HomeMy WebLinkAbout2015-139 ES - Emergency Management Performance Grant $16,707.20 STATE OF NORTH CAROLINA
DEPARTMENT OF PUBLIC SAFETY
North Carolina Emergency Management
Physical Address: 1636 Gold Star Drive, Raleigh, NC 27607-3371
Mailing Address:4236 Mail Service Center, Raleigh,NC 27699-4236
COST REPORT 2 - FISCAL YEAR 2014
EMERGENCY MANAGEMENT
PERFORMANCE GRANT
Grantee: Orange County Emergency Services
Address: 510 Meadowlands Drive
Hillsborough NC 28278-
Federal ID No.:
Account No.:
Grant Period: 10/01/13 -09/30/15
Project: EMPG
Grant File No: EMPG-2014-37135 DUNS No.: 091575191 Branch: Central
Funding 2014 EMPG Universal Amount Optional Amount SATCOM Balance to be Paid
Worksheet Final Amount (Previously Paid) Deductions
Federal/State $51,707.20 $35,000.00 $17,595.35 $888.15 $16,707.20
Local Match $52,595.35 $35,000.00 $17,595.35 $0.00 $17,595.35
Total $104,302.56 $70,000.00 $35,190.71 $888.15 $34,302.56
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, 2014 to
December 31, 2014 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 available or attached. ff
-CaO4��, T�/,'A()rang ounty Fin ce fi r uthorized Signature Date q
Orange C:? ty mergency ervices Authorized Signature Date
\orth Carolina Emergency Management Director's Approval Signature Date
Department of Public Safety Controller's Office Approval Date
Printed: 1/21/2015 8:50:05 AM 2014 Cost Report 2
B093I' Tor-th Carolina Department ofPublic Safety
Emergenq,'Management
Pat McCrory, Gocemor Niichael A- Sprayberry,Dkector
Frarik-L.Perry, Secretary
2014
EMERGENCY MANAGEMENT PERFORMANCE GRANT (EMPG)
GRANT AWARD AND MEMORANDUM OF AGREEMENT AMENDMENT
Grantee: Orange County Emergency Services DUNS No.: 091575191
Federal ID Number: 2014 Federal/State EMPG Base Amount: $35,000.00
Account 50% Federal Fund 2014 Federal/State EMPG Optional Amount $17,595.35
Catalog of Federal Domestic Assistance (CFDA) Number: 97.042 SATCOM Deductions: $888.15
Date of Award: See Page 3- Effective Date Total 2014 EMPG Grant Amount: $51,707.20
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
Oranqe Countv Emergency Services
(hereinafter referred to as the GRANTEE).
WITNESSETH
That WHEREAS, on October 1, 2013 the parties entered into a Grant Award and Memorandum of Agreement
wherein GRANTOR provided funds from the U.S. Department of Homeland Security(DHS),
Federal Emergency Management Agency(FEMA), for FY 2014 Emergency Management Performance
Grant Program Funding Award EMW-2014-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:
2014 EMPG Grant Award Amendment
page 1
MAILING ADDRESS ....°• OFFICE LOCATION:
4236 Mail Service Center f--EMAP 1636 Gold Star Drive
Raleigh, NC 27699-4236 . 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 15,2018. 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 2014 EMPG
Activity Directory which is a part of the 2014 EMPG application packet, incorporated by reference herein.
SAM Registration: SAM (System for Award Management) registration is required for all applicants. Each Grantee
shall 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. SAM information can be found 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 Februaq 4,2015 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.
2014 EMPG Grant Award Amendment
page 2
Accepted for the Grantee Accepted for the Grantor
i, >
Print Name Will Polk, Special Counsel
Department of Public Safety
Signature Date
CoL;Ilt YY')e-cnQae(
Title James J. Cheroke, Controller
Department of Public Safety
Date Date
County of Orange Michael A. Sprayberry, Director
North Carolina Emergency Management
Date
Gregory K. Baker, Commissioner of Law Enforcement
Department of Public Safety
Date
2014 EMPG Grant Award Amendment
page 3
THIS MOA WAS PREVIOUSLY APPROVED AS TO FORM BY THE NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY
FOR THE FY2014 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.
2014 EMPG Grant Award Amendment
page 4