HomeMy WebLinkAbout2012-117 EMS - NC Dept of Crime Control and Public Safety $1856.44 i
Please return this copy to the Clerk to the Board's _
office for permanent agenda files W9/a. j 1
MOA#:112$
Tax#: 56-6000-327A
Fund Code#: 1520 030 HI 512
MOA Amount: $1,856.44
CFDA#: 97.067
MEMORANDUM OF UNDERSTANDING/AGREEMENT
BETWEEN THE
STATE OF NORTH CAROLINA,
DEPARTMENT OF CRIME CONTROL AND PUBLIC SAFETY,
DIVISION OF EMERGENCY MANAGEMENT
AND
COUNTY OF ORANGE
2011-SS-0011X9-SO1
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, 2011; 2)Public
Law 110-53, The 9111 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 2011 Homeland Security Grant Program Guidance (HSGP)
and Application Kit available at:
http://www.fema.gov/pdf/government/grant/2011/fy10_hsgp_kit.pdf; 8) DHS,FY
2011-SS-TO-0075; 9) applicable Grants Programs Directorate (GPD) Information
Bulletins available at: http://www.fema.gov/government/grant/bulletins/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 2011 Homeland Security Grant Program(HSGP). A copy of the complete
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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 2011 Homeland Security Grant Funding to the County of Orange
(Sub-grantee)to conduct training activities 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 2011 Homeland Security
Grant Program, Grant Number FY 2011-SS-00119-S01. 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 training
activities in accordance with the training guidance, as described in
Attachment C, attached and incorporated by reference herein.
(2) Conduct a review of the training 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 August 31, 2014. Training activities
must be completed by this date.
(4) Directly monitor the completion of the project.
b. The County of Orange shall:
(1) Expend FY 2011 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
implement State Homeland Security Strategies to address identified
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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 August 31,2014 to complete their
training for the 2011 HS GP 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 August 31, 2014.
(5) Provide quarterly progress reports to the NCEM Homeland Security
grants manager, as described in Attachment D, incorporated by reference
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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 E,
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
"[effective 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 2011 HSGP Training 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 US. 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. "
(13) Sub-grantee shall order, receive, inspect, and stage the equipment and
supplies. The purchase or acquisition of any additional materials,
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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. Sub-grantee shall prominently mark any equipment
purchased with grant funding as follows: "Purchased with funds provided
by the U.S.Department of Homeland Security."
(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 one thousand
eight hundred fifty six dollars and forty four cents ($1,856.44) . Funds will be
provided by the State of North Carolina,Department of Crime Control and Public
Safety,Division of Emergency Management. The allocation of ftinds,will be from the
USDHS FY 2011 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 FY2011
Homeland Security Grant Program Guidance (HSGP) and Application Kit available at
http://www.fema.gov/pdf/government/grant/2011/fylO—hsgpj Part
it.pdf, 44 C.F.R. Pa
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 Logistics Section Chief, 116 W.
Jones Street,Raleigh,NC, 919-733-3619; and Dianne Benton,NCEM Training and
Exercise Branch Manager, 116 W. Jones Street, Raleigh,NC 919-733-3426. The
County of Orange contact shall be Darshan Patel at P 0 Box 8181 at Hillsborough,NC
27278 at 919-968-2050.
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
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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 2011 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."
IX. 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.
X. 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.
XI. ANTITRUST LAWS. This Agreement is entered into in compliance with all State
and Federal antitrust laws.
XIL 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
this MOA, including those of federal requirements and State and local agencies having
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appropriate jurisdiction and found in applicable USDHS Program Guidelines and
Application Kits.
XIII. 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.
XIV. 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.
XV. 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).
XVI. TERMINATION. The terms of this agreement, as modified with the consent of all
parties,will remain in effect until August 31,2014. 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 October 15, 2011. The last
signature shall be that of Mr. Gerald A. Rudisill, Chief Deputy Secretary,North
Carolina Department of Crime Control and Public Safety.
XVIH.TERM OF THIS AGREEMENT. This Agreement shall be in effect from October
15, 2011 to August 31,2014.
IN WITNESS WHEREOF,the parties have each executed this Agreement and the parties agree that this
Agreement will be effective as of October 15,2011.
(REMAINDER OF THIS PAGE 7 IS INTENTIONALLY LEFT BLANK SIGNATURE PAGE FOLLOWS)
Page 7 of 14
N.C. DEPARTMENT OF CRIME THE COUNTY OF ORANGE
CONTROL & PUBLIC SAFETY
Y BY:
H. A ELL,D ECTOR FRANK MONTES DE OCA
DIVISION ERGENCY MANAGEMENT EMERGENCY MANAGEMENT COORDINATOR
COUNTY OF ORANGE
APPROVED AS TO PROCEDURES: BY:
FRANK CLIFTON OU Y MANAGER
COUNTY OF O N E
BY:
MAR MERVIN,CONTROLLER
DEPARTMENT OF CRIME CONTROL
AND PUBLIC SAFET
BY:
C NDRA G.WHITE, NE L COUNSEL
VIEWED 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
BY: •
GE LD 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 FY2011 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 MOUIMOA SHOULD NOT BE USED FOR OTHER
MOUs/MOAs FOR THE STATE HOMELAND SECURITY GRANT PROGRAM FOR OTHER FISCAL YEARS.
Page 8of14
ATTACHMENT A
NCEAHTraining Guideline fxrFY1 I Grant
Grant period covered ks October 15.2O11 through August 31. 2O14.
Training monies-$1,056.44 perjmrisdiutiom—rnoniasto be used to host N|K8G training
(|87OO. |87U1. |S702. |G7O3. |87O8. |G8OO. |GBOO. ICS 1OO-4OO. any position specific ICS
classes, All Hazard Incident Management Team training, HSEEP classes, Hazardous
Materials (Awareness), Search and Raocue (FUNGAR. K8SO. yWL8[)). Public Official
Conference and Emergency Management Certification classes. Allowable costs include
contnactinatructor/inotrucboro. room rental, student materials, back fill ooats, expendable
materials for class.
Training monies will bo granted per county.
Training must ba regional and/or nnu|t|-agency.
/
A"Lead County"for reimbursement must be established in the training proposal,
Award letter will be sent to local jurisdictions byOctober 1S~ 2@11.
All training held by a local jurisdiction must be entered intmWebforms as required by
the Department mfHomeland Security Office of Grants and Training. Wmbforo
information will bm available with Memorandum of Understanding between NCEKKand
local jurisdiction.
If a jurisdiction does not want to participate in the proposal, they can assign grant monies back
bo the State for management.
�
|
These returned grant monies would be used by the State Training Office to offer certification
and NIMS trainings(all courses listed in approved courses above)across the State.
Training proposals and available funding will be evaluated mid grant period.
v'
Counties will submit for reimbursement in accordance with ATTACHMENT C.
INSTRUCTIONS FOR SUBMITTING REIMBURSEMENT REQUESTS
Page 9 of 14
ATTACHMENT B
QUARTERLY REPORT
COUNTY OF ORANGE 1128
Funds Expended Prior Quarters:
Quarter(list dates): Grant Award: 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/a enda 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 14
-
ATTACHMENT C
INSTRUCTIONS FOR SUBMITTING REIMBURSEMENT REQUESTS
Request for reimbursements must ba submitted quarterly. All reimbursement requests should be
received by the North Carolina EnnergenoyW1anag entl[nain�gBrannhno|aterthan15daysaOer
the quaderends. (April 15`o. June 15 m. <]otober��». January 15m)
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 areimbursement.
Send in your request for reimbursement on your local jurisdiction's letterhead and fill
out Cost Report.
Address reimbursement request package to:
Dianne Benton
North Carolina Emergency Management
|
Training Group
� 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 iatubesent.
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 14
EXAMPLE OF COST REPORT
IVA � STATE OF NORTH CAROLINA
d DEPARTMENT OF CRIME CONTROL AND PUBLIC SAFETY
Homeland Security
dr f1 4713 Mail Service Center
Raleigh,NO 27603
COST REPORT
HOMELAND SECURITY
Vendor NCEM-OPERATIONS EMERGENCY SV CFDA: 97.074
Contact: Steve Sloan
Address: 4713 Mail Service Center
Raleigh,NC 27699-4713 Request#
Vendor Nbr/Fed ID Nbr 56600000408
Account Nbr. 4701.-53692010307-1520-030-H1-611 Fund Code; 1520
OSA Contract Number. RCC; 030
Grant Period: 7/1/2008-12130/2010 Grant Identifier: HI
MOA*Nbr: 2007-GET-70048-6006 Project Code: 511
Remarks:
Budget Worksheet TRAINING Tote
Budget Amounts: 0.00 0.00 0.00 0.00 0.00
Prior Expenditures: 0.00 0.00 0.05 0.00 0.00
Current Balance: 0.00 0.00 0.00 0.00
Expended this
period:
Balance Remaining,
Funding Worksheet Amount Pmts to Date Balance %Funding Reimbursement Now Selene
Federal 7 3 --1 100%
State 0.00 0.00 0.00 0%
Match 0.00 0.00 0.00 0%
Subtotal 100%
Fed Admin 0.001 .- 0.01 0.
Total
Certification
I certify the above are correct,based on subgrantees 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.
NCEM-OPERATIONS EMERGENCY SVC Authorized Signature Date
Homeland Security Approval Signature Date
Controller's Office Approval Date
Printed 10/2=010 8:30:54 AM Vendor ID: 1231
Page 12 of 14
ATTACHMENT D
WEBFORMS
ry ,
r f North Carolina Division of Emergency Management
REPORT OF FEDERAL TRAINING(WebFORMS)
This form is utilized to report gay training conducted at the municipality,county,regional,tribal,or state level uhlizingDepartment of Homeland Security funds.
Sponsoring Jurisdiction:
Total Cost:
Grant Program: Grant Year:
Number of People Trained(by Cate2orv)
Law Enforcement: 0 Public Works: u
Emergency Medical Services: Government Administrative:
Emergency Management Agency: Public Safety Communications:
Fire Service: Health Care: L�
Hazardous Materials: Public Health:
Other: TOTAL STUDENTS: o
Course Information
Start Date: End Date:
Federal Course ID#:
Course Title:
Course Description:
Mission Area:
Level of Training:
Complete this form and fax it to the NCEM Training&Exercise Group at(919)733-6327.
NCEM FORM#3 MAM supersedes AQ Previous versions
Page 13 of 14
ATTACHMENT E
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
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