HomeMy WebLinkAboutResolution - 2004-R0182 - Application For Domestic Preparedness To Procure Computer Equipment - 04_06_2004Resolution No. 2004-RO182
April 6, 2004
Item No. 41
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the City Manager of the City of Lubbock or his designee BE and is hereby
authorized and directed to sign and submit an application to the United States Office for
Domestic Preparedness to procure computer equipment and supplies to be used by the
City of Lubbock Fire Department and to allocate the sum of $62,370 in matching funds
for said Grant, and all related documents. Said Grant is attached hereto, and
incorporated in this resolution as if fully set forth herein and shall be included in the
minutes of the City Council.
Passed by the City Council this 6th day o
ATTEST:
Relkcca Garza, City Secretary
APPROVED AS TO CONTENT:
Steve Hailey, Fire
APPROVED AS TO
Knight, As s ant Cii�'Attorney
gs/ccdocs/res-US Office for Domestic Preparedness
March 16, 2004
Print Application Page 1 of 18
Resolution No. 2004—RO182
Entire Application
Overview
Are you a member, or are you currently involved in the management, of the fire department applying for Yes
this grant?
If you answered No, please complete the information below and click 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 t are required.
Preparer Information
• Organization Name
• Address 1
Address 2
t City
• State
• Zip
Is there a grant -writing fee associated with the
preparation of this request?
If you answered yes above, what is the fee? $
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Contact Information
Alternate Contact Information Number 1
Title
Fire Chief
Prefix
Mr.
• First Name
Steve
Middle Initial
• Last Name
Hailey
• Business Phone
806-775-2630 Ext.
*Home Phone
806-798-1210 Ext.
Mobile Phone/Pager
806-548-3903
Fax
806-775-3510
Email
shailey@mail.ci.lubbock.tx.us
Alternate Contact Information Number 2
} Title
Chief of Support Services
Prefix
Mr.
. First Name
Lynn
Middle Initial
• Last Name
Smith
• Business Phone
806-775-2631 Ext.
°Home Phone
806-863-2774 Ext.
Mobile Phone/Pager
806-548-3905
Fax
806-775-3510
*Email
Ismith@mail.ci.lubbock.tx.us
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Applicant Information
*Applicant Name
• Type of Applicant
If other, please enter the type of Applicant
• 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
i Zip
Mailing Address
Mailing Address 1
Mailing Address 2
• City
w State
Zip
Account Information
Type of bank account
• Bank routing number - 9_d,igit number on the bottom left hand
corner of your check
-Your account number
LUBBOCK FIRE DEPARTMENT
City
75-6000590
Yes
058213893
1515 EAST URSULINE
LUBBOCK
Texas
79403 - 2400
Need_hWp for_ZJP._.J_4?
1515 EAST URSULINE
LUBBOCK
Texas
79403 - 2400
Need help for.Z3E'+4?
Checking
121000248
4000048017
Additional Information
• For this fiscal year (Federal) is your jurisdiction receiving
Federal funding from any other grant program that may No
duplicate the purpose and/or scope of this grant request?
If awarded this grant, will your jurisdiction expend greater
than $300,000 in Federal share funds during the Federal fiscal No
year in which the grant was awarded?
} Is the applicant delinquent on_any f_ederal_debt? No
If you answered yes to any of the additional questions above,
please provide an explanation in the space provided below:
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Department Characteristics (Part 1)
* Are you a member of a Fire Department or authorized Yes
representative of a fire department?
* Are you a member of Federal Fire Department or contracted
by the Federal government and solely responsible for No
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 career firefighters in your department?
-What is the square mileage of your primary response area? 115
* What percentage of your response area is protected by 96
hydrants?
* Does your department protect critical infrastructure of the Yes
State?
* How much of your jurisdiction's land use is for agriculture, 47 %
wild land, open space, or undeveloped properties?
*What percentage of your jurisdiction's land use is for 20 %
commercial, industrial, or institutional purposes?
*What percentage of your jurisdiction's land is used for 33 %
residential purposes?
* How many commercial, industrial, residential, or institutional
80
structures in your jurisdiction are more than four stories tall?
What is the permanent resident population of your
206290
Primary/First Due Response Area or jurisdiction served?
* How many active firefighters does the department have who
255
perform firefighting duties?
* How many personnel provide only EMS service delivery?
0
* How many stations are in your department?
14
* Do you currently report to the National Fire Incident
Yes
Reporting System (NFIRS)?
If you answered yes above, please enter your FDI_N/FDID
PY603
* What services does your department provide?
Structural Fire Suppression Medical First Response
Basic Life Support
Airport Rescue Firefighting (ARFF)
Hazmat Operational Level
Hazmat Technical Level
Rescue Operational Level
Rescue Technical Level
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Department Characteristics (Part 11)
* What is the total number of fire -related civilian fatalities in your jurisdiction
5
over the last three years?
- What is the total number of fire -related civilian injuries in your jurisdiction
54
over the last three years?
• What is the total number of fire -related firefighter fatalities in your
0
jurisdiction over the last three years?
*What is the total number of fire -related firefighter injuries in your jurisdiction
31
over the last three years?
• In an average year, how many times does your department receive
0
mutual/automatic aid?
• In an average year, how many times does your department provide
4
mutual/automatic aid?
• What was your department's estimated average annual operating budget
18922674
over the last three years?
• What percentage of your annual operating budget is dedicated to
93 %
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?
100 %
Grants?
0 %
Donations?
0 %
Fund drives?
0 %
Other?
0 %
If you entered a value into Other field (other than 0), please explain
*How many vehicles does your department have in each of the categories below? Enter numbers only and enter 0 if you do not
have any of the vehicles below
Total Number
a. Engines (or pumpers):
Pumper, Pumper/Tanker, Rescue/Pumper, Foam Pumper, CAFS Pumper, Quint (Aerial device
13
of less than 76 feet), Fire Boats (more than 13 feet long), Type I, Type II, Type III Engine
b. Aerial Apparatus:
Aerial Ladder Truck, Telescoping, Articulating, Ladder Towers, Platform, Tiller Ladder Truck,
4
Quint (Aerial device of 76 feet or greater)
c. Tankers:
Tanker, Tender, Tanker/Pumper (Pumper with a tank that has a greater than 1,200 gallon
2
capacity), Foam Tanker/Tender (greater than 1,200 gallon tank capacity)
d. Rescue Vehicles:
1
Rescue Squad, Rescue (Light, Medium, Heavy), Technical Rescue Vehicle
e. Brush/Quick attack :
2
Brush Truck, Patrol Unit (Pick up w/ Skid Unit), Quick Attack Unit, Mini -Pumper, Type IV Engine
f. Other:
EMS Transport Unit, EMS Chase Vehicle, Air/Light Unit, Rehab Units, Hazardous Materials
Unit, Bomb Unit, Technical Support (Command, Operational Support/Supply), Hose Tender,
8
Salvage Truck, ARFF (Aircraft Rescue Firefighting), Command/Mobile Communications
Vehicle, Other Vehicle
Provide in the space below the following information only if you are applying for a firefighting vehicle: List all your vehicles by
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type (for example, engines/pumpers, brush, rescue, etc.). Then provide the year each was manufactured. If the department has
more than two of any type, provide the total number of vehicles in that category and the years the oldest and the newest were
manufactured.
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Department Call Volume
' How many responses per year by category? (Enter whole numbers only: If you have no calls for any of the categories, enter 0)
Structure Fires
315
Vehicle Fires
152
Vegetation Fires
89
EMS
7376
Rescue
239
Hazardous Condition/Materials Calls 820
Service Calls 743
Good Intent Calls/False Alarms 2253
Other Calls and Incidents 315
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Request Information
* 1. Select a program for which you are applying. Remember, you can only apply for one program this year. You can apply for as
many activities within a program as you need.
(If you modify your selection, you will lose data entered under the original activity.)
Program Name
Operations and Firefighter Safety
* 2. Will this grant benefit more than one department?
No
If you answered Yes to Question 2 above, please explain. (You can only enter 4000 characters)
Request Details
The activities for program Operations and Firefighter Safety are listed in the table below.
Activity
Equipment
Modify Facilities
Personal Protective Equipment
Training
Wellness and Fitness Programs
Equipment
Number of Entries Total Cost
1 $ 207,900
0 $0
0 $0
0 $0
0 $0
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
Computers
Additional Funding
The Lubbock Fire Department is seeking to
purchase (27) 12 volt operated Touch Screen
Laptops with read / write CD Rom (est. @
$4,500ea.), (27) Vehicle Mounts (est. @
$800ea.) and (27)RF Modems (est. @
$2,400ea.) that will integrate with the fire
emergency CAD system currently in place
today.
27 (whole number only)
*3. Cost per unit $ 7700 (whole dollar amounts only)
*4. Generally the equipment purchased under this grant program:
Is necessary for basic firefighting capabilities, but has never been owned by this department
If you selected "replacing equipment" (from Q4) above, please specify the age Select Age
of equipment in years.
*5. Generally the equipment purchased under this grant program:
Has no statutory basis
*6. Does this equipment provide a health and safety benefit to the firefighters in Yes
$0
$0
$0
$0
$0
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your department? If yes, please fully explain in the narrative section.
Close Window
Budget
Budget Object Class
a. Personnel $ 0
b. Fringe Benefits $ 0
c. Travel $ 0
d. Equipment $ 207,900
e. Supplies $ 0
f. Contractual $ 0
g. Construction $ 0
h. Other $ 0
i. Indirect Charges
$ 0
Indirect Cost Details
Agency Indirect Cost Agreement with
Indirect Cost Rate %
Agreement Summary
Federal and Applicant Share
Federal Share
$ 145,530
Applicant Share
$ 62,370
Federal Rate Sharing {%}
70/30
Non -Federal Resources (The combined Non -Federal Resources must equal the Applicant Share of $ 62,370)
a. Applicant
$ 62370
b. State
$ 0
c. Local
$ 0
d. Other Sources
$ 0
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 $ 207,900
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Narrative Statement
Project Description
Please provide your narrative statement in the space provided below (1) Project Description, (2) Financial Need, and (3)
Cost -Benefit of Request:
Project Description:
The Lubbock Fire Department is seeking funding to secure a Touch Screen Laptop with read / write CD Rom, a vehicle Mount
and an RF Modem for 27 front line fire emergency fleet vehicles. At this time, there are no such devices currently deployed.
Financial Need:
Over the past 16 months the City of Lubbock has observed a number of occurrences that have financially strained the city's
general operating budget. Identified below are several issues that have and or stand to impact the city's budgetary status.
a. The City's owned and operated utility company has experienced unprecedented operational setbacks in 2003 that resulted in
the loss of 6.5 million dollars in revenue or 6.97% of the city's general operating fund. Consequently, the city was forced to
eliminate in excess of 100 positions in order to balance the fiscal budget for 2004. (Revenues diverted from the utility company to
the general operating fund have been severed indefinitely until the company can regain financial stability.)
b. With this unusual phenomenon that occurred with the utility company, the number of positions that were cut produced,
although controlled, an additional burden on budgetary funds attributed to monetary provisions dispersed to these employees in
an effort to aid them through this unscheduled transition.
c. The city organization has also observed a shift in upper management. For a period of ten months, beginning in April of 2003
and concluding in February of 2004, the city served under the leadership of an interim city manager whose caution through these
fiscally trying times was forced to halt the city's progressive position in aggressively pursuing additional projects until new
leadership (a new city manager) could be secured for budgetary direction.
d. Property tax as a source of revenue for the city has remained constant with no significant excess funds being generated to
offset recent strains to the city budget. As an alternative to contain the idea of raising such taxes, city officials instead approved
to increase the sales tax rate to its maximum rate of 8.25%, which shall be instituted in October of 2004. This revenue stream is
not expected to yield surplus budgetary relief until immediate day-to-day operational issues are resumed to normalcy, which may
extend well into late 2005.
e. Since the terrorists' attacks back in 2001, the stock market has been slow to recover which has been reflected in the city's
municipal investments. Consequently, this stream of interest income has suffered and is responding at a slow rate congruent
with the market. At this time, investments have yielded a return of approximately 1 %.
f. The last significant factor contributing to fiscal un-stability within the organization is relative to the downturn in the economy.
West Texas is a sparsely populated region for which communities in this area subsist heavily on agriculture. Dependent on
commodities that are volatile in production and demand, this region has had its share of misfortunes. This year has been no
exception. Calendar year 2003 was considered the second -driest year ever. The City of Lubbock received only 8.83 inches of
rain, half of its average annual rainfall. Drought conditions are being felt all over the immediate region directing many farmers to
leave the industry because of its lack of profitability. The reason for such concern is that the City of Lubbock, which is the biggest
community within a 100mile radius plays a major role in the lives of these farming families. Provisions such as entertainment,
food, clothing, supplies, equipment, etc. are why many rural small town residents come to Lubbock. As disposable incomes for
these families begin to slump, the effects trickle down impacting the Lubbock economy. At this time, city budget analysts have
observed sales tax revenues with a marginal return of only 2.9% above projections for a 6 month period. Despite this meager
gain, competing budgetary issues within the city organization continue to exhaust these earnings hindering the department's
efforts to pool resources that play a role in improving the health and safety of our fire fighters.
In conclusion, multiple factors this year have effected the city organization. Contending with these budgetary constraints, the City
has had to make significant adjustments in order to contend with these issues that have contributed to these unscheduled
revenue shortfalls. Under these conditions, the current department budget is still able to meet operational needs of the
organization, but there are no allowances for the addition or expansion of new projects without having secured supplemental
sources of funding.
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Cost Benefit of Request:
We believe that awarded funding for this equipment will allow the department to maximize public funds in addressing problems
impacting the department's efforts to provide capable fire service. In 2003, Lubbock Fire Dispatchers handled in excess of
40,000 calls with all communication transmitted via radio. Despite this call volume, the dissemination of emergency information is
limited in order to free up radio traffic. This situation has been recognized to be an interoperability problem as well as a health
and safety issue because it restricts the amount of information and increases the time that such information can be afforded to
First Responders on the scene. Employing touch -screen laptop technology;
a. Will free up local emergency radio traffic by providing an additional medium of communication and enabling Fire Dispatchers
the ability to handle additional calls simultaneously.
b. Will render our First Responders the ability to receive emergency information concurrent with EMS and permit communication
of specific information of probable threats, obstacles, etc. with enhanced details through the efficient applications of messaging
and the direct availability of maps / fire plans among other things for firefighter safety.
c, Will establish as well as nourish jurisdictional interoperability attributed to the capacity to share emergency incident information
with local public safety agencies and to those lacking such technology in the surrounding communities responding to a multi -
jurisdictional incident.
d. Will provide a technological foundation for which the department can build upon. Afforded laptops, the principle tasks of the
units can be expanded in the future to include use of Automated Vehicle Locaters (AVL's).
To conclude, the agenda of the Fire Act Grant is to be able to enhance a fire department's abilities with respect to fire and fire
related hazards. More specifically, this relates to the provisions of tools and resources that are necessary to protect the health
and safety of the public and their fire fighting personnel. The Lubbock Fire Department is of the same opinion and is submitting a
request for equipment that parallels this belief.
In order to better serve our community and the well being of those firefighters that serve them, we believe that this request for
technology will provide our department with improved capabilities to alert, communicate, share information, respond better
prepared and arrange the technological groundwork for which the department can develop further.
Please describe any grants that you currently have with DHS including the AFG, for example, 2002 AFG grant for vehicle or
2003 ODP grant for exercises. (Enter "N/A" if Not Applicable)
The Lubbock Fire Department was awarded funding in 2003 from the Assistance to Firefighters Grant (Grant # EMW-2003-FG-
11752) in the amount of $75,925 to aid in site preparation and the acquisition and installation of exhaust systems in two fire
stations.
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Assurances and Certifications
Form 20-16A
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 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 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) Sections 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 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 with provisions of the Hatch Act (5 U.S.C. Sections 1501-1508 and 7324-7328), which limit the
political activities of employees whose principal employment activities are funded in whole or in part with
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Federal funds.
9. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. Sections 276a to 276a- 7),
the Copeland Act (40 U.S.C. Section 276c and 18 U.S.C. Sections 874), and the Contract Work Hours and
Safety Standards Act (40 U.S.C. Sections 327-333), regarding labor standards for Federally assisted
construction sub agreements.
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 flood plains 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. Section 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. Section 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 of 1984.
18. Will comply with all applicable 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 Federal Fair Labor Standards Act
(29 U.S.C. 201), as they apply to employees of institutions of higher education, hospitals, and other non-profit
organizations.
Signed by RAUL SALAZAR on 03/15/2004
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Form 20-16C
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.
Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibily Matters and Drug -Free Workplace
Requirements.
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
28 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.
(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
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Page 15 of 18
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).
(8) 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
1202 18th LUBBOCK Texas 79401 -5024
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1515 East Ursuline
LUBBOCK
Texas
79403 -2400
6420 25TH
LUBBOCK
Texas
79407 -1518
2504 Cornell
LUBBOCK
Texas
79415 -2302
1101 Zenith
LUBBOCK
Texas
79403 -5527
3320 35th
LUBBOCK
Texas
79413 -2317
202 Slide Rd.
LUBBOCK
Texas
79416 -3152
2120 50th
LUBBOCK
Texas
79412 -2603
4814 50th
LUBBOCK
Texas
79414 -3419
4810 MLK
LUBBOCK
Texas
79404 -4028
Rt. 3 Box 29F
LUBBOCK
Texas
79403 -9803
5202 79th
LUBBOCK
Texas
79424 -2833
9601 Ave. X
LUBBOCK
Texas
79423 -4414
8002 Venita
LUBBOCK
Texas
79424 -5203
If your place of performance is different from the physical address provided by you in the Applicant Information, click on
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 RAUL SALAZAR on 03/16/2004
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LUU14- 1[-1.,Md ?,
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FEMA Standard Form LLL
Only complete if applying for a grant for more than $100,000 and have lobbying activities. See Form 20-16C for lobbying activities
definition.
You must read and sign these assurances by providing your password and checking the box at the bottom of this page.
Note: Fields marked with an * are required.
1. * Type of Federal Action
2. *Status of Federal Action
3. * Report Type
Year
Quarter
Date of last report:
4. * Name and Address of Reporting. Entity;
*Reporting Entity Type
Tier (if known)
Standard Form LLL: Disclosure of Lobbying Activities
Grant
Bid/Offer/Application
Initial filing
This sub section is for Material Change only
2004
1
Prime
*Name
City of Lubbock
*Street
1625 13th Street
*City
Lubbock
*State
Texas
*zip
79457 - 0001
Need help for LIP+4?
5. If Reporting Entity in No.4 is a
Subawardee, enter name and address of Prime:
Name
Street
City
State
Zip
6. * Federal Department/Agency
7, * Federal Program Name/Description
8. Federal Action Number if known:
Need help for ZIP+4?
U.S. Department of Homeland Security
Assistance to Firefighters Grant Program
9. Award Amount if known:_$
1 Oa. Name and address of Lobby_'r_ng Registrant_(if individual, last name, first name, MI)
Name
Meyers & Associates
Street
412 First Street, S.E.
City
Washington
State
District of Columbia
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Zip
20003 - 1804
10b. Individuals Performing Services: (include address if different from No.10a) (last name, first name, MI)
Name
Street
City
State
Zip
Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying activities is a
material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into.
This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be
available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less thar
$10,000 and not more than $100,000 for each such failure.
Signed by RAUL SALAZAR on 03/16/2004
https://portal.fema.govlfiregrantljsplfire2004lapplicationlprint_app jsp?print=true&app_number= 3/16/2004