HomeMy WebLinkAboutResolution - 2002-R0121 - Grant Application To FEMA For Fire Fighting Funds - 03/28/2002Resolution No. 2002-RO121
March 28, 2002
Item No. 35
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock, a grant application to the
Federal Emergency Management Agency (FEMA) for fire fighting funds, and all related
documents. Said application 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 28th day of March , 2002.
1
WINDY SIT' ON, MAYOR
ATTEST:
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Rebecca Garza
City Secretary
APPROVED AS TO CONTENT:
Steve Hail
Fire Chief
APPROVED AS TO FORM:
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William de Haas
Contract Manager/Attorney
Dh/Ccdocs/FEMA Grant Application.res
March 18, 2002
Print Application
Page 1 of 10
Entire Application Resolution No. 2002—RO121
Standard Form 424
Application Status: IN PROGRESS User: RAUL Action Date: 3/4/2002
APPLICATION FOR 2, DATE SUBMITTED Applicant Identifier
FEDERAL ASSISTANCE
1.TYPE OF SUBMISSION 3. DATE RECEIVED BY STATE State Application Identifier
N/A
Nor�-Construction
4. DATE RECEIVED BY Federal Identifier
FEDERAL AGENCY
5.APPLICANT INFORMATION
Legal Name
LUBBOCK FIRE DEPARTMENT
Address
1515 EAST URSULINE LUBBOCK
Texas 79403 2400
6. EMPLOYER IDENTIFICATION NUMBER (EIN)
75-6000590
8. TYPE OF APPLICATION
New
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE
NUMBER 85.554
CFDA Assistance to Firefighters
TITLE Grant Program
12. AREAS AFFECTED BY PROJECT (cities, counties, states, etc.)
13. PROPOSED PROJECT:
Start Date:
End Date :
15. ESTIMATED FUNDING
a. Federal
35665
b. Applicant
0
c. State
0
d. Local
15285
e. Other
0
f. Program Income
g. TOTAL
50950
Organizational Unit
N/A
Name and telephone number of the person to be contacted on
matters involving this application
RAULSALAZAR
7. TYPE OF APPLICANT
City
9. NAME OF FEDERAL AGENCY
Federal Emergency Management Agency
11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT
Firefighting Vehicle
14. CONGRESSIONAL DISTRICTS OF:
a. Applicant
b. Project
16. IS APPLICATION SUBJECT TO REVIEW BY STATE
EXECUTIVE ORDER 12372 PROCESS?
NIA
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL
DEBT?
No
Alternate Contact Information Number 1
Title FIRE CHIEF
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Salutation
Mr.
First Name
STEVE
Middle Initial
Mr.
Last Name
HAILEY
Day Phone
806-775-2630
Evening Phone
806-798-1210
Cell Phone
806-775-2644
Fax
806-775-3510
Email
SHAILEY@MAIL.CI.LUBBOCK.TX.US
Are you a member of Fire Department or authorized
Alternate Contact Information Number 2
Title
FIRE MARSHAL
Salutation
Mr.
First Name
MIKE
Middle Initial
no
Last Name
KEMP
Day Phone
806-775-2644
Evening Phone
806-794-3843
Cell Phone
Fax
806-775-3510
Email
MKEMP@MAIL.CI.LUBBOCK.TX.US
Are you a member of Fire Department or authorized
representative of a fire department?
yes
Are you a member of Federal Fire Department or
contracted by the Federal government and solely
responsible for suppression of fires on Federal
no
property?
What kind of Department are you from?
All paid/career
If you answered combination, above, what is the
percentage of career firefighters in your department?
How would you characterize your response/jurisdiction
an urban community
area?
How many active firefighters are in the
251
operations/EMS division of your department?
What is the square mileage for your jurisdictions
115
coverage area?
What is the permanent resident population of your
202000
primary/first-response area or jurisdiction served?
How many stations are in your jurisdiction? 14
If the population you protect is 50,000 or less, you are
required to provide a Non -Federal cost -share equal to
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10 percent of the total project cost. If the population
you protect is over 50,000, you are required to provide
a Non -Federal cost -share equal to 30 percent of the yes
total project cost. Are you willing to comply with this
requirement?
Do you currently report to the national fire incident yes
reporting system (NFIRS)?
If you answered yes, above, please enter your FDIN? PY603
If you answered no, above, will you report if you
receive this grant?
What services does your department provide?
The total number of fire related fatalities in your
jurisdiction over the last three years?
On average, how many runs per year does your
department make?
How many times have you received
Mutual/Automatic Aid?
How many time have you given Mutual/Automatic
Aid?
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Fire Rescue (auto extrication, etc.) EMS (non -
transportation) Hazmat
11
12000
3
9
What is the percentage of your annual operating
budget that is dedicated to personnel costs?
91
What percentage of your annual operating budget is derived from:
Taxes?
100 %
Grants?
0
Donations?
0
Fund drives ?
0
Vehicle Profiles
What is the age of your oldest First Line vehicle?
16 + years
What is the age of your newest First Line vehicle?
0 - 5 years
What is the highest mileage for your First Line
Over 30,000
vehicles?
What is the lowest mileage for your First Line
0-10,000
vehicles?
flow many vehicles do you have within your department by the category specified below?
First Line Reserve
a. Engines (or pumpers): 13 5
b. Aerial Apparatus: 4 1
c.Tankers: 2 0
d. Rescue Vehicles: 1 0
e. Other: 11 3
List all vehicles owned and/or operated by your department, including the year of manufacture and mileage of
each vehicle:
1. Engines (Pumpers) - Qty. of 18 Oldest Mfg. in 1980/Mileage - 57,118 Newest Mfg. in 2000/Mileage - 10,084
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2. Aerial Apparatus - Qty. of 5 Oldest Mfg. in 1983/Mileage 58,812 Newest Mfg. in 1997/Mileage - 27,428 3.
Tankers - Qty. of 2 Both Mfg. in 1999/Mileage - 4,048 4. Rescue Vehicle - Qty. of 1 Mfg. in 1977/Mileage -
33,943 5. Command Vehicles - Qty. of 4 Oldest Mfg. 1993/Mileage 107,486 Newest Mfg. 1999/Mileage -
44,589 6. HAZMAT - Qty. of 1 Mfg. 1981/Mileage - 110,539 7. Dive Team Van - Qty. of 1 Mfg. 1978/Mileage -
88,728 8. Quint - Qty. of 1 Mfg. 2001/Mileage - 2,454 9. ARFF - Qty. of 2 Oldest Mfg. 1989/Mileage - 9,192
Newest Mfg. 1996/Mileage - 8,484 10. RIV - Qty. of 1 Mfg. 1997/Mileage - 5,565
Department Call Volume
How many responses per year by category?
Structure Fire
302
Vehicle Fires
173
Vegetation Fires
158
EMS and Rescue
5027
Hazardous Condition/Materials Calls
540
Service Calls
819
Good Intent Calls
732
False Alarms
1348
Other Calls and Incidents
329
Request Information
1. Activities of grant for which the funding has been applied via this FireFighting Vehicles
application.
2. Will this grant benefit more than one department? No
3. If you answered Yes to Q3 above, please specify how?
Activity Number of Entries Total Cost
Firefighting Vehicles 1 $ 48950 $ 2000
Federal Rate Sharing (%)
Budget Object Class
a. Personnel
b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
f. Contractual
g. Construction
h. Other
i. Indirect Charges
Additional Funding
70/30
$0
$0
$0
$48,950
$2,000
$0
$0
$0
$0
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Budget Source
Federal Share
Applicant Share
Total Budget
Narratives
Please provide your narrative statement in the space provided below:
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$ 35,665
$ 15,285
$ 50,950
Item I. Project requested to be funded: The Lubbock Fire Department is seeking funding for the acquisition of
one 28,0001b. GVWR Diesel Crew Cab & Chassis with air brakes and automatic transmission. This purchase
shall replace a 1985 gasoline operated Ford F-700 2 ton capacity with a 460 cubic engine that has a present
mileage of 87,609. Item II. How shall funds be spent: 96% or $48,950 of the funds shall be appropriated for the
purchase of the physical vehicle. 4% or $2,000 of the remaining funds shall be appropriated for the purchase of
paint to dress and associate vehicle with the Lubbock Fire Department and the purchase of a mount to connect
the Fire Safety House. Item III. Why is this project beneficial to our community and/or to the department: The
City of Lubbock and surrounding communities would stand to benefit from the acquisition of a new vehicle as it
would: a.) Permit a reduction in maintenance costs associated with current vehicle when compared to a new
vehicle. (Current vehicle did require an engine overhaul 9 years ago when the fire department first acquired the
vehicle from another city department.) b.) Permit Fire Safety Educational Team, consisting of as many as 5-6
members, to travel all together in a single vehicle thereby maximizing efficiency and costs savings. (Currently,
team members will use multiple vehicles to attend presentations.) c.) Aid the City of Lubbock in its efforts as a
federally designated"Project Impact" community to bring public safety awareness to the citizenry. Securing
reliable transport will enhance opportunities for accepting as well as offering more invitations to educate on fire
hazards and safety protocols to protect person and family. d.) Broaden scope of audience to include some of the
rural communities located just miles outside the City of Lubbock. (Refurbished unit has encountered a high
degree of usage that over its 18 year life and or 9 years serving the fire department has required above average
maintenance associated with obvious age of vehicle. This has thereby prohibited to a certain extent the location
and number of presentations our educational team may initiate attributed to reliability of transport vehicle. Item
IV. Why can this project not be funded solely through local funding: The purpose in applying for this grant is to
see this worthy request materialize. From a local perspective, the city's budget has experienced moderate
cutbacks in the approval of funding such projects. Attributed to lessening revenues than projected from sales
and property tax for a second consecutive year (dramatically influenced again by the Sept. 11th incident),
measures have been implemented by concerned and cautious city management team leaders to adjust and
preserve existing income without negatively impacting city services. Examples of these conservative cost saving
maneuvers include cutting departmental travel and training budgets and an across the board hiring freeze which
was partially lifted during the course of this second quarter. It is anticipated that for the next 6 to 12 months,
despite continuous active budget adaptations, itis not expected that the city will be able to generate expendable
income for the purpose of fully financing the purchase of such a vehicle. Thus, we have been encouraged to
seek alternative funding sources. However, as we begin to pursue and confront other avenues of funding, we
encounter a second dilemma that is very difficult to overcome. Over the past decade, the West Texas region has
observed a decline in population growth. This is evident from the City of Lubbock serving as the only
metropolitan area within 100 miles. Locally, the city has experienced a dismal 2% growth rate since the
publication of the last US census a decade ago while smaller farming communities have had zero to negative
growth. This is mainly attributed to the agriculture industry grounded in this area which has failed to prosper.
Consequently, this contributes to the emigration of longtime residents. With such stagnate growth, opportunities
for successfully acquiring federal, state or private funding has become extremely competitive making it difficult
for many communities within Lubbock County and across the region to reap any substantial financial benefits.
Item V. Additional relevant information that should be considered when evaluating application: Over the span of
12 years, the Fire Safety House Education Program has been quite successful commanding increased numbers
of invitations from local / rural schools and varied civic groups. Activity measures reflect that over the last four
years, an annual average of 62 presentations were conducted with a documented annual average attendance of
4,191 students. When the Fire House was first constructed in 1990, there was an exuberant interest in providing
residents with this premiere realistic fire education tool. As a result, the department had to exercise discretion in
the number of events attended as it generated a high number of occasions for moving the Fire Safety House
from site to site. Today, that interest is as apparent as it was then, demanding personnel remain conservative in
the number of events attended. Our trained fire educators continuously seek to maximize opportunities in
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educating children in domains lacking such resources. Rural communities just outside the City of Lubbock are a
prime example. Economically reliant on agriculture in this area of West Texas, many schools whose funding are
minimal at best because they are so small seek the educational opportunities available from more established
organizations such as our department in Lubbock, Texas. In an effort to afford these children with fire safety
education, our department has resorted to allowing schools outside of Lubbock bus children of various grade
levels to our location and or station the safety house at the local fair once a year by which rural residents may
visit. We, here at the department believe a more orderly and effective fire safety house education program could
be provided by replacing our current vehicle with a newer dependable one. This notion would enable personnel
to broaden the scope of audience and impact as many as several thousand individuals by extending travel
beyond the immediate area. By removing the threat of probable engine failure, fire educators would have the
opportunity to visit resource depressed rural civic groups, schools, etc. that in many cases on the South Plains
retain a high number of children of migrant farm families. The truck that we now utilize at this time does not offer
us the confidence to accept invitations from communities beyond our city limits. This is attributed relatively to the
weight of the safety house that exceeds 15,500lbs. burdening the engine and because of normal wear and tear
that has curbed performance with age. Therefore, we ask that you please review and carefully consider this
application for approval of an educational initiative that hinges upon portability.
If you received a grant award in the 2001 process, does N
your current request relate to your 2001 award?
Assurances Non -Construction Programs
Note: Certain of these assurances may not be applicable to your project or program. If you have 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
constitute 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 (20 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
6101106), 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) Comprehensive Alcohol Abuse and Alcohol Prevention, Treatment and
Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating nondiscrimination on the basis
of alcohol abuse 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
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and drug abuse patient records; (h) Title VIII of the Civil Rights Act 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 under
which application for Federal assistance being made; and (j) the requirements of any other
nondiscrimination statute(s) which may apply to application.
7. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform
Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646)
which provide fair and equitable treatment of persons displaced whose property is acquired
as a result of Federal federally assisted programs. These requirements apply to all interests
in real property acquired for project purposes regardless of Federal participation in
purchases.
8. Will comply with the 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 Federal funds.
9. Will comply, as applicable, with the provisions of Davis -Bacon Act (40 U.S.C. Section 276a to
276a-7), Copeland Act (40 U.S.C. Section 276c and 18 U.S.C. Sections 874), and the
Contract Work Hours and Safe Standards Act (40 U.S.C. 327-333); regarding labor
standards for federally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of
the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special
flood hazard area to participate in the program and to purchase flood insurance if the total
cost of insurable construction and acquisition is $10,000 or more.
11. Will comply with environmental standards which may be prescribed pursuant to the following:
(a) institution of environmental quality control measures under the National Environmental
Policy Act of 1969 (P. L. 91-190) and Executive Order (EO) 11514; (b) notification of violating
facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance with -EO 11988; (e) assurance of
project consistency with the approved State management program developed under the
Coastal Zone Management Act of 1972 (16 U.S.C. 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
source of drinking water under the Safe Drinking Water Act of 1974, as amended, (PL 93-
523); and (h) protection of endangered species under the Endangered Special 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
protection of historic properties), and Archaeological and Historic Preservation Act of 1974
(16 U.S.C. 469a-1 et seq.)
14. Will comply with P.L. 93-348 regarding 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
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Labor Standards Act (29 U.S.0 201), as they apply to employees of institutions of higher
education, hospitals, and other non-profit organizations.
Signed by RAUL on 2002-03-11 13:51:24.0
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 (Nonprocurement) 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
Federal Emergency Management Agency (FEMA) determines to award the covered transaction, grant, or
cooperative agreement.
81MENZ
A. As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons
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.This form must be attached to certification if nonappropriated funds are to be used to
influence activities.
(c) The undersigned shall require that the language of this certification be included in the award
documents for all the subawards at all tiers (including subgrants, contracts under grants and
cooperative agreements and subcontract(s)) and that,all subrecipients shall certify and disclose
accordingly.
2. Debarment, Suspension and Other Responsibility Matters (Direct Recipient)
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 perio 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
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(d) have not within a three-year period preceding this application had one or more public
transactions (Federal, State, or local) terminated for cause or default; and
B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an
explanation to this application.
3. Drug -Free Workplace (Grantees other than individuals)
As required by the Drug -Free Workplace Act of 1988, and implemented at 44CFR Part 17, Subpart F, for
grantees, as defined at 44 CFR part 17, Sections 17.615 and 17.620:
(A) The applicant certifies that it will continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture,
distribution, dispensing, possession, or use of a controlled substance is prohibited in
the grantee's workplace and specifying the actions that will be taken against
employees for violation of such prohibition;
(b) Establishing an on-going drug free awareness program to inform employees
about:
(1) The dangers of drug abuse in the workplace;
(2) The grantees policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation and employee
assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse
violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in the performance of
the grant to be given a copy of the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a
condition of employment under the grant, the employee will:
(1) Abide by the terms of the statement and
(2) Notify the employee in writing of his or her conviction for a violation
of a criminal drug statute occurring in the workplace no later than five
calendar days after such conviction.
(e) Notifying the agency, in writing within 10 calendar days after receiving notice
under subparagraph (d)(2) from an employee or otherwise receiving actual notice of
such conviction. Employers of convicted employees must provide notice, including
position title, to the applicable FEMA awarding office, i.e. regional office or FEMA
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
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done in connection with the specific grant:
Place of Performance
Street
1515 East Urusline Lubbock
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City State Zip
Texas 79403-2400
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 FEMA funding. States and State
agencies may elect to use a Statewide certification.
Disclosure of Lobbying Activities
1. Type of Federal Action 2. Status of Federal Action 3. Report Type
4. Name and Address of Reporting Entity: 5. If Reporting Entity in No.4 is a Subawardee, Enter Name and Address of
Prime:
6. Federal Department/Agency 7. Federal Program Name/Description
8. Federal Action Numberif Known: 9. Award Amount if known
10a. Name and address of Lobbying Registrant:
(if individual, last name, first name, MI)
10b. Individuals Performing Services:
(including address if different from No. 1Oa)
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 than $10,000 and not more than $100,000 for
each such failure.
https://portal. fema.gov/firegrant/new/fire/print app. j sp?print=true&app_number= 3/13/02