HomeMy WebLinkAboutFISCAL YR 2011 HOMELANND AND SECURITY GRANT PROGRAM GRANTEE-SUBGRANTEE AGREEMENT CITIZENS CORPS PROGRAM GEMAFISCAL YEAR 2011 HOMELAND SECURITY GRANT PROGRAM
GRANTEE - SUBGRANTEE AGREEMENT
CITIZEN CORPS PROGRAM
The United States Department of Homeland Security (DHS), Federal Emergency Management Agency
(FEMA), Grant Programs Directorate (GPD), approved the application and awarded grant funding from the
Fiscal Year 2011 Homeland Security Grant Program to the Georgia Emergency Management Agency (GEMA)
on behalf of the State of Georgia, in accordance with the Consolidated Security, Disaster Assistance, and
Continuing Appropriations Act, 2011, Public Law 110 -329. GEMA will maintain overall responsibility and
accountability to the federal government for the duration of the program. GEMA, as Grantee, has awarded the
amount of $9,610.00 to Augusta - Richmond County Emergency Management Agency, as Subgrantee, in
accordance with the Fiscal Year 2011 Homeland Security Grant Program (HSGP), Citizen Corps
Program.
Under this Agreement, GEMA will execute the interests and responsibilities of the Grantee. The individual
designated to represent the State is Charley English, Authorized Grantee Official. The State has designated
Dan Stowers, as the Program Manager of this program. The Subgrantee's Authorized Official has authority
to legally bind the Subgrantee and will execute the interests and responsibilities of the Subgrantee. The
Subgrantee's Authorized Official is the person whose name appears on page nine (9) of this agreement and
whose signature appears on page nine (9) of this agreement.
Purpose: The Subgrantee agrees to use allocated funds only as approved, to comply with the terms, conditions
and guidelines as stated within this agreement, and to request reimbursement only for expenditures made in
accordance with the Approved Detailed Budget Worksheet (Exhibit D). Any change to the budget worksheet
must be requested in writing by the Subgrantee and must be approved by the Program Manager prior to the
execution of that change. After all approved items on the approved budget worksheet have been reimbursed to
the Subgrantee, this Subgrantee Agreement shall terminate, and any remaining funds will be thereby forfeited by
the Subgrantee and such funds shall be deobligated and reallocated by GEMA. If a detailed Budget Worksheet
has not been approved or attached to this agreement, a Budget Worksheet for all funding awarded in this
subgrant must be approved by the Program Manager and this agreement must be amended to add the approved
Budget Worksheet as Exhibit D before any expenditures may be made by or on behalf of the Subgrantee.
Effective Date: From January 1, 2012 to December 31, 2012
The Subgrantee agrees that all purchases and expenditures authorized under this program must be completed by
the effective end date.
Exhibits: Exhibits are attached or attainable via the internet and made a part of this agreement:
Exhibit A GEMA Program Requirements and Funding Guidelines for Citizen Corps
Programs
Exhibit B Georgia Citizen Corps Authorized Equipment List
Exhibit C Budget Worksheet(s)
Exhibit D Copy of original grant award notification dated December 2011
Exhibit E Payment Request Form
Exhibit F Standard Assurances — Standard Form 424B (Non- Construction) or Standard Form 424 D
(Construction), as applicable
Exhibit G Certification Regarding Lobbying; Debarment, Suspension, and Other Responsibility
Matters; and Drug -Free Workplace Requirements. OJP Form 4061/6.
Exhibit H Financial Status Report (FSR) Reporting Form.
Exhibit I Acknowledgment Form of Receipt of Goods or Services Paid for by the State on Behalf
of Subgrantee
Exhibit J Citizen Corps Progress/ Status Report
Exhibit K Georgia Citizen Corps Authorized Equipment List — December 2011
Reimbursement and Reporting Requirements
1. Payment Request Forms: Payments to the Subgrantees will be made only upon presentation of the
approved Payment Request Form (Exhibit E). Reimbursements from invoices and applicable canceled
checks (or other justifying documentation) will only be made for eligible equipment, materials,
expenses and costs upon approval of the Program Manager. Omission of pertinent documentation will
constitute justification for non - payment of any amounts submitted on the Payment Request Forms.
2. State Purchases on behalf of Subgrantee: GEMA may, with the Written Consent of the Subgrantee,
retain and expend grant funding on behalf of the Subgrantee. Before the State will make purchases on
behalf of locals the Subgrantee must provide justification, receive approval from GEMA and provide
GEMA with the Written Consent for GEMA to expend these funds. If GEMA does agree to retain and
expend grant funding on behalf of the Subgrantee, the Subgrantee is required to submit documentation
to verify receipt and acceptance of the goods or services on the Acknowledgment Form (Exhibit I) and
provide any other documentation or information requested by GEMA. If the Acknowledgement Form is
not returned to GEMA in a timely manner, the Subgrantee will be held accountable for payment to the
vendor. The Subgrantee will also be accountable for submitting Financial Status Reports (FSR) on a
timely basis according to the guidelines in following paragraph.
3 Reporting Requirements: Reporting requirements must be met throughout the life of the grant (refer to
the program guidance and the special conditions found in the award package for a full explanation of
these requirements). Any reports or documents prepared as a result of this grant shall be in compliance
with Federal "plain English" policies, directives, etc.o Federal Financial Report (FFR) — required
quarterly. Obligations and expenditures must be reported on a quarterly basis through the FFR (SF -425),
which is due within 30 days of the end of each calendar quarter to include any partial calendar quarters
and also for periods where no grant activity occurs. Final FFR is due 90 days after the end date of the
performance period for each grant. Future awards and fund drawdowns may be withheld if these reports
are delinquent.
Reporting periods and due dates:
• January 1 — March 31; Due April 15
• April 1 — June 30; Due July 15
• July 1— September 30; Due October 15
• October 1 - December 31; Due January 15
4. Biannual Strategy Implementation Reports (BSIR): The Subgrantee shall complete and submit any
other reports as requested by GEMA and cooperate and assist GEMA in complying with the
tracking and reporting requirements. Specifically, without limitation, Subgrantee shall submit
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information at GEMA's request and direction to assist GEMA in submitting Biannual Strategy
Implementation Reports, Categorical Assistance Program Reports and any other necessary reports.
5. Citizen Corps Progress/ Status Report: The Subgrantee shall complete and submit reports at the end of
each calendar quarter (i.e. March 31, June 30, September 30, and December 31). A copy of this form is
attached as Exhibit J to this agreement.
The Subgrantee agrees to update program information on National Citizen Corps website:
http://www.citizencorps.gov/
6. Grant Closeout Report: Within 60 days after the ending effective date of the subgrant, the Subgrantee
shall submit a final FSR and final program report detailing all accomplishments throughout the project.
After both of these reports have been reviewed and approved by GEMA; a Closeout Report will be
generated indicating the project as being closed and listing any remaining funds that will be deobligated.
Audits, Financial Regulations and Guides
1. Audits and Monitoring: The Subgrantee agrees that federal or state officials and auditors or their duly
authorized representatives may conduct programmatic, financial and administrative monitoring, audits
and examinations. The Subgrantee further agrees that such officials, auditors or representatives shall
have access to any books, documents, papers and records of any recipients of this funding and of any
persons or entities which perform any activity which is reimbursed to any extent with federal or state
funds distributed under the authority of the Consolidated Security, Disaster Assistance, and Continuing
Appropriations Act, 2011 and this Agreement.
2. Laws, Regulations and Program Guidance: The Subgrantee shall comply with the most recent
version of the Administrative Requirements, Cost Principles, and audit Requirements. A non- exclusive
list of regulations commonly applicable to DHS grants are listed below:
A. Administrative Requirements
1) 44 CFR Part 13, Uniform Administrative Requirements for Grants and Cooperative Agreements
to State and Local Governments;
2) 2 CFR Part 215 Uniform Administrative Requirements for Grants and Agreements with
Institutions of Higher Education, Hospitals, and Other Non -Profit Organizations (OMB Circular
A -110)
B. Cost Principles
1) 2 CFR Part 225, Cost Principles for State, Local and Indian Tribal Governments (OMB Circular
A -87)
2) 2 CFR Part 220, Cost Principles for Educational Institutions (OMB Circular A -21)
3) 2 CFR Part 230, Cost Principles for Non - Profit Organizations (OMB Circular A -122)
4) Federal Acquisition Regulations (FAR), Part 31.2 Contract Cost Principles and Procedures,
Contracts with Commercial Organizations
C. Audit Requirements
OMB Circular A -133, Audits of States, Local Governments, and Non - Profit Organizations
Referenced CFR sections can be accessed online at www.ecfr.gpo.access.gov.
3. OMB Circular4-133: The Subgrantee agrees to comply with the organizational audit requirements of
OMB Circular A -133, Audits of States, Local Governments, and Non -Profit Organizations, as further
described in the current edition of the Financial Guide (Exhibit A). If the Subgrantee is required under
OMB Circular A -133 to conduct a single audit, the Subgrantee shall provide GEMA with written
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documentation showing that it has complied with the single audit requirements. Such documentation
shall be returned to GEMA with this signed Agreement. Subgrantee shall immediately notify GEMA in
writing directed to the Grants Manager at any future time that it is required to conduct a single audit and
provide documentation within a reasonable time period showing compliance with the single audit
requirement.
4. OGO Financial Management Guide: The Subgrantee agrees to comply with the financial and
administrative requirements set forth in the current edition of the United States Department of
Homeland Security, Preparedness Directorate, Office of Grants and Training, Office of Grant
Operations, Financial Management Guide (Exhibit A).
5. Accounting System: The Subgrantee agrees to maintain an accounting system integrated with adequate
internal fiscal and management controls to capture and report grant data with accuracy, providing full
accountability for revenues, expenditures, assets, and liabilities. This system shall provide reasonable
assurance that the subgrantee is managing federal and state financial assistance programs in compliance
with the current edition of the Financial Guide (Exhibit A) and all applicable laws and regulations.
6. Retention and Maintenance of Records: Subgrantee shall comply with the OMB administrative
requirements circulars and the current edition of the Financial Guide (Exhibit A) in retaining and
maintaining records pertinent to the subgrant award. All such records shall be retained by the
subgrantee for at least three years from the date of the final expenditure report by GEMA to DHS to
close out the State of Georgia's 2011 HSGP grant. Refer to the Financial Guide (Exhibit A) for
exceptions which would require a longer record retention period.
7. Withholding and Repayment of Funds: In addition to any other remedies provided by law or the
terms of this agreement, if the Subgrantee fails to comply with any of the terms or conditions of this
Agreement, including all exhibits hereto, or with any applicable federal or state law or regulation,
GEMA may withhold or require repayment of grant funds in connection with which the violation
occurred. In addition, GEMA may withhold or require repayment of all or any portion of the financial
award which has been or is to be made available to the Subgrantee for other projects under this program,
or under this or other agreements.
8. Payment of Funds to GEMA: In addition to any other remedies available, the parties agree that
GEMA will be entitled to payment from the Subgrantee for any funds paid by the state or for which the
state is responsible to pay on behalf of the Subgrantee for which GEMA is unable to receive payment
from or will be required to repay the grant funds due to the Subgrantee's failure to cooperate in
providing the required documentation showing receipt of the goods or services or other failure on the
part of the Subgrantee, including without limitation timely completing and returning to GEMA the
Acknowledgment Form attached as Exhibit I.
National Initiatives
1. Subgrantee agrees to comply with all applicable terms and conditions of the Fiscal Year 2011 Homeland
Security Grant Program Guidance, including without limitation meeting the minimum National Incident
Management System (NIMS) Fiscal Year 2010 compliance requirements in the NIMS Compliance
section of the DHS Guide and the NIMS Integration Center .(NIC). State, territory, tribal and local
governments are considered to be in full NIMS compliance if they have adopted and /or implemented the
FY 2008 compliance activities, as determined by the National Incident Management System Capability
Assessment Support Tool (NIMSCAST) or other accepted means. Additional information on achieving
compliance is available through the FEMA NIC at http: / /www.fema.gov /emergency /nims /. In order
to assure compliance with NIMS requirements, all terms and conditions of this agreement are predicated
and conditional upon the Subgrantee's assurance by completing and signing the NIMS Compliance
Form (Exhibit C) and returning the completed and signed form to GEMA along with the signed original
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Grantee - Subgrantee Agreement. For the next grant period, NIMSCAST will be the required means to
report NIMS compliance.
2. Subgrantee agrees to institutionalize the use of the Incident Command System (ICS) as required by
Georgia law and the NIMS minimum compliance requirements.
3. Subgrantee agrees that any exercises conducted with grant funds will be managed and executed in
compliance with the Homeland Security Exercise and Evaluation Program (HSEEP). All exercises will
be planned, conducted, and evaluated with implementation of improvement in accordance with the
guidance in the HSEEP manuals, volumes I through IV, available at http: / /hseep.dhs.gov.
(a) Any exercises implemented with grant funds must be threat- and performance -based and should
evaluate performance of critical tasks required to respond to the exercise scenario.
(b) Subgrantee must report to the GEMA Exercise Program Coordinator prior to conducting scheduled
exercises and provide the Program Manager with an After Action Report (AAR) and Improvement
Plan for each exercise conducted within 45 days following completion of the exercise in accordance
with the DHS Guide.
(c) Exercises conducted using HSGP funding must be NIMS compliant, as defined by the current
NIMS compliance matrices. Further information is available on the NIMS Integration Center Web
site at www.fema.gov /emergency /nims /.
Special Conditions
The Subgrantee agrees to the following conditions:
1. The Subgrantee agrees to use all grant funding awarded from the FY 2011 Homeland Security Grant
Program (HSGP) for costs related to Citizen Corps preparedness activities associated with implementing
the State Strategic Plan for Terrorism and All- Hazards Preparedness, including goals and objectives,
and any respective Urban Area Security Strategies.
2. The Subgrantee agrees that all allocations and use of funds under this grant will be in accordance with
the Fiscal Year 2011 Homeland Security Grant Program (HSGP) Guidance and Application Kit (Exhibit
B), and to comply with all DHS requirements and cooperate with GEMA to comply with federal and
state requirements related to the grant funding. All equipment and expenditures will comply with the
Georgia Citizen Corps Authorized Equipment List which is attached as Exhibit K.
3. The Subgrantee understands and agrees that any allocations and use of grant funding must support and
may only be used to fund the Investments identified in the Investment Justifications which were
submitted as part of the State of Georgia's FY 2011 HSGP application.
4. The Subgrantee agrees to sign and comply with the terms and conditions of GEMA's Statewide Mutual
Aid and Assistance Agreement and to render mutual aid for a suspected or real attack or in the case of a
weapons of mass destruction event. Subgrantee shall and sign any other Mutual Aid Agreements
GEMA or DHS/FEMA shall deem necessary in order to assure the Subgrantee will fulfill its obligations
to render mutual aid.
5. Any Subgrantee receiving funding for purposes of explosive ordnance disposal (EOD), agrees to
comply with the following:
(a) Each EOD and EOD K -9 team shall report responses via the Georgia Bureau of Investigation (GBI)
Response Reporting automated program. This condition shall take effect as soon as the program,
currently under development, is available for use.
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(b) Each local EOD and EOD K -9 team shall contact the GBI by telephone immediately whenever
responding outside of its jurisdiction.
6. Subgrantee will continuously maintain up -to -date data for its current resources.
7. The Subgrantee agrees that federal funds under this award will be used to supplement, but not supplant,
state or local funds for the same purposes.
8. The Subgrantee agrees to cooperate with any assessments, national evaluation efforts, or information or
data collection requests, including, but not limited to, the provision of any information required for the
assessment or evaluation of any activities within this agreement.
9. Federal funds provided under this grant program are for 100% reimbursement of all eligible
expenditures. Subgrantee will follow procurement standards as stated in the current edition of the
Georgia Emergency Management Agency / Homeland Security Program Requirements and Funding
Guidelines for Citizen Corps Programs and Authorized Equipment Lists (Exhibits A and K)
10. Subgrantee understands and agrees that compensation for individual consultant services is not allowed.
Instructors are addressed in Exhibits A and K.
11. Subgrantee understands and agrees that it cannot use any federal funds, either directly or indirectly, in
support of the enactment, repeal, modification of adoption of any law, regulation or policy, at any level
of government.
12. No elected or appointed official or employee of the Subgrantee shall be admitted to any share or part of
any benefit, directly or indirectly, from this agreement or from the grant award. This provision shall not
be construed to extend to any contract made with a corporation for its general benefit.
13. If the Subgrantee violates any of the conditions of this agreement, including any exhibits hereto, or of
applicable federal and state law or regulation, in addition to any other recourse available, GEMA shall
notify the Subgrantee that additional funds for the grant in connection with which the violation occurred
will be withheld until such violation has been corrected to the satisfaction of GEMA. In addition,
GEMA may also withhold or require repayment of all or any portion of the financial award which has
been or is to be made available to the Subgrantee or retained and expended or obligated on behalf of
Subgrantee for other projects under this program, this or other agreements, and applicable federal and
state regulations until adequate corrective action is taken.
14. The Subgrantee agrees that all publications created with funding under this grant shall prominently
contain the following statement: "This document was prepared under a grant from FEMA's Grant
Program Directorate, U.S. Department of Homeland Security. Points of view or opinions expressed in
this document are those of the authors and do not necessarily represent the official position or policies
of FEMA's Grant Programs Directorate or the U.S. Department of Homeland Security."
15. Subgrantee acknowledges that FEMA reserves a royalty -free, non - exclusive, and irrevocable license to
reproduce, publish, or otherwise use, and authorize others to use, for Federal government purposes:
(a) the copyright in any work developed under an award or sub - award; and (b) any rights of copyright to
which an award recipient or sub- recipient purchases ownership with Federal support. The Subgrantee
agrees to consult with FEMA through GEMA regarding the allocation of any patent rights that arise
from, or are purchased with, this funding.
16. The Subgrantee agrees that, when practicable, any equipment purchased with grant funding shall be
prominently marked as follows: "Purchased with funds provided by the U.S. Department of Homeland
Security."
17. Subgrantee shall comply with all applicable Federal, State, and local environmental and historic
preservation (EHP) requirements and shall provide any information requested by FEMA and /or GEMA
to ensure compliance with applicable laws, including: National Environmental Policy Act; National
Historic Preservation Act; Endangered Species Act; Executive Orders on Floodplains (11988), Wetlands
(11990) and Environmental Justice (12898); and Grants Program Directorate Information Bulletin No.
27L The grantee shall provide any information requested by FEMA to ensure compliance with
applicable Federal EHP requirements. Any project with the potential to impact EHP resources cannot be
initiated until FEMA has completed its review. Failure of the Subgrantee to meet Federal, State, and
local EHP requirements and obtain applicable permits may jeopardize federal funding. Subgrantee shall
not undertake any project having the potential to impact Environmental of Historical Preservation
(EHP) resources without the prior approval of FEMA, through GEMA, including but not limited to
communications towers, physical security enhancements, new construction, and modifications to
buildings that are 50 years old or greater and shall coordinate with GEMA regarding any activities using
grant funding that require specific documentation of compliance with federal laws and /or regulations.
Subgrantee must comply with all conditions placed on the project as the result of the EHP review. Any
change to the approved project scope of work will require re- evaluation for compliance with these EHP
requirements. If ground- disturbing activities may occur during project implementation, the Subgrantee
must obtain preapproval from GEMA and ensure monitoring of any ground disturbance. If any ground
disturbing activities occur during project implementation, the Subgrantee must ensure monitoring of
ground disturbed, and, if any potential archeological resources are discovered, the Subgrantee must
immediately cease construction in that area and notify FEMA, through GEMA, and the Georgia
Department of Natural Resources, Georgia State Historic Preservation Division. Any construction
activities that have been initiated without the necessary EHP review and approval will result in a non-
compliance finding and will not be eligible for funding from FEMA or GEMA. Additional information
regarding EHP compliance requirements projects funded by this subgrant can be found in the DHS
Guide (Exhibit B), in FEMA's Information Bulletin #271, Environmental Planning and Historic
Preservation Requirements for Grants, available at http: / /ojp.usdoj.gov /odp /docs /info271.pdf.
Additional information and resources can also be found at http://www.fema.gov/plan/ehp/ehp-applicant-
help.shtm.
18. Subgrantee agrees to cooperate with GEMA in assuring that any training funded through HSGP funding
is reported properly. As outlined in Exhibit A.
19. Subgrantee agrees that funds from the FY 2011 HSGP utilized to establish or enhance state and local
fusion centers will be used in compliance with the requirements and restrictions in the DHS Guide
(Exhibit B) and with the Grant Programs Directorate Information Bulletin No. 281 dated March 5, 2008,
and Information Bulletin No. 288 dated April 25, 2008. Specifically without limitation, the Subgrantee
receiving funding to be used for costs related to fusion centers agree to comply with the following:
(a) Use such funds to:
(i) Support the development of a statewide fusion process that corresponds with the Global
Justice/Homeland Security Advisory Council (HSAC) Fusion Center Guidelines and the
National Strategy for Information Sharing, and achievement of a baseline level of capability as
defined by Global's Baseline Capabilities for State and Major Urban Area Fusion Centers, a
supplement to the Fusion Center Guidelines, located on the Web at
http: / /www. it.ojp.gov/ documents /bselinecapabilitiesa.pdf.
(ii) Support achievement of baseline levels of capability as defined in the fusion capability planning
tool
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Termination
(iii) Achievement of baseline levels of capability as defined in the fusion capability planning tool
(b) Provide GEMA with certification stating that Subgrantee will assume responsibility for supporting
the costs of the hired analysts following the three -year federal funding period.
(c) Provide GEMA with certificates of completion of training for each intelligence analyst hired with
grant funding to enable information/intelligence sharing capabilities in accordance with Global's
Minimum Criminal Intelligence Training Standards for Law Enforcement and Other Criminal
Justice Agencies in the United States, as required under the DHS Guide (Exhibit B) and Information
Bulletin 288.
20. All Subgrantees leveraging FY 2011 HSGP funds in support of information sharing and intelligence
fusion and analysis centers are encouraged to leverage available federal information sharing systems,
including Law Enforcement Online (LEO) and the Homeland Security Information Network (HSIN).
21. In accordance with the Consolidated Security, Disaster Assistance, and Continuing Appropriations Act,
2011 (Public Law 110 -329), grant funds must comply with the following two requirements:
• None of the funds made available shall be used in contravention of the Federal buildings performance
and reporting requirements of Executive Order 13123, part 3 of title V of the National Energy
Conservation Policy Act (42 USC 8251 et. Seq.), or subtitle A of title I of the Energy Policy Act of
2005 (including the amendments made thereby).
• None of the funds made available shall be used in contravention of Section 303 of the Energy Policy
Act of 1992 (42 USC 13212).
22. When implementing DHS FEMA GPD- funded activities, the Subgrantee understands and agrees that it
must comply with all federal civil rights laws, to include Title VI of the Civil Rights Act, as amended.
23. If using subcontractors or contractors, Subgrantee shall use small, minority, women -owned or
disadvantaged business concerns and contractors or subcontractors to the extent practicable.
24. The Subgrantee understands that beginning on July 1, 2007, any public contracts and subcontracts that
are funded by the HSGP must comply with the requirements of O.C.G.A. §13- 10 -90, et seq., and
Georgia Department of Labor Rules 300 -10 -1, et seq., to verify the contractor's or subcontractor's new
employees' work eligibility through a federal work authorization program.
Changes to Agreement: There shall be no changes to this Agreement unless mutually agreed upon by all
parties to the Agreement.
This agreement may be terminated for any or all of the following reasons:
1. Cause/Default: This agreement may be terminated for cause, in whole or in part, at any time by the
State for failure of the Subgrantee to perform any of the provisions or to comply with any terms and
conditions herein. If the State exercises its right to terminate this agreement under the provisions of this
paragraph, the termination shall be accomplished in writing and specify the reason and termination date.
The Subgrantee will be required to submit the final invoice not later than 30 days after the effective date
of written notice of termination. Upon termination of this agreement, the State shall not incur any new
obligations after the effective date of the termination and shall cancel as many outstanding obligations
as possible. The above remedies are in addition to any other remedies provided by law or the terms of
this agreement.
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2. Convenience: This agreement may be cancelled or terminated by either of the parties without cause;
however, the party seeking to terminate or cancel this agreement must give written notice of its intention
to do so to the other party at least 30 days prior to the effective date of cancellation or termination.
3. Non - Availability of Funding: Notwithstanding any other provision of this agreement, in the event that
either of the sources of funding for reimbursement under this agreement (appropriations from the
General Assembly of the State of Georgia or the Congress of the United States of America) no longer
exist or in the event the sum of all obligations of GEMA incurred under this and all other agreements
entered into for this program exceeds the balance of such funding, then this agreement shall
immediately terminate without further obligation of GEMA as of that moment. The certification by the
Director of GEMA of the occurrence of either of the events stated above shall be conclusive.
AGREED by all parties:
By: I..,1��
Aut /zed Grantee
44
Signature Date
Subgrantee's Authorized Official
� ��j2 /7_5 --
9
By:
Signature Date
4 S - Gi p-e,% c+4 J
Printed or Typed Name of
Subgrantee's Authorized Official
Exhibit A
Georgia Emergency
Management Agency/
Homeland Security
Program Requirements and
Funding Guidelines for
Citizen Corps Programs
citizen *corps
UNITING COMMUNITIES -PREPARING
www, citiaencarps.gov
Purpose: This document provides
further clarification of the HSGP and
GEMA requirements and guidelines
regarding the Citizen Corps programs.
This document also provides procedures
and processes regarding funding and
reimbursement of Citizen Corps
programs.
December 29, 2011
December 29, 2011 - Version 1.1
Revision History
Date Revised
Page Numbers /Sections
Revised By
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December 29, 2011- Version 1.1
Georgia Citizen Corps Programs
This year as we mark the tenth anniversary of the September 11, attacks, the Georgia Emergency
Management Agency/ Homeland Security (GEMA/HS) is unveiling its new strategy to not only
assist local emergency management agencies to prepare their citizens for disasters, but increase
the capacity of local emergency management programs to support response and recovery
operations through volunteers.
Overarching Priorities for 2011
GEMA/HS will continue to provide support for existing programs, but will place a special
emphasis on jurisdictions that currently do not have existing or active Citizen Corps programs.
Our goal is to increase active programs by 10% across the state by the end of 2012 and to assist
local programs to harness the power of volunteers to strengthen local capacity in response and
recovery in other areas.
By providing training and monetary support to local jurisdictions, who cannot receive funding
from other sources to begin, grow or maintain existing programs already under Citizen Corps
such as Community Emergency Response Teams (CERT), Volunteers in Police Services (VIPS),
USA Neighborhood Watch and Medical Reserve Corps (MRC), GEMA hopes locals by and
through their county level partnerships, will develop pools of volunteers participating in the
Citizen Corps programs and provide them with the training and opportunities to support local
emergency management.
Introduction and Purpose
GEMA/HS has prepared this document to provide further clarification of the Department of
Homeland Security (DHS), Homeland Security Grant Program (HSGP) and GEMA/HS
requirements and guidelines regarding the Citizen Corps programs. This document also provides
procedures and processes regarding funding and reimbursement of the Citizen Corps programs.
Grant guidance is issued annually by the DHS. As such, these guidelines may change, and will
be revised accordingly.
Scope
This document will apply to any eligible agency requesting HSGP funds to be used toward
Citizen Corps Programs. Unless otherwise specified, these guidelines apply to funding from
fiscal year 2008 and on.
Program Mission
The Citizen Corps Mission is "to harness the power of every individual through education,
training, and volunteer service to make communities safer, stronger, and better prepared to
respond to the threats of terrorism, crime, public health issues, and disasters of all kinds.
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December 29, 2011- Version 1.1
Citizen Corps Programs
GEMA/HS supports the following Citizen Corps Programs:
• Neighborhood Watch/USAonWatch incorporates terrorism awareness education into its
existing crime prevention mission.
• Volunteers in Police Service (VIPS) works to enhance the capacity of state and local
law enforcement to utilize volunteers. Provides training for volunteers to perform
administrative and non - intervention policing activities to free up law enforcement for
frontline duties.
• Community Emergency Response Team (CERT) program educates and trains citizens
in basic disaster response skills.
• Medical Reserve Corps (MRC) Program helps medical, public health, and other
volunteers offer their expertise.
• Fire Corps promotes the use of citizen advocates to provide support to fire and rescue
departments
Close Out of Previous Grants
In order to adhere to State and Federal accounting requirements, all previously awarded Citizen
Corps Grants administered in Fiscal Year (FY) 2007 and FY 2008 but have not been obligated
by local sub - grantees and or submitted for reimbursement, will be rescinded effective December
31, 2011. Jurisdictions having open grants for FY 2007 and 2008 will be notified when this
occurs. Subsequently, applicants who may have unobligated funds from FY 2009 and 2010
Citizen Corps Grants will be required to use up outstanding balances during calendar year 2012.
FY 2011 Citizen Corps Grant Applications
GEMA/HS posted the FY2011 Grant applications on the GEMA/HS- Citizen Corps webpage
beginning September 14, 2011 and the application period remained open until November 15,
2011. Additionally, copies of the grant application were emailed out to every Emergency
Management Agency (EMA) Director on September 15, 2011. GEMA /HS Staff from the
Planning Unit and Public Assistance Division held workshops and one -on -one discussions with
applicants during the 2011 Citizen Corps / LEPC Leadership Summit November 8 10, 2011 to
assist programs in completing the application process.
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December 29, 2011- Version 1.1
FY 2011 Citizen Corps Grant Awards
Grants will be awarded to local jurisdictions after being reviewed for compliance in the
following areas:
• Eligibility: These organizations must meet all of the following criteria to be eligible for
GEMA Citizen Corps program funding:
o Be government sponsored
o Be non - partisan
o Must provide materials and resources for public education or training; of
volunteer service opportunities to support disaster relief activities, and community
safety efforts; or must represent volunteers with an interest in homeland security
o Must be an active member of their jurisdiction's Citizen Corps Council
o Must be a registered Citizen Corps Council on the Citizen Corps website at
http://www.citizencorps.gov
• Grant Narrative: Provide and attach documentation that supports the " GEMA/HS
Overarching Priorities for 2011".
• Letter of Acknowledgement: Provided by the County EMA Director and /or designee for
the incorporated jurisdictions requesting Citizen Corps grant funding consideration.
• Equipment and Material Purchases: Equipment and purchases requested in the
application support one of the Citizen Corps Programs such as Community Emergency
Response Teams, Fire Corps, and Volunteers in Police Services, USA / Neighborhood
Watch and Medical Reserve Corps.
o Any approved equipment purchased with HSGP funding must be used for specific
preparedness or volunteer training or by volunteers in carrying out their response.
All HSGP Citizen Corps Program allowable equipment list (AEL) has been
incorporated into this document and is a part of the GEMA/HS Program
Requirements and Funding Guidelines for Citizen Corps.
o Requested equipment and or purchases made with HSGP funds should not be
used or are intended for use outside of the Citizen Corps programs or be construed
as supporting any first responder type program such as a "Rescue Squad ", "Dive
Team ", "Extrication Team ", "Communications Team" etc. Some specific
examples of equipment that will be considered as exceeding the capacity of the
Citizen Corps programs are long range radios, base stations or radio repeaters,
power tools and equipment such as air bags, hydraulic lifts or cutting tools.
o Each jurisdiction must submit a separate budget worksheet for each separate
Citizen Corps programs All equipment must be listed on the Budget Worksheet
(BW) and have the correct AEL number listed for each item requested and item
description.
4
December 29, 2011- Version 1.1
• Equipment Marking: Awardees may consider marking equipment in the following
manner, "Purchased with funds provided by HSGP Funds — GEMA /HS," in order to
facilitate their own audit processes, as well as GEMA/HS audits and monitoring visits,
which may result from receiving HSGP funding. Equipment maintenance requirements
are outlined in 44 CFR 13.32 — Equipment.
* *Any equipment purchased with Citizen Corps Program (CCP)
funding must be used for that specific preparedness or volunteer
training or by volunteers carrying out their response functions. It
is not intended to be used by uniformed emergency responders,
except to support training of citizens. Equipment that is typically
used by professional First responders, such as 800MHz radios,
self - contained breathing apparatus, medical jump bags, etc., will
not be funded with CCP funds, since this type of equipment is
beyond the scope and intended purpose of Citizen Corps
Volunteers. **
• Property Records: All CCP funded equipment must be maintained through a property
record that includes a description of the property, a serial number or other identification
number, the source of property, the acquisition date, and cost of the property, percentage
of Federal /State participation in the cost of the property, the location, use and condition
of the property, and any ultimate disposition data including the date of disposal of
property.
o A physical inventory of the property must be taken and the results reconciled with
the property records at least once every two years.
o A control system must be developed to ensure adequate safeguards to prevent
loss, damage, or theft of the property. Any loss, damage, or theft shall be
investigated per local jurisdictional policy and procedures and a brief report
should be forward to the Citizen Corps Program Manager for any lost or stolen
property purchased with CCP funds
• Property Disposition: Disposition of old, unused or damaged equipment: When original
or replacement equipment acquired under the CCP grant is no longer needed for the
project or the program has ended disposition of the equipment many be made as follows:
Equipment may be utilized under any other State grant funded applicable program
depending on the specific nature and function of the equipment; property may be
transferred to another agency with a similar and active CCP program where the
equipment may be utilized for its intended purpose. [Any equipment dispositions, prior to
disposition, must be submitted in writing to the Citizen Corps Program Manager for
disposition process approval.]
[Unless already approved on the official budget worksheet, approval must be received in
writing or electronically from the GEMA/HS Citizen Corps Manager prior to cost(s) being
incurred for any additional purchases or BW changes.]
December 29, 2011 - Version 1.1
• Citizen Corps Council Requirements: States and local government recipients and sub -
grantees of HSGP funds, including Urban Areas of Special Interest, must have such a
body to serve as their Citizen Corps Council with membership that includes, but is not
limited to:
o First responder /emergency management (law enforcement, fire service,
EMS/EMT, public health, public works)
o Elected officials
o Private sector (especially privately owned critical infrastructure), private
nonprofits, nongovernmental organizations (including faith - based, community-
based, and voluntary organizations), and advocacy groups for children, seniors,
people with disabilities and others with access and functional needs.
All Citizen Corps Program recipients must register their Citizen Corps Council and /or
CERT program and receive approval on the Citizen Corps website at
http: / /www.citizencorps.gov/ . In addition, all grant recipients must update /validate their
Citizen Corps and/or CERT information, activity, and contacts located on the Citizen
Corps and national program website twice a year. A copy of the formal Citizen Corps
Council organization document such as proclamation and /or resolution must be provided
with each application.
• Citizen Corps Responsibilities: As outlined in the guidance Citizen Corps Council
responsibilities include, but are not limited to:
o Promote and strengthen the Citizen Corps program, partners, and affiliates, at the
community level
o Provide opportunities for special skills and interests
o Develop targeted outreach for the community, including special needs groups
o Provide opportunities of training in first aid and emergency preparedness
o Organize special projects and community events
o Encourage cooperation and collaboration among community leaders, agencies and
disciplines
o Capture smart practices and report accomplishments
o Create opportunities for all residents to participate
o Survey the community to assess increased awareness and Citizen Corps
participation
Training and Continuing Education: Funding for training requests through the Citizen
Corps grant should be delivered with specific consideration to include all ages, ethnic and
cultural groups, persons with disabilities and functional needs populations at venues
throughout the community to include schools, neighborhoods, places of worship, private
sector, non - governmental organizations, and government locations. Expenditures to
provide necessary non - structural accommodations for persons with functional needs is
allowable (i.e. sign language interpreters), but must be approved in advance by the
GEMA/HS Citizen Corps Program Manager.
December 29, 2011 - Version 1.1
o Instructor/Training Requirements: Funding for CERT training includes the
delivery of the CERT Basic Training Course, by at least one instructor who has
completed the FEMA or GEMA/HS approved Train the Trainer Course.
o There is no cap on the number of deliveries local jurisdictions may conduct of
"NON- RESPONDER community -based training workshops or demonstrations.
However, each class must maintain a minimum class size of 10 or no more than
25 students per class with an instructor /student ratio of 1 -2/10 or 2 -3/25. An
instructor and student sign -in roster to include contact information must be
provided for each class and must include the class agenda to be eligible for
reimbursement. Instructor reimbursements per class may not exceed 60
instructional hours total. (e.g., 3 Instructors x 20 hours each = 60 hours total)
o Any CERT Basic training course conducted by sub - grantees must include the
topics covered in the FEMA CERT Basic Training Course, be instructor led,
classroom based, using lecture, demonstration, and hands -on practice. NOTE:
Independent Study Course, "Introduction to CERT" (IS -317) must not be
substituted for classroom delivery of CERT Basic Training
o Additional training costs to support volunteer programs, volunteer recruitment
efforts that support the Citizen Corps program are eligible under this Citizen
Corps grant which includes but is not limited to:
■ All hazards safety, emergency preparedness, basic first aid, lifesaving
skills, crime prevention and terrorism awareness, school preparedness,
public health issues, mitigation / property damage prevention, safety in the
home, "light" search and rescue skills, principles of NIMS/ICS,
community relations, volunteer management, serving people with
disabilities, disaster pet care, pet disaster preparedness, management of
donated goods, any training necessary to participate in volunteer activities,
any training necessary to fulfill surge capacity roles, or other training that
promotes individual family, or community safety and preparedness.
Examples include: CPR/AED training, identity theft workshops, terrorism
awareness, chain -saw safety demonstrations, downed power line safety
workshops, spontaneous volunteers in disaster management classes,
disaster donations management classes, emergency shelter operations
training and community preparedness workshops. [Unless already
approved on the official budget worksheet, approval must be received in
writing or electronically from the GEMA -HS Citizen Corps Manager prior
to cost(s) being incurred for additional equipment or BW changes]
o Non - allowable Training Related Costs: Non- allowable training costs are listed
here but are not limited to, the following:
o Overtime, Backfill or Salary Costs
o Hiring of Full or Part-time Staff of Contractors /Consultants
o Instructor reimbursement should not exceed $20.00 per hour
o Instructor costs such as mileage, lodging or meals. If an extreme situation
arises that requires additional instructor costs [Contact your Citizen Corps
Program Manager and receive written or email confirmation if you are
unsure if a cost is allowable or not prior to any commitment of costs or
services.]
December 29, 2011- Version 1.1
CCP Exercises: Reimbursement requests for exercises must include participant sign -in
sheets with contact information, facilitator /evaluator roster, date, time, location and
description of exercise.
o Exercises specifically designed for or that include participation from non-
governmental entities and the general public are allowable activities and may
include testing public warning systems, evacuation/shelter -in -place capabilities,
family /school/business preparedness, and participation in table -top or full scale
emergency responder exercises at the local, State, tribal, territorial, or national
level, to include the National Level Exercises.
o Allowable Exercise Costs include, but are not limited to, the following:
• Funds used to design, develop, conduct, and evaluate an approved
exercise: These costs may further include reasonable and approved costs
related to planning, meeting space, facilitation costs, materials and
supplies, travel, and documentation. Grantees are encouraged to use
government facilities to conduct meetings and conferences whenever
available.
o Non - Allowable Exercise Costs include but are not limited to, the following:
o Overtime, Backfill or Salary Costs
o Hiring of Full or Part-time Staff or Contractors /Consultants
o Reimbursement for the maintenance and/or wear and tear costs of general
use vehicles (e.g., construction vehicles) and emergency response
apparatus (e.g., fire trucks, ambulance).
o Equipment that is purchased for permanent installation and/or use, beyond
the scope of exercise conduct (e.g., electronic messaging signs).
[Contact your Citizen Corps Program Manager and receive written or email confirmation if you
are unsure if a cost is allowable or not prior to any commitment of costs or services:]
• CCP Exercise Requirements: Exercises must be conducted, managed and executed in
accordance with the Homeland Security Exercise and Evaluation Program (HSEEP).
HSEEP Guidance for exercise design, development, conduct, evaluation, and
improvement planning is located at https: //hseep.dhs.gov. The HSEEP library provides
sample exercise materials and templates. All exercises using HSGP funding must be
NIMS compliant. More information is available online at the NIMS Integration Center at
http://www.fema.gov/emergency/nims/index.shtm.
o Exercise Scenarios: The scenarios used in the HSGP Citizen Corps Programs
shall be based on natural disasters and can be specifically designed to address
local hazard risk and vulnerabilities. (e.g., Coastal areas may be more prone to
hurricanes than inland areas.)
o Exercise Evaluation: An After - Action Report/Improvement Plan (AAR/IP) shall
be completed and submitted to Citizen Corps Program Manager within 90 days
following the completion of the exercise, regardless of type and scope.
December 29, 2011- Version 1.1
o All applicants are encouraged to use the Citizen Corps website as sources for
lessons learned and exchange of best practices.
o Non - governmental participation in all levels of the exercises is strongly
encouraged. Leaders from non- governmental organizations in the exercise
planning and development:
• Travel: Travel reimbursement for trainers and program managers to attend statewide
leadership summits or refresher training related to Citizen Corps programs is allowable.
[Unless already approved on the official budget worksheet, approval must be received in
writing or electronically from the GEMA /HS Citizen Corps Manager prior to cost(s)
being incurred or BW changes]
• Program Support: Allowable expenses to manage programs include but are not limited
to: [Unless already approved on the official budget worksheet, approval must be received
in writing or electronically from the GEMA/HS Citizen Corps Manager prior to cost(s)
being incurred.]
• Media campaigns: PSAs, camera - ready materials, website support, newsletters.
• Outreach activities and public events: booth displays; event backdrops or signs;
displays and demonstrations; and informational materials such as
brochures /flyers.
• Promotional materials: pens /pencils, pins, patches, magnets, souvenir
clothing/headwear, etc.
• Establishing, enhancing or expanding volunteer programs and volunteer
recruitment efforts.
■ Retaining, recognizing, and motivating volunteers (e.g. volunteer recognition
items, such as certificates or plaques).
• Necessary non - structural accommodations to include persons with special needs
(i.e. sign language interpreters)
Total program support must not collectively exceed 15% percent of total Citizen Corps total
allocation for that year.
* * * Any equipment purchased with Citizen Corps funding must be used for specific preparedness
or volunteer activities per program description and current training, skill level and response
functions. All programs and equipment is subject to periodic review through audits and site visits
by the Citizen Corps Program Manager. * **
• Reporting Requirements: Reporting requirements must be met throughout the life of
the grant (refer to the program guidance and the special conditions found in the award
package for a full explanation of these requirements). Any reports or documents prepared
9
December 29, 2011 - Version 1.1
as a result of this grant shall be in compliance with Federal "plain English" policies,
directives, etc.
o Federal Financial Report (FFR) — required quarterly. Obligations and
expenditures must be reported on a quarterly basis through the FFR (SF -425),
which is due within 30 days of the end of each calendar quarter to include any
partial calendar quarters and also for periods where no grant activity occurs.
o Final FFR is due 90 days after the end date of the performance period for each
grant.
o Future awards and fund drawdowns may be withheld if these reports are
delinquent.
Reporting periods and due dates:
➢ October 1 — December 31; Due January 15
➢ January 1 — March 31; Due April 15
• April 1 June 30; Due July 15
➢ July 1— September 30; Due October 15
2011 Funding Categories
Community Emergency Response Teams
Program Startup Funding Suggested Budget
Established and Sustainment Program Suggested Budget
Fire Corps
New and Sustainment Program Suggested Budget
Neighborhood Watch/USAonWatch
New and Sustainment Program Suggested Budget
Volunteers In Police Services
New and Sustainment Program Suggested Budget
Medical Reserve Corps
New and Sustainment Program Suggested Budget
10
December 29, 2011 - Version 1.1
Community Emergency Response Teams —New Program Suggested Budget
Jurisdictions wishing to start a CERT program or revitalize a program that was not sustained for
whatever reason should follow the funding Suggested Budget below. The focus on an initial
CERT startup should be on the basic requirements a jurisdiction needs to begin a successful
program. Once the core group of CERTs has been established, these programs should seek
funding and purchases to support sustainment of their CERT programs. Note: Instructor fees are
the largest single cost. Jurisdictions that can utilize instructors who will volunteer their time can
substantially save funds that can be applied to other items.
ITEM
CERT Kits
CERT Manuals
CERT Instructor Manuals
Fire Extinguishers Refillable
CERT Instructor Fees ($20.00 per hour /instructor 4 Gasses)
First Aid / Moulage Supplies
Advertising
Handouts/ Printing and Classroom Supplies
Laptop (Training Delivery and Presentations)
Rojector (Training Devliery and Presentations)
Travel for CCORPS Conference
QUANTITY
50
50
160
1
COST EACH
$38.00
$20.00
$30.00
$80.00
$20.00
$350.00
$600.00
$500.00
$700.00
$500.00
$400.00
TOTAL COST
1,900.00
1,000.00
60.00
$ 400.00
$ 3,200.0
$ 350.00
$ 600.00
500.00
700.00
500.00
400.00
Note: Instructor fees are
the largest single cost.
Jurisdictions that can
utilize instructors who
will volunteer their time
can substantially save
funds that can be
applied to other items.
* * * Any equipment purchased with Citizen Corps funding must be used for specific preparedness or volunteer activities per
program description and current training, skill level and response functions. All programs and equipment is subject to periodic
review through audits and site visits by the Citizen Corps Program Manager. * **
11
December 29, 2011- Version 1.1
Community Emergency Response Teams - Established Program and Sustainment
Suggested Budget
Jurisdictions with existing and active CERT programs that have fifty (50) or more active
members /citizens who have completed the CERT Basic Training and may want to expand their
capabilities within the scope of CERT. These programs will be considered as "Established"
based upon their quarterly reports turned into the GEMA/HS Citizen Corps Manager, which
should include class /instructor rosters with student names, contact information and community
activities. Established programs may want to focus on developing advanced capabilities while
continuing efforts to increase active CERT membership. Budgets for startup costs, advertising
and instructors can be reduced to support other CERT initiatives and training.
ITEM
CERT Kits
CERT Manuals
CERT Instructor Manuals
Fire Extinguishers Refillable
CERT Instructor Fees ($20.00 per hour /instructor -2
Gasses)
First Aid / Moulage Supplies
Trauma Kit
Handouts / Printing and Classroom Supplies
Travel for CCORPS Summits
QUANTITY
30
30
5
40
COST EACH
$38.00
$20.00
$30.00
$80.00
$20.00
$350.00
$350.00
$300.00
TOTAL COST
$ 1,140.00
$ 600.00
60.00
400.00
800.00
350.00
$ 700.00
300.00
$400.00
Note:
Jurisdictions can
reduce instructor
fees by using
quality past
graduates to co-
instruct with
certified
instructors
Special Purchase and Sustainment Items
Rescue Manikin*
Walkie Talkie for CERT Exercise
Gloves Protective / Abrasion to replace returning
members w orn out gloves
Generator for outdoor exercises or expos **
Portable Light Sets w ith extra cords **
Trailer to store and move training material**
Combination Cot/ Chair for Staging / Triage**
35
2
$1,200.00
$35.00
$19.00
$600.00
$750.00
$3,800.00
$225.00
1,200.00
$ 175.00
665.00
1,200.00
$ 1,500.00
$ 3,800.00
$ 1,350.00
< 1 Programs can
reward members
who remain
active by
updating
equipment
* * * Any equipment purchased with Citizen Corps funding must be used for specific preparedness or volunteer activities per
program description and current training, skill level and response functions. All programs and equipment is subject to periodic
review through audits and site visits by the Citizen Corps Program Manager. * **
12
December 29, 2011 - Version 1.1
Community Emergency Response Teams - Established and Sustainment Program
Suggested Budget (Cont.)
* Some training devices such as CPR specific training devices, rescue manikins, etc., are considered a
one -time purchase; additional requests for these types of training devices must be program supported and
pre- approved by the Citizen Corps Program Manager. Sustainment costs will be reduced after initial item
purchase.
* * Special Purchase Items and Sustainment Items such as trailers, generators, and portable lighting will
require pre - approval by the Citizen Corps Manager and any request must be supported and accompanied
by:
• Detailed narrative that explains the need, use, and continued maintenance plan;
• Written request and endorsement by local EMA or Executive Official supporting this request.
(Please detail for any items that require tag and insurance, the local plan to provide adequate and
continued coverage.)
• Citizen Corps Program grants DO NOT provide for the continued maintenance, storage, or
licensing of any items.
13
December 29, 2011- Version 1.1
Fire Corps —New and Sustainment Program Suggested Budget
Jurisdictions with existing and active Fire Corps programs that have twenty (20) or more active
members /citizens who have completed the Fire Corps Basic Training and may want to expand
their capabilities within the scope of Fire Corps program. These programs will be considered as
"Established" based upon their quarterly reports turned into the GEMA/HS Citizen Corps
Manager, which should include class /instructor rosters with student names, contact information
and community activities. Established programs may want to focus on developing advanced
capabilities while continuing efforts to increase active Fire Corps membership. Budgets for
startup costs, advertising and instructors can be reduced to support other Fire Corps initiatives
and training.
ITEM
Fire Preventions Safety Handouts
Short Sleeve Shirts for Volunteers
Fire Safety Coloring Books for Fire Prevention
Month
Fire Extinguishers Refillable for Citizen Classes
Refil of Fire Extinguishers
Travel for CCORPS Conference
QUANTITY
1,000
20
3,000
90
COST EACH
$0.20
$25.00
$0.35
$80.00
$4.00
$400.00
TOTAL
TOTAL COST
200.00
$ 500.00
1,050.00
400.00
360.00
400.00
2,910.00
* * * Any equipment purchased with Citizen Corps funding must be used specific preparedness or volunteer activities per
program description and current training, skill level and response functions. All programs and equipment is subject to periodic
review through audits and site visits by the Citizen Corps Program Manager. * **
* Sparky the Fire Prevention Dog Costume may be available to sustained Fire Corps Programs. This
request must be pre- approved and each request should be accompanied by:
• Detailed narrative that explains the need, use, and continued maintenance plan;
• Written request and endorsement by local EMA or Executive Official supporting this request.
• Citizen Corps Program grants DO NOT provide for the continued maintenance, storage, of any
items.)
14
December 29,2011- Version 1.1
Neighborhood Watch/USAonWatch- New and Sustainment Program Suggested Budget
Jurisdictions with existing and active Neighborhood Watch/USAonWatch programs that have
twenty (20) or more active members /citizens who have completed the Neighborhood
Watch/USAonWatch Basic Training and may want to expand their capabilities within the scope
of Neighborhood Watch program. These programs will be considered as "Established" based
upon their quarterly reports turned into the GEMA/HS Citizen Corps Manager, which should
include class /instructor rosters with student names, contact information and community
activities. Established programs may want to focus on developing advanced capabilities while
continuing efforts to increase active Neighborhood Watch/USAonWatch membership. Budgets
for startup costs, advertising and instructors can be reduced to support other Neighborhood
Watch/USAonWatch initiatives and training.
ITBVI
National Night Out Crime Prevention Handouts
See Something Say Something brochures w ith local
contact information and GISAC contact information
Neighborhood Watch Signs**
Supplies for Meetings (drinks, snacks)
QUANTITY
500
500
35
Travel for CCORPS Conference 1
COST EACH
$0.20
$0.35
$25.00
$235.00
TOTAL COST
$ 100.00
$ 175.00
$ 875.00
$ 1,880.00
$400.00 $ 400.00
* * * Any equipment purchased with Citizen Corps funding must be used for specific preparedness or volunteer activities per
program description and current training, skill level and response functions. All programs and equipment is subject to periodic
review through audits and site visits by the Citizen Corps Program Manager. * **
* McGruff the Crime Dog Costume may be available to sustained Neighborhood Watch/USAonWatch
Programs. This request must be pre- approved and each request should be accompanied by:
• Detailed narrative that explains the need, use, and continued maintenance plan;
• Written request and endorsement by local EMA or Executive Official supporting this request.
• Citizen Corps Program grants DO NOT provide for the continued maintenance, storage, of any
items.)
* * Neighborhood Watch signs can be reordered as necessary to support program growth.
15
December 29, 2011- Version 1.1
Volunteers In Police Services (VIPS) -New and Sustainment Program Suggested Budget
Jurisdictions with existing and active VIPS programs that have twenty (20) or more active
members /citizens who have completed the VIPS Basic Training and may want to expand their
capabilities within the scope of the VIPS program. These programs will be considered as
"Established" based upon their quarterly reports turned into the GEMA/HS Citizen Corps
Manager, which should include class /instructor rosters with student names, contact information
and community activities. Established programs may want to focus on developing advanced
capabilities while continuing efforts to increase active VIPS membership. Budgets for startup
costs, advertising and instructors can be reduced to support other VIPS initiatives and training.
ITBVI
Volunteer Uniform Shirts
Classroom Instruction Material (Notebooks, training
books, handouts)
Supplies for Meetings (drinks, snacks, awards)
Travel for CCORPS Conference'
QUANTITY
20
20
COST EACH
$25.00
$30.00
$280.00
TOTAL COST
500.00
$ 600.00
560.00
** * Any equipment purchased with Citizen Corps funding must be used for specific preparedness or volunteer activities per
program description and current training, skill level and response functions. All programs and equipment is subject to periodic
review through audits and site visits by the Citizen Corps Program Manager. * **
16
December 29, 2011- Version 1.1
Medical Reserve Corps (MRC) -New and Sustainment Program Suggested Budget
Jurisdictions with existing and active MRC programs that have twenty (20) or more active
members /citizens who have completed the MRC Basic Training and may want to expand their
capabilities within the scope of MRC program. These programs will be considered as
"Established" based upon their quarterly reports turned into the GEMA/ -HS Citizen Corps
Manager, which should include class /instructor rosters with student names, contact information
and community activities. Established programs may want to focus on developing advanced
capabilities while continuing efforts to increase active MRC membership. Budgets for startup
costs, advertising and instructors can be reduced to support other MRC initiatives and training.
ITEM
Recruitment/ Promotional Items
Med Training Books
Training Aids for Classroom Instruction
Trauma Kit
Triage Kits
CPR Training Device*
Universal Precautions Personal Packs (Gloves,
Masks, Outer Garments etc)
Vests for MRC Volunteers (Blue Reflective w ith
Pouches
Med Bags for Volunteers
Travel for CCORPS Conference'
QUANTITY
20
20
20
20
COST EACH
$400.00
$20.00
$1,200.00
$350.00
$400.00
$485.00
$17.00
$33.00
$39.00
$400.00
TOTAL COST
400.00
400.00
1,200.00
700.00
$ 800.00
970.00
340.00
$ 660.00
780.00
400.00
6,650.00
* ** Any equipment purchased with Citizen Corps funding must be used for specific preparedness or volunteer activities per
program description and current training, skill level and response functions. All programs and equipment is subject to periodic
review through audits and site visits by the Citizen Corps Program Manager. * **
* Some training devices such as CPR specific training devices are considered a one - time purchase;
additional requests for these types of training devices must be program supported and pre- approved by the
Citizen Corps Program Manager. Sustainment costs will be reduced after initial item purchase.
17
Exhibit B
NIMS Compliance Form
This NIMS Compliance Form MUST be completed by each agency
requesting or benefitting from funding.
In federal Fiscal Year 2011, state agencies, tribes, and local governments are considered to be in full NIMS compliance if
they have adopted and/or implemented the FY 2011 compliance activities as determined by the National Incident
Management System Capability Assessment Support Tool (NIMSCAST). This document describes the actions that
jurisdictions must have taken by September 30, 2011 to be compliant with NIMS. Homeland Security Presidential Directive
5 (HSPD -5), Management of Domestic Incidents, requires all federal departments and agencies to adopt and implement the
NIMS, and requires state and local jurisdictions to implement the NIMS to receive federal preparedness funding. Please
check the box next to each action that your organization has completed. For those actions not completed please provide a
one -page summary of the plan to complete these actions and fully implement NIMS. Additional NIMS guidance can be
found at www.fema.gov /nims
1ICommunity Adoption: Adopt NIMS at the community
level for all government departments and /or agencies; as
well as promote and encourage NIMS adoption by
associations, utilities,_ non- governmental organizations
(NGOs), and private sector incident management and
response organizations.
]Incident Command System (ICS): Manage all emergency
incidents and preplanned (recurring /special) events in
accordance with ICS organizational structures, doctrine,
and procedures, as defined in NIMS. ICS implementation
must include the consistent application of Incident Action
Planning and Common Communications Plans.
Public Information System: Implement processes,
procedures, and /or plans to communicate timely, accurate
information to the public during an incident through a
Joint Information System and Joint Information Center.
\ \OPreparedness/Planning: Establish the community's NIMS
baseline against the FY2008 and FY2009 implementation
requirements. (NIMSCAST and /or Implementation Plan)
\Ef Develop and implement a system to coordinate all federal
preparedness funding to implement the NIMS across the
community.
Revise and update plans and SOPs to incorporate NIMS
components, principles and policies, to include planning,
training, response, exercises, equipment, evaluation, and
corrective actions.
el
Implementation plan exists at agency level that identifies
the appropriate personnel to complete the below listed
NIMS training requirements.
Complete IS -700 NIMS: An Introduction
v]Complete IS -800 NRP: An Introduction
�v[Complete ICS 100 and ICS 200 Training
'[Implement ICS -300 Intermediate ICS
'[Implement ICS -400 Advanced ICS
0. `i]Implementation plans exists at agency level that identifies
the appropriate personnel to complete the below listed
NIMS training requirements
[,Implement IS -701: NIMS Mutliagency Coordination
Systems (MACS)
'lImplement IS -702: NIMS Public Information
Implement IS -703: NIMS Resource Management
``UIImplement IS -704: NIMS Communications &
Information Management
Incorporate NIMS/ICS into all tribal, local, and regional
training and exercises.
Participate in an all- hazard exercise program based on
NIMS that involves responders from multiple disciplines
and multiple jurisdictions.
\\ 1Incorporate corrective actions into preparedness and
response plans and procedures.
Inventory community response assets to conform to
homeland security resource typing standards.
1TTo the extent permissible by law, ensure that relevant
national standards and guidance to achieve equipment,
communication, and data interoperability are incorporated
into tribal and local acquisition programs.
\ 'IApply standardized and consistent terminology, including
the establishment of plain English communications
standards across public safety sector.
Authorized
Signature:
Date. A l'e s2_0/..2— Agency.
Exhibit C
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Georgia Citizen Corps Authorized Equipment List- (Extracted From DHS CCORPS AEL 2011)
AEL Category
(Federal AEL
Number)
Title
Description
oiEM-o3-GLCL
Gloves, Emergency Medical, Cleaning,
NFPA 1 999
Emergency medical cleaning gloves (certified as compliant with NFPA
1 999).
o1EM -o3 -GLME
Gloves, Emergency Medical, Examination,
NFPA 1999
Emergency medical examination gloves (certified as compliant with
NFPA 1999).
o1EM -o3 -GLMW
Gloves, Emergency Medical, Work, NFPA
1 999
Emergency medical work gloves (certified as compliant with NFPA
1 999).
o1WA -o6 -BAGG
Bag, Gear, Water Operations
Water operations gear bag constructed with mesh or solid materials to
transport and store water operations equipment, both wet and dry.
Items in this catagory will be considered for applicants with proven
established Citizen Corps Programs.
o1WA -o6 -PFDS
Device, Personal Flotation
Wearable personal flotation device (PFD) to be utilized by shore or
vessel -based operational personnel or personnel operating in non-
moving water. PFDs must be approved by the U.S. Coast Guard.
Includes common accessories such as attached pealess whistle and
signaling devices /lights.
o1ZA- o2-GLVA
Gloves, Protective, Abrasion /Puncture-
Resistant
Abrasion /puncture- resistant gloves provide protection to the fingers
and hands from sharp implements, needle sticks, and abrasive surfaces
while providing the wearer with the necessary dexterity to fulfill mission
requirements (certified as compliant with ANSI /ISEA 1o5).
o1ZA -o2-GLVI
Gloves, Inner, Cotton
Inner cotton gloves (no standard currently applies for this item).
o1ZA- o2-GLVW
Gloves, Outer, Work
Outer work gloves for physical hazard protection (certified as compliant
with ANSI /ISEA 105).
oiZA-o3-EYEP
Protection, Eye
Eye protection for field operations, including polarized sun protection
for water operations.
o1ZA -o4 -HEAR
Protection, Hearing
Hearing protection for operations in potentially high noise
environments.
Georgia Citizen Corps
Authorized Equipment List
Georgia Emergency Management Agency - Homeland Security
December 2011- Version 1
Georgia Citizen Corps Authorized Equipment List- (Extracted From DHS CCORPS AEL 2011)
AEL Category
(Federal AEL
Number)
Title
Description
oiZA-o6-HHAT
Hardhat
Hardhat (certified as compliant to ANSI Z89.1).
o1ZA- o6 -HYDR
Hydration System, Personal
Personal hydration system.
oiZA-o6-PRPD
Padding, Protective
General protective pads to provide protection for elbows, knees, neck,
and shins while conducting operations, including rescue operations.
oiZA-o6-VEST
Vest or Outer Garment, High - visibility
High - visibility vest or outer garment (certified as compliant with either
ANSIJISEA 107 or ANSIJISEA 207).
oiZP-oo-GBAG
Bag /Box, Ensemble Gear Storage
Ensemble gear storage bag or box (no standard currently applies for this
item).
o3OE -o2 -BNOC
Binoculars /Scopes
Optical systems that permit remote observation during field operations.
o3OE -o3 -KTFA
Kit, First Aid, Trauma Type
Trauma type first aid kit, including bulk dressings and bandages, splints,
occlusive dressings and associated supplies for treating trauma patients
in a field environment.
o3OE -o3 -LTPA
Lighting, Portable Area Illumination
Portable area illumination for work areas, rescue sites, and staging
areas during night operations or in areas with insufficient ambient Tight.
(Does not include trailer types)
o3OE -o3 -MEGA
System, Public Address, Handheld or
Mobile
Systems for mass audio notification, including vehicle- mounted high
powered speaker systems, or battery powered megaphone / public
address systems with corded microphone.
o3OE -o3 -SIGN
Signs
Restricted access and caution warning signs, preprinted or field
printable, various colors, sizes, and shapes. Includes traffic cones and
other free- standing signage, as well as mountable items.
o3OE- o3 -TIMR
Timer
Timer or stopwatch used for monitoring rescuer time on cylinder, entry
time /duration, or any other operation requiring accurate time
documentation.
Georgia Citizen Corps
Authorized Equipment List
Georgia Emergency Management Agency - Homeland Security
December 2011- Version 1
Georgia Citizen Corps Authorized Equipment List- (Extracted From DHS CCORPS AEL 2011)
AEL Category
(Federal AEL
Number)
Title
Description
o3OE -o4 -CRNT
Detectors, Current
Equipment for detecting and /or measuring AC or DC current. Includes
non- contact detectors for use in finding "live wiring" in walls or
collapsed structures.
o3OE -o4 -EXAC
Extinguisher, Fire, Class ABC
Class ABC fire extinguisher, multi - purpose, handheld, 20 lb capacity.
o3OE -04 -HSMN
Monitor, Heat Stress
Heat stress monitor (ambient and personal).
o3OE- o4 -KTTL
Kit, Tool, Miscellaneous, Non - sparking
Non - sparking tool kit, to include bung and spanner wrenches and tool
box.
o3OE -o4 -LTHE
Light, Personal, Intrinsically Safe
Compact, hand -held lights or lights mounted on helmets or equipment,
or otherwise worn by the user for use in tactical operations and in
potentially flammable atmospheres. Includes high- intensity lights as
well as light sticks.
o3OE -o4 -LTHH
Light, Hand -Held or Helmet- Mounted
Illumination
Hand -held lights or lights mounted on helmets or otherwise worn by the
user for use in non - flammable or non - explosive atmospheres.
o3OE -o5 -ROPE
Rope, Life Safety
Rope of various diameters, lengths, and ratings used specifically for
human rescue, egress, hoist, or transport (certified as compliant with
NFPA 1983). Items in this category will be considered for applicants
with proven established Citizen Corps Programs.
o3SR -oz -MARK
Tools, Structural Assessment, Marking and
Monitoring
Tools, equipment, accessories and attachments for assessing, marking
and monitoring damaged structures and their stability.
o3SR -oz -TLHN
Tools, Hand
Manually operated hand tools,for cutting, prying, breaking, shoring,
stabilizing, moving, applying or removing fasteners where powered
tools are not appropriate or safe to use.Items in this catagory will be
considered for applicants with proven established Citizen Corps
Programs.
Georgia Citizen Corps
Authorized Equipment List
Georgia Emergency Management Agency - Homeland Security
December 2011- Version 1
Georgia Citizen Corps Authorized Equipment List- (Extracted From DHS CCORPS AEL 2011)
AEL Category
(Federal AEL
Number)
Title
Description
o3SR -o2 -TPEL
Tools, Power, Electric
Electrically- powered portable saws, cutters, breakers, drills, pumps,
accessories and attachments. (Certified as compliant with NFPA 1936).
Items in this category will be considered for applicants with proven
established Citizen Corps Programs.
o3SR -02 -TPGS
Tools, Gasoline- Powered
Internal combustion engine, gasoline - powered portable cutting saws,
drills, breakers, and attachments for rescue operations. (Certified as
compliant with NFPA 1936). Items in this category will be considered
for applicants with proven established Citizen Corps Programs.
o3SR -o3 -TPBM
Tape, Boundary Marking
Boundary marking tape: YELLOW Caution /RED Danger/ Incident
specific (i.e., radiological, biological, chemical).
o3WA- o1 -ALRT
Device, Alerting, Water Operations
Plastic, non- corrosive, pealess whistles.
o3WA- 02 -BAGT
Bag, Throw
Rescue device consisting of line in a lightweight bag which can be
deployed by securing one end of the line and throwing the entire bag at
the target. Items in this category will be considered for applicants
with proven established Citizen Corps Programs.
o4AP -02 -DGPS
Device, Global Positioning System (GPS)
Global Positioning System (GPS) receiving device, including self -
contained handhelds, mobile mounted systems, and accessory devices
to enable computers and communications devices. Items in this
category will be considered for applicants with proven established
Citizen Corps Programs.
o4AP -05 -CDSS
Systems and Tools, ICS
Products to support this function are available free of charge from
various Federal, State and NGO sources.
Georgia Citizen Corps
Authorized Equipment List
Georgia Emergency Management Agency - Homeland Security December 2011- Version 1
Georgia Citizen Corps Authorized Equipment List- (Extracted From DHS CCORPS AEL 2011)
AEL Category
(Federal AEL
Number)
Title
Description
o4AP- os -CRED
System, Credentialing
Software application and associated hardware and material for creating
site /event credential badges and controlling scene access. Items in this
category will be considered for applicants with proven established
Citizen Corps Programs.
o4AP- 07 -INVN
Software, Equipment Tracking and
Inventory
Application software for tracking of tangible equipment, including
location and person(s)/organization(s) responsible. Items in this
category will be considered for applicants with proven established
Citizen Corps Programs.
o4AP- o8 -SIMS
Simulators
Systems that provide interactive audio or audio - visual simulation of
operational situations to support training, planning, or decision making.
CPR and AED Simulators ONLY. All others will be considered on a
case by case basis for funding by the Georgia Citizen Corps
Coordinator.
o4HW -o1 -INHW
Hardware, Computer, integrated
Computer hardware and operating system software designated for use
in an integrated system allowable under the indicated grant programs.
Such systems include detection, communication, cybersecurity,
logistical support and Geospatial Information Systems. This item may
include networking hardware (routers, wireless access points, etc.),
workstations, notebook computers, and peripherals such as printers
and plotters procured with an allowable system and necessary for its
implementation. Items in this category will be considered for
applicants with proven established Citizen Corps Programs.
o4MD- o1.-CMRA
Camera, Still
Still camera, digital or film. Items in this category will be considered
for applicants with proven established Citizen Corps Programs.
Georgia Citizen Corps
Authorized Equipment List
Georgia Emergency Management Agency - Homeland Security
December 2011- Version 1
Georgia Citizen Corps Authorized Equipment List- (Extracted From DHS CCORPS AEL 2011)
AEL Category
(Federal AEL
Number)
Title
Description
o4MD-oi-VCAM
Camera, Video
Video camera. Items in this category will be considered for applicants
with proven established Citizen Corps Programs.
o4MD -o2-PROJ
Projector, Video
Video projector.
o4MD -o3 -DISP
Display, Video
Video display - assorted technologies including Plasma, LCD, LED, etc.
o6CP -oi -PORT
Radio, Portable
Individual /portable radio "walkie talkie" type. Used for conducting and
coordinating exercises or to facillitate communication among CERT
members operating within a few miles radius. Radios considered as
HAM or of a quality to be considered as "First Responder Quality" will
not be funded.
o8D3- os -BLKT
Blankets, Disposable
Disposable blankets.
ogME -o1 -BAGM
Bag /Kit /Pack, Medical
Portable vessel that contains various medical supplies and equipment.
o9ME -o1 -COTS
Cots
Portable, lightweight structures that are easily assembled to
accommodate patients in supine position. Typically used in shelter ,
operations. For MRC Only.
ogME - of -MCIK
Equipment /Kits, Multi- Casualty Incident
(MCI)
Fully equipped kits that contain all equipment and materials to
coordinate multi - casualty incidents, including (but not limited to) triage
tags /supplies, clip boards and related forms, color -coded marking tape
and tarps for treatment areas, medical branch position vests; field
operation guide (FOG) for medical branch /MCI operations and local
protocols. For MRC Only.
ogME -o3 -BPSL
Equipment, Blood Pressure
Manual and automated blood pressure equipment /products. For MRC
Only.
Georgia Citizen Corps
Authorized Equipment List
Georgia Emergency Management Agency - Homeland Security December 2011- Version 1
Georgia Citizen Corps Authorized Equipment List- (Extracted From DHS CCORPS AEL 2011)
AEL Category
(Federal AEL
Number)
Title
Description
o9ME -o3 -DEAE
Defibrillator, Automated External
Simple device that enables rapid application, automated assessment,
and (when necessary) delivery of corrective electrical impulse for lethal
cardiac dysrythmias. Use of AED by practitioners with minimum or no
training. [Training Devices Only unless prior approval is received]
o9ME -o3 -STET
Stethoscope
Durable stethoscope to assist in patient care through audible
assessments (auscultation). Durable and disposal models available. For
MRC Only.
o9ME -o3 -THER
Thermometer
Devices that enable assessment of patient temperature (all routes,
including oral, axillary, tympanic, and rectal). For MRC Only.
o9ME -o4 -SPIN
Equipment, Spinal Immobilization
Adjuncts that enable spinal immobilization of patients encountered in a
variety of positions and situations.
o9ME- o4 -SPLT
Splints, Durable
Splints that enable all types of limb immobilization. All types and sizes.
o9ME- o5 -LITR
Litters /Stretchers
Hand - carried patient transport devices.
o9MS - of -LNEN
Linens
Disposable and non - disposable linen products. For MRC Only.
09MS -01 -SHER
Shears /Scissors, Medical
Standard medical shears to enable cutting of various materials.
o9MS- oilTAG
Tags and Supplies, Triage
Single -use, disposable patient marking devices for use during multi -
casualty triage management.
o9MS -o3 -BAGH
Bag, Biohazard
Variable size, disposable bags to contain materials soiled with infectious
fluids /products.
09MS- 03 -BIOD
Supplies, Biohazard Disposal
Various non - durable vessels to contain and manage materials soiled
with biohazards.
o9MS -o3 -DSIN
Supplies, Disinfectant and Antiseptic
Commercial disinfectant and antiseptic products to clean skin and other
surfaces.
09MS -o3 -GLVN
Gloves, Biomedical, Non - Sterile
Variable size, single -use examination gloves. Disposable, non - latex.
Non- sterile.
Georgia Citizen Corps
Authorized Equipment List
Georgia Emergency Management Agency - Homeland Security
December 2011 - Version 1
Georgia Citizen Corps Authorized Equipment List- (Extracted From DHS CCORPS AEL 2011)
AEL Category
(Federal AEL
Number)
Title
Description
o9MS -o3 -GLVS
Gloves, Biomedical, Sterile
Various sizes, sterile biomedical gloves.
o9MS -o3 -HYGP
Supplies, Personal Hygiene
Various skin disinfectant and hygiene supplies.
09MS- o3 -ISOS
Supplies, Body Substance Isolation
Body substance isolation supplies (masks, gowns, eye protection).
Various isolation barriers to protect practitioners from exposure to
infectious substances.
09MS -04 -BAND
Bandages and Dressings
Variable size, disposable bandages and dressing to treat all types of soft
tissue wounds. Non - durable absorbent products.
09MS -o4 -TAPE
Tape, Adhesive
Various size adhesive medical tape.
o9MS -o4 -TNQT
Tourniquet
Device utilized to quickly manage significant extremity bleeding,
including crushed, entrapped, and amputated/partially amputated
limbs.
o9MS -o8 -SPIN
Supplies, Spinal Immobilization
Various devices (e.g., cervical collars, head immobilizers) to
immobilize/stabilize the neck and spinal region.
09MS -08 -SPLT
Splints, Disposable
Splints that enable all types of limb immobilization. All types and sizes.
o9PH -oa -POLY
Polysporin Ointment
Antibiotic ointment.
o9PH -oz -WATR
Water, Sterile
Fluid solution; topical irrigation.
o9TR- os -CSIM
Equipment, Training/Casualty Simulation
Life -like human body replicas that enable medical practitioners to train
in various scenarios.
o9TR - of -MKIT
Supplies, Moulage
Moulage supplies include prosthetics, makeup, and other materials
used to simulate wounds/injuries for training /exercise purposes.
ioBC- oo -BATT
Batteries, All Types, Sizes
Batteries for all recommended equipment. Types including, but not
limited to Alkaline, Nickel - Cadmium (Ni -CAD), Nickel Metal Hydride
(NiMH), Lithium (Li -lon). Form factors such as AA, AAA, C and D cells, 9-
Volt, Clamshell.
aoBC- oo -SOLR
Chargers
Including but not limited to solar, natural gas, shore power, etc.
Georgia Citizen Corps
Authorized Equipment List
Georgia Emergency Management Agency - Homeland Security
December 2011- Version 1
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Georgia Citizen Corps Authorized Equipment List- (Extracted From DHS CCORPS AEL 2011)
AEL Category
(Federal AEL
Number)
Title
Description
16AC -o1 -ACRL
Equipment and Supplies, Large Animal
Capture and Restraint
Equipment and supply types used to search for, capture, restrain and
bring to safety large animals, including livestock, horses, zoo animals,
and wildlife. (Note: Replaces s6AR- oo -BORD; I6AR -oo -HLTR; a6AR -oo-
LART; I6AR -oo -LEAD; s6AR -oo -LESH; 16AR -oo -PADL; I6AR -oo -PANL;
16AR- oo- PROD;i6AR -oo -SNAR) Items in this category will be
considered for applicants with proven established Citizen Corps
Programs.
16AC -o1 -ACRS
Equipment and Supplies, Small Animal
Capture and Restraint
Equipment and supply types used to search for, capture, restrain and
bring to safety small animals, including household pets and similarly
sized animals. (Note: Replaces 16AR- oo -BORD; 3.6AR-oo-HLTR;I6AR-
oo- LART; I6AR -oo -LEAD; s6AR -oo -LESH; I6AR -oo -PADL; 16AR -oo-
PANL; a6AR- oo- PROD;16AR -00-SNAR)
16AC -o2 -AHEL
Equipment and Supplies, Large Animal
Housing
Equipment and supply types used to house large animals, including
livestock, horses, zoo animals and wildlife. (Note: Replaces 16AR -oo-
PENS). Items in this category will be considered for applicants with
proven established Citizen Corps Programs.
26AC- o2 -AHES
Equipment and Supplies, Small Animal
Housing
Equipment and supply types used to house small animals, including
household pets and similarly sized animals. (Note: Replaces 16AR -oo-
PENS). Items in this category will be considered for applicants with
proven established Citizen Corps Programs.
26AC -o3 -ATEL
Equipment and Supplies, Large Animal
Transportation
Equipment and supply types used to transport large animals, including
livestock, horses, zoo animals and wildlife. (Note: Replaces 16AR -oo-
CHUT) Items in this category will be considered for applicants with
proven established Citizen Corps Programs.
Georgia Citizen Corps
Authorized Equipment List
Georgia Emergency Management Agency - Homeland Security
December 2011 - Version 1
Georgia Citizen Corps Authorized Equipment List- (Extracted From DHS CCORPS AEL 2011)
AEL Category
(Federal AEL
Number)
Title
Description
16AC -o3 -ATES
Equipment and Supplies, Small Animal
Transportation
Equipment and supply types used to transport small animals, including
household pets and similarly sized animals. (Note: Replaces i6AR -oo-
CHUT) Items in this category will be considered for applicants with
proven established Citizen Corps Programs.
1gGN- oo -BGPK
Bags / Packs
Carry bags or wearable packs for storage and transportation of personal
gear and equipment, personal protective equipment, and miscellaneous
equipment.
igGN -oo -FUEL
Container, Fuel Storage
Portable and transportable containers for various fuels, including
gasoline, diesel, etc.
1gGN- oo -H2OD
System, Water Distribution
Mobile systems and equipment for the transport and distribution of
potable or non - potable water. Includes pumping systems, piping, and
storage containers with spigots or other facilities for filling personal
containers. Items in this category will be considered for applicants
with proven established Citizen Corps Programs.
19GN- oo -HSSF
Housing, Subsistence and Sanitation
Housing for response forces (e.g. tents, shelters), subsistence and
sanitation (field support).
i9GN- oo -OPCK
Overpack
Overpack container, used to consolidate a load or facilitate handling of
packages or cargo.
19MH- oo -CONT
Containers, Storage
Portable storage containers.
19SS- oo -SHEL
Systems, Shelter, Rapid Deployment
Rapidly deployable shelter systems, hardwall or softwall (command and
control, triage, evidence protection, etc.).
21GN- oo -CCEQ
Equipment, Citizen Corps
Equipment not covered elsewhere that relates to specific training or
volunteer assignments for CERT, Neighborhood Watch, VIPS, MRC, and
Fire Corps. Items not listed on Georgia Citizen Corps AEL will require
prior approval and program justification.
Georgia Citizen Corps
Authorized Equipment List
Georgia Emergency Management Agency - Homeland Security
December 2011- Version 1
Georgia Citizen Corps Authorized Equipment List- (Extracted From DHS CCORPS AEL 2011)
AEL Category
(Federal AEL
Number)
Title
Description
21GN- oo -INST
Installation
Installation costs for authorized equipment purchased through FEMA
grants. Installation costs must be on official grant budget worksheet
and be approved before costs are incurred. (These costs will be
determined case by case based on the request)
2 -oo -SHIP
Shipping
Shipping costs for equipment purchased with grant funding.
21GN- oo -STAX
Sales Tax
-
Sales tax on equipment purchased with grant funding. Jurisdictions
receiving Citizen Corps funding should be exempt from sales taxes and
should make every effort to avoid incurring sales tax with all purchases.
21GN- oo -TRNG
Training
Training on CBRNE and cyber security equipment by vendors or local
entities.
Georgia Citizen Corps
Authorized Equipment List
Georgia Emergency Management Agency - Homeland Security December 2011 - Version 3.
Exhibit D
GEORGIA EMERGENCY
FY 2011 DHS HSGP, Citizen Corps
MANAGEMENT AGENCY
Program (SHADED AREAS ARE FOR GEMA USE ONLY)
Fiscal Year/Part Fiscal ,
Year 2611
FIPS NO .• ;' !.245=04196-99',.'
SHEET .708 '-
DATE SUBMITTED ,-
APPROVAL DATE
Federal ID No.
58- 2204274
APPLICANT (Agency/ Department)
Augusta Richmond Co Emergency Management
Agency
COUNTY Richmond
GEMA AREA 3
GAN NO. EMW- 2011 -SS- 00081 -S01
Street Address:
530 Greene Street
Send Contract To (Name/Title):
Honorable Deke Copenhaver, Mayor
Program Contact (Name/Title):
Chief Wayne Taylor
City, State, ZIP Code
Augusta, Georgia 30901
Contract Recipient Phone
Program Contact
Phone 706 821 -1155
Category - Indicate below,
Interoperable Communications
Response Vehicles (VEH),
Logistical Support (LS), 20.
23. Exercise (EX), 24. Planning
must be one of the following: 1. Personal Protective Equipment
(PPE), 2. EOD, 3.Citizens Corps Programs, 4. Information Technology (IT), 5. Cyber Security (CS), 6.
9. Medical (MED), 10. Power (POW), 11. CBRNE Reference Materials (REF), 12. CBRNE
Inspection and Screening (IS), 16.Agricultural (Ag), 17. Watercraft (WC), 18. Aviation (AIR), 19. CBRNE
(TRG),
(Inter. Op), 7. Detection Equipment (DET), 8. Decon (DECON),
13. Terrorism Prevention (TP), 14. Physical Security (PS), 15.
Intervention (INT), 21. Other Authorized (0), 22. Training
(PLG)
Investment Justification =
Choose one: 1. Support Georgia's
Response, 5. Planning, Training
Security Program, 11 Critical
Specify on this line the Investment
Justification associated with the project to be funded. One per application.
(MMRS), 3. Strengthen Infrastructure Protection (CI /KR), 4. Improvised Explosive Device Planning and
and Rescue, 8. CBRNE Detect, Respond, and Decon, 9. Law Enforcement Special Operations, 10. Agro-
Surge, 13. Support Statewide Emergency Operations
Fusion Center, 2. Metropolitan Medical Response System
and Exercises, 6. Interoperble Communications, 7. Search
Infrastructure Assessment and Defense Program, 12. Medical
Strategic Goal No. = For each requested item, list below the number of the specific State Strategic Plan Goal, Objective and Steps the requested item will further, for example 4.1.1 -5.
Discipline
= Specify discipline on this line: Fire, Law Enforcement
(LE), EMS, EMA, 911, Other
COST ESTIMATE
NOTE: Only
ONE discipline per application
ITEM NO
CATEGORY
ITEM
STATE GOAL,
OBJECTIVE, STEP
QUANTITY
COST EACH
TOTAL COST
001
Identification Badges \Patches
50
$20.00
$ 1,000.00
002
Flat Screen TV for montior & cable connections - Neighborhood Watch Program
1
$250.00
$ 250.00
003
Transportation
1
$126.00
$ 126.00
004
Cert Manuals /Students and Instructor
1
$1,200.00
$ 1,200.00
005
Advertising (Ad's, Flyers, Promotional items)
1
$800.00
$ 800.00
006
Classroom Supplies for Training
1
$3,100.00
$ 3,100.00
007
2 way Walkie Talkies for CERT exercise and Volunteer Support Operations /S &H
6
$139.00
$ 834.00
008
Intsturctors Reimbursement for CERT classes (2 instructors per class)
20
$40.00
$ 800.00
009
CERT Award Luncheon Program
1
$1,500.00
$ 1,500.00
010
TOTAL I $ 9,610.00
PREPARED BY: Sharon W. Bennett
Assistant
Exhibit E
EXHIBIT E
Date:
Georgia Emergency Management Agency
OJP FY04 State Domestic Preparedness Equipment Program
Payment Request Form
Instructions: All requests for payments must be supported by documentation supporting actual expenditures. Itemize each
expenditure below to the fullest detail possible. Attach documentation that supports this payment request, such as copies of bills of
sale, invoices, receipts, and canceled checks evidencing payment. Do not send originals. Attach a continuation sheet if necessary.
Budget Worksheet Number:
Applicant:
* Please refer to Budget Worksheet for information needed in the following section *_
Under penalty of perjury, I certify that to the best of my knowledge and belief the data above are correct and that all outlays were made
in accordance with the grant conditions or other agreements, comply with procurement regulations contained within the Financial
Guide, and that payment is due and has not been previously requested. I understand that any part of this payment request that is not
supported by cost documents and/or expended within the scope of the approved project will be refunded to the State of Georgia within
30 days of receiving the deobligation notice.
Signature of Subgrantee's Authorized Representative
GAN Number:
(from Continuation sheet attached)
SUBTOTAL
TOTAL
NET AMOUNT REQUESTED
FIPs Number:
Area:
Printed Name Contact Phone Number
Exhibit F
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden. to the Office of Management and Budget, Paperwork Reduction Project (0348- 0042), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND
BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
Certain of these assurances may not be applicable to your project or program. if you have questions, please contact the
Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional
assurances. if such is the case, you will be notified.
As the duly authorized representative of the applicant:, I certify that the applicant:
NOTE:
1. Has the legal authority to apply for Federal assistance,
and the institutional, managerial and financial capability
(including funds sufficient to pay the non - Federal share
of project costs) to ensure proper planning,
management and completion of.project described in
this application.
2. Will give the awarding agency, the Comptroller. General
of the United States and, if appropriate, the State,
the right to examine all records, books, papers, or
documents related to the assistance; and will establish
a proper accounting system in accordance with
generally accepted accounting standards or agency
directives.
3. Will not dispose of, modify the use of, or change the
terms of the real property title or other interest in the
site and facilities without permission and instructions
from the awarding agency. Will record the Federal
awarding agency directives and will include a covenant
in the title of real property acquired in whole or in part
with Federal assistance funds to assure non-
discrimination during the useful life of the project.
4. WiII comply with the requirements of the assistance
awarding agency with regard to the drafting, review and
approval of construction plans and specifications.
5. Will provide and maintain competent and adequate
engineering supervision at the construction site to
ensure that the complete work conforms with the
approved plans and specifications and will fumish
progressive reports and such other information as may be
required by . the assistance awarding agency or State.
6. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding agency.
7. Will establish safeguards to prohibit employees from
using their positions for a purpose that constitutes or
presents the appearance of personal or organizational
conflict of interest, or personal gain.
Previous Edition Usable
ASSURANCES - CONSTRUCTION PROGRAMS
OMB Approval No.4040 -0009
Expiration Date 04/30/2008
8. Will comply with the Intergovernmental Personnel Act
of 1970 (42 U.S.C. § §4728 -4763) relating to . prescribed
standards of merit systems for programs funded
under one of the 19 statutes or regulations specified in
Appendix A of OPM's Standards for a Merit System of
Personnel Administration (5 C.F.R. 900, Subpart F).
9. Will comply with the Lead -Based Paint Poisoning
Prevention Act (42 U.S.C. § §4801 et seq.) which
prohibits the use of lead -based pain in construction or
rehabilitation of residence structures.
10. Will comply with all Federal statutes relating to non-
discrimination. These include but are not limited to: (a)
Title VI of the Civil Rights Act of 1964 (P.L. 88 -352)
which prohibits discrimination on the basis of race,
color or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. § §1681
1683, and 1685 - 1686), which prohibits discrimination
on the basis of sex; (c) Section 504 of the
Rehabilitation Act of 1973, as amended (29) U.S.C.
§794), which prohibits discrimination on the basis of
handicaps; (d) the Age Discrimination Act of 1975, as
amended (42 U.S.C. § §6101 - 6107), which prohibits
discrimination on the basis of age; (e) the Drug Abuse
Office and Treatment Act of 1972 (P.L. 92 -255), as
amended relating to nondiscrimination on the basis of
drug abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970 (P.L. 91 -616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) § §523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C.. § §290' dd -3 and 290 ee
3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title VIII of the
Civil Rights Act of 1968 (42 U.S.C. § §3601 et seq.), as
amended, relating to nondiscrimination in the sale,
rental or financing of housing; i) any other
nondiscrimination provisions in the specific statue(s)
under which application for Federal assistance is being
made; and (j) the requirements of any other
nondiscrimination statue(s) which may apply to the application.
Authorized for Local Reproduction Standard Form 424D (Rev. 7.97)
Prescribed by OMB Circular A -102
* SIGNATURE OF AUTHORIZED CERT ING OFFICIAL
Completed on submission to Grants.gov Ai /
' TITLE
I f .N `' (lt 4 / + - �
* APPLICANT O GANIZATION /
" DATE SUBMITTED 4 1 /1 0 /2m 2✓
Completed on submission to Grants.gov
1. .y.1i 411 1 1 f
11. Will comply, or has already complied, with the
requirements of Titles 11 and III of the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of
1970 (P.L. 91 -646) which provide for fair and equitable
treatment of persons displaced or whose property is •
acquired as a result of Federal and federally- assisted
programs. These requirements apply to all interests in real
property acquired for project purposes regardiess,of
Federal participation in purchases.
12. Will comply with the provisions of the Hatch Act (5 U.S.C.
§ §1501 -1508 and 7324 -7328) which limit the political
activities of employees whose principal employment
activities are funded in whole or in part with Federal funds.
13. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. § §276a to 276a -7), the Copeland Act
(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract
Work Hours and Safety Standards Act (40 U.S.G. § §327-
333) regarding labor standards for federally- assisted
construction subagreements.
14. Will comply with flood insurance purchase requirements of
Section 102(a) of the Flood Disaster Protection Act of 1973
(P.L. 93 -234) which requires recipients in a special flood
hazard area to participate in the program and to purchase
flood insurance if the total cost of insurable construction
and acquisition is $10,000 or more.
15. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the
National Environmental Policy Act of 1969 (P,L. 91-
190) and Executive Order (EO) 11514; (b) notification
of violating facilities pursuant to EO 11738; (c)
protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance
with EO 11988; (e) assurance of project consistency
with the approved State management program
developed under the Coastal Zone Management Act of
1972 (16 U.S.C. § §1451 et seq.); (f) conformity of
Federal actions to State (Clean Air) implementation
Plans under Section 176(c) of the Clean Air Act of
1955, as amended (42 U.S.C. § §7401 et seq.); (g)
protection of underground sources o1 drinking water
under the Safe Drinking Water Act of 1974, as
amended (P.L. 93 -523); and, (h) protection of
endangered species under the Endangered Species Act
of 1973, as amended (P.L. 93 -205).
16. Will comply with the Wild and Scenic Rivers Act of
1968 (16 U.S.C. § §1271 et seq.) related to protecting
components or potential components of the national
wild and scenic rivers system.
17. Will assist the awarding agency in assuring compliance
with Section 106 of the National Historic Preservation
Act of 1966, as amended (16 U.S.C. §470), EO 11593
(identification and protection of historic properties), and
the Archaeological and Historic Preservation Act of
1974 (16 U.S.C. § §469a -1 et seq).
18. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit
Act Amendments of 1996 and OMB Circular No. A -133,
"Audits of States, Local Govemments, and Non - Profit
Organizations."
19. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
SF -424D (Rev. 7-97) Back
Public reporting burden for this collection of information is estimated to average 15 minutes per response; including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and. Budget, Paperwork Reduction Project (0348 - 0040), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND
IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE:
As the duly authorized representative of the applicant, I certify that the applicant:
2. Will give the awarding agency, the Comptroller General
of the United States and, if appropriate, the State,
through any authorized representative, access to and
the right to examine all records, books, papers, or
documents related to the award; and will establish a
proper accounting system in accordance with generally
accepted accounting standards or agency directives.
3. Will establish safeguards to prohibit employees from
using their positions for a purpose that constitutes or
presents the appearance of personal or organizational
conflict of interest, or personal gain.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding
agency.
5. Will comply with the Intergovernmental Personnel Act of
1970 (42 U.S.C. §§4728 -4763) relating to prescribed
standards for merit systems for programs funded under
one of the 19 statutes or regulations specified in
Appendix A of OPM's Standards for a Merit System of
Personnel Administration (5 C.F.R. 900, Subpart F).
6, Will comply withal, Federal statutes relating to
nondiscrimination. These include but are not limited to:
(a) Title Vi of the Civil Rights Act 011964 (P.L. 88 -352)
which prohibits discrimination on the basis of race, color
or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. § §168.1-
1683, and 1685 - 1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation
Previous Edition Usable
ASSURANCES - NON- CONSTRUCTION PROGRAMS
OMB Approval No. 4040 -0007
Expiration Date 04/30/2008
Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If
such is the case, you will be notified.
1. Has the legal authority to apply for Federal assistance
and the institutional, managerial and financial capability
(including funds sufficient to pay the non - Federal share
of project cost) to ensure proper planning, management
and completion of the project described in this
application.
Act of 1973, as amended (29 U.S.C. §794), which
prohibits discrimination on the basis of handicaps; (d)
the Age Discrimination Act of 1975, as amended (42
U.S.C. § §6101 - 6107), which prohibits discrimination
on the basis of age; (e) the Drug Abuse Office and
Treatment Act of 1972 (P.L. 92 -255), as amended,
relating to nondiscrimination on the basis of drug
abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970 (P.L. 91 -616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) 0523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. 0290 dd -3 and 290 ee-
3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title Vill of the
Civil Rights Act of 1968 (42 U.S.C. 03601 et seq.), as
amended, relating to nondiscrimination in the sale,
rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is being
made; and, (j) the requirements of any other •
nondiscrimination statute(s) which may apply to the
application.
7. Will comply, or has already complied, with the
requirements of Titles II and III of the Uniform
Relocation Assistance and Real Property Acquisition
Policies Act of 1970 (P ;L. 91 -646) which provide for
fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or
federally- assisted programs. These requirements apply
to all Interests in real property acquired for project
purposes regardless of Federal participation in
purchases.
8. Will comply, as applicable, with provisions of the
Hatch Act (5 U.S.C. 01501 -1508 and 7324 -7328)
which limit the political activities of employees whose
principal employment activities are funded in whole or
in part with Federal funds.
Standard Form 42413 (Rev. 7.87)
Authorized for Local Reproduction Prescribed by OMB Circular A - 102
* SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
Completed on submission to Grants.gov
* TITLE
1 Z ,ej«�. -. e;14.9 .4 . .46 Rg ire
* APPLICANT ORGANIZATION
* DATE SUBMITTED V/B124/ y_
Completed on submission to Grants.gov
11 L 4 .-A 4
i Z4 s , 4
i
9. Will comply, as applicable, with the provisions of the Davis -
Bacon Act (40 U.S.C. § §276a to 276a -7), the Copeland Act
(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract
Work Hours and Safety Standards Act (40 U.S.C. § §327-
333), regarding labor standards for federally- assisted
construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster
Protection Act of 1973 (P.L. 93 -234) which requires
recipients in a special flood hazard area to participate in the
program and to purchase flood insurance if the total cost of
insurable construction and acquisition is $10,000 or more.
11.
Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91 -190) and
Executive Order (EO) 11514; (b) notification of violating
facilities pursuant to EO 11738; (c) protection of wetlands
pursuant to EO 11990; (d) evaluation of flood hazards in
floodplains in accordance with EO 11988; (e) assurance of
project consistency with the approved State management
program developed under the Coastal Zone Management
Act of 1972 (16 U.S.C. § §1451 et seq.); (f) conformity of
Federal actions to State (Clean Air) Implementation Plans
under Section 176(c) of the Clean Air Act of 1955, as
amended (42 U.S.C. § §7401 et seq.); (g) protection of
underground sources of drinking water under the Safe
Drinking Water Act of 1974, as amended (P.L. 93 -523);
and, (h) protection of endangered species under the
Endangered Species Act of 1973, as amended (P.L. 93-
205).
12 Will comply with the Wild and Scenic Rivers Act of
1968 (16 U.S.C. § §1271 et seq.) related to protecting
components or potential components of the national
wild and scenic rivers system.
13 Will assist the awarding agency in assuring compliance
with Section 106 of the National Historic Preservation
Act of 1966, as amended (16 U.S.C. §470), EO 11593
(identification and protection of historic properties), and
the Archaeological and Historic Preservation Act of
1974 (16 U.S.C. § §469a -1 et seq.).
14. Will comply with P.L. 93 -348 regarding the protection of
human subjects involved in research, development, and
related activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of
1966 (P.L. 89 -544, as amended, 7 U.S.C. § §2131 et
seq.) pertaining to the care, handling, and treatment of
warm blooded animals held for research, teaching, or
other activities supported by this award of assistance.
16. Will comply with the Lead -Based Paint Poisoning
Prevention Act (42 U.S.C. §§4B01 et seq.) which
prohibits the use of lead -based paint in constriction or
rehabilitation of residence structures.
17. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit
Act Amendments of 1996 and OMB Circular No. A -133,
"Audits of States, Local Governments, and Non- Profit
Organizations."
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
Standard Form 424E (Rev. 7.97) Back
• CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION. AND
OTHER RESPONSIBILITY MATTERS; AND DRUG -FREE WORKPLACEREQUIREMENTS
Applicants should refer to the•regulations cited below to determine the certification to which they are required to,
attest. Applicants should also review the instructions for certification included in the regulations before completing this
form. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69,'New
Restrictions on Lobbying` end 28 CFR Part 67. - Government -wide Debarment and Suspension.(Nonpro- curement) and
Government -wide Requirements for Drug -Free Workplace (Grants)' The certifications shall treated as a material
representation of fact upon which reliance will be placed when the Department of Justice. determines to award the
covered transaction, grant, or cooperative agreement.
•
1. LOBBYING.
As required by Section 1352.. Title 31 of the U.S. Code, and
implemented at 28 CFR Part 69, for persons entering into a
grant
CFR Part e t e applicant ced $100, 00, as defined at
(a) No Federal appropriated funds have•been or will be
paid, by or on•be'balf of the undersigned, to any person for In-
fluencing •orattetflpting to Influence an officer or employee of any
agency, a Member of Congress, an officer or employee of
Congress. or an employee of a Wlember of Congress in con-
nection with the• maidag of any Federal grant the entering into• •
of any cooperative agreement. and the extension, continuation,
renewal, amendment, or modification of any Federal grant or
cooperative -agreement;
. (b) If any funds other than Federal appropriated funds have
been paid or will be paid to any person for influencing or at-
tempting, to influence an officer or employee of any agency, a
Member of Congress; an officer er employee of .Congress, or
an employee of a• M mber of Congress in oonneotion with this
Federal grant or cooperative agreement, the lundersigned shall
complete and submit Standard Form - LLL, 'Disclosure of
Lobbying Activities; in acoordance with its instructions;
(c) The undersigned shall require that the iariguage of this cer-
tification be included In the award documents for efi subawards
at aft tiers (including subgrants, contracts under grants and -
cooperative agreements, and suboontracts) and that all sub -
recipients shall oertfy and disclose accordingly. ..
2. DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
(DIRECT RECIPIENT)
U.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
As required by Exeoutive Order 12549; Debarment and
Suspension, and implemented at 28 CFR Part 67. for prospec-
tive participants in primary covered transactions. as defined at
28 CFR Part 67, Section 67.510 —
A. The applicant certifies that it and its principals:
(a) Are not presently debarred. suspended. proposed for debar-
ment, declared ineligible, sentenced to a denial of Federal
benefits by a State or Federal court, or voluntarily excluded
from covered transactions by any Federal department
or agency;
(b) Have not within a three -year period preceding this applica-
tion been convicted of or had a civil Judgment rendered against
them for commission of fraud or a criminal offense in connec-
tion with obtaining, attempting to obtain, or performing a•
!!P FORM 406116 (s-81) REPLACES OJP FORMS 4061i2. 4061!3 AND 406114 WHICH ARE OBSOLETE.
publlo (Federal, State, or local) transaction or contract undera
public transaction; violation of Federal or State antitrust statutes
or commission' of embezzlement, theft, forgery,
bribery: falsification or destruction of records, making false
' statements, or receiving stolen property;
(c) Are not .presently indicted for or otherwise criminally or ..
civilly charged by a governmental entity (Federal, State, or
local) with commission of any of the offenses enumerated in
paragraph (1)(b) of this certification; and
(d) Have not within a three -year period preceding this applica-
tion had one or more public transactions•(Federat, State, or
local) terminated for cause or default and
B. Where the applicant is unable to certify to any of the
statements in this certification, he or she shall attach an
explanation to this application.
3. DitUG -FREE WORKPLACE
(GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug -Free Workplace Act of 1988, and
implemented at 28 CFR Part 87, Subpart F, for grantees. as
defined at 28 CFR. Part 67 Sections 67.615 and 67.620 —
A.The applicant certifies that it will or wia c onttnue to provide
a drug-free Workplace by
(a) Publishing a statement notifying employees that the
unlaWful manufacture. distribution, dispensing, possession, or
use of a controlled substance is prohibited In the grantee's
workplace and specifying the actions that will be taken against •
employees for violation of such prohibition; •
(b) stahing can on-going drug -free awareness program to
infomi (1) The dangers of drug abuse in the workplace;
(2) The grantee% policy of maintaining a drug tree workplace;
(3) Any avallable drug counseling, rehabilitation, and employee
asslstance programs; and
(4) The penalties that may be imposed upon employees for
drug abuse violations occurring in the workplace;
(o) Making it a requirement that each employee to be engaged
in the performance of'the. grant be given a copy of •the state- •
meat required by paragraph (a); •
(d) Notifying the employee in the statement required by para-
graph h (a) as a condition of employment under the grant,
employee
i
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a
violation of a criminal dnig statute occurring in the workplace
no later than live calendar days after such conviction;
(e) Notifying the agency; in writing, within 10 calendar days
.after receiving•nottee under subparagraph (d)(2) from an.
employee or otherwise receiving actual notice of such conic -tion.
Employers of convicted employees must provide notice, including
position title, to: Department of Justice. Office of •
Justice Programs. ATTN: Control Desk, 633 Indiana Avenue,
N.W:. Washington, D.C. 20531. Notice shall include the iden- •
UficaUon number(s) of each affected grant
(f)Taking one of the following ectons, within 30 calendar
days of reoeivmg notice under subparagraph (d)(2), with •
respect to any employee .who Is so convicted—
(1) Taking appropriate personnel action against such an .
employee. up to and including termination, consistent with the
requirements of the Rehabilitation Act of 1973. as amended; or
(2) Requiring such employee to participate satisfactorily in a
drug abuse assistance or rehabilitation program approved for
such purposes.by a Federal. State, or local hea(h, law enforce-
ment. or other appropriate agency;
(g) Making a good fefthreffort to continue to maintain a drug -
free workplace through kmptementationofparagraphs (a). (b),
(c). (df. (d). and (1).
S.The granteemay insert in the space provided below the
site(s) for the perfonnanoe of•work done in Connection with
the specific grant:
Place of Petformaace (Street address. city, county, state, zip
code)
As the duly authorized representative of the applicant. t hereby certify that the applicant will comply with the above certifications.
iv
/� 44.51'GL C E Aq e4/44 1
Rye' - OA 3010/
1. Grantee Name and Address:
A/ Ps z4.c- Qi-14 - _Q9
2. Application Number and/or Project Name
•
4,0d ) .
Name and Title of Au rued Representative
12-2-44
•
�f)( -L),;44. e41/4 4q1
Check ❑' if there are workplaces on file that are not indentified
here.
Section 67.630 of the regulations provides that a grantee that
is aState may elect to make one certification in each Federal
fiscal year. A copy of which should be included with each ap-
plieation for Department of Justice funding. States and State
agencies may elect to use OJP Form 4061/7.
Check ❑ if the State has elected to comptefe OJP Form
4061/7.
DRUG -FREE WORKPLACE
(GRANTEES WHO ARE INDIVIDUALS)•
As required by the Drug -Free Workplace Act of 1988, and
implemented at 28 CFR Part 67. Subpart F, for grantees, as
pefined at 28 CFR Part 67; Sections 67.615 and 67.620 —
A. As a condition of the grant. l certify. that I will not.engage
in the untawfut manufacture, distribution, dispensing, posses-
sion, or use of a controlled substance In conducting any
activity with the grant; and
8.1f convicted of a ctlminal: drug offense resulting from a
violation occurring during the conduct of any grant activity, I
viii report the conviction, in writing; within 10 calendar days.
of the conviction. to: Department of Justice, Office of Justice
Prograns, ATTN: Control Desk, 633 Indiana Avenue. N.W..
Washington, D.C. 20531.
3. Grantee lRSNendor Number
6. Date .
'U.S. Government Pdafra Met 1996. atiuronnnu
GEORGIA EMERGENCY MANAGEMENT AGENCY
State Homeland Security Program
QUARTERLY FINANCIAL STATUS REPORT (FSR) *
FISCAL YEAR / PART
FIPS NO.
BW #
DATE SUBMITTED
REPORTING PERIOD (EXAMPLE 4/1/12-4/30/12)
FEDERAL ID #
APPLICANT (Agency/ Department)
COUNTY
AREA
GAN Na EMW-2011-SS4)0001-801
ADDRESS:
CONTACT NAME:
CONTACT Phone 1 ALTERNATE NO.
Category - Indicate below, must be one of the following: 1. Personal Protective Equipment (PPE), 2. EOD, 3. CBRNE Search and Rescue (SAR), 4. Information Technology (IT), 5. Cyber Security (CS), 6. Interoperable Communications
(Inter. Op), 7. Detection Equipment (DET), 8. Decon (DECON), 9. Medical Supplies (MED), 10. Power Equipment (POW), 11, CBRNE Reference Materials (REF , 12. CBRNE Response Vehicles (VEH), 13. Terrorism Prevention
(TP), 14. Physical Security (PS), 15. Inspection and Screening (IS), 16. Agricultural (Ag), 17, Watercraft (WC), 18. Aviation (AIR), 19, CBRNE Logistical Support (LS), 20. Intervention (INT), 21. Other Authorized (0)
COST
ESTIMATE
ITEM NO
CATEGORY
ITEM DESCRIPTION
QUANTITY
COST EACH
TOTAL COST
AMOUNT OBLIGATED
(A)
AMOUNT
EXPENDED(B)
50.00
50.00
50.00
$0.00
50.00
50.00
50.00
50.00
50.00
50.00
80.00
80.00
80.00
80.00
PREPARED BY:
* OBLIGATIONS AND EXPENDITURES MUST BE REPORTED TO GEMA ON A QUARTERLY BASIS THROUGH THE FSR.
PLEASE COMPLETE FORM BY UPDATING INFORMATION IN SECTIONS (A) AND (B) ABOVE.
•^4TIONS ARE MADE AT THE TIME THAT THE ORDER WAS PLACED. EXPENDITURES ARE MADE WHEN THE INVOICES ARE PAID.
tcsdM Flt Irtrurt hoot
Rana 1
Exhibit 1
Exhibit J
Georgia Emergency Management Agency (GEMA)
Citizen Corps — Quarterly Reporting Form Instructions
Quarterly reports must be met throughout the life of the grant. Per the HSGP Grant Guidance all obligations and
expenditures must be reported on a quarterly basis to include partial calendar quarters and quarters with no grant
activity, these reports should be submitted within 30 days of the completion of that quarter. A final close out
financial report should be submitted within 90 days following the end of the grant year or upon grant closing
whichever comes first. For more information on grant responsibilities go to
http: / /www.fema.gov /government /grant /hsgp/
Let's Get Started:
➢ Agency / Program Overview:
Identify the applicant and /or agency information, select current reporting quarter and provide a brief
over view of the program(s) in your jurisdiction. (If you do not have all of these programs in your
jurisdiction please enter N/A where appropriate.)
• All local Councils and local CERT Programs that registered prior to 2011 will be archived and will
not be displayed on the National Citizen Corps/ CERT websites. Every Citizen Corps Council and
CERT Program is required to re- register if they wish to have a listing in the citizen Corps or CERT
directory.
➢ Training Update:
Please provide a brief description of any training conducted during this quarter; please include number of
participants, type of participants (ex. volunteers, fire, law enforcement, etc.), purpose of training (ex.
basic training, continuing education, refresher, etc.)
➢ Funding:
Please complete sections A & B of the Quarterly Financial Status Report (FSR) and submit with your
Quarterly Report Form.
➢ Citizen Corps Program Activities:
Please provide for this quarter any activities, community events, emergencies /non- emergencies,
recruitment and outreach activities that utilized Citizen Corps volunteer support. Please also include how
many volunteers participated and what roles they supported.
➢ Next Quarter Planning:
Please provide a planning outlook for this next quarter to include any activities, community events,
recruitment fairs and outreach activities that will utilize Citizen Corps volunteer support. Please also
include any planned grant expenditures for this next quarter (to include amount and purpose).
• Please share any upcoming events and training with others by placing them on the National
Citizen Corps Website (www.citizencorps.gov)
➢ Status of Current Grants:
Please provide information on any open Citizen Corps Grants your jurisdiction has to include the Fiscal
Year (FY), original grant award amount and the amount you have expended on these grants to this point.
Please provide a separate line for each grant (CERT, Fire Corps, MRC, VIPs, and Neighborhood Watch
program) *Each Citizen Corps program is considered a separate grant and must have its own Quarterly
Report*
Georgia Emergency Management Agency (GEMA)
Citizen Corps & Grant Quarterly Report
Agency /Applicant:
Reporting Quarter:
Program Update:
1 (Jan)
2 (April)
3 (July)
Program Type
Citizen Corps Council
CERT
Fire Corps
.........................
MRC
Volunteers in Policing
(VIPs)
Watch
# Active
Members
Date of Last Meeting
(00 /00 /00)
#Volunteers trained
this Quarter
#Date of last training
(00 /00 /00)
1). Training Update: (Please provide a brief description of training classes held during this quarter)
2.) Funding:
Complete Sections A & B of the Quarterly Financial Status Report (FSR) and submit with this report.
3.) Citizen Corps Program Activities: (List any activities for emergency, non - emergency and outreach activities where volunteers
were utilized or demonstrated their skills during this quarter)
4.) Next Quarter Planning: (List any scheduled events, training, recruitment, outreach activities being planned for next quarter)
*Have these events and activities been updated on the National Citizen Corps website calendar?
yes no If yes, date of last entry?
5.) Status of all open CCORPS Grants:
FY Grant Type /Org. Award: % Expended
FY Grant Type /Org. Award: % Expended
(Example: FY 08 Grant Type /Award: CERT - $8,000 %Expended: 50 %)
Please submit all Quarterly Reports to the State Citizen Corps Program Coordinator at
gaccPgema.ga.gov or fax to 770 - 359 -1339.
4th (Oct)
COPY of memo sent via email on January 11, 2012 to Citizen Corps Point of Contacts
MEMORANDUM
TO: Local Citizen Corps Program Coordinators and Grant Administrators
FROM Dan Stowers, Planning Director- Georgia Emergency Management Agency / Homeland Security
Date: January 10, 2012
RE: 2011 Citizen Corps Grant
would like to thank you for your commitment to build and sustain your local Citizen Corps Program.
Many of you that applied for FY 2011 HSGP - Citizen Corps funding were in attendance at the November
Citizen Corps — LEPC Summit this past fall. During that meeting we shared with you our goal to increase
Citizen Corps Programs across Georgia by ten percent annually. Your response and the number of
applications we received are good indicators that we are achieving and exceeding that goal. We saw a
forty percent increase in grant applications this year with a total of forty -nine applications and eight first
time applicants establishing Citizen Corps Programs. We feel this will be eight more counties better
prepared for the next disaster in Georgia.
Today we have mailed grant packets to you.
Enclosed in this packet you will find the following documents to assist you in completing your FY2011
Citizen Corps Grant application.
• Program Requirements and Funding Guidelines for Citizen Corps Programs
• Budget Worksheet & Sample Budget Worksheet
• Authorized Equipment List
• Copy of original award letter that was sent to your County Chairperson or CEO last month
Electronic copies of these forms are available upon request via email. They will also be placed on the
GEMA /HS website under the Preparedness — Citizen Corps tabs within the next few days at
www.gema.ga.gov
In order to complete your grant and send you the Grantee --Sub Grantee agreement, we will need a
completed and approved budget worksheet that details how you intend to commit all of the funds
awarded to you in accordance with the Program Requirements and Funding Guidelines and the Georgia
Citizen Corps Authorized Equipment List.
To Complete Your Budget Worksheet:
1. Take the funding amount awarded to your jurisdiction in your grant award letter.
2 Review the Program Requirements and Funding Guidelines for Citizen Corps Programs and the
Authorized Equipment List. (NEW FOR 2011)
3. Complete your budget worksheet. (A sample budget worksheet is enclosed for reference)
4. Return your budget worksheet for review and approval.
You must return your budget worksheet to GEMA Planning no later than February 15, 2012. Once your
worksheet is received, reviewed and approved, it will be forwarded to the GEMA Public Assistance
Division. GEMA Public Assistance will send you confirmation of approval and your Grantee -Sub Grantee
Agreement that authorizes you to begin committing funds under this grant.
You may return your budget worksheet via email for faster review and approval
to gaccPgema.ga.gov or fax it to 770 - 359 - 1339.
Worksheets may also be mailed for review:
Georgia Emergency Management Agency / Homeland Security
Attn: Planning - Citizen Corps Coordinator
PO Box 18055
Atlanta, GA -30316 -0055
DO NOT BEGIN TO OBLIGATE FY2011 FUNDS UNTIL your budget worksheet is approved and you receive
your Grantee -Sub Grantee Agreement and have it signed and returned to GEMA Public Assistance.
Please feel free to contact me if you any questions, gaccPgema.ga.gov, and 404- 635.7337