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HomeMy WebLinkAbout15-Fire Department CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION From: Michael J. Conrad, Deputy Chief Dept: Fire Subject: Resolution authorizing the San Bernardino City Fire Department to apply for and administer the FY 2006 Assistance to Firefighters grant program submitted to the Department of Homeland Security in the amount of$601,266. Date: March 14,2006 MCtC Meeting Date: April 3, 2006 Synopsis of Previous Council Action: ORlGINAL RECOMMENDATION: Adopt resolution. Sig~~1 ~ Contact Person: Michael J. Conrad. Deputv Chief Phone: (909) 384-5286 Supporting data attached: Staff Report. Resolution. and Application Ward: Citvwide FUNDING REQUIREMENTS: Amount: $481.013 Source: Department of Homeland Securitv-Grant Funding Share Amount: $120.253 Source: (Acct. No.) To Be Determined upon award of grant. Finance: Council Notes: ~M)b-~r 'I/3JD' Agenda Item No. IS STAFF REPORT SUBJECT Resolution authorizing the San Bernardino City Fire Department to apply for and administer the FY 2006 Assistance to Firefighters grant program submitted to the Department of Homeland Security in the amount of $60 1,266. BACKGROUND The Department of Homeland Security has announced the availability of grant funding for Fiscal Year 2006 Assistance to Firefighters Grant Program (AFGP). AFGP assists rural. urban, and suburban fire departments throughout the United States. This competitive program seeks to support organizations that lack the tools and resources necessary to more effectively protect the health and safety of the public and their emergency response personnel with respect to fire and all other hazards. AFGP will not fund operating budgets, indirect costs, or construction. The on- line application period opened on March 6, 2006 and is scheduled to close on April 7, 2006. Previous AFGP awards have been used by the city to purchase defibrillators, self contained breathing apparatus, swiftwater rescue equipment, fire fighting equipment, and develop and implement a wellness and fitness program. Fire is requesting authorization to submit an application in the Fire Operations and Firefighter Safety area (attachment A). If the grant is awarded, funds will be used to purchase vehicle exhaust extraction systems for all fire stations (attachment B). If the specific items delineated are not awarded by the grant they would be requested to be funded by the General Fund in the future. The City of San Bernardino Fire Department urgently needs to address the lack of vehicle exhaust extraction systems in our fire stations. The fire service has made huge strides in improving the safety of firefighters through safety standards, wellness fitness programs, carbon monoxide monitoring and improved equipment. However, we are deficient in exhaust removal from our fire stations. The AFGP category titled "modifications to fire stations and facilities" will allow us to submit a n~quest to modify all fire stations. Fire's intent is to install vehicle exhaust extraction system into each of our fire stations. It's required for the purpose of protecting our station personnel and the general public, who visit our stations on a daily basis. from the cancer causing effects of vehicle exhaust emissions. These emissions are generated by our fire apparatus when dispatched to a call. when returning to quarters and during routine maintenance. The AFGP will allow us to eliminate this hazardous exposure and comply with NFP A regulations. Vehicle exhaust extraction systems are carefully engineered to fit neatly into our stations and to provide efficient vehicle exhaust collection at the source. discharging the emissions via the installed system into the atmosphere. The system operates by connecting a flexible hose to the exhaust pipe of each vehicle. The hose is connected to ducting that vents to the outside. The emissions are extracted through the hose by an exhaust fan. During the past decade, considerable interest has been expressed in the potential adverse effects from exposure to diesel engine emissions. The United States Environmental Protection Agency (EP A) recently reported that diesel exhaust from large trucks is a probable cause of lung cancer. The EP A has also found that diesel emissions give a positive result on the Ames test, a widely accepted test used to identify chemicals which are potentially cancer causing. Research by the Southern Occupational Health Center of the University of California indicates that exposure to diesel soot causes firefighters who run an average of four to six calls a day to have an increased risk to lung cancer by 100 to 200 percent. Many of our stations run twice this number of calls in a 24-hour period. Appendix A is a partial list of safety organizations and recommendations pertaining to this subject. FINANCIAL IMPACT The total amount needed to purchase the vehicle exhaust extraction systems for all fire stations is $60 I ,266. Through the grant, Department of Homeland Security will fund $481,013 (80%). The City's 20% match, in the amount of $120,253, will need to be funded by the General Fund in fiscal year 2006/2007. if the grant is awarded. RECOMMENDA nON Adopt resolution. ') RESOLUTION NO. 2 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AUTHORIZING THE SAN BERNARDINO CITY FIRE DEPARTMENT TO APPLY FOR AND ADMINISTER THE FY 2006 ASSISTANCE TO FIREFIGHTERS GRANT PROGRAM SUBMITTED TO THE DEPARTMENT OF HOMELAND SECURITY IN THE AMOUNT OF $601,266. 3 4 5 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS: 6 7 SECTION 1. The Mayor and Common Council hereby authorize the Fire Chief or his 8 designee to sign and submit the on-line grant application to the Department of Homeland Security 9 for the FY 2006 Assistance to Firefighters Grant Program. A copy of the on-line grant application 10 is attached as Attachment "A", and incorporated herein by reference. 11 IIII I I I I I I I I I I II IIII IIII IIII IIII IIII IIII IIII IIII IIII I I I I IIII IIII ND, ) S- IIII 1 i/ojlJCo 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 2 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AUTHORIZING THE SAN BERNARDINO CITY FIRE DEPARTMENT TO APPLY FOR AND ADMINISTER THE FY 2006 ASSISTANCE TO FIREFIGHTERS GRANT PROGRAM SUBMITTED TO THE DEPARTMENT OF HOMELAND SECURITY IN THE AMOUNT OF $601,266. 3 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 9 Council Members: ABSTAIN ABSENT AYES NAYS 10 ESTRADA 11 BAXTER 12 MCGINNIS 13 DERRY 14 KELLEY 15 JOHNSON 16 MCCAMMACK 17 18 Rachel G. Clark, City Clerk 19 20 The foregoing resolution is hereby approved this ,2006. day of 21 22 23 Patrick 1. Morris, Mayor City of San Bernardino 24 Approved as to Form and legal content: 25 26 JAMES F. PENMAN, City Attorney 27 II By: \J;11->'V7 o t,l~ . 28 2 San Bernardino City Fire Department FY 2006 Assistance to Firefighters Grant Program Propose Budget Attachment B Description Cost - Total Station #1 Six vehicles $81,870.00 Station #2 Two vehicles $40,927.00 Station #3 Three vehicles $46,372.00 Station #4 Three vehicles $46,372.00 Station #5 Three vehicles $46,372.00 Station #6 Two vehicles $49,505.00 Station #7 Two vehicles $24,977.00 Station #8 Three vehicles $28,214.00 Station #9 Two vehicles $49,505.00 Station #10 Two vehicles $24,977.00 Station #11 Three vehicles $66,450.00 Station #12 Three vehicles $47,378.00 Engine exhaust modification $5, I 00.00 Sub total $558,020.00 Tax $43,246.55 Total Cost (approximately) $ 601,266.55 Department of Homeland Security-Total Share: $ 481,013.24 City of San Bernardino-Cost Share: $ 120,253.31 Appendix A Appendix A NFP A (National Fire Protection Association) 1500 recognizes and advocates the need for elimination and containment of all vehicles exhaust emissions to a level of no less than 100 percent effective capture. NIOSH (National Institute of Occupational Safety and Health) recommends that occupational exposure to carcinogen be lowered to the lowest feasible concentration. OSHA (Occupational Safety and Health Administration) 29 CFR 1990.103-0SHA is aggressively enforcing stricter preventive measures due to the increase awareness of the health effects related to vehicle exhaust emissions. Local exhaust ventilation removes fumes at their source, hoses to tailpipe or stack exhaust. Monetary fines will be imposed if violations exist. AFSCME (American Federation of State County and Municipal Employees) states under control for vehicle exhaust, that local exhaust ventilation is the best way to reduce potential hazards to diesel exhaust. NRDC (National Resources Defense Council) "The scientific evidence is clear, diesel exhaust is a complex mixture comprised of hazardous particles and vapors, some of which are known carcinogens and others probable carcinogens. Diesel exposure poses a significant and avoidable increase in human health risk. Compelling evidence from dozens of well designed studies supports the conclusion that diesel exhaust causes cancer." UMC (United Mechanics Code)-A mechanical ventilation or exhaust shall be installed to control, capture, and remove emissions generated. IMC (International Mechanics Code)-Motor vehicles that are operated shall be provided with a source capture system connected directly to motor vehicles exhaust system. In addition, re- circulation of air is prohibited. 'reparer Information )verview Page 1 0 f 1 Did you attend one of the workshops conducted by DHS's regional fire program specialist? Yes, I have attended workshop Are you a member, or are you currently involved in the management, of the fire department or non-affiliated EMS organization applying for this grant with this application? Yes, I am a member/officer of this applicant , you are a grant writer or otherwise not affiliated with this applicant, please complete the information below. , you are a member/officer of this applicant, please do not complete the information requested below. After you are finished press 1e Save and Continue button below. Preparer Information . Preparer's Name . Address 1 A.ddress 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? $ ,"nc' /"'n,~,-t.,l fom~ "",,/t.rpcTr..mt/icn!firp7nnflhnnli":lt;rm/nf'W ()vprv;pw i~n')view=rint&nrint=true&app nUn. 3/21/2006 ~ontact Information :ontact Information Page 1 of 1 Title Prefix . First Name Middle Initial . Last Name . Business Phone 'Home Phone Mobile Phone/Pager Fax 'Email Alternate Contact Information Number 1 Deputy Chief Mr. Michael J Conrad 909-384-5286 Ex!. 909-384-5286 Ex!. 909-384-5281 conrad_mi@sbcity.org , Title Prefix , First Name Middle Initial . Last Name , Business Phone 'Home Phone Mobile Phone/Pager Fax 'Email Alternate Contact Information Number 2 Firefighter/Paramedic Mr. Patrick Burton 909-384-5286 Ex!. 909-384-5286 Ex!. 909-384-5281 burton _pa@sbcity.org L H._... .'._ ~-+.~ 1 C' __ ~ .~~., /,-",,: _~.-.-_,.........t i~",.......!{; ....,,')()(\t:../,..,I"'\I"'\ l~.........d~An/,..,"'\nt.,('t in FA len?,,; ~\l!=nr;nt A'fnrint=tnu::.R.,;tnn nUffi... 3/21/2006 \pplicant Information :\'pplicant Information Page I of2 Organization Name City of San Bernardino Fire Department Fire Department/Fire District . Type of Applicant . Type of Jurisdiction Served If other, please enter the type of Jurisdiction . Employer Identification Number . Does your organization have a DUNS Number1 If yes, please enter the DUNS Number Headquarters or Main Station Physical Address . Physical Address 1 Physical Address 2 'City , State City 95-6000772 Yes 143532153 200 East Third Street Zip San Bernardino California 92410 - 4889 Need help for ZIP+4? Mailing Address . Mailing Address 1 Mailing Address 2 . City . State 200 East Third Street Zip San Bernardino California 92410 - 4889 r-Iee~19r ZIP+42 Account Information . Type of bank account . Bank routing number - 9 diqit number on the bottom left hand corner of your check 'Your account number Additional Information . For this fiscal year (Federal) is your organization receiving Federal funding from any other grant program that may No duplicate the purpose and/or scope of this grant request? . If awarded the AFG grant, will your organization expend more than $500,000 in Federal funds during your organization's fiscal Yes year in which this AFG grant was awarded? . Is the applicant delinquent Qn any Federal debt? No If you answered yes to any of the additional questions above, please provide an explanation in the space provided below: Checking 121000248 4159283308 The San Bernardino City Fire Department will expend more than $500,000 in Federal funds during the fiscal year in which this AFG grant will be awarded. The following grants have been awarded to the San Bernardino City Fire Department: FY 2005 Assistance to Firefighters Grant Program-Fire Prevention and Safety Grant, FY 2004 Metropolitan Medical Response System (MMRS), FY 2005 MMRS, FY 2006 Office of Traffic Safety Grant, FY 2004 State Homeland Security Grant (SHSG), and FY 2005 SHSG. FY 2005 Assistance to Firefighters Grant Program-Fire Prevention and Safety Grant, purpose of the program is to reach high-risk target groups in order to mitigate the high incidences of death and injuries. SBCF was awarded an amount of $85,000 for the purpose of a juvenile fire-setter program, general prevention/awareness, a fire safety trailer, and fire safety props. The funds will be used to purchase a fire safety trailer, a "Freddie the Fire Truck" robot, training for a juvenile fire-setter program, arson-fire/death investigation training, surveillance cameras, flashlights, and tape recorders. L....._~ _ 11__ _ ......._1 L"__u _ __. ./.c:__.__~~" !~.~__ f-t':____1nllt: !("H,u...l; ".....t;........... /"'V't.r<Io 1 ~,..."lnt inFI\; C'n')nr;nt=tnu.:>.Rn'lpn,'=nrint Rr ~nn nu... 3/21:/2006 \.pplicant Information Page 2 of2 FY 2004 Metropolitan Medical Response System, funding awarded to the existing 124 MMRS jurisdictions and we have been 3warded the Capability Focus Area and the Sustainment of Enhanced Capabilities in the amount of $400,000. This funding is to 'urther enhance and maintain our jurisdiction integrated systems preparedness for mass casualty events. The grant requires us to :ormulate an implementation plan tailored to our existing system and needs. Funding is for radiological and medical health jreparedness equipment, mass care shelter equipment, quarantine equipment, information services equipmenUsoftware, and a ::Jubllc information campaign to educate emergency support personnel for potential WMD event. FY 2005 Metropolitan Medical Response System awarded by the San Bernardino County Fire Department, Office of Emergency Services whom is required to administer the grant for the Department of Homeland Security. SBCFD has received authorization to purchase medical supplies, respirator fit tester, in suit communications for SCBAs, 2 search cameras, deployable shelter systems, video conferencing, advanced life support mannequin for training, and search camera in the amount of $200,000. FY 2006 Office of Traffic Safety, amount awarded to the SBCFD is $78,500. Funding will be used to purchase 2 thermal imaging devices, rescue saws and blades, hydraulic rescue equipment, pneumatic air bags, cutting torch, emergency shoring equipment, electric generator, and miscellaneous rescue hand tools. FY 2004 Homeland Security Grant Program, awarded by the San Bernardino County Fire Department, Office of Emergency Services is required to administer the grant for the Department of Homeland Security. SBCFD funding share of the FY 2004 SHSGP is $84,291 to purchase communication equipment (one mobile display communication, two 800 MHz mobile radios, and one VHF mobile radio) and a mobile command vehicle. FY 2005 Homeland Security Grant Program, awarded by the San Bernardino County Fire Department, Office of Emergency Services is required to administer the grant for the Department of Homeland Security. We have been authorized to purchase an irddent response vehicle and 3 sets of personal protective equipment in the amount of $41 ,385.00. ,. ,. L :__c_ ~___f")__~....t-tr1Ia.rr'..;aH'---r'\r;nt,f(T~nn nIl 3/21/200fi Fire Department Characteristics (Part I) Department Characteristics (Part I) Page 1 of 1 Are you a member of a Federal Fire Department or contracted by the Federal government and solely responsible for No suppression of fires on Federal property? What kind of organization do you represent? All Paid/Career If you answered combination, above, what is the percentage of % career members in your organization? If you answered volunteer or combination or paid on-call, how many of your volunteer Firefighters are paid members from another career department? What type of community does your organization serve? What is the square mileage of your first-due response area? What percentage of your response area is protected by hydrants? . In what county/parish is your organization physically located? If you have more than one station, in what county/pansh is your main station located? . Does your organization protect critical infrastructure of the state? How much of your jurisdiction's land use is for agriculture, wild land, open space, or undeveloped properties? , What percentage of your jurisdiction's land use is for commercial, industrial, or institutional purposes? . What percentage of your jurisdiction's land is used for residential purposes? . How many occupied structures (commercial, industrial, residential, or institutional) in your jurisdiction are more than four stories tall? . What is the permanent resident population of your Primary/First-Due Re~ponseAr~a or jurisdiction served? . How many active firefighters does your department have who perform firefighting duties? Ho"" many stations are in your organization? Do you currently report to the National Fire Incident Reporting System (NFIRS)? If you answered yes above, please enter your E01N/FDID What services does your organization provide? Structural Fire Suppression Wildland Fire Suppression Airport Rescue Firefighting (ARFF) Suburban 64 93 % San Bernardino County Yes 28 % 33 % 39 % 17 205942 155 12 Yes 36195 Medical First Response Basic Life Support Advanced Life Support Hazmat Operational level Hazmat Technical level Rescue Operational level Rescue Technical level _ ~ ___l"}__: _h_~_'-":_'" o__-=_..._...~....... II............. .....11't"Y'lh,::o.r= 1./1.()/')on,; Jeprtment Characteristics (Part II) )epartment 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? . Over the last three years, what was your organization's average TOTAL operating budget? . What percentage of your TOTAL budget is dedicated to personnel costs (s3Iary, overtime and fringe benefits)? . V/llat percentage of your annual operating budget is derived from: b,t" numbers only. percentages must sum up to 100% Taxes? Grants? Donations? Fund drives? Fee for Service? Other? Page 1 of 1 2005 2004 2003 3 9 2 5 3 o o o o 26977029 91 % 100 % 0% 0% 0% 0% 0% If you entered a value into Other field (other than 0), please explain 'How many vehicles does your organization have in each of the types or classs of vehicle listed below? You must include vehicles that are leased or on long-term loan as well as any vehicles that have been ordered or otherwise currently under contract for purchase or lease by your organization but not yet in your possession. Enter numbers only and enter 0 if you do not have any of tr,e vcr,;.;ies below. Ty!>e or Class of Vehicle Engines (or Pumpers): Pumper, PumperlTanker, Rescue/Pumper, Foam Pumper, CAFS Pumper, Quint (Aerial device of less than 76 feet). Type I, Type II, Type III Engine Tankers: Tanke(, Tender, Foam TankerlTender (greater than 1,250 gallon tank capacity) Aerial Apparatus: Aerial Ladder Truck. Telescoping, Articulating, Ladder Towers, Platform, Tiller Ladder Truck, Quint (Aerial device of 76 feet or greater) Brush/Quick attack: Brush Truck, Patrol Unit (PiCk up w/ Skid Unit), Quick Attack Unit, Mini-Pumper, Type IV, Type If, Type VI Engine Rescue Vehicles: Rescue Squad, Rescue (Light. Medium, Heavy), Technical Rescue Vehicle, Hazardous Materials Uc;t Otner: Ef,'S Chase Vehicle, Air/Light Unit, Rehab Units, Bomb Unit, Technical Support (Command, O~,,,r3tlonal Support/Supply), Hose Tender, Salvage Truck, ARFF (Aircraft Rescue Firefighting), Cr...n cand/Mobile Communications Vehicle, Fire Boats (more than 13 feet long), Other Vehicle Total Number of Total Number Riding Positions 22 88 o o 3 12 o o 3 12 38 132 hH_~,!I_~..+~l t~~~ ~""!t.,orn-""tl;cn/tirp')nnf);"nnli{',,tinn/nrlJ rh:1r j,;n'7vipw=nrint&nrint=true&aoo number= 3/21/2006 )epartment Call Volume JE'partment Call Volume Page 1 of 1 . How many responses per year by category? (Enter ",hore numbers only. If j0U have no c~ils for any of the categories, enter 0) Structural Fires Vehicle Fires Vegetation Fires EMS Response Calls Rescue Hazardous Condition/Materials Calls Service Calls Good Intent Calls/False Alarms Other Calls and Incidents 366 311 277 21704 24 256 471 1578 522 . 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? 305 232 _ _ L I~ ~ __ /r. _u""H\C\L /~__1: __..: __ I_~~_.....-.....a ~ r"?"\("h.,~ o:::>nr=nr1nt.{>,.n~nt.::;:trlIP~r '.lnn nl1mher== 3/21/2000 ~equest Information 1eq'!est Information Page 1 of 1 . 1. Select a program for which you are applying. Remember, you can only apply for one program this year. You can apply for as lla:lY activities within a program as you need. :ir Y'::;'J .-nodify your selection, you 'Nilllose data entered under the ong!nal acti'....ity,) Program Name Operations and Safety , 2. Will this grant benefit more than one organization? No If you answered Yes to Question 2 above, please explain. ") /") 1 /1 (\(\C ~e(pest Details tequest Details "he activities for program Operations and Safety are listed in the table below. Activity Number of Entries Equipment o Modify Facilities Personal Protective Equipment o o o Tra;,ling Weilness and Fitness Programs Total Cost $0 $ 601,266 $0 $0 $0 Page I of I Additional Funding Action $ 0 View Details View Additional Funding $ 0 View Details $ 0 View Details View Additional Funding $ 0 View Details $ 0 View Details _ "1__ .-:__4-__..-.,C>. 1'.,,;1'3 1n1 nnn" Pnj Details Request Details Page 1 of 1 Modify Facility Modify Facility Programs Action Exhaust System(s) Ijjfw D~ail~ Item Number of units Cost per unit Total Cost Action Fire Station 1 6 $ 14,702 $ 88,212 View Details Fire Station 2 2 $ 22,049 $ 44,098 'lifw Detqili; Fire Station 3 3 $ 16,655 $ 49,965 View Details fir,') Station 4 3 $ 16,655 $ 49,965 Yiew Detai~ F-i:e Station 5 3 $ 16,655 $ 49,965 View Details Fi~E Station 6 2 $ 26,671 $ 53,342 View Details Fire Station 7 2 $ 13,456 $ 26,912 \jjf?W 12ill~ il~ Fire Station 8 3 $ 10,133 $ 30,399 View Details Fire Station 9 2 $ 26,671 $ 53,342 View Details Fire Station 10 2 $ 13,456 $26,912 \jie'{'{_Q?tClil s Fire Station 11 3 $ 23,866 $ 71,598 View Details Fire Station 12 3 $17,016 $ 51,048 View Detail~ Exhaus Vacu-Modification 34 $ 162 $ 5,508 View Details Total Cost $ 601,266 htt....c.I....,...,rto 1 fpm 0 om/Iii rpor~ntli~n/firf~?OOn/annl irationireauestdetails/acti vitvDetails. isp?categoryCode=2... 3/2112006 viodify Facilities View Modify Facilities *1. On what type of modification will the funds be spent? Please provide further description of the item selected above *2. What is the age of the facility that is being modified? *3 What type of facility will be modified? If you answered other, above, please specify. *4. What is the level of occupancy for the facility you wish to modify? Note:The occupancy is defined by the number of hours the facility is used within a single 24 hour time period *5. What is the maximum occupancy of the building or facility to be modified? *6. Is the facility that you wish to modify open for use by other organizations or community groups on a regular (i.e., weekly, monthly) basis? If you answered Yes, above, please explain Close Window Page I of 1 Exhaust System(s) Install 34 vehicle exhaust extraction system at all our fire stations. 53 years Station(s) Full-Time 200 number of people Yes Fire Station 1 is used for safety meetings, staff meetings, joint staff meeting with city PD and Fire, USFS meetings, labor management meetings, regional emergency medical meetings, public safety tours, fire prevention preconstruction meetings, Open House, and classroom training facility inconjunction with Santa Ana Community College. All fire stations are 24 hour living quarters for fire personnel, provide public polling locations, school tours, public information, and ride alongs. https:llportal.fema.gov/firegrant/jsp/fire2006/ app lication/reQllestdetai IsI facili ty load.do ?action=view &catego... 3/28/2006 !udget ludget Page 1 of 1 3udget Object Class a Personnel $0 $0 $0 b Fringe Benefits c. Travel d. Equipment $ 5,508 e. Supplies $0 f. Contractual $ 595,758 H Construction $0 h. Other $0 i. Ir; Jirect Charges Federal and Applicant Share Federal Share Applicant Share Federal Rate Sharing (%) , N9fl-Federal Resources (The combined Non-Federal Resources ml/51 equal the Applicant Share of S 120.253) a. Applicant b. State c. Local d. Other Sources if :::..'u entered a value in Other Sources other than zero (0), include your explanation below. You can use this space to provide infcrmation on the project, cost share match, or if you have an indirect cost agreement with a federal agency. $0 $ 481,013 $ 120,253 80/20 $ 120253 $0 $0 $0 T:l!31 Budget $ 601,266 ,ttnc.llnnrt,,! f",,,,,, n-n\./flr"'n-r"nt/icn/flr",')nnh/~nnlir~tirm;hl1dai>t tnbl i~n')\:ipU!=nrintX.nrint=tnIPx.;!nn nUll... 3/21/2006 Narrative Statement Narrative Statement Page 1 of3 Project Description Please provide your narrative statement in the space provided below. Include in your narrative, details regarding (1) your project's description and budget, (2) your organization's financial need, (3) the benefit to be derived from the cost of your project, and (4) how the activities requested in your application will help your organization's daily operations and how this grant will protect life and property. DESCRIPTION OF PROJECT: San Bernardino City Fire Department (SBCFD) is requesting funding assistance for modifications to fire stations. Our goal is to install vehicle exhaust extraction systems in all of our fire stations thereby meeting safety standards to protect the health and safety of the public and firefighters. We have always provided personal protective equipment and training to our fire personnel. However, we have an additional responsibility to ensure that while in quarters they have minimal risk of exposure to the potential cancer causing effects of diesel exhaust emissions. All fire stations are living and sleeping quarters, manned 24 hours per day, 7 days per week, and open to the public 365 days. Our stations are used for elementary school fire safety training, voting polls, meetings with outside agencies, and providing public information. In addition, all fire stations are equipped with exercise equipment and five of those stations utilize the equipment on the apparatus floor. Installing the vehicle exhaust extraction system will assist in protecting the health and safety of fire personnel and the general public who visit and use the stations on a daily basis. OUR ORGANIZATION'S FINANCIAL NEED: SBCFD is requesting $601,266 to install complete vehicle exhaust extraction systems to serve all thirty-four pieces of fire apparatus at our twelve fire stations. Our fire department's emergency response fleet consists of engines, trucks, and support vehicles that use diesel fuel. None of our twelve fire stations have systems that remove diesel exhaust directly from fire equipment or that clean the atmosphere in the station. The SBCFD fiscal year budget is $28,812,300 and 91 % of the budget is allocated to personnel salaries. 1 % of the budget is for maintenance and equipment for suppression. The cost of the vehicle exhaust extraction system cannot be funded through the budget now, or in the immediate future. Therefore, we are requesting funding through the 2006 AFGP. These systems will eliminate the hazardous exposure to the cancer causing effects of vehicle exhaust emissions and comply with the National Fire Protection Association 1500-2002 edition A.9.1.6. Every fire station has a different unit value due to the number of vehicles located at the fire station and the size of the facility. The following is the age of each fire station and the occupancy: fire station 1 was built in 1982 and the occupancy is 200, fire station 2 was built in 1962 and the occupancy is 4, fire station 3 was built in 1976 and the occupancy is 4, fire station 4 was built in 1965 and the occupancy is 8, fire station 5 was built in 1976 and the occupancy is 4, fire station 6 was built in 1976 and the occupancy is 4, fire station 7 was built in 1953 and the occupancy is 4, fire station 8 was built in 1968 and the occupancy is 4, fire station 9 was built in 1960 and the occupancy is 4, fire station 10 was built in 1964 and the occupancy is 4, fire station 11 was built in 1988 and the occupancy is 4, and fire station 12 was built in 2005 and the occupancy is 4. cosCr BENEFIT OF PROJECT: This project will directly benefit the citizens of our community and our fire personnel. The vehicle exhaust extraction system will be used on a daily basis and will help protect the city from future medical liability. The project will provide a clean, healthy work environment for our fire personnel while meeting OSHA and NFPA regulations. This request is to increase the overall health and safety of our fire personnel at a cost of $601,266 to install the vehicle extraction exhaust system. Not only do our fire personnel benefit from this system but also our surrounding community. The systems will eliminate potentially life threatening breathing hazards to our fire personnel and the public. Without funding through this grant opportunity, it will take several years for our city to acquire this system. EFFECTING OUR DAILY OPERATIONS AND PROTECTING LIFE AND PROPERTY: The City of San Bernardino is located in Southern California with approximately 19 miles of wildland interface. In light of the annual western wildfires, which include major conflagrations such as the Old Fire in 2003 that burned down hundreds of homes in our city. SBCFD has set a goal to acquire thirty-four vehicle extraction exhaust systems to equip twelve fire stations. SBCFD intent is to purchase thirty-four vehicle extraction exhaust systems for our fire stations. These systems are critical in order to protect the health and safety of our fire personnel, administrative personnel, and public by removing exhaust emissions from the ~arrative Statement Page 2 of3 fire stations. ADDITIONAL INFORMATION: The San Bernardino City Fire Department mission: We are a progressive organization dedicated to providing the highest level of preventive and emergency services consistent with the desires and resources of the community while providing a positive environment for the growth and development of its members. The San Bernardino City Fire Department provides fire protection to over 200,000 residents in a 64 square mile area. In this jurisdiction there is approximately 19 miles of wildland/urban interface, a major rail yard, an international airport, a jail, two major mall complexes and three major interstate freeways. SBCFD is a participating member in the California Master Mutual Aid Agreement, responding to any request for aid in the state. As a result, departments in our county and the San Manuel Band of Mission Indians Tribal Fire Department will utilize the exhaust extraction system when responding to our stations for automatic/mutual aid requests. SBCFD staffs twelve engine companies, air light support, hazmat unit, heavy rescue unit, five brush engines, two aerial truck companies, two aircraft rescue firefighting vehicles, and reserve apparatus that are housed in twelve stations throughout the City. It is the largest city in the County and serves as the County seat. SBCFD is requesting funding from the 2006 Assistance to Firefighters Grant Program for modification to all our fire stations to install vehicle exhaust extraction system for each fire station. With your assistance, we will continue to provide the best emergency services and fire protection possible by providing adequate facilities that meet the needs of our residents and fire personnel. . Please describe all grants that you have received from DHS including any AFG grants received from DHS or FEMA, for example, 2002 AFG grant for vehicle or 2003 ODP grant for exercises. (Enter "N/A" if Not Applicable) EMW-2002-FG-06494/closed: 12/01/02 to 05/01/04 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 swiflwater rescue equipment. EMW-2005-FP-01812/Active: 03/02/06 to 03/02/07 Awarded $85,000 for the purpose of a juvenile fire-seller 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. l_H_~. 11_~"'n 1 +~~n ~~"/t.M"r~nt/;~n/t.r"'")()()h/"lnnl;f'~ti"n/n~rrMivf' i<:n?vif'w=nrint&nrint=true&ano number= 3/30/2006 Narrative Statement Page3 of 3 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) 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. 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. n . .dud L ~_ '1/'1()/,)()()t:., \ssurances and Certifications Pagelof6 ~s;;urances and Certifications 'orrn 20-16A 'ou must read and sign these assurances by providing your password and checking the box at the bottom of this page. lote: 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 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 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 Safety ,. c_ _~___ __~'-:....."",....J ~~_t)~.:_..,__;.....+-Q.......""';nt 1/7 1 nnnr:. \.ssurances and Certifications Page 20[6 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 organizations. ~>:Ji,ed by Norma Camarena on 03/17/2006 I,'".o'! /~^rt~ 1 to~" "ml/t,rocwmt/i on/fi rp 100fli"nn lir"t;"n/"",,, InlnCP<: fmm" comhi ned. iso?view=nrint&print... 3/21/2006 \s51,rances and Certifications 'orm 20-16C .Page j 01 0 (ou; must read and sign these assurances by providing your password and checking the box at the bottom of this page. ~ote: Fields marked with an . are required, ;ertifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters and Drug-Free Workplace ~equirements, 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 c00perative 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) /l., /3 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 S, Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this apol:cation. 3 C, ug-Free Workplace (Grantees other than individuals) As required by the Drug-Free Workplace Act of 1988, and implemented at 44CFR Part 17, Subpart F, for grantees, as defined at 44 CFR part 17, Sections 17,615 and 17,620: https:!/portal.fema.gov/firegrant/jsp/fire2006/app lication! assurances_forms _ combinedj sp ?view=print&print.., 3/21/2006 \ssurances and Certifications Page4of6 (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 tille, to the applicable DHS awarding office, i.e. regional office or DHS office. (f) Taking one of the following actions, against such an employee, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted: (1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement or other appropriate agency. (g) Making a good faith effort to continue to maintain a drug free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f). (8) The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant: Place~of Performance Street City State Zip Action 2GG East Third Street San Bernardino California 92410-4804 12')1 West Ninth Street San Bernardino California 92411 -2213 2n' 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 Bernardiino 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 I~u__ 1/__ _........_1 r~_u_ ____!I:-..~_____..I;__!c::__1(1n.C.I....__l:~~.;~_/_~_.._..............r>o.... f'.....~.... .............-voh;...,DrI ;co,"',/),r:cau,=nr;nt.R,-nnnt 1/21/700fi \ssurances and Certifications Page 5 of6 f YOllr place of performance is different from the physical address provided by you in the Applicant Information, press Add Place of ~3of(Jrmance button above to ensure that the correct place of performance has been specified. You can add multiple addresses by epeating this process multiple times. ;e:~t0n 17.630 of the regulations provide that a grantee that is a State may elect to make one certification in each Federal fiscal 'ear. A copy of which should be included with each application for DHS funding. States and State agencies may elect to use a ;tatewide certification. Signed by Norma Camarena on 03/17/2006 L H . /I . . ~., 1"". ... _ _ _ u Ie: _. __._. /: ^_ J.. M.,(\(\':;/n~~ l;~n';~~ /neonrnnC'Pc f"rmc /"'{)rnhinf'rl i<:n?vif'w=nrint&nrint... 3/21/2006 \ssmances and Certifications 'EMA Standard Form LLL Page 6 of6 )nly complete if applying for a grant for more than $100,000 and have lobbying activities. See Form 20-16C for lobbying activities lefinition. -his form is not applicable , , c Ir' _ _ ____LI~___Ir..a"'lr\l'\rl____l:__...:__ f.___.________ c____ ____1-:..............1 :.........f).,:......u,___....;....t-'?n..'r-int ,n 1 nnnr:.. ** FOR OFFICE USE ONLY - NOT A PUBLIC DOCUMENT ** RESOLUTION AGENDA ITEM TRACKING FORM M""", "'" (D'''" A""~'.'i /g - Or Vote: Ayes Nays Change to motion to amend riginal documents D Item # _I c; Resolution # d-o Vb -~d- Abstain Absent Companion Resolutions N ulllV oid After: days / Resolution # On Attachments: D Note on Resolution of attachment stored separately: D PUBLISH D POST D RECORD W/COUNTY D By: tI (~([)lo Date Sent to Mayor: '-\. Date of Mayor's Signature: ~ - t; "OF Date of Clerk/CDC Signature: '-l t ~, Reso. Log Updated: 'v Seal Impressed: ~ Reso. # on Staff Report D Date Memo/Letter Sent for Signature: I" Reminder Letter Sent Date Returned: 2nd Reminder Letter Sent Not Returned: D / 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 NOr By_ Yes No By Yes N~ By= Yes NO~ Yes No By_ Copies Distributed to: Animal Control D EDA ~ Information Services D City Administrator ~. Facilities Parks & Recreation D City Attorney Finance Police Department D V Code Compliance D Fire Department Public Services D Human Resources D Water Department D ./~ Notes: Ready to File: _ Date: ~ 1 (0b Revised 12/18/03