HomeMy WebLinkAboutAgreement A-20-039 with California Office of Emergency Services.pdfAgreement No. 20-039
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Standard Assurances
For All Cal OES Federal Grant Programs -----------------------
As the duly authorized representative of the Applicant, I hereby certify that the
Applicant has the legal authority to apply for federal assistance and the institutional,
managerial and financial capability (including funds sufficient to pay any non-federal
share of project cost) to ensure proper planning, management, and completion of
the project described in this application, within prescribed timelines.
I further acknowledge that the Applicant is responsible for reviewing and adhering to
all requirements within the:
(a) Applicable Federal Regulations (see below);
(b) Federal Program Notice of Funding Opportunity (NOFO);
(c) Federal Preparedness Grants Manual;
(d) California Supplement to the NOFO; and
(e) Federal and State Grant Program Guidelines.
Federal Regulations
Government cost principles, uniform administrative requirements, and audit
requirements for federal grant programs are set forth in Title 2, Part 200 of the Code of
Federal Regulations (C.F.R.). Updates are issued by the Office of Management and
Budget (0MB) and can be found at http://www.whitehouse.gov/omb/.
Significant state and federal grant award requirements (some of which appear In the
documents listed above) are set forth below. The Applicant hereby agrees to comply
with the following:
1. Proof of Authority
The Applicant will obtain written authorization from the city council, governing
board, or authorized body in support of this project. This written authorization must
specify that the Applicant and the city council, governing board, or authorized
body agree:
(a) To provide all matching funds required for the grant project and that any
cash match will be appropriated as required;
(b) Any liability arising out of the performance of this agreement shall be the
responsibility of the Applicant and the city council, governing board , or
authorized body;
(c) Grant funds shall not be used to supplant expenditures controlled by the
city council, governing board , or authorized body; and
(d) The official executing this agreement is, in fact, authorized to do so.
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This Proof of Authority must be maintained on file and readily available upon request .
2. Period of Performance
The Applicant will initiate work after approval of the award and complete all work
within the period of performance specified in the grant.
3. Lobbying and Political Activities
As required by Section 1352, Title 31 of the United States Code (U.S.C.), for persons
entering into a contract, grant, loan, or cooperative agreement from an agency
or requests or receives from an agency a commitment providing for the United
States to insure or guarantee a loan , the Applicant certifies that:
(a) No federal appropriated funds have been paid or wi ll be paid, by or on behalf
of the undersigned, to any person for influencing or attempting to influence
an officer or employee of an agency, a Member of Congress , an officer or
employee of Congress, or an employee of a Member of Congress in
connection with the awarding of any Federal contract, the making of any
federal grant, the making of any federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any federal contract, grant, loan, or
cooperative agreement.
(b) If any funds other than federal appropriated funds have been paid or will be
paid to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with this
federal contract, grant, loan, or cooperative agreement, the undersigned
shall complete and submit Standard Form-LLL, "Disclosure Form to Report
Lobbying", in accordance with its instructions.
(c) The undersigned shall require that the language of this certification be
included in the award documents for all subawards at all tiers (including
subcontracts, subgrants, and contracts under grants, loans, and cooperative
agreements) and that all subrecipients shall certify and disclose accordingly.
The Applicant will also comply with provisions of the Hatch Act (5 U.S.C. §§ 1501-
1508 and §§ 7324-7328) which limit the political activities of employees whose
principal employment activities are funded in whole or in part with federal funds.
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Standard Assurances
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Finally, the Applicant agrees that federal funds will not be used, directly or indirectly,
to support the enactment, repeal, modification or adoption of any law,
regulation or policy without the express written approval from the California
Governor's Office of Emergency Services (Cal OES) or the federal awarding
agency.
4. Debarment and Suspension
As required by Executive Orders 12549 and 12689, and 2 C.F.R . § 200 .213 and
codified in 2 C.F.R. Part 180 , Debarment and Suspension, the Applicant will
provide protection against waste, fraud, and abuse by debarring or suspending
those persons deemed irresponsible in their dealings with the federal government.
The Applicant certifies that it and its principals , recipien ts, or subrecipients :
(a) Are not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from covered transactions by any
federal department or agency;
(b) Have not within a three-year period preceding this application been
convicted of or had a civi l judgment rendered against them for
commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing a public (federal, state, or local)
transaction or contract under a public transaction; v iolation of federal or
state antitrust statutes or commission of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statements, or receiving
stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (federal , sta t e, or loca l) with commission of any of the
offenses enumerated in paragraph (2)(b) of this certification: and
(d) Have not within a three-year period preceding this application had one
or more public transaction (federal, state, or local) terminated for cause or
default.
Where the Applicant is unable to certify to any of the statements in this certification ,
he or she shall attach an explanation to this application .
5. Non-Discrimination and Equal Employment Opportunity
The Applicant will comply with all federal statutes re lating to non-discrim ination.
These include, but are not limited to, the following:
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(a) Title VI of the Civil Rights Act of 1964 (Public Law (P.L.) 88-352 and 42 U.S.C . §
2000d et. seq.) which prohibits discrimination on the basis of race, color, or
national origin and requires that recipients of federal financial assistance
take reasonable steps to provide meaningful access to persons with limited
English proficiency (LEP) to their programs and services;
(b) Title IX of the Education Amendments of 1972, (20 U.S.C. §§ 1681-1683 , and
1685-1686), which prohibits discrimination on the basis of sex in any federally
funded educational program or activity;
(c) Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794}, which
prohibits discrimination against those with disabilities or access and functional
needs;
(d) Americans with Disabilities Act (ADA) of 1990 , which prohibits discrimination on
the basis of disability and requires buildings and structures be accessible to
those with disabilities and access and functional needs (42 U.S.C. §§ 12101-
12213);
(e) Age Discrimination Act of 1975, (42 U.S.C. §§ 6101-6107), which prohibits
discrimination on the basis of age;
(f) Public Health Service Act of 1912 (42 U.S.C. §§ 290 dd-2), relating to
confidentiality of patient records regarding substance abuse treatment;
(g) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. § 3601 et seq.), relating to
nondiscrimination in the sale, rental or financing of housing as implemented
by the Department of Housing and Urban Development at 24 C.F.R. Part
100. The prohibition on disability discrimination includes the requirement that
new multifamily housing with four or more dwelling units-i.e., the public and
common use areas and individual apartment units (all units in buildings with
elevators and ground-floor units in buildings without elevators}-be designed
and constructed with certain accessible features (See 24 C.F.R. § 100.201 );
(h) Executive Order 11246, which prohibits federal contractors and federally
assisted construction contractors and subcontractors , who do over $10,000 in
Government business in one year from discriminating in employment decisions
on the basis of race, color, religion, sex, sexual orientation, gender
identification or national origin;
(i) Executive Order 11375 , which bans discrimination on the basis of race, color,
religion, sex, sexual orientation, gender identification, or national origin in hiring
and employment in both the United States federal workforce and on the part
of government contractors;
U) California Public Contract Code § 10295.3, which prohibits discrimination
based on domestic partnerships and those in same sex marriages;
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(k) OHS policy to ensure the equal treatment of faith-based organizations , under
which all applicants and recipients must comply with equal treatmen t policies
and requirements contained in 6 C.F.R. Part 19;
(I) Any other nondiscrimination provisions in the specific statute(s) under which
application for federal assistance is being made; and
(m)The requirements of any other nondiscrimination statute(s) which may apply to
the application.
In addition to the items listed in (a) through (m), the Applicant will comply with
California's Fair Employment and Housing Act (FEHA). FEHA prohibits harassment
and discrimination in employment because of ancestry, familial status, race,
color, religious creed (including religious dress and grooming practices), sex (which
includes pregnancy, childbirth, breastfeeding and medical conditions related to
pregnancy, childbirth or breastfeeding), gender, gender identity, gender
expression, sexual orientation, marital status, national origin, ancestry, mental and
physical disability, genetic information, medical condition, age, pregnancy, denial
of medical and family care leave, or pregnancy disability leave (California
Government Code§§ 12940, 12945 , 12945.2), military and veteran status. and/or
retaliation for protesting illegal discrimination related to one of these categories, or
for reporting patient abuse in tax supported institutions.
6. Drug-Free Workplace
As required by the Drug-Free Workplace Act of 1988 (41 U.S.C. § 701 et seq.),
the Applicant certifies that it will maintain a drug-free workplace and a drug-free
awareness program as outlined in the Act.
7. Environmental Standards
The Applicant will comply with state and federal environmental standards. which
may be prescribed pursuant to the following, as applicable:
(a) California Environmental Quality Act (CEQA) (California Public Resources
Code § § 21000-21177), to include coordination with the city or county
planning agency;
(b) CEQA Guidelines (California Code of Regulations, Title 14, Division 6,
Chapter 3, § § 15000-15387);
(c) Federal Clean Water Act (CWA) (33 U.S.C. § 1251 et seq.), which establishes
the basic structure for regulating discharges of pollutants into the waters of
the United States and regulating quality standards for surface waters;
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(d) Federal Clean Air Act of 1955 (42 U.S.C. § 7401) which regulates air emissions
from stationary and mobile sources;
(e) Institution of environmental quality control measures under the National
Environmental Policy Act (NEPA) of 1969 (P.L. 91-190); the Council on
Environmental Quality Regulations for Implementing the Procedural Provisions
of NEPA; and Executive Order 12898 which focuses on the environmental and
human health effects of federal actions on minority and low-income
populations with the goal of achieving environmental protection for all
communities;
(f) Evaluation of flood hazards in floodplains in accordance with Executive Order
11988;
(g) Executive Order 11514 which sets forth national environmental standards;
(h) Executive Order 11738 instituted to assure that each federal agency
empowered to enter into contracts for the procurement of goods, materials,
or services and each federal agency empowered to extend federal
assistance by way of grant, loan, or contract shall undertake such
procurement and assistance activities in a manner that will result in effective
enforcement of the Clean Air Act and the Federal Water Pollution Control Act
Executive Order 11990 which requires preservation of wetlands;
(i) The Safe Drinking Water Act of 1974, (P.L. 93-523);
U) The Endangered Species Act of 1973, (P.L. 93-205);
(k) Assurance of project consistency with the approved state management
program developed under the Coastal Zone Management Act of 1972 ( 16
U.S.C. §§1451 et seq.);
(I) Conformity of Federal Actions to State (Clear Air) Implementation Plans under
Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 et
seq.);
(m) Wild and Scenic Rivers Act of 1968 ( 16 U.S.C. § 1271 et seq.) related to
protecting components or potential components of the national wild and
scenic rivers system.
The Applicant shall not be: l) in violation of any order or resolution promulgated
by the State Air Resources Board or an air pollution district; 2) subject to a cease
and desist order pursuant to§ 13301 of the California Water Code for violation of
waste discharge requirements or discharge prohibitions; or 3) determined to be in
violation of federal law relating to air or water pollution.
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Standard Assurances
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8. Audits
For subrecipients expending $750,000 or more in federal grant funds annua lly, t he
Applicant will cause to be performed the required financial and compliance
audits in accordance with the Single Audit Act Amendments of 1996 and Tit le 2 of
the Code of Federal Regulations , Part 200, Subpart F Audit Requ irements.
9. Access to Records
In accordance with 2 C.F.R. § 200.336 , the Applicant will give the awarding a gency,
the Comptroller General of the United States and , if appropriate, the state,
th rough any authorized representative , access to and the right to examine al l
records , books, papers, or documents related to the award. The Applicant will
require any subrecipients, contractors, successors, transferees and assignees to
acknowledge and agree to comply with this provision.
1 O. Conflict of Interest
The Applicant will establish safeguards to prohibit employees from us ing the ir
positions for a purpose that constitutes or presents the appearance of personal or
organizational conflict of interest, or personal gain .
11. Financial Management
False Claims for Pavment-The Applicant will comply with 31 U.S.C §§ 3729-3733
which sets forth that no subrecipient, recipient, or subrecipient shall submit a false
claim for payment, reimbursement or advance.
12. Reporting -Accountability
The Applicant agrees to comply with applicable provisions of the Federal Funding
Accountability and Transparency Act (FFATA) (P.L. 109-282), specifically (a) the
reporting of subawards obligating $25,000 or more in federal funds and (b)
executive compensation data for first-tier subawards. This includes the provisions of
FFATA, which includes requirements for executive compensation, and also
requirements implementing the Act for the non-federal entity at 2 C.F .R. Par t 25
Financial Assistance Use of Universal Identifier and Central Contractor Reg istra tion
and 2 C.F.R. Part 170 Reporting Subaward and Executive Compensation
In fo rmation.
13. Whistleblower Protections
The Applicant also must comply with st atutory requirements fo r whistleblower
protections at 10 U.S .C. § 2409 , 41 U.S .C. § 4712 , and 10 U.S.C. § 2324 , 41 U.S .C . §
4304 and § 4310.
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14. Human Trafficking
The Applicant will comply with the requirements of Section 106(g) o f the Trafficking
Victims Protection Act of 2000 , as amended (22 U.S.C. § 7104) which prohibits grant
award recipients or a subrecipient from : ( 1) engaging in trafficking in persons during
the period of time that the award is in effect; (2) procuring a commercial sex act
during the period of time that the award is in effect; or (3) using forced labor in the
performance of the award or subawards under the award.
15. Labor Standards
The Applicant will comply with the following federal labor standards:
(a) The Davis-Bacon Act (40 U.S.C. §§ 276a to 276a-7), as applicable, and the
Copeland Act (40 U.S.C . § 3145 and 18 U.S .C. § 874) and the Contract Work
Hours and Safety Standards Act (40 U.S.C. §§ 327-333), regarding labor
standards for federally-assisted construction contracts or subcontracts, and
(b) The Federal Fair Labor Standards Act (29 U.S.C. § 201 et al.) as they apply to
employees of institutes of higher learning (IHE), hospitals and other non-profit
organizations.
16. Worker's Compensation
The Applicant must comply with provisions which require every employer to be
insured to protect workers who may be injured on the job at all times during the
performance of the work of this Agreement, as per the workers compensation
laws set forth in California Labor Code §§ 3700 et seq.
17. Property-Related
If applicable to the type of project funded by this federal award, the Applicant will:
(a) Comply with the requirements of Titles II and Ill of the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of 1970 (P .L. 91-646)
which provide for fair and equitable treatment of persons displaced or
whose property is acquired as a result of federal or federally-assisted
programs. These requirements apply to all interests in real property
acquired for project purposes regardless of federal participation in purchase;
(b) Comply with flood insurance purchase requirements of Section 102(a) of the
Flood Disaster Protection Act of 1973 (P .L. 93-234) which requires
subrecipients in a special flood hazard area to participate in the program
and to purchase flood insurance if the total cost of insurable construction
and acquisition is $10,000 or more;
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(c) Assist the awarding agency in assuring compliance with Section 106 of the
(d) National Historic Preservation Act of 1966, as amended (16 U.S.C. § 470),
Executive Order 11593 (identification and protection of historic properties),
and the Archaeological and Historic Preservation Act of 197 4 ( 16 U.S .C.
§469a-1 et seq.); and
(e) Comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. § 4831
and 24 CFR Part 35) which prohibits the use of lead-based paint in
construction or rehabilitation of residence structures.
18. Certifications Applicable Only to Federally-Funded Construction Projects
For all construction projects, the Applicant will:
(a) Not dispose of, modify the use of, or change the terms of the real property
title or other interest in the site and facilities without permission and
instructions from the awarding agency. Wil l record the federal awarding
agency directives and will include a covenant in the title of real property
acquired in whole or in part with federal assistance funds to assure
nondiscrimination during the useful life of the project;
(b) Comply with the requirements of the awarding agency with regard to the
drafting, review and approval of construction plans and specifications; and
(c) Provide and maintain competent and adequate engineering supervision at
the construction site to ensure that the complete work conforms with the
approved plans and specifications and will furnish progressive reports and
such other information as may be required by the assistance awarding
agency or State.
19. Use of Cellular Device While Driving Is Prohibited
Applicants are required to comply with California Vehicle Code sections 23123 and
23123.5. These laws prohibit driving motor vehicle while using an electronic wireless
communications device to write , send, or read a text-based communication. Drivers
are also prohibited from the use of a wireless telephone without hands-free li stening
and talking, unless to make an emergency call to 911 , law enforcement, or similar
services.
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20. California Public Records Act and Freedom of Information Act
The Applicant acknowledges that all information submitted in the cou rse of
applying for funding under this program, or provided in the cou rse of an en t ity 's
grant management activities that are under Federal control, is subject to the
Freedom of Information Act [FOIA), 5 U.S.C. § 552, and the California Public
Records Act, California Government Code section 6250 et seq. The Applicant
should consider these laws and consult its own State and local laws and regulations
regarding the release of information when reporting sensitive matters in the grant
application, needs assessment, and strategic planning process.
EMERGENCY MANAGEMENT PERFORMANCE GRANT (EMPG) -
PROGRAM SPECIFIC ASSURANCES / CERTIFICATIONS
21 . Reporting Accusations and Findings of Discrimination
If during the past three years the recipient has been accused of discrimination on
any basis the recipient must provide a list of al l such proceedings, pend ing or
completed, including outcome and copies of settlement agreements to the OHS
Financial Assistance Office and the DHS Office for Civil Rights and Civil Liberties
(CRCL) by e-mail at CRCL@hg .dhs .gov or by mail at U.S. Department of Homeland
Security, Office for Civil Rights and Civil Liberties, Building 410, Mail Stop #0190,
Washington , D.C. 20528.
In the courts or administrative agencies make a finding of discrimination on grounds
of race, color, national origin (including LEP), sex, age, d isability , religion , or familial
status against the recipient, or the recipients settle a case or matter alleg ing such
discrimination, recipients must forward a copy of the complaint and findings to the
DHS Financial Assistance Office and the CRCL by e -mail or mail at the addresses
lis ted above.
The United States has the right to seek judicial enforcement of these obligations.
22. Acknowledgment of Federal Funding from DHS
All recipients must acknowledge their use of federal funding when issuing statements,
p ress releases , requests for proposals, bid invitations, and other documents
describing projects or programs funded in whole or in part w ith federal funds.
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23. Activities Conducted Abroad
All recipients must ensure that project activities carried on outside the United States
are coordinated as necessary with appropriate government authorities and that
appropriate licenses, permits, or approvals are obtained.
24. Best Practices for Collection and Use of Personally Identifiable Information (PII)
DHS defines personally identifiable information (PII) as any information that permits
the identity of an individual to be directly or indirectly inferred, including any
information that is linked or linkable to that individual. All recipients who collect PII
are required to have a publically-available privacy policy that describes standards
on the usage and maintenance of PII they collect. Recipients may also find the OHS
Privacy Impact Assessments: Privacy Guidance and Privacy template a useful
resource respectively.
25. Copyright
All recipients must affix the appl icable copyright notices of 17 U.S .C. §§ 401 or 402
and an acknowledgement of U.S. Government sponsorship (including the award
number) to any work first produced under federal financial assistance awards.
26. Duplication of Benefits
Any cost allocable to a particular federal financial assistance award provided for in 2
C.F.R. Part 200, Subpart E may not be charged to other federal financial ass istance
awards to overcome fund deficiencies, to avoid restrictions imposed by federal
statutes, regulations, or federal financial assistance award terms and conditions , or
fo r other reasons . However, these prohibitions would not preclude recipients from
shifting costs that are allowable under two or more awards in accordance with
existing federal statutes, regulations, or the federal financial assistance award terms
and conditions.
27. Energy Policy and Conservation Act
All recipients must comply with the requirements of 42 U.S.C . § 6201 which contain
policies relating to energy efficiency that are defined in the state energy
conservation plan issued in compliance with this Act.
28. Federal Debt Status
All recipients are requ ired to be non-delinquent in their repayment of any federal
debt. Examples of relevant debt include delinquent payroll and other taxes . audit
disallowances. and benefit overpayments. See 0MB Circular A-129.
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29. Fly America Act of 1974
All recipients must comply with Preference for U.S. Flag Air Carriers: (air carriers
holding certificates under 49 U.S.C. § 41102) for international air transportation of
people and property to the extent that such service is available, in accordance with
the International Air Transportation Fair Competitive Practices Act of 197 4 (49 U.S.C.
§ 40118) and the interpretative guidelines issued by the Comptroller General of the
United States in the March 31, 1981, amendment to Comptroller General Decision B-
138942.
30. Hotel and Motel Fire Safety Act of 1990
In accordance with Section 6 of the Hotel and Motel Fire Safety Act of 1990, all
Applicants must ensure that all conference, meeting, convention, or training space
funded in whole or in part with federal funds complies with the fire prevention and
control guidelines of the Federal Fire Prevention and Control Act of 197 4, as
amended, 15 U.S.C. § 2225a.
31. Non-supplanting Requirement
All recipients who receive federal financial assistance awards made under programs
that prohibit supplanting by law must ensure that federal funds do not replace
(supplant) funds that have been budgeted for the same purpose through non-
federal sources.
32. Patents and Intellectual Property Rights
Unless otherwise provided by law, recipients are subject to the Bayh-Dole Act, Pub. L.
No. 96-517, as amended, and codified in 35 U.S.C. § 200 et seq. All recipients are
subject to the specific requirements governing the development, reporting, and
disposition of rights to inventions and patents resulting from financial assistance
awards located at 37 C.F.R. Part 401 and the standard patent rights clause located
at 37 C .F.R. § 401.14.
33. SAFECOM
All recipients who receive federal financial assistance awards made under programs
that provide emergency communication equipment and its related activities must
comply with the SAFECOM Guidance for Emergency Communication Grants ,
including provisions on technical standards that ensure and enhance interoperable
communications .
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34. Terrorist Financing
All recipients must comply with Executive Order 13224 and U.S. law that prohibit
transactions with, and the provisions of resources and support to, individuals and
organizations associated with terrorism . Recipients are legally responsible to ensure
compliance with the Order and laws.
35. Reporting of Matters Related to Recipient Integrity and Performance
If the total value of the recipient's currently active grants, cooperative agreements,
and procurement contracts from all federal assistance offices e xceeds $10 ,000,000
for any period of time during the period of performance of this federal financial
assistance award, you must comply with the requirements set forth in the
government-wide Award Term and Condition for Recipient Integrity and
Performance Matters located at 2 C.F.R . Part 200, Appendix XII , the full text of which
is incorporated here by reference in the award terms and conditions.
36. USA Patriot Act of 2001
All recipients must comply with requirements of the Uniting and Strengthening
America by Providing Appropriate Tools Required to Intercept and Obstruct
Te rrorism Act (USA PATRIOT Act), which amends 18 U.S.C . §§ l 75-l 75c.
37. Use of DHS Seal, Logo, and Flags
All recipients must obtain permission from their OHS Financial Assistance Office, prior
to using the OHS seal(s), logos, crests or reproductions of flags o r likenesses of OHS
agency officials, including use of the United States Coast Guard seal, logo, crests or
reproductions of flags or likenesses of Coast Guard officia ls.
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IMPORTANT
The purpose of the assurance is to obtain federal and state financial assistance,
including any and all federal and state grants, loans, reimbursement, contracts, etc.
The Applicant recognizes and agrees that state financial assistance will be extended
based on the representations made in this assurance. This assurance is binding on
the Applicant, its successors, transferees, assignees, etc. Failure to comply with any
of the above assurances may result in suspension , termination, or reduction of grant
funds.
All appropriate documentation, as outlined above, must be maintained on file by
the Applicant and available for Cal OES or public scrutiny upon request. Failure to
comply with these requirements may result in suspension of payments under the grant
or termination of the grant or both and the subrecipient may be ineligible for award of
any future grants if the Cal OES determines that any of the fo llo wing has occurred: ( l)
the recipient has made false certification, or (2) violates the certification by failing to
carry out the requirements as noted above.
All of the language contained within this document must be included in the award
documents for all subawards at all tiers. All recipients are bound by the Department
of Homeland Security Standard Terms and Conditions 2018, Version 8.1, hereby
incorporated by reference, which can be found at:
https://www.dhs.gov/publication/fy 15-dhs-standard-terms-and-conditions.
The undersigned represents that he/she is authorized to enter into this agreement for
and on behalf of the Applicant.
Subrecipient: County of Fresno
Signature of Authorized Agent: s.£.-==·==-==::...c:::...::r~..!.~~!:::::::~~::..-....!?vi~-===~~~----
Printed Name of Authorized Agent: __ E_r_n_e_st_B_u_d_d~y_M_e_n_de_s _________ _
Chairman of the Board of Supervisors of the
Title: County of Fresno Date : / -d-. \ -ct-Oct-0
ATTEST:
BERNICE E . SEIDEL
Clerk of the Board of Supervisors
County of Fresno , State of Californ ia
Bv Si >-$~~~~
Deputy
2019 EMPG Standard Assurances Page 14 of 14
CalOES
GOVERNOR'S Of'FICE
OF EIU:RGENCY SERV I CES
Certification Regarding Lobbying
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The unders igned certifies , to the best of his or her knowledge and beli ef, that :
1. No Federal appropriated funds have been paid or will be paid , by or on
behalf of the undersigned, to any person for influencing or attempting to
influence an officer or employee of an agency, a Member of Congress,
an officer or employee of Congress , o r an employee of a Member of
Congress in connection with the awarding of any Federal contract, the
making of any Federa l grant, the making of any Federal loan, the entering
into of any cooperative agreemen t, and the e xtension , continuation ,
renewal , amendment, or modification of any Federal contract, grant,
loan, or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or wil l
be paid to any person for influencing or attempting to influence an officer
or employee o f any agency, a Member of Congress , an officer or
employee of Congress , or an employee of a Member of Cong ress in
connection with this Federal contract, grant , loan, or cooperative
agreement, the undersigned sha ll complete and submit Standard Form-
LLL, 'Disclosure of Lobbying Ac ti vities ,' in accordance w ith its instructions.
3. The undersigned shall require that the language of t his certification be
included in the award documents for all subawards at all tiers (includ ing
subcontracts , subgrants , and contracts under grants , loans, and
cooperative agreemen ts) and that a ll subrec ipients sha ll certify and
disclose accord ing ly .
This certification is a material representation of fact upon which reliance was
placed when this transaction was made or entered in t o. Subm iss ion of this
certification is a prerequisite fo r making or entering into this t ransaction imposed
by section 1352, title 31 , U.S . Code . Any person who fai ls to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure .
Page 1 of 2
CalOES
OOVEfU.iOR 'S OFFICE
OF EMERGENCY SERVICES
Certification Regarding Lobbying
The Subrecipient, as identified below, certifies or affirms the truthfulness and
accuracy of each statement of its certification and disclosure , if any. In
addition, the Subrecipient understands and agrees that the provisions of 31
U.S .C. Chap. 38, Administrative Remedies for False Claims and Statements, apply
to this certification and disclosure , if any.
Subrecipient: County of Fresno
Signature of Authorized Agent: ~ ~ ~ ~
Printed Name of Authorized Agent: Ernest Buddy Mendes
Title: Chairman Board of Supervisors
ATTEST:
BERNICE E . SEIDEL
Clerk of the Board of Supervisors
County of Fresno . State of Cal ifornia
By .<.;.1~~0:f
Deputy
Date: _ __,/'----=a,.~\ --'-~oL.:.>...0=2=O==--------
Page 2 of 2 lnitials &/lh
Governing Body Resolution
BE IT RESOLVr.,'JJ BY THE Board of Supervisors -------=---=---~--:-----------(Gove mm g Body)
OF THE ___________ c_o..,..un_t_y..,.o_fF_r,_e_sn_o ____________ THAT
(Name of Applicant)
___________ ..;C;..;.h;.;;a;;;.ir.;.;.m;.;;a.;;.n~,B;;.;;o;.;;a~rd~of~S:;.:u:.cpe;.;;.;..rv;..;.is::.:o;..;.r=-s----------• OR
(Name or Title of Authonzed Agent)
__________ ..;.D..;..ir..;.e.;;.ct;..;.o""'r,_D-'e""'p-=a...,rt_m'""e..,..n~to"-f..,..P...;u,.;:b-'-lic.:....;..Hc.::e.;:;.al;,.:;.th-'---------' <)R
(Name or Title of Authorized Agent)
Assistant Picector Department of Public Health
(l\'ame or Title 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 subawarded through the State of California.
Passed and approved this __ 2_1_s_t ___ day of _____ J_a_n_ua_ry ______ , 20 20
Certification
I, ____________ S_t_e_ve_B_r_a_nd_a_u _________ , duly appointed and
(Name)
_____ V_ic_e_-C_h_a_i_rm_a_n _____ of the ______ c_o_u_n_ty_o_f _F_re_s_n_o _____ _
(Title ) (Governing Rody)
do hereby certify that the above is a true and correct copy of a resolution passed and approved by
the ___ B_o_a_r_d_o_f_S_u .... p_e_rv_is_o_r_s ____ of the _____ C_o_u_n~ty'""o_f_F_r_e_sn_o ____ on the
(Governing Body) (Name of Applicant)
____ 2_1 _____ day of ______ J_a_n_u_ary ______ , 20 __ 20
Vice-Chairman
(S1gnat e) , I,.,, I toLo
(Dale)• '
ATTEST:
BERNICE E. SEIDEL
Clerk of the Board of Supervisors
County of Fresno , State of California
By .. ?v A..$.0.co :&sbo-p
Deputy
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Authorized Agent
Name Title Mailing Address City State Zip Phone Email
David Pomaville Director Dept. Public Health P.O. Box 11867 Fresno CA 93721 559-600-3200 dpomaville@co.fresno.ca.us
David Luchini Assistant Director Dept. Public
Health P.O. Box 11867 Fresno CA 93721 559-600-3200 dluchini@co.fresno.ca.us
Ernest "Buddy'" Mendes Chair Board of Supervisors 2281 Tulare Street, Suite 300 Fresno CA 93721 559-600-4000 District4@co.fresno.ca.us
Contact
Name Title Mailing Address City State Zip Phone Email
Angel Lopez Analyst P.O. Box 11867 Fresno CA 93755-1867 559-600-4065 angelopez@co.fresno.ca.us
Ken Austin Emergency Manager P.O. Box 11867 Fresno CA 93755-1867 559-600-4065 kaustin@co.fresno.ca.us
David Pomaville Director Public Health P.O. Box 11867 Fresno CA 93755-1867 559-600-4065 dpomaville@co.fresno.ca.us
Gilbert Torres Program Tech P.O. Box 11867 Fresno CA 93755-1867 559-600-3483 gitorres@co.fresno.ca.us
AUTHORIZED AGENT AND CONTACT INFORMATION
Additional Authorized Agent Contact Information
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
County of Fresno
2019-0003
EMPG FMFW v1.19 - 2019 Auth Agent Contact Information
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Type
Date
Request #
POP Start Date
POP End Date
Approval
(Cal OES ONLY)
Initials / Date
(Program Rep)
State
Goals
Direct /
Subaward Project Project
Title
Project
Description
Funding
Source Discipline Solution
Area
Solution Area
Sub-Category
Core
Capabilities
Capability
Building
Deployable /
Shareable
Total
Budgeted
Cost
Previously
Approved
Amount
Amount
This Request
Total
Approved
Expenditures
To Date
Remaining
Balance
Percentage
Expended
$328,254 $328,254
Goal #2 Direct A Emergency Management
Staff
Emergency Management staff will be
responsible for all aspects of the day to
day operations of the Operational Area's
emergency management program. Staff
will carry out functions such as maintaining
the EOC and other response resources,
participating in scheduled meetings and
exercises with other local partner
agencies, facilitating emergency
management training, updating and
development of plans and responding to
emergency events.
EMPG EMG Organization Staffing
Operational
Coordination Sustain N/A 259,240 $259,240
Goal #5 Direct A Emergency Management
Training
Provide training opportunities for
emergency management staff to
enhance their abilities to carry out their
responsibilities.
EMPG EMG Training Staff Expenses
Risk and Disaster
Resilience
Assessment
Sustain N/A 10,000 $10,000
Goal #5 Direct A
Crisis Information
Management System -
WebEOC
Continue ongoing implementation of the
Crisis Information Management System
(WebEOC) to enable more effective
sharing of information both day to day
and during emergencies. Funding will be
used to pay annual support fees.
AEL Title:AEL #: 04AP-05-CDSS
Systems and tools, ICS
Duration of Service: 7/1/19 to 6/30/20
Pre-existant equipment
EMPG EMG
Maintenance &
Sustainment User fees Intelligence and
Information Sharing Sustain N/A $33,090 $33,090
Goal #5 Direct A General Expenses Indirect costs associated with
administration and facilities EMPG EMG Indirect Cost
Facilities &
Administration
Operational
Coordination Sustain N/A 25,924 $25,924
*** DO NOT ENTER INFORMATION INTO THE GRAY CELLS. THEY WILL AUTO-POPULATE ***
PROJECT LEDGER
Initial ApplicationCounty of Fresno
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
06/30/2021
2019-0003
11/26/2019
07/01/2019
EMPG FMFW v1.19 - 2019 Project Ledger
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Type
Date
Request #
POP Start Date
POP End Date
Approval
Cal OES ONLY
Initials / Date
(Program Rep)
Project Direct /
Subaward
Planning
Activity
Funding
Source Discipline Solution Area
Sub-Category
Expenditure
Category
Final
Product
Noncompetitive
Procurement
over 250k
Hold
Trigger
Approval
Date
Budgeted
Cost
Previously
Approved
Amount
Amount
This Request
Reimbursement
Request #
Total
Approved
Remaining
Balance
'N/A
*** DO NOT ENTER INFORMATION INTO THE GRAY CELLS. THEY WILL AUTO-POPULATE ***
07/01/2019
06/30/2021
2019-0003
PLANNING
Initial Application
11/26/2019
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
County of Fresno
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
EMPG FMFW v1.19 - 2019 Planning
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Type
Date
Request #
POP Start Date
POP End Date
Approval
Cal OES ONLY
Initials / Date
(Program Rep)
Project Direct /
Subaward Organization Funding
Source Discipline Solution Area
Sub-Category
Expenditure
Category Detail Budgeted
Cost
Previously
Approved
Amount
Amount
This Request
Reimbursement
Request #
Total
Approved
Remaining
Balance
A Direct Fresno County Office of
Emergency Services EMPG EMG Staffing Staff Salaries Staffing
11/26/2019
ORGANIZATION
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
County of Fresno Initial Application
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
*** DO NOT ENTER INFORMATION INTO THE GRAY CELLS. THEY WILL AUTO-POPULATE. ***
2019-0003
07/01/2019
06/30/2021
EMPG FMFW v1.19 - 2019 Organization
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Type
Date
Request #
POP Start Date
POP End Date
Approval
(Cal OES ONLY)
Initials / Date
(Program Rep)
Project Equipment Description
(include Qty)AEL#AEL
Title
SAFECOM
Compliance
Funding
Source Discipline Solution Area
Sub-Category
Invoice
Number Vendor ID Tag
Number
% of Federal
Funds Used in the
Purchase
Condition &
Disposition
Deployed
Location
Acquisition
Date
Noncompetitive
Procurement
over $250k
Hold
Trigger
Approval
Date
Budgeted
Cost
Previously
Approved
Amount
Amount
This Request
Reimbursement
Request #
Total
Approved
Remaining
Balance
07/01/2019
06/30/2021
*** DO NOT ENTER INFORMATION INTO THE GRAY CELLS. THEY WILL AUTO-POPULATE. ***
EQUIPMENT
11/26/2019
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
County of Fresno
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
2019-0003
EMPG FMFW v1.19 - 2019 Equipment
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Type
Date
Request #
POP Start Date
POP End Date
Approval
Cal OES ONLY
Initials / Date
(Program Rep)
Project Direct /
Subaward
Course
Name
Funding
Source Discipline Solution Area
Sub-Category
Expenditure
Category
Feedback
Number
Training
Activity
Total # of
Trainee(s)
Identified
Host
Noncompetitive
Procurement
over 250k
Hold
Trigger
Approval
Date
Budgeted
Cost
Previously
Approved
Amount
Amount
This Request
Reimbursement
Request #
Total
Approved
Remaining
Balance
$10,000 $10,000
A Direct CESA Conference and
Training EMPG EMG Staff Expenses Tuition Classroom 4 CESA No No Hold
Indicated 2,500 $2,500
A Direct CESA Conference and
Training EMPG EMG Staff Expenses Travel Classroom 4 CESA No No Hold
Indicated 2,500 $2,500
A Direct WEBEOC EMPG EMG Staff Expenses Travel Classroom 2 WEBEOC No No Hold
Indicated 5,000 $5,000
TRAINING
Initial Application
*** DO NOT ENTER INFORMATION INTO THE GRAY CELLS. THEY WILL AUTO-POPULATE. ***
County of Fresno
2019-0003
07/01/2019
06/30/2021
11/26/2019
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
EMPG FMFW v1.19 - 2019 Training
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Type
Date
Request #
POP Start Date
POP End Date
Approval
Cal OES ONLY
Initials / Date
(Program Rep)
Project Direct /
Subaward
Exercise
Title
Funding
Source Discipline Solution Area
Sub-Category
Expenditure
Category
Exercise
Type
Identified
Host
Date of
Exercise
Date AAR/IP
E-mailed to
HSEEP
Noncompetitive
Procurement
over $250k
Hold
Trigger
Approval
Date
Budgeted
Cost
Previously
Approved
Amount
Amount
This Request
Reimbursement
Request #
Total
Approved
Remaining
Balance
EXERCISE
County of Fresno Initial Application
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
*** DO NOT ENTER INFORMATION INTO THE GRAY CELLS. THEY WILL AUTO-POPULATE. ***
07/01/2019
06/30/2021
11/26/2019
2019-0003
EMPG FMFW v1.19 - 2019 Exercise
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Type
Date
Request #
POP Start Date
POP End Date
Approval
(Cal OES ONLY)
Initials / Date
(Program Rep)
Project Activity Funding
Source Discipline Solution Area
Sub-Category
Expenditure
Category Detail Budgeted
Cost
Previously
Approved
Amount
Amount
This Request
Reimbursement
Request #
Total
Approved
Remaining
Balance
M&A
Initial ApplicationCounty of Fresno
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
*** DO NOT ENTER INFORMATION INTO THE GRAY CELLS. THEY WILL AUTO-POPULATE. ***
11/26/2019
2019-0003
07/01/2019
06/30/2021
EMPG FMFW v1.19 - 2019 M&A
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Type
Date
Request #
POP Start Date
POP End Date
Approval
Cal OES ONLY
Initials / Date:
(Program Rep)
Project Activity Funding
Source
Solution Area
Sub-Category ICR Base Rate Budgeted
Cost
Previously
Approved
Amount
Amount
This Request
Reimbursement
Request #
Total
Approved
Remaining
Balance
$28,516 $28,516
A General Expenses EMPG Facilities & Administration 10% de Minimis 28,516 $28,516
INDIRECT COSTS
*** DO NOT ENTER INFORMATION INTO THE GRAY CELLS. THEY WILL AUTO-POPULATE. ***
Initial Application
11/26/2029
County of Fresno
2019-0003
07/01/2019
06/30/2021
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
EMPG FMFW v1.19 - 2019 Indirect Costs
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Type
Date
Request #
POP Start Date
POP End Date
Approval
Cal OES ONLY
Initials / Date
(Program Rep)
Project Consulting Firm /
Consultant Name
Project /
Description of Services Deliverable Solution
Area
Solution Area
Sub-Category
Expenditure
Category
Noncompetitive
Procurement
over $250k
Hold
Trigger
Approval
Date
Period of
Expenditure
Fee for
Deliverable
Total Salary & Benefits
Charged for this Reporting
Period
Hourly / Billing Rate Total Project
Hours
Reimbursement
Request #
Total Cost Charged to
Grant
$33,090
A Web EOC
Crisis Information Management System
(WebEOC) to enable more effective sharing
of information both day to day and during
emergencies. Funding used for annual
support fees
Emergency Management Software Maintenance
& Sustainment
Maintenance
Contracts &
Warranties
Consultant /
Contractor Fee No No Hold
Indicated 33,090
CONSULTANT / CONTRACTOR
Initial Application
11/26/2029
County of Fresno
07/01/2019
06/30/2021
2019-0003
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
EMPG FMFW v1.19 - 2019 Consultant-Contractor
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Type
Date
Request #
POP Start Date
POP End Date
Approval
Cal OES ONLY
Initials / Date
(Program Rep)
Project Employee Name Project /
Deliverable
Funding
Source Discipline Solution
Area
Solution Area
Sub-Category Dates of Payroll Period
Total Salary & Benefits
Charged for this Reporting
Period
Total Project
Hours
Reimbursement
Request #
Total Cost
Charged to Grant
A Stephen Crump EMPG EMPG EMG Organization Staffing
A Gabriel De LaCerda EMPG EMPG EMG Organization Staffing
A Kenneth Austin EMPG EMPG EMG Organization Staffing
Initial Application
11/26/2019
PERSONNEL
County of Fresno
07/01/2019
06/30/2021
2019-0003
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
EMPG FMFW v1.19 - 2019 Personnel
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Type
Date
Request #
POP Start Date
POP End Date
Approval
(Cal OES ONLY)
Initials / Date:
(Program Rep)
Project Direct /
Subaward Project Title Match Description Discipline Solution
Area
Solution Area
Sub-Category
Type of
Match
Total
Budgeted
Match
Previously
Expended
Match
Current
Match
Reimbursement
Request #
Total Match
Expended
Remaining
Balance
Percentage
Expended
A Direct Match Salaries 4606 Matching Salaries EMG Organization Staffing Cash Match
***DO NOT ENTER INFORMATION INTO THE GRAY CELLS. THEY WILL AUTO-POPULATE. ***
07/01/2019
06/30/2021
MATCH
Initial Application
11/26/2019
County of Fresno
2019-0003
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
EMPG FMFW v1.19 - 2019 Match
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES) AUTHORIZED AGENT Alterations to this document may result in delayed application approval, modification requests. or reimbursement requests. Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook. County of Fresno 2019-0003 ALN: Supporting Information for Reimbursement/ Advance of State and Federal Funds This claim is for costs incurred within the grant performance period. This request is for a/an: Initial Application 07/01/2019 through (Beginning Performance Period Date) (REIMB or MOD Request IF) Under Penalty of Perjury I certify that: EMPG 97.042 06/30/2021 (Ending Performance Period Dote) (Amount This Request) I om the duly authorized officer of the claimant herein. This claim is true, correct, and all expenditures were mode in accordance with applicable laws, rules, regulations and grant conditions and assurances. Statement of Certification -Authorized Agent By signing this report, I certify to the best of my knowledge and belief that the report is true, complete. and accurate, and the expenditures. disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award. I om aware that any false. fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18. Section 1001 and Title 31, Sections 3729-3730 and 3801-3812). Ernest Buddy Mendes, Chairman, Board of Supervisors Printed Nome and Title EMPG FMFW vl.19 -2019 ~ I a-.\-:)Dc)f) -~ Dote ATTEST: BERNICE E. SEIDEL Clerk of the Board of Supervisors County of Fresno, State of California Bys.v.~~sb~ Deputy Auth. Agent
CALI FORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
ICR PERIOD (month/yr through month/yr) 7/19 to 6/21
2019-0003 INDIRECT COST RATE FOR PERIOD 10.00%
ICR Base 10% de Minimis
DIRECT COSTS TOTAL COSTS LESS DISTORTING COSTS COSTS APPLICABLE TO ICR
Planning -
Organization $259,240 $259,240
Training -
Exercise -
M&A -
SUBTOTAL ELIGIBLE SUBAWARD COSTS $259,240 -$259,240
SUBAWARDS TOTAL COSTS LESS EXCLUDED SUBAWARD COSTS COSTS APPLICABLE TO ICR
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
SUBTOTAL ELIGIBLE SUBAWARD COSTS ---
TOTAL DIRECT COSTS $259,240
TOTAL ALLOWABLE INDIRECT COSTS $25,924
TOTAL BUDGETED INDIRECT COSTS $25,924
*** DO NOT ENTER INFORMATION INTO THE GRAY CELLS. THEY WILL AUTO-POPULATE. ***
INDIRECT COSTS - SUMMARY RECAP OF COSTS CLAIMED
County of Fresno
Warning! Decimal usage is not allowed. Round amounts DOWN to the nearest dollar.
Alterations to this document may result in delayed application approval, modification requests, or reimbursement requests.
Subrecipients may be asked to revise and/or re-submit any altered Financial Management Forms Workbook.
EMPG FMFW v1.19 - 2019 ICR Summary
CalOES
OO V £1i NOR 'S OFFICE
. OF EMERGENCY SERVICES
Federal Funding Accounting and Transparency Act (FFATA)
Financial Disclosure
Public Law (PL) l 09-282 Federal Funding Accountability and Transparency Act of 2006,
as amended by Section 6202(0) of the Government Funding Transparency Act of 2008
(PL 110-252), which is outlined in the Federal Emergency Management Agency, Grant
Programs Directorate Information Bulletin No. 350.
As defined by the Office of Management Budget, the following are subject to FFATA
report ing requirements:
1. All new federal awards of $25,000 or more as of October 1, 2010.
NOTE: Cal OES reports on this re quirement in the Federal Funding Accountability
and Transparency Act Subaward Reporting System (FSRS).
2. The Total Compensation and Names of the top five executive, if the
Subrecipient in the preceding year received:
a. 80 percent or more of its annual gross revenues in Federal Awards; and
b . $25 ,000,000 or more in annual gross revenues from Federal awards; and
c. The public does not have access to information about the compensation of
the senior executives of the entity.
Subrecipients are required to provide the Executive compensation information in
the below chart, if applicable .
Executive Name Title Annual Annual Dollar Total
Salarv Value of Benefits Comoensation
0
0
0
0
0
0 Not subject to the Executive Compensation requirement of the FFATA Financial
Disclosure.
Page 1 of 2 lnitialsz .".81'1
CalOES
GIOVEflNOR 'S QFf'ICE
OF EMERGENCY SERVICES
Federal Funding Accounting and Transparency Act (FFATA)
Financial Disclosure
The undersigned represents that he/she is authorized to enter into this agreement for
and on behalf of the Applicant.
Subrecipient: County of Fresno
Signature of Authorized Agent :<-£.~---51-:~--L~->-===--==-----~------~~,__--='--"-='==-='-----==
Printed Name of Authorize d Agent: ~E_r_n_es_t_B_u_d_d~y_M_e_n_d_e_s __________ _
Chairman of the Board of Supervisors
Title: of the County of Fresno Date: / -a,.\ -8.0d--0
ATTEST:
BERNICE E . SE IDEL
Clerk of the Board of Supervisors
County of Fresno , State of California
By £~b9.k)o:-p
Deputy
Page 2 of 2 lnitia ls~IJM
Application/Agreement Between the County of Fresno and California
Governor’s Office of Emergency Services (CAL OES)
Name: FY 2019 Cal OES Emergency Management Performance Grant Program
Application/Agreement
Fund/Subclass: 0001/10000
Organization #: 56204606
Revenue Account #: 4380