Agenda 01/13/2015 Item #16E 5 1/13/201516.E.5.
EXECUTIVE SUMMARY
n
Recommendation to approve, after-the-fact, the electronic submittal of a Federal
Emergency Management Agency Assistance to Firefighter's Grant in the amount of
$41,006($39,054 grant and $1,952 match)for the purchase of a Vehicle Exhaust Extraction
System for the Isle of Capri Fire District
OBJECTIVE: To purchase, through a Federal Emergency Management Agency Assistance to
Firefighters Grant(AFG),a Vehicle Exhaust Extraction System for the Isle of Capri Fire Station.
CONSIDERATIONS: Isle of Capri Fire District has received this type of grant from the Federal
Emergency Management Agency (FEMA) in past years. The Isle of Capri Fire Station provides
Fire/Rescue and ALS ambulance service 24 hours a day, seven days a week. Personnel are
housed around the clock at the station adjacent to the storage of fire apparatus and an ambulance.
This grant would provide an exhaust removal system for these vehicles to enhance the safety and
well being of personnel at this location.
The AFG grant program typically provides only a month for development and submittal of grant
applications. The notice of funding was announced on November 3, 2014 with a due date of
December 5,2014. Due to the short turnaround time, an approval from the County Manager was
obtained in order to electronically submit the grant application within the deadline. This approval
follows standard practice as outlined in CMA #5330 for after-the-fact approval of grant
applications.
FISCAL IMPACT: The total cost of the Vehicle Exhaust Extrication System is $41,006. This
is a 95/5 matching grant split between FEMA and the Isle of Capri Fire District with FEMA
providing 95% of the costs at $39,054. If awarded, the District's share of 5% in the amount of
$1,952 will be funded from Isle of Capri Fund 144. Following the award a grant agreement will
be presented to the Board of County Commissioners along with budget amendments to recognize
grant funds in Fund 713, County Manager Grants and to transfer matching funds from Fund 144
to Fund 714, County Manager Match in Project.
GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated
with this Executive Summary.
LEGAL CONSIDERATIONS: The Board will have the opportunity to accept or reject the
funds if the grant is approved. Accordingly, this Office has no issue with respect to the legality
of the request,which requires a majority vote for Board action. -JAB
RECOMMENDATION: To approve, after-the-fact, the electronic submittal of a Federal
Emergency Management Agency Assistance to Firefighter's Grant for the purchase of a Vehicle
Exhaust Extraction System.
Prepared by: Alan McLaughlin,Fire Chief
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1/13/2015 16.E.5.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.E.16.E.5.
Item Summary: Recommendation to approve, after-the-fact,the electronic submittal of a
Federal Emergency Management Agency Assistance to Firefighter's Grant in the amount of
$41,006 ($39,054 grant and $1,952 match)for the purchase of a Vehicle Exhaust Extraction
System for the Isle of Capri Fire District
Meeting Date: 1/13/2015
Prepared By
Approved By
Name: McLaughlinAlan
Title: Fire Chief, Ochopee Fire Control District
�-� Date: 12/17/2014 10:23:13 AM
Name: SummersDan
Title: Director-Bureau of Emergency Services,Bureau of Emergency Services
Date: 12/17/2014 12:02:19 PM
Name: Joshua Thomas
Title: Grants Support Specialist, Grants Management Office
Date: 1 2/17/2014 12:59:37 PM
Name: BelpedioJennifer
Title: Assistant County Attorney, CAO General Services
Date: 12/18/2014 2:58:46 PM
Name: PriceLen
Title: Administrator-Administrative Services,Administrative Services Division
Date: 12/30/2014 9:42:45 AM
Name: BelpedioJennifer
Title: Assistant County Attorney, CAO General Services
Date: 12/30/2014 10:21:45 AM
Name: IsacksonMark
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1/13/2015 16.E.5.
Title: Director-Corp Financial and Mngmt Svs, Office of Management&Budget
Date: 12/30/2014 1:32:01 PM
Name: KlatzkowJeff
Title: County Attorney,
Date: 12/30/2014 3:31:29 PM
Name: StanleyTherese
Title: Manager-Grants Compliance, Grants Management Office
Date: 1/5/2015 1:47:10 PM
Name: DurhamTim
Title:Executive Manager of Corp Business Ops,
Date: 1/6/2015 8:41:29 AM
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1/13/2015 16.E.5.
Office e of Management& Budget
Grant Application Reviewed and Approved by County
Manage or deslgnnept ��� -
r. /
•
1 ►
Count M.•alter
date
After-the-Fact Approval by the BCC is required at the
January 13,2015 BCC meeting
TO: Leo Ochs,County Manager
CC: Alan McLaughlin Isles of Capri Fire District
FROM:Joshua Thomas,Grants Support Specialist
RE: County Manager review and approval of a 2014 Assistance to Firefighters Grant sponsored by
FEMA in the amount of$41,006
December 2,2014
The Isles of Capri Fire District is applying for an Assistance to Firefighters Grant in the amount of
$39,054 to install a Vehicle Exhaust Extraction System. The Isles of Capri Fire Station is occupied 24/7
with three firefighters and two paramedics. Collier County EMS shares the station providing an ALS
ambulance. If awarded,the grant will provide exhaust removal equipment for three vehicles at the
station. The Assistance to Firefighters Grant requires a 5%match in the amount of$1,952 and matching
funds are available in Isle of Capri Fund 144.
The Notice of Funding was announced on November 3,2014 with a due date of December 5,2014. Due
to the short turnaround,we are requesting your approval to submit the application,followed by after the
fact approval by the Board of County Commissioners at the January 13,2015 BCC meeting. Once you
have reviewed the application,please sign in the box above and call me for pickup at 239-252-8989.
Thank you,and please let me know if you have any questions regarding this request.
3299 Tamiami Trait East,Suite 201•Naples,Florida 34112-5746.239.252-8973•FAX 239-252 4.28
Packet Pare -1816-
Application Number: EMW-2014-FO-03028 13/ t --c t^7
1/13/2015 16.E.5.
Entire Application
Applicant's Acknowledgements
• I certify the DUNS number in this application is our only DUNS number and we have confirmed it is active in SAM.gov as the correct number.
• As required per 2 CFR L 25.205,I certify that prior to submission of this application I have checked the DUNS number listed in this application against
the SAM.gov website and it is a correct and active at time of submission.
• I certify that the applicant organization has consulted the appropriate Funding Opportunity Announcement and that all requested activities are
programmatically allowable,technically feasible and can be completed within the award's one(1)year Period of Performance(POP).
• I certify that the applicant organization is aware that this application period is open from 11/03 to 12/05/2014 and will close at 5 PM EST;further that the
applicant organization is aware that that once an application is submitted,even if the application period is still open,a submitted application cannot be
changed or released back to the applicant for modification.
• I certify that the applicant organization is aware that it is solely the applicant organization's responsibility to ensure that all activities funded by this award
(s),comply with Federal Environmental planning and Historic Preservation(EHP)regulations,laws,and Executive Orders as applicable.The EHP
Screening Form designed to initiate and facilitate the EHP Review is available at:htto:/hnnv.fema.aov/media-library/assets/documents/30521?id=6906
• I certify that the applicant organization is aware that the applicant organization is ultimately responsible for the accuracy of all application information
submitted.Regardless of the applicant's intent,the submission of information that is false or misleading may result in actions by FEMA that include,but
are not limited to:the submitted application not being considered for award,an existing award being locked pending investigation,or referral to the Office
of the Inspector General.
•
Signed by Wayne Martin on 2014-12-02
Overview
-Did you attend one of the workshops conducted by an AFG regional fire program specialist?
No,I have not attended workshop
•Did you participate in a webinar that was conducted by AFG?
No
•Are you a member,or are you currently involved In the management,of the fire department or nonaffiliated EMS organization
or a State Fire Training Academy applying for this grant with this application?
Yes,I am a member/officer of this applicant
If you answered"No",please complete the information below.If you answered"Yes-,please skip the Preparer Information section.
Fields marked with an•are required.
Preparer Information
Preparer's Name
•Address 1
Address 2
•City
'State
•Zip Need help for ZlP+4?
In the space below please list the person your organization has selected to be the primary point of contact(POC)for this grant.This should be a
department officer or member of the organization who will see this grant through completion,to include closeout.Reminder:if this person changes at any
time during the period of performance please update this information.Please list only phone numbers where we can reach the POC.
Primary Point of Contact
•Title Operations Manager
Prefix(select one) Mr.
•First Name Wayne
Middle Initial
•Last Name Martin
Primary Phone(e.g.123-456-7890QQ) 2393948770 Ext. Type work r�
•Secondary Phone(e.g.123-456-7890V) 2397848638 Ext. Type cell
Optional Phone(e.g.123-456-7890?) Type Select
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1/13/2015 16.E.5.
Fax(e.g.123-456-7890V) 2393945862
•Email(e.g.user @xyz.org) waynemartin @cotliergov.net
Contact Information
Alternate Contact Information Number 1
•Title Fire Chief
Prefix(select one) Mr.
•First Name Alan
Middle Initial
•Last Name McLaughlin
•Primary Phone 2396954114 Ext. Type work
*Secondary Phone 2392853726 Ext. Type cell
Optional Phone Type
Fax 2396953473
•Email alanmclaughlin @colliergov.net
Alternate Contact Information Number 2
•Title Director
Prefix(select one) Mr.
•First Name Dan
Middle Initial E
•Last Name Summers
•Primary Phone 2392523600 Ext. Type work
'Secondary Phone 2392534671 Ext. Type cell
Optional Phone Type
Fax 2392523700
*Email dansummers @cotliergov.net
•
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Applicant Information
EMW-2014-F0-03028
Originally submitted on 12/04/2014 by Wayne Martin(Userid:chief92)
Contact Information:
Address:175 Capri Blvd
City:Naples
State:Florida
Zip:34113
Day Phone:2393948770
Evening Phone:7043006144
Cell Phone:2397848770
Email:waynemartin @colliergov.net
Application number Is EMW-2014-FO-03028
Organization Name Isles of Capri Fire Rescue
it
•Type of Applicant Fire Department/Fire District
•Fire Department/District,Nonaffiliated EMS,and Regional applicants, Other(explain)
select type of Jurisdiction Served
If"Other",please enter the type of Jurisdiction Dependent Fire District
SAM.go_v(System For Award Management)
•What is the legal
name of your Entity as
it appears in SAM.gov?
Note:This information
must match your County of Collier
SAM.eov profile if your
organization is using
the DUNS number of
your Jurisdiction.
•What is the legal business address of your Entity as it appears in SAM.nov?
Note:This information must match your SAM cloy profile if your organization is using the DUNS number of your Jurisdiction.
Mailing Address 1 3299 Tamiami Trail East
Mailing Address 2 Suite 700
•City Naples
State Florida
Zip 34112-3969
Neal help for ZIP+4?
•Employer
IdenlificaliQn Number
(e.g.12-3456789) 56-6000558
Note:This information
must match your
SAM.gov profile.
•Is your organization
using the DUNS Yes
number of your
Jurisdiction?
I certify that my
organization is
authorized to use the
DUNS number of my
Jurisdiction provided in
this application.
(Required if you select
Yes above)
•Wnat is your 9 digit 076997790
DUNS number? (call 1-866-705-5711t 'to get a DUNS number)
If you were issued a 4
digit number(DUNS
plus 4)by your
Jurisdiction in addition
to your 9 digit number
please enter it here.
Note:This is only
required if you are
using your
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Jurisdiction's DUNS
number and have a
separate bank account
from your Jurisdiction.
Leave the field blank if
you are using your
Jurisdiction's bank
account or have your
own DUNS number
and bank account
separate from your
Jurisdiction.
• Is your DUNS
Number registered in
SAM,00v(System for Yes
Award Management
previously CCR.gov)?
• I certify that my
organization/entity is
registered and active at
SAM.gov and
registration will be
renewed annually in
compliance with
Federal regulations.I
acknowledge that the
information submitted
in this application is
accurate,current and
consistent with my
organization's/entity's
SAM.gov record.
Headquarters or Main Station Physical Address
Physical Address 1 175 Capri Blvd
Physical Address 2
•City Naples
•State Florida
Zip 34113-5746
• Need help for ZIP'47
Mailing Address
•Mailing Address 1 3299 Tamiami Trail East
Mailing Address 2
City Naples
•State Florida
Zip 34112-3969
• Need help for 211,447
Bank Account Information
•The bank account Note:If this is selected,a 4 digit DUNS plus 4 is required if you answered"YES"to using the DUNS number of your Jurisdiction.
being used is:(Please
select one from right) Maintained by my Jurisdiction
Note:The following banking information must match your SAM.gov profile.
•Type of bank account Checking
•Bank routing number-
9 digit number on the 067091719
bottom left hand corner
of your check
•Your account number 1138577
Additional Information
•For this fiscal year(Federal)is your organization receiving Federal
funding from any other grant program that may duplicate the purpose No
and/or scope of this grant request?
•If awarded,will your organization expend more than 5750,000 in Federal
funds during your organization's fiscal year?If"Yes",your organization
may be required to undergo an A-133 audit.Reasonable costs incurred
for an A-133 audit are an eligible expenditure and should be Included in No
the applicant's proposed budget.Please enter audit costs only once under
any"Additional Funding"in the"Request Details"section of the
application.
Is the applicant delinquent on any Federal deb(? No
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If you answered"Yes"to any of the additional questions above,please provide an explanation in the space provided below:
Fire Department/Fire District Department Characteristics(Part I)
•Is this application being submitted on behalf of a Federal Fire
Department or organization contracted by the Federal government which No
Is solely responsible for the suppression of fires on Federal property?
•What kind of organization do you represent? All Paid/Career
If you answered"Combination"above,what is the percentage of career %
members in your organization?
If you answered"Volunteer","Combination"or"Paid on-call•,how many of
your volunteer Firefighters are paid members from another career
department?
•What type of community does your organization serve? Suburban
•Is your Organization considered a Metro Department? No
•What is the square mileage of your first-due response area?
Primary/First Due Response Area is a geographical area proximate to a
fire or rescue facility and normally served by the personnel and apparatus 19.2
from that facility in the event of a fire or other emergency and does not
include daily or seasonal population surges.
•What percentage of your primary response area is protected by 25
hydrants?
•In what county/parish is your organization physically located?If you have Collier
more than one station,in what county/parish is your main station located?
•Does your organization protect critical infrastructure? No
If"Yes",please describe the critical infrastructure protected below:
•How much of your primary response area is for agriculture,wildland, 80%
open space,or undeveloped properties?
•What percentage of your primary response area is for commercial and 1,/o
industrial purposes?
•What percentage of your primary response area is used for residential 19 To
purposes?
•How many occupied structures(commercial,industrial,residential,or
institutional)In your primary response area are more Than three(3)stories 12
tall?Do not include structures which are not regularly occupied such as
silos,towers,steeples,etc.
•What is the permanent resident population of your Primary/First-Due 2900
Response Area or jurisdiction served?
•Do you have a seasonal increase in population? Yes
If"Yes"what is your seasonal increase in population? 920
•How many active firefighters does your department have who perform 13
firefighting duties?
•How many members in your departmenUorganization are trained to the
level of EMT-I or EMT-Advanced? 13
Does your department have a Community Paramedic program? No
How many personnel are trained to the Community Paramedic level? 0
•How many stations are operated by your organization? 1
•Is your department compliant to your local Emergency Management Yes
standard for the National Incident Management System(NIMS)?
•Do you currently report to the National Fire Incident Reporting System
(NFIRS)? Yes
Note:You will be required to report to NFIRS for the entire period of the
grant.
If you answered"Yes"above,please enter your FDINIFDID 64041
•How many of your active firefighters are trained to the level of Firefighter
I? 100%
(Include all personnel who have attained Firefighter I)
•How many of your active firefighters are trained to the level of both 100
Firefighter I and Firefighter II? ,\
If you answered less than 100%to either question above,are you
requesting for training funds in this application to bring 100%of your
firefighters into compliance with NFPA 1001?
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If you indicated that less than 100%of your firefighters are trained to the Firefighter II level and you are not asking for training funds to bring everyone to
the FF II level In this application,please describe in the box below your training program and your plans to bring your membership up to Firefighter II.
�„ •What services does your organization provide?
Advanced Life Support Rescue Operational Level
Naz-Mat Operational Level
Basic Life Support Structural Fire Suppression
Maritime Operations/Firefighting \Midland Fire Suppression
Emergency Medical Responder Occasional Fire Prevention Program
•Please describe your organization and/or community that you serve.
The Isles of Capri Fire Distrct is a small fire district located in Southwest Florida.Originally created in 1977 with a group of volunteers.We have two 1500
GPM Class A Engines,one small brush truck,one fire rescue boat and two staff vehicles.We joint cover the Fire District with Collier County EMS ALS
transport ambulance and a joint staffed ALS Engine.The community is predominately residential with hundreds of miles of shoreline.We respond to
over 400 calls a year with approximately 40 boat calls.We respond to our neighbor fire departments about 150 times a year on automatic aid.We also
provide a dive rescue team.
Fire Department Characteristics(Part II)
2013 2012 2011
•What is the total number of fire-related civilian fatalities in your jurisdiction over the last 0 0 0
three calendar years?
•What is the total number of fire-related civilian injuries in your jurisdiction over the last 0 0 0
three calendar years?
•What is the total number of line of duly member fatalities in your jurisdiction over the last 0 0 0
three calendar years?
•What is the total number of line of duty member injuries in your jurisdiction over the last 1 1 1
three calendar years?
•Over the last three years,what was your organization's average operating budget? 1112062 1408000 1736000
•What percentage of your TOTAL budget is dedicated to personnel costs(salary,overtime 8870 81% 76%
and fringe benefits)?
•What percentage of your annual operating budget is derived from: 2013 2012 2011
Enter numbers only,percentages must sum up to 100%
,-\ Taxes? 100% 100% 100%
Bond Issues 0% 0% 0%
EMS Billing? 0% 0% 0%
Grants? 0% 0% 0%
Donations? 0% 0% 0
Fund drives? 0% 0% 0%
Fee for Service? 0% 0% 0%
Other? 0% 0% 0%
If you entered a value into Other field(other than 0),please explain
Does your organization intend to provide a cost share greater than the required amount? No
(If applying for a Micro Grant,please select"N/A")
If yes,how much additional funding in excess of the required cost share is your
organization willing to contribute?Enter the amount in the box to the right. S
Note:This figure will not affect the budget calculations.
Please describe your organization's need for Federal financial assistance.
The Isles of Capri Fire district has been able to meet its payroll and operating requirements.We have been unable to have funding for any capital items
in the last five years.Without a grant for the Vehicle Exhaust System we will be unable to provide these safety features in our fire station.
•How many vehicles does your organization have In each type or class of vehicle listed below?You must include vehicles that are leased or on
long-term loan as well as any vehicles that have been ordered or otherwise currently under contract for purchase or lease by your
organization but not yet in your possession.listed below?(Enter numbers only and enter 0 if you do not have any of the vehicles below.)
Number
Number of Number of of Seated
Type or Class of Vehicle Front Line Reserve
Apparatus Apparatus Riding
Positions
Engines or Pumpers(pumping capacity of 750 gpm or greater and water capacity of 300
gallons or more): 1 1 16
Pumper,Pumper/Tanker,Rescue/Pumper,Foam Pumper,CAFS Pumper,Type for Type II Engine Urban
Interface
Ambulances for transport and/or emergency response: 0 0 0
Tankers or Tenders(pumping capacity of less than 750 gallons per minute(gpm)and 0 0 0
water capacity of 1.000 gallons or more):
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Aerial Apparatus: 0 0 0
Aerial Ladder Truck,Telescoping,Artiw!atMg,Ladder Towers,Platform.Tiler Ladder Truck,Quint
Brush/Quick attack(pumping capacity of less than 750 gpm and water carrying capacity of
at least 300 gallons): 0 0 0
Brush Truck,Patrol Unit(Pickup wt Skid Urit),Qutck Attack Urn:{,Mini-Pumper.Type III Engine,Type IV Engine.
Type V Engine,Type VI Engine,Type VII Engine
Rescue Vehicles: 0 0 0
Rescue Squad,Rescue(Light,Medum,Heavy).Technical Rescue Vehicle,Hazardous Materials Unit
Additional Vehicles:
EMS Chase Vehicle,Air/Light Unit,Rehab Units,Bomb Unit.Technical Support(Command,Operational 3 0 12
Support/Supply),Hose Tender.Salvage Truck,ARFF(Aircraft Rescue Firefighting),Command/Mobile
Communications Vehicle .
Fire Department Call Volume
2013 2012 2011
•How many responses per year by category?(Enter whole numbers only.It you have no calls for any of the categories,Enter 0)
Structural Fires 5 4 5
False Alarms/Good Intent Calls 176 153 44
Vehicle Fires 2 3 1
Vegetation Fires 5 7 2
EMS-BLS Response Calls 0 0 0
EMS-ALS Response Calls 151 152 245
EMS-BLS Scheduled Transports 0 0 D
EMS-ALS Scheduled Transports 0 0 0
Community Paramedic Response Calls 0 0 0
Vehicle Accidents w/o Extrication 13 15 19
Vehicle Extrications 2 2 1
Other Rescue 10 9 5
Hazardous Condition/Materials Calls 4 4 5
Service Calls 32 32 4 ��
Other Calls and Incidents 9 22 2
Total 409 403 333
How many responses per year by category?(Enter whole numbers only.If you have no calls for any of the categories,Enter 0)
What is the total acreage of all vegetation 1 1 1
fires?
•How many responses per year by category?(Enter whole numbers only.If you have no calls for any of the categories,enter 0)
In a particular year,how many times does 0 0 0
your organization receive Mutual Aid? '
In a particular year,how many times does 21 12 0
your organization receive Automatic Aid?
In a particular year,how many limes does 0 0 0
your organization provide Mutual Aid?
In a particular year,how many times does 144 135 12
your organization provide Automatic Aid?
Total Mutual/Automatic Aid(please total 165 147 12
the responses from the previous two blocks)
Out of the Mutual/Automatic Aid responses, 5 4 5
how many were structure fires?
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Request Information
1.Select the program for which you are applying.You can apply for as many activities within a program as you need.If you are interested in applying
under Vehicle Acquisition or Operations and Safety,you will need to submit separate applications.
Program Name
Operations and Safety
2.Wit this grant directly benefit more than one organization?
Yes
If you answered"Yes"to Question 2,please explain how this request benefits other organizations below:
Collier County EMS is housed in the Isles of Capri Fire Station.They provide 24/7 ALS coverage.Providing the exhaust extrication system will benefit
both agencies.The ambulance and fire apparatus will be corrected to the exhaust removal system.
3.Enter grant-writing fee associated with the preparation of this request.Enter 0 if there is no fee.
$O
"4.Are you requesting a Micro Grant?
A Micro Grant is limited to$25,000 Federal share.Modification to Facilities activity is No
ineligible for Micro Grants.
Request Details
The activities for program Operations and Safety are listed in the table below.
Activity Number of Entries Total Cost Additional Funding
Equipment 0 $0 $0
Modify Facilities 1 $39,506 $1,500
Personal Protective Equipment 0 $0 $0
Training 0 $0 $0
Wellness and Fitness Programs 0 $0 $0
Grant-writing fee associated with the preparation of this request. SO
View Operations and Firefighter Safety-Modify Facilities
Modify Facilities Details
1.On what type of modification will the funds be spent?(Add one line-item request per Source Capture Exhaust System(s)
facility being modified)
Please provide a detailed description of the modification selected above. The modification of one station to provide a fixed vehicle
exhaust system.The station is manned 24/7 with three
firefighters and two paramedics per shift.All vehicles are
discharging diesel fumes thus creating a health hazard.
2,What is the square footage of the area that your modification will directly affect? 1960
3.If you are installing an exhaust system.how many vehicles do you plan on attaching to
the system(only include currently owned vehicles or vehicles on order-do not include 3
equipment for future capacity)?
4.Does the facility you wish to modify have a drive through bay? No
5.Number of units: 1 (rahooe number on:y)
6.Cost per unit: 39506 (whole dater amounts ant")
7.Wnat is the age of the facility that is being modified? 21 years
8.What type of facility will be modified? Station(s)with sleeping quarters(to include marine fire
facilites)
9.Wnat is the level of occupancy for the facility you wish to modify?Note:The occupancy Full-Time(24/7)
is defined by the number of hours the facility is used within a single 24 hour time period.
Firefighting Modify Facilities-Narrative
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'Section#1 Project Description:In the space provided below,include clear and concise details regarding your organization's project's description and
budget.This includes providing local statistics to justify the needs of your department and a detailed plan for how your department will implement the
proposed project.Further,please describe what you are requesting funding for,including budget descriptions of the major budget items,i.e.,personnel,
equipment,contracts,etc.'4000 characters
The Isles of Capri Fire District is applying for a grant to ensure Firefighter Safety.We expect to accomplish this with station modifications with the
installation of a Vehicle Exhaust Extraction System.
The station is occupied 24/7 with three firefighters and two paramedics.Collier County EMS shares the station providing an ALS Ambulance.To provide
the best service and have two ALS units at all times one of our Firefighters is on the Ambulance and one of the Paramedics is on our Engine.This
provides two ALS units to our small community on a daily basis 24/7.
The station also houses our administrative offices.The public frequents the station for Blood Pressure checks and other medical emergencies.The Isles
of Capri Fire District Advisory Committee holds a monthly public meeting.
Once approved the project will be expedited with a bid process and installation to take place as soon as bid is awarded.
The project cost of S41,006 will provide three vehicles with exhaust removal.
We expect and are prepared to pay our 5%portion of the grant($1952).
Section#2 Cost/Benefit:In the space provided below please explain,as clearly as possible,what will be the benefits your department or your
community will realize if the project described is funded(i.e.anticipated savings and/or efficiencies)?Is there a high benefit for the costs incurred?Are
the costs reasonable?Provide justification for the budget items relating to the costs of the requested items.'4000 characters
The Isles of Capri Fire Rescue District is located in Collier County Naples,Florida.We are supported 100%by property taxes.
Since the downfall in the economy we have seen a decrease in our budget from S1,750,000 to S1,273,900 per year.
The Federal Emergency Management Agency Assistance to Firefighters Grants program has allowed us to purchase a new engine in 2005 and replace
all our outdated Self Contained Breathing Apparatus in 2007.Without the grants neither would have been possible.
Since we are a waterfront community much of our funding is used by our marine unit for fuel and maintenance.We respond to fire,rescue and medical
calls on the water approximately 40 times per year
Without this grant we will be unable to add the safety features to our station.Funding for capital projects or equipment has been limited to replacing a few
10-12 year old portable radios each year.
The benefit of the grant is tough to measure.Most firefighters in our department are in there mid thirties and have approximately ten years of service.We
have not had any cancer claims to date.We hope to prevent any cancer related incident from occurring in our department.
We have approximately 50-diesel vehicle startup and shut downs daily.
Employees have complained about breathing ailments.Working with the IAFF Local 4719 on health and safety is always an agency priority.
The original building was built in 1977 before the problems of diesel exhaust was known and built before ventilation systems were available.
In Southwest Florida we can open our doors 90%of the time.The problem is no cross ventilation exists.This is back in station.
Due to limited space turnout gear is stored in the apparatus bay.We maintain the gear with approved cleaning on a regular basis.
The system will be used each and every time a vehicle is backed in the station.
'Section#3 Statement of Effect:How would this award impact the daily operations of your department?How would this award impact your department's
ability to protect lives and property in your community?'4000 characters
The funding for the Vehicle Exhaust Extraction System will provide improved health and safety for firefighters and visitors.With the elimination of
carcinogenic we will provide the following:
With a back in station and no cross ventilation we expect to eliminate the accumulation of harmful diesel fumes.
Vapors attaching themselves to turnout gear will be eliminated.
This will put the Isles of Capri Fire District in compliance with OSHA NIOSH and NFPA 1500 Section A.9.1.6.
Budget
Budget Obiect Class
a.Personnel $0
b.Fringe Benefits $0
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c.Travel S 0
d.Equipment $39,508
e.Supplies S 0
1.Contractual $0
g.Construction $0
h,Other $1,500
I.Indirect Charges $0
j.State Taxes $0
Federal and Applicant Share
Federal Share $39,054
Applicant Share S 1,952
Applicant Share of Award(%) 5
•Non-Federal Resources(The combined Non-Federal Resaumes must equal the Appdcant Sham of S 1.952)
a.Applicant $1,952
b.State $
c.Local $0
d.Other Sources $0
If you entered a value in Other Sources other than zero(0),include your explanation below.You can use this space to provide information on the
project,cost share match,or if you have an indirect cost agreement with a federal agency.
Total Budget $41,006
•
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Narrative Statement
For 2011 and on,the Narrative section of the AFG application has been modified.You will enter individual narratives for the Project
Description,Cost-Benefit,Statement of Effect,and Additional Information In the Request Details section for each Activity for which you are
requesting funds.Please return to the Request Details section for further Instructions.You will address the Financial Need in Applicant
Characteristics II section of the application.We recommend that you type each response in a Word Document outside of the grant application
and then copy and paste it into the spaces provided within the application.
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Assurances and Certifications
FEMA Form SF 4248
You must read and sign these assurances.These documents contain the Federal requirements attached to all Federal grants including the
right of the Federal government to review the grant activity.You should read over the documents to become aware of the requirements.The
Assurances and Certifications must be read,signed,and submitted as a part of the application.
Note:Fields marked with an'are required.
O.M.B Control Number 4040.0007
Assurances Non-Construction Programs
Note:Certain of these assurances may not be applicable to your project or program.If you have any 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.
As the duly authorized representative of the applicant I certify that the applicant:
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 the project
described in this application.
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.Section 4728-4763)relating to prescribed standards for
merit systems for programs funded under one of the nineteen 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 with all Federal statutes relating to nondiscrimination.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.Sections 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.Section 794),which prohibits discrimination on the
basis of handicaps;(d)the Age Discrimination Act of 1975,as amended(42 U.S.C.Sections 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;(I)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 Acts of 1968(42 U.S.C.Section 3601 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 Title II and IiI of the Uniform Relocation Assistance and Real Property
Acquisition Policies Act 011970(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 interest in real property acquired for
project purposes regardless of Federal participation in purchases.
8. Wil comply,as applicable.with 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.
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.07401 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.Section 1271 et seq.)related to protecting components or
potential components of the national wild and scenic rivers system.
13. Wil assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act 011966,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. MI 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.
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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.Section 4801 et seq.)which prohibits the use of lead
based paint in construction 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.
Signed by Wayne Martin on 11/2012014
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Form 20-16C
You must read and sign these assurances.
Certifications Regarding Lobbying,Debarment,Suspension and Other Responsibility Matters and Drug-Free Workplace Requirements.
Note:Fields marked with an*are required.
O.M.B Control Number 1660-0025
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 on this form provides for compliance with certification
requirements under 44 CFR Part 18,"New Restrictions on Lobbying;and 44 CFR Part 17,"Government-wide Debarment and Suspension(Non-
procurement)and Government-wide Requirements for Drug-Free Workplace(Grants)."The certifications shall be treated as a material representation of
fact upon which reliance will be placed when the Department of Homeland Security(OHS)determines to award the covered transaction,grant,or
cooperative agreement.
1.Lobbying
A.As required by the section 1352,Title 31 of the US Code,and implemented at 44 CFR Part 18 for persons(entering)into a grant or cooperative
agreement over$100,000,as defined at 44CFR Part 18,the applicant certifies that:
(a)No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for influencing or
attempting to influence an officer or employee of any agency,a Member of Congress,an officer or employee of congress,or an employee
of a Member of Congress in connection with the making of any Federal grant,the entering into of any cooperative agreement and
extension,continuation,renewal amendment or modification of any Federal grant or cooperative agreement.
(b)If any other funds than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency,a Member of Congress,an officer or employee of congress,or an employee of a Member
of Congress in connection with this Federal grant or cooperative agreement,the undersigned shall complete and submit Standard Form
LLL,"Disclosure of Lobbying Activities",in accordance with its instructions.
(c)The undersigned shall require that the language of this certification be included in the award documents for all the sub awards at all
tiers(including sub grants,contracts under grants and cooperative agreements and sub contract(s))and that all sub recipients shall certify
and disclose accordingly.
2.Debarment,Suspension and Other Responsibility Matters(Direct Recipient)
A.As required by Executive Order 12549,Debarment and Suspension,and implemented at 44CFR Part 67,for prospective participants in primary
covered transactions,as defined at 44 CFR Part 17,Section 17.510-A,the applicant certifies that it and its principals:
(a)Are not presently debarred,suspended,proposed for debarment,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 application been convicted of or had a civilian judgment rendered against them for
commission of fraud or a criminal offense in connection with obtaining,attempting to obtain or perform a public(Federal,State,or local)
transaction or contract under a 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 government 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 application had one or more public transactions(Federal,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.Drug-Free Workplace(Grantees other than individuals)
As required by the Drug-Free Workplace Act of 1988,and implemented at 44CFR Part 17,Subpart F,for grantees,as defined at 44 CFR part 17.
Sections 17.615 and 17.620:
(A)The applicant certifies that it will continue 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)Establishing an on-going drug free awareness program to inform employees about:
(1)The dangers of drug abuse in the workplace;
(2)The grantees policy of maintaining a drug-free workplace;
(3)Any available drug counseling,rehabilitation and employee assistance programs;and
(4)The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
(c)Making it a requirement that each employee to be engaged in the performance of the grant to be given a copy of the
statement required by paragraph(a);
(d)Notifying the employee in the statement required by paragraph(a)that,as a condition of employment under the grant,the
employee will:
(1)Abide by the terms of the statement and
(2)Notify the employee in writing of his or her conviction for a violation of a criminal drug statute occurring in the
workplace no later than five calendar days after such conviction.
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(e)Notifying the agency,in writing within 10 calendar days after receiving notice under subparagraph(d)(2)from an
employee or otherwise receiving actual notice of such conviction.Employers of convicted employees must provide notice,
including position title,to the applicable DHS awarding office,i.e.regional office or DHS office.
(I)Taking one of the following actions,against such an employee,within 30 calendar days of receiving 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 health,law enforcement or other appropriate agency.
(g)Making a good faith effort to continue to maintain a drug free workplace through implementation of paragraphs(a),(b),(c),
(d),(e),and(f).
(B)The grantee may insert in the space provided below the sile(s)for the performance of work done in connection with the specific grant:
Place of Performance
Street City State Zip Action
If your place of performance Is different from the physical address provided by you In the Applicant Information,press Add Place of
Performance button above to ensure that the correct place of performance has been specified.You can add multiple addresses by repeating
this process multiple times.
Section 17.630 of the regulations provide that a grantee that Is a State may elect to make one certification in each Federal fiscal year.A copy of
which should be Included with each application for DHS funding.States and State agencies may elect to use a Statewide certification.
Signed by Wayne Martin on 11/2112014
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FEMA Standard Form LLL
Only complete If applying for a grant for more than 5100,000 and have lobbying activities.See Form 20-16C for lobbying activities definition.
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Submit Application
Application 100% complete, Submitted
Please click on any of the following links to visit a particular section of your application.Once all areas of your application are complete,you
may submit your application.
Application Area Status
Applicant's Acknowledgements Complete
Overview Complete
Contact Information Complete
Applicant Information Complete
Applicant Characteristics(I) Complete
Applicant Characteristics(II) Complete
Department Call Volume Complete
Request Information Complete
Request Details Complete
Budget Complete
Assurances and Certifications Complete
PLEASE READ THE FOLLOWING STATEMENTS BEFORE YOU SUBMIT.
• YOU WILL NOT BE ALLOWED TO EDIT THIS APPLICATION ONCE IT HAS BEEN SUBMITTED.If you are not yet ready to submit this
application,save It,and log out until you feel that you have no more changes.
• When you submit this application,you,as an authorized representative of the organization applying for this grant,are certifying that the
following statements are true:
To the best of my knowledge and belief,all data submitted in this application are true and correct.
This application has been duly authorized by the governing body of the applicant and the applicant will comply to the Assurances and
Certifications If assistance is awarded.
To sign your application,check the box below and enter your password in the space provided.To submit your application,click the Submit
Application button below to officially submit your application to FEMA.
Note:The primary contact will be responsible for signing and submitting the application.Fields marked with an are required.
I,Wayne J Martin,am hereby providing my signature for this application as of 04-Dec-2014.
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