HomeMy WebLinkAboutResolution - 2003-R0138 - Grant Funds For Training Supplies - Lubbock Fire Department - 04/10/2003Resolution No. 2003-RO138
April 10, 2003
Item No. 15
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 Federal
Emergency Management Administration to procure training supplies and station exhaust
systems to be used by the City of Lubbock Fire Department and to allocate the sum of
$32,539 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 10th
ATTEST:
- CO -0 ��-e- -,:-% -
Rebec a Garza, City Secretary
APPROVED AS TO CONTENT:
Steve Hailey, Fire Chief
APPROVED AS TO FORM:
Amy Sim s fit City
gs/ccdoc/US Fed Emergency Management Admin.res
March 31, 2003
Print Application Page 1 of 15
Resolution No. 2003-80138
Entire Application
Applicant Information
Fire Department Name
LUBBOCK FIRE DEPARTMENT
Type of Fire Department
City
If other, please enter the type of Fire Department
Employer Identification Number
75-6000590
Physical Address
Headquarters' Physical Address 1
1515 EAST URSULINE
Headquarters' Physical Address 2
City
LUBBOCK
State
Texas
Zip
79403-2400
Mailing Address is the same as the Physical Address
Mailing Addressl
1515 EAST URSULINE
Mailing Address2
• City
LUBBOCK
State
Texas
• Zip
79403-2400
Account information
Type of bank account
Checking
. Bank routing number - 9 di it number on the bottom
111322583
left hand corner of your check
Your account number
87793
F_L•CI=1Gi • =.9
This fiscal year, are you receiving Federal funding
from any other grant program for the same purpose No
for which you are applying for this grant?
This fiscal year, are you receiving Federal funding No
from any other grant program regardless of purpose?
Is the applicant delinquent on any federal debt? No
If yes, type explanation in space provided below
Contact Information
Alternate Contact Information Number 1
Title Fire Chief
Salutation Mr.
First Name Steve
https://portal.fema.gov/firegrant/j sp/fire/print_app.j sp?print=true&app number= 3/28/2003
Print Application
Middle Initial
• Last Name Hailey
• Day Phone 806-775-2630 Ext.
Evening Phone 806-775-2632 Ext.
Cell Phone
Fax 806-775-3510
Email shailey@mail.ci.lubbock.tx.us
Alternate Contact Information Number 2
Title
Chief of Support Services
Salutation
Mr.
• First Name
Lynn
Middle Initial
* Last Name
Smith
• Day Phone
806-775-2631 Ext.
Evening Phone
806-775-2632 Ext.
Cell Phone
Fax
806-775-3510
Email
Ismith@mail.ci.lubbock.tx.us
Department Characteristics (1)
Are you a member of a Fire Department or Yes
authorized representative of a fire department?
Are you a member of Federal Fire Department or
contracted by the Federal government and solely No
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 career firefighters in your department?
What is the square mileage of your primary response
115
area?
What percentage of your response area is protected
o
96/o
by hydrants?
, How much of your jurisdiction is zoned for
o
0/o
agriculture?
. How much of your jurisdiction is zoned for
o
33/o
commercial or industrial?
How many structures in your jurisdiction are more 80
than four stories tall?
What is the permanent resident population of your 202000
prrnaryr'frst-response area or iurisdiction served?
How many active fire`ighters are in the operations/EMS 258
division of your department?
Page 2 of 15
https://portal.fema.gov/flregrantlj sp/fire/print_app.j sp?print=true&app number= 3/28/2003
Print Application
• 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 FDIN? PY603
What services does your department provide?
Structural Fire Suppression
Basic Life Support
Hazmat Technical Level Hazmat Specialist Level
Rescue Technical Level
Department Characteristics (II)
Page 3 of 15
Airport Rescue Fire Fighting (ARFF)
Hazmat Operational Level
Rescue Operational Level
What is the total number of fire related fatalities in
9
your jurisdiction over the last three years?
*What is the total number of fire related firefighter
20
injuries in your jurisdiction over the last three years?
In an average year, how many times does your
0
department receive mutual/automatic aid?
* In an average year, how many times does your
2
department provide mutual/automatic aid?
* What was your department's estimated average
19178075
operating budget over the last three years?
What percentage of your annual operating budget is
dedicated to personnel costs(salary, overtime and
91 %
fringe benefits)?
What percentage of your annual operating budget is derived from:
Taxes?
100 %
Grants?
0%
Donations?
0 %
Fund drives?
0%
How many vehicles does your department have in each of the categories below?
Enter numbers only and enter
0 if you don't have any of the vehicles 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. Brush/Quick attack:
2
0
f. Other:
9
1
Provide in the space below the following information only if you are applying for a firefighting vehicle: List all your
vehicles by 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.
Department Call Volume
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* How many responses per year by category? Enter whole numbers only: If you have no calls for any of the categories, enter
zero.
Structure Fires
311
Vehicle Fires
210
Vegetation Fires
110
EMS
8766
Rescue
8766
Hazardous Condition/Materials Calls
523
Service Calls
806
Good Intent Calls/False Alarms
787
Other Calls and Incidents
1436
Request Information
1. Select the program for which you are applying. Remember, you can apply for only one program this year.
Within a program you may apply for as many activities as are required.
1 you modify your selection, you will lose data entered under the original activity.
Program Name
Fire Operations and Firefighter Safety
2. Will this grant benefit more than one department?
No
3. If you answered Yes to Question 2 above, please specify how? (You can only enter 4000 characters)
Request Details
Activity
FireFighting Equipment
Modify Facilities
Personal Protective Equipment
Wellness and Fitness Programs
Training
Modify Facilities
Number of Entries
0
1
0
0
1
Total Cost
1. On what type of modification will the funds be spent? Exhaust Systems
2. What is the age of the facility that is being modified? 30 years
3. What type of facility will the modifications be made to? Fire Stations
$0
$ 95,000
$0
$0
$ 13,464
Additional Funding
$0
$0
$0
$0
$0
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4. What is the level of occupancy for the facility you wish
to modify? Note:The occupancy is defined by the number of hours Full -Time
the facility is used within a single 24 hour time period
5. What is the maximum occupancy of the building or 12
facility to be modified?
6. Is the facility that you wish to modify open for use by
other departments or community groups on a regular No
(i.e., weekly, monthly) basis?
Budget Item
Item
Fire Stations
Select Object Class
Equipment
Number of units
1
Cost per unit
$55000
Budget Item
Item
Fire Stations
Select Object Class
Equipment
Number of units
1
Cost per unit
$40000
Training
Training Details
1. Name of the program EMT Basic Instruction
2. Generally, this program can best be categorized as
Specialized training
3. Generally, the training program outlined above is Direct -delivery training
4. Generally, the training program provided under this grant
Has no statutory basis
5. What is the percentage of applicable staff within your 40%
department that this program will train? (Percentage of
trained personnel)
6. Will this grant be used primarily for Rapid Intervention No
Teams (RIT)?
Budget Item
Item Reference Texts
Select Object Class Supplies
Number of units 12
Cost per unit $61
Budget Item
Page 5 of 15
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Print Application
Item Officer I - IV
Select Object Class Personnel
Number of units 12
Cost per unit $1061
Total Budget
Page 6 of 15
Budget Object Class
a. Personnel $ 12,732
b. Fringe Benefits $ 0
c. Travel $ 0
d. Equipment
$ 95,000
e. Supplies
$ 732
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 $ 75,925
Applicant Share $ 32,539
Federal Rate Sharing {%) 70/30
" Non -Federal Resources (The combined Non -Federal Resources must equal the Applicant Share of $ 32,539)
a. Applicant $ 32539
b. State $ 0
c. Local $ 0
d. Other Sources $ 0
If you entered a value in Other Sources, Please identify the source of your cost share, i.e., fund reserves,
savings, fund-raisers, donations, etc.
Total Budget $ 108,464
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Narrative Statement
Project Description
Please provide your narrative statement in the space provided below:
Page 7 of 15
Over the past couple of years, the Federal Government has observed the tremendous need among fire
departments whose unique deficiencies have affected their operations in the delivery of quality fire services to
the public. The City of Lubbock Fire Department is no exception.
For this year's FEMA grant, the Lubbock Fire Department is seeking federal funding assistance to initiate and
complete two important projects. They include exhaust systems for two stations and study materials and
personnel costs for initiating and completion of EMT instruction.
The first objective is for the acquisition and installation of an exhaust system in Sta. 9 and Sta. 11. Station 9 is
one of the City's older fire stations built in 1967 housing one engine and four personnel per shift. It is our
department's third busiest station having logged 1,385 alarms last year. Today, trends indicate that this station is
on par to meet and exceed last year's call volume. In recognizing that work activity will continue to increase as
the City Of Lubbock develops coupled with the increasing demand for services from the fire department, Station
personnel can expect to be stretched to the limits time and again.
Presently, Station 9 maintaining an already high volume of activity has shared and will continue to share its
facilities with additional personnel and equipment for approximately 7 more months while one of the city's fire
stations endures construction. This has swelled staffing up to approximately 8 per shift and the housing of two
engines through the period ending October 2003 afflicting additional activity to a normally eventful environment.
Sta. 11 is a second fire station built in 1972. It is located on the premises of the Lubbock International Airport
housing 6 personnel per shift, 3 ARFF/Rescue trucks, one ARFF Command Truck and one reserve snorkel. As
may be obvious, these individuals are specifically responsible to respond to aircraft rescues. From data
reflecting last year's figures, Sta. 11 responded to 52 alarms.
Both of the facilities are constructed with overhead doors on a single side of the building permitting only one
point of access to and from the building for vehicles. Exhaust emitted in these stations continuously accumulate
in high concentrations that have over a number of years have visibly stained the walls of both stations. These
same pollutants that affects these walls disperse through heating and air ducts webbed throughout the facility
inhabiting the environments in which these companies live and sleep in.
From a health perspective, these vehicle emitted elements congesting and polluting these stations are
heightened attributed to the lack of adequate ventilation properly containing and or aerating contaminated air
concentrating itself in the apparatus room. As a result, personnel are sporadically exposed to poor air quality
that will over an extended period of time negatively affect the health and performance of the employee.
With these two stations never having employed such a device before, the Lubbock Fire Department is seeking to
take a corrective action in containing and removing vehicle exhaust emission which has been recognized by the
Federal Government to produce short and long term health effects in addition to other associated risks to the
health and safety of fire personnel. Of the fourteen stations currently in service, these two stations are the only
ones remaining that failed to receive a unit because of insufficient budgetary funds.
The range of protective services that this department provides to our residents weighs heavily on the physical
and cardio conditioning of our personnel. Having focused attention on implementing measures to protect the
health and safety of personnel away from the station, complementary measures must also be recognized,
developed and exercised to shield them at the station. This has been observed to best be achieved through
means of employing an exhaust system.
At this point in time, the City of Lubbock has exhausted all financial resources to complete this endeavor with no
immediate budgetary means to complete this project. Challenged by an unscheduled change in City leadership
and severe short falls in city revenue that has progressively worsened over the past three years, the ability to
complete this project has been delayed for an indefinite period of time.
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Although costs are extremely high for any community to afford an exhaust system in every fire station, medical
research has yielded evidence that exhaust emissions contain cancer-causing agents warranting strong
consideration. Thus such devices are at the forefront of the fire department to capture and safely remove the
hazardous particulate emitted from emergency vehicle exhaust when personnel depart and return to the station
incessantly. The only remaining avenue to assure this project is accomplished is to seek federal assistance for
which this project complies as an eligible activity. Subscribing to congress's legislation, this project seeks to
modify fire stations for the purposes of protecting the health and safety of fire fighting personnel.
Costs associated with station preparation, acquisition and installation of vehicle exhaust systems have been
identified by the city """"s Building and Maintenance Department. When awarded, city staff will spec and bid out a
Plymo-vent Exhaust System. This is what has been installed in all the other stations and what has proven to be
most successful in capturing and removing vehicle emission from the stations. The duration for this project to be
completed would be approximately six months from time of inception. Unanticipated costs are not expected to
be observed as building officials have initiated a comprehensive site assessment applying their experience from
having managed such projects over the past several years.
Budget Description:
Design Phase: $13,000 for Office Supplies & Prof Services.
Bid Phase: $1,500 for Advertising/Promotion/Prof. Services.
Acquisition/Const. Phase: $80,500 for Prof. Services
The second project for which the fire department is in need of financial assistance is for EMT Basic instruction to
Fire Officers, more specifically Lieutenants. In the year 2000, the Lubbock Fire Department activated the First
Responder program. In order to proceed with such an endeavor, the Lubbock Fire Department whose uniformed
personnel exceeded 250 at the time, initiated a series of EMT classes to certify entry level personnel. Course
work would then be offered progressivley to higher ranks permeating throughout the rest of the department.
Plans called for an initial wave of fire entry-level firefighters to become certified permitting at minimum one
certified EMT Basic at each station for each shift. However, this plan of action could only be accomplished at this
rate over a period of seven to ten years influenced by available funding in each budget year.
At this point in time, the Lubbock Fire Department has approached a juncture in the EMT certification process
that warrants evaluation. An issue that has been observed to be compromising the quality of EMT service is the
lack of qualified EMT Basic certified officers who maintain supervision over attending fire personnel in medical
situations. This has prompted the immediate need for EMT Basic instruction in an effort to bring on scene
officers up to speed with what procedures entry level personnel (firefighters) are performing on scene with
medical patients. The benefits in certifying a higher ranking tier of personnel at this time, would improve the
medical competency necessary for officers who maintain supervision over EMT Basic certified personnel,
supplement WMD preparation efforts and secure an added layer of medically trained professionals who will be
capable of providing basic medical care to the citizens of our community.
Consequently, the department is seeking to focus on the certification of Lieutenants. A total of 12 students whom
have already been identified are needed to make a class. Existing certified personnel here at the department will
provide all classroom instruction at the Fire Training Complex. For the course to become a reality, a minimum of
6 weeks will be required to receive course approval from the Texas Department of Health (TDH). This notice of
approval is based upon the class roster (# of students) and a curriculum. Upon review, TDH will then assign a
course number from which the course may then be offered. Class instruction is scheduled to last 4 months upon
approval.
Costs to be incurred will include study materials for 12 students and their associated overtime costs that will
ensure coverage for shifts where personnel will be away from post. As the case with the first project, the
department is challenged with an exhausted budget coupled with recent changes in city leadership who are
confronted with competing interests shaping how and where limited dollars are best maximized within the
community.
Budget Description:
Brady Emergency Care 9th Edition & Work Book = $54ea. x 12 Students = $648
1 '/2" Round Ring Binder = $6.11 ea. x 12 Students = $73.32
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Economic Filler Paper (120Sheets/Pak) = $3.29ea. x 4 = $13.16
Total Budget: $734.48
Projected Overtime Budget Cost:
Lieutenants Pay Scale for 8 Pay Periods / Four Months
8 Pay Periods Hrs. Rate of Pay BiWeekly Projected OT
Regular Pay 106 $17.68 $1874.08
Civil Serv.OT 2 $26.52 $53.04 $53.04
Regular Pay 106 $17.68 $1874.08
Civil Serv.OT 2 $26.52 $53.04 $53.04
Regular Pay 106 $17.68 $1874.08
Civil Serv.OT 14 $26.52 $371.28 $371.28
Regular Pay 106 $17.68 $1874.08
Civil Serv.OT 2 $26.52 $53.04 $53.04
Regular Pay 106 $17.68 $1874.08
Civil Serv.OT 2 $26.52 $53.04 $53.04
Regular Pay 106 $17.68 $1874.08
Civil Serv.OT 14 $26.52 $371.28 $371.28
Regular Pay 106 $17.68 $1874.08
Civil Serv.OT 2 $26.52 $53.04 $53.04
Regular Pay 106 $17.68 $1874.08
Civil Serv.OT 2 $26.52 $53.04 $53.04
Totals: $1060.80 OT for 4 months x 12 Students = $12,729.60
If you received a grant award in the 2002 process, does No
your current request relate to your 2002 award?
If you answered yes, above, which of the following apply?
This request enhances the 2002 award
This request continues the 2002 award
This request completes the 2002 award
Assurances and Certifications
FEMA Form 20-16A
Page 9 of 15
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
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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 Q) 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 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.
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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
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.
FEMA 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 Responsibilities 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
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Page 12 of 15
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.
1. LOBBYING
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.
Yes Standard Form LLL Disclosure of Lobbying Activities Attached (This form must be attached to
certification if non -appropriated 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 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)
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 this application.
3. Drug -Free Workplace (Grantees other than individuals)
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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
done in connection with the specific grant:
Place of Performance
Street City State Zip Action
4814 50th (Sta. 9) Lubbock Texas 79414-3419
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Rt. 3 Box 29F (Sta. 11) Lubbock Texas 79403-9708
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 FEMA funding. States and State
agencies may elect to use a Statewide certification.
FEMA Standard Form LLL
Only complete if applying for a grant for more then $100,000 and have lobbying activities. See Form 20-16C for
lobbying activities definition.
Form SF -LLL
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.
Standard Form LLL: Disclosure of Lobbying Activities
1. * Tvpe of Federal Action Grant
2. 'Status of Federal Action Bid/Offer/Application
3. * Report Type Initial filing
This sub section is for Material Change only
*Year YYYY
*Quarter
Q
*Date of last report:
4. * Marne and Address of Reporting Entity:
*Reporting Entity Type
Prime
Tier (if known)
*Name
City of Lubbock
*Street
1625 13th Street
*City
Lubbock
*State
Texas
*Zip
79457-0001
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5. If Reporting Entity in No.4 is a Subawardee, Enter Name and Address of Prime:
Name
Street
City
State
Zip
6. * Federai DepartmentfAgency
7. * Federal Program Name/Description
8. Federal Action Number if known:
Select a State
FEMA
Assistance to Fire Fighters Grant Program
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9. Award Amount if known:
10a. Name and address of Lobbying%2ggistrant: (if individual, last name, first name, MI)
Name Barbara T. McCall Associates, Inc.
Street 1401 K Street N.W. Suite 700
City Washington
State District of Columbia
Zip 20005-3430
10b. Individuals Performing Services: (including address if different from No. 1Oa) (last name, first name, MI)
Name
Street
City
State Select a 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 than $10,000 and not more than $100,000 for
each such failure.
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