HomeMy WebLinkAbout2014-154 ES - Emergency Management Performance Grant for Grant Award $48,926.12 STATE OF NORTH CAROLINA
DEPARTMENT OF PUBLIC SAFETY
North Carolina Emergency Management
AJF, Ili Physical Address:1636 Gold Star Drive,Raleigh,NC 27607-3371
DM Mailing Address:4236 Mail Service Center,Raleigh,NC 27699-4236
COST REPORT 2 - FISCAL YEAR 2013
EMERGENCY MANAGEMENT
PERFORMANCE GRANT
Grantee: ORANGE COUNTY EMERGENCY SERVICES
Address: 510 MEADOWLANDS DRIVE
HILLSBOROUGH NC 27278-
Federal ID No.:
Account No.:
Grant Period: 10/01/12-09/30/14
Project: EMPG
Grant File No: EMPG-2013-37135 DUNS No.: 091575191 Branch: Central
Funding 20113 EWG Universal Amount Optional Amount SATCOM Balance to be Paid
Worksheet Final Amount (Previously Paid) Deductions
Federal/State $48,926.12 $35,000.00 $15,736.72 $1,810.60 $13,926.12
Local Match $50,736.72 $35,000.00 $15,736.72 $0.00 $15,736.72
ITotal $99,662.85 1 $70,000.00 1 $31,473.45 1 $1,810,60 1 $29,662.85
This Final Cost Report reflects completed and approved Optional amounts by your Emergency Management program minus
SATCOM Deductions to give a final Balance to be Paid amount. SATCOM Deductions are from January 1,2012 to
December 31,2013 and reflect all charges for SATCOM use.This Optional Amount can be used for enhancing your local
emergency management program.
This Cost Report require appropriate signatures and return to the state for payment. Payment will be made once all
signatures have been completed and processed.This funding reimburses your county for eligible EMPG work.
Certification:
I certify the above are correct,based on grantee's 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 avail ble or attached.
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Oran UN m rcer Authorized Signature Date
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ORANG COUNTY EMERGENCY SERW d Signature Date
North Caroli Emergen Manageme Approval Signature Date
Department of Public Safety Controller's Office Approval Date
RECEIVED
Printed:2/17/2014 2:31:16 PM MAY 13 20114 2013 Cost Report 2
NC DPS CO GRANTS
North Carolina Department of Public Safety
EmergeneyManagement
PatMcCrory,Governor Michael A.Sprayberty,Director
Frank L.Perry, Secretary
2013
EMERGENCY MANAGEMENT PERFORMANCE GRANT(EMPG)
GRANT AWARD AND MEMORANDUM OF AGREEMENT AMENDMENT
Grantee: ORANGE COUNTY EMERGENCY SERVICES DUNS No.: 091575191
Federal ID Number: 2013 FederaUState EMPG Base Amount: $35,000.00
Account 50% Federal Fund 2013 Federal/State EMPG Optional Amount $15,736.72
Catalog of Federal Domestic Assistance(CFDA)Number:97.042 SATCOM Deductions: $1,810.60
Date of Award:See Page 3-Effective Date Total 2013 EMPG Grant Amount: $48,926.12
THIS AMENDMENT TO THE GRANT AWARD AND MEMORANDUM OF AGREEMENT
is entered into by and between the State of North Carolina,Department of Public Safety,
North Carolina Emergency Management,Raleigh,North Carolina(hereinafter referred to as
the GRANTOR),and the
ORANGE COUNTY EMERGENCY SERVICES
(hereinafter referred to as the GRANTEE).
WITNESSETH
That WHEREAS,on October 1,2012 the parties entered Into a Grant Award and Memorandum of Agreement
wherein GRANTOR provided funds from the U.S. Department of Homeland Security(OHS),
Federal Emergency Management Agency(FEMA),for FY 2013 Emergency Management Performance
Grant Program Funding Award EMW-2013-EP-00031-S01;
And WHEREAS,the parties wish to modify the provisions of the prior Grant Award and
Memorandum of Agreement by this amendment.
Therefore,in consideration of the payments that have already been made on the original Grant Award and
Memorandum of Agreement and in further consideration of the promises and agreements that follow,the
GRANTOR and the GRANTEE do mutually agree that the prior Grant Award and Memorandum of
Agreement of the parties is changed in the following respects only:
2013 EMPG Grant Award Amendment
page 1
MAILING ADDRESS "-+•�:, OFFICE LOCATION:
4238 Mail Service Center 1636 Gold Star Drive
Raleigh,NC 27699-4236 .g,• • ••,., Raleigh,NC 27607-3371
www.ncem.org Telephone:(919)825-2500
An Equal Opportunity/Affirmative Action Employer Fax:(919)825-2685
A Nationally Accredited Agency
Compensation. Grantor agrees that it will pay the Grantee as indicated above as complete and total compensation
for the services to be rendered by the Grantee. Payment to the Grantee for expenditures under this Agreement will be
reimbursed after the Grantee's cost report Is submitted and approved for eligible work. The original signed copy of this
Award and MOA Amendment must be signed by the Official(s)authorized to sign below and returned to North Carolina
Emergency Management no later than April 15,2014. The grant award and MOA amendment shall be effective
upon return of this form and final approval by North Carolina Emergency Management of the EMPG Grant
Activities. Grant funds will be disbursed(according to the approved project budget)upon receipt of evidence that
funds have been invoiced and products received and/or that funds have been expended(i.e., invoices,contracts,
itemized expenses,etc.)and/or that all Universal work activities and up to six Optional work activities are completed.
Grantee will perform all Universal work activities and up to six Optional work activities identified in the 2013 EMPG
Activity Directory which is a part of the 2013 EMPG application packet, incorporated by reference herein.
System for Award Management(SAM): Please ensure that your organization's name,address, DUNS number and
EIN are up to date in SAM and that the DUNS number used in SAM is the same one used to apply for all FEMA
awards at http://www.sam.gov. Future payments will be contingent on the information provided in SAM;therefore it is
imperative that the information is correct.
It is expressly agreed by the parties that this Grant Award and Memorandum of Agreement Amendment Is
supplemental to the Grant Award and Memorandum of Agreement executed on February 4,2014 and Incorporated by
reference herein,and all terms,conditions,and provisions of the original Grant Award and Memorandum of
Agreement,unless specifically modified by this amendment,are to apply to this Grant Award and Memorandum of
Agreement Amendment and are made a part of this agreement as though expressly included.
i
2023 EMPG Grant Award Amendment
page 2
IN WITNESS WHEREOF, the GRANTOR and the GRANTEE have each executed this Agreement,this the
day of . 2014.
Accepted for the Grantee Accepted for the Grantor
ro t'c{
Print Name Will Polk, Special Counsel
Department of Public Safety
/at Date
Title Lorrie L.Dollar,Chief Operating Officer
Department of Public Safety
31aolI+
Date Date
County of Michael A. Sprayberry,Director
North Carolina Emergency Manag rnent
i
Date
i
Gregory K. Baker,Commissioner of Law Enforcement
Depart t of Pub' Sa
Date 72I 20 I&/
2013 EMPG Grant Award Amendment
page 3
THIS MOA WAS PREVIOUSLY APPROVED AS TO FORM BY THE NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY
FOR THE FY2013 EMERGENCY MANAGEMENT PERFORMANCE GRANT PROGRAM ONLY AND IS SUBJECT TO
EXECUTION BY GREGORY K.BAKER,COMMISSIONER OF LAW ENFORCEMENT FOR THE DEPARTMENT OF PUBLIC
SAFETY. THIS MOU/MOA SHOULD NOT BE USED FOR OTHER MOUs/MOAs FOR THE EMPG OR STATE
HOMELAND SECURITY GRANT PROGRAMS FOR OTHER FISCAL YEARS.
i
2013 EMPG Grant Award Amendment
page 4