Item #04 Approval of FEMA Assistance to Firefighters Grant (AFG) SubmissionContact Name:
Contact Number:
AGENDA ITEM COVER SHEET
Meeting Date: February 20, 2018
Item # q
Reviewed By:
John Miller, Fire Chief Department Director:
407-905-3140
City Manager:
Subject: FEMA Assistance to Firefighters Grant (AFG) Submission
Background Summary:
The Ocoee Fire Department is seeking grant funding opportunities to supplement the cost of a
modular live fire training structure. The training structure is a critical aspect of Insurance Service Office
(ISO) Class 1 rating. The Ocoee Fire Department is seeking financial assistance from the FEMA
Assistance to Firefighters Grant (AFG) grant to pay for 90% of the cost to purchase, install, and train
personnel on the use of the modular live fire training structure. If awarded, there will be a 10% match
in funding in order to receive the grant.
Issue:
Commission approval is required to submit the FEMA Assistance to Firefighters Grant (AFG) grant
application. Once the grant is submitted the fire department will then wait to hear if the grant was
successful during the summer of 2018. If successful, the fire department would then seek approval
from the commission to accept the grant and approve funds through the 2018/2019 budget process.
Recommendations
Staff recommends the approval to submit the grant.
Attachments:
Copy of the AFG Grant Application
Financial Impact:
The proposed grant opportunity is a 90%/10% grant opportunity and the city will be responsible for
10% of the grant total. The estimated total cost of the modular live fire structure is ($300,000). Based
on the calculations provided by FEMA, the grant contribution will be 90% ($272,728) and the city will
be responsible for the remaining 10% ($27,272).
Type of Item: (please mark with an 'x')
Public Hearing
For Cleric's Dept Use:
Ordinance First Reading
_� Consent Agenda
Ordinance Second Reading
Public Hearing
Resolution
Regular Agenda
Commission Approval
Discussion & Direction
Original Document)Contract Attached for Execution by City Clerk
Original Document/Contract Held by Department for Execution
Reviewed by City Attorney
N/A
Reviewed by Finance Dept.
N/A
Reviewed by ()
N/A
2
Application Number: EMW-2017-FO-07142 Page 1 of 26
Entire Application
DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
AFG Application (General Questions and Narrative)
OMB No.: 1660-0054
Expiration Date: August, 312019
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this data collection is estimated to average 9 hours per response for FEMA Form
080-0-2 "AFG Application (General Questions and Narrative)". The burden estimate includes the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and submitting this form. This collection of information is required to obtain or retain benefits.
You are not required to respond to this collection of information unless a valid OMB control number is
displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions
for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal
Emergency Management Agency, 500 C Street, SW., Washington, DC 20472-3100, Paperwork Reduction
Project (1660-0054) NOTE: Do not send your completed form to this address.
Applicant's Acknowledgements
I certify the DUNS number in this application is our only DUNS number and we have confirmed it is active in
SAM.gov as the correct number.
*As required per 2 CFR § 25, 1 certify that prior to submission of this application I have checked the DUNS
number listed in this application against the SAM.gov website and it is valid and active at time of submission.
• I certify that the applicant organization has consulted the appropriate Notice of Funding Opportunity and that
all requested activities are programmatically allowable, technically feasible and can be completed within the
award's one (1) year Period of Performance (POP).
• I certify that the applicant organization is aware that this application period is open from 12/26/2017 to
02/02/2018 and will close at 5 PM EST; further that the applicant organization is aware that once an application
is submitted, even if the application period is still open, a submitted application cannot be changed or released
back to the applicant for modification.
• I certify that the applicant organization is aware that it is solely the applicant organization's responsibility to
ensure that all activities funded by this award(s) comply with Federal Environmental planning and Historic
Preservation (EHP) regulations, laws, and Executive Orders as applicable. The EHP Screening Form designed
to initiate and facilitate the EHP Review is available at: http.//www.fema.gov/media-library
data/1431970163011-80ce3cd907072a91295bl627c56d8fd2/gpd ehp screening form 51815 pdf
• I certify that the applicant organization is aware that the applicant organization is ultimately responsible for the
accuracy of all application information submitted. Regardless of the applicant's intent, the submission of
information that is false or misleading may result in actions by FEMA that include, but are not limited to: the
submitted application not being considered for award, an existing award being locked pending investigation, or
referral to the Office of the Inspector General.
Signed by Corey Bowles on 2017-12-28 14:16:39.0
Overview
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Application Number: EMW-2017-FO-07142
• Did you attend one of the workshops conducted by an AFG regional fire program
specialist?
No, I have not attended workshop
• Did you participate in a webinar that was conducted by AFG?
No
• Are you a member, or are you currently involved in the management, of the fire
department or nonaffiliated EMS organization or a State Fire Training Academy applying
for this grant with this application?
Yes, I am a member/officer of this applicant
Page 2 of 26
If you answered "No", please complete the information below. If you answered "Yes", please skip the Preparer
Information section.
Fields marked with an • are required.
Preparer's Name
Address 1
Address 2
City
State
93
Preparer Information
Need help for ZIP+4?
In the space below please list the person your organization has selected to be the primary point of contact for
this grant. This should be a department officer or member of the organization who will see this grant through
completion, including closeout. Reminder: if this person changes at any time during the period of performance
please update this information. Please list only phone numbers where we can get in direct contact with the
POC.
* Title
Prefix (select one)
First Name
Middle Initial
• Last Name
* Primary Phone
* Secondary Phone
Optional Phone
Fax
• Email
Contact Information
Primary Point of Contact
Lieutenant
N/A
Corey
Bowles
407-202-8189 Ext. Type cell
407-905-3140 Ext. Type work
Type
407-905-3129
cbowles@ocoee.org
FEMA Form 080-0-2
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Application Number: EMW-2017-FO-07142 Page 3 of 26
Alternate Contact Information Number 1
• Title Fire Chief
Prefix (select one) N/A
' First Name John
Middle Initial
• Last Name Miller
• Primary Phone 407-905-3140 Ext. 2001 Type work
• Secondary Phone 321-436-3216 Ext. Type cell
Optional Phone Type
Fax
Email jmiller@ocoee.org
FEMA Form 080-0-2
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Alternate Contact Information Number 2
• Title
Deputy Chief
Prefix (select one)
N/A
• First Name
Timothy
Middle Initial
• Last Name
Hoover
* Primary Phone
407-905-3140 Ext. 2002 Type work
• Secondary Phone
321-239-2556 Ext. Type cell
Optional Phone
Type
Fax
• Email
thoover@ocoee.org
FEMA Form 080-0-2
https:Heservices.fema. gov/FemaFireGrant/firegrant/j sp/fire2017/application/print_app.j sp?s... 2/5/2018
ApplicationNumber. EMW-2017-FO-07142
Applicant Information
EMW-2017-FO-07142
Originally submitted on 02/02/2018 by Corey Bowles (Userid: ocoeefd1)
Contact Information:
Address: 563 S Bluford Ave
City: Ocoee
State: Florida
Zip: 34761
Day Phone: 4079053140
Evening Phone:
Cell Phone: 4077608423
Email: cbowles@ci.ocoee.fl.us
Application number is EMW-2017-FO-07142
• Organization Name
• Type of Applicant
City of Ocoee Fire Department
Fire Department/Fire District
• Fire Department/District, Non -Affiliated EMS,
and Regional applicants, select type of Jurisdiction City
Served :
If "Other", please enter the type of Jurisdiction
SAM.gov (System For Award Management)
What is the legal name of your Entity as it appears
in SAM.gov?
Note: This information must match your SAM.gov OCOEE, CITY OF
profile if your organization is using the DUNS
number of your Jurisdiction.
Page 4 of 26
What is the legal business address of your Entity as it appears in SAM.gov?
Note: This information must match your SAM.gov profile if your organization is using the DUNS number of
your Jurisdiction.
*Mailing Address 1
Mailing Address 2
• City
• State
* Zip
150 N. Lakeshore Dr
Ocoee
Florida
34761-2258
Need help for ZIP+4?
• Emoloyer Identification Number (e.g. 12-3456789)
Note: This information must match your SAM.gov 59-6019764
profile.
. Is your organization using the DUNS number of Yes
your Jurisdiction?
I certify that my organization is authorized to use the [i
DUNS number of my Jurisdiction provided in this
application (Required if you selected Yes above)
102072191
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Application Number: EMW-2017-FO-07142
* What is your 9 digit DUNS number?
(call 1-866-705-5711 to get a DUNS number)
If you were issued a 4 digit number (DUNS plus 4)
by your Jurisdiction in addition to your 9 digit number
please enter it here.
Note: This is only required if you are using your
Jurisdiction's DUNS number and have a separate
bank account from your Jurisdiction. Leave the field
blank if you are using your Jurisdiction's bank
account or have your own DUNS number and bank
account separate from your Jurisdiction.
* Is your DUNS Number registered in SAM.gov
(System for Award Management previously
CCR.gov)?
* I certify that my organization/entity is registered
and active at SAM,gov and registration will be
renewed annually in compliance with Federal
regulations. I acknowledge that the information
submitted in this application is accurate, current and
consistent with my organization's/entity's SAM.gov
record.
Headquarters or Main Station Physical Address
* Physical Address 1
Physical Address 2
• City
* State
* Zip
Mailing Address
* Mailing Address 1
Mailing Address 2
* City
* State
* Zip
Bank Account Information
* The bank account being used is: (Please select one
from the right)
Yes
Irl
563 S Bluford Ave
Ocoee
Florida
34761 -2258
Need help for ZIP+4?
150 N Lakeshore Dr
Ocoee
Florida
34761 -2258
Need help for ZIP+4?
Maintained by my Jurisdiction
Note: The following banking information must match your SAM.gov profile.
* Type of bank account
Checking
* Bank routing number - 2 -dig number on the bottom 061000104
left hand corner of your check
* Your account number
Additional Information
0468468800227
Page 5 of 26
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Application Number: EMW-2017-FO-07142 Page 6 of 26
* For this fiscal year (Federal) is your organization No
receiving Federal funding from any other grant
program that may duplicate the purpose and/or
scope of this grant request?
* Is the applicant delinquent on any Federal debt? No
If you answered yes to any of the additional questions above, please provide an explanation in the space
provided below:
FEMA Form 080-0-2
Fire Department/Fire District Department Characteristics (Part 1)
* Is this application being submitted on behalf of a Federal Fire
Department or organization contracted by the Federal No
government which is solely responsible for the suppression of
fires on Federal property?
*What kind of organization do you represent? All Paid/Career
If you answered "Combination", above, how many career
members in your organization? (whole numbers only)
If you answered "Volunteer" or "Combination" or "Paid on-call",
how many of your volunteer Firefighters are paid members
from another career department? (whole numbers only)
* What type of community does your organization serve? Suburban
* Is your Organization considered a Metro Department? (Over No
350 paid career Firefighters)
*What is the square mileage of your first -due response area? 15
(whole number only)
*What percentage of your response area is protected by 90
hydrants? (whole number only)
* In what county/parish is your organization physically located?
If you have more than one station, in what county/parish is Orange
your main station located?
* Does your organization protect critical infrastructure? Yes
If "Yes", please describe the critical infrastructure protected below:
The City of Ocoee is geographically located in a unique position in the state where five major roadways
interchange within the city limits. This includes Florida's Turnpike, State Road 50, State Road 408, the East-
West Expressway, and State Road 429. These roadways serve as a major transportation route for all of the
State of Florida. While not in the city limits, major notable organizations like Lockheed Martin utilize these
roadways from their Orlando location when transporting material to north Florida and between States. In
addition the railroad utilizes tracks that run throughout the City of Ocoee to reach a fertilizer production and
chemical storage plants. In the last two years the Ocoee Fire Department has also provided automatic aid to
the neighboring agency in response to large-scale, multiple alarm fires at their fertilizer plants involving
hazardous materials.
*What percentage of your primary response area is for 52
agriculture, wildland, open space, or undeveloped properties?
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Application Number: EMW-2017-FO-07142
• What percentage of your primary response area is for 14%
commercial and industrial purposes?
What percentage of your primary response area is used for 34%
residential purposes?
• What is the permanent resident population of your
Primary/First-Due Response Area or jurisdiction served? 44820
(whole numbers only)
Do you have a seasonal increase in population? No
If "Yes" what is your seasonal increase in population?
• How many active firefighters does your department have who
62
perform firefighting duties? (whole numbers only)
• How many members in your department/organization are
trained to the level of EMR or EMT, Advanced EMT or
62
Paramedic? (whole numbers only)
Does your department have a Community Paramedic
No
program?
How many personnel are trained to the Community Paramedic
level? (whole numbers only)
• How many stations are operated by your organization?
4
(whole numbers only)
Is your department compliant to your local Emergency
Management standard for the National Incident Management
Yes
System (NIMS)?
Do you currently report to the National Fire Incident
Reporting System (NFIRS)?
Note: You will be required to report to NFIRS for the entire
Yes
period of the grant. AFG does not require NFIRS reporting for
nonaffiliated EMS Organizations and State Fire Training
Academy.
If you answered "Yes" above, please enter your FDIN/FDID
4819
• How many of your active firefighters are trained to the level of
62
Firefighter I (or equivalent)? (whole numbers only)
* How many of your active firefighters are trained to the level of
Firefighter II (or equivalent)? (whole numbers only, include all
62
personnel who have attained Firefighter 1)
Are you requesting training funds in this application to bring
No
100% of your firefighters into compliance with NFPA 1001?
Page 7 of 26
If you indicated that less than 100% of your firefighters are trained to the Firefighter II level and you are not
asking for training funds to bring everyone to the Firefighter II level in this application, please describe in the
box below your training program and your plans to bring your membership up to Firefighter II.
* What services does your organization provide?
Advanced Life Support
Haz-Mat Operational Level
Rescue Operational Level
Basic Life Support Structural Fire Suppression
Wildland Fire Suppression
• Please describe your organization and/or community that you serve.
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Application Number: EMW-2017-FO-07142
Page 8 of 26
The City of Ocoee is a municipal corporation of the State of Florida operating under a commission/manager
form of government. The City commission, comprised of the Mayor and four commissioners, is the governing
body. The City Manager is appointed by the commission and is responsible for implementing polices adopted
by the commission and managing daily operations of the city government. Located in Central Florida,
approximately 2 miles west of Orlando, the City of Ocoee encompasses approximately 15 square miles.
Ocoee is the home to approximately 44,000 residents. The City of Ocoee population has increased by 22% in
the last ten years and trends indicate that there will be a continued growth in population. The demographic
breakdown of the city includes 53.6% Caucasians, 17.5% Black or African American, 20.8% Hispanics or
Latino, and 8.1% other. In addition to its proximity to Orlando and many tourist attractions, including Disney
World, Universal Studios, and SeaWorld, Ocoee is also conveniently located near other major employers
such as Lockheed Martin and Sysco. Ocoee offers numerous recreational opportunities and excellent schools
including six elementary schools, a middle school, a high school, and two charter schools. Ocoee Fire
Department operates with (62) career firefighters based out of (4) stations. Of the (62) firefighter, (15)
currently have less then (6) months on the job. The new firefighters were added January 2018 to provide
manpower to a new engine company put into service to cover the growth and development in the northwest
district of the city jurisdiction. Ocoee FD engines are staffed with (4) firefighters and the rescue is staffed with
(2) firefighters. A fully staffed shift consists of (19) firefighters and minimum staffing is set at (16) firefighters.
The administrative staff including a Fire Chief, Deputy Chief, (2) Fire Inspectors, an EMS/Training Officer, and
(2) administrative assistants. Of the (4) fire stations, (3) are permanent stations and the fourth is a temporary
station established in 2012 to cover the growth and development. The current setup has an engine company
housed in a strip mall occupancy next to a grocery store and the engine apparatus is housed in a temporary
building near the rear loading docks for the grocery store. The organization's strategic plan includes the
addition of a permanent fire station to replace the current temporary station. The City of Ocoee has the new
station listed as a capital improvement project for 2018/2019. The Ocoee FD frontline emergency vehicle fleet
consist of (4) Advanced Life Support Engines, (1) transport capable Advanced Life Support (ALS) Rescue, (1)
Marine Rescue Boat, (1) Brush Truck, (1) Tanker, and (1) Battalion Chief vehicle. The organization has (1)
Engine and (2) Transport Rescue in reserve status. The marine rescue, brush truck, and tanker are all
unstaffed units until operationally needed. In 2017, the Ocoee Fire Department responded to 2,065 fire/rescue
emergencies and 5,331 emergency medical calls. Currently the organization utilizes a third -party ambulance
service to provide the emergency transport services.
Fire Department Characteristics (Part II)
* What is the total number of fire -related civilian
fatalities in your jurisdiction over the last three
calendar years?
*What is the total number of fire -related civilian
injuries in your jurisdiction over the last three
calendar years?
* What is the total number of line of duty member
fatalities in your jurisdiction over the last three
calendar years?
*What is the total number of line of duty member
injuries in your jurisdiction over the last three
calendar years?
*Over the last three years, what was your
organization's operating budget?
FEMA Form 080-0-2
2016 2015 2014
0 0 0
0 3 3
0 0 0
4 7 8
7191827
6146770
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Application Number: EMW-2017-FO-07142
. How much of your TOTAL budget is dedicated to
personnel costs (salary, overtime and fringe
benefits)?
Does your department have any rainy day reserves, Yes
emergency funds, or capital outlay?
If Yes, what is the total amount currently set aside? 626756
If Yes, describe the planned purpose of this fund
• What percentage of your annual operating budget
is derived from:
Enter numbers only, percentages must sum up to
100%
Page 9 of 26
Capital expansion needs, renewals/replacements, and
contingencies.
2016 2015 2014
Taxes?
63%
100 %
100 %
Bond Issues?
0%
0 %
0%
EMS Billing?
0%
0 %�
0%
Grants?
0%
0%
0%
Donations?
0 %
0 %
0%
Fund drives?
6%
6%__]1
6%
Fee for Service?
37 %
0 %
0 %
"Applicants should describe their financial need and how consistent it is with the intent of the AFG Program.
This statement should include details describing the applicant's financial distress, including summarizing
budget constraints, unsuccessful attempts to obtain vehicle and outside funding, and proving the trouble is out
of their control.
The fiscal operating year for the City is October 1st through September 30th. The City Manager submits an
annual budget to the city commission by the first day of August for the ensuing year. Public hearings are held
as required by the Truth in Millage Act (TRIM) prior to adoption of the millage rate and budget by the
commission. Budgetary control over expenditures is at the department level. Commission approval is required
to adjust the bottom line of a department.
The Ocoee Fire Department operates with an overall operating budget of $7,442,317, with 81 % of the budget
dedicated to personnel cost. Included in the overall operating budget, is a training budget of $40,000. The
training budget is designated for advanced training courses, props, and supplies. As part of the 2017
Assistance to Firefighters Grant process the Ocoee Fire Department is request $300,000 in financial
resources to purchase a modular live fire training structure.
The Ocoee Fire Department is currently in the planning process to construct its fourth fire station. Included in
this plan is the appropriate land and infrastructure for the modular training structure but the Ocoee Fire
Department is still in need of the funds required for the prop itself. The need for this modular training structure
could not have come at a more critical time. During the last year the Ocoee Fire Department experienced its
first two fire -related civilian fatalities. The agency has increased in size by 25% with over (15) firefighters
having under a years worth of experience. The City of Ocoee does not currently have the funds to acquire this
modular training structure without grant funding assistance. The modular training structure will have a direct
and positive effect on the civilians and firefighters in the City of Ocoee.
* How many vehicles does your organization have in each type or class of vehicle listed below? You must
include vehicles that are leased or on long-term loan as well as any vehicles that have been ordered or
otherwise currently under contract for purchase or lease by your organization but not yet in your
possession. ( Enter numbers only and enter 0 if you do not have any of the vehicles below. )
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Type or Class of Vehicle
Number of
Number of
Number
Front Line
Reserve
of Seated
Apparatus
Apparatus
Riding
Positions
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Page 10 of 26
Engines or Pumpers (pumping capacity of 750 gpm
145
122
108
or greater and water capacity of 300 gallons or
60
29
28
more):
4
1
16
Pumper, Pumper/Tanker, Rescue/Pumper, Foam Pumper,
CAFS Pumper, Type I or Type II Engine Urban Interface
3984
4052
3515
Ambulances for transport and/or emergency
response:
1
2
6
Tankers or Tenders (pumping capacity of less than
208
193
230
750 gallons per minute (gpm) and water capacity of
1
0
2
1,000 gallons or more):
390
319
322
Aerial Apparatus:
Aerial Ladder Truck, Telescoping, Articulating, Ladder Towers,
0
0
0
Platform, Tiller Ladder Truck, Quint
2
4
9
Brush/Quick attack (pumping capacity of less than
750 gpm and water carrying capacity of at least
300 gallons):
1
0
2
Brush Truck, Patrol Unit (Pickup w/ Skid Unit), Quick Attack
Unit, Mini -Pumper, Type III Engine, Type IV Engine, Type V
Engine, Type VI Engine, Type VII Engine
Rescue Vehicles:
Rescue Squad, Rescue (Light, Medium, Heavy), Technical
0
0
0
Rescue Vehicle, Hazardous Materials Unit
Additional Vehicles.-
ehicles:EMS
EMSChase Vehicle, Air/Light Unit, Rehab Units, Bomb Unit,
Technical Support (Command, Operational Support/Supply),
1
1
2
Hose Tender, Salvage Truck, ARFF (Aircraft Rescue
Firefighting), Command/Mobile Communications Vehicle
FEMA Form 080-0-2
Fire Department Call Volume
2016 2015 2014
Summary of responses per year by category (Enter
whole number only. If you have no calls for any of the categories,
Enter 0)
Fire - NFIRS Series 100
145
122
108
verpressure Rupture, Explosion, Overheat (No
60
29
28
Fire) - NFIRS Series 200
3
4
1
Rescue & Emergency Medical Service Incident -
NFIRS Series 300
3984
4052
3515
Hazardous Condition No Fire - NFIRS Series 400
82
89
91
ervice Call - NFIRS Series 500
208
193
230
ood Intent Call - NFIRS Series 600
1068
874
943
False Alarm & False Call - NFIRS Series 700
390
319
322
evere Weather & Natural Disaster - NFIRS Series
00
3
3
9
[Special Incident Type - NFIRS Series 900
2
4
9
FIRES
" How many responses per year by category? (Enter whole number only. If you have no calls for any of the categories, Enter
0)
PT -the NFIRS Series 100 calls, how many are
Structure Fire" NFIRS Codes 111-120
60
29
28
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Page 11 of 26
Of the NFIRS Series 100 calls, how many are
28
1 21
17
'Vehicle Fire" NFIRS Codes 130-138
5
5
2
Df the NFIRS Series 100 calls, how many are
19
15
9
'Vegetation Fire" NFIRS Codes 140-143
756
715
633
hat is the total acreage of all vegetation fires?
22
50
27
RESCUE AND EMERGENCY MEDICAL SERVICE INCIDENTS
* How many responses per year by category? (Enter whole number only. If you have no calls for any of the categories, Enter
0)
Df the NFIRS Series 300 calls, how many are "Motor
Vehicle Accidents" NFIRS Codes 322-324
337
340
293
Df the NFIRS Series 300 calls, how many are
'Extrications from Vehicles" NFIRS Code 352
5
5
2
Df the NFIRS Series 300 calls, how many are
"Rescues" NFIRS Codes 300, 351, 353-381
11
6
5
How many EMS -BLS Response Calls
756
715
633
How many EMS -ALS Response Calls
1578
2020
1864
How many EMS -BLS Scheduled Transports
0
0
0
How many EMS -ALS Scheduled Transports
0
0
0
How many Community Paramedic Response Calls
0
0
0
MUTUAL AND AUTOMATIC AID
* How many responses per year by category? (Enter whole number only. If you have no calls for any of the categories, Enter
0)
How many times did your organization receive
55
73
73
Mutual Aid?
How many times did your organization receive
133
150
147
Automatic Aid?
How many times did your organization provide
Mutual Aid?
87
81
80
How many times did your organization provide
692
637
611
Automatic Aid?
Of the Mutual and Automatic Aid responses, how
23
24
49
imany were structure fires?
FEMA Form 080-0-2
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Request Information
1. Select a program for which you are applying. If you are interested in applying under both Vehicle
Acquisition and Operations and Safety, and/or regional application you will need to submit separate
applications..
Program Name
Operations and Safety
2. Will this grant benefit more than one organization?
Yes
If you answered "Yes" to Question 2, please explain how this request benefits other organizations below:
While this grant is not officially being submitted as a regional grant, the successful acquisition of the funds to
building the modular training facility will positively impact at least four fire service agencies including the
Ocoee Fire Department, Winter Garden Fire Rescue, Apopka Fire Department, and Orange County Fire
Rescue Department. The modular training facility will be readily available to approximately 500 firefighters
from the four agencies. Three of the four agencies are currently recognized as by the Insurance Service
Office as Class 1 departments. This comes with training requirements including multi -company drills, (18)
hours of live fire "facilities" training, and (4) hours a month of company level fire ground operations training
for each personnel. Valencia College is actively working towards moving the training facility to a new
location (20) miles making it impossible for these agencies to travel that distance for training and still meet
operational needs.
* 3. Is your department facing a new risk, expanding service to Yes
new area, or experiencing an increased call volume?
If you answered "Yes" to Question 3., please explain how your department is facing a new risk, expanding
service to new area, or experiencing an increased call volume
In the Ocoee Fire Departments 2017-2021 strategic plan specific goals and objectives were established to
manage the growth and development that the City of Ocoee is experiencing. To validate the data a thorough
review of the last (4) years of response data was collected. based on the NIFRS data from years 2014-2016
the Ocoee Fire Department experienced an average of 5% increase in calls for service annually. From 2016-
2018 the calls for service have increased by 19%. This noticeable jump in calls for service is a result in of
increase growth in infrastructure, commercial, and residential. Based on the 2017 community risk assessment
it was identified that there were numerous multimillion dollar construction project that would impact the Ocoee
Fire Department operations. Surrounding historic downtown Ocoee there is a $50 million dollar improvement
project ongoing which will continue to draw commercial business to the region. IN the last two years alone (2)
new assisted living facilities, (2) new schools, and (3) new multi -story apartment complexes, and a residential
neighborhoods of 1,200 new homes have all been built with the City of Ocoee. As part of the community risk
assessment gaps in service areas were identified and starting January 2018 (12) firefighters and a new
engine company was added to provide fire suppression and medical services to the northwest region of the
city.
In the next 12 months the Ocoee Fire Department also plans to transition from a third -party ambulance
service to a fire -based transport service provided by the Ocoee Fire Department. In order for this to occur the
agency must hire an additional (7) and add an additional transport capable rescue to the deployment model.
According to the 2017-2021 strategic plan this is to take full effect in October 2018.
Traditionally the City of Ocoee has been a suburban "bedroom" community with mainly residential homes.
The make up of the city is rapidly changing to accommodate more commercial and high rise growth. The
addition of (4) new multi -story apartment complexes and a new City Center project. The City Center
development principles are based on 6New Urbanism6 planning concepts, which emphasizes human -scale
communities in which a livable, traditional -style downtown core is designed to foster an improved quality of life
for residents of all ages. Bringing this principle to life includes a mix of urban housing, civic uses,
office/commercial buildings all within the city center. Planning includes approximately 500 condominium
homes, a convention center, hotel, recreational trails and more than half a million square feet of retail and
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commercial space. With this additional growth there will be the anticipated increase in calls for service but
also a new risk that the agency has limited experience with. The 2017-2021 strategic plan identifies on of the
goals to include the addition of (12-15) personnel and a truck company. Project timeframe for this is set for
October 2019.
In order to be prepared to for this growth and development, the Ocoee Fire Department must adapt to the
changing environment. In order to do that critical training infrastructure must be in place which mimics the
changing environment. The modular training facility prop identified in this grant proposal would provide a
platform to instructors to develop realistic scenarios that firefighters will encounter and provide critical
lifesaving training.
4. Enter grant -writing fee associated with the preparation of this request. Enter 0 if there is no fee.
$0
15. Are you requesting a Micro Grant?
A Micro Grant is limited to $25,000 Federal share. Modification No
to Facilities activity is ineligible for Micro Grants.
Request Details
DEPARTMENT OF HOMELAND SECURITY
FEMA Form 080-0-2
Federal Emergency Management Agency
Activity Specific Questions for AFG Operations and Safety Applications
OMB No.: 1660-0054
Expiration Date: August, 312019
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this data collection is estimated to average 4.6 hours per response for FEMA Form
080-0-2b "Activity Specific Questions for AFG Operations and Safety Applications". The burden estimate
includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and submitting this form. This collection of information is required to obtain or
retain benefits. You are not required to respond to this collection of information unless a valid OMB control
number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any
suggestions for reducing the burden to: Information Collections Management, Department of Homeland
Security, Federal Emergency Management Agency, 500 C Street, SW., Washington, DC 20472-3100,
Paperwork Reduction Project (1660-0054) NOTE: Do not send your completed form to this address.
The activities for program Operations and Safety are listed in the table below.
Activity
Equipment
Modify Facilities
Personal Protective Equipment
Training
Wellness and Fitness Programs
Number of Entries
Grant -writing fee associated with the preparation of this request.
Total Cost Additional Funding
$ 300,000
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
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Equipment
Equipment Details
1. What equipment will your organization purchase with this grant? Props
* Please provide a detailed description of the item selected above.
2. Number of units: (whole number only)
3. Cost per unit: (whole dollar amounts only; this amount should reflect any
volume discounts, rebates, etc.)
Page 14 of 26
The request prop is a modular training
facility. Feature of the prop include a
burn room, temperature monitoring
systems, SCBA maze, wall breach
props, stairwells, repelling tower with
OSHA compliant rails,
sprinkler/standpipe system prop, forcible
entry props, and roof vent props.
$ 300000
4. Generally the equipment purchased under this grant program will:
Increase supply for minimum service requirement due to community growth
5. Will the equipment being requested bring the organization into Yes
voluntary compliance with a national standard, e.g. compliance with
NFPA, OSHA, etc?
In your Narrative Statement, please explain how this equipment will
bring the organization into voluntary compliance.
6. Is your department trained in the proper use of the equipment Yes
being requested?
7. Are you requesting funding to be trained for these item(s)? No
(Funding for requested training should be requested in the
Equipment Additional Funding section).(Under the Action column
select Update Additional Funding)
8. If you are not requesting training funds through this application, Yes
will you obtain training for this equipment through other sources?
FEMA Form 080-0-2b
Firefighting Equipment - Narrative
* Section # 1 Project Description: In the space provided below, include clear and concise details regarding
your organization's project's description and budget. This includes providing local statistics to justify the needs
of your department and a detailed plan for how your department will implement the proposed project. Further,
please describe what you are requesting funding for, including budget descriptions of the major budget items,
i.e., personnel, equipment, contracts, etc. *4000 characters
The Ocoee Fire Department is currently a participating member of the Central Florida Training Consortium.
The consortium consist of ten fire service agencies from the Central Florida region. Participation in the
consortium cost the agency $100 per firefighter annually. Consortium benefits include the use of Valencia
College's Public Safety training facilities. The facilities include a three-story LP/class A burn building, a four
story training tower, apparatus bay, driving course, and various other small training props. In recent years the
facilities have been increasingly out of service for training due to maintenance, safety, and NFPA 1402
compliance concerns. Valencia College has had to supplement the training facilities with free standing connex
boxes/shipping containers for agencies to complete live fire training due to the facility maintenance issues.
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While there was a time that the training facilities were state of the art, the props are now over two decades old
and have reached the point that Valencia is planning to move and replace the entire training facility to a site
20 miles away from the City of Ocoee. Currently there is no training facility closer than the facilities provided
by Valencia College. Failure to acquire the necessary funds for the modular training facility will require the
agency to continue traveling the extended distance to reach a NFPA compliant and safe training facility. The
extended distance does not allow for multiple units from the agency to attend training simultaneously since it
would deplete the city of the necessary units for emergency operational needs.
The Ocoee Fire Department is requesting $300,000 in grant assistance to purchase a modular training facility.
The modular training facility will be located in the City of Ocoee and will service the Ocoee Fire Department
and surrounding agencies in west Orange County. The modular training facility will be two stories tall, have
LP/Class A burn capabilities compliant with NFPA 1402, and provide a facility for NFPA 1001 proficiency
training. The proposed location of the modular training facility will be at the site of the City of Ocoee's new fire
station 38 set to start construction during the 2018/2019 fiscal year. The site was selected because of the (15)
acres which can be utilized for a full training area. If the agency is successful in receiving the grant funding for
the modular training facility, the proposed location will be in compliance with the Insurance Service Office
(ISO) requirements for "facilities" training. The agency recently received its "Class 1" designation from the
ISO. The modular training facility will serve a critical role in the agency's ability to maintain the highest level of
public safety to the community.
The ISO "Class 1" classification require that each firefighter within the agency complete (18) of facilities "live
fire" training annually and (4) hours of fire -related company level training month. The agency currently has
(12) NFPA 1403 live fire instructors recognized by the State of Florida Fire Marshal's Office. The acquisition of
the modular training facility located in the city's jurisdiction will allow for the training department to conduct
multi -company drills with multiple Ocoee Fire Department units. This has historically been impossible due to
the distance between the Valencia Training Facility and the City of Ocoee's jurisdiction.
An addition aspect to this project is the proficiency of the current firefighter. The agency has recently
completed its first accreditation process through the Center of Public Safety for Excellence (CPSE). One of
the recommendations provided by the peer assessment team who reviewed the agency practices was the
addition of validated NFPA 1001 proficiency training and testing annually of current personnel.
* Section # 2 Cost/Benefit: In the space provided below please explain, as clearly as possible, what will be the
benefits your department or your community will realize if the project described is funded (i.e. anticipated
savings and/or efficiencies)? Is there a high benefit for the cost incurred? Are the costs reasonable? Provide
justification for the budget items relating to the cost of the requested items. *4000 characters
The Ocoee Fire Department has an annual budget of approximately $40,000 to include specialized firefighter
training classes and the cost of training supplies. The agency now has (62) uniformed firefighters that utilize
that funding. (15) of the (62) firefighters was been hired within the last three months to fill positions vacated
through attrition and added positions to put a new engine company into service. The City of Ocoee is
experiencing tremendous growth and development. As part of the agency's 2017-2021 strategic plan will be
adding an additional (7) personnel in October 2018 and another (12-15) personnel in October 2019 for the
addition of a truck company to match the public safety needs of the community. While the growth is exciting it
raises concern that the close to half of the agency will have less than two years of experience when the full
expansion occurs. Currently every apparatus on every shift has at least one probationary firefighter. As a
result, there is an added necessity for company officers to provide training in addition to the regularly
scheduled agency training. Currently there is no facility within the jurisdiction designed to provide the training
division and company officers the ability to conduct company -level training including firefighter survival, vent,
search, hose line management, forcible entry, and other fire service related training. The modular training
facility will increase the amount of training time company officer could have with thier personnel while still
remaining within the city jurisdiction and available to be immediately recalled in case of emergency.
Each class of newly hired firefighters must spend a number of weeks in orientation depending on the class
size. Majority of the orientation period is spent at the Valencia College training facilities since there is not
adequate training facilities located in the City of Ocoee or even west Orange County. The acquisition of the
modular training facility will provide the Ocoee Fire Department with the ability to conduct majority of the new
hire orientation and probationary evaluation training within the city's jurisdiction. This would provide the ability
to introduce on duty engine companies to participate in the new hire training process throughout the
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orientation period without negatively affecting the day to day operational requirements because the units can
be recalled to service on a relatively short notice.
* Section # 3 Statement of Effect: How would this award impact the daily operations of your department? How
would this award impact your department's ability to protect lives and property in your community? *4000
characters
In 2017, the Ocoee Fire Department completed a five-year strategic plan, a self-assessment, and a
community risk assessment as part of the accreditation process for the Center of Public Safety for Excellence
(CPSE). During this process a thorough analysis of the agency's deployment methodology and response
times including baseline/benchmark data was analyzed. One of the notable areas of improvement for the
agency was unit reliability to response to calls within its first due. The availability of units to respond to
emergency calls for service within it's first due response area was at 82%. A major contributing factor which
reduced unit availability was time spent out of service for training. The current Valencia College training facility
is (13) miles as a crow flies from the City of Ocoee and take approximately (40) minutes in travel time for an
engine to arrive due. This result in each unit spending approximately (80) minutes in just travel to and from the
training facilities. multiple this by the (4) engines company's (1), rescue company, and (1) Battalion Chief and
you have 8 hours out of service just in travel time to get all units through a single training scenario at the
current Valencia College training facility. With plans in place and moving forward rapidly to move the new
Valencia training facility (7) miles further than its current location, it will be impossible for the agency to
maintain both emergency operational needs and the training requirements recommended by the NFPA and
the Insurance Service Office in order to maintain the "Class 1" designation.
Noting that the agency's unit availability is currently 82%, a benchmark has been established to improve this
statistical data to 90% based on the 90th percentile. If successful in acquiring the funds needed to purchase
the modular training facility, the agency expects to strategically position the prop so that units from the City of
Ocoee and the surrounding jurisdictions can utilize the facility and still be able to be recalled to service on
short notice to provide protection to the citizens and visitors to West Orange County and the municipalities. As
a result of the increased unit availability the agency has also established a number of benchmarks to improve
on response time baselines in hazardous materials, technical rescue, fire suppression, and emergency
medical services.
The grant funded provided through this opportunity will have a major trickle-down effect on many aspects of
the Ocoee Fire Departments ability to provide the highest level of public safety service. On the surface the
modular training facility will provide a geographically beneficial training location for all West Orange County
fire service agencies. The next layer of benefits will directly benefit the quality of critical lifesaving training
provided to an agency with a high percentage of firefighters with less than two years of experience. Finally,
the modular training facility located in the City of Ocoee will service as a major catalyst in improving unit
availability and ultimately produce a positive effect on response times of the Ocoee Fire Department
approximate 7,000 calls for service.
FEMA Form 080-0-2b
Budget
Budget Object Class
a. Personnel $ 0
b. Fringe Benefits $ 0
c. Travel $ 0
d. Equipment $ 300,000
e. Supplies $ 0
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f. Contractual $ 0
g. Construction $ 0
h. Other $ 0
i. Indirect Charges $ 0
j. State Taxes $ 0
Federal and Applicant Share
Federal Share $ 272,728
Applicant Share $ 27,272
Applicant Share of Award (%) 10
" Non -Federal Resources (The combined Non -Federal Resources must equal the Applicant Share of $ 27,272)
a. Applicant
$ 27,272
b. State
$0
c. Local
$0
d. Other Sources
$0
If you entered a value in Other Sources other than zero (0), include your explanation below. You can use this
space to provide information on the project, cost share match, or if you have an indirect cost agreement with a
federal agency.
Total Budget $ 300,000
FEMA Form 080-0-2b
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Narrative Statement
For 2011 and on, the Narrative section of the AFG application has been modified. You will enter
individual narratives for the Project Description, Cost -Benefit, Statement of Effect, and Additional
Information in the Request Details section for each Activity for which you are requesting funds. Please
return to the Request Details section for further instructions. You will address the Financial Need in
Applicant Characteristics II section of the application. We recommend that you type each response in a
Word Document outside of the grant application and then copy and paste it into the spaces provided
within the application.
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Assurances and Certifications
FEMA Form SF 424B
Page 19 of 26
You must read and sign these assurances. These documents contain the Federal requirements
attached to all Federal grants including the right of the Federal government to review the grant activity.
You should read over the documents to become aware of the requirements. The Assurances and
Certifications must be read, signed, and submitted as a part of the application.
Note: Fields marked with an * are required.
O.M.B Control Number 4040-0007
Assurances Non -Construction Programs
Note: Certain of these assurances may not be applicable to your project or program. If you have any
questions, please contact the awarding agency. Further, certain Federal awarding agencies may require
applicants to certify to additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal assistance and the institutional, managerial
and financial capability (including funds sufficient to pay the non -Federal share of project
costs) to ensure proper planning, management and completion of the project described in
this application.
2. Will give the awarding agency, the Comptroller General of the United States, and if
appropriate, the State, through any authorized representative, access to and the right to
examine all records, books, papers, or documents related to the award; and will establish
a proper accounting system in accordance with generally accepted accounting standards
or agency directives.
3. Will establish safeguards to prohibit employees from using their positions for a purpose
that constitutes or presents the appearance of personal or organizational conflict of
interest, or personal gain.
4. Will initiate and complete the work within the applicable time frame after receipt of
approval of the awarding agency.
5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. Section 4728-
4763) relating to prescribed standards for merit systems for programs funded under one of
the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a
Merit System of Personnel Administration (5 C.F.R. 900, Subpart F).
6. Will comply with all Federal statutes relating to nondiscrimination. These include but are
not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits
discrimination on the basis of race, color or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. Sections 1681-1683, and 1685-1686),
which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act
of 1973, as amended (29 U.S.C. Section 794), which prohibits discrimination on the basis
of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. Sections
6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office
and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the
basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the
Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee-3), as amended,
relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil
Rights Acts of 1968 (42 U.S.C. Section 3601 et seq.), as amended, relating to
nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination
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provisions in the specific statute(s) under which application for Federal assistance is being
made; and 0) the requirements of any other nondiscrimination statute(s) which may apply
to the application.
7. Will comply, or has already complied, with the requirements of Title II and III of the Uniform
Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646)
which provide for fair and equitable treatment of persons displaced or whose property is
acquired as a result of Federal or federally -assisted programs. These requirements apply
to all interest in real property acquired for project purposes regardless of Federal
participation in purchases.
8. Will comply, as applicable, 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.
9. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. §§276a
to 276a-7), the Copeland Act (40 U.S.C. §276c 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 subagreements.
10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of
the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a
special flood hazard area to participate in the program and to purchase flood insurance if
the total cost of insurable construction and acquisition is $10,000 or more.
11. Will comply with environmental standards which may be prescribed pursuant to the
following: (a) institution of environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b)
notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant
to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988;
(e) assurance of project consistency with the approved State management program
developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 et seq.);
(f) conformity of Federal actions to State (Clean Air) Implementation Plans under Section
176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection
of underground sources of drinking water under the Safe Drinking Water Act of 1974, as
amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered
Species Act of 1973, as amended (P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Section 1271 et seq.)
related to protecting components or potential components of the national wild and scenic
rivers system.
13. Will assist the awarding agency in assuring compliance with Section 106 of the National
Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification
and protection of historic properties), and the Archaeological and Historic Preservation Act
of 1974 (16 U.S.C. 469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in
research, development, and related activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7
U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded
animals held for research, teaching, or other activities supported by this award of
assistance.
16. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. Section 4801
et seq.) which prohibits the use of lead based paint in construction or rehabilitation of
residence structures.
17. Will cause to be performed the required financial and compliance audits in accordance
with the Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of
States, Local Governments, and Non -Profit Organizations."
18. Will comply with all applicable requirements of all other Federal laws, executive orders,
regulations and policies governing this program.
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Signed by Corey Bowles on 02/01/2018
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Form 20-16G
You must read and sign these assurances.
Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters and
Drug -Free Workplace Requirements.
Note: Fields marked with an * are required.
O.M.B Control Number 1660-0025
Applicants should refer to the regulations cited below to determine the certification to which they are required
to attest. Applicants should also review the instructions for certification included in the regulations before
completing this form. Signature on this form provides for compliance with certification requirements under 44
CFR Part 18, "New Restrictions on Lobbying; and 44 CFR Part 17, "Government -wide Debarment and
Suspension (Non -procurement) and Government -wide Requirements for Drug -Free Workplace (Grants)." The
certifications shall be treated as a material representation of fact upon which reliance will be placed when the
Department of Homeland Security (DHS) determines to award the covered transaction, grant, or cooperative
agreement.
1. Lobbying
A. As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons
(entering) into a grant or cooperative agreement over $100,000, as defined at 44CFR Part 18, the applicant
certifies that:
(a) No Federal appropriated funds have been paid or will be paid by or on behalf of the
undersigned to any person for influencing or attempting to influence an officer or employee of
any agency, a Member of Congress, an officer or employee of congress, or an employee of a
Member of Congress in connection with the making of any Federal grant, the entering into of
any cooperative agreement and extension, continuation, renewal amendment or modification of
any Federal grant or cooperative agreement.
(b) If any other funds than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of congress, or an employee of a Member of
Congress in connection with this Federal grant or cooperative agreement, the undersigned shall
complete and submit Standard Form LLL, "Disclosure of Lobbying Activities", in accordance with
its instructions.
(c) The undersigned shall require that the language of this certification be included in the award
documents for all the sub awards at all tiers (including sub grants, contracts under grants and
cooperative agreements and sub contract(s)) and that all sub recipients shall certify and
disclose accordingly.
2. Debarment, Suspension and Other Responsibility Matters (Direct Recipient)
A. As required by Executive Order 12549, Debarment and Suspension, and implemented at 44CFR Part 67,
for prospective participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17.510-A,
the applicant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible,
sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded
from covered transactions by any Federal department or agency.
(b) Have not within a three-year period preceding this application been convicted of or had a
civilian judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain or perform a public (Federal, State, or local)
transaction or contract under a public transaction; violation of Federal or State antitrust statutes
or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records,
making false statements, or receiving stolen property.
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(c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity
(Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b)
of this certification: and
(d) Have not within a three-year period preceding this application had one or more public
transactions (Federal, State, or local) terminated for cause or default; and
B. 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.
3. Drug -Free Workplace (Grantees other than individuals)
As required by the Drug -Free Workplace Act of 1988, and implemented at 44CFR Part 17, Subpart F, for
grantees, as defined at 44 CFR part 17, Sections 17.615 and 17.620:
(A) The applicant certifies that it will continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture,
distribution, dispensing, possession, or use of a controlled substance is prohibited
in the grantee's workplace and specifying the actions that will be taken against
employees for violation of such prohibition;
(b) Establishing an on-going drug free awareness program to inform employees
about:
(1) The dangers of drug abuse in the workplace;
(2) The grantees policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation and employee
assistance programs; and
(4) The penalties that may be imposed upon employees for drug
abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in the performance
of the grant to be given a copy of the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a
condition of employment under the grant, the employee will:
(1) Abide by the terms of the statement and
(2) Notify the employee in writing of his or her conviction for a
violation of a criminal drug statute occurring in the workplace no later
than five calendar days after such conviction.
(e) Notifying the agency, in writing within 10 calendar days after receiving notice
under subparagraph (d)(2) from an employee or otherwise receiving actual notice
of such conviction. Employers of convicted employees must provide notice,
including position title, to the applicable DHS awarding office, i.e. regional office or
DHS office.
(f) Taking one of the following actions, against such an employee, within 30
calendar days of receiving notice under subparagraph (d)(2), with respect to any
employee who is so convicted:
(1) Taking appropriate personnel action against such an employee,
up to and including termination, consistent with the requirements of
the Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a drug
abuse assistance or rehabilitation program approved for such
purposes by a Federal, State, or local health, law enforcement or
other appropriate agency.
(g) Making a good faith effort to continue to maintain a drug free workplace
through implementation of paragraphs (a), (b), (c), (d), (e), and (f).
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Page 24 of 26
(B) The grantee may insert in the space provided below the site(s) for the performance of work
done in connection with the specific grant:
Place of Performance
Street City State Zip Action
If your place of performance is different from the physical address provided by you in the Applicant
Information, press Add Place of Performance button above to ensure that the correct place of
performance has been specified. You can add multiple addresses by repeating this process multiple
times.
Section 17.630 of the regulations provide that a grantee that is a State may elect to make one
certification in each Federal fiscal year. A copy of which should be included with each application for
DHS funding. States and State agencies may elect to use a Statewide certification.
Signed by Corey Bowles on 02/01/2018
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Application Number: EMW-2017-FO-07142
FEMA Standard Form LLL
Page 25 of 26
Only complete if applying for a grant for more than $100,000 and have lobbying activities. See Form 20-
16C for lobbying activities definition.
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Application Number: EMW-2017-FO-07142 Page 26 of 26
Submit Application
Application 100% complete, Submitted
Please click on any of the following links to visit a particular section of your application. Once all areas
of your application are complete, you may submit your application.
Application Area
Applicant's Acknowledgements
Complete
Overview
Complete
Contact Information
Complete
Applicant Information
Complete
Applicant Characteristics (1)
Complete
Applicant Characteristics (II)
Complete
Department Call Volume
Complete
Request Information
Complete
Request Details
Complete
Budget
Complete
Assurances and Certifications
Complete
PLEASE READ THE FOLLOWING STATEMENTS BEFORE YOU SUBMIT.
Status
• YOU WILL NOT BE ALLOWED TO EDIT THIS APPLICATION ONCE IT HAS BEEN
SUBMITTED. If you are not yet ready to submit this application, save it, and log out until
you feel that you have no more changes.
• When you submit this application, you, as an authorized representative of the organization
applying for this grant, are certifying that the following statements are true:
To the best of my knowledge and belief, all data submitted in this application are true and
correct.
This application has been duly authorized by the governing body of the applicant and the
applicant will comply to the Assurances and Certifications if assistance is awarded.
To sign your application, check the box below and enter your password in the space provided.
To submit your application, click the Submit Application button below to officially submit your
application to FEMA.
Note: The primary contact will be responsible for signing and submitting the application. Fields
marked with an asterisk (x) are required.
I, Corey Bowles, am hereby providing my signature for this application as of 02 -Feb -2018.
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