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CITY OF SAN BERNARDINO - REQUEST FO~ COUNCIL ACTION
OR;G,',~:AL
Subject: Resolution Ratifying Submittal of an
Assistance to Firefighters Grant from the
Federal Emergency Management Agency
(FEMA) in the amount of $286,367.
From:
Larry R. Pitzer
Dept: Fire
Date:
April 30, 2001
MCIC Meeting Date:
June 4, 2001
Synopsis of Previous Council Action:
RECOMMENDATION:
Adopt resolution.
Contact Person: Larry R. Pitzer
Supporting data attached: Staff Report and Resolution
Phone: (909)384-5286
Ward: City Wide
FUNDING REQUIREMENTS: Amount: $286,367
Source: Fire Act Grant Fundina
Amount: $50,000
Source: Office of Traffic Safety Grant (123-501-5701)
Amount: $72.728 General Fund FY 2001-2002
Source: If the arant is awarded, the Fire Department will submit
a reauest to amend the General Fund FY 2001-2002 in the amount of $72,728 to match the arant.
Finance:
Council Notes:
Agenda Item No.
fill! /01
716 ~l)
STAFF REPORT
SUBJECT:
Resolution ratifying submittal of an Assistance to Firefighters Grant from the Federal Emergency
Management Agency (FEMA) in the amount of $286,367.
BACKGROUND:
In its 2001 appropriation (Public Law 106-398) Congress gave FEMA the authority to carry out
an initiative to provide assistance to firefighters. This assistance will be awarded directly to local
fire departments on a competitive basis. FEMA recognizes the importance, needs, and support
for first responders to disasters and the fire service community.
The FEMA grant will be awarded directly to the Fire Department if it is approved. FEMA will
only fund 70% of the requested amount and the Fire Department will need to fund a 30% match.
The Assistance to Firefighters Grant offers assistance in the following categories:
. Training
. Wellness and Fitness Program
. Vehicles
. Firefighting Equipment
. Personal Protective Equipment
. Fire Prevention Program
Fire agencies were allowed to apply in only two of the listed categories. The San Bernardino Fire
Department applied in the vehicles and personal protective equipment categories.
In the Firefighter Vehicle category the Fire Department is requesting to purchase a Type III
Wildland Brush Engine; FEMA authorized only one vehicle request in that category. The Type
III Wildland Brush Engine is specifically designed for the demanding situations of
wildland/urban interface firefighting, The vehicle requested has the ability to access the wildland
fires early on, which is our best chance to prevent structure loss due to wildland fires.
The personal protective equipment that the Fire Department seeks funding is to replace eighteen
Self-Contained Breathing Apparatus (SCBA) that currently do not meet National Fire Protection
Association standards and cannot be retrofitted, and to purchase the parts needed to upgrade
those existing SCBAs that can be retrofitted.
Deadline for application was May 2, 2001; there were no exceptions. The Fire Department
submitted a grant application (see attachment A) to FEMA for approval for the Assistance to
Firefighters Grant on April 26, 2001. The City will not be notified of the status until September
2001. This grant is funded for 12 months after it has been approved and will provide funding for
firefighter vehicle and personal protective equipment.
FINANCIAL IMPACT:
The total amount of the grant is $409,095, which is separated into 2 categories: 1) vehicle
equipment in the amount of $260,434, and 2) personal protective equipment in the amount of
$148,661.
Assistance to Firefighters Grant will fund 70% of the following:
. $182,304 firefighter vehicle equipment
. $104,063 personal protective equipment
. Total Grant Funding of $286,367
The Fire Department shall provide a 30% match that totals $122,728 over the life of the grant.
. $78,130 firefighter vehicle equipment
. $44,598 personal protective equipment
. Total Fire Department Commitment is $122,728
The Office of Traffic Safety Grant already awarded to the Fire Department, $50,000 of the
required 30% match (account number 123-501-5701). The Fire Department's remaining portion
of the grant match, in the amount of $72,728, will have to be funded by the General Fund in the
form of additional funds being appropriated to the Fire Department. If the Fire Department is
awarded this grant, a staff report requesting a budget amendment to appropriate the needed
additional funds will be brought back to the Mayor and Common Council for approval. Whether
or not the grant is awarded will be determined by September 2001.
RECOMMENDATION:
Adopt Resolution.
APPUCATION FOR
OMII.--.... O~3
FEDERAL ASSISTANCE Z.DA11iIU8M1lTED AppIicIfII-
Anril 26 2001
I. TYPE OF IU8MISSli:lN: 2. DA11i RECENED BY Sl'A11i .....~-
AppbIkln PI ...,:' .
@con_oo B-_n " .. DA11i RECENEIIBY FEDIRAL AGl!NCY F_I_
X NcIn-C....1&CtIoft ..~...1trvctIon .
5.AI'PIJCANT _TION
LopI_ City of Bernardino ~UftiI: Department
San Fire
-(gWoclr. _. sr.,., -...mftI: ......................-of_..bo_..._"'-ing
200 East Third Street thilL....:- II .{fIve...codeJ
San Bernardino California 92410 Larry Pitzer, Fire chief
County of San Bernardino (9091 384-5286
.. EIIPLDYER IlEIITFICATION _ (E/NJ: 7. TYPEOFAPPt.ICAHT: (__..p,.._..bo1t/
[2liJ.~ lEI
A_ H."J... .IISc:hoa101ll.
I. TYPE OF Al'PUCA1IDN: 8. County 1._~-"HlghorL-.lng
0- [Jc..... --- 0........ c. MonidpoI J. P_1InMnIily
D.T_.. K.lndlon T....
W_,-__~'Jln"'(.J 0 0 e._ L_
F. ............ M. P....Orp_
A. 1nc::N8. Award B._A_ e. _ DonlIon G.SjIocIoIDlsCtld N.OII1or_ Fire Dept.
D.__ 0IIl0r(~:
.. NAME OF fEDERAL_V:
F_Enwgoncy M__otAgoncy
10. CATALDO OF FEDERAL DClIIESl1C AlII1STAHCE NU8ER: U. DESClU'TlVElITUi OF APl'\.ICANT'lI FROJECT:
lmJ . !illEJ
TItlE: F1rengllllrs Asol_-..
12._Al'FECTalBV PIIDJECT jCIIo.. ~ _ _):
City of San Bernardino
13. PROPOSED PROJECT: t4 CONGREUIOMAL DlSTRICTI OF: (40th) Jerry Lewis (42nd) Joe Baca
SIal 0olo IEndng Dole ..- b.PnIjod (40th) Jerry Lewis & (4200) Joe Baca
San Bernardino Citv Fire Vehicles and Personal Protective . t
15. EmMATED FUNDING: ILlS APPUCATION IUBJECTTO IlE'IlEW BV STATE EllECU1M!
_ tD12l'1lOCESS1
a. F..,... I ....
286,367 a.YES. TIIS PREAPPLlCATIONIAPP\JCATION WAS MADE AV""""'"
b._ I .... TO THE STATE EXECUTJVE ORDER 123n PROCESS FOR
122,728 REVlEWON:
c._ . ....
0 DArE:
d.~ I ....
0 b.No. = IS NOT COVERED BV E.O. tZln
e.OIIlor . .... PROGlWI HAS NOT BEEN SELECTED BV srATE
0 FOR REVIEW
f.P__ I ....
17. IS ntE APPI.JCANT DEllNCIUENT ON MY FEDElW. DE8T7
g. TOTAL I 409,095 .... Oy.. . -y.... .aach... ........... [jJNo
II. TO THE BEST OF MY KNOWUDGE AIlD IIEUEF. ALL DATA II THIS APPUCAllONlPREAPPUCATION AIlE TRUE MD CORRECT. ntE
DOCUMENT HAS BEEN DULT AU1HORIZED BT TIlE GOVERNING BOOT OF THE AI'PIJCANT AND THE APPUCANT WILL COIIPI. V WITH THE
AnACHEO ASSURANCES F lItE ASSISTANCE IS AWARDED.
..TIP'I_"'_~ lb. Tille c.T%pIIclneNumbel
Fred Wilson "':, City Administrator (909) 384-5122
d. Slgnalulw "'_ Re / e. o,to S9led
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. .., ---- Sla*'d FfJIffl <t24~. 1-.1)
Pr.wo...EdIlIGnUsabtll , I ,..'02
AultlcNed far Local ReprodudIan
Attachment "A"
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Attachment "A"
FEDERAL EMERGENCY MANAGEMENT AGENCY
SUMMARY SHEET FOR ASSURANCES AND CERTIFICATIONS
a.M.B. No. 3067-0206
Expires February 29, 2004
FOR
FY 2001
CA FOR (Name of Applicant)
San Bernardino City Fire Department
This summary sheet includes Assurances and Certifications that must be read, signed, and submitted as a part of the
Application lor Federal Assistance. I
.
An applicant must check each item that they are certilylng to:
Part I [2]
Part II 0
Part III ~
FEMA Form 20-16A, Assurances-Nonconstructlon Programs
FEMA Form 20-16B, Assurances-Construction Programs
FEMA Form 20-16C, Certifications Regarding Lobbying;
Debarment, Suspension, and Otber Responsibility
Malters; and Drug-Free Workplace Requirements
Part IV (2)
SF LLL, Disclosure 01 Lobbying Activities (If applicable)
As the duly autborized representative 01 the applicant, I hereby certily that the applicant will comply with the identified
attacbed assurances and certifications.
Fred Wilson
Typed Name 01 Autborized Representative
City Administrator
Title
/Jitt
,signature 01 Authorized Representative
L/' . ..( ". ..1. .
.f} F I
Date Signed
NOTE: By signing tbe certification regarding debarment, suspension, and otber responsibility malters lor primary covered
transaction, tbe applicant agrees that, sbould tbe proposed covered transaction be entered into, it shall not knowingly enter
into any lower tier covered transaction with a person wbo is debarred, suspended. declared iueligible, or voluntarily ..eluded
rrom participation in tbis covered transaction. unless authorized by FEMA entering into tbis transaction.
The applicant lurtber agrees by submitting tbis application that it will include the clause tilled "Certification
Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction," provided by
tbe FEMA Regional Office entering into tbis covered transaction, without modification, in all lower tier covered transactions
and in all solicitations lor lower tier covered transactions. (Refer to 44 CFR Part 17.)
Paperwork Burden Disclosure Notice
"Public reporting burden for this form is estimated to average 1.7 hours per response. Burden means the time, effort and
financial resources expended by persons to generate. maintain, retain, disclose. or to provide information to us. You may
send comments regarding the burden estimate or any aspect of the form, including suggestions for reducing the burden
to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, SW. Washington, DC 20472.
Paperwork Reduction Project (3067-0206). You are not required to respond to this collection of information unless a valid
OMB control number appears In the upper right corner of this form. Please do not send your completed form to the above
address.
FEMA Fonn 20-16, FEB 01
A ttachment "A"
FEDERAL EMERGENCY MANAGEMENT AGENCY
ASSURANCES-NON-CONSTRUCTION PROGRAMS
Not.: C.rtain of tb.se assuranc.s may not b. applicabl. to your proj.ct or program. If you have any qu.stions, pl.as.
contact tb. awarding ag.ncy. Furtb.r, c.rtain F.d.ral awarding ag.ncies may r.quire applicants to c.rtify to
additional assuranc... If such is tb. cas.. you will be notified.
,
As the duly authoriz.d r.pr.sentativ. of tb. applicallt, I c.rtify that th. applicant:
I. Has tb. I.gal authority to apply for F.d.ral assistanc.,
and the institutional, manag.rial and financial capability
(including funds suffici.nt to pay the non-Fed.ral share of
proj.ct costs) to .nsur. prop.r planning. manag.m.nt and
compl.tion of tb. project d.scrib.d in this application.
2. Will give the awarding ag.ncy,th. Comptroll.r
G.n.ral of th. Unit.d Stat.s, and if appropriat.. the Stat.,
tbrough any autboriz.d r.pres.ntative, access to and the
right to examine all records, books, pap.rs, or docum.nts
r.lat.d to the award; and will establisb a proper accounting
syst.m in accordanc. with g.n.rally acc.pt.d accounting
standards or ag.ncy dir.ctiv.s.
3. Will .stablish saf.guards to probibit .mploy..s from
using tb.ir positions for a purpose that constitutes or
pr.s.nts tb. app.aranc. of p.rsonal gain.
4. WiD initiate and complet. the work within the
applicabl. time frame aft.r rec.ipt of approval of tb.
awarding ag.ncy.
5. Will comply with the Intergov.rnm.ntal P.rsonnel
Act of 1970 (42 U.s.C. S.ction 4728-4763) r.lating to
prescribed standards for merit systems for programs
funded under ORe of the nineteen statutes or regulations
sp.cifi.d in App.ndi. A of OPM's Standards for a Merit
System of P.rsonn.1 Administration) 5 C.F.R. 900.
Subpart F).
6. Will comply witb all Fed.raI statutes r.lating to
nondiscrimination. Tb.s. includ. but are not Iimit.d to:
(a) Titl. VI oftb. Civil Rigbts Act of 1964 (P.L. 88-352)
wbich probibits discrimination on the basis of rac., color
or national origin; (b) Titl. IX of tbe Education Am.ndm.nts
of 1972. as amended (20 V.s.C. Sections 1681-1683, and
1685-1686), which probibits discrimination on the basis of
SOl; (c) Section 504 oflh. R.babilitation Act of 1973, as
amended (29 V.S.c. Section 794), wbicb probibits
discrimination on the basis of handicaps; (d) th. Ag.
Discrimination Act nf 1975, as am.nd.d (42 U,S.C.
Sections 6101-6107). whicb prohibits discrimination on the
basis of ag.; (.) the Drug Abus. Offic. and Treatm.nt Act
of 1972 (P.L. 92-255), IS am.nded. r.lating to
nondiscrimination on the basis of drug abus.; (I) the
Comprehensive Alcohol Abus. and Alcobolism Prevention.
Treatm.nt and R.habilitation Act of 1970 (P.L. 91-616), as
amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; (g) S.ctions 523 and 527 01
the Public Health S.rvic. Act of 1912 (42 U.S.C. 290-dd-3
and 290....-3). as am.nd.d, r.lating to confid.ntiality 01
alcohol and drug abuse pati.nt records; (h) Title VIII oflh.
Civil Rigbts Acts of 1968 (42 U.S.C. Section 3601 et s.q.).
as amended, relating to nondiscrimination in the sale,
r.ntal or financing of housing; (I) any otber
nondiscrimination provisions in the specific slatute(s)
under which application for Federal assistance is b.ing
mad.; and (j) the requir.ments of any otber
nondiscrimination statute(s) which may apply to the
application.
7. Will comply, or bas alr.ady complied, with tbe
r.quirem.nts of Title II and III of th. Uniform
R.location Assistanc. and Real Property Acquisition
Policies Act of 1970 (P.L. 91-646) whicb provide for fair
and equitable treatment of persons displaced or whose
property is acquired as a result of Federal or Fed.rally
assisted programs. Tb.s. requir.m.nts apply to all
interest in real prop.rty acquired for proj.ct purpos.s
regardl.ss of Federal participation in purebas.s.
8. Will comply with provisions of tbe Hatch Act (5
V.S.c. S.ctions 1501-1508 and 7324-7328) which limit
tbe political aetivities of .mpluyees whose principal
.mploym.nt activiti.s ar. funded in whol. or in part
with F.d.ral funds.
9. Will comply, as applicabl., with tbe provisions 01
the Davis-Bacon Act (40 U.S.C. S.ctions 276a to 276a-
7). th. Copeland Act (40 U.S.C. Section 276c and 18
V.S.C. S.ctions 874), and the Contract Work Hours
and Saf.ty Standards Act (40 U.S.C. Sections 327-333),
regarding labor standards for f.d.rally assisted
construction subagreements.
10. Will comply, if applicable, with flood insuranc.
purchas. r.quir.ments of Section 102(a) of the Flood
Disaster Protection Act of 1973 (P.L. 93-234) wbich
requires r.cipi.nts in a sp.cial flood hazard ar.a to
participat. in the program and to purchase flood
insuranc. if the total cost of insurable construction and
acquisition is $10,000 or more.
FEMA Form Z0-16A, JUN 1M
Attachment "A"
11. Will comply with cnvironmental standards which may
be prescribed punuant tn the following: (a) institution
of environmental quality control measures under tbe
National Environmental Policy Act oft969 (P.L. 91-190)
and Executive Order (EO) 11514; (h) notilication of violating
facilities punuant to EO 11738; (c) protection ofwetlllnds
pursuant to EO 11990; (d) evaluation of flood hazarols in
floodplains in accordance with EO 11988; (e) assunnce of
project consistency with the approved State management
program developed under the Coastal Zone Management
Act of 1971 (16 V.S.C. Section 1451 et seq.); (I) conformity
of Federal actions to State (Clean Air) Implementation
Plans under Section 176(c) of the Clean Air Act of 1955,
as amended (42 V.S.C. Section 7401 etseq.); (g) protection
of underground sources of drinking water under the Safe
Drinking Water Act of 1974, as amended, (P.L. 93-523);
and (b) protection of endangered species under the
Endangered Species Act of 1973, as amended.
(P.L. 93-205).
12. wm comply with the Wild and Scenic Rivers Act of
1968 (16 V.S.C. Section 1271 et seq.) related to
protecting components or potential components of
the national wild and scenic riven system~
13. Will assist the awarding agency in assuring
compliance with Section 106 of the National Historic
Preservation Act of 1966, as amended (16 V.S.C. 470),
EO 11593 (identification and protection of bistoric
properties), and tbe Archaeological and Historic
Preservation Act of 1974 (16 U.s,C. 469a-1 et seq.).
14. Will comply witb 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, teacbing, or other
activities supported by this award of assistance.
16, Will comply witb the Lead-Based Paint Poisoning
Prevention Act (42 V.s.C. Section 4801 et seq.) which
probibits the use onead based paint in construction or
rehabilitation of residence structures.
17. Will cause to be performed tbe required financial
and compliance audits in accordance with the Single
Audit Ad of 1984.
18. Will comply with all applicable requirements of all
other Federal laws, necutive orders, regulations and
policies governing this program.
19, It will cnmply with the minimum wage and maximum
boun provisions of tbe 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.
FEMA Fonn 21J..16A (BACK)
Attachment "A"
FEDERAL EMERGENCY MANAGEMENT AGENCY
CERTIFICATIONS REGARDING LOBBYING: DEBARMENT, SUSPENSION AND
OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
Applicants should refer to the regulatioRs cited below to determine the certification to which they are required to attest. Applicants
should also review the instructions for certification included in the regulations before completing this form. Signature on this
form provides for compliance with certification requirements under 44 CFR Part 18, "New Restrictions on Lobbying; and 28 CFR
Part 17, "Government.wide Debarment and suspension (Nonprocurement) and Government-wide Requirements for Drug-Free
Workplace (Grants)." The certifications shall be treatdl as a material representation of ract upon which reliance win be placed
when the Federal Emergency Management Agency (FEMA) determines to award the covered transaction, granty or cooperative
agreement.
1. LOBBYING
A. As required by section 1352, Tide 31 of the U.S. Code. and
implemented at 44 CFR Part 18, for persons entering into a grant
0< coope<ative agreement over 5100.000. as defined a'44 CFR
Part 18, the ap~tcanl certifies ltIat:
(a) No Federal appropriated fund. have been paid or wil be paid.
by or on behalf of the under.ligned. 10 ony _lot inlluencing or
attempting to inftuence an ofticer or employee of any agency, a
M.- 01 Congress, an offlcer or employee 01 congress. or an
employee of a Member 01 Congress in comeclion with the making
01 any Federal grant, the entering inlo 01 any cooperative agreemenl,
and the extension, continuation, renewal, amendment. or modificalion
01 any Federal grant or cooperalive agreement
(b) "any other fund. than Federal appropriated fund. have been
paid or wiD be paid 10 any peBOl1lot inftuencing or attempting 10
influence an officer Off empkJyee of any agency, a Member of
Congress, an offICeI' or an employee of Congress, or emi*Jyee
of a member of Congress in connection wiIh this Federal grant or
c:ooperalive agreement. the undersigned shall complete and submit
Standaro Form LLL, i>isdosure of Lobbying Aclivities," in
accordance wiIh its instructions;
(e) The undersigned shall require thai the language of this certification
be included in the award documents for aR subawards al aU tiers
(inducting subgrants, conlracts under grants and cooperative
agreements, and subcontrad(s) and that aI subrecipienls shall
ceI1ify and discJose aa:ordingly.
DStandard Form lLl. "Disclosure 01 LObbying ActiYilies" a.tached.
(This fOlm must be anached 10 cerlificalion if nonappropriated funds
are to be used to inlluence activities.)
2. DEBARMENT. SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
(DIRECT RECIPIENT)
As required by Executive Order 12549. Debarmen' and Suspension.
and implemented a'44 CFR Part 67. lor prospective patticipanls in
primary COYOfed transactions. as defined at 44 CFR Part 11.
Section 17.51Q-A. The appIicanl certif...lha' il and its principal.:
(a) IVe "'" p'esenUy debarred. suspended. proposed for debarmen'.
declared ineligible, sentenced to a denial of Federal benerlls by a State
or Federal court, or voIuntarWy excluded from covered transactions by
any Federal department or agency:
FE'1\' t"t~c2fi~~,~~N ~ A"
(b) Have not within a Ihree-year period preceding Ihis application been
convicted of ar had a civilian judgment rendered against them fer
commission of fraud or a criminal offense in conneclion with
obtaining, attempting 10 obtain. or perform a public (Federal, Slate,
or local) transaction or contract under a public transaction; violation
of federalOf' State antitrusl statutes or commission of embezzlement,
Ihell. forgery. bribety. falsificalion or deslnJction of recood..
making false .talemenls. or receiving .loIen property:
(c) Ate nol presendy indicted for or otherwise criminaUy or civily
charged by a governmental entity (Federal. Slate, 0< local) with
commission 01 any of Ihe offense. enuneraled in paragraph (1 )(b)
01 this certificalion; and
(d) Have not_in alhree-year period p'eceding this application
had one or more public . ransections (Federal. State. or local)
lerminated for cause Off default; and
B. Where ltIe applicanl is unable to certify to any of the statements
in this certification, he or shaM shatI attached an explanation to this
application.
3. DRUG-FREE WORKPLACE
(GRANTEES OTHER THAN INDIVIDUALS)
As required by the Orug-free Wort<place Act of 1988. and
implemented al44 CFR Part 17. Subpart F. forgra_. a. defined
al44 CFR Par117, SecIion.17.615 and 17.620:
A. The applicant certifies that it wiN continue to privide a drug-
~.. W<lf1cpIace by:
(a) Publishing a statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession. or use of a
contr041ed substance is prohibited in the grantee's wortpface cn:t
specifying the actions tht will be taken against employees for
violalion oI.uch prohibilion;
(b) E.lablishing an on-going drug fr.. awareness program to
inform empoyee. about:
(1) The dangers of drug abu.e in the workplace:
(2) The gran I..'. policy 01 maintaining a drug-free workplace;
(3) My available dl\Jg counseling. rehabilitation. and
emptoyee assistance programs; and
(4) !he penallieslhal may be imposed upon employees for
drug abuse violations occurring in the workpface;
(e) Making i a requirement lIlat each employee 10 be engaged in
!he perbmance 01 the grant 10 be given a copy 01 the slalemenl
required by paragraph (a):
(2) Requiring such employee 10 paI1icipate satislaclorily in a
drug abuse assistance or reIlabililation program ajlplUVed for
such purposes by a Federal, State. or loCal heaIIh. law enforcement.
or other appropriate agency.
(d) Notifying lIle employee in Ihe statement ~ by
paragraph (a) Iha~ as a oondilion oll!fl1lloymene under Ihe gran~ !
the employee wiI:
(g) Making a good failll ellort 10 continue to maintain a drug hee
workplace IIlltlugh implementation 01 paragraphs (a), (b). (e). (d). (e).
and(n.
(1) Abide by the Ienns oIlIle Slalemen~ and
(2) Notify the employee in writing 01 his or her conviction for a
vioIaIion 01 a criminal drug slatule oa:uning In the WOl1cpIace no later
lIlan live calendar days aft", such conviction.
8. the grantee may insert in the space provided below the sile(s)1or
lIle P8fformance 01 work done in connecIion wiIh !he specific gran!:
P1ace 01 PeIformance (Sb'eel address. City, County. S1a1e. 2ip code)
(e) Notifying lheagency, in writing. wi1hin 10 calendar days after
receiving notice ..- subpalagraph (<1)(2) from an employee or
otherwise receiving actuat notice of such comiction. Employers of
convicted employees must proYide notice. incMling posAion bU..
10 lIle applicable FEMA awanfing o/fIce. i.e.. regional olfIce or
FEMA office.
200 East Third street
City of San Bernardino
County of San Bernardino
California 92410
Check Oif Ihere are 'NQf1(pIaces on file that are not idenltied here.
In Taking one oIlIle following actions. wiIhin 30 calendar clays 01
receiving nolice under subparagraph (d)l2). with respecllo any
employee who is so convicIed:
Section 17.630 01 the regulations provide !hal a grantee that is a Stale
may eIecllo maJce one certification in each Federal fiscal year. A copy
01 which should be included with each application for FEMA funding.
StaleS and Stale agencies may eIecllo use a Statewide ...-.
(1) Taking appopriale personnel action against such an employee.
up 10 and including termination. c:onsistenl with the requirements
of the Rehabilitation Act of 1973. as amended; or
FEMA Form ZO-l6C (BACK)
Attachment "A"
I
DISCLOSURE OF LOBBYING ACTIVITIES
_.,0Mll
03484M6
Complel.lIllslonn to dildo_lobbying _ftl.s ......u.n! to 31 U.S.C. 1352
(S.. rev_lor public burdon _....,
Z. Ste.... of F..,.' Action:
D.. bidlofft:rlapplication
b.lnltlelewerd
c. post.....rd
1. T",. of Fod.... Ac:Iion:
o a. contract
b.gl'ilnt
c. cooperative agreement
d.lo... c
........g-
f.loan Insuranc.
. Name and Adolre.. of RJpoftIng Entity:
DprIme
OSubawardee
r...
, ifknown:
.....sslon.. D1otr1ct. ilknown:
. Foderel Depilf1menllAgoncy:
8. Fod_AcIIonNu_.illlnow'1:
10. L Name md Address of Lobbying Registrant
(if _al.1ast nam.,/Irst name. loll):
11. _ noquested II1roIql ... fonn is __ by tiIIe 31
U.S.C. _ 1352. This -.. oIlobbjing -... is. material
__ oI/act upon which __ _ placed by !he""
_when "'_was made or_ inlO. This
diodoowe is requO-ed ponuanl 10 31 U.S.C. 1352. This inrormation
wi! be AIPOf1ed 10 1I1e Congress semi-annuaIy _ wi! be
av_forpulllic~. "",,_whorailoI01ile1l1e
required _ _ be IUbject 10. cM\ penally d not less
than $10,000 and not...... than S100.ooofor'- such failure.
3. Roport Type:
D.. initial filing
b. nuterial change
For Material Change Only:
,ur quarllr
deto of '.sl report
5. If Reporting Entity in No. 4 Is Sub_des. Enler N....
and Address of Prime:
Congnslion" District, iI /mown:
7. Fod.ta1 Program _scription:
CFOANumber. iI~:
t. AWllrd Amount. if known:
$
b. InellI.duals Porfonnlng Senrices (induding _lIS if
_nr frotn No. lOa)
{IasI name, 6rst name, UI}:
Signatun:
Print Name:
Tille:
T.....hon. No.:
Date:
Attachment "A"
For FEMA Use
Questions, page I on Only
1. Are you a Fire Department or the authorized
representative of a fire department? (circle one)
G) Yes:::>
b) No.
,
2. Are you a Federal Fire Department or contracted
by the Federal government and solely responsible
for suppression of fires on Federal property?
a) Yes,
()) No.~
3. Is your active firefighting staff(circle one):
6) all paidlcareeV
b) all volunteer or combination volunteer
and career?
4. Is your department located in (circle one):
a) an urban community
(population over 250,000)?
o a suburban community ~
(p9pulatigR beW~l:R ?o.OOO and 250 00 ?
c) a rural community
(population under 20,000)?
5. How many active firefighters are in the operations/-
EMS divisions of you department?
/'13 = Number of active firefighters.
General Questions for All Applicants
Attachment "A"
For .Use
Questions, paue 20f2 Only
6. What is the permanent resident population of your
primary/first-response area or jurisdiction served?
/3{"Ob()= Population of response area.
7. What category (or categories) of assistance are you
applying for with this application and how much is
the total Federal share ofthe cost of the project that
you are seeking in each category?
Category #1: ~J..."It/ $ J3.2..'?0&f
Category #2: PPE $ 10'1 0".3
8. If the population you protect is 50,000 or less, you
are required to provide a non-Federal cost-share
equal to 10 percent ofthe total project cost. If the
population you protect is over 50,000, you are
required to provide a non-Federal cost-share equal
to 30 percent of the total project cost. Are you willing
to cornply with this requirement? (circle one)
~
b) No.
9. It is also a requirement that departments receiving
funding under this grant program agree to provide
information to the national fire incident reporting
system (NFIRS). If you receive an award, do you agree
to provide information to this national system? (circle one)
ci) Yei)
b) No.
General Questions for All Applicants
Attachment "A"
Questions for Vehicle Category
For FEMA Use
Questions, page I of 2 Only
I. What type of vehicle will you use the grant funds
to purchase (circle one):
a) Engine (includes Pumpers)
b) Tanker
c) Heavy Rescue Vehicle
Uf) Brush TruclV
e) Ambulance
f) Aerial Apparatus (includes Ladders)
g) Other, specify =
2. The purpose for this grant is to (circle one):
a) Obtain an additional vehicle for frrefil!:hting fleet.
('6) Reolace/retire an old frrefighting vehicle.J*
c) Refurbish an old firefighting vehicle,
d) Purchase a new vehicle to fulfill a
new rnission.
3. How many vehicles of the type or class you are
planning to purchase, does your department own?
.3 = Number of vehicles.
4. What is the age of your newest first-response
vehicle in this class that you currently own?
.2 yr oS . = Age of newest vehicle.
:II 2- -*
Afk.....fl.J....., -/rJ J-t--f/(A.(.l,.. obsoltd.e. veJ....C/Jt.5 (,c./r/U<.Jj
reJ...ove-t -fro...... .s'e-~ VI'~ .
Attachment "A"
For FEMA Use
Questions, page 2 of 2 Only
5. What is the age of the oldest first-response vehicle
in this class that you currently own? ~ M
D,e-... ,.,,-
35 Yr57 Age of oldest vehicle. s""pl..s _.-I. 'h7
y<.J; ,dt.s .
6. What is the mileage on the first-response *"
vehicle you are replacing/refurbishing? /lilA,
= Mileage of vehicle,
7, What is the average number of annual responses
for the frrst-response vehicle you are
replacing/refurbishing?
If go = Average annual responses.
Questions for Vehicle Category
"* A+/e-pJ-.'''1
re-J--"ove.'J
-h repJec.u- Obsolc.t-e.
.f.,.o...... 5e... Vl'vf.- .
~~, ',j ",5 ""'/ reo..Jr
Attachment "A"
Questions for Personal Protective E
QuestionS/
I. What percentage of your active firefighting staffhas
personal protective equipment that meets current
NFP A and OSHA standards?
78 % = Percentage with PPE.
2. What percentage of your active fire fighting staff will
have personal protective equipment that meets
current NFP A and OSHA standards if this grant
is awarded?
f1f.. .l = Percentage that will have PPE.
3. The purpose of this grant is to (circle one):
c) Equip staff for a new mission.
Attachment "A"
ment Cate 0
For FEMA Use
Only
Suggested Format for the
Assistance to Firefighters Grants Program's
Project Narrative
.
.
Instructions: Please be sure that your na"ative addresses each of the following areas
to the best of your ability. Your narrative should be concise. but brief. If you need more
room than has been allotted for your answer, please use the back of the suggested {ann
or feel free to attach more sheets. Your narrative may !1!l! exceed a maximum of five
Daoes includino this form. The oraiect narrative must be double soaced.
Applicant Name: Category:
San Bernardino City Fire Vehicles
Please describe in full the project that you are requesting to be funded.
See Attached
Please provide a detailed description of your planned uses of the grant funds for
each major budget category as listed on the budget form (SF 20-20).
See Attached
Please explain why this program would be beneficial to your community andlor to
your department
See Attached
Please explain why this project cannot be funded solely through local funding.
See Attached
Please provide any additional relevant information that you would like us to
consider when evaluating your application.
See Attached
Attachment "A"
San Bernardino City Fire Department Application
Assistance to Firefighters Grant Program
Project Narrative - Firefighting Vehicle
','
Proiect Description
To avoid the catastrophic impact from wildland fires in the San Bernardino
wildland/urban interface and to improve the safety of our firefighters on the "front lines,"
the San Bernardino City Fire Departrnent (SBCFD) seeks federal funding to purchase one
Type III Wildland Brush Engine. Per our attached Budget Summary, the total cost for
the Vehicle Category is $260,434. With a 30% local match of $78.130. the total Federal
funds reauested for this catel!orv is $182.304.
Originally, the SBCFD had a total often brush engines in service. These engines
were Korean War military surplus vehicles converted to fire suppression capabilities.
With age and maximum use during numerous wildfire responses, unreliability, lack of
available parts for repairs, and safety hazards forced SBCFD to retire all of these
vehicles in 1999. Unfortunately, out of the ten, only three vehicles have been replaced.
At a minimum, the SBCFD needs two additional brush engines to provide for a more
effective response to future wildland fires. This request for one brush engine will allow
SBCFD to strategically locate existing vehicles and increase the probability of containing
the initial "small" wildland fire from becoming another disastrous Panorama Fire as
described below.
Prol!:ram Benefits to Community and/or Fire Department
In January 2001, the U.S. Department of Agriculture and the Department of the
Interior designated the City of San Bernardino as a WildlandlUrban Interface
San Ber.trlll.. City Fire Depulment Application
Attachment "A"
r.pl
Community in the vicinity of Federal lands that is at High Risk from wildfire. This
designation resulted from a Congressional directive to identify such impacted
communities across the Nation and publish a list in the Federal Register.
The San Bernardino Valley foothills, otherwise known as the San Bernardino
wildland/urban interface, have a long history of disastrous fires. These major wildland
fires have endangered the City of San Bernardino on numerous occasions in the past and
have spread into the City and caused extensive human suffering and property damage.
The most notable fires in recent times are the Bear Fire of 1970 and the Panorama Fire of
1980. The Bear Fire burned 53,100 acres and destroyed 51 homes and II structures. The
Panorama Fire took four lives, consurned 23,600 acres, destroyed 325 homes and
damaged 55 other homes. Direct costs for the Panorama Fire were $40 million in
property damage, $12 million in natural resources and $6 million in suppression efforts.
Today, local conditions including vegetation, climate and topography combine to
make the potential for another devastating fire extremely high. First, twenty years of
vegetation growth provide the fuel for such a fire. The most common vegetation in the
San Bernardino foothills is chapparral which includes chamise, manzanita, scrub oak and
sagebrush. As this chapparral ages, the percentage of dead material within plants
increases. The oil content of leaves and dead fuel combine to make these plants highly
flammable, particularly during the fall.
Another component of the local wildfire potential is Mediterranean type climate.
This climate is characterized by short, wet winters and long dry summers followed by
strong winds in the fall. The Santa Ana winds which are prevalent in the fall and winter
often reach 50-100 miles per hour. These winds quickly dry the vegetation, preheat fuels
and are capable of carrying firebrands long distances into built up housing areas.
San 8c:ornardino City Fir~ Deplrtm~al Applinlion
Attachment "A"
P'ce1
Turbulent wind conditions also hinder firefighters on the ground as well as tanker
operations in the air.
In the past five years, the City has had numerous threatening wildfires in the
interface area. Due in part to the weather conditions at the time, these fires were held to
minimal damage. Unfortunately. we do not believe we will continue to be so fortunate.
Local conditions as described above put approxirnately 10,000 homes valued at over
$1 billion at risk in the interface area.
The requested Type III Wildland Brush Engine is specifically designed for the
demanding situations of wildland/urban interface firefighting. These four-wheel-drive
trucks will easily take our firefighters into off-road terrain that is unpassable for large,
two-wheel-drive pumpers. This is a first-strike truck that can reach fires in rough terrain
and can extinguish the wildland fires before they threaten hornes and lives. Clearly, the
ability to access the wildland fires early on is our best chance to prevent a disastrous
conflagration.
Proiect Justification
Unfortunately, the Type III Wildland Brush Engine requested through this grant
application cannot be solely funded through local funding sources. Over the past several
years, significant factors have contributed to a depressed economic climate in the City of
San Bernardino. Specifically, the base closure of Norton Air Force Base in March 1994
contributed to a rising unemployment rate, declining housing prices and lower retail
sales. With its closure, the City has had to absorb the real costs of job loss
bome by displaced workers and their families and the revenue losses suffered by local
businesses.
pacd
San Btrnardiao City Fin Drpartmcnt Application
Attachment "A"
In addition, the City of San Bernardino is feeling the repercussions of the current
energy crisis throughout the State ofCalifomia. The City is projecting a significant
increase (approximately $1 million) in electric power costs for fiscal year 2001-2002
imposed by California's deregulated' electric industry, higher demand for electric power,
and insufficient electric power supplies statewide.
These factors will continue to impose severe budgetary constraints on the City's
general fund and therefore make it difficult for the SBCFD to pursue local funding to
purchase firefighting vehicles.
Additional Information
The City of San Bernardino serves a resident population of over 186,000 and
covers a diverse service area of 59.3 square miles. As the largest city in the largest
county in the nation, San Bernardino serves as the County Seat. In this service area are
approximately 19 miles of wildland/urban interface area, a major rail yard, an
international airport, a jail, two major mall complexes, and two major interstate freeways.
The SBCFD staffs eleven fire engine companies and two aerial truck companies
housed in eleven stations in the City. Under a unique partnership with the San Manuel
Band of Mission Indians, SBCFD also provides fire and emergency services to the San
Manuel Indian Reservation.
Sa. Bernardino Oty Fire Departmftlt Appli~alion
Attachment "A"
pa...
Budget Detail Summary
One (1) Pierce Hawk, Wildland Brush Engine
Ancillary Equipment I
Sub Total
7.5% Sales Tax
Grand Total
$191,843.00
55Q,421.00
$242,264.00
$18,170.00 (rounded)
$260.434.00
Funding Requirements
30% Local Matching Funds
70% Federal Funds Requested
$78,130.00 (rounded)
$182,304.00 (rounded)
San Bernardino City Fire Department Application
.... s
Attachment "A"
Suggested Format for the
Assistance to Firefighters Grants Program's
Project Narrative
.
.
Instructions: Please be sure that your narrative addresses each of the following areas
to the best of your ability. Your narrative should be concise, but brief. If you need more
room than has been allotted for your answer, please use the back of the suggested form
or feel free to attach more sheets. Your narrative may !JSl! exceed a maximum of five
Daoes includina this form. The nroiect narrative must be double sDaced.
Applicant Name: Category:
San Bernardino City Fire Personal Protective Equipment
Please describe in full the project that you are requesting to be funded.
See Attached
Please provide a detailed description of your planned uses of the grant funds for
each major budget category as listed on the budget form (SF 20-20).
See Attached
Please explain why this program would be beneficial to your community andlor to
your department
See Attached
Please explain why this project cannot be funded solely through local funding.
See Attached
Please provide any additional relevant information that you would like us to
consider when evaluating your application.
See Attached
Attachment "A"
San Bernardino City Fire Department Application
Assistance to Firefighters Grant Program
Project Narrative - Personal Protective Eguipment (PPE)
..
Proiect Descriotion
To improve the safety of our firefighters responding to structure fires and
HAZMAT incidents, the SBCFD seeks federal funding to replace eighteen (18) Self-
Contained Breathing Apparatus (SCBA) that currently do not meet National Fire
Protection Association (NFPA) standards (1977, 1981) and cannot be retrofitted.
Furthermore, out of those existing SCBA's in the Department that can be retrofitted, we
are requesting funding to purchase parts needed to upgrade these SCBA's to NFPA
standards, including those assigned to HAZMA T response. Per our attached Budget
Summary, the total cost for the PPE category is 5148,661. With a 30% local match of
$44.598. the total Federal funds reauested for this category is $104.063.
Program Benefits to Community and/or Fire Deoartment
During calendar year 2000, the San Bernardino City Fire Department (SBCFD)
responded to 21,452 life and property threatening emergency incidents. Of those,
1,610 were structure fire incidents and approximately 48 involved hazardous materials
(HAZMAT). The final arson statistics have not been finalized yet. However, we do
know that over 50% of all reportable fires in the City were the result of arson.
The need to significantly improve the safety ofSBCFD firefighters responding to
major structure fires and/or HAZMAT incidents in the City is great. Approximately
8,000 facilities in San Bernardino handle, process, and dispose of hazardous materials in
quantities requiring disclosure under the State's Emergency Planning and Community
San Bernardiao Oty Fire DcparCmC'DI Appliulioa
'.pt
Attachment "A"
Right-to-Know law. Of these facilities, 412 house chemicals above the designated
threshold planning quantities limits that the EPA has classified as Extremely Hazardous
Substances. These facilities include high volume (bulk tank or railcar) users of chemicals
including but not limited to chlorini!, ammonia, nitric acid, sulfuric acid, and hydrofluoric
acid. Highly toxic gases such as arsine, hydrogen fluoride, hydrogen chloride, and
various industrial gases are used in quantities exceeding reporting thresholds. Vulnerable
zones for the releases of some of these large volume toxic gases (e.g., railcars of chlorine)
have been calculated to exceed 25 miles.
The City of San Bernardino clearly occupies a strategic location with regard to
transportation corridors. It is located along some ofthe rnost critical surface routes
connecting the Southern California Metropolitan Area (including the Ports of Long
Beach and Los Angeles) with the rest of the contiguous United States. Also, within San
Bemardino, companies have immediate access to the huge Burlington Northern Santa Fe
Railroad intermodal yard and San Bernardino International Airport. Soon, Yellow
Freight Systems will also locate its main Southern California cross docking package
facility here. Consequently, rail, pipeline, and highway transportation is a significant
factor in the potential for future disastrous events involving HAZMA T releases from one
of these modes of bulk transportation.
In addition to the Department's jurisdictional fire safety responsibilities, the
SBCFD has entered into a unique partnership with the San Manuel Band of Mission
Indians to provide fire and emergency services to the San Manuel Indian Reservation.
Proiect Justification
Unfortunately, the eighteen SCBA's and replacement parts requested through this
grant application cannot be solely funded through local funding sources. Over the past
San Bernardino City Fire D~parlmcnt Application
Attachment "A"
Pac- 1
several years. significant factors have contributed to a depressed economic climate in the
City of San Bernardino. Specifically. the base closure of Norton Air Force Base in
March 1994 contributed to a rising unemployment rate, declining housing prices and
lower retail sales. With its closure, the City has had to absorb the real costs of job loss
borne by displaced workers and their families and the revenue losses suffered by local
businesses.
In addition, the City of San Bernardino is feeling the repercussions of the current
energy crisis throughout the State of California The City is projecting a significant
increase (approximately $1 million) in electric power costs for fiscal year 2001-2002
imposed by California's deregulated electric industry, higher demand for electric power,
and insufficient electric power supplies statewide.
These factors will continue to impose severe budgetary constraints on the City's
general fund and therefore make it difficult for the SBCFD to pursue local funding to
purchase needed personal protective equipment (PPE).
Additional Information
The City of San Bernardino serves a resident population of over 186,000 and
covers a diverse service area of 59.3 square rniles. As the largest city in the largest
county in the nation, San Bernardino serves as the County Seat. In this service area are
approximately 19 miles of wildland/urban interface area, a major rail yard, an
international airport, a jail, two major mall complexes, and two major interstate freeways.
The SBCFD staffs eleven fire engine companies and two aerial truck companies
housed in eleven stations in the City.
rap3
San Ikrnardino Oty Firr Department ApplicatioA
Attachment "A"
Budget Summary Detail
Eighteen (18) Replacement SCBA's, including tax $50,484.06
(18 @ $2,804.67, including tax)
- Survivair Panther model number P-964075
- P-964075 Survivair Panther Mikhty Light,
4500 psi with Panther IS' stage wlbell, analog
gauge wlvisual alarm #45nbf, Compass with
Buddy Breather #X962620.
Eight (8) Air Cylinders #915166 4500 psi hoop-wrap fiberglass $ 4,816.00
(8 @ $602, including tax)
Subtotal 555,300.00 (roaaded)
Total Replacement SCBA's 555.300.00
Parts to Upgrade Existing SCBA's to NFPA Standards:
- NFPA Compass Integrated Pass Kit, Model # X962620 $39,279.43
(need 61 @ $599 each, includes tax)
- NFPA Analog Gauge Kit with Visual Alarm #970412 $12,900.00
(need 80 @ 150.00 each, includes tax)
- NFPA Bell Alarm Upgrade Kit Forged First Stage #961 139 $25,800.00
(need 80 @ 5300.00 each, includes tax)
- NFPA 1st Stage Regulator Forged Body #961 139 $ 2,902.50
(need 27 @ $100.00 each, includes tax)
- NFPA Lens #941265 $ 1,849.00
(need 50 @ 534.40 each, includes tax)
- NFP A Head Strap #968409 $ 2,580.00
(need 60 @ $40.00 each, includes tax)
Subtotal 585,311.00 (roaaded)
San BC'rnardino aly Fir~ Dtpllrtmeat Application ra...
Attachment "A"
Budget Summary Detail- Continued
Parts to Upgrade Airport SCBA's to NFPA Standards:
- NFPA Lens #941265 .
(need 4 @ 534.40 each, includes tax)
$ 147.92
- NFPA Head Strap #968409
(need 4@540.ooeach, includes tax)
5 172.00
- NFP A Compass Integrated Pass Kit # X962620
(need 9 @ 5599.00 each, includes tax)
- NFPA Analog Gauge Kit wi Visual Alarm #970412
(need 4 @ 5150.00 each, includes tax)
- NFPA Bell Alarm Upgrade Kit Forged First Stage #961559 5 1,290.00
(need 4 @ 5300.00 each, includes tax)
$ 5,795.00
5 645.00
Subtotal
$ 8,050.00 (rounded)
Total Parts
Grand Total (Replacement SCBA's & Parts)
5 93.361.00
5148.661.00
Funding Requirements
30% Local Matching Funds
$ 44,598.00
5104,063.00
70% Federal Funds Requested
Sa. hraardi.. 011 Fire Department Appllcallol
Attachment "A"
",5
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"-....
r
\,..,
r
'-.'
~(Q)[?W
RESOLUTION NO.
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO RATIFYING SUBMITTAL OF AN ASSISTANCE TO
FIREFIGHTERS GRANT FROM THE FEDERAL EMERGENCY MANAGEMENT
AGENCY (FEMA) IN THE AMOUNT OF $286,367.
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND COMMON
COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS:
SECTION 1. The City Administrator is authorized to.accept a grant from the Federal
Emergency Management Agency Fire Act Grant in the amount of $286,367 for the San
Bernardino City Fire Department's Firefighting Vehicle and Personal Protective Equipment
program.
III
/II
III
III
/II
III .
III
III
/II
III
/II
III
III
III
/II
r-'
'-
(,
r
\....,-
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RESOLUTION OF THE MAYOR AND-COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO AUTHORIZING RATIFYING SUBMITTAL OF AN ASSISTANCE TO
FIREFIGHTERS GRANT FROM THE FEDERAL EMERGENCY MANAGEMENT
AGENCY (FEMA) IN THE AMOUNT OF $286,367.
I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor
and Common Council of the City of San Bernardino at a
meeting thereof, held on the
_ day of
,2001, by the following vote, to wit: .
Council Members:
AYES
NAYS
ABSTAIN ABSENT
ESTRADA
LIEN
MCGINNIS
SCHNETZ
SUAREZ
ANDERSON
MCCAMMACK
Rachel Clark. City Clerk
The foregoing resolution is hereby approved this
day of
, 2001.
Judith Valles, Mayor
City of San Bernardino
Approved as to
Form and legal content:
JAMES F. PENMAN,
City Attorney
B{f-1-f"-
** FOR OFFICE USE ONLY - NOT A PUBLIC DOCUMENT **
RESOLUTION AGENDA ITEM TRACKING FORM
Meeting Date (Date Adopted): ~ -Lj-o' Item # '2J:::l
Vote: Ayes _1- t') Nays.e-
Change to motion to amend original documents: -
Resolution # Zoo \- 1'3 '3
Abstain..e Absent e
Reso. # On Attachments: - Contract term:
Note on Resolution of Allachment stored separately: -=::..
Direct City Clerk to (circle I): PUBLISH, POST, RECORD WICOUNTY By:
NnlVVoid After: -
Date Sent to J:~~ 6-4-0 \
Date of Mayor's Signature: ~'-5-<:>1
Date of ClerklCDC Signature: b~.s -() \
Reso. Log Updated:
Seal Impressed:
t./
,,/'
Date MemolLetter Sent for Signature:
60 Day Reminder Letter Sent on
90 Day Reminder Letter Sent on 45th day:
See Attached:
See Attached:
ed:
Date Returned: -
Request for Council Action & Staff Report Attached: Yes /
Updated Prior Resolutions (Other Than Below): Yes
Updated CITY Personnel Folders (6413, 6429, 6433, 10584, 10585, 12634): Yes
Updated CDC Personnel Folders (5557): Yes
Updated Traffic Folders (3985, 8234, 655, 92-389): Yes
No By
No / By
No V By
No 7 By
No 7 By
Copies Distributed to:
City Attorney ,/
Parks & Rec_
Code Compliance Dev_ Services
Police Public Services Water
EDA
Finance
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MIS
Others: F,2J=
Notes:
BEFORE FILING. REVIEW FORM TO ENSURE ANY NOTATIONS MADE HERE ARE TRANSFERRED TO THE
YEARLY RESOLUTION CHRONOLOGICAL LOG FOR FUTURE REFERENCE (Contract Term. etc.)
Ready to File: .n:lI::.-. Date: ~
Revised 01112/01