HomeMy WebLinkAboutAgreement No. A-15-525 with California Office of Emergency Services.pdfAgreement No. 15-525
FYIS Emergency :\fanagement Performance Grant
Agreement Articles, Assurances, Certifications, Term~ and Coodifions
•'EDI!:RAL AGRF.EME"T ARTICLES
Article I -Ayuranc:es, Administtative Requirement!, and Cost Priatiples
Recipients ofDHS J-ederal financial assisrancc must compldt! OMB Standard 1-·orm _._:.m .-\.;...;ur<m~e.;; ~·m
Cun:>tructwn J>rqelrams. Certain assurance~ in this document may not he applicable to your program. and the
awarding 38ency may require applicants to certify additional assurances. Please contact the program awardmg
office if you have any qut:stions.
The administrative and audit requirementf; and cost principles thai apply to DHS award recipients originate from
J ~:.F.R. J'a.n 111U, Uniform Administralit•e Rt•quirements. Cost Pri11ciples, and Audit Requirem.entrfor Pedera/
Awardv. a~ adopted by 1111S at 2 C.F.R. Part 3002.
Arflde II-DHS Sveeific Aeknowledeemeng and Assurances
A II recipients must acknowledge and agree-and require any subrecipicnts, conlntctors. succesl>Ors. tram•ferces.
and as.~ignees acknowledge and agree-to comply with applicable provisions governing DHS access to records,
accounts, documents, information, facilities, and staff
I. Recipients must cooperate with any compliance review or complaint investigation conducted by DHS.
2. Recipient" mu.'\t give OilS access to and the right to examine and copy record'l, accounts. and other
documents and sources of information related to the gram and permit access to facilities, personnel, and
other individuals and information 8.llo may be necessary, as required by DHS regulations mrd other
applicable laws or program guidance.
~-Recipients must submit timeoly. complete. and accurate reports to the appropriate DHS officials and
maintain appropriate backup documentation to support the reports.
-1. Recipients must comply \Vtlh all other special reporting. data ..:ollt.'Ction. ant! evaluation requirements, as
prescribed by law or detailed in program guidance.
5. If, during the past three year~. the recipient ha! been accused of discrimination on the groLmds of race,
color, national origin (including limited English proficiency). sex. age. dillability. religion, or familial
status, the recipient mtL'It J"rovide a list of all such proceedings, pending or completed. includinc outl'om&:
and copie:s of settlement agreements lo the DHS awarding office and the f)HS Oftice oft 'r\•il Rights and
Civil Liberties.
6. In the event any court or adminifitrativc agcnc~ makes a finding of discrimination on grounds of race. ~'olor,
national origin (including limited English proficiency), sex. age, disability, religion. or famihul statu.'i
against the rcc1pient. or the recipient settles a case or mancr alleging such discrimination. recipients l'nllSI
forward a copy of the complaint and findings lo the DHS Component and/or awardin.g otlice.
Tile lJnitcd States has lhc right to ~k judicial enforcement ufrh~s~ ubligalions.
Initials __lrBf__
Article Ill-Lobbying Prohibitions
A 1l recip1cms must comply with :, -, which provides lh<il none llf th~C Hmd~ provi~_kd und.;r an award
may be ~.:xpcrH.kd by the recipient Lo pay any person to inflth.:nce, or attempt to influence an offic(~r or emrloyee of
any agency, a Member of Congre~s. an officer or ernplnyce of Congre:;;s, or an employee of a Member of(. 'ongress
in connection v:ith any Federal action concerning the a>vard or n~nowa!.
Article JV -Ackoowlcdgemenr of Federal Funding from DHS
A!! rectpienrs must acknmvledge Eht!ir use of Federal funditlg wh.::n !~siting st:at.cmt:nt&, prc.-s<: rei casos. requests for
proposals, bid invirario11s. and u!ht:r d,H::unn:nb de::.cribing prqjects or programs funded in wlmk tlr in yx1n \Vilh
Fetleml funds.
Article V ~ Copyright
All recipienls must affix. the applicable copyright notices of -H.. -~:!Z_and an aclmmvledgement of
Government sponsorship ( mcluding award numl'>cr} to any work first produced under Federal fi nand a I assistance
awards. unless the work includes any inl()nnation !hal is otherwise (:ontrolkd by the Govcrrummt (e.g .• rlassifktl
information or other information subject to national security or export control laws or regulations).
Article VI -Usc of DHS S4!11 1 l.ogo nnd l<lacs
AU recipients musl obtain lJHS's approval prior to using the DHS seal(s), logos, crests or reproductions of tlags n~
likenesses ofDHS agency officials, including use <Jf the United State~ Coa.-:t (iuard -;eal, In go, crests or
reproductions of tlags or !Jkcncsses of Coast Guard ot'ticials.
Artidt! VU-Activities Conducted Abroad
All recipients mu!'.t ensure that project activities curried on outsidt: th<.~ United Stale& are ''oordinatcd as w.:cc~S<lry
with appropriate governmcllt authorities and rhnt appropriarc licenses. permits. or appmvals ;m: obtained.
Article VUI-Flv An)erka Act of 1974
A II recipients must comply with Prcf~rcnct.~ J()r U.S. Flag Air Carriers: (air c<Jrtit:rs holding ct:rtiticutc~ under
.:;i1 t~ .4 l H<:) for inlernationul o~ir transportation ofpeopl~ and property to the exte.•nr that such service is
available, in accordance with the !ntftmuimwl :1ir Transportarion Fair Competitiw~ Prai.'lices /ICI ot 1974
\..0.-'-·'-·-'-'-'''···-'···"---'--··--''·-'-' and the intcrpr~tativc guidclin~.:s isSU('d by the Comptroller Gcm:ml or tht~ tJnilcd States in the
11:1 Comptroller General Decision B-13R942.
Artlde IX-Drug-Free Workplace Rcgulatiuns
All recipients must compiy with the Drug-Free Workplace Acl r!l11J88 (1 4 . , , 'vhich requires
thal all organizations receiving gnmts from any Federal agency agree co maintain a dmg-free workplace. DiiS has
adopted the Act's implementmg regulations at :::. .. o . ...;;.:__.:_:....::..c.::.:.:.._..;_::'-'--'-·
Article X-Trafficking Vktims J•roteetion Act uf 200fl
All recipients nmsL ~omply wiLh the requirements Qfthe government-wide award 1enn wnich implements Section
Wfi(g) of the 1h~f}lr:king Vzctims Protecti011 Acr (TVPA) (!f }()()(}.as amended C~.:;-~; <. -This is
implemented in accordance with OMB Interim Finul Guidance. federal RI!JZister Vlllumc 72, No. 21:>S, \lnvemhcr
13, 2007. Full text of the award te:m is lo-cated at .,
Artidc XJ-Title VI of the CiviJ Rights A~l of 14)64
All recipients must comply \Vith the requirements of Title VJ of the Uvil Rig.llls h:1. rl f C)(i.J ''·
which provides that no person in the Unired States will, on Ute grouads of mcc, color, or m:nional ori~:,rin. bt'
c:xc:ludcd from particip;lt)on in, be dcnk·d !he hendilf> of: or be subjected to disctimin;llion under any prograrn or
lnilia!s
i!Chvity n.:c.:iving Fl:dcral tlnalleial a:-.~isLmt~t~-TmpkmcnLiTlg n.:gulations 1(-,r· Ill(: A(;t arc 1\)uiKl nt
and ,_;_"t c F
Article XU -Chil Right Act o[_l~68
All recipients mu~>t comply with Tiik \:Ci .,; l)h· whidt prohibits rcclpi~nts from
discriminating in the sale, rental. financing, and advertising of dwellings or in the provision of services in
connection therewith, on the hasis of race, col<1r. national origin, religion, disability, familial status, and sex
1 ;;! :t•.··l·J, as impkmcntetf by the Department uf Housing and Urban Development at ;_ r. R
The prohibition on di:-ahility di~crimination include.-: the requirement that tR~w multitamily housing with
four or more dwe!ling units-i.e., the public and common use areas and individual apartment units (all umt<: in
buildings with elevators and ground·rJoor unit:; in buildings withour clcvators)---bc designed and constmct::d witli
n:rulin acc~ssibk features (s.cc t ' ll. : ,\,' .. !).
Article XlH -AJ;nericans with Disabilities. Act of 1990
All recipients must comply with the requirements ofTitlcs I, fl, <1nd m oftllc Ameri:.·m;.f Hilh mwht!irit'S Ac!.
which pmhibil}l recipients from d1:>criminating on tl1e IJasis of disability in !he oreration of publk ~ntities, public
Mtd private transportation systems. places ofpublk acconmwdatiou.1lnd certain testing emitiet;
,:H1·i"U).
Article XIV-Age Discrimination Act of 1975
All recipients must comply with the requirements of the Ag<· Discrimination Act of'l975
whi~-:h prohibits di:>crimination on the basis uf age in any program (.IT a~.:tivity receiving Federal financial
assistance.
Article XV-Title IX of tbe Education Amendments of 1972 (Jt<tual O!.!J!ortunily in Education Act}
All recipients must comply with the requirements ofritle IX of the Education Amendments of 197:2
i<~;HL cL~£!£.}. •vhtch provides thAt no person in the United States will, on the basis of sex, be excluded from
participation in, be denied the b(;n~Jfit:s of. vr be subjt->ctctl 10 discrimination Wldcr any ¢ducativnal progmm or
acrivity receiving Federul financial assistance. Implementing regulation!! are codified at ! ':1r L_and
Article XVI-Rehabilitation Act of 1973
All recipients must comply with the requirements of Section 504 of the Rehahilitarion Act of lrJ 7 3. L
as amended, which provides !hal no o1henvisl' qt1alilicd handicapped individual in the Unilcd Stall'S will.
sokJy by rtcasnn of the handicap. be excluded from rartidpation in_ be denied the benefits of, or b(c iiubj..:ctcd to
discrimination under any program nr activity receiving rederat fi11ancial assistan~~e. These requirements pertain to
the provision of benefits or st?rvicts as well as ro cmploymcrn.
:\rtide XVU ~ Umited t<:ngJbiJJ Proficiency (Civil Rights Act uf 1964, Title VJ}
All recipient-; must comply with 71t!e VI n,fthe CiPill?ight A('t of 1964 prohibition ugainst disclimination on the
basis of national origin, which requires that recipients offcdcral tim~ncial assistance t~1ke reasonable steps to
provide meaningful access to persons with limited English pmficicncy (LEPJ to their programs and scrvict:s.
Providing meaningful access for persons with l.EP may entail providing language a;;sistance services, including
oral interpretation and written translation In order to facililatc compliance wilh Title Vl, recipients are cncouragcJ
lo consider lhe need for language services for LEP persons served or encounkred buth in developing budgets and
in conducting programs and activities. Executive Order 13 166, lmprovill,l?, Access to Serviccsj('Jr Persons wirh
Limited English Proficiettcy (August II. 2000), n~quires Federal agencies to isme gltidance to recipients, assisring
such organizations and entities in understanding their language access obligations. DHS puhlished the nXJtlin·d
recipient guidance in April 20 ll, DHS Guidance to Federal Fimmrial Assistance Recipients Regardi11g Title VI
Initials ~--·
Prohibition 4gairt\'( National Orixin Disu·irl!llilllion A{lr~c IUJ}!. Li11111t'd l:n>:,h,-fl Pn?/ICieni Pt~.rsut~s, 76 F~;(l. Reg.
2 J 755-21768. (April J S, 10 ll ). ·nn~ Guidance provides helpful infonnation ~uch a11 how a recipient can determine
the extent of its obligatim1 to pro-.itk languag~: s...:rviccl>; sch:cting language services; ;md elements of an effecrive
plan on language ilSSi'it:mce for lJ;p persnm. ror additional as:-oistancc and infomlillion regarding language JCC(;$:,
obligtttions. please refer to the DIIS Recipient Gutdan<:e
Artide XVIII-Animal Welfare Act of 1'166
All recipients of financial a~simmce \\'ill comply with the requirements of the Ammal \V ..:I fare /\(·t, a:; <Hn~;mkc.l
7 • · which requires !h<Jt minimum standards of care nnd treatmenl be provided for veitebratc
animals bret.l fur comnK-rcial sak, u~cd in research, transported commercially, or exl11h1ted to Lhe public.
Recipients must establish appropriate polities ant! procedures for the humane care and usc of anirmJJ:; based on !he
Guide tor the Care and Usc of Laboratory Animals and comply "''ith Lhc Public r-lculth St:rvicc Policy and
Govcmmcnt Principles Regarding the Care ami Csc of Animals.
Article XIX-Clean Air Ac.t of 1970 and Clean \Vater Act of 1977
All recipients oftinancia! assistance \>Vill comply with the requirements or and
r Jrdcr l ! ~, which provides lor 1he prolediun anJ enhancement of the.: quality of the nation's ait n!f-lmtt·cc~ lo
promote puhli<.' health and welfare and for restoring and m<~intaining tht~ du:mka1, physical, and hiologica!
integrity of the nation's waters.
Article XX-Protection of Human Subjects
All recipients of financial a!>.sil\tarh:e \-\<·ill comply with the requirements of the Federal regulations a! .. c .. :o ...... e-. __ _,_'--'·-"·'-"
which requires that recipients comply with applicable provisions/hrw for the protection of human subjects for
purposes ofresean:b. Rccipil!l1ts must also rumply w1th the requirements in .,
:_, __ :.:.:::.:::..:..:.:_:.:...:_:_:....:. .. :."'::.: .. ::: .. : ... : .... :.,:.::: .... J.:e:.::...:_:, prior to implementing any \VIlrk with hum:m subject<;. For purposes of45 C.F.R.
Part 46, re:tcarch means a systematic investigation, including research, development. testing, and e\'aluation.
designed to develop or contribute to general knowledge. Activiti<jS llml meet lhis deliuiliun cousritute rcscan.~h for
purpos-es of this policy. whether or not they arc conducted or supported under a program that is considered research
lor other pmposcs. Tho: regulations specify addition~tl protet:tions for research involving human fetuses. pregnant
women, and ncomth'!S (Subpart B); prisom!rs (Subpm1 C); .Uld childn~n (Sub11art D}. The usc of autopsy materials j:;
governed by applicable State and local law ;;mtl is not directly regll.lakd by 45 C.F.R. Par1 46.
Article XXI -National Jo;nvimnmcnt.al Policy Ad (N~:PA) of 1969
All recipients of financial assistance will comply with the requirements of the National Environmemal Pnliry Act
(i\iFPA), a~ amended. 1 · which estahlishes natinnnl policy goals and pmcedLtrcs to protect
and enhance the environment, including protection against natural disasters. lo comply •vith NEf> A for its grant"
suppom~d activities, DHS requires the en\· iron mental aspects of construction grants (and ccnairi non-construction
pr~jecL-; as spet:ified by lbe component and <nvarditig omc~) to be revic\\·Cd ami cnt!uatcd bdon.:: final aetion on
the application.
Article XXII-'lationaJ Flood lnsurance Act of 1968
All recipients of tioancial assistance will Ctlmpiy wirh the rcquircmcnls ofS(:~tion I J06t_c) oft he \latinnal Fkxx!
lnsurance Aet, as .amt.~ndcd, which provides for benefit fltlyments under the Strmdrwd Flood lnsurnnce Policy for
demolition or relocation of a structure insured under the Act that is located along tht~ shore of a Jake or other body
of water a11d thai is certJtled by an appropriute Stak• or local land use authority lo be .sub_jcct lo imminent collapse
or Sllbsidcnce as a result of ewsiqn or undermining caused by waves or currents of water exceeding anticipated
cydi ... ~llcvcls. Thcso regulations arc t'oditicd at
1nilinls ... MP
Article XXIII-Flood Disaster Protc.>ction :\c'l nf J97J
A II recipients of financial assmtance wiU comply with rhe requirements of the Flood Disaster Protection Act Df
)973, as amended 1 I ), which provides that no I'edera! nnancial assistance to acquire,
modernize, or construe! property may be provided in idcntifit\d flood·pronc comrmmitics in the Uni:cd S1aleh,
unlt!Rs the community participates in the :-Jational FlonJ Insurance Program and Jlood in)>Ufmlcc is purcha:;nl
within one year of the identification. fhc t1ood insurance purchase requirement applies to both public and private
applicants ti.)r DHS support. Lists of t1ood-pronc areas that arc ctigiblc ti:w t)ood inf;urance are publi5hcd in the
Federal Register by PEfvfA.
Article XXlV -Coastal \\'ctlands Planning: Protection, and Restoration Act of 1990
All recipients of financial assistance will comply \v·ith the requirements of!·. which provideR
rhat tederally hmded consrruclion and improvements minimize the destruction, los~. or degradation of wetlands.
The Executive Order provides that in furtherance ofScccion !Ol(b)fJJ ofNEPr\ (:t; ; , ,, ; ), Federal
agen.:ies, to the cxtcnr pcnniucd by Jaw. must avoitlundt.~rtaking or ;Js!>isting with ne\" conqtruction !ot~akd in
wetlands unless the head of the agency finds that there is no practic:.~hle alternative to ~uch constn11.:twn. and that
the proposed action inch1des all practicabk measures to minimize harm to wcrlands that may result from such use.
In making this finding, the bead of the agency may takl! inlo a..:count economic, environmental. and mhcr pcrtimm!
factor~. The public disclosure requirement described above also pcrtaint, to early puhlic review of any planJ> or
r>ropos.als f()r new construction in wetlands. This is coditkd at-+·-~ r· F.l< Pan 1/.
Article XXV ~ t'SA l'atriot Act of .2001
AIJ recipients must comply with the requirement-; ofrhc Uni!ing and .'itrt'Jtgdtening America hy Providing
Approprhae Tools Require,'/ to lntercepr and Obstruct Terrurism Acf (USA PATRIOT Act), which amends
l :::.. • . Among nthcr things, the USA PATRIOT Ad prescribes aiminal pcua.hi~ tbr possession
of any biolog~cal agent toxin, or dehvery sy&tem ;;fa type or in a qnantiry that is not rell~onahly justifi<..~d by a
prophylactic, protective, bona Hdc research, or otht;r peaceful purpo:>c. The act abo establishes restrictions on
access to spocified materials. ''Reslricted persons:' as defined by tht~ act. may nm possess, ship, transport. or
receive any niologkal agent or toxin that i" listed as a select agent ..
Article XXVI -·Best Practices £or Collection and t:se of Pl•rsonaiii Identifiable Information (PH)
All recipicnt:s who collccr PIT are rcqu1rcd to have a publically~availablc privacy policy that describes wha! PH
they collect. hnw they use the PI!. whether they sh;m: Pll with thtrd pmties. and how individuals may have their
PII corrected where appropriate.
A\vard recipients may also lind as. a useful rt~ourt·c the DIIS Privary lmpact Asse$sment~: '-·-""··'-''-'·····-~-~'''"''·'·'·-·'"
rcspcclivd).
Article XXVH -Duplication of Bendits
Any cost allocable to a particular }icderal a\\-'ard provid.;:d for in ., ' may nm h<' charged
to other Federal awards to overcome fund ddkicncics, to avoiJ rcstrielious imposed by Fcdcutl stetutcs.
regulations. or terms and conditions of the Federal award . ..;, m for other reasons. However, this prohibition \Vou1J
not preclude the non-Federal entity fmm shifting costs that nrc allo\vahle under two or more Federal awards in
accordan~.:c with existing Ft..-dcrnl statute::;, regulations, or th .. ~ terms and t~onditions of the Federal av.ard:,.
Article XXVIII-False Claims Act and Program fraud Civil Remedies
All recipient-; mu«t comply \Vith the requirements of< 1 l' ~ ; :;;.:,which ~c( to1th that no recipient of f(:dcra!
payme11b 'ihHll submit a fn!s1~ claim for payment. Sec also .. : J ,, \vhich dctail.s the administmtivc
remedies for fahr claims and statemt·nb> made.
Initials~----
Article XXIX-fedt)ral n~bt Status
i\ll rccipit!nts are requin:·d to be non-delinquent in their rcpay1n~.mt of ilny Federal dd1t. Examples of relevant dehr
inc.lude delinquent payTo!i anti other taxes, ,1udit diMIIowance, and benefit cwcrpnymcnt.s. See
<Jnd form SP··424B. t!.::m number 17 lor adJitimwl intorrna!ion and guidance.
Article XXX -UoteJ and MoteJ Fire Safetv Ael of 1990
In accordance with Section 6 oftbe llotel and Motel Fire S!4(>ty Act of/990, ; ... ~, . ... . < al! n:cipicnts
must ensure that all ~.~unft..Tence, meeting, convention. or training sp:..tce funded in whole or in pan with Federal
funds complies with the tire prevention an(l control guidelines or the Fedeml Fire Prcn'mion and ( 'ontro! Act ot
1974,asamcndoo, · ~:,~,~,::. ·
Article XXXI -~on-supplautine. Reguirl"tnt>ut
All recipients \Vho receive :t\\ards made under programs that prohibit supplanting by law rrmst ¢nsun: !hal Fe<h:rnl
funds do n01 replace (supplant) funds that hu v.: bc.:n budgeted tor tlll: same pLUllo:.;: through fl{.JU-t-eJ.crul sources.
Where Federal statues fi)r a particular program prohihits supplanting, applicants or recipients may he required to
demonstrate and document that a reduction in nm1-Fcdcral n::sourcc!" occlJrrcd fix reasons other than rhc receipt 1lf
expected reccipr of Federal timds.
Article X..XXII m Debarment and Suspension
All recipients must comply with Executive Ordct~s ; :: I and whkh provhk pmtcc1iN1 againsl waste, fraud
Jnd abuse by debarring or .suspending !hos ... ~ persons deemed irresponsible in their dcaling3 with the Fedt'ral
government
t\rtidc XXXIII-I<~nvironmental J,lanning and IJbtQric 11reservatiqn {RIIP} Compliance
1\ll rccipit.'tlt.s of financial assi~tance proposing projects that have the rmtential to impact the environment,
including bur not limited to constn1c1ion M. corrununicarion t<Ywon;, modification or rt~nvvatiou of existing
buildings, structttrcs nnd facilities, or new constntction includmg r~placemen! of fitcili!ies n1m;t participate in the
FEMA EHP review process. The EHP rev1cw proceo;s involves the suhmissiM! of a detailed pn"tiect description thJt
explains the goals and nbjectives of the proposed project along with supporting do.;umcntation .;o thnt FCl'vtA may
determine whether the proposed :fHOjcct has the potcmialto impact cnvironmcn!al n.:suurccs and .. or historic
properties. The EHP review pnx:css mu!:>t b..; cumpleled before funds are reka:;ed lo carry oul the pmpos.ed pmjed.
J-:HP Policy Guidance C<Jn be ftmnd in i., 8nvimnnwnwll'lanning ami lhHtJric Presen y;Jion Po/i(y
Guidance, at
Article XX..XIV -SAFECOM
All recipients who receive awards made undt"'T progmms thai provide l~mergcncy i.:ommunication t•quipment and its
related activities must. comply with the Guidance fi1r Emergency Communication Grams, including
provisions on techrm:al standards that ensure and enhance interoperable communicatiom ..
ArHc.le XXXV-[ne:rg·v Policv and Conservation Act
All re,:ipicnts must cumpl:v with the requirements of ~2 : ' :; t .__;;_i::.~:..r..:.!.. whkh contain pol ides re!a1ing to energy
cft1ciency that are defined in the state energy conservation plan issues in compliance with this Act
Article XXXVI -RcJ!\lrting Subawards and Executive Cumpensalior1
a. Reporting of first-tier subuwards.
l. Applicability. D:1less you are exempt as provided in paragraph d. of this aw·ard term, you must report each <Kii•Jn
that ohligates $25,000 or more in Federal fnnds that doe:\ nnt includ(' Re.-'OVCl)' funds tas dctiued in '!.\';ctiou
Initials Afl'P. ....
1512(n)(2) uf the Am~..:rican Rt.:-.:uvery and RcirJvcslrn~:nt Act of 2009. Pub. L. lll-5) fur<t subaward w un t'nltty
(srt.: definitions in parae,>raph e .. of th1~ award wrm).
2. Where mui when to report.
i. You must n:port each obligating actiOn described in paragraph a. L of !his award term ln
n. for subaward informa!ion, t(~port no latct th<m the .. md oflhc month foilO\·vmg tht~ month i!J which tht:
obligation \Vil~ made. (For example. ifrhe obligation wa~ made on \ovember 7. 20Hl !he nb!igatkm
must be reported by no later than December J I. 20 l 0. J
~;. What to reporr. You most report the information abom each ohlip.::;ting action that the sHhmis<;Jon instn;cti,)nS
p(lSted at · vp.~n/1·.
h. Reporting Total Compensation of Rcdpirnt Ext.'cutivcs.
I .4pplictJbility and what to report.. You must rcpurr towl compcnsatJon for cnch of your live nw•a highly
compensated r.:xi.'tlllivcs liJr !h(· prcl·eding completed fiscal )'L~Hr, ir-·-
1. the towi Pcrleral fundin~! aoth,;ri..:nl ru dale umk:r thh u•vard is $25,000 or mon::
ii. in the preceding lis<:al year. you received
A) ~0 percent or rnore of your aar;ual !!I'OSS revenues from Federal prm.:mcmcnl co!ltracH (m1d suhcontrucl,;)
and Federal tinanc:inl a:.sistnncc subJect to lhc Tr&nsparcncy Act, as defined at 2 c.r.R. § 170.320 (am.!
subawards); and
Bl $2.5.000.000 or more in annual gro;;s revenues from Fe-deral pn1eurcmcnt contracts (and subcontracts) and
Federal financial assistance subjcclto the Trau~pan:ucy ;\d, as ddirwd at 2 CFR. § !70.320 {and
:wbawards); an<.!
Iii. The public does not hav·c a~cccss to iulbrnmlion abmH the ~:<..tmp(!nsation of the ~:xcc~ttivcs tit rough p~nodic
reports tiled under section 13{a) m 15(d) oftht• Securities Exchange Act of 1934 (15 U.S.C. 78m(a),
78o(dl) or s~clinn 6](14 of!llc ln!emall~t:verme Code of J9Rn. (To determine if the public has access tn
tl1e compensatim1 infom1atinn. sec (!I~ U.S. Security and E.'\chang..:· Commisswn total comp!..~nsation
tiliags. :\1 larp:i/\n1w .. w!c.gtn:1iml''••'ers/execomp.Jum.)
2. f!here and 14-iw11 to report. 'You illll:-·1 n:p~.lrt ~~.wcutivc tutu! eompcn;,utiuu d~~:, .. ·ribcd m paragr<lph b.l of this
award lcnn:
l. As part of your registration profile at '-"'""----'c;_;,:·"'-'..;.;::':.:..·.:.:;;-.;.
n. By the-end of the month following the month in which this award is madl\ alld mmnai1y rhcrcnncr.
r. Rcp6rting of Tntal Compensation of Subrf.'cti>ient E'tt~cutives.
! .. lppluabifit,t and wha! :u report. Unless you Hre 0xemp! as provided in paru~ry-aph d. of lhi~ :nvan1 term, for each
first-tier subrccipicnt under this award, you f>hall report the names and total compcniiation nf each of tile
suhrecipient's five most highly compensated executives tiJf the sl!brccipicnt's pn:cx~ding <.:omplc1'cd liscal year. if··
1. in till! subrc~ipicnt '!-. prct~eding ilscal year. !he subrecipien1 received-
lnitiab
i\) ?)(I j)t:f._~~:n! !Jf lllute uf ih O:llHlUt.lJ g_!Ohl> lt:\'t:flllCl'> fto!ll f-.~dcnJJ prtX.:lH'Cil•Cllf t:onlr;u.:t:-; (aml,ubt:mlln!cb;J illltl
Federal t1nandal a'\sistance o;uhjectto the Transpan~ncy Act, ;15 defined at 2 C.F.R. § ! 70.:120 (atltl
subawards); and
B) S25,000,000 or more in annual gros~ revenues from federal procurement contra(..1:S (and subcontracts) and
rederal financial assistance mb .. lCCt to the Transparency Act (and suba\vards): and
11 Th.: public does. not have access to infom1atiun about the compen:;;ation of the executives through periorlic
reports filed under section l3(a) or 15(d) oftllc Sccuritic!) Exchange Act of 1934 ( 15 li.S.C. 78rn(a).
78o(dH ~1t seer ion 6104 of the Internal Revenue Cod;:: <'f 19X6. (Ttl ddcnninc if the public ha:> access t1!
the wmpcnsaLion infonmttinn, sec the U.S. Security and F:xchange Commission total compensaJion
filings at Jmp:,f:'\vlt w.sec.govlanswerY!e.x.:<·omp.htm.)
2. Wlu:re and when to report. You mu:st rr=poti subredpient executive total compensation described in paragn1ph
..:.1. of Lhis award term:
1. To the recipient.
ii. By the t:nd of the month following the month during which you make the subuwarci For example, if a
subaward is obligated on any datt.• during the month ofOc!t)ber of a given year (i.e., between October I
and 3! ). you mu~! n:port any required compens<ttion information oftlll:~ subrecipient by November .~0 tJI
that year.
d. Exemptions
If. in the previous tax year. you had gnHs Hlcome, from illl -;ourccs, under S300,000, yon an~ c::xcmpi fh)lll !he
reqwrement1' to report:
1. Subawards, and
ii. n,c total compensation of the fh'c nmst highly ccmp•.m:.atcd cx<:cutiv~:l> of ;.my subn.x:ipicnt.
t~. IJefinitions. Fnr purposes of this award term:
l. E1tti~r means all ofthc lbHowmg, as dclined in 2 C.F.R. f'art25:
L A Gon~rnmcntal organi:t.alton. which is a Stale. lot'-ttl govurnment, ('f lndian Tribe;
11. A foreign public entity:
ih. A domestK or foreign nonprofit organi7.atlon;
iv. A domestic or t'hreign ti1r-pmfit organization;
v. /\ Federal agency, but only as a subrecipicnt under an award or subrt\.vard 10 a non-f-ederal entity.
::. E.recuuve lll\.~.ll!l!. ol'fkcr.>. 111HIJaging partners. or any other employees in management pm:itions.
l Subanard.
i. Th1s term means a legal insrrument to provi(k: supporl lix !h.;; p.:ribrrmu~<..~..: of any portion of lht: substantiv\:
pn.)jcct or progrnm lbt which you rccdwJ this award and that you as !he n.:c1pieni :nvard t.:; an eligihk
subrcdpicnL
11. The tcm1 does not include your procurement Qfpropcrty and services needed to C:<tny out the pwjc..:t or
prot~ram (tor further c.t<plana!ion, sGc 2 C.F.R. § 200.330 Subrccipit.mt and Comra..:tor
l>ctenninations).
Initials _atJf
ll!. A subaward may be provided through aoy kgal .'\y!rCt:flH.:n1, indudOif! Ml ~H~rcl:mcnl th:tt \'{HI o:· a
subreeipient considers a cnmract. -· ·· ·
4. Subrecipient means <Ill entity th<tt:
L Rccci\·es a subllWi!rd n·om you (the recipient) under this award; and
rL ls a~.X:ountt~blc to you for the use of the Federal funds provided by the subuwan!.
5. Total ('OJHfJ<'ItSatJon means the cash and noncash dollar value camrd hy the executive during the rccJplt;nt's or
subrccipicnt's prect:ding fiscal y<:ar and includes the fr:llowing, (for more i nfom1.1tinn see J 7 C. F. R ~
229.402{dt2)):
1. Salar_v and bonus.
J!. :hrard5 (~(stock, sto.:k uptmns. und sltJck upprecio!ion right;.;, US\: lhc dollar amount r('Cognizcd for
financial staierm~m reponing purposes tvith rcsp~:e! w tile Ji:,col yeM m ac~:ordatwc with the Statemem
of Financial Accounting Standards ~o. 123 1 Revised 200,1) (FAS 123 R ), Shared B;;ned Payments.
iii. Eanring.r for services under nmt·r-.quitr im·(~ntivc pla11s. This dor:s not include group Jill::, health,
hospitalization or medical reimburst!ment plans that do not discriminate in favor of executives. and arc
available gt:neral!y to all salaried employees.
l¥ Change in pE•nsion value. 'i11is i!' the change in prc.~cnt value of defined benefit and actuarial pension plans.
v. Above-market earning on de.ff>rred compcmsalion whi<·IJ is not wx-qualified.
v1. Other compensatiOn, if the aggregate valm• of all su..:h ulht,'f compensation (e.g. !>cveram:e. terminal! on
payments. value of life insurance paid on behalf of the employee. perquisite'> nr property) for t!JC'
t:.li.CCUtiVI:'. excetxis S J 0,(}00.
Article XXXVII-Patents and Jn:trUeetual Prop~rty Rights
Unle-ss othenvise provided by law, recipients are subject to the L. 'In:.: L , as amendt-(.L
and codified in d seq. All recipients nn.~ sub_jc.ct ro rhe specitic requirements governing th(~
development, reporting, anJ di~1Josition of right'\ to inventions and patents re6ulting from financial assi sTall Ct.::
award.; in,"<' and the standard patent rights clause in 37 C.F.R. § 40U4.
Article XXXVIII -Procurement of Re-covert>d ;\1aterials
All n.>cipicms must comply \vith <;ection 6002 of the '\oli;J W ;, as amended by the Rt'source
Conserv<~tion and Recovery /\cl. The requirements of Section M02 include procuring only items designnt\~d in
guidelines of th:.~ Environmental Protection Agency { EI)A} at ', ··· that contain the highest
pe-rcentage ofn."Covered materials practicable, consistent \Vith maimaini.ug a :>at1sfaetory level of competition,
where !he purchase price of the item exceeds S I 0,000 or the value of lht· qu.mtity acquired by the preceding ftscnl
year cxceeded S 10.000·, procuring S(llid waste managcmt...'lll scrvic,:s in a manmtr that In<LximiLes eno::rgy and
resource recovery; and establishing un atllmuHive procurement program for procurement of recovered 1l13tcriab
idcntiticd ill tl1c EPA guidelines.
Article XXXIX-Contract f'rovisions for \lon-Jt'ederal Entity Contrad~ t:gder Fedet·af Awards; Appendix
II to C.F.R. Part 2otl
ln addition to other provisions required by the Federal ageney t:r non-Federal entity, all contracts made by thr n~m
fcdcral ctllity tmdcr the F~:deml award must contain pmvi'iion~ covering the following, as applicable.
(A) Contracts for more than th..-: simptilkJ w.:qtJi&tlion thr.:l>hold curnmtly set at S 150,000. which h the inflation
i'ldjustcd amount determined by the Civili<ltl Agency Acquisition Council and the Defense Acqui<;Hion Rcgu!alions
Council (Councils) a..'i uuthMib.cd by 4 i U.S.C. 1908, must addres:s administrative, contractual. or lcgnl rt~mcdics in
Initials
in~llHlC~.' \v hen: \~Oh!fattors \ ·iohll e t:"f hreach COil tract terrn;;;, and rnr._ ide for :C.Uch '-<'~TlCl fOilS and pen a ]tic., ~b
appropnat<:.
(H) All c:onlracts in ,;;xccss of $10,000 must addrt::-\S termination for cnu~c and f1>r convenience bv r.he non-federal
~.:mity indtt<.ling In~· manner hy which it 'vill he effected and Jhc basis for sctfkmcnt. ·
(Cl l:quai Employment Opportumty. E.xcl:pt a:. olht:nvisc provided utH.k;r 41 C J-'. R. Pan 60, all comracrs that meet
the definition of" fodctaJiy asststed corutruction contract" in 41 C .F.R. l,m1 60-l j must inclndt.~ the equal
opportunity clause provided under 41 C.F.R. Part 60~1 .4(b}, in a.;cordance with Executive OrJcr i 1246 .. "Equal
Employment Opportunity'' (30 FR 12319, 12935,3 C.f.R. ParL, 1964-1965 Comp., p. 339). as amended hy
Exccmive OrdC'! J 13 75. ''Amending Executive Order l !24(l Relating to Lqual Crnploymcnt Opportunity." and
impkmenting regulations <1t 41 C.F.R. Pan 60, •·Oftke of Federal Cow.rac1 Compliance Prognm1s, Equal
Employment Op]JOI1unity. Depa11ment of Labor."
iD) Davis-Bacon Act. as amended (40 LS.C J 141-J 14l{) \Vhcn required by Ft.:dcral prognmt lcgi::.hHiun, all
prime consrmction comracts in excess ,)f $2,000 awarded by non-Federal entities must include a provision for
compliance with the Davis-Bacon Ad (40 L.S.C .. ~ 141-.l 144, and 31 •16-3148) as supplemented by Department or
Labor regulation:; (21.J CY.R. Part 5. ''J.abor Standards Provif'ions Apphcitblo to Contracts Covering Federally
Financed and Assi5tcd Construction"). In acc,JrJance with the statule, contTactors must be rt:'quired t.o pay wages to
lahorers and mechanics ar a rate no! kss th1tn the prevailing \-v·ages specified in a wage detennination made by the
Secretary of Labor. In addition, contnK~tors must 1-le required to ray wages not less than 11nce a week. The no11·
Fctkral c:ntity must place a copy ofthe current prevailing wage determination iss !led by the Department of Labor
in each solicitation. fhe decision to award a contra<'! or subcontract must be conditJOncd upon lhc ttl~t:.:ptance of
the wage determination. The no11-F(.;(kral eulily must report all suspected or reported violations to the Federnl
awarding agency, Tiw contract!> must also include a provision for Ci>mpllancc with the Copcl:md "Ami-Kkkbaek''
Act (40 L'.S.C. il45J, as supplemented hy DepMtmctlt of Labor regula lion~ (.29 CF.R. Pan 3, "Coniractors and
Subcontractors on Public Building or Puhlit.: Work Financed in \Vhole or in Part by l.oans or Grants fmm tl!c
Lnitcd Swtcs''). The Act provides that ea<:h contractor nr ~ubrcdpient must be prohibirt.:d !i·om inducing. by any
means, any person employed in the construcrioo, completion, or rcp<m of public \Vork. !.o giv!.! up any part of the
compemation to \Vhit~h he or ~h.;: i.s mh.;:rwis:.• entitled. The non-Federal entity must report all suspected or reported
violalions tu the Federal awarding agency.
(EJ Contract \VQJi\ Hours and Safely Standards Ace (40 L.S.C. 3701-3708). \\/here applicable. a!J contrucg
awarded by the non-F edcral entity in exce-.s or'S l 00,000 thnt i nvolvc the l'mployment of mt:chank:~; (lf laborers
nm~t mclude a provision for compliance with 40 C.S.C. 3702 aud 3704, as supplemented by Dt:parlment <•f Labor
regulations (29 C.F.R. Part 5). Under 40 U.S.C. 3702 of the Act, each contractor must be required to compute the
wages of every mechanic nnd laborer on the basis of a si<mdan1 work w·~ek. of 40 hours. \Vork in excess or the
standard \~v·ork week is permissibk provided that the •.vorker is compensated at a rate of not less than one and a half
times 1bc basic rate of pay fur all houro; '>'\'orked in excess of ·10 hours in the work WCt'::k The nxwircmcrHs of 40
U.S.C 3704 are applicable to construction work and provide that no laborer nr mechanic must be required to work
in surroundings or under working eonJitions which are unsanitary. ha7.arclow; or dangerous. These requirements dn
nol apply to the purchases of supplies or materinls or articles ordinarily availiihk on the opl.'n mnrh'L or contracts
for transportation or tram.mis~iun ofintt.::llig~nce.
(Fj Rights to Inventions Made Under a Conlracl ur Agreement. 1fthc Fcdcml ~!ward meets the ddimtion of
·•funding agreement" under 3 7 C.F.R. §40 1.2 (u) and the recipient or !\ubrecipient wishes tn enter into a cone met
with a small business finn ur nonprofit organi7.ation regarding the ~l!bsritution of parlie~, ..tssignment or
performance of c:xpcrimt:ntaL dewlnpmental, nr research work nndcr that "tl.mding agreement." the r~::cipieni or
subrecipient must comply with the requirernen1:> of 3 7 C.F.R. Part 40 l, ''Right!> !o }nv~:nti{l;ls Madi.' by Nonpmfit
lnilial'i trftf_
Organizations and SmaH Business FimH Under Government Gmnti., Cmtlrat:t:,: and Cooperative :\greo;:mcn!s.'' and
any impkm..:nting regulations issued hy the a·warding agency.
{G) Clean Air Act (42 U.S.C. 7401-767ILJ.) and the f'ederal Water Pol!urion Control Act OJ U S.C. 1251-!387).
as amcnd~J .. m. Contracts and subawards of amounts in excc!ls nf$l50,000 must comain a prtwisiou that n.:quir..::~> tl1l:
non-Federal award t<1 agree to comply with all rtpplicabk st.undards, ordas or regulations issued pursuant to the
Clean .Air Act (42 t :.S.C. 7401-7<17lq) and tlJ(; fei.Jernl Water Pol!ution Control Act a;; amcn<kd (33 l J.S.C. 1251-
1387\. Violutiuns rmt<;l be reportc:d to the Federal awsnlmg agency ::111d the Regional Ot't!cc of the r.m ironcnt~nwl
Protc..:tion Ag.:ncy tEPA)
(H) Debanuent and Suspension thecutJve Orders 12S4') anrll2MN)-.-\ conrraer award (~cc 2 C.f.R § l 80 220)
must no! be made lo parties li!>ied on the gov~rnmem t<.Hlc t::Kduswns in tlH.: Sy!>lcm for Awartl .r.t.magement
{SAM) .• in accordance with rhe Ol\m guidelines ai 2 CF.R Part I RO that implement Executive Orders 1154~ 0
C.F.R. Parr 1986 Comp., p, 189) and 12.689 (3 C.F.H. Part 19f!!J L:omp., p. 235), ''Debarment ar:d Suspension."
SAM Exclusion!\ contain the names ofpartks debarred. suspended. or ottJt:rwise e.\duded by agcnc\es. as 'hell as
part1es declared mcligiblc under statutory 1.Jf' R~gu!awry authority other than Execut1ve Order 12549.
(I) B~·Td Anti-Lobbying Amendment (31 U.S.C. 135.2} C'onlra.:I<.>T"S that apply or biJ for all award e~>:ceeding
$100,000 must tile the required ccrtitica!ion. Ea~h tier certifies to the tier above that it wilt not and has not used
rederal appropriated funds to pay any person or organit.ation E1r inOuendng or attempting to influence an offh:er
or employee of any agency, a tncrnbcr of Conb'ress, nffi1~er or employee of Congress, or an employee of a member
of Congress in connection with obtaining any Federal contract, gram or any other award covered by 3 J C.S.C.
1352. Each tier munt also disclose any lobbying with non-Federal funds that takes place in connection with
obtaining any federal award. Such di~closurcs are forwarded from tier to tier up to the non-J·edeml award.
(J) A non-Fe.deral entity that is n swtc ngcn~:_y or agency or a political subdivision of a state and it!\ contractor.;; nwst
comply with Section 6002 ofll1t: SoliJ Waste Disposal Act. as amended by the Resource Conservation nnd
Recovery Act. fhc requirements of Section 6002 include procuring only it~ms designakd in guidelines 1)fthe
Lnvironmental Protection Agcnc:v (EPA) ar 40 C.P.R. Part 247 thai contain the highes.t percentage of recovcr~;.~d
materials practicable, consistent \Vith maintaining a :.;arisfactnry level of competition, where the purchase pri;.:c of
tlw item exc~Ced~ $1 0,00() or the value of thl': quantity acquired during rhc preceding fiscal year cxce..:dcd S l 0,00(1;
procuring soiid waste management 5(~rvicz~s iJl a mann..;r that ma:dmiL.I:':> cn~rgy and re;mm:e recovery: and
establ1~hing an af!innative procuremrut program for procurement of rec-overed material~ identii1ed in the EPA
guidelines.
Article XL ·-Terrorist Financing .E.O. q214
All recipients must comply 'ivith t and U.S. law that prohibit transaction~ with, <tnd the
provisions of rcsoun..:cs and support to, individuals and organization~> as;;ociated with terrorism. It is the !ega!
responsibility of recipients to ensure compliance with tlw E.O. nnd lnv.·g.
Article XU-S~stem for Award \-lanagement and t;nhersalldertti11~r·.Requireme.n1s
A. Requirement for System fM Awat·d Munagcment (SAM)
lin less you are exempted from rhis n..'quirement under 2 C.F.R. § 25, I I 0. you n£ the rcdpicllt rnusr maintain the
currency of your information in the SA~! until you submir the tina! fin:mchtl report rcqtlirt.~lundcr this award or
receive the tina] pay111ent, 'Nhichcvcr is later. This requires t1Htl you review and update the infonnation al least
annually atlcr the initial rcgistratiou, nnd mon.: fr0qucutly if required by changes in your information or anoth~..:r
award term.
in i tiel s ___ ..lrfJI! __
R Requirement rur unique cnllty idcntitler
If }''m are authorized to make subawards under this awaJ<J, you:
! . Must notify putt.•ntial suhn.:clpicnts that no entity (see definition in pHragraph C of ttn:o; award ~~~rmj may
receive a ~uh:.mrard th)m you unless the entity has pr0vided its uniqu~ entity identifier to you.
2. May not make a S1Jbawnrd roan entity uttkss the l'nfity ha<t providt:d 1ts unique Cil(ity id.::ntiii..:r to you.
C. Definition'!~
Fur purposes of this ~:nvard tem1:
l. Srstt'mfor AIHtrd Mrmagement rS>HfJ ll!C<llb !he .Federal repository in1o whid1 an t:ntity must prodde
informacion required for the conduct ofbusincs:> as a rcc1pienL. Adclhional infonnation about regi<>tnwon
pwcedun:s may he found <H the SA Vl lntemet site (cmrcntly at ,, ,,< ).
Unique r:llti(r idcnt(fier means the identifit-'r required JiJr S;\ \f registmlion lo unitjudy identify business
t·ntitics.
3. EntiTy. as i! i.~ used in the award r.erm. means all or the follov. ing as dcl1ncd at 2 C.f.R. Pan 25, Subpart C:
a. A Governmental tuganirati(m, wl1id1 is n Stulc, fnc;t! govcm.nK~llt, (n Jmlian Tribe;
b. A foreign public entity;
c. A domcstJc or fordb'11 nonprofit organization~
d. A domestic or ford!Jn for-prorit organization; and
e. A Federal agency, but only a • .;; a subrccipicnl under illl award or subuward lo <1 uon-Fcd..:ral ollity.
4. Subawartl:
a. This term means a legal instmmcm to provide Sllpport for the pcrtorr11::mc~~ of any port i.1n of th.::
substantive project or progrmn f1)r which you rcct~ivcd this award and that you as the retipiem
award to an eligible subreeipient.
b. The tenn does not include your procurement of properry and services needed to carry out the project
or progmrn (for further explanation. sc~ 2 cr.R. § 200.330).
c A subaward may be provided rhrough any legal agreement. indud:ing an a~'Tccmcnt !hat you
consider a contract
5. Suhrectpient means an entity that
a. Receives a subawanJ from you under !his awmd; dnd
b. ts acc.ountable to you for the Federal funds pmvided hy the suh;l\vard.
Article XLII -Whistleblnwt>r Protection Act
All recipknttt must comrly with 1hc s!uwtnry n:quirt-nlcnt& for whit<flehlow<.~r prc•tecti()ns ~ il npp!kabk) a! _· ',"_1~.:-·
.:..:-.L·--···~'"'·--·'-'...:._.:...::..' and !0 1.· ':1, .J.' t •;.t_ 4.1 \.i~ and fu.
Artide XJ .m -lli$position of Equipmt!nt Acgufred Under the .FedtlraJ Award
When original or replacemem equipment acquired under this award b\· the recipient or i1s st~brccip!CnL!i i:, 1w
longer needed ror the original project or program or for other activities currently or previously supported by
DHS/FEMA, you must request instructions from IJHS/FE\1A to make proper disposition of the equipment
pursuant to 2 C. F. R. § 200.3 I J,
Articlc XLIV-Prior Approval for l\lodifk-ation of Appr·oved Budget
Before making any change to the DHS/fE.'v1A approved budget n1r this ;.nvard, you musr rcqne~t prior writll'n
approval from DHS/FE.VlA where required hy 2 C.F.R. § 200.308. ror awards with an approv..-:d budge: grcmer
than $I 50,000, you may nnt transfer tlmds among dirct~l cost ..:ategorics, programz.;, fum:tion.s, or activiti~s without
Jniriab_~
ptior written approval fron1 DHSiF5\1A when: the cumulativt.~ amottnl tJf su~.:h transfers cxcc~;.·ds or is t:x:pe-.:teJ to
exceed rcn percent ( l 0%) of the total budgd DHS/ FEMA last approved. You mLwt n:port <my deviations from
your DHS/FEMA approved budget In the first federal Financial Report (SF-425) y<Ju snhrnit following any budget
deviation. regardles~ of whether :he budget deviation requires prior wri!rcn approvaL
The applicant hereby as;;;ures und cenifie'i compliance '>vith all11pplicahle Federal stacures. regulations, jlollcie.s,
guideline~. and requin~mcnts. Sec Article l abov~~. The applicant ''lso spcd1kally <B<>un: .. <:. aDd ccrtitks that it
I. Has the' le1,!al autbority w apply for Federal assistance. and the ins1itutional, managerial, and financial
capahility (including funds sutJkient t0 pay the not~-Federal share of project c.o~1s) ro Cl151lfC propt~r planning.
management and complell~Hl \lf t1!~~ project Jcscrit'k.:d in thi:> applicauon.
2. Will give the awarding agency. the Comptroller Ceneml oftbe United States, and if appropnatc, rhc Stale,
through any authorized rcpre:;eutativc. access wand the right to cxmnine all records. buoh. papers. or
documents related to the a~si51<nH;c or award; und will establish a proper a<:t.:Qunting sy:;tcm in tll:~cordancc
with generally accepted accounting standards or agency directives. See Arti..::le H above.
l. \Vill establish satcguards to prohibit employees from u~ing their positions for a purpu:>c that constimtcs or
presents tltc appearance of personal or organizational conflict of intcres,t, or personal gain.
4. Will initiate and complete the work wilhinthc appli<·ablu l!mt: fhnne ufk:r rl~.{.~I.Jiptofappr<'' al of the u•varding
agency,
5 Will t~omply v.'ith rh..:: Intcrgm·..:rnnwnral Pcn>tmnd Act of 1970 (42 U.S.C. §§ 4728-4763) relating to
prescribed standar<h for rn~ril •;ystems for programs funJcd under one of the ninett>en statutes nr regularions
specified in Appendix A of Office ofl'crF.nnnd Man;lgement's (OPM) Stnndnrdo;; for a .\1erit System of
Personnel Administration (5 C.F.R. § 900. Subpart F)
6. Will t:ornply with all F~dcral stalutcs relating w nondi!'crimination. The,;e indude bnt are rwt limited f\): (a)
Title vr of the Civil I<: ights Act of! 9M tP.L. i:iB-352l which prohibits discrimim1tion on the basis of rae-:
coior or national origm; {b) Title IX tlf !ht? Educalion Amendments nf 1972, a!> mnended (20 USC. 9§ 165 l-
1683. and 16~5··1 686), which pmhihit-. discrimination on the basis of sex; (c) Sect inn 504 ofthc
RehabJ!Jtation Act of 197.1, as amenckd f29 t;.s.C. ~ 794). whkh prohihirs cliserir11ination un the basis of
handicaps: (d) the Age Discrimination Ac! of 1975, as amended (42 U.S.C. §~ 6101-61 07), which prohibns
discrimination on th .. ~ basis of age; (t~) the Drug Ahu:>i..~ Offict\ ami Treatment Act of 1971 (l'.L. 92-2S5 ), as
<Jmcnded. relating to nondi~~nminalion on rhe ba~i:i of drug abuse; (I) the Comprehensive Alcohol :\busc and
Alcohnl ism Prevention, Treatment and Rclwhilitilfion Act of I 970 (P. L Q 1-616), as <tmcnd<xl. relating to
nondiscrimination on the basis of alcohol abuse or akohulism:(g} ~§ 523 and 527 of the Puhlic llealt!1
Service Acl of !912 (42 U.S.C. §§ 290 dd-3 and 290 ee-3), as amended, relating ro confidentiality ofalcoltol
and drug abuse patient record:s; (h) Title vm ofrhc Civil Right Act of 1968 (42 L'.S.C. §§ 360 l cL stx].). a!'
amended, relating to nondiscriminalion in the sale, rental. or financing of hou,qing; {i) an}· other
nondiscrimination provisions in the specific statute(s) under which application for Federal ussistanc.c is being
made; and. (j) the requirements of any other nondiscrimination statute(s) which may apply to the applic;Jtion.
See Articles XL XII. XtrL XIV, XV, XVI, and XVlL
Initials
7. Will t.:omply. or has already complied, \Vilh the requirement<; 11fTitle~ IT and m ofdlt: Uniform Rdc.H:ation
Assi:-otance and Rea! Property AcquL;;itinn Policies Act of I 070 (P.L 91-6461 v.-ltich provide for fair and
equitable treatment t)f persons dispJaccd (ll' who:-:.~;~ property is acquired as a result of Fedemi and/or federaily·-
assistc<i programs. 111(':se requirements apply 10 all interest~ in real prorerry acquired for project purpos~~ ·
n;gan.llcs~ of Federal panicipation in purchasc5.
~. Will comply. as applicabk, with the provisions of the I! arch Act (:5 L'.!).C. §§ 150 1-1.50?1 a.nd 7324-7328)
which limit the political act.ivitie;; of employees v .. fws.: princip<li cmploynw11t acli\<·ith;;s are funded m wh<~lc
or in pa1t with h.'Xlcral fund&.
t). Will comply. ae; .1pplicahlc. vd!h fh{) prov!sioa~~ of the Davis-Bacon Act ( ~() C .S.C. §§ 276a to 276a-7), the
Copeland Act (40 U.S.C. § 276<; and 18 U.S.C § 8741. and the Contract \Vork Hours and Safety Stand:trds
Ac! (40 USC.~§ 327-333), reg-arding lahor standard:; for federally-a~sisted constmction subagrccmcnl'i.
I 0. Will comply. if applicable, with Hood insurance purchase requiremt:nls vf Section !02(a) or the Hood
Disaster Prntct'tion Act of 1973 (P.L 93-234) which requires recipient:; in a special fl(wd hazard area w
particip<lk in the progrum and to purchase tlood insurance if the total cost of msurable C(JOStruction und
acquisition is $10,000 or more; and the '\Jational Flood lmmnmce Act of I 96S. See Artides XX I land XX!J I.
! l. Will .::omply with cnvironmt>ntal ~tandards which may he J.m.~scril~d pursuant to the following: (a) in::ti!ution
of environmental quality control measures under National Environm&;tJtal PrOI(;eiion Aer (NEP/1.) of 1 f)(i()
(P .L. 91-1 ')()) and Executive Order (EO) 115 !4; (b) notific<ttion o( violating facilities pursuant to H) l ! T38:
tc) protection of wet lamb pursuant to EO 11990; td) cvaluaiion tlood hazards in tloodplain.s m accordawx
with EO I 1988; (e) assurance of project comistency >vilh the approved Sratc managcm~.-'tlf program
developed under the Coastal Zone Matmgcmcnt Act of 1972 (16 U.S.C. §§ 1451 ct ~eq.): (fl confnrmiry of
Fcdt~nll actions to SLah.: (Ckan Air) tmplementalion Plans under Section l76(c) oftlie Clean Air At..:t of 1955,
as amended (42 U.S.C. §§ 7401 et seq.); (g) protection of underground soun:t.·s of drinking water under the
Sate Drinking \Vater Act of 1974, as arllt~ld!:d, (P.L 93-523); and (h) protection of l~ndangered speci<!S under
the Endangered Species Act of 1973, as amende.d. (Jl.L. 93-205 ). See Articles XIX, XXI, and XXTV.
!2. Will comply with the V./ild and Sct~nk River<; Act of 1968 (16 C.S.C. §§ 1271 d :seq.} n:lateJ to protecting
components nr potential componcms of the national wild aml seenk riven; system.
13. \\1ill assist the awarding agency in assuring compliance with S~dion lOti of the Natinnal Histuric
Preservation Act of 1966, a!> amended ( 16 U.S. C'. § 470). EO 1 l 593 {identi tication and prOTection uf historic
propcrtic:;), and the Archlleological and Historic Preservation A.ct of 1974 (16 LI.S.C. ~§ 46%-1 ct ~•cq.}.
All proposed construction and renovation activirics must undergo an Environmcm:tJ Planning and Ill stone
Preservation !EHP) review. including !ipproval of the rcvic·w from H-::MA, prior to undertaking any action
related w lhc project. Any apphcanl that i;; proposing a construction project shouid pHy special attcmwn t~;
the EHP requirements. See Article XXX!!!
l·t Will eornpl;-,: with P.L 93-348 regarding the protection of human :;;ubjccts im:olvd in !CSC<lrCh, Jevdoprnent.
anJ rdatcd a..:tivities supported hy thi:< award of assistance. S..:•· An ide XX.
15. Will cornp!y vnth the Lub1>mtury :\nimal welfare l\ct or 1966 (P.l .. iNw5,44, as amended, 7 U.S. C. §~ 2131 ct
s~:tJ.) pertaining to the care, handling, and treatment of wann blooded animals IJcld fi.tr research, teaching, or
other activities SUpj10rted hy this a\>t':tfd of assistance. St:e Art ide xvm.
Inirinls
[6.
17.
JR.
19
20.
21.
T' ··-'·
24.
Will comply with the Lead-Based l\;;im Poisoning Prevention Acl1.42 L S L', §§ 430 l et seq.) 'Nhich
prohihiti'i the use of kn<i~ba:;,~d pttint in conslmction or rehahi litat irm of residence stmcflll\os.
Will cause to be performed rhc required linandal and compliance audit;; in accordance \Vith the U.S.
Onvemmem Accountability Oflicc's (GAO) Government Auditing Stant1ards .. and rhe 1\~quircm<:nts ot
1 C.F.R. Part :100, Subpart F.
Will comply with all appli..:ubk rcquirementn of all other Federalla\vs, exccutiYe orders. n.•gulation;; and
poliucs govcming this prob'ntm. l'hi~ includ(~s all re-quirements. rcstrictionfi and rcguiation.!i-·idcntilicd in the
California Oovemf;r's Office of Emcrgcth:y St:rvicc:s (Cal OES) Fiscal Year 2015 Emergency Managemen:
Performa.ncc Urant (EMPG) Program-Califomia Supplement w the Federal Program !\Mice of Fullding
Oppornmity; or. The State Guidance.
Will comply wi:h the requirements of St;t~liun l06(g) of the Tmft1cking Victim!i Protection Act (Tv'PA) of
2001). as amended (22 C.S.C. § 7104) \vhich prohibits grant award recipients or a subrecipient ti·om ( l)
Engaging in severe il.mm of trafficking i11 persons during the pcnod of rime that th\: award 1S in effect (2)
Procuring a commercial sex net dtJring the p...:rwd of time thal the award is in effect or n) Using forced lab<Jr
m the pcdonmmcc of :he ct\vard or subawards under the award. Sec Aniclc X.
Will comply with Homeland Security Presidential Direclive (H~PDl-5, ,;!.fwwgement r!fDomew'c fncident.l.
The adoption ofthc NJMS is a requirement to receive Fcderol preporedne:;s assist<Ince, through grams.
contracts, and other ut~tivitics. The NlVfS provides a consistent nationwide tcmplalc to cnabk ;:ll h:vcls of
govcmml~nl, tribal nations, nongovernmental organizations, and private st:ctor partner:. to work together <o
prevent protect against, respond to, nxuver from, and mitigate the effects of incidents, regardless of Catl:St',
si7e. location. or complexity.
Will nm dispose of, modify lhc us¢ of. or change the 1em1s of the real proflerty title. or other intcn::st in tht~
site and faciltties without pcnnission and instructions from the awarding agency. Will record the fcdcr.d
interest in the title of real property in accordance with awarding agency dirc~livcs and will induue a
covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure non-
discrimination duri11g rh" uscH.d Iii\: of the wojecl.
Will comply with the requirements of tl1c assistmH.:c a\vuruing agt:m'y with regard. to the drnfling. review and
approval of CDnstruction plans and sp~cifications.
\Vill provide and maintain cmnpctcnland adc'4ualt.: t;Ub,<lncering super,·ision at the constmcrion site w ensure
that the complete wnrk cnnt~1nns with tht: uppruved plans anti specifications and will film ish pro,g.n:s~ 1vports
and such other inforrnarion as may be required by the assi~tance a\·vaniing agency or SUtte.
\Viii comply with Public Law (Pl..) l 09-282 (Fcdcrul funding 1\.:countabihty and Tran1.parem:y Act of2006}.
as amended by Section 6202(a) of the Governmt•nt Funding Transparency Act of 200R (Pl. II 0-252). ,.,.hkh
is omlincd in FEMA GPD Information Hulletin No. 350. lf the subredpicnt in the prco.xiing year did not get
RO% or more of it.; annual gross revenues from fcdcmli\ wards, and S25)..1 or more in annual gf'oss revenues
from Federal Awards, and the public docs han~ aecess to information about the compensation of the senior
executives of the entity, then the suhreeipient is not suhjcct to the FF ATA Financial Disclosure requirements.
Sec Artidc XX .. XVL
\Vill comply •.vith rhc following: (u) All recipients of financial assisranc~~ lllll!H a::knowk·dge and agree--a11d
rc;.'tJUirc any subrecipic!lls, contractor<;, successors, trans!cn:~s, ~nd assifmces acknowledge an<J agree to
Jnitial~~--··
comply v. ith applical;l(: provisious g(lvtming Cal OES a,x:cs:> 1o n·..:on.i':i, m:counrs, d<H.:ument~. infr:mn:ni~Hl,
fliCilitic~. and staff; (h'l R~cipienls must cooperate with any site v1~>il, tr.Jmplianccimoniluring r~vir:>v or
complajnt investigation conducted by Cal OES: ( c 1 !~ecipient.o;; must give (a I OLS <ll.:cess to and the nght lo
c.xaminc and copy records, accowm., and other documcnrl' •wd sources of information related to the grant and
p<.'mttr acc~ss to facilities, personneL and o1her individuals and information us may be necessary. as ~cquirc:u
by Cal OES regulations and other applicable laws or program guid;mce; (d) Recipients must submit timely,
complete, and act7uratc reports to the appropriate Cal OES ot!idals and maintain appropriate ba<:kup
docum~.:ntalion to suppori the reports; and (e) Recipients must comply with all other spcci<ll reponing, data
collection, and evaluation requirements, a"i pre~cribed by law or detailed in the program guidance.
26. \Vill comply w1th the EMPG··funded Personnel Training and Exercise Requirement All rc\.!ipiems of
financial assistance muse acknO\:vledge and agrec·-·--and require any subrecipients, to ackmnvlcdge and
agree-to comply with rhe E\1PG-funded pe1~c;onnel training and exercise requirement, as detniled in both the
Federal and Srl'ltc program guidanc{~. failure to comply wit1111tis requirement. by individlla!s wh(ISC ~nlary is
funded, in part or witok with EMPG, may result in the incurred salary costs associated with the non-
compliant EMPG-fumted personnel from being eligible tor reimbursement and/or restJit in the suhrec1pient':;
repayment of already disburs~d f.'T<lnt funding aSSt)Ciatcd with th~.~ non-compliant EMPG~timded personnel's
salary-related costs.
CERTfFICi\TJO~S
I. ~:ERTlf1£l\IIQ~;pQ.~ CONTRACTS. GRAt'-.TS, LOANS, A\D COOPEHA'JlV'E AGRE~JY.!£~1\TS:
Tht· und~rsignetl certifit:s. 10 Lbt: hest ofhi.s or her knowledge ami belieC that:
( l l No Federal appropriated funds hav¢ been paid Of v.dll bl.' paid, by or on behalf of rh..: undersigned. to any
person for influencing or attempting to influenct: an offker or employee of an agency, a Member or Cnngn:ss.
an offi.ccr or employee of Congress, or an employee of a Member ofC1mhrrcs;-. in connection with th•:
awarding of any Federal contract, the making of any Feder a~ gnmt, the making of any f·edemlloan. the
entering into of any coopc.·r:ltivc agreement, anJ the cxtct1sion. contirmntion, rcn.:wat. amendment., or
modili<:arion of any Federal conrrac!, grant, loan, or cooperative agreement Sec Artide IlL
~2) ff any furuLs other than fcdcrnl appropriated funds have been paid or \.,.·ill be paid lo :my pcrs(ln fur influencing
or attempting to in11uenec an officer or employee of any agency, a tvfmnb..:.'T of Congress. an officer or
employee ofCongreso;;, or an employee of a ~v1emher of Congress in connection with thi.,; Federal conrract,
gran!. loan, or coupcralivc agreement, the ur1<lenig11ed shall complete and ~ubmit Standard Form-LLL.
··Disclosure of! .ohbying Activities.'' in accordance with ils instructions.
(3 l The umlt:n;sg:nt:d :>hall require that the language of this certificat1on be indmld in the award documents for a!l
.~ubawards at alltier'i (including suhcnntracts, and cnnlracts under grants, loan:;;, and cooperative agreements)
and that all :.-;ubn::cipicnts shall ccrti!Yaud disclo:>t: J(;;ordingly. This ~.~crtitkaL1on is a material rcpn:.scntutiun
of fact upon which rdianc<:: was pluced when this transaction was made or entered into. Submission of this
certification i~ a prereqmsitc for m:1king or entering into this transaction i!llposed hy section I :152. rit le J 1,
U.S. Code. Any person who tails to tile the required ~~crtilication sh;lll be subj\~Ct loa civil penally of not k~>
than $ t 0,000 and not mort.' than S l 00.000 fcJr I.:'Hch such failurt.'.
In itia!s
fne undersigned <;tates, fO the besr (lf' his <JI hGr knowk~dg<: and bdtcf. thai:
If aay fund.s hmc bceu paid or will bt! paid to any person for influencing or alrempting to mf1uence an oftkcr o:
employee of any agency. a ,\femb~r of ( ~ongress, an officer or employee of (\rngress, Man employee of a Member
of Congrcs:. in connect inn with this commitment providing for the Cnited States to insutc o:: guarant.::c a loan. tlll'
undersigned shall comple!t: and submit Standard Form-UX, "Disclosure of Lobbying Activitit"s:' in accordance
\vith irs instructions. Submission of Lhis statement is a prerequisite tbr making m entering inlo this transaction
1mpo.sed by section 1352. title 31, U.S. Code. Any person \Vho tilils co lilc the required stntemcn: shall b,: subJt~~t to
a civil penalty of nor less than $10.000 amJ not more than $100.000 Cor c<K:h such failure.
2. Dl;[tit\l~MJ;:NJ: •. SJJ.S!>ENSION. AND OTI fER RESPONSrBH.JTY \IATTERS !DIRECT RECfPI.El\D:
As requin:d hy Executive Oniers !2549 and 12589, Dcbrmncrll auu Suspcn:Jion, and implemented at 44 C F.R .•
Parr 11 1Sec Arrklc xxxm:
A. TilC applicant ccrtiiic::. that it and its principal~.
t l) A.re mH pre;;ently debarred. s.u::;pcndctl. pwposcd fur ddJanncn!, <..k~:hm:d indigibk. scnknced to a
denial of Fcdeml benefits by <1 Slate or F,;:deral court or voluntarily excluded from tXl\'ert•d tran">acrim1s
by any Federal dt'lparlmcnt or agency;
( 2) Ha\·e not within a three-year period preceding ti1is appliealion bctm convicted of or had a civi! judgment
rendered against them for ~ommission of fraud or a criminal offense in connection with obtaining,
attempting to obtain. or performing a public (FederaL State. or Local) transaction or contract und~;:,. a
puhlic transaction; violatiOllt>f Federal iJr Slat.c ;mlitrust :.t<tlulcs or c,ommi~sion of t~mbealemem. theft,
forgery, bribery. Ialsiftcation or destruction nf'record~. making false statements. or receiving ~tcllc:n
property;
/.1} Are not presently indictr'd tiJr or otl1crwisc.: criminally or dvilly charged by u g:rm:mmt:n!ul enli:y
(Federal, Stale, or Locnl) with ... ~ommi ~siun of <my of tht~ ulTcnst·s enumera(ed in paragraph (/\ )(2 l of thr~
certification: and
{4) Hav~.: rwl 'hithin a tJm:x:-y;;.:ar period prccedmg thi-; application harl one or more public transactions
(Federal, State, or Local) terminated for cause or default; •md
n. 'Where llu: applicant is unable to certify ro any of !he statements in this ceniftcation. he or ~he shall attach an
explanation to this application.
:~. Cf.RJJfKi\IIQ'lS.RE(i~RT,~f]•:!.(t Q.!tJlG-FREE WOJH<PLACE REQL'fRLME::NTS: This c:enificatioo
comnuts lhc applicant to compliance vnth the certification requirements under 44 CJ.R., Part 17 Gol·emmc:nr-
llide Requirememsfor J)rugFree Wort~p/m:c: rG'rmrts) See Artidc IX.
A. l he J.!rantee certifies that it will or will continue to provide a drug-free workp1acc by:
(nl Publishing <l '>MenR·nt notifying employees that the unlawful manu:facture, dislriblltion. dispensing,
possession, or use of a controlled -;ubstance i~ prohibited in the grantee's workplace atHi spcci fying the
actions that will he taken against employee:;. tor violatioll of such pcohibition;
lnilial5 ....... bt/J
(b) CstHbhshing aH ongoing dmg-frce <twareness program to inform employees about-
( l) 'I he dangers of drug abus~o' 111 the workplace;
(2) Tile grantee's polk) of maintaining a drug-fh:c workplace:
!)) Any avuilnbJ..: drug counseling. rehabilitation. and employee a~~istance prngcams; and
(..f} The penaltie$ that may be impm;ed upon employ-ees tot' drug abuse violations occumn,g in the
workplace;
(c) ~·taking it a requirement lhat each employee to he engagc~d in chc p~rti)rm<H1Cl~ of t:hc grant he given h
copy of the statcmem required by paragraph (a);
(J) 1\"otifying the employee in the statement required by p:m1graph (al that, as u condition of employment
under the grant, the employee will-
( l ) Abide by lht: tenn:'. of the statl.'ment; and
(2) Notify the employer in v.:ritlng of his or her couvii:tion lor a violtJI.ioll ur a crimina! drug siahlk'
occurring in the workplace no taler than tivc calendar day'> aHer such comtchon:
(e) Notifying the agency in \.Vriting. within ten calendar days after receiving notice ulldcr snbparagmph
(d)( 2) from an employee or otherwise rccci vi ng actual notice of such convicti t'lrl. Employers of com i~~kd
employees must provide notic..::, including positionlt!lc, to every grant officer ur other Je~ignec on
whose gmnt activity the convicted employee was working. unless the f'cdcral agency has desi&'llated a
crnlral point fbr the receipt nfsuch notices. ~oticc shall include the identification nmnher(s) of each
atTected grant;
(f) Taking one of the following actions, within :m calendar days of receiving notice under subparagraph
(d)(:!), with respect to any employee who is so convicr0Cl
!. I) Taking appropriate personnel action against ~uch an employee, ur to and including termination,
consistent with the requirements ofrhc Rcl~:tbiliralion t\cr or 1973, as amended; or
( 2) Requiring such employee to participate sutisfactorily in u drug abuse assistance or rchahi!itatton
program approved f\'1r such purposes hy a Federal, Stnte, or local heahh, law ent~1rcemcnL \)r other
appropriate agency:
(g) Making a good faith effhrt to continue ro maintain a drug-free \vorkplace through implemcntiltlc)l1 of
paragraphs (a), (o), (c). (ci), (1n and (l).
4. SWE,/(fEREECQDf OF COI\JJUCT:
a. All applicants contracting tor tll..: procun.'lncnt or laundering of apparel. ganrt~.mts or corresponding
accessories, or !he procurement of equipment, materials, or xupplies, other than procurement related 10 a
public works contract. declare under penalty of perjury that no apparel. garments or corresponding
acl.':essories, cquipme11t, materials, or ~upp!ics fumishcd lo thr.l ~!ale pursuant to th..: suhawurd have ht~en
laundt·red or produced in \vho!c or in part by sweatshop la!hlr. forced labor, convict !:Ibor, mdenttJred labor
under penal sanction, abusive 1(1rms of child labor or exploitation of childn:n in sweatshop labor, or vnlh the
benefit of sweatshop labor, forced labor, convict labor, inJcnturetllabor untler penal sane lion, ahusive forms
of child labor or exploitation of chi!Jrcn in .sweatshop labor. The applicant furt!wr declares under penalty of
perjury tl1a1 they adhere to the Sweatfree Code of Conduct as set forth on the Calitbmia Department or
Industrial Reiation!i wehsitC' located at " , ~lg:•Y , and Public Contract Code Scctkm 6108.
lnitinb .. J}ftP
h. The applicant agrC'~S to coopetfllc fully i11 pruviJi.ug reasonable :·tcccs!> Jo the appli<;lm(' s re.:urds. Jocumt~ms,
agcllts or cmp~(1 J'CCS, ~r pn~m~cs if r'C<t.~onabfy required by authorized officials of rhc contracting agency, rhe
D~'Pl.lrtmcm <~i lndustnal Reiatwnil, or the Department nf Justice to detenninc thl! contractnr·s como!i.ance
\Vlth the reqmrernent<; under paragraph (a). •
5 D(~MES nc _PARTNERS: f<~(H ~>uh;l\vards executed or amended atkr July 1, 2004, the applic:m1 may ckc:t to
offer domestJc partner benefits to the applicant's cmployl.~cs in accordance with Public Conrracl Code section
l 0295.3. Hv.wcvcr. the applicunt cannot wquire an employee ro ''over the costs of providing any bene fiLs which
hu\'e otherw1sc been prmnded to all employee-; regardless of marital or domcsrlc partner stams
n:R.MS AND CQ'JDJTJONS
rhe following Jaw~ apply tu persons nr entitief. doing husin01s vvirh the Stare ofCalifomin.
l. q:;>t\.E!.:J.c:;'J QfJ~:LE.K!;;S_f: Applicant needs to tw aware ()fthc foll,ywing pmvi-;ions regarding, curn.:nt or
former state employees. If subrccipicnt has any question.:; on lhl: slat us of rmy person rendering ~crvict·s or
involved With the AgrccmcrH. the awarding agem:y must be contaded immediatdy for c!aritkatwn.
Current Stare £111plop:'t?S (Puhlic Co!tlmfl (?o.J,~ § /04 I 0):
l) No offict•r or ~mployee !'.hall engage in any ernf>loymcnr. activity or enterprise from which the otriccr ot·
employee receives compenlilltion or has a financial interest and which is s.pons<:>rcd or funded by any s.Latc
agency, unless the employment, <H.illvity or enterprise is required a.s a condiLion of n:guiar stale employment.
2) 'Jo officer or emp!oyee shall contJa,·t on his or her ov.·n bdutlfas mt imlcpcnJenl contractor with any state
agency to pnwtdc goods or services.
Former State Employees (Public Contract Code§ 104 f !}:
I) For the two~ year period from the dale he or she left state employment. nn fonner state officer or employee
may enter imo a contract in which he or she engaged io any of the negotiations, tran~actions, plaru1mg.
arrangements many part of the deci;ion~makmg process rckvanl to the c.ontrnct while C:\mploycd in ,my
capacity by any state agency.
2) !'or the tweivc-momh p~riod from the date he or ::;he kfi stale employment. no ronn.cr state officer or
employe;;: may l.'ntcr into a conu:acl witb any swte agency if ht: or she was employed by I hat state agency in a
policy-making po:,ilinn in the same generol subject area as the proposed contract within the !2-nwmh pcrind
prior !o his or htT l~aving state servict:.
If applicant violuks uny provi~i,1ns of ah.1ve paragraphs, such acrion by applicant shall render this A!,!W~!Tl\!il(
void. {Pub. Contract Code* JOc~20)
Members of hoards and commissions arc cxt~ntpt fmm this scclimt iftht'Y do nul rcceivt: paJ-ment othr.::r rhan
payment of each meeting of tho:-boar;] or (~ommission, payment for preparatory time and payment for per
diem. {Pub. Con!ruct Code-§ 104.30 (e))
L LA~QR,qJDf::!)V()RJq:RS' <::.:o~:!P!;N~.£\J.lOf'l: 1\pplkant needs to be aware of the provisions which n::qmrc
t:vcry employer to be insLJred aga:lnst liability fhr Workers' Compensation nr t11 underrakc self-ins;Jran~:.; ir~
tnitials
accordance with th ... ~ pzovisions., and upplicarll a!limt:,; lu Cl!rnply with I';U~h pr,.visions bc(orc c;>mmcn..:ing rhe
pcrf<)rrnance of the work of this l\g.recmcnt. (Labor Code Section 3700)
3. AMERICANS WITH DISABILITIES ;\CT: t\pplic;1nt assures the State !hat it t:ompli-::3 wirh the /\rnericun:-;
with Disabilitie~ Act (.ADA} of 1990, \1/hldt pmhibits discrimination on the ba:.is of di~abi!itv, as well as all
applicable regulations and guidelines issued pursuant to the ADA. (42 USC§ 12Hll et seq~)
4, ,:\J'J;)J".KANT 'l.~'~.Ml:: .<:::11:::'\NGB.: An amendment is required to change the applicant''> name as listen on this
Agreement Upon rccc:ip! of legal documentation of the name change the Stare \v ill process th(· amendment.
Payment of invoices prcscmcd with ;l tlC\v name cannot be JXliJ p1·ior to approval of S<lid amendment
5. RESOLUT!Ol\: A coumy, dty, di:,trict, or urher luc<~l public body mtls! providt: the Stak with a copy of'"
resolution, order, motion. or orclinuncc of lht.~ focal governing body which hy !nw has author·ity to enter im<} ;m
<~!,.'Tcemcnl, <JulhoriLing execution of the agreement.
6. ~'}JRQK~~J.1I~f!:j'OLLLTJON VIOtAIIOl\': I :odcrthc State laws, the ;;ppltcanr shall nm be:
( 1) in violation of any order or resolution not subject to review promulgated by the Stare Air Rc:.oun·cs ll\>anl or
an air pollurion control district.
(2) subject ro cease and desist order not subject to review ls!'ued purswwt to Seclion ! 3301 of the Watt.·r Cl..ltk
for vwlation of waste discharge rcquin:ments or discharge prohibitions; ·.~r
{3) finally de1em1ined to he in vin!at10n ofprovisious of r~dtra1 hm· relating !o air or water p<ll!u!iun.
7. SYS.U~M.fQRAW!\.R:QJ~lA~!\GEMEl\T jS/\M) A~D CN!VHHSAL IDEYnHER Rl-J.)lJlRE~U!NTS:
A. Requirement for System fnr Award Management (SAi'vt)
Unless you are exempted from this rcquircmem under 2 C.F.R. § 25.110. you a:. the recipient must
maintain Inc ctmcncy ufyour infonmnion in the SAM until you submit the finaf financi;Il report n.'\Jllircd
under this award or rcceivt~ the tlnnl payment, whichever is later. This fC(fUircs that Hpplicants aml
redpient<; r-eview and updat~ the information at least mlmwlly alkr lhe inihaJ registration. and more
frequently if required by changes in your ini(Jmwtion nr another award tenn.
B Requirement for Data Universal \Jmnbering System (Dll"~S) Numbers
If recinients are authorized to make subawards under this award, they:
1 .. ;\>1us.t notify potcntwl !>Ubrcdpicnts thai no entity (sec definition in paragraph C of thil' award rcrm)
may receive a subaward from you unless the entity has provided its nt NS number to you.
2. May not make a suiJ<lWard ttl an entity unless the emily has provided its DUNS number w yot:.
C. Defil1ifionc;
For purposes of this award term:
l. System for Award Management (SAM) means the Fr.:th:rttl repository info \-vhid1 an t·ntity musl
provide information required for the conduct of business as a recipient. Additional intbm1a1ion
about registration procedures may be found at the SAM Interne! site (currently at
2 Data l;niversal Numbering System (DlTI\"S) number tncansrh~.: nint digil number cstabli~hc-d and
assigned by Dun t:md Bradsln:.d, Jw.:. (D&B) to uniquely identify business entilies. A DL\IS
number may be obtained from D&B hy telephone (currently ~66·70:;-S?l J) or the Internet
(currently ar <.<•Ill
~-Entity, as it is used in rhis award term, means all of the following, as defined ;1t 1 C.f· .R. ~ ::s 120,
Subpart C:
a. A Governmental organi7ntlon, which is a St-lte, l.ocnl govcnvm:nl, or lru:llan Tribe:
h. A foreign public cnliry:
c. A domestic or foreign nonprofit organization;
lnitials
d. /\ domestic or t'hreign for-pmlll orgam,;;aiiun; and
e. !\ Fcd,:rai agt•ncy. but only as a suhreeipit-:tH under an ,m·arJ or :StJb<tw<.mJ to a non-Fecler.al
cnti1y.
4. Subaward. as dctlned in 2 C.F.R. § 170.325:
o. This tcnn means a legal instmmenr to provide support forth<.: pcr!l.)rrnancc of <my p<mion of
the substantive project or program for which you received this award and rhal ym1 as the
recipient aw.nrd to an clig1hlc subrecipient
b. The \em1 doc'i not include your prc•CIHC'lllCnt or prop<.:rly anJ :.ervit;e:; flt.>t:UeJ lo carry OUf th,:
pmJect or program.
c A subawanl may be provided through <lilY k~gnl<1g.rccmcnt, indwJiag an H.!:,'tcement that ynu
conJ>ider a contract
5. Subredpienf. a<; defined in 2 C.f .R. § 25.360, means an entity that:
a. Receives a subnward from you under rhis award; and
b. Is accoumablc to you for the use of the Fedcr<1l funds provided by Lhc subuward ..
8. FJNJ~.N.ClAL GU !DJ-.J.lNES: ·nlc recipient uod any subrcnpient shall comply with the nH.,st rcccn1 version uf
the Administrative Requirements, Cost Principles, and Audit Requirements. A noo .. cxdu&ivc list uf regulation-;
commonly appli;;nblc to PEMA grants are listed below:
A .. Admin}sLTative Requirements
1. 2 CY.R. Part 200 CnifornJ AdministratiYe Requirements, Cost Principles, and Audit
Rcquin~mcnt:; for fcdt.!ral Award.s, Subparts l3 rhroug.l1 D
L 44 C.f.R. P::~rt H), Environmental Considerations
B. Cos! Principlt'S
I. 2 C.F.R. Part 200---Unifnml Administrntjvc Requirements, Co&l Principle~. and Audit
Rcquiremcnr:-. for federal A·.vards, Subpart E Cost Principles
2. 4X C F.R.~ ~ 1.2. f~;:<kral A.cquisition Regulations ll'A ~ }. Contracis with Comrnerdnl Orgm:izutiom;
C. Audit Re•"tuiremems
l. 2 CF.R. Part 200-Uniform Administrative Rt~quiremt:nts. CO!>! Principles, and Audit
Requirements for Federal Award!i, Subpart F Audit Requirements
IJ. _PROIIIBITIO~Qi'; r.J.SI;i(!.fl;DERAL HJNDS: The rccipitH1 tmtlcrstand;> anti agrt:cs thal it cannot U$e any
Federal funds. dth('f dire~.:tly or indirectly, in support oi'thc cnactm~nt, repeaL modification or adoption of ;my h11.1,
n.:gulation or policy\ at any level of govcrnmt.:m, without the expr6s prior written approval (}f FEMA.
10. COMPLJAI\CE W1Tti.PR.CX:1BAM.GUlDA:\CE: T'he t\~t:ipieJll' agrees that <ill allu<.:ation.s and use of funds
under I his grant will be in accordance wi!h the Dl!S FY 2015 UMPG Program Nucice of Funding Opportunity
(NOFO).
I!. CJ..,:\.S.SJfJf;J! .. SEh1!.RITV COI'\D!'rlON:
A. Classified nfltional security infbrmation, as defined in L'<C(~utivc Order (EO) 12958, as amended. means
infomiation that has been determined pursuant to 120 12958 or any predeces.sor order to requin: pro10dion
ag~ti!1Slllfl<JUthorized disclOSilfC and iS nlllrKCd (O inJit:atc tt!> dassified StatuS Wiletl in dOCUIUCniH(v fonn
B. No funding under this award shall be Wlt:d to tuppon a contract, suba\\'ard., or other agreement J{H· gotH.b
or services that will indudc access to classiticd nati()nal security int"l>mHltmn if the: award fl!ctpicnt ha;;
nor heen approved for and bas accc!.s lo such infonnation.
lllitia!s
C \\-'here an award recipient has been approved for and has access to classified national security
information. no funding under this award shull be Wled Lo suppor1 a contract, !lubuward, or o1her
agreement for goods or services rbat will indude access lo classified national security information by the
contrdctor, subawardee, or olher entity wilhout prior wntlen approval from the DHS Office of Security,
Industrial Security Program Branch (lSPH), or an appropriate official within the Fe.deral department or
agency with whom the clar;sified effort will be performed.
D. Such contracts, subawards, or other agreementS shall be processed and administered in accordance\\ ith the
DHS "Standard Operating Procedures. Chts:r,ilicd Conlractjng by Stah:s and Local Entities," dated July 7.
2008: EOs 12829, 12958. 12968, as amended; the National Indu,triul Security Program Operating Manual
(NISPOY!); and1or other applicuble implementing directiveti or instructions. All sccurity requirement
documents arc located at: http. "W\\ .\!hs.,~ . .;\v •. xvpnhtz 't_rnmts mdex ..;htm
F. Immediately upon determination by the award recipient that funding under this award will be u~ to
support such a contract, :oouhaward, or other agreement, and prior to execution of any action!' to
facilitate the acquisition of such a contract, subaward, or other agreement. the award recipient shall
contact ISPB, or rhe applicable Federal dcpurrmcnt or agency, for approval and processing
instructions.
DHS Office of Security ISPB co11tact infonuation:
Telephone: 202-447-5346
Email: DD254Adnunislratl\ eSecumyYtl:dh.~.2·o•
\It ail: Department of Homeland Security
Office of the Chief Security Officer
ATTN: ASD!Jndustrial Security Program Hranch
Washington, D.C. 20528
Failure to comply with these requirements may resuh in su!!pcnsion of payments under the Agreement or
tennination of the Agreement or both and applicam may be ineligible for nwnrd of any future State agreements if
the department detennines that any of the following has occurred: the applicant has made false certification, or
violated the certification by tailing to carry out the requirements as noted above. (Gov. Code §8350 et seq.)
f. tbc official named helow. CERTIFY L'NDER. PE;'\ALTY OF PERJURY that I am duly authorized to legally
bind the prospective jurisdiction to th~ assumnccl) and certifications listed abow.
" --~ .
Jurisdiction (Primed)
County of Fresno
B)'(~I~Q.
l'rinted Name and Title t?lPer.wm • igning
Deborah A.
!Jate Executed
ATTEST:
BERNICE E. SEIDEL, Clerk
Board of Supervisors •
By 11 J~ C¢-
Initials
Gm•erning Body Resolution
BE IT RESOLVED BY THE -------"B<.!.o:.!'.a!..!:rd!...:o:.:..!.t~· S~u~p-':::.!er...!.v.!.:iis~o~rs!...._ _______ _
(Governing Body)
Of'THE ___________________ ~C~ot~u~n~y~o~f~F~re~s~no~---------------------TJJAT
(Nam~ of Applicant!
~D~iv~i~si~o~n~M~.~atin~a~ge~r~,~E~.n~v~i~ro~r~n~n~e~nt~a~l~l1~e~a~lt~huf~)~iv~i~si~o~n~--------------------------OR
(Nnmt> or Title of' Authorized Agent)
~D~i~re~·c~to=r~·=D~e~p~art~Jn~e=n~t~o~f~P~ub~l~ic~I1~e~al~th~-----------------------------OR
(Name or Title of Authorized /\genl)
Assistant Director, Department of Public Health
(Name <lr Titl~ of Authorized Agent)
is hereby authorized to execute for and on behalf of the named applicant, a public entity
established under the laws of the State of California, any actions necessary for the purpose of
obtaining federal financial assistance provided by the federal Department of Homeland Security
and subgranted through the State of California.
Passed and approved this __ \+>,2>~+....;;.._-l __ day of ~~('-.\\>kr '-,2QlL
Certification
1, ____ ...lD~ebiLlo.!.!.r.uauh LA~ . .J.P..1o~o~cuhl!..ii. ~>!.!iaO!!n!_ _________________ , duly appointed and
(Name)
__ __.lC~IuJa"'-Ju... rum.~,;au..nJ...._ _________ of the _--!B~o>L~::"-llr.ldd~<~)fL-'S:.ll!.upiLe~rw"u.' i.i:!:sc~)r~s!....· ---------
(Titkl (Gov~rning 13ody)
do hereby certify that the above is a true and correct copy of a resolution passed and approved by
the --"'B<.:.o~a~rd~o:.!.f-"S"""u~p,e"'-r-'-vl"'. s""o""'rs,_' -------of the -~C,.:.:~O~l:!.!ll..!..!1t:.J.y..!c~) f--"' Fur~e:.lls.un~o __________ on the
(Governing body) (Name of Applicant)
-----4\~~<:----th_,_...... ____ day of __ ~~;o_-~L...::::.~\!....l~~t~=C....ll ______ , 20 15 __ _
ATTEST:
BERNICE E. SEIDEL, Clerk
Board of Supervisors
By ·:j\~L< c~
CAUFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (cal OES) MJTHORIZED AGENT ~to tiNs dtJcument may tesu1t 1r1 dt!fdiiiJ iiPf]licatioii8pprrntal, miJifkltJon Trquests, ()r ~requestS. Sui'Jr«/p/tlnts tnly be uk«< ti:IIWI5e and/or lfHiiJbmlt ilnY·IIteiN F1nilnciM ~ Fotms Wlribcd. 019-00000 Supporting Information for Reimbursement/ Advance of State and Federal Funds This request is for an/a: Initial Application CFDA #: EMPG 97.042 This daim is for casts incurred within the grant expenditure period from and does not cross fiscal years. C~~-. .• =:-: :: ¥£ ... . I through I : ~ ~ ·" ·-· I (Beginning Expenditure PeriOd Date) (Ending Expenditure Period Date) c-·-1 (REIMB or MOO Request#) (Amount This Request) Under Penalty of Perjury I certify that: l am the duly authoriZed officer of the daimant herein. This daim is true, correct, and all expenditures were made in accordance with applicable laws, rules, regulations and grant conditions and assurances. Statement of Certification -Authorized Agent This Grant Subaward consists of this title page, the application for the grant, which is attached and made a part hereof, and the Assurances/Certifications which are being submitted. I hereby certify l am vested with the authority to enter into this Grant Subaward Agreement, and have the approval of the City/County Financial Officer, City Manager, County Administrator, Governing Board Chair, or Approving Body. The Grant Subrecipient certifies that all funds received pursuant to this agreement wtll be spent exduslvely on the purposes specified in the Grant Subaward. The Grant Subrecipient signifies acceptance of this Grant Subaward and agrees to administer the grant project in accordance with the Grant Subaward as well as all applicable state and federal laws, audit requirements, federal program guidelines, and Cal OES policy and program guidelines. The Grant Subrecipient further agrees that the allocation of funds may be contingent on the enactment of the State Budget. For HSGP: _All equipment and training procu~nder this grant must be in support of the development or maintenance of an identified team or capability. Debbie Poochigian, Chairman, Board of Supervisors Printed Name and Title Please reference the Instructions Page under the "Authorized Agent" section for instructions/address on where to mail workbook FMFW vl.15 -2015 (}ef /3) JJJ/ f) Date ATTEST: BERNICE E. SEIDEL, Clerk Board of Supervi~ors / .• h~ c_'o{pt D Pl!