HomeMy WebLinkAbout2012-114 EMS - NCEM for EM Trainingza/Z -!1LJ
& .-•1 s
N.C. Division of Emergency Management Routing Memo Date: December 20, 2011
Subject: Cumberland County MOA #1172; Orange County MOA #1191; Washington County MOA #1171
i
From: Carolyn Freitag Office: Training and Exercise
Phone #: 919 - 715 -9213 Fax #: 919 - 733 -6327 email: cfreitag @ncem.org
...................................................................................................................................... ...............................
This is for: _X_ Carolyn Freitag (NCEM Training and Exercise)
_X_ EM Director's Signature
X7— Attorney Review and Signature
X _ Contractor
X CCPS Controller's Signature
_
_X_ _ CCPS Deputy Secretary's Signature
.............................................................................................................................. ............................... .
Rntite to (in order): Use numbers in the "to" column for routing sequence. Types of actions are: info, review, coord., sign.
T Office
Action I
Initial
Data
To
Office
Action
Initial
Date
0
Division of Emergency Management
5
EM DIRECTOR
sign
- b -j2
2
Logistics Chief
info
2 N
Legislative Assistant
L
ATTORNEY: Casandra
White
sign
/
Personnel Development
Operations Support
3
Budget Officer
Contracting
Support Services
4
Operations Chief
info
/ Z
Janice Thompson
Human Services
Information Services
Infrastructure Support
Training and Exercise
Emergency Services
1
Carolyn Freitag
coord
C
IZ_Zp.t�
Public Assistance
Hazard Mitigation Section
Chief
Eastern Branch
Environmental Planning
Central Branch
Grants Management
Western Branch
Program Development
Info & Planning Chief
Communications Center
Finance Chief
Planning Support
Finance Management
Homeland Security
Grants Management
ontractor
161 Multiple County EM sign
Address of Contractor:
Department of Crime Control and Public Safety
Secretary
Chief Deputy Secretary
Rudisill
Sign
7
Controller Mervin
Info Systems Director
sign
8
Personnel Director
Asst Secretary
Public Affairs Director
Org Effectiveness Director
Legislative Liaison
After signing, please call or e-mail: Carolyn Freitag cfrgitagOncem.orn 919- 16 -9213 Please mail to Carolyn Freitag, NCEM, 116 West Jones Street,
Ralel h NC 27603
mcument(s) snouia oe revirmcu all D w— „ F.—.1, �• - -• ••_.__ ___ _ _.
f
t ,
MOA #: 1191
Tax #: 56- 6000 -327A
Fund Code #: 1520 030 H1512
MOA Amount: $50,000.00
CFDA #: 97.067
MEMORANDUM OF UNDERSTANDING /AGREEMENT
BETWEEN THE
STATE OF NORTH CAROLINA,
DEPARTMENT OF CRIME CONTROL AND PUBLIC SAFETY,
DIVISION OF EMERGENCY MANAGEMENT
/
:�LI17
COUNTY OF ORANGE
2010 -SS -TO -0075
I. PARTIES. The parties to this Memorandum of Understanding/Agreement (hereinafter
referred to as "MOA" or "Agreement ") are the State of North Carolina, Department of
Crime Control and Public Safety, Division of Emergency Management and the County
of Orange.
II. AUTHORITY. This Agreement is authorized under the provisions of: 1) Public Law
111 -83, The Department of Homeland Security Appropriations Act, 2010; 2) Public
Law 110 -53, The 9/11 Commission Act of 2007; 3) Public Law 107 -56, (6 U.S.C. §
101 et seq.), the USA Patriot Act of 2001; 4) Public Law 107 -296, the Homeland
Security Act of 2002, 6 U.S.C. 101 et. seq.; 5) Public Law 109 -295, The Post - Katrina
Emergency Management Reform Act of 2006, 6 U.S.C. 752(c); 6) the implementing
recommendations or regulations of each Act or Law, if any; 7) the U.S. Department of
Homeland Security, FY 2010 Homeland Security Grant Program Guidance (HSGP)
and Application Kit available at:
http: / /www.fema.gov /pdf/ government /grant/2010 /fylO hsgp_kit.pdf; 8) DHS FY
2010 -SS -TO -0075; 9) applicable Grants Programs Directorate (GPD) Information
Bulletins available at: http:// www. fema .gov /govemment/grantfbulletins/ index.shtm;
and 10) the N.C. Emergency Management Act, Chapter 166A of the North Carolina
General Statutes.
III. PURPOSE. The purpose of this Agreement is to establish responsibilities and
procedures to implement the terms of the U.S. Department of Homeland Security
(DHS) FY 2010 Homeland Security Grant Program (HSGP). A copy of the complete
Page 1 of 13
federal grant instructions is available at:
http:// www .fema.gov /govemment/grant/hsgp /index.shtm .
This Agreement is to set forth terms by which the State of North Carolina, Department
of Crime Control and Public Safety, Division of Emergency Management (Grantee),
shall provide FY 2010 Homeland Security Grant Funding to the County of Orange
(Sub - grantee) to conduct a regional full -scale hurricane exercise to improve
preparedness, response and recovery to natural disasters, acts of terrorism, and other
man-made disasters.
IV. BACKGROUND. The Department of Homeland Security (DHS), through the
Federal Emergency Management Agency (FEMA) Grants Program Directorate, in
accordance with the authorities listed herein, created the FY 2010 Homeland Security
Grant Program, Grant Number FY 2010 -SS -TO -0075. This program was established
to provide federal reimbursement funding to state and local governments to implement
State Homeland Security Strategies to address identified exercise needs to prevent,
protect against, respond to, and recover from acts of terrorism and other catastrophic
events.
The Grantee and Sub - grantee enter into an arrangement by which the Grantee will
provide Federal reimbursement funding to the Sub - grantee to conduct training activities
to improve preparedness, response and recovery to natural disasters, acts of terrorism,
and other man-made disasters.
V. RESPONSIBILITIES.
a. The State of North Carolina, Department of Crime Control and Public Safety,
Division of Emergency Management shall:
(1) Provide reimbursement funding to Sub - grantee for the cost of exercise
activities in accordance with the exercise guidance, as described in
Attachment A, attached and incorporated by reference herein.
(2) Conduct a review of the exercise activities to ensure that the project is
in accordance with State Homeland Security Strategy.
(3) The performance period for the award to the State of North Carolina,
Department of Crime Control and Public Safety, Division of
Emergency Management, ends on July 31, 2013. Exercise activities
must be completed by this date.
(4) Directly monitor the completion of the project.
b. The County of Orange shall:
(1) Expend FY 2010 Homeland Security Grant Program funds in accordance
with the applicable USDHS Program Guidance and Application Kit(s),
the Grant Application Package, and the Grant Award and Special
Conditions documents, incorporated by reference herein, of this MOA to
Page 2 of 13
implement State Homeland Security Strategies to address identified
exercise needs to prevent, protect against, respond to, and recover from
acts of terrorism and other catastrophic events.
(2) Utilize State of North Carolina and/or local procurement policies and
procedures for the procurement of supplies and services necessary to
conduct training activities, and conform to applicable State and Federal
law and the standards identified in the Procurement Standards Sections of
44 Code of Federal Regulations (CFR) Part 13 and 2 CFR Part 215. Sub -
grantee must follow procurement procedures and policies as outlined in
the applicable USDHS Program Guidelines and Application Kits and the
USDHS Financial Management Guide. Sub - grantee shall comply with all
applicable laws, regulations and program guidance. Sub - grantee must
comply with the most recent version of the Administrative Requirements,
Cost Principles, and Audit requirements. Administrative and
procurement practices must conform to applicable federal requirements.
A non - exclusive list of regulations commonly applicable to DHS grants
are listed below, codified in the following guidance: 44 CFR Part 13; 2
CFR 215; 2 CFR Parts 225, 220, and 230 (formerly OMB Circulars A -87,
A21 and A -122); Federal Acquisition Regulations (FAR), Part 31.2; and
OMB Circular A -133 "Audits of States, Local Governments, and Non -
Profit Organizations "; 28 CFR Part 23 "Criminal Intelligence Systems
Operating Policies "; 49 CFR Part 1520 "Sensitive Security Information ";
Public Law 107 -296, The Critical Infrastructure Act of 2002; Title VI of
the Civil Rights Act of 1964, as amended, 42 U.S.C. 2000 et. seq.; Title
IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681
et. 'seq; Section 504 of the Rehabilitation Act of 1973, as amended, 29
U.S.C. 794; The Age Discrimination Act of 1975, as amended, 20 U.S.C.
6101 et. seq.; Certifications and Assurances regarding Lobbying 31
U.S.C. 1352, Drug -Free Workplace Act, as amended, 41 U.S.C. 701 et.
seq. and Certification Regarding Drug -Free Workplace Requirements,
Debarment and Suspension Executive Orders 12549 and 12689 and 44
CFR Part 17 and Certification Regarding Debarment, Suspension and
Other Responsibility Matters; Assurances as listed in SF 424B and SF
4241); and Grant Award and Special Conditions documents.
(3) Counties will have suspense of July 31, 2013 to complete their exercise
for the 2010 HSGP grant. Submit invoice(s) requesting reimbursement
for supplies and services received to the NCEM Homeland Security grants
manager as outlined in Attachment C, incorporated by reference herein.
Grantee will reimburse Sub - grantee for eligible costs as outlined in the
applicable USDHS Program Guidelines and Application Kits. Sub - grantee
must take possession of all purchased equipment and receive any grant -
eligible service prior to seeking reimbursement from the grantee.
(4) Complete the procurement (s) process not later than July 31, 2013.
Page 3 of 13
(5) Provide quarterly progress reports to the NCEM exercise program
manager, as described in Attachment B, incorporated by reference herein,
by the following dates: 15 January, 15 April, 15 July, and 15 October.
(6) Comply with the applicable federal statutes, regulations, policies,
guidelines and requirements, reporting requirements and certifications as
outlined in the applicable USDHS Program Guidelines and Application
Kits and Grant Award and Special Conditions documents.
(7) Maintain grant management filing system as required in Attachment D,
incorporated by reference herein.
(8) Retain all original records pertinent to this MOA for a period of five
years following the date of the closure of the grant award, or audit if
required, or longer where required by law. However, if litigation, claim
or audit has been initiated prior to the expiration of the five -year period
and extends beyond the five year period, the records shall be retained until
all litigation, claims or audit findings involving the records have been
resolved.
(9) Comply with current federal suspension and debarment regulations
pursuant to OMB Circular A -133 which states in pertinent part that
"[e]ffective November 26, 2003, when a non - federal entity enters into a
covered transaction with an entity at a lower tier, the non - federal entity
must verify that the entity is not suspended or debarred or otherwise
excluded. Sub - grantee shall be responsible to ensure that it has checked
the federal Excluded Parties List System (EPLS) to verify that contractors
or sub - recipients have not been suspended or debarred from doing
business with the federal government."
(10) Ensure that FY 2010 HSGP exercise funds are not used to support the
hiring of any personnel for the purposes of fulfilling traditional public
safety duties or to supplant traditional public safety positions and
responsibilities.
(11) Non - supplanting Requirement. Federal grant funds will be used to
supplement existing funds, and will not replace (supplant) funds that have
been appropriated for the same purpose.
(12) All materials publicizing or resulting from award activities shall contain
this acknowledgement: "This project was supported by a Federal award
from the U.S. Department of Homeland Security, Office of Grants and
Training and the North Carolina Department of Crime Control and
Public Safety, Division of Emergency Management. " Use of the federal
program logo must be approved by DHS. Printed as a legend, either
below or beside the logo shall be the words "100 percent Funded by U.S.
Department of Homeland Security. "
Page 4 of 13
(13) Sub - grantee shall order, receive, inspect, and stage the equipment and
supplies. The purchase or acquisition of any additional materials,
equipment, accessories or supplies beyond those identified in this MOA
shall be the sole responsibility of Sub - grantee and shall not be reimbursed
under this MOA. Durable goods and equipment are not eligible items
for reimbursement with training and exercise funds.
(14) No indirect or administrative costs will be charged to this allocation award.
VI. FUNDING AND COMPENSATION. Grantee will reimburse Sub - grantee for the
actual eligible costs incurred for the subject of this grant, not to exceed Fifty
Thousand Dollars ($50,000.00). Funds will be provided by the State of North
Carolina, Department of Crime Control and Public Safety, Division of Emergency
Management. The allocation of funds will be from the USDHS FY 2010 Homeland
Security Grant Program.
All terms and conditions of this MOA are dependent upon and subject to the allocation
of funds from DHS, FEMA and Grantee for the purposes set forth and the MOA shall
automatically terminate if funds cease to be available. Allowable costs shall be
determined in accordance with the applicable U.S. Department of Homeland Security
Program Guidelines, which include, but may not be limited to, the USDHS FY2010
Homeland Security Grant Program Guidance (HSGP) and Application Kit available at
http: / /www.fema.gov /pdf/ government /grant/2010 /fylO hsgp_kit.pdf , 44 C.F.R. Part
13, 2 CFR Parts 215, 220, and 230, Federal Acquisition Regulations (FAR) Part 31.2,
OMB Circulars A -21, A -87, A -122 and A -133 and the U.S. DHS Financial
Management Guide available at
http://www.dhs.gov/xlibrary/assets/Grants — FinancialManagementGuide.pdf.
Allowable costs are also subject to the approval of the State Administrative Agent for
the State of North Carolina, the Secretary of the Department of Crime Control and
Public Safety.
VII. WARRANTY. Sub - grantee shall hold Grantee harmless for any liability and personal
injury that may occur from or in connection with the performance of this MOA to the
extent permitted by the North Carolina Tort Claims Act.
viii. COMMUNICATIONS AND POINTS OF CONTACT. To provide consistent and
effective communication between the County of Orange and the Department of Crime
Control and Public Safety, Division of Emergency Management, Training and
Exercise Branch, each party shall appoint a Principal Representative(s) to serve as its
central point of contact responsible for coordinating and implementing this MOA.
The Department of Crime Control and Public Safety, Division of Emergency
Management, contacts shall be Steve Sloan, NCEM Assistant Director, 1636 Gold Star
Drive, Raleigh NC 919- 825 -2290; and Carolyn Freitag, NCEM Exercise Supervisor,
1636 Gold Star Drive, Raleigh, NC 919 - 825 -2267. The County of Orange contact
shall be Darshan Patel, 510 Meadowland Drive, Hillsborough, NC 919 - 245 -6135
ix.
All confidential information of either party disclosed to the other party in connection
with the services provided hereunder will be treated by the receiving party as
confidential and restricted in its use to only those uses contemplated by the terms of
Page 5of13
confidential and restricted in its use to only those uses contemplated by the terms of
this MOA. Any information to be treated as confidential must be clearly marked as
confidential prior to transmittal to the other party. Neither party shall disclose to third
parties, the other party's confidential information without written authorization to do
so from the other party. Specifically excluded from such confidential treatment shall
be information that: (i) as of the date of disclosure and/or delivery, is already known
to the party receiving such information; (ii) is or becomes part of the public domain
through no fault of the receiving party; (iii) is lawfully disclosed to the receiving party
by a third party who is not obligated to retain such information in confidence; or (iv)
is independently developed at the receiving party by someone not privy to the
confidential information. In accordance with page 55 of the FY 2010 Homeland
Security Grant Program Guidelines and Application Kit, "FEMA recognizes that
much of the information submitted in the course of applying for funding under this
program, or provided in the course of its grant management activities, may be
considered law enforcement sensitive or otherwise important to national security
interests. While this information under Federal control is subject to requests made
pursuant to the Freedom of Information Act (FOIA), 5 U.S.C. §552 et. seq., all
determinations concerning the release of information of this nature are made on a
case -by -case basis by the FEMA FOIA Office ... The Grantee and NCOI should be
familiar with the regulations governing Sensitive Security Information (49 CFR Part
1520), as it may provide additional protection to certain classes of homeland security
information."
X. SUBCONTRACTING. If the Sub - grantee subcontracts any or all purchases or
services required under this Agreement, Sub - grantee agrees to include in the
subcontract that the subcontractor is bound by the terms and conditions of this MOA.
Sub - grantee agrees to include in the subcontract that the subcontractor shall hold
Grantee harmless against all claims of whatever nature arising out of the
subcontractor's performance of work under this MOA. If Sub - grantee subcontracts any
or all purchases or services required under this MOA, a copy of the executed
subcontract agreement must be forwarded to the State of North Carolina, Department
of Crime Control and Public Safety, Division of Emergency Management. Contractual
arrangement shall in no way relieve Sub - grantee of its responsibilities to ensure that all
funds issued pursuant to this grant be administered in accordance with all state and
federal requirements. Sub - grantee is bound by the terms, conditions and restrictions of
the applicable USDHS Program Guidelines and Application Kits referenced herein.
XI. SITUS. This Agreement shall be governed by the laws of North Carolina, and venue
for any disputed matters or claims shall be in the Superior Court of Wake County,
North Carolina.
XII. ANTITRUST LAWS. This Agreement is entered into in compliance with all State
and Federal antitrust laws.
XIII. COMPLIANCE WITH THE LAW. Sub - grantee shall be wholly responsible for the
purchases to be made under this MOA and for the supervision of its employees and
assistants. Sub - grantee shall be responsible for compliance with all laws, ordinances,
codes, rules, regulations, licensing requirements and other regulatory matters that are
applicable to the conduct of its business and purchase requirements performed under
Page 6of13
this MOA, including those of federal requirements and State and local agencies having
appropriate jurisdiction and found in applicable USDHS Program Guidelines and
Application Kits.
XIV. OTHER PROVISIONS /SEVERABILITY. Nothing in this Agreement is intended
to conflict with current laws or regulations of the State of North Carolina, Department
of Crime Control and Public Safety or the County of Orange. If any term of this
Agreement is found by any court or other legal authority, or is agreed by the parties to
be in conflict with any law or regulation governing its subject, the conflicting term
shall be considered null and void. The remaining terms and conditions of this
Agreement shall remain in full force and effect.
XV. ENTIRE AGREEMENT. This Agreement and any attachments, appendices, exhibits
and amendments annexed hereto and any documents incorporated specifically by
reference represent the entire agreement between the parties and supersede all prior oral
and written statements or agreements.
XVI. MODIFICATION. Modifications of this agreement must be in writing and upon
approval of both parties except as modified by official USDHS Federal Grant
Adjustment Notice (GAN).
XVII. TERMINATION. The terms of this agreement, as modified with the consent of all
parties, will remain in effect until July 31, 2013. Either party may terminate this
Agreement upon thirty (30) days advance written notice to the other party.
Upon approval by USDHS, FEMA and the issuance of the Grant Adjustment Notice, if
this MOA is extended, the termination date for the extension will be the date listed in
the applicable USDHS Grant Adjustment Notice, incorporated by reference herein, or
as established by the State Administrative Agency, whichever is sooner.
If DHS suspends or terminates funding in accordance with 44 C.F.R. and the applicable
U.S. Department of Homeland Security Program Guidelines and Application Kits,
incorporated by reference herein, Sub - grantee shall reimburse the Division of
Emergency Management for said property.
XVII. EFFECTIVE DATE AND EXECUTION OF THIS AGREEMENT. This
Agreement will become binding upon execution of all parties to the Agreement. The
terms of this Agreement will become effective on November 10, 2010. The last
signature shall be that of Mr. Gerald A. Rudisill, Chief Deputy Secretary, North
Carolina Department of Crime Control and Public Safety.
XVIII. TERM OF THIS AGREEMENT. This Agreement shall be in effect from
November 10, 2010 to July 31, 2013.
IN WITNESS WHEREOF, the parties have each executed this Agreement and the parties agree that this
Agreement will be effective as of November 10, 2010.
(REMAINDER OF THIS PAGE 7 IS INTENTIONALLY LEFT BLANK. SIGNATURE PAGE FOLLOWS)
Page 7 of 13
N.C. DEPARTMENT OF CRIME
CONTROL & PUBLIC SAFETY
BY: L J-��
H. DOUGL DELL, DIRECTOR
DIVISION OF EMERGENCY MANAGEMENT
APPROVED AS TO PROCEDURES:
BY:
MARVIN MERVIN, CONTROLLER
DEPARTMENT OF CRIME CONTROL
AND PUBLIC SAFETY
BY ,
CA SA RA G. WHITE, UENERAL COUNSEL
REVIEWED FOR THE DEPARTMENT OF
CRIME CONTROL AND PUBLIC SAFETY, BY
CASANDRA G. WHITE, CCPS GENERAL
COUNSEL, TO FULFILL THE PURPOSES OF
THE US DEPARTMENT OF HOMELAND
SECURITY GRANT PROGRAMS
THE COUNTY OF ORANGE
BY:
FRA NTES DE OCA
EMERGENCY MANAGEMENT COORDINATOR
COUNTY OF ORANGE
BY: li 6 oj/)
FRANK LINTY MANAGER
COUNTY OF ORA
BY:
GERALD A. RUDISILL, JR.
CHIEF DEPUTY SECRETARY
DEPARTMENT OF CRIME CONTROL AND PUBLIC SAFETY
THIS MOA WAS PREVIOUSLY APPROVED AS TO FORM BY THE NORTH CAROLINA DEPARTMENT OF
JUSTICE FOR THE FY2010 HOMELAND SECURITY GRANT PROGRAM ONLY AND IS SUBJECT TO
EXECUTION BY GERALD A. RUDISILL, JR., CHIEF DEPUTY SECRETARY OF THE DEPARTMENT OF
CRIME CONTROL AND PUBLIC SAFETY. THIS MOU/MOA SHOULD NOT BE USED FOR OTHER
MOUs/MOAs FOR THE STATE HOMELAND SECURITY GRANT PROGRAM FOR OTHER FISCAL YEARS.
Page 8 of 13
ATTACHMENT A
NCEM Exercise Guideline for FY10 Grant
✓ Grant period covered is August 27, 2010 through July 31, 2013.
✓ Training monies - $233,333.33 per jurisdiction — monies to be used to conduct exercises in
accordance with FY2010 HSGP guidelines..
✓ Exercise must be regional and /or multi- agency.
✓ A "Lead County" for reimbursement must be established in the exercise proposal.
✓ Award letter will be sent to local jurisdictions by November 5, 2010. .
✓ Counties will submit for reimbursement in accordance with ATTACHMENT C.
INSTRUCTIONS FOR SUBMITTING REIMBURSEMENT REQUESTS
Page 9 of 13
ATTACHMENT B
QUARTERLY REPORT
COUNTY OF ORANGE and MOA# 1191
Funds Expended Prior Quarters:
Quarter (list dates): Grant Award: $50,000.00 Funds Expended This Quarter:
Activities
Metric
Current Status
1. Equipment
Date, current status (ex. List needs
identified, items in vendor
negotiation, purchased, placed in
service, etc.
2. Exercise
3. Planning
4. Organization
5. Training
Date, status of training (ex. Needs
identified, training planned, training
in progress. Training conducted,
w/acienda and roster attached).
Quarterly Reports must be submitted according to Department of Homeland Security Guidelines. If no
monies have been spent please report -0-.
Page 10 of 13
ATTACHMENT C
INSTRUCTIONS FOR SUBMITTING REIMBURSEMENT REQUESTS
Request for reimbursements must be submitted quarterly. All reimbursement requests should be
received by the North Carolina Emergency Management Training Branch no later than 15 days after
the quarter ends. (April 15th, June 15 h, October 15th, January 15 h)
When submitting your reimbursement requests, please use the checklist below as a guideline on what
information should be included with your request package. You will receive a Cost Report Form
from CCPS Finance. Please use this Cost Report when requesting a reimbursement.
Send in your request for reimbursement on your local jurisdiction's letterhead and fill
out Cost Report.
Address reimbursement request package to:
Carolyn M. Freitag
North Carolina Emergency Management
4713 Mail Service Center
Raleigh, NC 27699 -4713
Include the amount requested for reimbursement.
Identify the local jurisdiction to which the check is to be mailed.
Include the address to which the check is to be sent.
Attach copies of all invoices that have been paid (must have invoice that
reflects invoice has been paid) according to allowable costs. Please include
summary page listing all paid invoices.
Please retain original invoices or bills for your local files.
QUARTERLY COST REPORTS MUST BE SUBMITTED EVEN IF YOU HAVE NOT INCURRED ANY
EXERCISE COSTS.
Page 11 of 13
EXAMPLE OF COST REPORT
STATE OF NORTH CAROLINA
DEPARTMENT OF CRIME CONTROL AND PUBLIC SAFETY
Homeland Security
4713 Mall Service Center
Raleigh, NC 27603
COST REPORT
HOMELAND SECURITY
Vendor:
NCEM- OPERATIONS EMERGENCY SV
CFDA: 97.074
Contact:
Steve Sloan
Address:
4713 Mail Service Center
Total
Raleigh, NC 27699 -4713
Vendor Nbr /Fed ID Nbr:
56600000408
0.00
Account Nbr:
4701 - 53692010307 - 1520 - 030- H1-511
Fund Code:
1520
OSA Contract Number:
Prior Expenditures:
RCC:
030
0.00
Grant Identifier:
H1
Grant Period:
7/1/2008 - 12/30/2010
Project Code:
511
MOA Nbr:
2007- GET -70048 -5006
0.00
Remarks:
/
0.00
Request #
Budget Worksheet
TRAINING
Total
Budget Amounts:
0.00
0.00
0.00
0.00
0.00
Prior Expenditures:
0.00
0.00
0.00
0.00
0,00
Current Balance:
0.00
0.00
0.00
0.00
0.00
Expended this
period:
Balance Remaining:
Funding Worksheet
Amount
Pmts to Date
Balance
% Funding
Reimbursement
New Balance
Federal
)
_ "1
0.00
100%
State
0.00
0.00
0%
Match
0.00
0.00
0.00
0%
Subtotal
100%
Fed Admin
0.00
0.00
0.0
0%
Total
Certification
I certify the above are correct, based on subgrentess official accounting system and records, consistently applied and maintained, and that expenditures
shown have been made for the purpose of and In accordance with, applicable grant terms and conditions, and that appropriate documentation to support
these costs and expenditures Is available or attached.
A
NCEM - OPERATIONS EMERGENCY SVC Authorized Signature Date
Homeland Security Approval Signature Date
Controller's Office Approval Date
Printed 10/22/201108:30:54 AM
Page 12 of 13
VendorlD: 1231
ATTACHMENT D
Required Sub - grantee or Sub - Recipient File Documentation
Sub - grantee or sub - recipient must meet the financial administration requirements in 44 CFR
Part 13 and must maintain a file for each homeland security grant award. The files must be
available for review by the North Carolina Division of Emergency Management — Homeland
Security Branch Staff for site visits, project closeout and future audits.
Sub - grantee or sub - recipient must include appropriate documentation in the file, including but
not limited to the following documents:
Conditional Grant Award
Memorandum of Agreement/Memorandum of Understanding and Supporting Appendices
Completed appropriate cost report forms with invoices
Page 13 of 13
Exercise Request / Notification - NCEM
Exercise Name:
Location:
Sponsoring Agency:
Military Installation (if applicable):
Major Participating
Exercise Sponsor POC Information
POC Organization:
POC Name:
POC Address:
POC City, State, zip:
Phone:
E -Mail:
Schedule
Description
1. Provide final proposal to NCEM
2. Prepare exercise Plan
4. Mail notice of exercise
4. Conduct exercise
5. Complete After Action Report/improvement Plan
6. Send invoice to NCEM
Brief Exercise Overview-
Estimated Costs
Additional Notes:
Orange County BOCC has approved $19,000.00 from the General fund to put towara tnis
exercise. We will also be supplementing some EMPG funding to fulfill all needs outside
side of contracting fees. We have generated this contracting fee from quotes from 4
different vendors (both local and national).
ORANGE COUNTY — CONTRACT CONTROL SHEET
Routing Order: (1) Department, (2) IT, (3) Risk Management, (4) Financial Services, (5) Attorney, (6) Manager, (7) Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through, and complete, the routing process prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: NCEM Party/Vendor Contact Person: Dianne Benton Contact Phone: 919 - 733 -3825 Party/Vendor Address: 4713
Mail Service Center City Ralei State: NC Zip: 27699 Department: Grants/Training Amount: 5 OQ 00.00 Purpose: EM Training
Budget Code(S)i~LJC�rd , VAdor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check
one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No® Agenda Date: Title of
Contract: Homeland Security Grant Program (FY 2010 -SS -TO -0075)
If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes® No❑. If submitted for bid were
bids/RFPs received Yes❑ No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: J Zi
IT Director
(Applicable only to hardware /software purchases or related services) This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: S ' 00.
Y
Zc ld 5/'7112 o" 0A4--;,4
4
Financial Services
This Contract is condition
pon appropriation by the Board of Commissioners Yes❑No %. A budget amendment is necessary
before approval Yes❑ No2o. If budget amendment is necessary, please attach to this form. This instrument has been pre - audited in the
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: 6e4, t,, j Date: 6111112
Countv Attorne
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval Manager (Most other contracts $1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has b e vi d approved by the Attorney as to legal form and suffici ncy:
Attorney's Signature Date: I�--
County Manner
This contract has been reviewed and is approved by the County Manager Ye OF.
This contract has been reviewed and is for* n ture by Chair Yes ❑No�
Manager's Signature: Date:.S- 7 ' rv.
Clerk to the Board
Approved by BOCC on the day of 120 . Submitted for Chair signature on the _ day of , 20
Clerk's Signature:
Revised March 2012
Date: