HomeMy WebLinkAboutIII (F) Approval and Authorization Ratifying Execution of Disaster Relief Funding Agreement with State of F.L. , Department of Community Affairs for Federal and Sate Assitance for Hurricane Floyd, FEMA-1300-DR-FL Agenda 3-07-2000
Item I1T F
OCOEE FIRE DEPARTMENT
125 N BLUFORD AVE
OCOEE, FL 34761
RON STROSNIDER BUSINESS 407-656-7796
FIRE CHIEF ' FAX 407-656-1222
MEMORANDUM
TO: Honorable Mayor and Board of City Commissioners
FROM: Ron Strosnider,Fire Chief P1/1
DATE: February 29,2000
RE: DISASTER RELIEF FUNDING AGREEMENT FOR FLOYD
Attached is the agreement for Disaster Relief Funding for Federal and State assistance
for Hurricane Floyd. Returning the agreement signed will enable the City to be
reimbursed for funds used for Public Safety during Hurricane Floyd. The "FEMA-State
Agreement"number for Hurricane Floyd, is FEMA-1300-DR-FL. This agreement
covers non-declared counties.
The City of Ocoee was considered a non-declared area. We have since received
information from the State Emergency Management,that there will be some funding for
non-declared counties with expenses associated with Hurricane Floyd.
The City of Ocoee is filing under the condition of ATTACHMENT D, which reads: "It
is requested that the local claimants, within a Non-Declared County, submit their costs
consistent with the FEMA reimbursement guidelines to the State through the County
Emergency Management Coordinator. At this time the City of Ocoee has filed all
necessary support documents. The agreement is the final document needed for
reimbursement.
Due to the time constraints,which require the document to be returned by March 1,
2000, The City has proceeded with the execution of the document by Mayor
Vandergrift, Ellis Shapiro, City Manager, and Paul Rosenthal, City Attorney.
The Staff recommends ratifying of this document, so as to obtain reimbursement from
FEMA and the State of Florida Emergency Management. The approximate
reimbursement will be $30,000.00.
CP
DISASTER RELIEF FUNDING AGREEMENT
Hurricane Irene/FEMA-DR-1300-FL & FEMA-EM-3143 -FL
(Claimants in NON-DECLARED COUNTIES)
DCA AGREEMENT No. 00-RM-ND-06-58-02-050
This Agreement is between the State of Florida, Department
of Community Affairs (Grantee) and City of Ocoee (Claimant) , a
Local Governmental provider of emergency services within a Non-
Declared County at the request of the State EOC. This Agreement
is based on the existence of the following conditions :
a. Hurricane Floyd caused severe flooding and other
extreme weather conditions beginning on September 14, 1999, and
continuing until September 25, 1999, which have had a devastating
impact upon the State of Florida.
b. Because of the danger posed by Hurricane Floyd to the
State of Florida, the Governor issued Executive Order No. 99-227,
as extended by Executive Orders Nos . 99-228 and 99-236, in which
he declared an emergency due to Hurricane Floyd.
c. At the request of the Governor, on September 22, 1999
the President declared Hurricane Floyd a major disaster in
FEMA-1300-DR for the counties of Brevard, Duval, Flagler, Indian
River, Martin, Nassau, St . Johns, St . Lucie, and Volusia.
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FEMA-1300-DR-FL
d. The Federal Emergency Management Agency (FEMA) has
approved Public Assistance for the Grantee in its Agreement with
the State of Florida for these counties and others (Glades,
Highlands,. and Palm Beach) added by Amendments to that Agreement.
e . The FEMA has agreed to reimburse the Grantee for
payment of claims from Local Governmental Units within the Non-
Declared Counties for Category B costs such as support of the
evacuation of the Declared Areas .
f . The Agreement between the State of Florida and FEMA,
governing the use of such funds, requires the State to share the
costs eligible for federal assistance; including the eligible
Category B costs from Claimants in the Non-Declared Counties .
g. Chapter 99-226, Fla. Laws, in Specific Appropriation
No. 1122 , provides that Federal disaster assistance matching
requirements shall be shared equally between the State and its
Claimants (including the Non-Declared County Claimants) .
h. Sections 252 . 35 , 252 . 36 , 252 . 37, and 252 . 38 Florida
Statutes, authorize the relationship described in this Agreement .
Based upon the existence of the foregoing conditions the
parties agree to the following:
1 . DEFINITIONS : As used in this Agreement, the following
terms shall have the following meanings unless
otherwise specified:
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FEMA-1300-DR-FL
a. "Eligible disaster relief activities, " as used in
this Agreement, means those activities authorized in the FEMA-
State Agreement, as defined herein below; Public Law 93-288 , as
amended by Public Law 100-707 (hereinafter the "Stafford Act" ) ;
Title 44 CFR, Part 206, and applicable FEMA or State guidance
documents .
b. "FEMA-State Agreement" shall mean that agreement
between FEMA and the State of Florida, for Hurricane Floyd,
FEMA-1300-DR-FL and all modifications thereto.
c. "Emergency Work" shall be defined as in 44 CFR
206 . 201 (b) for Category B (Emergency Protective Measures) . No
Category A (Debris Removal) assistance will be available to
Claimants in Non-Declared Counties .
d. "Project" shall be defined as in 44CFR 206 . 201 (i) .
2 . APPLICABLE STATUTES, RULES and AGREEMENTS: The parties
agree to be bound by all terms of the FEMA-State Agreement and
all applicable state and federal statutes, regulations, guidance
and handbooks, including but not limited to those identified in
Attachments A and C, and the pertinent implementing regulations
and guidance.
3 . FUNDING and INSURANCE: The Grantee shall provide funds to
the Claimant for eligible emergency assistance activities for the
projects approved by the Grantee and FEMA. Allowable costs shall
be determined in accordance with 44 CFR Part 206 and 44 CFR Part
13 , and pertinent FEMA guidance documents . Contingent upon an
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FERIA-1300-DR-FL
appropriation by the Florida Legislature, the Grantee agrees to
provide one-half of any non-Federal share (12 . 5% of total
eligible costs) . As a condition of receipt of this funding, and
contingent upon an appropriation by the Florida Legislature where
required, the Claimant similarly agrees to provide one-half of
any non-Federal share (12 . 5% of total eligible costs) .
Claimant agrees that the Grantee is authorized to withhold
funds otherwise payable to Claimant from any agreement
administered by the Grantee, upon a determination by the Grantee,
FEMA, or any auditor, that excess funds have been provided to
Claimant under any disaster relief funding agreement administered
by the Grantee .
The reimbursement of funds will be made only after project
completion and submission of the required claim documentation
(Claim Narrative for Emergency Work Costs in Non-Declared
Counties, and supporting Expense Summaries as applicable) . See
Attachment D.
Eligible Category B costs of Claimants in the Non-Declared
Counties may be directly reimbursed the Federal and applicable
State shares by the Grantee with such costs to be included in
Project Worksheets that are to be written to the Grantee.
4 . DUPLICATION OF BENEFITS PROHIBITION: In accordance with
the provisions of Section 312 of the Stafford Act, duplication of
benefits is prohibited. The Claimant shall notify the Grantee,
as soon as practicable, of the existence of any insurance
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FEMA-1300-DR-FL
coverage for the costs identified on their claim, and of any
entitlement to recovery of payments from any other source, for
the costs described in their claim. Eligible costs shall be
reduced by the amount of duplicate sources available . The
Claimant shall be liable to the Grantee to the extent that the
Claimant receives duplicate benefits from another source for the
same purposes for which the Claimant has received payment from
the Grantee . The Claimant shall immediately remit to the Grantee
any duplication of benefits payment received by the Claimant . In
the event the Grantee determines a duplication of benefits has
occurred, the Claimant hereby authorizes the Grantee or the
Comptroller of the State of Florida to take offset action against
any other available funding due the Claimant . The Comptroller is
authorized to pay such offset to the Grantee upon written notice
from the Grantee .
5 . CLAIM CERTIFICATION: Category B Claimants in the Non-
Declared Counties shall certify and submit their claims for
actual costs as directed by the attached Guidelines for Non-
Declared County Claimants .
6 . COST SHARING: The disaster relief funds for eligible
costs indicated in the Claim(s) and described in this Agreement
shall be shared in accordance with the cost sharing provisions
established in the Stafford Act, the FEMA-State Agreement, and
Chapter 99-226 , Laws of Florida, Specific Appropriation 1122 .
Accordingly, the Claimant agrees to accept the Federal share
Page 5 FEMA-1300-DR-FL
(750) and the State Share (12 . 50; or as otherwise modified under
State authority) , and agrees to provide one-half of any non-
Federal share (12 . 50 of total eligible costs) .
7 . PAYMENT OF CLAIMS : The Grantee shall reimburse the
Federal and State shares of eligible Category B Costs to the
Claimants in the Non-Declared Counties as soon as practicable
after review and approval of their submitted claim and execution
of this agreement which was forwarded to the Claimant after
receipt of the claim.
8 . RECORDS MAINTENANCE: The Claimant agrees to maintain all
t
records pertaining to project (s) described in their claim (s) and
the funds received under this Agreement until all issues relating
to the inspection and final audit have been completed, and any
action or resolution of outstanding issues have been completed.
Such records must be maintained for a period of no less than
three (3 ) years from the date of the final payment under this
Agreement . Access to those records must be provided at
reasonable times to the employees/agents of. the Comptroller
General of the United States, the Grantee, and/or FEMA.
9 . RECOVERY OF FUNDS : If audit, or other review by FEMA,
the State, or any other authorized entity determines that payment
made under this Agreement exceeds the amount of actual eligible
costs, Claimant shall, within forty-five (45) days of receipt of
the determination notice, repay Grantee the excess amount .
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FEMA-1300-DR-FL
10 . AUDIT: -
a. Claimants shall submit an Audit of Agreement
Compliance to the Grantee as provided herein. If the Claimant
expends $300, 000 or more in Federal awards in its fiscal year,
then the Claimant shall have an audit conducted. Such audit must
be performed by an independent Certified Public Accountant, or by
another entity independent of the Claimant . Such audit must be
performed in accordance with the standards of the Comptroller
General as specified in the General Accounting Office Standards
for Audit of Governmental Organizations, Programs, Activities and
Functions, and generally accepted auditing standards established
by the American Institute of Certified Public Accountants . The
agreement number of this grant must be identified with the audit
submitted. Such audit must also comply with the requirements of
Sections 11 .45, 216 .349 , and 216 . 3491 of the Florida Statutes;
Chapter 10 . 550 and 10 . 600, Rules of the Auditor General; and, to
the extent applicable, the Single Audit Act of 1984, as amended,
31 USC 7501 through 7507, and OMB Circular A-133 , as revised June
24 , 1997, or thereafter. If the Claimant is a private non-profit
organization, it shall submit an organization-wide audit . All
audits are due not later than seven (7) months after the
termination of the entity's fiscal year. If the Claimant expends
less than $300, 000 in Federal awards in its fiscal year, an audit
conducted in accordance with the provisions of OMB Circular A-133
is not required, but an audit may otherwise be required under
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FEMA-1300-DR-FL
Section 216 . 3491, Florida Statutes, and rules adopted pursuant
thereto .
b. The Grantee may require the Claimant to undertake
such further or additional audits as determined necessary or
appropriate including, but not limited to, past and current
organization-wide audits . Such audits may be necessary to
determine the adequacy, accuracy, and reliability of the
Claimant ' s internal controls, fiscal data, and management systems
established to safeguard the Claimant ' s assets and to ensure
compliance with this Agreement .
c . If this Agreement is closed out without an audit,
the Grantee reserves the right to recover any disallowed costs
identified in an audit after such close-out .
11 . NONCOMPLIANCE : If Claimant violates any of the
conditions related to this disaster relief assistance under: 1)
the Robert T. Stafford Act of 1988, Public Law 93-288, as amended
by Public Law 100-707; 2) the FEMA-State Agreement; 3) this
Agreement; or, 4) any applicable state law or applicable state or
federal regulations, including those noted herein; additional
financial assistance for the project will be withheld until such
violation has been corrected. Also, the Grantee may take any
other action that is legally available .
12 . MODIFICATION: Either party may request modifications
to this Agreement, except for eligible scope of work to be
claimed (Category B Emergency Work) and the time limitations for
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FEMA-1300-DR-FL
performance of the work which are subject to modification in
accordance with separate procedures governed by FEMA regulation.
Modifications to the terms and conditions of this Agreement shall
be proposed in writing by either party and become effective only
upon execution by both parties .
13 . TIME FOR PERFORMANCE: All Claims funded under this
Agreement should have been timely submitted to the Grantee, but
not later than March 1, 2000, unless a request for a deadline
extension has been submitted to, and approved by, the Grantee .
14 . TERMINATION: Either party may request termination of
this Agreement, in writing, delivered in person, or by certified
mail, to the party' s representative who executes this Agreement .
Said termination may be accomplished by mutual agreement of the
parties, effective thirty (30) days after an executed
modification to effect termination.
15 . LIABILITY:
(a) The Grantee assumes no liability whatsoever to third
parties as a result of this Agreement . The Claimant shall be
solely responsible to all parties with whom it deals in carrying
out the terms of this Agreement'. The Claimant shall also
indemnify and save the Grantee, and the State of Florida,
harmless against all claims, suits, liabilities and damages, of
whatever nature, arising out of the performance of activities
funded or contemplated under this Agreement . For purposes of
this Agreement, Claimant agrees that it is not an employee or
Page 9
FEMA-1300-DR-FL
agent of the Grantee but is an independent contractor.
(b) Any Claimant which is a State agency or subdivision, as
defined in Section 768 . 28, Fla . Stat . , agrees to be fully
responsible for its negligent acts or omissions or tortious acts,
and agrees to be liable for any damages proximately caused by
said acts or omissions . Nothing herein is intended to serve as a
waiver of sovereign immunity by any Claimant to which sovereign
immunity applies . Nothing herein shall be construed as consent
by a State agency or subdivision of the State of Florida to be
sued by third part1es in any matter arising out of the
performance of this Agreement .
(c) Claimant represents and warrants that hazardous and
toxic materials, if present at any locations where the scope (s)
of work will be performed, are at levels within regulatory limits
and do not trigger action required by Federal, State or local
laws or regulations . Claimant further represents and warrants
that household hazardous waste meeting the definition set forth
in 40 CFR shall be handled in a manner that meets all Federal,
State and local laws and regulations . Claimant further agrees
that any hazardous condition (s) or material (s) on site that is
subject to Federal, State or local laws and regulations
(including but not limited to: above ground or underground
storage tanks or vessels, asbestos, pollutants, irritants,
pesticides, contaminants, petroleum products, waste, chemicals,
and septic tanks) , will be handled and disposed of in accordance
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FEMA-I300-DR-FL
with the pertinent requirements .
16 . REPORTS : No quarterly progress -reports to the Grantee
are required from Claimants in the Non-Declared Counties .
17 . STANDARD CONDITIONS: The Claimant further agrees to be
bound by the following standard conditions.:
a. The State of Florida' s performance and obligation to
pay under this Agreement is contingent upon an annual
appropriation by the Legislature, or the provision of funding to
the Grantee pursuant to Section 252 .37, Florida Statutes .
b. Bills for fees or other compensation for services or
expenses must be submitted in detail sufficient for a proper pre-
and post-audit thereof .
c. The Grantee may unilaterally cancel this Agreement
for any refusal by the Claimant, or its contractors, to allow
public access to all documents, papers, letters or other material
subject to the provisions of Chapter 119, Florida Statutes, or
in conjunction with this Agreement . It is expressly understood
that substantial evidence of the Claimant ' s or their contractor' s
refusal to comply with this provision shall constitute a breach
of contract, and constitute grounds for termination.
d. Claimant agrees, pursuant to Section 216 . 347,
Florida Statutes and applicable federal law, that no funds from
this Agreement will be expended in connection with the awarding
of this Agreement, or amendments/modifications thereof, for the
purpose of lobbying: 1) the Legislature, 2) state agency
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FEMA-1300-DR-FL
employees, or, 3) Members of Congress, officers or employees of
Congress, or an employee of a Member of Congress .
e . The Claimant certifies with respect to this
Agreement that it possesses the legal authority to receive the
funds .
f . The Claimant shall comply with any Statement of
Assurance attached hereto, which shall be incorporated herein.
The Claimant acknowledges that the responsibility for complying
with the approved claim award rests with the recipient Claimant
and acknowledges that failure to do so constitutes grounds for
the rescission or suspension of this claim award and may
influence future claim awards .
g. The State of Florida will not intentionally award
publicly-funded contracts to any contractor who knowingly employs
unauthorized alien workers, constituting a violation of the
employment provisions contained in 8 U. S . C. Section 1324a (e)
[Section 274A(e) of the Immigration and Nationality Act ("INA") ] .
The Grantee shall consider the employment by any Claimant or
contractor of unauthorized aliens a violation of Section 274A(e)
of the INA. Such violation by the Claimant of the employment
provisions contained in Section 274A(e) of the INA shall be
grounds for unilateral cancellation of this Agreement by the
Grantee . •
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FEMA-1300-DR-FL
18 . TERM: This Agreement shall begin upon the date last
signed and shall end upon receipt of official closing
documentation from the Grantee unless terminated earlier in
accordance with the provisions of this Agreement .
19 . DEFAULT; REMEDIES; TERMINATION
a. If any of the following Events of Default occur, all
Grantee obligations to make any further payment of funds
hereunder shall terminate, if the Grantee so elects . The Grantee
also may, at its option, exercise any of the remedies set forth
herein. However, the Grantee may make any payments or parts of
payments after the happening of any of the below listed Events of
Default without thereby waiving the right to exercise such
remedies , and without becoming liable to make any further
payment :
1 . If any warranty or representation made by the
Claimant in this Agreement, or any previous Agreement with the
Grantee, is false or misleading in any respect;
2 . If the Claimant fails to keep, observe or
perform any of the terms or covenants contained in this
Agreement, or any previous agreement with the Grantee, and has
not cured such in timely fashion; or otherwise is unable or
unwilling to meet its obligations thereunder;
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FEMA-1300-DR-FL
3 . If any reports required by this Agreement have
not been submitted to the Grantee or have been submitted with
incorrect, incomplete or insufficient information; or
4 . If the necessary funds are not available to
fund this agreement as a result of action by Congress, the
Legislature, the Office of the Comptroller or the Office of
Management and Budget .
b. Upon the happening of an Event of Default, the
Grantee may, at its option upon written notice to the Claimant
and upon the Claimnt ' s failure to timely cure, exercise one or
more of the following remedies, either concurrently or
consecutively. The pursuit of any one of the following remedies
shall not preclude the Grantee from pursuing any other remedies
contained herein or otherwise provided at law or in equity:
1 . Terminate this Agreement, provided that the
Claimant is given at least fifteen (15) days prior written notice
of such termination. The notice shall be effective when placed
in the United States mail, first class mail, postage prepaid, by
registered or certified mail-return receipt requested, to the
address set forth in paragraph (23) herein;
2 . Commence an appropriate legal or equitable
action to enforce performance of this Agreement;
3 . Withhold or suspend payment of all or any part
of a request for payment;
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FEMA-1300-DR-FL
4 . Exercise any corrective or remedial actions
including but not be limited to: a) requesting additional
information from the Claimant to determine the reasons for or the
extent of non-compliance or lack of performance, b) issuing a
written warning to advise that more serious measures may be taken
if the situation is not corrected, c) advising the Claimant to
suspend, discontinue or refrain from incurring costs for any
activities in question, d) requiring the Claimant to reimburse
the Grantee for the amount of costs incurred for any items
determined to be ipeligible; and, e) exercise any other rights or
remedies which may be otherwise available under law.
c . The Grantee may terminate this Agreement for cause
upon such written notice as is reasonable under the
circumstances . Such cause may include, but not be limited to,
Claimant ' s; 1) misrepresentation in the grant application; 2)
misuse of funds; 3 ) fraud; 4) lack of compliance with applicable
rules, laws and regulations; 5) failure to perform in a timely
manner; and, 6) refusal to permit public access to any document,
paper, letter, or other material subject to disclosure under
Chapter 119 , FS, as amended.
d. Suspension or termination constitutes final Grantee
action under Chapter 120 , FS, as amended. Notification of
suspension or termination shall include notice of administrative
hearing rights and time frames. However, any deobligation of
funds or any other determination made by FEMA shall be addressed
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FEMA-1300-DR-FL
as provided in 44 CFR 206 . 206 .
e . The Claimant shall return funds to the Grantee if
found in non-compliance with laws, rules, regulations governing
the use of the funds or this Agreement .
f . Notwithstanding the above, the Claimant shall not be
relieved of liability to the Grantee by virtue of any breach of
Agreement by the Claimant . The Grantee may, to the extent
authorized by law, withhold any payments to the Claimant for
purpose of set-off until such time as the exact amount of damages
due the Grantee fr?m the Claimant is determined. In the event
the FEMA deobligates funds previously authorized under this
Agreement, or under any other FEMA funded agreement administered
by the Division, then Claimant shall immediately repay said funds
to the Grantee. If Claimant fails to repay said funds, then
Claimant authorizes the Grantee to recoup said funds from funding
otherwise available under this Agreement or under any other grant
Agreement with Claimant administered by the Grantee .
20 . ATTACHMENTS
a. All attachments to this Agreement are incorporated
as if set out fully herein.
b. In the event of any inconsistencies or conflict
between the language of this Agreement and the attachments
hereto, the language of such attachments shall be controlling,
but only to the extent of such conflict or inconsistency.
• Page 16
FEMA-1300-DR-FL
c. This Agreement has the following attachments :
Attachment A Program Statutes and Regulations
Attachment B Lobbying Prohibition/Certification
Attachment C Statement of Assurances
Attachment D Claim Guidelines/Non-Declared
Counties
21 . DESIGNATED AGENT: The Claimant hereby authorizes :
City Manager Ellis Shapiro
as its primary designated agent, and
Finance Director Wanda Horton as its alternate designated agent,
to execute Requests for Reimbursement, necessary certifications,
and other supplementary documentation.
22 . NOTICE AND CONTACT: All notices under this Agreement
shall be in writing, delivered either by hand delivery or
certified mail to the representative and address below:
FOR THE GRANTEE : FOR THE CLAIMANT:
Joseph F. Myers, GAR . S. Scott Vandergrift, Mayor
State Public Assistance City of Ocoee
2555 Shumard Oak Blvd 150 N. Lakeshore Drive
Tallahassee, Florida 32399 Ocoee, FL 34761-2258
•
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FEMA-1300-DR-FL
IN WITNESS HEREOF, the Grantee and Claimant have executed
this Agreement;
FOR THE CLAIMANT: FOR THE GRANTEE:
City of Ocoee STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
By J By:
(Signature) (Signature)
S. Scott Vandergrift
Joseph F. Myers
(Print or Type Name)
Mayor Governor's Authorized Representative
(Title)
2-29-2000
•
(Date) (Date)
Federal Employer ID No. Federal Domestic Assistance #83 .544
59-6019764
Page 18 FEMA-1300-DR-FL
ATTACHMENT A
PROGRAM STATUTES AND REGULATIONS
The parties to this Agreement and the Public Assistance and Fire
Suppression Grant Programs are generally governed by the
following statutes and regulations :
(1) The Robert T. Stafford Disaster Relief and Emergency
Assistance Act, 42 USC 5121, et seq;
•
(2) 44 CFR parts 6 , 7, . 9, 10, 13 , 14 , 16, 17, 18 , 25, 206,
220, and 221, and any other applicable FEMA policy
memorand9., handbooks and guidance documents;
(3) State of Florida Administrative Plan for the Public
Assistance Grant Program; and
(4) All applicable laws and regulations delineated in
Attachment C of this Agreement .
•
A-1
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FEMA-1300-DR-FL
ATTACHMENT B
LOBBYING PROHIBITION
The undersigned certifies, to the best of his or her
knowledge and belief, that :
(a) No Federal appropriated funds have been paid or will be
paid, by or on behalf of the undersigned, to any person
for influencing or attempting to influence either
directly or indirectly an officer or employee of any
state or federal agency, a member of the Florida
Legislature, 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-L. "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.
This certification is a material representative of fact upon
which reliance was placed when this transaction was made or
entered into. Submission of this certification is a prerequisite
for making or entering into this transaction imposed by section
1352 , title 31, U. S . Code . Any persons who fails 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 .
eSm -
4.2k
By:
S. Scott Vandergrift, Mayor
Signature Typed Name and Title
B-1
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FEMA-1300-DR-FL
ATTACHMENT C
STATEMENT OF ASSURANCES
The Claimant hereby assures and certifies that :
(a) It possesses legal authority to enter into this agreement,
and to execute the proposed program;
(b) Its governing body has duly adopted or passed as an official
act a resolution, motion or similar action authorizing the
execution of the disaster relief funding agreement with the
Grantee, including all understandings and assurances
contained therein, and directing and authorizing the
Claimant's chief executive officer or designee to act in
connection with the application and to provide such
additional information as may be required;
(c) No member of or delegate to the Congress of the United
States, and n9 Resident Commissioner, shall be admitted to
any share or part of this agreement or to any benefit to
arise from the same . No member, officer, or employee of the
Claimant or its designees or agents, no member of the
governing body of the locality in which the program is
situated, and no other public official of such locality or
localities who exercises any functions or responsibilities
with respect to the program during his tenure or for one
year thereafter, shall have any interest direct or indirect,
in any contract or subcontract, or the proceeds thereof, for
work to be performed in connection with the program assisted
under this agreement . The Claimant shall incorporate or
cause to be incorporated, in all such contracts or
subcontracts a provision prohibiting such interest pursuant
to the purposes stated above;
(d) All Claimant contracts for which the State Legislature is in
any part a funding source, shall contain language to provide
for termination with reasonable costs to be paid by the
Claimant for eligible contract work completed prior to the
date the notice of suspension of funding was received by the
Claimant . Any cost incurred after notice of suspension or
termination is received by the Claimant may not be funded
under this Agreement unless previously approved in writing
by the Grantee . All Claimant contracts shall contain
provisions for termination for cause or convenience and
shall provide method of payment for such event;
Page 21 FEMA-1300-DR-FL
(e) It will comply with:
(1) Contract Work Hours and Safety Standards Act of 1962 ,
40 U. S . C. 327 et seq. , requiring that mechanics and
laborers (including watchmen and guards) employed on
federally assisted contracts be paid wages of not less
than one and one-half times their basic wage rates for
all hours worked in excess of forty hours in a work
week; and
(2) Federal Fair Labor Standards Act, 29 U. S . C. Section 201
et seq. , requiring that covered employees be paid at
least the minimum prescribed wage, and also that they
be paid one and one-half times their basic wage rates
for all hours worked in excess of the prescribed work-
week.
(f) It will comply with:
(1) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) ,
and the regulations issued pursuant thereto, which
provides that no person in the United States shall on
the grounds of race, color, or national origin, be
excluded from participation in, be denied the benefits
of, or be otherwise subjected to discrimination under
any program or activity for which the Claimant receives
Federal financial assistance and will immediately take
any measures necessary to effectuate this assurance.
If any real property or structure thereon is provided
or improved with the aid of Federal financial
assistance extended to the Claimant, this assurance
shall obligate the Claimant, or in the case of any
transfer of such property, any transferee, for the
period during which the real property or structure is
used for a purpose for which the Federal financial
assistance is extended, or for another purpose
involving the provision of similar services or
benefits;
(2) Any prohibition against discrimination on the basis of
age under the Age Discrimination Act of 1975, as
• amended (42 U. S . C. : 6101-6107) which prohibits
discrimination on the :basis of age or with respect to
otherwise qualified handicapped individuals as provided
in Section 504 of the Rehabilitation Act of 1973 ;
Page 22
FEMA-1300-DR-FL
(3) Executive Order 11246 as amended by Executive Orders
11375 and 12086, and the regulations issued pursuant
thereto, which provide that no person shall be
discriminated against on the basis of race, color,
religion, sex or national origin in all phases of
employment during the performance of federal or
federally assisted construction contracts; affirmative
action to insure fair treatment in employment,
upgrading, demotion, or transfer; recruitment or
recruitment advertising; layoff/termination, rates of
pay or other forms of compensation; and election for
training and apprenticeship;
(g) The Claimant agrees to comply with the Americans With
Disabilities Act (Public Law 101-336, 42 U.S . C. Section
12101 et seq. ) , where applicable, which prohibits
discrimination by public and private entities on the basis
of disability in the areas of employment, public
accommodations, transportation, State and local government
services, and in telecommunications;
(h) It will establish safeguards to prohibit employees from
using positions for a purpose that is or gives the
appearance of being motivated by a desire for private gain
for themselves or others, particularly those with whom they
have family, business, or other ties pursuant to Section
112 . 313 and section 112 . 3135, FS;
(i) It will comply with the Anti-kickback Act of 1986, 41 U.S. C.
Section 51 which outlaws and prescribes penalties for
"kickbacks" of wages in federally financed or assisted
construction activities;
(j ) It will comply with the provisions of 18 USC 594, 598, 600-
605 (f/k/a the Hatch Act) which limits the political
activity of employees;
(k) It will comply with the flood insurance purchase and other
.requirements of the Flood Disaster Protection Act of 1973 as
amended, 42 USC 4002-4107, including requirements regarding
the purchase of flood insurance in communities where such
insurance is available as a condition for the receipt of any
Federal financial assistance for construction or acquisition
purposes for use in any area having special flood hazards .
The phrase "Federal financial assistance" includes any form
of loan, grant, guaranty, insurance payment, rebate,
Page 23
FEMA-1 3 00-DR-FL
•
subsidy, disaster assistance loan or grant, or any other
form of direct or indirect Federal assistance;
(1) It will require every building or facility (other than a
privately owned residential structure) designed,
• constructed, or altered with funds provided under this Part
to. comply with the "Uniform Federal Accessibility
Standards, " (AS) which is Appendix A to 41 CFR Section 101-
19 . 6 for general type buildings and Appendix A to 24 CFR
Part 40 for residential structures . The Claimant will be
responsible for conducting inspections to ensure compliance
with these specifications by the contractor;
(m) It will , in connection with its performance of environmental
assessments under the National Environmental Policy Act of
1969, comply with Section 106 of the National Historic
Preservation Act of 1966 (U.S . C. 470) , Executive Order
11593 , 24 CFR1Part 800, and the Preservation of
Archaeological and Historical Data Act of 1966 (16 U. S .C.
469a-1, et seq. ) by:
(1) Consulting with the State Historic Preservation Officer
to identify properties listed in or eligible for
inclusion in the National Register of Historic Places
that are subject to adverse effects (see 36 CFR Section
• 800 . 8) by the proposed activity; and
(2) Complying with all requirements established by the
State to avoid or mitigate adverse effects upon such
properties .
(3) Abiding by the terms and conditions of the
"Programmatic Agreement Among the Federal Emergency
Management Agency, the Florida State Historic
Preservation Office, the Florida Department of
Community Affairs and the Advisory Council on Historic
Preservation, (PA) " which addresses roles and
responsibilities of Federal and State entities in
implementing Section 106 of the National Historic
Preservation Act (NHPA) , 16 U. S . C. 470f, and
implementing regulations in 36 CFR part 800 .
(4) When any of Claimant's projects funded under this
Agreement may affect a historic property, as defined in
36 CFR 800 . (2) (e) , the FEMA may require Claimant to
review the eligible scope of work in consultation with
• the State Historic Preservation Office (SHPO) and
Page 24
FEMA-1300-DR-FL
suggest methods of repair or construction that will
conform with the recommended approaches set out in the
Secretary of Interior's Standards for Rehabilitation
and Guidelines for Rehabilitating Historic Buildings
1992 (Standards) , the Secretary of the Interior's
Guidelines for Archeological Documentation (Guidelines)
(48 Federal Register 44734-37) , or any other applicable
Secretary of Interior standards . If FEMA determines
that the eligible scope of work will not conform with
the Standards, Claimant agrees to participate in
consultations to develop, and, after execution by all
parties, to abide by, a written agreement that
establishes mitigation and recordation measures,
including but not limited to, impacts to archeological
sites, and the salvage, storage, and reuse of any
significant architectural features that may otherwise
be demolished.
(5) Claimant agrees to notify FEMA and the Department if
any project funded under this Agreement will involve
ground disturbing activities, including, but not
limited to : subsurface disturbance; removal of trees;
excavation for footings and foundations; and
installation of utilities (such as water, sewer, storm
drains, electrical, gas, leach lines and septic tanks)
except where these activities are restricted solely to
areas previously disturbed by the installation,
replacement or maintenance of such utilities . FEMA
will request the SHPO's opinion on the potential that
archeological properties may be present and be affected
by such activities . The SHPO will advise Claimant on
any feasible steps to be accomplished to avoid any
National Register eligible archeological property or
will make recommendations for the development of a
treatment plan for the recovery of archeological data
from the property. If Claimant is unable to avoid the
archeological property, the Claimant will develop, in
consultation with the SHPO, a treatment plan consistent
with the Guidelines and take into account the Advisory
Council on Historic Preservation (Council) publication .
"Treatment of Archeological Properties. " Claimant
shall forward information regarding the treatment plan
Page 25
FEMA-1300-DR-FL
to FEMA, the SHPO and the Council for review. If the
SHPO and the Council do not object within 15 calendar
days of receipt of the treatment plan, FEMA may direct
Claimant to implement the treatment plan. If either
the Council or the SHPO object, Claimant shall not
proceed with the project until the objection is
resolved.
(6) Claimant shall notify the Department and FEMA as soon
as practicable : (a) of any changes in the approved
scope of work for a National Register eligible or
listed property; (b) of all changes to a project that
may result in a supplemental PW or modify an HMGP
project for a National Register eligible or listed
property; (c) if it appears that a project funded under
this Agreement will affect a previously unidentified
property1that may be eligible for inclusion in the
National Register or affect a known historic property
in an unanticipated manner. Claimant acknowledges that
FEMA may require Claimant to stop construction in the
vicinity of the discovery of a previously unidentified
property that may be eligible for inclusion in the
National Register or upon learning that construction
may affect a known historic property in an
unanticipated manner. Claimant further acknowledges
that FEMA may require Claimant to take all reasonable
measures to avoid or minimize harm to such property
until FEMA concludes consultation with the SHPO.
Claimant also acknowledges that FEMA will require, and
Claimant shall comply with, modifications to project
scope of work necessary to implement recommendations to
address the project and the property.
(7) Claimant acknowledges that, unless FEMA specifically
stipulates otherwise, it shall not receive funding for
projects when, with intent to avoid the requirements of
the PA or the NHPA, Claimant intentionally and
significantly adversely affects a historic property, or
having the legal power to prevent it, allowed such
significant adverse affect to occur.
(n) It will comply with Title IX of the Education Amendments of
1972 , as amended (20 U. S . C. : 1681-1683 and 1685-1686) which
prohibits discrimination on the basis of sex;
Page 26
FEMA-I300-DR-FL
(o) It will comply with the Comprehensive Alcohol Abuse and
• Alcoholism Prevention, Treatment and Rehabilitation Act of
1970, (42 USC 4521-45-94) relating to nondiscrimination on
the basis of alcohol abuse or alcoholism;
(p) It will comply with 523 and 527 of the Public Health Service
Act of 1912 (42 U.S .C. 290 dd-3 and 290 ee-3) , as amended,
relating to confidentiality of alcohol and drug abuse
patient records;
(q) It will comply with Lead-Based Paint Poison Prevention Act
(42 U.S . C. : 4821 et seq. ) which prohibits the use of lead
• based paint in construction of rehabilitation or residential
structures;
(r) It will comply with the Energy Policy and Conservation Act
(P .L. 94-163 ; 42 USC 6201-6422) , and the provisions of the
state Energy Conservation Plan adopted pursuant thereto.
(s) It will comply with the Animal Laboratory Welfare Act of
1966, 7 USC 2131-2159 ;
(t) It will comply with the Civil Rights Act of 1968 , Title VI
and VIII, 42 USC 2000c and 42 USC 3601-3619 .
• (u) It will comply with the Clean Air Act of 1970 , as amended,
42 USC 7401-7642 ;
(v) It will comply with the Clean Water Act of 1977, as amended,
42 USC 7419-7626 ;
(w) It will comply with the Davis-Bacon Act, 40 USC 276a;
(x) It will comply with the Endangered Species Act of 1973 , 16
USC 1531-1544 ;
(y) It will comply with the Intergovernmental Personnel Act of
1970 , 42 USC 4728-4763 ;
(z) It will comply with the National Historic Preservation Act
of 1966, 16 USC 270 ;
(aa) It will comply with the National Environmental Policy Act of
1969, 42 USC 4321-4347 ;
(bb) It will comply with the Preservation of Archeological and
Historical Data Act of 1966, 16 USC 469a, et seq;
(cc) It will comply with the Rehabilitation Act of 1973 , Section
504 , 29 USC 794 ;
(dd) It will comply with the Safe Drinking Water Act of 1974, 42
USC 300f-300j ;
(cc) It will comply with the Uniform Relocation Assistance and
Property Acquisition Policies Act of 1970 , 42 USC 4621-4638 ;
•
Page 27
FEMA-1300-DR-FL
(ff) It will comply with the Wild and Scenic Rivers Act of 1968,
16 USC 1271-1287; and
(gg) It will comply with the following Executive Orders : EO 11514
(NEPA) ; EO 11738 (violating facilities) ; EO 11988
(Floodplain Management) ; and EO 11990 (Wetlands) ; and EO
12848 (Environmental Justice) .
(hh) It will comply with the Coastal Barrier Resources Act of
1977, 16 USC 3510 .
(ii) It will comply with the Coastal Zone Management Act of 1972,
16 USC 1451-1464 .
(jj ) It will comply with the Fish and Wildlife Coordination Act
of 1958; 16 USC 661-666 .
(kk) With respect to demolition activities, it will :
1 . Create and make available documentation sufficient to
demonstrate that the Claimant and its demolition
contractor have sufficient manpower and equipment to
comply with the obligations as outlined in this
Agreement .
2 . Return the property to its natural state as though no
improvements had ever been contained there on.
3 . Furnish documentation of all qualified personnel,
licences and all equipment necessary to inspect
buildings located in Claimant ' s jurisdiction to detect
the presence of asbestos and lead in accordance with
requirements of the U. S. Environmental Protection
Agency, the Florida Department of Environmental
Protection and the County Health Department .
4 . Provide documentation of the inspection results for
each structure to indicate :
a. Safety Hazards Present
b. Health Hazards Present
c . Hazardous Materials Present
5 . Provide supervision over contractors or employees
employed by Claimant to remove asbestos and lead from
demolished or otherwise applicable structures .
6 . Leave the demolished site clean, level and free of
debris .
7 . Notify the Department promptly of any unusual existing
condition which hampers the contractors work.
8 . Obtain all required permits .
Page 28
FEMA-1300-DR-FL
9 . Provide addresses and marked maps for each site where
water wells or septic tanks are to be closed along with
the number of wells located on each site .
10 . Comply with mandatory standards and policies relating
to energy efficiency which are contained in the State
energy conservation plan issued in compliance with the
Energy Policy and Conservation Act (Public Law 94 -
163) . 11 . Comply with all applicable standards, orders,
or requirements issued under Section 306 of the Clean
Air Act (42 U. S . C. 1857 (h) ) , Section 508 of the Clean
Water Act (33 U. S . 1368) , Executive Order 11738 , and the
U. S . Environmental Protection Agency regulations (40
C.F.R. Part 15) . This clause shall be added to any
subcontracts .
11 . Provide documentation of public notices for demolition
activities .
Page 29
FEMA-1300-DR-FL
ATTACHMENT D
HURRICANE FLOYD
FEMA/State Reimbursement Guidelines for Claimants
Emergency Work Costs in Non-Declared Counties
Hurricane Floyd has resulted in: 1) a Governor's Executive Order 99-227 for a State of
Emergency Proclamation; and, 2) Federal Declarations (FEMA-3143-EM-FL & FEMA-1300-
DR-FL) to allow FEMA reimbursements to State and local governmental agencies for eligible
costs in the performance of emergency work for debris removal and emergency protective
measures that were necessary before, during, or after the Floyd event (Incident Period:
September 14-16, 1999) for public safety/health and protection of improved property.
FEDERAL/STATE GRANT ASSISTANCE
The Emergency Declaration allows for FEMA/State reimbursement of eligible costs for
emergency work performed within the 12 Declared Counties (Dade, Broward, Palm Beach,
Martin, St. Lucie, Indian River, Brevard, Volusia, Flagler, St. Johns, Duval, and Naussau). In
addition to direct reimbu`rsement to eligible Applicants in the Declared Counties, costs for
emergency protective measures as a result of the Declared Event in the Non-Declared
Counties may be eligible for reimbursement by the Florida Department of Community
Affairs. Generally, labor costs including benefits (except regular time labor of full-time,
permanent personnel), equipment usage costs, material usage costs, and contract service
costs are eligible for reimbursement for Category B emergency work such as support of the
evacuation (shelter operations, traffic control, security, medical support, etc).
REIMBURSEMENT PROCEDURES
The eligible costs for emergency work in the Non-Declared Disaster Area may be
claimed for actual costs on a jurisdiction-wide or claimant basis. It is requested that the local
claimants, within a Non-Declared County, submit their costs consistent with the FEMA
reimbursement guidelines to the State through the County Emergency Management
Coordinator. Each County Emergency Management Coordinator is requested to provide
each potential claimant within the County with this claim guidance; and to provide to the
State (see contact information below) a list of all local claimants who received the guidance
and are expected to submit claims. The attached Claim Narrative Form is intended to simplify
the necessary identification and eligibility requirements for each claimant. The applicable
expense summaries should be attached to the completed Claim Narrative when submitted.
COST SHARING/FUNDING AGREEMENT
Federal reimbursement to the State will be 75% of the claimed eligible costs, which will
be paid to the each claimant. Any authorized State matching funds (to be determined by the
Governor and/or the Legislature) will also be paid to each claimant. Each Claimant will have to
execute a funding agreement with the State before reimbursements are paid.
D-1
CLAIM SUBMISSIONS:
The Claims for reimbursement of Category B emergency work by claimants in Non-
Declared Counties shall be sent to the Governor's Authorized Representative as indicated below.
These submissions can also be transmitted by FAX (Attention: Charles Bartel) to DEM/BRM
Recovery at(850) 487-2007.
Joseph F. Myers
Governor's Authorized Representative
Attn: Recovery (Wael Alsiro/Charles Bartel)
2555 Shumard Oak Blvd
Tallahassee, FL 32399-2100
Claim Deadline: Claims for actual costs are to be submitted by March 1, 2000.
Requests for thirty-day extensions may be granted if sufficient justification is provided in
writing.
Note: Recovery Engineer, Charles Bartel, is also available to assist claimants in County-
wide briefings, if necessary, or at phone number (850) 414-7566 or by e-mail to
Charles.Bartel@dca.state.fi.us.
ATTACHMENTS:
Claim Narrative Form
Work Completed To Date Summary Sheet
Force Account Labor Summary Record
-Labor Benefits Calculation Worksheet
Force Account Equipment Summary Record
-FEMA Equipment Rate Schedule
Materials Summary Record
Contract Work Summary Record
Rented Equipment Summary Record
Note: Claimant may use their own spreadsheets or itemized summaries, in lieu of the
above expense summary record forms, as long as the basic required information is provided so
that review sampling to test the reliability of the summaries or audit checks may be readily made
of the claimed expenses.
D-2
HURRICANE FLOYD
Claim Narrative for Emergency Work Costs in Non-Declared Counties
Claimant Organization:
Address:
Phone: FAX:
Contact Person: (Print/Type)
E-Mail: (Optional)
Federal ID#:
Location of Emergency Work:
(County)
Type of Emergency Work: Shelter Costs
• =Feeding Costs
Traffic Control,Security Costs
Medical Support Costs
Other ( )
(Description)
Brief Detail of Performed Emergency Work:
Total Amount of Claim: $ Signature/Date:
D-3
FLORIDA EMERGENCY MANAGEMENT DIVISION
TOTAL ACTUALCOSTS SUMMARY(WORK COMPLETED TO-DATE)
APPLICANT PA ID PROJECT DISASTER NUMBE
i\/74M^/3c5t9• ?—3/
LOCATION/SITE CATEGORY � PERIOD ING�/ 6/QQ
DESCRIPTION OF WORK PERFORMED
TYPE OF EXPENSE TOTAL CLAIMED FEMA/STATE INSPECTOR COMMENTS ELIGIBLE COST
COSTS
FA LABOR $ $
(Earned Wages plus
associated benefits)
FA EQUIPMENT $ $
(Equipment Rate
Allowances for Use)
MATERIALS $ $ o
(Purchased/Stock
expended items)
CONTRACTS $ $
(Services for
completing Work)
RENTALS $ $
(Equipment, etc.
for FA Work)
TRAVEL $ $
(Employee Expense,
paid lodging, meals)
TOTAL CLAIM: $ TOTAL ELIGIBLE COSTS: $
I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS,INVOICES,OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
CERTIFIED TITLE DATE
t FLORIDA EMERGENCY MANAGEMENT DIVISION Page of
7. FORCE ACCOUNT LABOR SUMMARY RECORD
s APPLICANT PA ID PROJECT DISASTER NUMBER
4 6
LOCATION/SITE CATEGORY PERIOD COV RI G ��+ !
From: ' P i To: ! /4,
DESCRIPTION OF WORK PERFORMED 9 }'
r b
f'
PERSONNEL DATES AND HOURS WORKED
A UNIT: TOTAL HOURLY RT OT
r DATE: / / / / / / / HOURS RATE WAGES WAGES,
NAME RT $ $ $
„ HRS '>
; STATUS/JOB TITLE OT — $ $ : $ •
HRS '?
NAME RT $ $
HRS
•'._:
;
1 STATUS/JOB TITLE •
HRS
HRS E
I.
1 STATUS/JOB TITLE
i
i ,
i HRS k
1
NAME RT $ $ $
HRS 5%'`<<< '•<>? `z<•.'•• `>?
•' STATUS/JOB TITLE OT $ $
iiiiNSENNHRS ::.:t:•.
TOTAL COSTS FOR FORCE ACCOUNT REGULAR TIME WAGES $
r° REGULAR TIME FRINGE BENEFITS @ PERCENT
TOTAL COSTS FOR FORCE ACCOUNT OVERTIME WAGES Cr
ii
r
OVERTIME FRINGE BENEFITS @ PERCENT
P. TOTAL LABOR COSTS $ ii,
I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS,INVOICES,OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
x
CERTIFIED TITLE DATE
a
•
•
5a?PA- Cpvk.)7Z6
fFLORIDA EMERGENCY MANAGEMENT DIVISION I PAGE OF I
APPLICANT'S FRINGE BENEFITS CALCULATION WORKSHEET
APPLICANT PA ID /"/4, )
PROJECT . .DISASTER NUMBER
6/3co-F./ ?—3'5V.V-F'L
FRINGE BENEFITS (by%)
REGULAR TIME OVERTIME
SOCIAL SECURITY "-
(FICA/MICA) 7.65% 7.65%
RETIREMENT
•
WORKERS COMPENSATION INS.
UNEMPLOYMENT INSURANCE
HEALTH INSURANCE BENEFITS 1 N/A
LIFE INSURANCE BENEFITS N/A
ANNUAL(VACATION) LEAVE N/A
HOLIDAY LEAVE N/A
AVERAGE USED SICK LEAVE N/A
OTHER N/A
TOTAL (% OF ANNUAL WAGE) •
COMMENTS:
TO EFFECTIVELY USE THIS FORM, GROUP EMPLOYEES BY STATUS/COMMON BENEFITS IN THE LABOR
RECORDS (SALARIED; FULL-TIME, PERMANENT; SPECIAL RISK; PART-TIME, CONTRACT,AND/OR TEMPORARY
HIRES). FOR EACH GROUPING, DETERMINE THE AVERAGE FRINGE BENEFITS FOR REGULAR TIME AND
OVERTIME. THE OVERTIME BENEFITS ARE USUALLY LIMITED TO THE TYPES INDICATED ABOVE. THE
AVERAGE ANNUAL PERCENTAGES FOR THE INSURANCES CAN BE DETERMINED BY TOTAL PREMIUM COSTS
PER TOTAL ANNUAL REGULAR WAGES AS PER THE LAST AVAILABLE ANNUAL AUDIT OR BY THE CURRENT
YEAR PROJECTED BUDGET. THE HOLIDAY PERCENTAGES CAN BE DETERMINED BY THE NUMBER OF
HOLIDAYS GRANTED EACH YEAR OVER THE NUMBER OF WORK DAYS FOR THE YEAR. THE ANNUAL LEAVE
CAN BE DETERMINED BY AN AVERAGE DAY/HOUR EARNINGS OVER THE TOTAL DAYS/HOURS OF EARNED PAY.
THE SICK LEAVE PERCENTAGE SHOULD BE BASED ON THE LAST ANNUAL SICK LEAVE COST OVER THE TOTAL
REGULAR WAGES PAID. OTHER ESTABLISHED METHODS PREVIOUSLY ADOPTED BY THE APPLICANT TO
CONVERT THE BENEFIT COSTS TO A PERCENTAGE OF TOTAL PAID ANNUAL REGULAR WAGES IS ACCEPTABLE.
I CERTIFY THAT THE INFORMATION ABOVE WAS TRANSCRIBED FROM PAYROLL RECORDS OR OTHER
DOCUMENTS WHICH ARE AVAILABLE FOR AUDIT.
CERTIFIED BY TITLE DATE
D-6
FLORIDA DIVISION OF EMERGENCY MANAGEMENT Page of
FORCE ACCOUNT EQUIPMENT SUMMARY RECORD
APPLICANT PA ID PROJECT DISASTER NUMBER
y
" i - r3oo->=L/a -3r43-F L
LOCATION/SITE CATEGORY PERIOD COV ING
fiFrom: /t ,4 To: elkoh.
DESCRIPTION OF WORK PERFORMED
TYPE OF EQUIPMENT DATES AND HOURS OR MILES USED EACH DAY COSTS
INDICATE SIZE,CAPACITY, EQUIPMENT TOTAL
HORSEPOWER,MAKE AND CODE OPERATOR'S HOURS EQUIPMENT
MODEL AS APPROPRIATE NUMBER NAME DATE /MILES RATE TOTAL COST
HOURS $ $
/MILES
HOURS $ $
o /MILES
HOURS
/MILES
HOURS $ $
/MILES
HOURS $ $ •
/MILES -
HOURS $ $
/MILES
HOURS $ $
/MILES
GRAND TOTAL: I $
I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS,INVOICES,OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
SIGNATURE TITLE DATE
•
I
Schedule of Equipment Rates
FEMA SCHEDULE OF EQUIPMENT RATES •
•
The rates on this Schedule of Equipment Rates are for equipment in good mechanical condition,
complete with all required attachments. Each rate covers costs for ownership/operation but does
not cover standby equipment costs. This schedule is abbreviated for evacuation support activities.
Cost H�1-
Code Equipment Capacity/ Size HP Assumption Unit Rate
Mileage rate when
8070 Automobile to 130 transporting people. mile $0.30
8071 Automobile, Police to 250 This is a mileage rate. mile $0.35
Vehicle in fixed position
w/engine running and/or
8072 Automobile, Police to 250 warning lights flashing. hour $8.50
8180 Bus _ to 150 hour $9.50
8181 Bus to 210 hour $14.75 _
8182 Bus to 300 hour $20.00_
8310 Generator 5 KW to 11 :hour $1.20
8311 Generator 15 KW to 30 hour $3.00
8312 Generator 40 KW to 57 ,hour $6.00
8313 Generator 65 KW to 92 hour $10.25
8314 Generator 110 KW to 160 • hour $15.50
8315 Generator 125 KW to 200 hour $22.00
8316 Generator 270 KW to 390 hour $26.50 _
8317 Generator 400 KW to 570 hour $38.00
8318 Generator 500 KW to 715 hour $56.00_
8319 Generator 750 KW to 1050 hour $75.00
8590 Trailer, Dump 18 CY hour $6.60
8591 Trailer, Dump 24 CY I hour $10.25
8600 ,Trailer, Equipment 20 Tons hour $3.20
8601 Trailer, Equipment 40 Tons hour $7.50
8602 Trailer, Equipment 50 Tons hour $8.50
8640 Trailer, Office 8 ' x 24 ' Based on a daily rate. day $10.75
8641 Trailer, Office 8 ' x 32 ' Based on a daily rate. day $12.75
8610 Trailer, Water 3000 Gal hour $10.00
8611 Trailer, Water 6000 Gal hour $12.75
8612 Trailer, Water 9000 Gal hour $14.75
8613 Trailer, Water 12000 Gal hour $16.50
8690 Truck, Fire to 200 hour $24.50
8691 Truck, Fire to 300 hour $35.00
8692 Truck, Fire to 400 hour $45.00
8700 Truck, Flatbed 6000 Lbs to 140 hour $8.75
8701 Truck, Flatbed 15000 Lbs to 210 hour $11.25
8702 Truck, Flatbed 25000 Lbs to 210 hour $13.75
8730 Truck, Garbage 25 CY to 255 hour $26.00
8731 Truck, Garbage 32 CY to 325 hour $32.00
Mileage rate transporting
people. If vehicle was for
8803 Truck, Pick up 0.50 Ton to 130 hauling use hourly rate. mile $0.30
8800 Truck, Pick-up 0.50 Ton to 130 hour $5.60
8801 Truck, Pick-up 0.75 Ton to 130 hour $6.30
8802 Truck, Pick-up 1.00 Ton to 180 hour $7.50
8790 Truck, Tractor 30000 Lbs to 210 hour $18.50
8791 Truck, Tractor 35000 Lbs to 265 hour $23.50
8792 Truck, Tractor 50000 Lbs to 310 hour $26.00
8780 Truck, Water 2000 Gal to 175 hour _ $16.00
8781 Truck, Water 3500 Gal to 250 hour $19.00
D_8 -_
FLORIDA EMERGENCY MANAGEMENT DIVISION
MATERIALS SUMMARY RECORD Page of
APPLICANT PA ID PROJECT DISASTER NUMBER
�i4 £ ' -/360 --.A'-360-
K
LOCATION/SITE CATEGORY PERIOD COVERING
From: ,/Ay To: A 6/7 9
DESCRIPTION OF WORK PERFORMED
DESCRIPTION (CHECK ONE) DATE DATE UNIT
VENDOR (Need to only enter total price for misc. TOTAL PRICE
ORDERED USED QUANT PRICE
eligible purchases on one invoice) INVOICE STOCK
$ i
0
i $
•
$ '•
$ 1
$
$
$
$
GRAND TOTAL: $
I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS,INVOICES,OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
CERTIFIED TITLE DATE
•
FLORDIA EMERGENCY MANAGEMENT DIVISION Page of
CONTRACT WORK SUMMARY RECORD
APPLICANT PA ID PROJECT DISASTER NUMBER
IJ/A 0A-6300,FL/ -343-Fe-
LOCATION/SITE CATEGORY PERIOD COV RING
From: g p Y To: Vic,1/21
DESCRIPTION OF WORK PERFORMED
•
CONTRACTOR DESCRIPTION OF CONTRACT WORK OR CONTRACT SERVICES/COMMENTS AMOUNT
$
•
$
$ .
0
0
-
$
$
$
$
$ -
•
GRAND TOTAL: $
I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS,INVOICES,OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
CERTIFIED TITLE DATE
FLORIDA EMERGENCY MANAGEMENT DIVISION Page of
RENTED EQUIPMENT SUMMARY RECORD
APPLICANT PA ID /OFPROJECT DISASTER NUMBER
LOCATION/SITE CATEGORY PERIOD CO ERING
From: qPr To: ?Ally
DESCRIPTION OF WORK PERFORMED
VENDOR TYPE OF EQUIPMENT RATE PER DATES/HOURS/WEEKS
(Size,capacity,horsepower,etc.) DAY/HOUR/WEEK OF USE TOTAL COST
w Q
$ $
$ $
$ $
0 $ $
i-�
1-'
$ {7 $
$ $
$ $
$ $
$ $
$ $
GRAND TOTAL: $
I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS,INVOICES,OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
CERTIFIED TITLE DATE
FLORDIA EMERGENCY MANAGEMENT DIVISION Page of
TRAVEL SUMMARY RECORD
APPLICANT PA ID PROJECT DISASTER NUMBER
AJA bg-(36,0-
LOCATION/SITE CATEGORY PERIOD COVERING7/L.fi
l
From: Cr To: q/,6o/qDESCRIPTION OF WORK PERFORMED I
EMPLOYEENENDER TYPE OF EXPENSE/REIMBURSEMENTS, DIRECT PAID LODGING/MEALS AMOUNT
$
$
$
T
•
$
$
$
GRAND TOTAL: $.
I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS,INVOICES,OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
CERTIFIED TITLE DATE
I
FLORIDA EMERGENCY MANAGEMENT DIVISION •
TOTAL ACTUALCOSTS SUMMARY(WORK COMPLETED TO-DATE)
PA ID �l PROJECT OJSf1STER NUMBE
' • AP LICANT [ tl/I� liurri Nine Floyd, _DK J N 7-3,n-FL..
- �t, �� QCOee eoee , r CATEGORY ,/� PERIOD C VE ING -. ;
LOCATIOi�ISITE L ,U �l /y-l(/94 ,
O -
DESCRIPTION OF WORK PERFORMED
SUPPorl— Cr c\ectaged count-i es
TOTAL CLAIMED TYPE OF EXPENSE FEMAlSTATE INSPECTOR COMMENTS ELIGIBLE COST
COSTS j
$ i
FA LABOR $
(Earned•
L�
Wages plus � l�58.�p? !
associated benefits) . $ I
FA EQUIPMENT ' $ 14 f I
•• ' ' (Equipment Rate I LI 5 Q.00 -
= Allowances for Use)
g I
MATERIALS $
x (Purchased/Stock 1, `i 5 S, 3 ! - I
% ,,- , expended items) .f. - • $ '
r'a_ r I
CONTRACTS • $ -.
'`.,' (Services for
completing Work) •- - . $
RENTALS $ j
(Equipment;etc. Si 0 7 0, po •.
•
for FA Work) - $
TRAVEL $ .
`, i (Employee Expense, • - -
paid lodging, meals) . • -
TOTAL ELIGIBLE COSTS: $
TOTAL CLAIM; $ 304 rj3(�, �o __ •
• I CERTIFY THAT THE ABOVE INFORMATION,WAS OBTAINED FROM PAYROLL RECORDS,INVOICES,OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.
TITLE ,I �i �� DATE p
1. CERT D ,. 1. .gur,�.X (,/�-i" :i.�?l /Q-a9 ..9 7 .