HomeMy WebLinkAboutS - Grant - Application for Emergency Management Performance Grant (EMPG)~p .rte ~-~oS"
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NORTH CAROLINA LOCAL GOVERNMENT APPLICATION FOR FUNDING
1.1 Official Agency Name: Orange County Emergency Management
1.2 Address: PO Box 8181, Hillsborough, NC 27278
1914 New Nope Church Road, Chapel Hill, NC 27514
1.,3 Population: Year-round- 118,227
1..4 Population: Seasonal {if applicable)- 148,227 (est.) during university fall/spring semesters
LOCAL EMERGENCY MANAGEMENT STAFF BUDGET
2.,1 Indicate actual percent of time devoted to Emergency Management activities.
Please do not include EMS, 9-1-1, Fire Marshal, Safety activities, etc..
2.2
Time 3,1
Salary 3,2
Benefits
EM Program Manager (Name)
Jack Ball 25 73,947 17,246
Other Staff (Name -Title}
a.. EM Specialist Eric Griffin 95 41,907 13,202
b.. Deputy Director /Fire Marshal Mike Tapp 20 60,502 12,991
c.. Deputy Director/ Gwen 20 ° 64,925 18,179
Communications Snowden
d. Deputy Director /EMS Kent McKenzie 20 56,360 17,106
e.. Administrative Assistant III Tammy Comar 15 37,960 10,257
$335,601 $88,981
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NORTH CAROLINA LOCAL GOVERNMENT APPLICATION FOR FFY 2004 FUNDING
(Continued)
urtr~w i iNU roc
3.,3 Travel:
Subsistence
& Transportation
3.,4 Ail Other:
Rental
Postage
Office Supplies
Telephone
Utilities
Other (Specify)
-Uniforms
-Portable Radio
Communications
i equip
Total 3.4*
N5t5
$2,000
400
1,7'50
1,000
91,200
500
5,500
4,1
Approv
Coord .
a,
b.
c.
d,
Travel
All Other
Total
ALLOCATION
Coord.
a.
b..
c..
d..
Travel
All Other.
Total
1=0R STATE USE ONLY
Salary Benefits Total
$22,350 TOTAL ALLOCATION $
Verification of percent of times devoted to
Emergency Management Activities.
*Does NOT inGude amount shown in 3 3 (Travel)
EM Form 66 (Rev. 01/01) Signature of Area Coordinator !I
FEDERAUSTATE/LOCAL FY2004 EMGP AGREEMENT
AGENCY: Oranae County Emergencv Management
This is to certify that the above named agency agrees to successfully complete the activities below
in full partnership with the North Carolina Division of Emergency Management and the Federal
Emergency Management Agency. The appropriate Branch Manager and/or Area Coordinator will
review the progress of this agreement quarterly with the local Emergency Management
Coordinator, This report will also be the basis for continued funding during this fiscal year.
Please list in priority the Emergency Management activities you will work on or complete this fiscal
year, However, you are requested to complete the following activity:
2004..1 Each funded jurisdiction shall formulate/complete your National Incident Management
System Capability Assessment Too{ (NlMCAST) through September 30, 2005
2004,2 Each funded jurisdiction shall report the status of completion of the NIMS Awareness
Course: Nafional Incident Management System {NIMS), An Introduction (IS-700) through
September 30.2005
2004..3 Each funded jurisdiction shall report the status of completion of The National Response
Plan Course (NRP) {IS-800) through September 30t 2005
2004.4 Each funded jurisdiction shall report the status of completion of the course (ICS-100) An
Introduction to ICS (online) and {ICS-200} Basic ICS Course (Classroom) through
December 31, 2005
2004.5 Each County by September 30, 2006 shall work to:
• Incorporate NIMS into existing training programs and exercises
Ensure that federal preparedness funding (including HSGP funds) support NIMS
implementation {in accordance with the eligibility and allowable uses of the grants)
Incorporate NIMS into Emergency Operating Plans (EOPs)
• Promote intrastate mutual aid agreements
• lnstitutional.ize the use of the Incident Command System (ICS)
• Formally recognize NIMS and adopt NIMS principles and policies„ Counties should
establish resolutions or ordinances to formally adopt NIMS
2004.6 Sign additional local governments to the County Mutual Aid Agreement or as necessary
update your current County Mutual Aid Agreement; send in new or updated agreement by
Mav 31, 2008;
2004.7 At a minimum, at least one person from each funded jurisdiction should attend the Fall
Emergency Management Association Conference.. Attendance of all local EM staff at both
the Spring and Fall conferences is encouraged, but not required;
2004..8 Each funded jurisdiction should conduct a training assessment using the NCEM Needs
Assessment #o determine the types of training needed to further develop and maintain a
quality Emergency Management Program in that jurisdiction. Training requirements
should be coordinated through the NC Division of Emergency Management's Branch
Offices and the Logistics Section. Your completed training needs assessment document
should be sent to the Division of Emergency Management, Planning Section Training
Branch by November 15, 2005;
2004.9 Each funded jurisdiction should plan for and participate in a minimum of two disaster
exercises annually. Exercises should include multiple local andlor state agencies, and
may take the form of a table-top or a functional activity„ Exercise activity should be
coordinated with your appropriate Branch Office; and the Division's Planning Section
Training Branch, including details and dates of your exercises;
2004..10 During the fiscal year each funded jurisdiction is required to test your satellite telephone
by contacting your appropriate NC Division of Emergency Management's Branch Office
the first and last Fridays of each month;
2004..11 During this fiscal year, each funded jurisdiction is required to work on the formation of a
Local Emergency Planning Committee (LEPC).. The LEPC should be County of Regional;
2004.12 Each funded jurisdiction shall work on the formation of an Unmet Needs Committee. Your
appropriate Branch Office will work with you to establish this committee; and
2004.13 Each funded jurisdiction is required to send in the EM-43 Emergency Event Form to
advise the Division's Communication Officer of events such as, Hazardous Materials
Spills, Property Damage, injuries and / or Deaths, Relocation of a ;minimum of 10
Residents, Opening of Shelter(s), and Terrorism related activities.
2004.14 Each funded jurisdiction is required to develop a written plan for the implementation and
operation of a Country Receiving and Distribution Point (CRDP)
NOTE: In order to receive the FY06 preparedness funding, the minimum FY05 NIMS compliance
requirements described above must be met. Applicants will be required to certify as part of their
FY06 grant applications that they have bet the FY05 NIMS requirements.,
EM Form 66A (Rev. 01/01)
Assistance from the Division of Emergency Management or the Federal Emergency Management
Agency to Complete this agreement will be made available to encourage each jurisdiction to
participate in a Comprehensive Emergency Management program.
~~~.~~
Si ature of Local Emergency Management Coordinator
r~~~~.--,~ ,
Signature of Local Finance Officer
Signatur Local Ch' f Ex cutive Officer
EM FORM 86a (Rev., 01/01)
>.o
Federal Emergency Management Agency Fiscal Year 2005 O.M.B. No. 3067-0090
Emergency Management Staffing Pattern Expires
Orange County Emergency Management Date 08/03/2005
State: North Carolina
Position Title Gross
Annual
Salary
Fed. Share FEMA
Funding
Program Work
Years Date Hired
or Vacancy
{Month/Year) Remarks
{Name -Optional)
1 2 3 4 5 6
Emer en Pr ram Mana er EMGP .25 11/29/2004 Jade Ball
EMS ecialist EMPG .95 03/25/2002 Eric Gruen
De u Director /Fire Marshal EMGP .20 03/12/1990 Mike Ta
De u Director /Communications EMGP .20 08/06/1979 Gwen Snowden
De u Director /EMS EMGP .20 12/01/1998 Kent McKenzie
Administrative Assistant fll EMGP .15 02/11/1991 Tamm Comar
FEMA FORM 85-17
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POSITION DESCRIPTION
ORANGE COUNTY EMERGENCY MANAGEMENT
CERTIFICATION
i DO HEREBY CERTIFY THAT THE POSITION DESCRIPTIONS ON FILE
IN THE FEMA REGIONAL AND STATE OFFICES ARE CURRENT AND
UP-TO-DATE AND MEET THE REQUIREMENTS AS OUTLINED IN
FEMA PUBLICATION CPG 7-3.
VV. n ~}i
BALL, EMERGENCY PROGRAM MANAGER
GE COUNTY EMERGENCY MANAGEMENT
FEDERAL EMERQr:NCY stANAtiEM~NTAGENCY O.,M.B. No. 3067-0206
SUMMARY SHEET FOR ASSURANCES AND CER1'IFICATION3 Farpins February 28, 2004
FOR CA FOR {Name ofAppflcantj I
FY 20WS Orange County Department of Emergency Management
summary sheet indndes Assuxnnces and Certifical3ons that must be head, signed, and submitted as a part of the
ication for Federal Assistance.
a applicant must check each item that they axe certit~iisg to:
Part I a TElYIA Foxm 20.16A, Assonances Nonconstrudion Programs
part II ~ I'E1KA Form 20•lbl3, Assru ances-Construction Programs
Part III 1:=i FEMA Form 24360, Certlffcationa Regarding I.abbyiag;
Debarment, Suspension, and Other Responsibility
Matters; and Drug~Ftee Workplace Regnirements
Part 1V D SF LLL, Disclosure of Labbyixxg Activities (If applicable)
the duly authorized representative of the applicant, I hereby certify that the applicant wilt comply with the identi5ed
ached assurances and certft"ications.
John M Link, Jr.. County Manager
_~ Typed Name of Authorized Representative --~ _~~~~_.....~,~_.,•_-.~ Tftle ~~~_•~•-_
._._ ~~ ~ S tare of Authorized resentative ~ __.. ..~ ~O/ Date Signed ~~
p
OTE: By signing the cer tiiicaflou regarding debarment, saspeasion, and other i~espoxrsibillty matters for primary covered
ansacrion, the applicant agrees that, should the proposed covered transaction be entered into, it shall not lmowiagiy Dater
its any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, ar voluntarily ezduded
~om participatieu in this covered transaction, unless authorized by FEMA entering into this transaction
The applicant fur ther agrees by submitting this appfleafion that it wrll include the douse titled "Certification
;aiding Debarment, Saspeasioa, Ineligibility and Vahxntary Egchxalon-Lower Tier Covered Transaction," provided by
Fi:MA Regional Office entering into this covered transaction, without modiQcatlon, in ati lower tier eoveired transactions
l in all solicitations for lower tier covei+ed tr ansaettons. (Refet to 44 CFR Part 17.)
Paperwork Burden Disclosure Notioe
blic reporting burden far this form is estimated to average 1.T hour's per response. Burden means the time, effort and
racial resources expended by parsons to generate, maintain, retain, disclose, or to provide itrformation to us. You may
d comments regarding the burden estimate or any aspect of the form, including suggestions for reducing the burden
tntormation Coihsctions Management, Federal 8mergency Management AgQncy, S00 C Street, StIV, Washington,l3C 30472,
~erwark Reduction Project {3067-0206). You are not required to respond to this collection of information unless a valid
B control number appear in the upper right corner of this form. isiease do not send your compioted form to the above
FEMA Form 20.18, FEB 0'i
FE08ftAL ~Rl3ENCY MANACiEMLNT A3ENCY
GERTiFIGATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND
OTHER RESPONSIBiE,1TY MATTERS; AND DRUG-FREE WORKPLACE REtZU{R5ME1~I'i'S
Applicaata should refer to Ute re$aiabions cited below to determine the certification to which they are regttired to attest Appiteaats
should also review the instructions for certification included is the regulations before completing th#s form, Signature an this
form provides for compliauce witL certification requdr~ements tmdet 44 CFR Part 18, "New Restric#ions on Lobbying; end 28 CFR
Patt 27, "Government•,wlde Debarment and suspension iNonprocm~ement) and Govetttment-wide Requirements for Drug•FSree
Worltplace (Grants)," The cestiFicatians shall be treated as a material representation of fact upon which reliance wiII be placed
when the Federal Emergency Management Agency (FEMA) deterwlnes to award the covered transaction, grant, or cooperative
agreement.
A As required by sedfon 1352,'Tltle 31 of the U.S Cods, and
implemented at 44 CFR Part 18, forpersons entering into a grarK
or cooperative agreement over $100,000, as defined at 44 CFR
Part 18, the aPRUcant certifies that:
(a) No Federal appropriated hrrtds have been paid or wS be paid,
by or on behalf of the undersigned, to any person for infiuenang or
attempting to tnfluencs an officer or employee of arty agengr, a
Member of Congroas, an offcer ar employee of cortSpeaa, or an
employee of a Member of Ogress in oonnectlort with the making
of any Federal gram the entering Into of any oooperagve agreement,
and the axtertslon, continuation, renewal, amendment; or nadtficaUOn
of any Federal grarrt or cooperative agreement;
(b) t) any other funds than Federal appropriated funds have been
paid or w~ be paid to any person for inftwndrlg or attempting to
influence an officer or ernpioyee of any agency, a Member of
Congress, an officer or an employee of Congress, or smpfoyee
of a member of Congress nt connecCon with this Federal grantor
cooperative agreamerrt, the undersigned shall corriptefe and submit
Standard Form LLL,'Discbsure of Lobbying Activities,- in
accordance w@h ifs instructions;
(b) Have not wlttdn athrew-year period preceding his appficailan been
convicted of ar had a clvil[an judgment rendered against them for
commission of fraud or a criminal offense in connecttan with
obtaining, attempting m obtain, or perform a pubic {Federal, State,
Or krcal) transaction or centred under a pubUc trar-saCYron; violation
of Federal or Stara antiwst statutes or commission of embeaiement,
theft, forgery, bribery, falsification ar desUvrdion Of recalls,
makhLg false statements, or receiving stolen property;
(e) Are not presentry indicted far or otherwise crirnineUy or eivUly
charged by a governments[ antlty (FederaE, State, ar loran with
commission of any of the offenses enumerated in paragraph (t)(b)
of #ris oert{fication; and
(d) Have rrotwithin a three-year period preceding this appticatton
had one or more public t rensacUOng (Federal, State, or kxal)
terminated for pose or defaulh and
S Where the applicant is unable to certify to any of the statements
in this certiflcatlon, he or shell ahaU attached an explanatlorr b this
appUcotlort.
S. DRUQ-FREE WORKPLACE
(GRANTE>r3 OT1iER THAN INDNIDUALSj
(c} The undersigned shall require that the language of this cerUftcation
be included in rho award documents for all subawarda at all liars
pndud'mg subgrarrts, contracts under grants and eooperaUvs
agreem^nts and aubcontrad(s) and that aN subradpients shall
verify and disctase accordingly
Standard Form U.l..'Disclosura of Lobbying Adivifies" attached
(This form must be attached to ceron If norrappropriafed funds
are to be used to irrllrrarrp adivifles.)
Z, DEBARMENT, SUSPENSION, AND OTHER
R~SPONSlBIL lTY MATERS
(DIRECT RECIPIENT)
As required by Executive Order 12548 Debarment and Suspensbn,
and implemented et 44 CFR Part 67, far prospedlve partidpants in
primary covered transactions, as defined at 44 CfiR Part 17.
Section 17..810,A Ttre appicant certifies that It and its prinapals:
(a) Ara not presently debarred. suspended, Proposed for debarment
deflated ineligible, sentenced to a denial of Federal Aertetks by a State
or Federal oouR, or voluntarily excluded from covered transactWns by
env Faders! depamnent or astencv;
As required by the Dtug•Frea WortgHace Act of 1988. and
implemented at 44 CFR Part 17, Sybpart F, for grarrtees, as defined
at 44 CFR Part 17, 3ediai8 17..615 and 17 ,620:
A The applianf cartlfiea that it will continue to privtde adrug-
frea worig7tace hy:
(a} Publistang a statemerrt rurtiFying employees that the unlawful
manufacture, da;tnbution, dispensing, possession, or use of a
controlled substance is prohibited in the grantee's workplace end
apeeifying the actions tlit w11 betaken against employees for
violaton of such protdbitior;
(b) Estabfistung en at-going drug free awareness program to
Inform empoyees atxwt
(i) The dangers of dray abuse in the woltcplace;
(2) The grantee's potley of malnfalning a drug•free workplace;
(S) Any avaUabfe drug ecunseUng, rohabilitadon, and
employee substance programs; and
(4) the penaUies that may be imposed upon employees for
drug abuse Wolaffons occurting in ttre workplace;
FNMA
(c) Making it a requirement that each employee to be engaged in
the per€ormance of the grant to ba given a copy Of 1f1e staterr-®nt
required by paragraph {a).
(d) NotHykrg the employee in the statement required by
paragraph (a) that ac a condttton of employment under the grant,
the employee wm:
(1) Abide by the terrrts of the statement; and
(2) Notify the employee h writing of his ar her eonvkaion for a
violation of a orknbrat drug statute occurring in the worq~laoe no later
than ftve calendar dayc after such conviction
(e) Notifying the agency, in writing, wifhtn 10 calendar days after
receiving notice under subparagraph (d}('1} from an employee ar
otherwise receiving acpral notice of such convlctiort. F.mpbyers of
convicted employees mwt provide notice, including position tide,
to the appftpble FI~AA awarding office, t.e_, regtonel onlce or
FffMA office
(i) Taking one of tits toUowing actions, within 30 calendar days of
receiving notice under subparagraph (d){2), with reapeot t6 any
employes who la so corrvIcted:
(1) Taking appropriate personnel action against such an ~DfoYee,
up to and including terminatkxt, consisterd wrlh tits requlremenf,
of the Rehabiftiation Ad of 1973, s9 amended; or
(2) Raqutrtrrg such employee to parftdpate satisfactorily In e
drug alwse assistance or reheWlitation program approved for
such purposes by a Federal. 5ta~, ar ktCei health, law arttorcement,
orodi8r apprap[i~e agency
(9} Making a good faith effort to continue to m~rttain a drug free
waricplecs through implementation of paragraphs (a), {b), {c). (d), (s),
~m
8 the grantee may ireert In the apace.provided below the site(s) for
ti,s peAOrmance of work done in connection with the specific grant
Place of Petfortnance {Street address, Cdr, County, State, Zip code)
1914 New Hope Church Road
Chapel Hill, NC 27514
Check oil fifers are workplaces on file that are not kientflled hate
Section it 630 of the regulations provde that a grantee that is a State
may eksot to make one certifiw.~tion in Bach Federal Racal year A copy
of which sfroukJ be included with each appGceHOn for FEMA fbndtng
Stelae and 5tete agencies may elect to use a Statewide certi}ication..
FF.MA Form 20-160 (BACIt)
12
ORANGE COUNTY EMERGENCY MANAGEMENT
FUNCTIONAL STATEMENT
Duties:
Emergency Program Manager / Director of Emergency Management
Responsible for the administration of the emergency management program, emergency
medical services program, hazardous materials response, fire marshal program, the 9-
1-1 communications center.. Supervises 62 full-time, 15 part-time and 90 contracted
employees and coordinates all disaster responses for the county and its municipalities,
in addition to the UNC Hospitals and the University of North Carolina.
Emergency Management Specialist
Provides coordination between the county, towns, school systems and other agencies in
establishing acounty-wide multi-hazard plan and on-going training. to improve the
response given to citizens during a disaster, and #o ensure consistent compliance with
this plan by all agencies..
Deputy Director /Fire Marshal
Administers the fire prevention, suppression, and arson investigation program for the
county„ Also, facilitates the hazardous materials activities, SARA Title Ill program, and
emergency management mitigation through plans review and required plans
development of nursing homes, foster care homes, rest homes, group homes, etc.
Deputy Director /Communications
Administers the 9-1-1 consolidated communications center, providing access and
dispatch to all the citizens and for all the law enforcement, fire service, emergency
medical services, rescue services, and various support agencies for the county and all
its municipalities., Position is also responsible for the emergency operations center, its
activations, staffing, operations, and demobilization during times of emergencies and
disasters.
Deputy Director /EMS
Administers the emergency medical services to the citizens of Orange County and all its
municipalities„ The position also facilitates the emergency management mass casualty
program and provides medical staff in conjunction with the hospital and health
department in supporting shelter operations during times of emergencies and disasters..
Administrative Assistant III
13
Provides support to the director and deputy directors as required for administrative
duties and maintains the files, records, and updates of all emergency management
documents and plans. Serves as the office manager for the department and supervises
clerical staff,
Orange County
Emergency Management
Director
Administrative Emergency Management Specialst
Assistant 111
Office
Asst I
Deputy Director ~ Deputy Director Deputy Directs
Communications Fire Marshal EMS !Administration
Training 9-1-t Data
Specialist Technician NazMat Assistant Training EMS EMS EMS EMS Trans
Team Flre Marshal Coordinator Supervisor Supervisor Supervisor Supervisor Contrarta
9-1-1 Shift 9-1-1 Shift 9-t-1 Shifl 9-1-t Shin &1-1 Shift
Supervaor Supervise Supervisor Supervisor Supervisor
T"-" ~ EMS Asst EMS Asst EM3 Asst. EMS Asst.
rNeoomm~rabr n rtleann..icamr n r1 ee~m.,,~or~ Supervisor Supervisor Supervisor ~ Supervisor
Paramedic Paramedic
rdecommNrraror rtleoon.ruikaror Paramedic Paremedk
raeoomrn.rceror rerecomn..ceror Paramedic Paramedic
rdxam..:rmr rNornmn.lcaY,r Paramedic Paramedic
raecomm.raor releomm.reaar ParamedfC Paramedic
rtlaoommwiceror rMeoomnr.:csor Paramedic
rekmn.n.rcacw rakconnu~rabr
Telmann~idw
Telp(p~nrcoYWWf ~J
-J Organization Chart
April 22, 2002