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04-820Presented By: Referred To: Council File # � �7 �0� Greensheet# 3�13575 RESOLUTION SAINT PAUL, MINNESOTA �� Committee: Date i WHEREAS, the Department of Fire and Safety Services is seeking a grant to develop a vehicle accident z prevention program, helmet/passport accountability system, update the self-contained breathing apparatus s (SCBA), and promote health and wellness initiatives, and e WHEREAS, the City of Saint Paui is required to pay a 30% matching fund contribution of $169,575.00, and � W HEREAS, upon receipt of this grant, the City is obligated to appropriate the grant amount of $395,675.00, and s NOW THEREFORE IT BE RESOLVED, that the proper City officials are hereby authorized and directed to io execute an appiication for the City of Saint Paul's Department of Fire and Safety Services to apply for the ii 2004 Assistance to Firefighters Fire Act Grant; iz ,s BE IT FURTHER RESOLVED, that the City of Saint Paul Department of Fire and Safety Services is requesting ia assistance in developing a vehicle accident prevention program, helmet/passport accountability system, is update the self-contained breathing apparatus (SCBA), and promote health and wellness initiatives; a copy �s of said application is to be kept on file and of record in the Office of Financial Services. n 78 79 p 21 22 23 24 25 26 27 28 Requested by Department of: 're & Safet Services / By: Approvai Recommended by Direct of Financial Services: By: �/�r�� Adopted by Council: Date � e5'�pl/�/ Form Approved by City Adoption Certified by Council Secretary: /� � � Approved by � for � � T� 0�� 82.0 � Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet � ,� �� . Departmentlo�ce/council: Date Initiated: FR —Fire 17-MAR-04 Green Sheet NO: 3013575 Contact Person 8 Phone- Department Sent To Person I' ial/Date Chief Douglas A. Holfon � 0 're �"�Y 22&04�� Assign 1 ire De artmentDireMOr Must Be on Council {\qenda by (Date): Number 2 itv ttorne For 3 a or•s Office Ma or/Assistant Routing Order 4 ouncil 5 i Clerk Ci Clerk Total # of Signature Pages _(Clip NI Locations for Signature) Action Requested: To approve the attached Council Resolution authorizing the Department of F'ue and Safety Services to apply for the 2004 Assistance to Firefighters Fue Act Grant. Recommendations: Approve (A) or Reject (R): Personal Service Contracts Must Answer the Following Questions: Planning Commission 1. Has this personffirm ever worked under a contract for this department? CB Committee Yes No � Civil Service Commission 2. Has this persoNfirm ever been a city employee? Yes No � 3. Does this person�rm possess a skilVnot norma�ly possessed by any ,� current city employee? , Yes No � � � Explain all yes answers on separate sheet and attach to green sheet - Initiating Problem, Issues, Opportunity (Who, What, When, Where, Why): � The Deparhnent of Fue and Safety Services is applying for assistance in developing a velucle accident prevention program, helmet/passport accouutabiliry system, updating-the self-contained breathing appazatus, and promoting health and wellness iniriatives. A requirement to this grant includea a 30% match by the City of Saint Paul. AdvanWges If Approved: � The Departinent of F'ae and Safety Services will be able To promote firefighter safety tlarough the development of a vehicle accident prevention program, helmet/passport accountability system, SCBA updates and health and wellness inifialives. � ,�.� . - =-� ,,�. = � ,.�^�- , �: : t' -� :. ��;, , ` ,;:.� Disadvantages If Approved: � g "�� '4'� �';,� ��- None. ��1s� 1 � �f��i�t �a � �� DisadvanWges If Not Approved: � .� � g& � Lost opporhmity to secure funding to promote firefightet safety. � ._ _.--- -� ----- Total Amount of 565250 CosURevenue Budgeted: Trensaction: - Fundinp Source: G�ant Activity Number. 001-05121 ��,�$�j (,�P�"�t' Financial Information: Federal Share $395,675.00 , (Explain) CityShaie $169,575.00 Qu� � 6 � Total $565,250.00 oy- 6ao The Grant Application is on file in Council Reseazch if you wish to review it. _ o� 8�a _ Print Application Page 1 of 29 Entire Application Overview Are you a member, or are you currently involved in the management, of the fire department Yes applying for this grarrt? If you answered No, please complete the information below and ciick on the Save and Continue button. If you answered Yes, please do not complete the information requested below and click on the Save and Continue button. Note: If you answered No to the above question, the fields marked with an • are required. Preparerinformation • Organization Name • Address 1 Address 2 • City • State • Zip p . • Is there a grant-writing fee associated with the preparation of this request? If you answered yes above, what is the fee? $ https://portal.fema.gov/firegranbjsp/fire2004/applicarion/print_appjsp?print=true&app n... 04l16/2004 - - - o�-�aa Print Application Contact Information • T�le Prefix • Frst Name Middle Inftial • Last Name • Business Phone �Home Phone Mobile Phone/Pager Fax •Email s • TiUe Prefix • Frst Name Middle Initial • Last Name • Business Phone •Home Phone Mobile Phone/Pager Fax •Email Alternate Contact Information Number 1 Assistant Chief Mr. David � J Pleasants 651-228-6212 Ext. 651-775-9883 Ext. 651-228-6255 dave.pleasants@ci.stpaul.mn.us Alternate Contact Information Number 2 Chief Mr. Douglas A Holton 651-222-0477 Ext. 651-775-0110 Ext. 651-228-6255 douglas.hoiton @ci. stpaul. mn.us . Page 2 of 29 https://portal.fema:gov/firegranUjsp/fire2004/application/print app jsp?print=true&app n... 04/16/2004 , Print Applicarion Applicant Information EMW-2004-FG-17542 Originally submitted on 02-APR-2004 by Ken Gilliam (Userid: spdfss) Based on Infortnation you have provided, your deparhr�ent serves an Urban community. Contact Information: Address: 100 East 11th Street City: Saint Paul State: Minnesota Zip: 55101 Day Phone: 651-224-7811 Evening Phone: 651-430-9787 Cell Phone: 715-790-1175 Email: ken.giiliam@ci.stpaul.mn.us Application number is 17542 •Applicant Name � Type of Appiicant If other, please enter the type of Appiicant ' • Employer identification Number • Does your organization have a DUNS Number? If yes, please enter the DUNS Number Headquarters Physical Address • Physical Address 1 Physical Address 2 • City • State . Zip Mailing Address � Maiiing Address 1 Mailing Address 2 • City • State • ZiP o4-8ao Page 3 of 29 Saint Paul Department of Fire and Safety Services City 41-6005521 Yes 153857347 100 East 11 th Street Saint Paul - Minnesota 55101 - 2227 Need helo for ZIP+4? Account Information • Type of bank account ' Bank routing number - 9 diqit number on the bottom ieft hand corner of your check �Your account number Additional Information For this fiscal year (Federal) is your jurisdic6on 100 East 11th Street Saint Paul Minnesota 55101 - 2227 Need helo forZIP+4� Checking 091000022 180111054532 https://portal.fema.gov/firegranUjsp/fire2004/application/print_app jsp?print=true&app_n... 04/16/2004 Print Applicarion o�-gac� Page 4 of 29 receiving Federal funding from any other grant program that may duplicate the purpose and/or scope No of this grant requesY? - • If awarded this grant, wili your jurisdiction expend greater than $300,000 in Federal share funds during Y � the Federal fiscal year in which the grant was _ awarded? • is the applicant delinauent on any federai debt? No if you answered yes to any of the additional questions above, please provide an expianation in the space provided below: . The amount requested by this grant request has a federal share in excess of $300,000. 9 e https://portal.fema.gov/firegrandjsp/fire2004/application/print_app jsp?print=true&app n... 04/16/2004 o�-8ao Print Application Department Characterlstics (Part q • Are you a member of a Fre DepaRment or �,� authorized representative of a fire department? • Are you a member of Federal Fire Department or contraeted by the Federal govemment and solely . Na responsible for suppression of fires on Federal property? • What kind of Department do you represent? All Paid/Career If you answered combination, above, what is the , percentage of preer firefighfers in your department? � • What is the square mileage of your primary response 55.44 area? • What percentage of your response area is protected �00 % by hydrants? • Does your department protect critical infrastructure of Yes the State? - • How much of your jurisdiction's land use is for agriculture, wiid iand, open space, or undeveloped 37 % properties? • What percentage of your jurisdiction's land use is for 28 % commercial, industrial, or institutional purposes? • What percentage of your jurisdiction's land is used 35 % for residentiai purposes? � How many commercial, industrial, residentiai, or institutional structures in your jurisdiction are more . 344 than four stories taii? ' • What is the permanent resident population of your Primary/First Due Response Area orjurisdiction 287151 served? • How many adive firefighters does the department 399 have who perform firefighting duties? • How many personnel provide only EMS service Q delivery? • How many stations are in your department? 16 • Do you curren0y report to the National Fire Incident Yes Reporting System (NFIRS)7 If you answered yes above, piease enter your 62210 FDIN/FDID • What services does your department provide? Structural Fire Suppression Medicai First Response Wildland Fire Suppression Basic L'rfe Support Airport Rescue Firefighting (ARFF) Advanced Life Support Page 5 of 29 HazmaY Operationai Levei Hazmat Technical Level Rescue Operational Levei Rescue Technical Level https://portal.fema.gov/firegranUjsp/fire2004/application/print_appjsp?print=tr�ue&app n... 04/16/2004 Print Application Department Characteristics (Part II) • What is the tota� number of fire-related civilian fatalfties in your '10 jurisdiction over the last three years? ' What is the total number of fire-related avi(ian injuries in your �� jurisdiction over the last three years? • What is the total number of fire-related firefighter fatalities in your 0 jurisdiction over the Iast three years? ' What is the total number of fire-related firefighter injuries in your jurisdiction over the last three years? * in an average year, how many times does your department receive mutual/automatic aid? • In an average year, how many times dces your department provide mutuailautomatic aid? � 357 • What was your departmenYs estimated average annual operating 40344531 budget over the last three years? - • N/hat percentage of your annual operating budget is dedicated to personnel costs (salary, overtime and fringe benefits)? • What percentage of your annual operating budget is derived from: Enter numbers only, percentages must sum up to 100% Taxes? Grants? Donations? Fund drives? Other? If you entered a value into Other fieid (other than O), please expiain 86 % 100 % 0% 0% 0% 0% � i�� Page 6 of 29 •How many vehicles does your department have in each of the categories below'? Enter numbers oniy and enter 0 if you do not have any of the vefiicles below a. Engines (or pumpers): Pumper, PumperRanker, Rescue/PUmper, Foam Pumper, CAFS Pumper, Quint � (Aeriai device of Iess than 76 feet), Fire Boats (more than 13 feet bng), Type 1, Type II, Type III Engine b. Aeriai Apparatus: Aeriai Ladder Truck, Telescoping, Articulating, Ladder Towers, Plattorm, Tiller 8 Ladder Truck, Quint (Aeriai device of 76 feet or greater) a Tankers: Tanker, Tender, TankedPUmper (PUmperwith a tank that has a greater than 1,200 0 galio� capaaty), Foam Tankedfender (greater than 1,200 gallon tank capacity) d. Rescue Vehicles: 3 Rescue Squad, Reswe (Light, Medium, Heavy), Technical Rescue Vehicle e. Brush/Quick attack : Brush Truck, Patroi Unit {Pick up w/ Skid Unit), Quidc Attack Unit, Mini-Pumper, 0 Type IV Engine f. Other: EMS Transport Unit, EMS Chase Vehicle, AidLight Unit, Rehab Units, Hazardous Materials Unit, Bomb Unit, Technical Support (Command, Operational 26 SuppoNSupply), Hose Tender, Salvage Truck, ARFF (Aircraft Rescue Rrefighting), Command/Mobile Communications Vehicle, Other Vehicle Total Number https://portal.fema.gov/firegranUjsp/fire2004/application/print_app ; jsp?print= - true&app_n... 04/16/2004 , -- ------ Print Application ---_- -_---- - - - - - - - -.. . 0 4�-8aa Page 7 of 29 Provide in the space below the foliowing information only ff you are applying for a firefighting vehiGe: List all your vehiGes by fype (for exampie, engines/pumpers, brush, rescue, etc.). Then provide the year each was manufacfured. If fhe department has more than two of any type, provide the total number of vehides in that category and the years the oldest and the newest were manuFactured. WA a https://portal.fema.gov/firegrandjsp/fire2004(application/print_app ; jsp?print=true&app_n... 04/16/2004 - - - - - 0�-�"da . Print Application Page 8 of 29 Department Cali Volume ' How many fesponses per year by Categof� (Enter whole numbers only. lf you have �o calls for any of the ptegories, entx 0) Structure Fires 695 - Vehicie Fires 27B Vegetation Fires �77 EMS Z5q75 Rescue 6004 Hazardous Condition/Materials Calis 734 Service Calls 2196 Good Intent Calis/False Alarms 2338 Other Cails and Incidents 662 g https://portal.fema.gov/firegranUjsp/fire2004/application/print_app jsp?print=true&app n... 04/16/2004 c��f-��, � Print Application Request Information ' 1. Select a program for which you are appiying. Remember, you can only apply for one program fhis year. You can appiy for as many activities within a program as you need. (�f you modify your selection, you wili lose daYa entered under tlie original activity.) Program Name • Operations and Firefighter Safety � 2. Will this grant benefit more than one department? Yes If you answered Yes to Question 2 above, piease explain. (You can only enter 4000 characters) Our heaith and wellness program has the potential to benefit numerous Fire and EMS departments. We have assurances from the Minneapolis Fire Department that they would be interested in participating in our program once we have it established. This would enable them to skip all of the start up costs of a program of this magnitude. We have also had discussions with other departments in our metro area who are interested in fagging on to a system once it is established. We would be more than willing to ailow any department to work with our system to help offset the costs and the set up time involved in getting a program like this up and running. Our main concern�is the health and safety of firefighters. We will aggressively promote the benefits and availability of this program to departments in our area. Also, ali SCBA safety equipment purchased has the potential to benefit neighboring departments through mutual aid locally and across the state as we have the state's oniy emergency response hazardous materials entry team. All SCBA equipment requested will have universal quick connects for compatibility with departments across the state as they upgrade to similar equipment. This wili make for a more �roficient haz-mat team as well as simplify rapid intervention team operations. The new accountability system will enable us to interact with our neighboring departments during incidents of all sizes. It is anticipated that accountability changes that we make will spread county-wide and potentially further. As one of the largest departments in the state, this complete grant award will give us a tremendous opportunity to lead by example to the smaller departments sunounding us. Not only will if make a better and safer department overall, it wiil allow us to set new benchmarks for safety in the state of Minnesota. Request Details Page 9 of 29 The activities for program Operations and Firefighter Safety are tisted in the tabte below. Activity Equipment Modify Facilities Personal Protective Equipment Training Weiiness and Fitness Programs Number of Entries Total Cost Additional Funding 4 $ 54,624 0 $0 2 $112,725 1 $ 259,350 2 ' $140,000 $0 $0 $0 $0 $0 Equipment Equipment Detaiis '1. What equipment will your department purchase with this grant? Other Basic Equipment (explain) Please provide Turther description of the item selected above or'rf SCBA Equipment: Heads Up Dispiays for https://portal.fema:gov/firegant/jsp/fire2004/application/print_app.jsp?print=true&app_n... 04/16/2004 Print Apptication you selected Other above, please specify. '2. IVumber of unifs �3. Cost per unit '4. Generally the equipment purchased under this grant program: o � -8ao Page 10 of 29 all SCBA masks. 216 (who�enumberonty) $ 64 (whole doilar arnounts only) Will expand the capabilities of the department into a new mission area If you selected "replacing equipment" (from Q4) above, piease Select qqe specify the age of equipment in years. '5. Generally the equipment purchased under this grant program: Will bring the department into statutory compliance. Please explain Will upgrade recenUy purchased SCBA to how this equipment will bring the department into statutory meet OSHA standards and NFPA compliance in the space provided to the right. guidelines. Will also meet MN General Duty Clause Statute 182.653. `6. Does this equipment provide a heaith and safety benefit to the Yes firefighters in your department? if yes, please fuily explain in the narrative section. i- � Close Window°,'r , Equipment Equipment Details `7. What equipment will your department purchase with this grant? Please provide further description.of the item selected above or'rf you selected Other above, please spec'rfy. �2. Number of units . `3. Cost per unit '4. Generaffy the equipment purchased under this grant program: Will expand the capabilities of the department into a new mission area If you selected "replacing equipment" (from Q4) above, please specify the age of equipment in years. `5. Generally the equipment purchased under this grant program: Will bring the department into voluntary compliance with a national standard. Please explain how this equipment will bring the department into voluntary compliance in the space provided to the right. '6. Dces this equipment provide a health and safety benefit to the firefighters in your department? if yes, please fully explain in the narrative section. Close Window i Other Basic Equipment (expiain) SCBA Equipment: Mask Amplifiers for all o�cers. 70 (wholenumberonly) $ 200 (whole dollar amounts onry) Select Age Will aid communications behvwen officers and their crews while in IDLH atmospheres. Will simplify accountability and compliance of given orders for company officers. Will address communications issues addressed by NFPA and NIOSH. Yes https://pottal.fema`.gov/firegrandjsp/fire2004/applicarion/print_app jsp?print=true&app_n... 04/16/2004 . Print Application Equipment Equipment Detaiis `7. What equipment will your department purchase with this grant? Piease provide further description of the item selected above or'rf you selected Other above, please specify. •2. Number of units '3. Cost per unit `4. Generally the equipment purchased under this grant program: Will expand the capabilities of the department into a new mission area If you selected "replacing equipment" (from Q4) above, please specify the age of equipment in years. '5. Generaily the equipment purchased under this grant program: Will bring the department into statutory compliance. Please explain how this equipment will bring the department into statutory compiiance in the space provided to the right. '6. Does this equipment provide a health and safety benefit to the firefighters in your department? if yes, please fully explain in the narrative section. Close Window � Equipment Equipment Details '1. What equipment will your department purchase with this grant? Please provide further description of the item selected above or iF you selected Other above, please specify. �2. Number of units '3. Cost per unit '4. Generaliy the equipment purchased under this grant program: -o�-g�,o Page 11 of29 Other Basic Equipment (explain) SCBA Equipment: SCBA EBS (buddy breathing) connections for all air packs. 160 (wholenumberoniy) $ 130 (whole dollar amounts ony) Select /�qe Will bring 100% of the departmenYs SCBA into compliance with OSHA for emergency situations when buddy breathing becomes necessary during evacuation'of IDLH atmospheres. Will meet MN state Statute 182.653 as well as tVFPA recomendations. Yes RIT Pack 6 (wholenumberonly) $ 1000 (whole doilar amountr ony) Will increase the departmenYs available supply of this equipment to meet basic mission If you selected "replacing equipmenY' (from Q4) above, please Select Age specify the age of equipment in years. '5. Generaily the equipment purchased under this grant program: https://portal.fema.gov/firegranUjsp/fire2004/application/print_app.jsp?prinrnue&app n... 04/16/2004 Print Application Will bring the department into voluntary compiiance with a national standard. Please explain how this equipment will bring the departrnent into voluntary complia�ce in the space provided to the right - '6. Does this equipment provide a health and safety benefit to the firefighters in your deparfinent? If yes, please fully expiain in the narrative section. Close`�ndow.t;,�� Personal Protective Equipment Page 12 of 29 Additional RIT rescue air supply bags with one hour botties will ailow for greater availabiiity of rapid intervention team equipment in the event of multiple incidents or multipie crews invoived in mayday situations. This will meet NFPA, NIOSH and OSHA recommendations for the recues of firefighters. Yes " Personal Protect+ve Equipment Detaiis '1. Select the PPE that you propose to acquire Helmets Please provide further description of the item selected above or if Helmets wili include face shield as well as you selected other above, please specify. OSHA/ANSl,approved goggles for increased eye protection. Helmets will also incorporate new unit identifiers and work with requested accountability system. '2. Number of units *3. Cost per unit 399 (Whole numbers onry) $275 (Whole doilar amounts oniy) '4. What percentage of your on-duty active firefighting staff has 100% PPE that meets current applicable NFPA and OSHA standards? If you are asking for specialized equipment (e.g., HazMat), what percentage of appiicable firefighters have this specialized PPE that meets the estabtished standards? 'S. What percentage of your on-duty active firefighting staff will have PPE that meets current applicabie NFPA and OSHA standards 'rf this grant is awarded? If you are asking for specialized equipment (e.g., HazMat), what percentage of applicable firefighters will have specialized PPE that meets estabiished standards ff this grant is awarded? *6. What is the purpose of this requesf? 100% to reptace fom/fafteredldamaged equipment if you have indicated you are replacing equipment (for any reason) More than 10 years in question 6 above, please specify the age of the equipment in years. Cbse Window ;%..� Personal Protective Equipment Personal Protective Equipment Details - o�-8ao https://portal.fema.`gov/firegranUjsp/fire2004/application/print_app.jsp?print=true&app_n... 04/16/2004 Print Application '1. Select the PPE that you propose to acquire Accountability Systems - o�-�ao Page 13 of 29 Please provide further description of the item selected above or ii Accountability system will be phased in with you selected other above, please specify. heimefs requested by this grant `2. Number of units '3. Cost per unit 1 (YVhole numbers onty) $300U (4Vhole dollar amounfs only) '4. What percentage of your on�uty ac6ve firefighting staff has 0% PPE that meets current applicable NFPA and OSHA standards? if you are asking for specialized equipment (e.g., HazMat), what percentage of applicabie firefighters have this specialized PPE that meets the established standards? *5. What percentage of your on�uty active firefighting staff wiil have PPE that meets current applicable NFPA and OSHA standards if this grant is awarded? If you are asking for specialized equipment (e.g., HazMat), what percentage of applicable firefighters will have specialized PPE that meets established standards if this grant is awarded? _ '6. What is the purpose of this request? 100% to buy equipment for the first tiroe If you have indicated you are replacing equipment (for any reason) Seiect Age in question 6 above, please specify the age of the equipment in years. Close 1Nindow = � Training Program Training Detaiis '1. Which of the following most closely describes your requested program? DrivedOperator (NFPA 1002) Please provide further description of the item selected above or If you selected other above, please specify. Vehicle accident prevention program providing class room and hands on emergency driving Uaining, aerial apparatus training and advanced engine operator training. `2. Generally, this program can best be categorized as (select one): Training that is instructor-led, hands-on, and leads to a nationally sanctioned or State certfication If you answered other above, please specify. *3. What percentage of applicabie personnel will be 100 % trained by this program? `4. Generally, the training program provided under this grant : Will bring the department into statutory compliance, specifically: This training wiil satisfy MN State Statutes 144E.101 regarding emergancy apparatus driving training as well as MN State Statute 182.653. This generai duty clause provides for the protection of alI emp�oyees. The training will also meet NFPA, NIOSH and IAFC recomendations regarding reducing emergency https://portal.fema.gov/firegranbjsp/fire2004/application/print_app jsp?print= 04/16/2004 Print Application o�-gao Page 14 of 29 driving statistics. '5. Will this training enhance muiti jurisdictionai Yes capability? `� � Close ,Window,; �� Budget Item `Item DrivedOperator Please provide further description of the item selected above or If you selected other above, piease specify. Select Object Class If you selected "Other" above, please spec'�fy: ' Number of units ' Cost per unit .. . �„.,,,� ..."3>CloselNindow._<, ( Budget Item 'Item Please provide further description of the item selected above or If you selected other above, p(ease specify. Select Object Class If you selected "Other" above, please specify: ' Number of units * Cost per unit ;; Ctose Window':'; � Budget ttem 'Item Advanced dassroom and hands on driver/operator training focussing on emergency response driving skilis and safety. This course will be coordinated with a local technical college using coilege Ievel/specialized instructors. Contractual 399 (Wholenumberonly) $ 160 (Whole doilar amounhs only) Driver/Operator Averaged overtime costs of ali off duty personnel taking specialized training. Personnei 399 (Whoienumberoniy) $ 320 (Whole dollar amounts only) DrivedOperator Advanced classroom and hands-on engine operator and aerial Please provide further description of the ftem operator training. All training will meet or exceed national selected above or if you selected other standards using certfied instructors. All training wili be above, please specify. coordinated with on duty personnel through the departmenYs training division. Select Object Class if you seiected "Other" above, please speci(y: ' Number of units ' Cost per unit Personnel 399 (Wholenumberonly) $ 170 (4Vhoie dollar amounts only) https://portal.fema.gov/firegranUjsp/fire2004/application/print_app jsp?print= n... 04J16/2004 - - - --- ----- - -- - . - C�- �a Print Application Page 15 of 29 Close Window ,; � Wellness and Fitness Dces your p�� department currently offer this activity? • Initial Physical Exam y� ' Job Related Immunization Program No ' Periodic Physical ExamlHealth Screening No Will your department fund with grant? No Yes Yes Do you offer incentivesfor participation in this activity? Yes Yes Yes Will this activity be mandatory? Weilness and Fitness Program • 1. What wili your program offer during the grant year? (select one) If you answered other above, please specify • 2. Does your department currently offer this activity? • 3. Do you offer incentives for participating in this activity? • 4. Will this activity be mandatory? �� Clo'"se Window -; � � Wellness and Pitness Program • 1. What wiil your program offer during the grant year? (select one) If you answered other above, piease specify • 2. Does your department currenUy offer this activity? • 3, Do you offer incentives for participating in this activity? • 4. Wiii this activity be mandatory? Ciose Window � Initial Physical Exam Yes Yes Yes . Yes No Yes Job Related Immunization Program No Yes No Budget item `�tem Immunizations Please provide further description of the item Volutary enhanced immunization program described in project selected above or If you selected other above, please specify. narrative. Select Object Ciass Contractuai If you sefected "Other" above, please specify: ' Number of units 175 �wnde number oniy) * Cost per unit $ 116 (Whoie dollar amounis only) ` Ciose Window . 1 Weilness and Fitness Program https://portal.fema:gov/firegranUjsp/fire2004/application/print_app n... 04/16/2004 Print Application • 1. What will your program offer during the grant year? (seleet one) if you answered other above, piease specx(y • 2. Does your department currently offer this activit�/? • 3. Do you offer incentives for participating in this activity? • 4. Will this activity be mandator� '-i 'Ciose W ndow `,_: f � �F- �dd Page 16 of 29 Periodic Physicai ExamlHealth Screening No Yes Yes Budget ltem `Item Health Screenings Please provide further description of the item Health Screenings, �sion Testing, Audiograms, Lung Functions selected above or If you selected other Tests, and Chest x-rays. Will also indude enhanced immunization above, piease specify. program described in narative. Select Object Class Contractual If you selected "Other" above, please specify: ' ` Number of units 399 (Whole number only) ' Cost per unit $ 125 (VJhole dollar amounts only) Close Window I • Budget kem 'Item Fitness Assessments and Counseling Ptease provide further description of fhe ifem Individuaf fifness assesments and counseiing. Fifness program selected above or If you selected other will meet or exceed recomendations set by NFPA 1582 and other above, please specify. fire service fitness initiatives. Select Object Class Contractual if you selected "Other" above, please specify: � Number of units 399 (wnoie number oniy) ' Cost per unit $ 175 (who�e do�lar amounts only) Close Window ' � Budget Budget Object Class a. Persortne! b. Fringe Benefits c. Travei d. Equipment e. Supplies $ i95,510 $0 $0 $ 167,349 $0 https://portal.fema.gov/firegranbjsp/fire2004/application/print_app jsp?print=true&app n... 04/16/2004 - - o�-8a� Print Application Page 17 of 29 f. Contractual $ 203,840 g. Construction $ � h. Other $ � i. Indirect Charges $ � indirect Cost Details ' Agency Indirect Cost Agreement with indirect Cost Rate % Agreement Summary Federal and Applicant Share Federai Share $ 396,690 Appiicant Share $ 170,009 Federai Rate Sharing (°/a) 70/30 ' NO�-F8def21 R@SOUfC2S (Tfie combined Non-Federa! Resources musf equal the Applirant Sha2 of $ 970,009) a. Applicant $ 170,009 b. State $ � c. Local $ 0 d. Other Sources . $ � If you entered a value in Other Sources, include your explanation below. You can use this space to provide information on the project, cost share match. Total Budget $ 566,699 https://portal.fema.gov/firegranUjsplfire2004/application/print_app.jsp?print n... 04/16/2004 cY� - �d.� Print Application Narrative Statement Page 18 of 29 Project Description " Please provide your narrative statement in the space provided below (1) project Description, (2) Financial Need, and (3) Cost-Benefit of Request: 2004 Assistance to Firefighters Grant Project Narcative for the Saint Paul Department of Fire and Safety Services The Saint Paul Department of Fire and Safety Services The Saint Paul Department of Fire and Safety Services provides fire protection, rescue and emergency medical services to an area covering 55.4 square miles with a resident population of 287,151. This area includes critical infrastructure including, but not limited to, our state capital building and associated government fac7iGes, 61 miles of main line railway, 23.5 miles of river watervvay, 17.9 miles of interstate freeway, a downtown airport, multiple hospitals, arenas and large public gathering locations, several large utility groups and commercial facilities that support the surrounding eleven�ounty metro area. The department has a total of 399 sworn personnel and 58 support personnel involved with emergency response, fire prevention, administration, and support services. The operations division is split into three shifts. Each shift is comprised of one deputy chief, three district chiefs, 18 engine companies, 7 ladder companies and 2 rescue squads. Eleven of the engine companies also dual staff advanced I'rfe support ambulances. We also cross staff speciaity units including the State of Minnesota's only Emergency Response Hazardous Materials Entry team, a state Chemicai Assessment team, an Advanced Technical Rescue team, three rescue boats, and an engine mod�ed for airport rescue and firefighting. Our fire prevention division performs 19,000 inspections each year. Our public education group reaches over 80,000 citizens through programs and station tours involving seniors, communities and schoois. in 2003 the department responded to a total of 38,557 incidents. These are categorized into: 25,475 EMS calls; 6,004 rescue calis; 1,148 £res; 734 hazardous materials/conditions calls; 2,338 good intenUfalse alarms; and 2,858 other calis. We have an average response time of 4 minutes and 5 seconds. We provide mutual aid to multiple departments including the Minneapolis Fire Department and the Metropolitan Airport Department as weli as numerous small suburbs surrounding us in the eleven-county metro area. The department is also in the process of becaming one of the sfate's five Collapse Rescue teams. As mentioned before, we are the oNy Emergency Response Hazardous Materials Entry team in the state of Minnesota. This grant would not only benefit our department, but also directly benefiYthe Minneapolis Fire Department and numerous others, as indicated in our Wellness and Fitness Activity description, and potentially any fire department in the state requiring our assistance. Our fire department has a 2004 totai operating budget of $42,921,625. Our personnel costs make up 86% of the department's budget. The city is fortunate to be able to provide fuli time fire, rescue, and emergency medical services, but due to the associated operating costs and the number of services that our department provides, our available funding for additional programs, training and equipment is limited. To compound our finanaal situation, the State of Minnesota has had budget shortfalis for the past two years and they have begun to make cuts to local govemment aid programs. The city of Saint Paul absorbed a 34% cut in state aid in 2004 and similar reductions in 2003. To complicate this issue even more, the City of Saint Paul has not allowed an increase in its tax levy during the last ten years_ All of our city's departments have been repeatedly tasked to cut budgets over the past decade. The fire department has most recently seen the elimination of fourteen sworn positions and has been forced to shut down companies and reassign their personnei on numerous occasions since the beginning of this year. Our training division has absorbed a sizeable portion of the budget cuts as well and aimost all specialized training has been eliminated. The Saint Paul DepaRment of Fire and Safety Services has made it a goal to increase the funding in the areas of training and equipment through outside sources, but the current economy has not been helpful. We have formed a volunteer committee of fire department personnei to work on grants and afternafive funding sources. This grant committee is dedicated to succeed at efforts like the AssistanCe to Firefighters Grant, as relying on traditionai means is no longer a practical option. This grant request was even limited by the amount money that https://portal.fema.gov/firegranUjsp/fire2004/application/print app n... 04/16/2004 -- o��8at� Print Application Page 19 of 29 the city would have to potentialiy spend to maEch our 30% portion of the agreement. We had to sort through our original list of ideas and choose the activfties that wouid have the biggest benefit for the department and the citizens with the limited matching fundirig avalable. The activities requested by this grant are the outcome of departmental research on how to make ourjobs safer while providing a better level of service to our community. Our fire department prides itseff on being safe while aggressive in our attacks of the incidents that we are dispatched to. In an attempt to provide the best service possibie while at the same time promoting firefighter safety, we have identified several soiutions to the problems that we face on a daily basis. The iwo largest portions ofi this grant address the finro leading causes of firefighter line of duty deaths, health issues and driving accidents. The following paragraphs will discuss the importance, as weli as the benefds, of each item requested from this 2004 Operations and Firefighter Safety Program Grant. Operations and Firefighter Safery Program Request Totai Request: $566,699 Activity: Training ($259,350) The largest activity amounf requested is needed to address issues refated to driving accidents and fire apparatus emergency operations. Current nationai statistics are showing accidents to and from emergency incidents as being the second highest fatality rate among firefighter line of duty deaths. We have seen an alarming statistical rise in accidents on our own department in recent years. As staffing continues to decrease parallel to an increasing cail load, the department's safety committee and administration have made a commitment to take a proactive stance to prevent any further tragedies. This grant, if awarded, would be a giant step in expediting that process. The three budget amounts associated with this activity are tied to one complete vehicle accident prevention program. • We are reques#ing $63,840 for contractual services. This amount would cover an advanced emergency driving skilis course coordinated through an area technical coliege. This course will exceed emergency driving requirements as ouUined in MN State Statute 144E.i01 and also exceed recommendations set by iVFPA t002, NIOSH and the IAFC. The one-day class includes a driving course including a skid track and advanced high speed maneuvering training spec�cally designed for emergency apparatus. This grant would allow us to send 100% of our personnel through this training. • We are requesting $127,680 in personnel costs to cover overtime costs for the above listed training. This budget item will allow us to send 100% o�our personnel through the specialized training provided without jeopardizing public safety with a reduction in company staffing. • We are requesting $67,830 for additiona� training on advanced pump operator and aerial operator training. The training will focus on advanced hands on skilis and incident safety concems. The training wiil be coordinated through our training division using certfied instructors. This funding wili ailow us to dedicate staffing to allow for on-duty crews to be rotated through the training. This will enable us to ensure that 100% of our front line staff participates while keeping oveRime and contractual costs at a minimum. If awarded this grant, this training would be conducted within one year's time to send a message to all fire department employees that safety is a number one priority. This training would involve 100% of our front line personnel from chief officers to firefighters who occasionally work out of tiUe as fire equipment operators. We believe that this would be a signficant step for our department in getting ahead of an alarming rise in accident statistics and make us a safer and more effective emergency service force. Activity: Wellness and Fitness Program ($140,000) The total funds requested in this activity of the grant, if a,warded, will bring us into a new mission era and set a new benchmark for the Weliness and Fitness of all of Saint Paul's firefighters. The department currenUy provides entry-ievel examinations, a limited immunization program and continuing hazardous materials team exams. The department has taken steps to encourage physical fitness such as providing time during scheduled shifts for workouts and basic physical fitness equipment at all stations. While the department's administration has been committed to promoting health and wellness, the budget situation over the past decade has had a negative impact on the ability to follow through with an organized Wellness and Fitness Program. This grant will allow us https://portal.fema:gov/firegranUjsp/fire2004/application/print_app 04/16/2004 Print Application o�-Bae Page 20 of 29 to contract with an occupationat medicine provider and/or a certfied wellne�tness program administrator to set up, monitor and ensure the success of this program. Our Weilness and Fitness program wiii be set up to meet or exceed recommendations set by NFPA 1583 (Standards on Health and Fitness Programs) and the IAFC and IAFF Fifness Initiatives, as well as recommendations from our own departmenYs safety committee and firefighters' union IAFF Loca121. This program will greatly enhance our established health and safety guidelines and focus on helping the members of our department become better physically fit. The end result of this award would bring us several steps cioser to being in fuil compliance with NFPA 1583 and also NFPA 1500 (Standard on Fire Department Occupational Safety and Health Program). The finai step will be to mandate participation in the fitness portion of the program. This issue has the support of management and members of the union leadership and it is believed that this funding would allow us the opportunity to negotiate a mandated fitness program in the future. Even on the initial vofuntary basis, the overail program will help us fight the growing numbers of heaith related issues and allow us to have a healthier and safer fire department. The potential benefits to the community include a stronger response to emergency incidents, Iower health care costs, and lower workers' compensation costs. The total requested amount of $140,000 wili pay for the contractual costs associated with the following health screenings, immunizations, fitness evaluations and program guidance: •$69,825 for Individual fitness evaluations and corresponding fitness program guidance. •$49,875 for Health Screenings, Vision Testing, Audiograms, Lung function tests and Chest x-rays. •$20,300 for an enhanced immunization program that will include Hepatitis-A shots for high risk personnel and tetanus boosters. Additional services already provided in our budget that will be coordinated with the new program using zero grant funding: • SCBA and HEPA mask Fit Testing. ' • Mantoux Testing. • Respirator Certification. ' • Flu Shots. • Hazardous Materials Team Exams The departmenPs administration believes in the benefits of this program and has committed to working on gaining funding and budgeting for the long-term success of the program. This grant wouid give us the necessary start up costs of getting this Wellness and Fitness program established and we have every reason to believe that after reviewing the documented results, the city council will understand the benefits and ensure its long-term success. � This program wiii also offer a significant benefit for other fire departments that we work with. We have assurances from the Minneapolis Fire Department that they are interested in participating in this program and sharing continuing costs. We have also had discussions with other metro departments and there is a great deal of interest in the availability of this program. if awarded this grant, we will aggressively promote the advantages and availability of the program to area departments. We believe that many departments wili take advantage of our program, as they will be abie to avoid the high start up costs of a program of this size. AcGvity: Personai Protective Equipment ($112,725) We are requesting a budget amount of $109,725 for the purchase of NFPA and OSHA complianf Heimets. Our current style of helmets has not had a good history for wear and tear. The helmets have a history of crazing and cracks, poor suspension systems and other misceilaneous problems. While these helmets are legally compliant, there has been some concern by members of the department in the value of this personal protective equipment. Many of the helmets are between '10 and 15 years old. Many helmets have color schemes from an antiquated system of company identfication. The department has committed to moving to a new style of helmets, but due to budget constraints this process will not be easily completed. This grant, ff awarded, will allow us to replace 100% of all helmets on the department. The new helmets will have proper color schemes and unit identfiers built into the shieids allowing us to have proper visual identification on emergency incidents. AII helmets will aiso have OSHA/ANSI approved goggles for improved eye protection. We are also requesting an additional $3,000 for the purchase of a nametag/passport accountability system. This system will be incorporated into the new helmets and trained on during the helmet distribution process. The department is currently behind in national standards set for accountability. Change comes hard to a department https://portal.fema.gov/firegranUjsp/fire2004/applicarion/print app jsp?prinrnue&app n... 04/16/2004 - - o4�-gae Print Application Page 21 of 29 with 125 years of tradition. We believe that the change in helmets wifh an inGuded accountabilify system will be a good catalyst for this change in operations. The new accountability system will meet or exceed recommendations set by NFPA and NIOSH as well as mandates from OSHA. All training for the new atxountability system wiil be handled on duty by the department's training division. Activity: Equipment ($54,624) The total funds requested in this activity are for updates to our seif-contained breathing apparatus. We were fortunate to receive a previous grant for the purchase of all new SCBA. Since the time that grant was written, there have been sign�cant upgrades made available that provide an added amount of safety for the firefighters wearing them. The requested funds will be for the following upgrades: •$13,824 for "Heads Up Displays° for all individual masks. These allow firefighters to have a visuai indicator in their mask of what their air levels are while working in zero or limited visibility. This upgrade will help us meet standards now set for self-contained breathing apparatus. •$14,000 for Voice Amplifiers for all of our company officer's SCBA masks. This added safety feature will allow for better communications in IDLH atmospheres. This will also enhance our efforts to improve crew accountability as weil. •$20,800 for EBS {Buddy Breathing) Connections to be added to all self-contained breathing apparatus. This will be another new safety measure for individual crews as weli as a benefit for our rapid intervention teams in securing an emergency air supply to firefighters who are trapped or out of air. An additional bonus will be the compatibility of quick connect couplings with many of our mutual aid neighbors. �$6,000 for six rapid intervention team rescue air-supply packs with orte-hour bottles and universal quick connects. This equipment will allow us to evenly distribute this equipment to our multiple RIT companies. It wili allow us more flexibility for RIT functions during multiple incidents or for instances where multiple firefighters or entire companies are involved in mayday situations. • These upgrades wiil bring our SCBA in to full compliance of all OSHA mandates, state law and NFPA and NIOSH recommendations. The upgrades will also standardize our equipment and add an extra safety margin for all personnel. The addition of universal quick connects will also enhance our mutual aid abilities for incidents invoiving IDLH atmospheres and hazardous materials events. Conclusion All of the items that we have requested wiil greatly enhance our departmenYs ability to protect our community as well as our neighboring communities that we respond to. At the same time, all of the items requested will enable us to pehorm our job better and with a higher level of safety and confidence. We realize that you will undoubtedly see thousands of equally qualified requests from departments of ali sizes. We know that not all of the departments wili be fortunate enough to be awarded a grant. We can assure you that the members of the Saint Paul Department of Fire and Safety Services have a commitment, second to none, to protect the community that we serve. Our current city management fully supports the fire department, but due to the recent events affecting budgets there are only so many available funds to distribute between many of the city's departments. Even in the face of setbacks, we have made giant strides in the past few years and we will continue to move forward towards our goals. This grant would give our fire department a definitive edge when preparing to deal with incidents we are familiar with as weii as the new incidents that all of our departments across the nation are preparing for in the decades to come. We appreciate your consideration of this grant request and we look forward to your repiy. Respectfully Submitted, Firefighter Ken Giiliam Saint Paul Department of Fire and Safety Services ' Please describe any grants that you currently have with DHS including the AFG, for exampie, 2002 AFG grant for vehicle or 2003 ODP grant for exercises. (Enter "N/A" if Not Applicable) https://portal.fema`.gov/firegranUjsp/fire2004/application/print_app ; jsp?print=tnie&app_n... 04/16/2004 - - o �-�c�iC� . Print Application Page 22 of 29 2002 AFG grant for self contained breathing apparatus. � https://portal.fema.gov/firegranUjsp/fire2004/application/print_app jsp?print=true&app n... 04/16/2004 Print Application Assurances and Certifications Form 20-16A -- o�- 8at� Page 23 of 29 You must read and sign these assurances by providing your password and checking the box at the bottom of this page. Note: Fields marked with an ` are required. 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 1 certify that the appliqnt: 1. Has the legal authority to apply for Federal assistance, and the institutional, manageriai 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. Wiil give the awarding agency, the Comptroller General of the United �tates, and if appropriate, the State, through any authorized representative, access to and the right to examine alI 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 gain. 4. Wiil initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Iritergovernmental 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 ail Federal statutes relating to nondiscrimination. These indude 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) TiUe 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 /�qe Discrimination Act of f 975, 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 ar� the basis of drug abuse; (fl the Comprehensive Alcohol Abuse and Alcoholism Prevenpon, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohoi abuse or alcoholism; (g) Sections 523 and 527 of the Pubiic Heaith Service Act of 1912 (42 U.S.C. 290-dd-3 and 290�e-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title Vill of the Civ1 Rights Acts of 1968 (42 U.S.C. Section 3601 et seq.), as amended, relating to nondiscrimination in the saie, rental or financing of housing; (i) any other nondiscrimination provisions in the spec�c statute(s) under which application for Federal assistance is being made; and Q) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. Will compiy, or has already complied, with the requirements of Title II and III of the Uniform htt p s ://portal.fema.gov/firegranUjsp/fire2004/application/print_appjsp?print—true&app n... 04/16/2004 Print Application O �{-8� Page 24 of 29 Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91�46) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or Federaily assisted programs. These requirements apply to all interest in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will compiy with provisions of the Hatch Act (5 U.S.C. Sections 1501-1508 and 7324-7328), which limit the polftical activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9. Will comply, as appiicable, with the provisions of the Davis-Bacon Act (40 U.S.C. Sections 276a to 276a- 7), the Copefand Ac1(40 U.S.C. Section 276c and 18 ll.S.C. Sections 874), and the Contract Work Hours and Safeiy Standards Act (40 U.S.C. Sections 327-333), regarding labor standards for Federally assisted construction sub agreements. 10. Wiil comply, ff 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) not�cation of violating facilities pursuant to EO 11738; (c) protection of we8ands pursuant to EO 11990; (d) evaluation of flood hazards in flood plains in accordance with EO 11988; (e) assurance of project co�sistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. Section 1451 et seq.); (� conformity of Federal actions to State (Clean Air) Impiementation Plans under Section 176(c) of the Clean Air Act of 1955, as amesxied (42 U.S.C. Section 7401 et seq.); (g) pr6tection 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 nationai 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 Archaeologicai and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 14. Will compiy 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. Wili 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, arxi Veatment o4 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 compiiance audits in accordance with the Single Audit Act of 1984. 18• Will comply with all appiicabie requirements of all other Federal laws, executive orders, regulations and policies governing this program. 19. It will comply with the minimum wage and maximum hours provisions of the Federa� Fair Labor Standards Act (29 U.S.C. 201), as they apply to employees of institutions of higher education, hospitals, and other non-pr�t organizations. https://portal.fema:gov/firegranUjsp/fire2004/applicarion/print app jsp?print=true&app n... 04/16/2004 0�-8da Print Application Page 25 of 29 Signed by Ken Gilliam on 03/21l2004 https://portal.fema.gov/firegranbjsp/fire2004/applicafion/print_app jsp?print=true&app_n... 04/16/2004 Print Application Form 20-16C _ o�-� Page 26 of 29 You must read and sign these assurances by providing your password and checking the box at the bottom of this page. Note: Fieids marked with an � are required. Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibily Matters and Drug-Free Workplace Requirements. Applicants shouid 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 inGuded in the regulations before completing this form. Signature on this form provides for compliance with certification requirements under 44 CFR Part 18, "New Restrictions on Lobbying; and 28 CFR Part 17, "Govemment-wide Debarment and Suspension (Non-procurement) and Government-wide Requirements for Drug-Free Workpiace (Grants)." The certfications shall be treated as a material representation of fact upon which reliance wiil 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, Titie 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 cert�es that: (a) No Federal appropriated funds have been paid or will be paid by or on behatf of the undersigned to any person for influencing or attempting to influence an o�cer or employee of any agency, a Member of Congress, an officer or employee of congress, or an empioyee of a Member of Congress in connection with the making of any Federal grant, the enterint into of any cooperative agreement and extension, continuation, renewal amendment or mod�cation 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 cert�cation 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 certfies that it and its principals: (a) Are not presentiy debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily exduded 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, falsifiration or destruction of records, making false statements, or receiving stolen property. (c) Are not presentiy indicted for or othervvise criminally or civiily charged by a government entity (Federal, State, or locai) with commission of any of the offenses eriumerated in paragraph (1)(b) of https://portal.fema.gov/firegranUjsp/fire2004/application/print_app jsp?print=true&app n... 04/16/2004 o� 8aa Print Application Page 28 of 29 implementation of paragraphs (a), (b), (c), (d), (e), and (�. (8) The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specfic grant: Place of PerFormance Sfreet City State Zip Action If your piace of perFortnance is different from the physical address provided by you in the Appticant Information, click on Add Piace of PerFortnance button above to ensure that the correct place of performance has been specified. You can add multipie 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 Ken Gilliam on 03/21/2004 https://portal.fema:gov/firegranUjsp/fire2004/applicaHon/print_app jsp?print= n... 04/16/2004 o�-�a� _ Print Application Page 29 of 29 FEMA Standard Form LLL Oniy compiete i� applying for a grant for more than $100,000 and have lobbying activities. See Form 20-16C for lobbying activities definition. This fortn is not applicable https://portal.fema.gov/firegranUjsp/fire2004/application/print_app jsp?print=true&app_n... 04/16/2004