Agenda 07/24/2012 Item #16F37/24/2012 Item 165.3.
EXECUTIVE SUMMARY
Recommendation to approve the submittal of a Volunteer Fire Assistance Grant
Application in the amount of $2,112 to purchase Class A Foam for the Ochopee Fire
Control District.
OBJECTIVE: Obtain approval to submit the Volunteer Fire Assistance Grant Application to
purchase Class A Foam for the Ochopee fire Control District.
CONSIDERATIONS: Ochopee Fire Control District has submitted and received this type of
grant from the Florida Division of Forestry for the past 33 years. The grant has been used to
purchase equipment for the purpose of improving firefighter safety and firefighting capabilities.
The Class A Foam will be used for brush fire containment and this 50150 grant will allow
Ochopee Fire Control District to increase suppression power by acquiring more foam for brush
fire season. The Class A Foam is also a potential boost of resources for Ochopee Fire Control
District because it increases fire protection of life and property making this grant extremely
beneficial during this period of budget constraints.
FISCAL IMPACT: The total cost of the Class A Foam is $2,112. As this is a 50150 matching
grant split between the Division of Forestry and Ochopee Fire Control district with Forestry
providing 50% of the costs at $1,056. If awarded, the District's cost share of 50% in the amount
of $1,056 will be provided from Ochopee Fire Control District Fund (146). Following the award
budget amendments will be needed to recognize grant funds in Fund 713, Bureau of Emergency
Services Grants and to transfer matching funds from Fund 146 to the Bureau of Emergency
Services Grant Match Fund (714).
GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated
with this Executive Summary.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is legally
sufficient, and requires majority support for approval. -JAK
RECOMMENDATION: That the Board of County Commissioners approve the submittal of the
Volunteer Fire Assistance Grant Application for the purchase of Class A Foam and upon award
the necessary budget amendments.
Prepared by: Alan McLaughlin, Fire Chief
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7/24/2012 Item 16.F.3.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.F.3.
Item Summary: Recommendation to approve the submittal of a Volunteer Fire Assistance
Grant Application in the amount of $2,112 to purchase Class A Foam for the Ochopee Fire
Control District
Meeting Date: 7/24/2012
Prepared By
Name: SwisherLinda
Title: Administrative Secretary,Ochopee Fire Control Dist
7/9/2012 10:47:53 AM
Submitted by
Title: Fire Chief,Ochopee Fire Control District
Name: McLaughlinAlan
7/9/2012 10:47:54 AM
Approved By
Name: SummersDan
Title: Director - Bureau of Emergency Services,
Date: 7/9/2012 11:15:18 AM
Name: Joshua Thomas
Title: Grants Support Specialist,
Date: 7/9/2012 11:20:32 AM
Name: McLaughlinAlan
Title: Fire Chief,Ochopee Fire Control District
Date: 7/9/2012 11:40:28 AM
Name: KlatzkowJeff
Title: County Attorney
Date: 7/9/2012 3:03:03 PM
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Name: KlatzkowJeff
Title: County Attorney
Date: 7/9/2012 3:29:28 PM
Name: GreenwaldRandy
Title: Management/Budget Analyst,Office of Management & B
Date: 7/9/2012 4:23:20 PM
Name: StanleyTherese
Title: Management/Budget Analyst, Senior,Office of Management & Budget
Date: 7/11/2012 11:13:49 AM
Name: OchsLeo
Title: County Manager
Date: 7/12/2012 10:40:45 AM
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7/24/2012 Item 16.F.3.
,i
CHARLES H. 9RONSON
COMMISSIONER
7/24/2012 Item 16.17.3.
Florida Department of Agriculture and Consumer Services
Division of Forestry
VOLUNTEER FIRE ASSISTANCE GRANT APPLICATION
"""'"" Ochopee Fire Control Distirct
ADDRESS P.O. BOX 70
CITY Everglades City
STATE FI ZIP 34139
COUNTY Collier COUNTY #
EMPLOYER IDENTIFICATION NUMBER (EIN)
IZATION: (Municipal, Fire District, Non - Profit, County)
Dependent Fire Control District
IF COUNTY,
IS FIRE DEPARTMENT LOCATED IN AN INCORPORATED TOWN?
WHAT IS THE FIRE DEPARTMENT ISO RATING?�
YES ® NO ❑ IF YES, NAME OF TOWN: Everglades City IS FIRE DEPARTMENT NIMS COMPLIANT? YES N NO ❑
POPULATION OF TOWN: R2g �,...
CURRENT COOPERATIVE AGREEMENT WITH DOF? YES PI NO ❑
PROTECTED AREA: EST. POPULATION: Ribb SIZE: (SQ. MILES) HIM
DISTANCE OF CLOSEST MUTUAL AID FIRE DEPARTMENT; 3�``
NAME OF FIRE DEPARTMENT:
East Naples Fire Dist
NUMBER OF FIREFIGHTERS: PAID: 17 VOLUNTEERS: 5 W HAS APPLICANT RECEIVED GRANT FUNDS FROM ANY SOURCE IN
THE PAST 12 MONTHS? YES 0 NO ❑
NO. OF INCIDENTS PAST YEAR; WILDLAND FIRE: j 3 OTHER: F524 IF YES, WHERE? Florida Division of Forestry
NO. OF FIREFIGHTERS CERTIFIED AS: �'" -
WILDLAND FIREFIGHTER 7 21 WILDLAND FIREFIGHTER!! AMOUNT: $ 2,062.50
LIST TOTAL FUNDS RECEIVED FROM OTHER TAXING AUTHORITIES
SUCH AS CITY, COUNTY, TAXING DISTRICTS (Past 12 Months)
AMOUNT: $ 1
LIST OF FIREFIGHTING VEHICLES:
Title
Telephone Number: (239) 695 -4114
TYPE
MAKENR.MODEL
PUMP CAPACITY (GPM)
WATER CAPACITY (GAL.)
Engine 3
Emergency One 98, 05,05
1250
1000
Tanker
Emergency One 2012
1250
2500
Brush 2
6 x6 73
250
750/1100
Attack
Dodge 5500
250
350
ESTIMATED GRANT FUNDING REQUEST: 2,112
LIST OF EQUIPMENT
OR SUPPLIES TO PURCHASE WITH GRANT FUNDS:
FEDERAL
$1,056
NUMBER
DESCRIPTION
AMOUNT
APPLICANT
$ 1,0556
24
5 gallon class A foam
2,112
COUNTY
$
TOTAL
$2,112
(Federal not more than 50% of total. Applicant at least 50% of
total in matching funds.)
We understand that this is a 50 percent maximum cost -share program (Cooperative Forestry Assistance Act of 1978, PL 95 -313), and that funds on
deposit up to 50 percent of the actual purchase price of the items approved will be committed to our project. TO THE BEST OF MY KNOWLEDGE AND
BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT. THE GOVERNING BODY OF THE APPLICANT HAS DULY AUTHORIZED
THIS DOCUMENT.
Type Name of Authorized Representative
Title
Telephone Number: (239) 695 -4114
Fred W. Coyle
Chairman
FAX: (239 ) 695 -3473
>ignature of Authorized Representative
Date Signed and Submitted
Email:
DACS -11484 REV. 3106
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7/24/2012 Item 16.F.3.
OkiB Approval No. 0348 -0040
ASSURANCES — NON - CONSTRUCTION PROGRAMS
Note: 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.
As the duly authorized representative of the aRplicant 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] 970
(42 U.S.C. §§ 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. §§
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 I•Iealth 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
Vill 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, (1) 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 1I and III of the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 (P.L. 961 -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 with the provisions of the Health 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 oow
hazard area to participate in the
program and to purchase flood insurance if the total cost of insurable'
construction and acquisition of $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 (I6
U.S.C. §§ 1451 et seq.); (f) conformity of Federal actions to State
(Clear Air) Implementation Plans under Section 176(c) of the Clear
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.
V, B -5 (02105)
Authorized for Local Reproduction
Standard Form 4248 (9- 03)Prescribed by OMB Circular A -102
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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), FO 11593 (identification and protection of
historic properties), and the Archeological and Historic Preservation
Act of'] 974 (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 el seq.) pertaining to the
care, handling, and treatment of warn blooded animals held for
7/24/2012 Item 161.3.
research, teaching, or other ai,......_
assistance.
16. Will comply with the Lead -Based Paint Poisoning Prevention
Act (42 U.S.C. §§ 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 of 1984.
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations and policies governing
this program.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
TITLE
Board of County Commissioners Chairman
APPLICANT ORGANIZATION
DATE
Collier County Board of County Commissioners
SUBMITTED
V, B -6 (02105)
Authorized for Local Reproduction)
Standard Form 424B (9-03
Prescribed by OMB Circular A -102
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Form AD -1047 w92)
U. S. DEPARTMENT OFAGRICULTURE
Certification Regarding Debarment, Suspension, and Other
Responsibility Matters - Primary Covered Transactions
7/24/2012 Item 16.F.3.
This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension,
7 CFR Part 3017, Section 3017.510, Participants` responsibilities. The regulations were published as Part IV of the
January 30, 1989, Federal RcOster(pages 4722 - 4733). Copies of the regulations maybe obtained by contacting the
Department of Agriculture agency offering the proposed covered transaction.
(Before completing certification, read instructions on reverse)
(1) The prospective primacy participant certifies to the best of its knowledge and belief, that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from covered transactions by any Federal department or agency;
(b) have not within a three -year period preceding this proposal been convicted of or had a civil judgment
rendered against them for commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing 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, malting 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 application/proposal had one or more public
transactions (Federal, State or Local) terminated for cause or default.
(2) Where the prospective primary participant is unable to certify to any of the statements in this certification,
such prospective participant shall attach an explanation to this proposal.
NAME
Collier County Board of Ochopee Fire Control District
County Commissioners
Fred W. Coyle, Chairman
SIGNA
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Form AD -1047 piszl I t�c�sc1
INSTRUCTIONS FOR CERTIFICATION
7/24/2012 Item 165.3.
1. By signing and submitting this form, the prospective primary participant is providing the certification set out
on the reverse side in accordance with these instructions.
2. The inability of a person to provide the certification required below will not necessarily result in denial of
participation in this covered transaction. The prospective participant shall submit an explanation of why it
cannot provide the certification set out on this form. The certification or explanation will be considered in
connection with the department or agency's determination whether to enter into this transaction. However,
failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such
person from participation in this transaction.
3. The certification in this clause is a material representation of fact upon which reliance was placed when the
department or agency determined to enter into this transaction. If it is later determined that the prospective
primary participant knowingly rendered an erroneous certification, in addition to other remedies available to
the Federal Government, the department or agency may terminate this transaction for cause or default.
4. The prospective primary participant shall provide immediate written notice to the department or agency to
whom this proposal is submitted if at any time the prospective primary participant learns that its certification
was erroneous when submitted or has become erroneous by reason of changed circumstances.
S. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction,"
"participant," "person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as
used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules
implementing Executive Order 12549. You may contact the department or agency to which this proposal is
being submitted for assistance in obtaining a copy of those regulations.
6. The prospective primary participant agrees by submitting this form that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person
who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered
transaction, unless authorized by the department or agency entering into this transaction.
7. The prospective primary participant further agrees by submitting this form that it will include this clause
titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier
Covered Transactions," provided by the department or agency entering into this covered transaction, without
modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.
8. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier
covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered
transaction, unless it knows that the certification is erroneous. A participant may decide the method and
frequency by which it determines the eligibility of its principals. Each participant may, but is not required to,
check the Nonprocurement List.
9. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order
to render in good faith the certification required by this clause. The knowledge and information of a
participant is not required to exceed that which is normally possessed by a prudent person in the ordinary
course of business dealings.
10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered
transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred,
ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies
available to the Federal Government, the department or agency may terminate this transaction for cause or
default.
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