
I --y Indirect Cost Agreement with
Indirect Cost Rate %
Agreement Summary
Total Federal and Applicant Share
Federal Share $ 77,171
Applicant Share $ 19,292
Federal Rate Sharing (%) 80/20
Non-Federal Resources (The combined Non-Federal Resources must equal the Applicant Share of $19,292)
a. Applicant $ 19,292
b. State $ 0
c. Local $ 0
d. Other Sources $ 0
If you entered a value in Other Sources other than zero (0), include your explanation below. You can use this space to provide
information on the project, cost share match, or if you have an indirect cost agreement with a federal agency.
Total Budget $ 96,463
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Narrative Statement
Th- narrative for Fire Prevention and Safety is provided when adding Fire Prevention and Safety Projects under the Request
C 's section.
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Assurances and Certifications
F 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)
Title VI of the Civil Rights Act of 1964 (P.L. 88-352)which prohibits discrimination on the basis of race, color
or national origin; (b)Title IX of the Education Amendments of 1972, as amended (20 U.S.C. Sections 1681-
1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c)Section 504 of the Rehabilitation
Act of 1973, as amended (29 U.S.C. Section 794), which prohibits discrimination on the basis of handicaps;
(d)the Age Discrimination Act of 1975, as amended (42 U.S.C. Sections 6101-6107), which prohibits
discrimination on the basis of age; (e)the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as
amended, relating to nondiscrimination on the basis of drug abuse; (f)the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or alcoholism; (g)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 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 0)the requirements of any other nondiscrimination statute(s)which may apply to the application.
7. Will comply, or has already complied, with the requirements of Title II and III of the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646)which provide for fair and
equitable treatment of persons displaced or whose property is acquired as a result of Federal or Federally
assisted programs. These requirements apply to all interest in real property acquired for project purposes
regardless of Federal participation in purchases.
8. Will comply 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
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Safety 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 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 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
organizations.
Signed by Norma Camarena on 01131/2011
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Form 20-16C
You must read and sign these assurances by providing your password and checking the box at the bottom of this page.
N Fields marked with an * are required.
Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibilities 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 Federal Emergency Management Agency(FEMA)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 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.
(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)
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
E sere 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)
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As required by the Drug-Free Workplace Act of 1988, and implemented at 44CFR Part 17, Subpart F, for grantees, as defined at
44 CFR part 17, Sections 17.615 and 17.620:
(A)The applicant certifies that it will continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and
specifying the actions that will be taken against employees for violation of such prohibition;
(b) Establishing an on-going drug free awareness program to inform employees about:
(1)The dangers of drug abuse in the workplace;
(2)The grantees policy of maintaining a drug-free workplace;
(3)Any available drug counseling, rehabilitation and employee assistance programs;
and
(4)The penalties that may be imposed upon employees for drug abuse violations
occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in the performance of the grant to be
given a copy of the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a)that, as a condition of
employment under the grant, the employee will:
(1)Abide by the terms of the statement and
(2) Notify the employee in writing of his or her conviction for a violation of a criminal drug
statute occurring in the workplace no later than five calendar days after such conviction.
(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).
(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
If your place of performance is different from the physical address provided by you in the Applicant Information, click on
Add Place of Performance button above to ensure that the correct place of performance has been specified. You can add
multiple addresses by repeating this process multiple times.
&—ion 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://eservices.fema.Gov/FemaFireGrant/fireLyrant/isD/prevention2010/aDDlication/Drint ann.isn?print=tr... 2/17/2011
Print Application Page 22 of 23
Signed by Norma Camarena on 01/31/2011
https:Heservices.fema.gov/FemaFireGrant/firegrant/isp/prevention2010/application/print app.jsp?print=tr... 2/17/2011
Print Application Page 23 of 23
Standard Form LLL
0-' complete if applying for a grant for more than $100,000 and have lobbying activities. See Form 20-16C for lobbying activities
c 'ion.
This form is not applicable
https://eservices.fema.Rov/FemaFireGrant/fire--rant/isp/`Prevention20lO/apDlication/Drint app.isU?print=tr... 2/17/2011