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Agenda 05/25/2021 Item #16C 4 (FDEM FEMA FM-5309-FL Funds)05/25/2021 EXECUTIVE SUMMARY Recommendation to provide, after-the-fact approval for the submittal of a Hazard Mitigation Program grant application for FEMA FM-5309-FL “Essential Facility Retrofit” to the Federal Emergency Management Agency (FEMA) through the Florida Division of Emergency Management in the amount of $250,000.00. OBJECTIVE: To obtain federal grant funding for the acquisition and installation of two 125kw Stationary Generators for the Collier County Landfill’s deep injection well (DIW) and master pump station to eliminate spills which would require environmental remediation. CONSIDERATIONS: The Collier County Landfill is responsible for the proper management, conveyance and disposal of wastewater generated as a result of landfilling activities, termed leachate. The leachate is pumped from the landfill to a master pump station and will soon be conveyed to a deep injection well for final disposal. The master pump station and deep injection well are not equipped with generators to power the pumps, should power failure occur, which could result in spills which would require environmental remediation. On May 13, 2020 the Florida 36th Avenue Fire (FM-5309-FL) was declared a major disaster. The declared fire had a direct impact on Collier County and came within one mile of the County's only active landfill. Collier County Solid & Hazardous Waste Division deemed it necessary to take a proactive approach to mitigate risks and harden its critical infrastructure for any future potential disasters. On January 15, 2021 Solid Hazard Waste Management Division (SHWMD) met with the Local Mitigation Strategy Working Group (LMWSG) for review and approval of a Solid & Hazardous Waste Generator project and have it added to the approved LMSWG project list. The project was approved in mid-January and added to the Local Mitigation Strategy (LMS) working list making it eligible for Florida Division of Emergency Management (FDEM) notice of funding award (NOFA) if they became available. On February 8, 2021 FDEM released a Hazard Mitigation Grant Program (HMGP) NOFA. On March 19, 2021 the county’s Local Mitigation Strategy Working Group approved the Leachate Backup Generators project as a priority to be funded, a prerequisite for eligibility to apply. As a result, the Solid & Hazardous Waste Management Division is applying for HMGP funding through FDEM for the acquisition and installation of two 125kw stationary generators for the deep injection well and master leachate pump station Further, Collier County (CMA) #5330 authorizes the County Manager to approve the submittal of grant applications with subsequent Board of County Commissioners action at the next available Board meeting to ratify the approval as an “after-the-fact” application. The County Manager approved the grant application on May 7, 2021. FISCAL IMPACT: Funding is provided by the Federal Emergency Management Administration (FEMA); whereby, these grant dollars are passed through FDEM via the HMGP Agreement. The anticipated cost for the Generators is $250,000. The required 25% match in the amount of $62,500 is available from Solid Waste Capital Project Fund (474) Project No. 70219, Landfill DIW. Source of funding is user fees. Funding for the maintenance of the generators thereafter is available in Solid Waste Disposal Fund (470) and will result in an estimated annual maintenance cost of $6,000. 16.C.4 Packet Pg. 1210 05/25/2021 LEGAL CONSIDERATION: This item is approved for form and legality and requires a majority vote for Board action. -JAB GROWTH MANAGEMENT IMPACT: There is no Growth Management impact resulting from this action. RECOMMENDATION: To provide “after-the-fact” approval for the submittal of the Hazard Mitigation Grant Program application for FEMA FM-5309-FL “Essential Facility Retrofit: in the amount of $250,000. Prepared By: Taylor Sawatzky, Project Manager, Solid & Hazardous Waste Management Division ATTACHMENT(S) 1. CM MEMO 2021 05-07 FDEM ATF 21-009 (PDF) 2. APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (PDF) 16.C.4 Packet Pg. 1211 05/25/2021 COLLIER COUNTY Board of County Commissioners Item Number: 16.C.4 Doc ID: 15852 Item Summary: Recommendation to provide, after-the-fact approval for the submittal of a Hazard Mitigation Program grant application for FEMA FM-5309-FL “Essential Facility Retrofit” to the Federal Emergency Management Agency (FEMA) through the Florida Division of Emergency Management in the amount of $250,000.00. Meeting Date: 05/25/2021 Prepared by: Title: – Public Utilities Department Name: Drew Cody 05/11/2021 1:40 PM Submitted by: Title: – Solid and Hazardous Waste Name: Kari Hodgson 05/11/2021 1:40 PM Approved By: Review: Public Utilities Operations Support Joseph Bellone Additional Reviewer Completed 05/11/2021 4:14 PM Public Utilities Operations Support Tara Castillo Additional Reviewer Completed 05/11/2021 4:31 PM Solid and Hazardous Waste Taylor Sawatzky Additional Reviewer Completed 05/11/2021 4:35 PM Solid and Hazardous Waste Kari Hodgson Additional Reviewer Completed 05/11/2021 5:17 PM Public Utilities Department Drew Cody Level 1 Division Reviewer Completed 05/12/2021 9:55 AM Grants Valerie Fleming Level 2 Grants Review Completed 05/12/2021 4:42 PM Public Utilities Department George Yilmaz Level 2 Division Administrator Review Completed 05/14/2021 2:34 PM Office of Management and Budget Laura Wells Level 3 OMB Gatekeeper Review Completed 05/17/2021 9:50 AM County Attorney's Office Jennifer Belpedio Additional Reviewer Completed 05/17/2021 2:44 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 05/17/2021 3:34 PM Budget and Management Office Ed Finn Additional Reviewer Completed 05/17/2021 4:56 PM Office of Management and Budget Susan Usher Additional Reviewer Completed 05/18/2021 8:21 AM Grants Therese Stanley Additional Reviewer Completed 05/18/2021 5:19 PM County Manager's Office Amy Patterson Level 4 County Manager Review Completed 05/19/2021 4:14 PM Board of County Commissioners Geoffrey Willig Meeting Pending 05/25/2021 9:00 AM 16.C.4 Packet Pg. 1212 16.C.4.aPacket Pg. 1213Attachment: CM MEMO 2021 05-07 FDEM ATF 21-009 (15852 : ATF Hazard Mitigation Grant Program Application) 16.C.4.bPacket Pg. 1214Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 2 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . B. Applicant Information: FEMA- -DR-FL DISASTER NAME: FM-5307 Title of Project: Leachate Generators 1. Applicant (Organization): Collier County 2. Applicant Type: State or Local Government Native American Tribe Private Non-Profit Special District 3. County: Collier County 4. State Legislative Senate District(s): 28; State Legislative House District(s):80, 105, 106 ; Congressional House District(s): 19, 25 5. Federal Tax I.D. Number: 59-6000558 6. Data Universal Numbering System (DUNS): 076997790 7. Federal Information Processing Standards (FIPS) Code*: 021-99021-0 (*if your FIPS code is not known, see guidance) 8. National Flood Insurance Program (NFIP) Community Identification Number: 120067 (this number can be obtained from the FIRM map for your area) 9. Point of Contact: (Applicant staff serving as the coordinator of project) Ms. Mr. First Name: Taylor Last Name: Sawatzky Title:Project Manager Address: 3303 Tamiami Trail E City:Naples State:FL Zip Code: 34112 Telephone:239-252-5333 Email: Taylor.Sawatzky@colliercountyfl.gov 10. Application Prepared by: Ms. Mr. First Name: Taylor Last Name: Sawatzky Title:Project Manager Address: 3303 Tamiami Trail E City:Naples State: FL Zip Code:34112 Telephone:239-252-5333 Email: Taylor.Sawatzky@colliercountyfl.gov Organization: 11. Authorized Applicant Agent (proof of authorization authority required) Ms. Mr. First Name: Mark Last Name:Isackson Title:County Manager Address:3299 Tamiami Trail East Suite 202 City:Naples State:FL Zip Code: 34112-4902 Telephone:239-252-8717 Email:Mark.Isackson@colliercountyfl.gov Signature: Date: ___________________ 12. Local Mitigation Strategy (LMS) Compliance a. All proposed projects must be included in the county’s Local Mitigation Strategy (LMS) Project List, and on file with FDEM’s Mitigation Bureau Planning Unit. Does your jurisdiction have a current FEMA Approved Mitigation Plan and this project is listed? Yes No b. Attached is a letter of endorsement for this project from the county’s LMS Coordinator. Yes No Ensure the LMS endorsement letter contains both the Total Estimated Projects Cost (Section IV. D.), along with the Estimated Federal Share (Section IV. I.1.) allocated to this project. c. The LMS project list and endorsement letter both have an estimated cost column and Federal Share amount that is within $500.00 between the two. Yes No 13. Has this project been submitted under a previous disaster event? No 16.C.4.b Packet Pg. 1215 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 3 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . Yes, provide the disaster number and project number (as applicable): 16.C.4.b Packet Pg. 1216 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 4 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . Section II – Project Description A. Hazards to be Mitigated / Level of Protection 1. Select the type of hazards the proposed project will mitigate: Flood Wind Storm surge Wildfire Other (list):Power Loss 2. Identify the type of proposed project: Elevation and retrofitting of residential or non-residential structure Acquisition and Relocation Acquisition and Demolition Wind retrofit Drainage project that reduces localized flooding Generator Other (explain) 3. List the total number of persons that will be protected by the proposed project (include immediate population affected by the project only): 384,902 4. List how many acres of “Total Impacted Area” is to be protected by the proposed project (include immediate area affected by the project only): 5 5. Fill in the level of protection and the magnitude of event the proposed project will mitigate. (e.g. 23 structures protected against the 100-year storm event (1% chance) structure(s) protected against the -year storm event (10, 25, 50, 100, or 500 year storm event) structure(s) protected against mile per hour (mph) winds 6. Check all item(s) the project may impact: Wetlands Water Quality Previously Undisturbed Soil Floodplain Coastal Zone Toxic or Hazardous Substances Historic Resources Fisheries Threatened & Endangered Species Vegetation Removal Public Controversy Potential for Cumulative Impacts Health & Safety Other 7. Engineered projects: If your project has been already designed and engineering information is available, attach to your application ALL calculations, H&H study and design plans (e.g. Drainage Improvement, Erosion Control, or other special project types). No Yes If so, see Attachment #(s) . B. Project Description, Scope of Work, and Protection Provided (Must be Completed in Detail) Describe, in detail, the existing problem, the proposed project, and the scope of work. Explain how the proposed project will solve the problem(s) and provide the level(s) of protection described in Part A. Also, if available, attach a vendor’s estimate and/or a contractor’s bid for the scope of work. Ensure that each proposed project is mitigation and not maintenance. 1. Describe the existing problems: Leachate is liquid generated from rainfall and the natural decomposition of waste that is filtered through the landfill to a leachate collection system. The leachate collection system's function is to direct the leachate to collection sumps so it can be properly removed from the landfill. All trash collected curbside from our residents is taken to the collier county landfill. The leachate collected from the trash is pumped to the deep injection well or treated at a waste water facllity. Both our deep injection well and master pump station that pumps water to the treatment plant need back up generators. These backup generators would serve as a form of redundancy in the event of a power outage or equipment failure. Leachate is considered hazardous and can contaminate the environment, ground, and aquifer. Spilled leachate has a major fiscal impact as FDEP must be notified and the environmental remediation must take place. 2. Describe the type(s) of protection that the proposed project will provide: Two generators wil provide backup power to our leachate pump station as well as deep injection well during an emergency situation, power loss due to natural disaster or mechanical failure. 16.C.4.b Packet Pg. 1217 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 5 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . 3. Scope of Work (describe in detail what you are planning to do): The scope of work will include the purchase and installation of two stationary generators, for the deep inject well and the master pump station that processess the water to the treatment plant. 4. Describe any other on-going or proposed projects in the area that may impact, positively or negatively, the proposed HMGP Project: The fast growing population of Collier County has a huge impact on the trash received at the Collier County Landfill and in turn, the amount of leachate produced. Some future projects will include construction of new cells, as well as evaluation for expansion opportunities through the ISWMS. 16.C.4.b Packet Pg. 1218 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 6 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . Section III – Project Location (Fully describe the location of the proposed project.) A. Site 1. Describe the physical location of this project, including street numbers (or neighborhoods) and project site zip code(s). Provide precise longitude and latitude coordinates for the site utilizing a hand-held global positioning system (GPS) unit or the equivalent: Site Location:Both Generator locations are located on the Collier County Landfill Property Address(es):3730 White Lake Blvd GPS coordinates (decimal degree format):26.170953 lat/-81.663868 long DIW - 26.161351 Project Zip Code(s):34117 2. Titleholder: Collier County Government 3. Is the project site seaward of the Coastal Construction Control Line (CCCL)? Yes No 4. Provide the number of each structure type (listed below) in the project area that will be affected by the project. Include all structures in project area. Residential property: Public buildings: Businesses/commercial property:Schools/hospitals/houses of worship: Other: B. Flood Insurance Rate Map (FIRM) Showing Project Site 1. Attach one (1) copy of the FIRM map, a copy of the panel information from the FIRM, and, if available, the Floodway Map. FIRM maps are required for this application (if published for your area). Also, all attached maps must have the project site and structures clearly marked on the map. FIRMs are typically available from your local floodplain administrator who may be located in a planning, zoning, or engineering office. Maps can also be ordered from the Map Service Center at 1-800-358-9616. For more information about FIRMs, contact your local agencies or visit the FIRM site on the FEMA Web- page at https://msc.fema.gov/portal. 2. Using the FIRM, determine the flood zone(s) of the project site (Check all zones in the project area) (See FIRM legend for flood zone explanations) (A Zone must be identified) VE or V 1-30 AE or A 1-30 AO or AH A (no base flood elevation given) B or X (shaded)C or X (unshaded) Floodway Coastal Barrier Resource Act (CBRA) Zone (Federal regulations strictly limit Federal funding for projects in this Zone; coordinate with your state agency before submitting an application for a CBRA Zone project). 3. If the FIRM Map for your area is not published, attach a copy of the Flood Hazard Boundary Map (FHBM) for your area, with the project site and structures clearly marked on the map. 4. Attach a copy of a Model Acknowledgement of Conditions for Mitigation in Special Flood Hazard Area C. Maps with Project Site and Photographs 1. Attach a copy of a city or county scale map (large enough to show the entire project area) with the project site and structures marked on the map. 2. Attach a USGS 1:24,000 TOPO map with project site clearly marked on the map. 3. For acquisition or elevation projects, include copy of Parcel Map (Tax Map, Property Identification Map, etc.) showing each property to be acquired or elevated. Include the Tax ID numbers for each parcel, and Parcel information – including year built and foundation. 4. Attach photographs (at a minimum 4 photographs) for each project site per application. The photographs should be representative of the project area, including any relevant streams, creeks, rivers, etc. and drainage areas that affect the project site or will be affected by the project, and labeled. For each structure, include the following angles: front, back and both sides. 16.C.4.b Packet Pg. 1219 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 7 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . Section IV – Budget/Costs In order to assist applicants with filling out the following Budget section, we have provided the following instructions for your convenience. For this section, we ask that you provide details of all the estimated costs of the project, as it is used for the benefit-costs analysis as well as for the feasibility and effectiveness review. For the cost sections relating to Materials, Labor, and Fees, it is important to note, Lump sums without supporting documentation showing a breakdown of those costs are not acceptable. For those items that will not fit in the spaces provided, attach the appropriate documentation to your application. Identify your match sources in sections B and I. Sub-Total cells will auto sum the costs in their respective columns. Do not factor management costs into parts A-C. If management costs are being requested, see part G. Contingency Costs need to be justified and reported as a separate line item in part E of this section. From left to right in that part, enter the desired percentage (maximum 5% of Material/Labor), the amount the percentage is to be applied to, and the resulting amount. PLEASE NOTE- These cells will not auto-calculate across the row, but the final cell will be calculated into the Final Project Cost below it. Take care that everything is calculated correctly. Pre-Award Costs: costs must be identified as a separate line item, AND a completed HMGP Pre-Award Cost Request Form MUST be submitted with this application, detailing the items/cost and requested start date. Mark all In-kind (donated) services with (**); In-house (employee) services with (***), per each line item. All funding sources (In-kind, In-house, Global Match, and Other Agencies) must be identified (below) AND identified on the Funding Sources - Section IV I. For project management costs, in compliance with Disaster Relief and Recovery Act of 2018 (DRRA) and the subsequent FEMA Interim Policy #104-11-1, the Florida Division of Emergency Management has included a section for applicants to request, or refuse, project management funds that are available to them. Under this new policy, HMGP projects awarded under disasters declared on or after August 1, 2017, are eligible for project management costs up to 5 percent of their total project costs. Applicants choosing to apply for this funding must detail the specific administrative costs in Part G of this section. These costs must be eligible administrative costs, conforming to the requirements set in 2 CFR Part 200 Subpart E. Applicants must ensure that their administrative costs are reasonable, allowable, allocable, and necessary for the performance of the federal award. The State will allot these management costs on a project-by-project basis per the amount requested by the sub-recipient, up to 5 percent of the total project cost. A sub-recipient may request less than this, but no higher. These management costs will be considered a separate pool of funding, and WILL NOT affect a project’s benefit-cost analysis. Management costs will be reimbursed per reimbursement request, and no more than 5 percent of any given reimbursement request amount. All management costs reimbursements will be contingent upon adequate documentation from the sub-recipient. Management costs will be reimbursed at 100 percent of the amount of management costs requested, so far as they are adequately documented and are no more than 5 percent of the request. Any unused management costs at closeout following the final payment will be de-obligated. If the final total project cost results in an under-run, management costs will be reduced accordingly. Applicants must make the determination to request or refuse management costs at the time of formal application submittal. The State will accept the initial determination from the applicant. There will be no recourse from the State for applicants wishing to change their initial determination after the application has been formally submitted. 16.C.4.b Packet Pg. 1220 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 8 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . A. Materials Item Unit Quantity Cost per Unit Cost 125 KW Cummins Generator EA 2 $75,000.00 $150,000.00 Generator Insulation material deep injection well(Automatic Transfer Switch, Electrical Wiring, Conduits, Grounding, and ComponentS) EA 1 $27,450.00 $27,450.00 Generator Insulation Master Leachate pump station material (Automatic Transfer Switch, Electrical Wiring, Conduits, Grounding, and Components) EA 1 $27,150.00 $27,150.00 Inflation/unforseen variables EA 1 $23,200.00 $23,200.00 Sub-Total $227,800.00 B. Labor Include equipment costs. Indicate all "soft" or in-kind matches (**). Description Hours Rate Cost Generator 1; Deep Injection well labor - J MAN 120 $55.00 $6,600.00 Generator 1; Deep Injection well labor - Aprent 100 $45.00 $4,500.00 Generator 2; MPS labor - J MAN 120 $55.00 $6,600.00 Generator 2; MPS labor - Aprent 100 $45.00 $4,500.00 Sub-Total $22,200.00 C. Fees Paid Include any other costs associated with the project. Description of Task Hours Rate Cost *Pre-Award Sub-Total $0.00 D. Total Estimated Project Cost $250,000.00 E.Contingency Costs (maximum 5% of Material/Labor)5% $12,500.00 F.Final Project Cost $262,500.00 16.C.4.b Packet Pg. 1221 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 9 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . Note: To be eligible for HMGP Pre-Award costs – the costs must be identified as a separate line item in the estimate above, AND a completed HMGP Pre-Award Cost Request Form MUST be submitted with this application, detailing the items/cost requesting. Mark all In-kind (donated) services with (**); In-house (employee) services with (***), per each line item. All funding sources (In-kind, In-house, Global Match, and Other Agencies) must be identified (above) AND identified on the Funding Sources - Section IV I. G. Project Management Costs Based on the amount of total project cost being requested in Part D (above), your project is eligible for up to an additional 5% of that amount for project management costs. Indicate below whether or not you would like to request these funds and follow the directions for your selected choice. Total Estimated Management Costs Available (5% of Total Project Costs)$12,500.00 Note: This number will be generated automatically after Part I is completed YES, I would like to requests these funds (Fill out the itemized table below, then continue to Part I)* NO, I do not wish to request these funds. (continue to Part I)* Description Hours Rate Cost H. Total Estimated Management Costs Requested $0.00 *Note: By selecting either “yes” or “no” the applicant is acknowledging that they understand what is being offered to them as it is described in this application. 16.C.4.b Packet Pg. 1222 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 10 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . I. Funding Sources (round figures to the nearest dollar) The maximum FEMA share for HMGP projects is 75%. The other 25% can be made up of State and Local funds as well as in-kind services. HMGP funds may be packaged with other Federal funds, but other Federal funds (except for Federal funds that lose their Federal identity at the State level, such as CDBG, and certain tribal funds) may not be used for the Non- Federal share of the costs. 1.Estimated Federal Share $187,500.00 75 % of Total (Maximum 75%) 2.Non-Federal Shares 3. Estimated Local Shares $62,500.00 25 % of Total (Cash) 4. % of Total (In-Kind**) 5. % of Total (In-House***) 6. % of Total (Global Match****) 7.Other Agency Share % of Total (Identify Non-Federal Agency and availability date) 8.Total Funding sources from above $250,000.00 100.00% Total (Equals 100%) **Identify proposed eligible activities directly related to project to be considered for In-Kind services in Section IV.C. Fees ***Identify proposed eligible activities directly related to project to be considered for In-House services in Section IV.C. Fees ****Separate project applications must be submitted for each Global Match project. Global Match Project Number and Title: 9.Total Estimated Management Costs Requested Available $12,500.00 5% of Total (Max Allowed) J. Project Milestones/Schedule of Work List the major milestones in this project by providing an estimated time-line for the critical activities not to exceed a period of 3 years (36-months) of performance. (e.g. Contracting, Designing, Engineering, Permitting, Inspections, closeout, etc.) Milestone(s) Number of Months to Complete Project initiation 1 09/21 Project planning/ Design 1 10/21 Project execution/ Project overview control (permits/ construction labor) 5 04/22 Project closeout (Grant reimbursement) 3 07/22 Total 10 Months 16.C.4.b Packet Pg. 1223 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 11 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . Section V. Environmental Review and Historic Preservation Compliance (NOTE: This application cannot be processed if this section is not completed.) Because the HMGP is a federally funded program, all projects are required to undergo an environmental and historic preservation review as part of the grant application process. Moreover, all projects must comply with the National Environmental Policy Act (NEPA) and associated Federal, State, Tribal, and Local statutes to obtain funding. NO WORK can be done prior to the NEPA review process. If work is done on your proposed project before the NEPA review is completed, it will NOT be eligible for Federal funding. A. The following information is required for the Environmental and Historic Preservation review: All projects must have adequate documentation to determine if the proposed project complies with NEPA and associated statutes. The State Environmental Staff provide comprehensive NEPA technical assistance for Applicants, with their consent, to complete the NEPA review. The type and quantity of NEPA documents required to make this determination varies depending upon the project’s size, location, and complexity. However, at a minimum, provide the applicable documentation from this section to facilitate the NEPA compliance process. 1. Detailed project description, scope of work, and budget/costs (Section II and Section IV of this application). 2. Project area maps (Section III, part B & C of this application). 3.Project area/structure photographs (Section III, part C of this application). 4. Preliminary project plans. 5. Project alternatives description and impacts (Section V of the application). 6. Complete the applicable project worksheets. Documentation showing dates of construction are required for all structures. 7. Environmental Justice – Provide any applicable information or documentation regarding low income or minority populations in the project area. See Section V.B of this application for details. 8. Provide any applicable information or documentation referenced on the Information and Documentation Requirements by Project Type below. B. Executive Order 12898; Environmental Justice for Low Income and Minority Population: 1. Are there low income or minority populations in the project area or adjacent to the project area? No Yes; describe any disproportionate and adverse effects to these populations: 2. To help evaluate the impact of the project, explain below or attach any other information that describes the population, or portion of the population, that would be either disproportionately or adversely affected. Include specific efforts to address the adverse impacts in your proposal narrative and budget. 16.C.4.b Packet Pg. 1224 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 12 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . C.Tribal Consultation (Information Required) Section 106 of the National Historic Preservation Act (NHPA) requires federal agencies to take into account the effect of their undertakings on historic properties. The NHPA requires that agencies must complete this process prior to the expenditure of any Federal funds on the undertaking. A Tribal Consultation is required for any project disturbing ground or moving soil, including but not limited to: drainage projects; demolition; construction; elevation; communication towers; tree removal; utility improvements. 1. Describe the current and future use of the project location. A land use map may be provided in lieu of a written description. Map provided 2. Provide information on any known site work or historic uses for project location. Map provided with project location Attach a copy of a city or county scale map (large enough to show the entire project area) with the horizontal limits (feet) and vertical depths (square feet) of all anticipated ground disturbance of 3 inches or more. D. Alternative Actions (Information Required) The NEPA process requires that at least two alternative actions be considered that address the same problem/issue as the proposed project. In this section, list two feasible alternative projects to mitigate the hazards faced in the project area. One alternative is the “No Action Alternative”. 1. No Action Alternative Discuss the impacts on the project area if no action is taken. If no action is taken, no backup generators are in place and a natural disaster or mechanical error occurs, the result could be a leachate spill. Leachate is considered hazardous and can contaminate the environment, ground, and aquifer. This would result in a major fiscal impact and requires FDEP notification and immediate environmental remediation. 2. Other Feasible Alternative Describe a feasible alternative project that would be the next best solution if the primary alternative is not accomplished. This could be an entirely different mitigation method or a significant modification to the design of the current proposed project. Include a Scope of Work, engineering details (if applicable), estimated budget and the impacts of this alternative. Complete all of parts a-e (below). a. Project Description for the Alternative Describe, in detail, the alternative project, and explain how the alternative project will solve the problem(s) and/or provide protection from the hazard(s). Also, provide pros and cons for this alternative and a reason for why it was not selected. The alternative action would be to work with our current utility provider FPL, to convert at least 1 mile of existing overhead power lines to underground power lines.The associated cost of this conversion would be $632,000/ per mile/ per FPL estimate. The area converted would be the main power supply located along a dense tree line, leading into the facility. CONS: Roughly $400,000 in additional cost; This conversion would not protect the additionally needed existing overhead powerlines and can therefore still leed to a power outage; PROS: The burried power lines would be protected from any wind/ storm damage. The main reason why this alternative was not selected, the majority of the remaining overhead lines would not be burried or protected and would still result in a power loss to the facility. b. Project Location of the Alternative (describe briefly, if different from proposed project) Attach a map or diagram showing the alternative site in relation to the proposed project site (if different from proposed project) 16.C.4.b Packet Pg. 1225 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 13 27P-22-.007 F.A.C FDEM Form No. HMGP Application (01-2020) (Eff. 01-2020) . c. Scope of Work for Alternative Project d. Impacts of Alternative Project Discuss the impact of this alternative on the project area. Include comments on these issues as appropriate: Environmental Justice, Endangered Species, Wetlands, Hydrology (Upstream and Downstream Surface Water Impacts), Floodplain/Floodway, Historic Preservation and Hazardous Materials. e. Estimated Budget/Costs for Alternative Project In this section, provide details of all the estimated costs of the alternative project (round figures to the nearest dollar). A lump sum budget is acceptable. Materials: $250,000.00 Labor: $382,000.00 Fees: Total Estimated Project Cost: $632,000.00 16.C.4.b Packet Pg. 1226 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 14 HMGP ENVIRONMENTAL REVIEW Information and Documentation Requirements by Project Type Retrofits to Existing Facilities/Structures Elevations Acquisitions with Demolition Dates of Construction Ground disturbance map for projects with 3 inches or more of ground disturbance Structure photographs Drainage Improvements Engineering plans/drawings Permit or Exemption letter to address any modifications to water bodies and wetlands o Department of Environmental Protection o Water Management District o U.S. Army Corps of Engineers Ground disturbance map for projects with 3 inches or more of ground disturbance. Concurrence from U.S. Fish and Wildlife addressing any impacts to wildlife, particularly endangered and threatened species and their habitats. If the project is in a coastal area, attach a letter from the National Marine Fisheries Service addressing impacts to marine resources. Concurrence from Natural Resource Conservation Service if project is located outside city limits and may impact prime or unique farmland. Concurrence from your Local Floodplain Manager – if project is located in a floodplain. Note: This is a general guideline for most projects. However, there will be exceptions. Consult with state environmental staff on project types not listed. 16.C.4.b Packet Pg. 1227 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program Section VI -Maintenance Agreement All applican ts whose proposed project involves the retrofit or modification of existing public property or whose proposed project would result in the public ownership or management of property, structures, or facilities, must first sign the following agreement prior to submitting the application to FEMA. (NOTE: Not applicable to projects solely related to residential or private property.) Tie Public Utilities Department of Collier County __ , State of Florida, hereby agrees that if it receives any Federal aid as a result of the attached project aoplication, It will accept responsibility, at its own expense if necessary, for the routine maintenance o· any real property, structures, or facilities acquired or constructed as a result of such Federal aid. Routine maintenance shall include, but not be limited to, such responsibilities as keeping vacant land c ear of debris, garbage, and vermin; keeping stream channels, culverts, and storm drains clear of obstructions and debris; and keeping detention ponds free of debris, trees, and woody growth. T1e purpose of this agreement is to make clear the Sub-recipient's maintenance responsibilities fellowing project award and to show the Sub-recipient's acceptance of these responsibilities. It does n )t replace, supersede, or add to any other maintenance responsibilities imposed by Federal law or r�gulation and which are in force on the date of project award. Signed by Mark Isackson the duly authorized representative (printed or typed name of signing offician County Manager (ttle) This 7 ,.'-'lo?. I (day) of T \ o...,(month), __ (year). Signature* ________ --,,,.._ ____________________ _ *Note: The above signature must be by an individual with legal signing authority for the respective local government or county (e.g., the Chairperson, Board of County Commissioners or the County Manager, etc.) 15 16.C.4.b Packet Pg. 1228 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16 HMGP Application Completeness Guidance/Checklist This guidance/checklist contains an explanation, example and/or reference for information requested in the application. Use this list to assure your application is complete and includes the required information for HMGP projects. The appropriate documentation must also be attached. It is important to note that this list is similar to the form that will be used during the application sufficiency review by the HMGP staff. Project Title: Applicant: Application Information Explanation of Information Required Section I B. Applicant Information FEMA___-DR-FL Type in the four digit number FEMA assigned to the disaster that this application is being submitted under. (Example: 4337, 4283) DISASTER NAME Type in the Disaster name. (Example: Hurricane Irma, Tropical Storm Fay) Title of Project The project title should include: 1) Name of Applicant, 2) Name of Project, 3) Type of Project. (Example: City of Tallahassee, City Hall Building, Wind Retrofit) 1. Applicant Name of organization applying. Must be an eligible applicant. 2. Applicant Type State or local government, recognized Native American tribe, or private non-profit organization. If private non-profit, attach documentation showing legal status as a 501(C). (Example: IRS letter, Tax Exempt Certificate) 3. County Indicate county in which the project is located. 4. State Legislative and Congressional District(s) Specify the appropriate State Senate, House and Congressional District code for the project site. For multiple sites, list codes for each site. http://www.myfloridahouse.gov/sections/representatives/myrepresentative.aspx 5. Federal Tax I.D. Number List the Federal Employer’s Identification Number (FEIN), also known as Federal Tax Identification number, 9-digit code. May be obtained from your finance/accounting department. 6. DUNS Number Include Data Universal Numbering System (DUNS) number in appropriate location on application. Typically, this number can be obtain through your finance department. If not, use the link below to look up your entity. If none, exists you can use the same link to request one. https://www.dnb.com/duns-number.html 7. FIPS Code List the Federal Information Processing Standards (FIPS) Code. May be obtained from your finance/accounting/grants department. If none, submit FEMA Form 90-49. See state website under the relevant disaster (https://floridadisaster.org/dem/mitigation/hazard-mitigation-grant-program/) 8. NFIP ID Number List the National Flood Insurance Program (NFIP) number. You must be a participating NFIP member to be eligible for HMGP funding. Make sure that the number is the same as the panel number on the FIRM provided with the application. 9. Point of Contact Provide all pertinent information for the point of contact. This person serves as the coordinator of the project. If this information changes once the application is submitted, please contact the HMGP staff immediately. 10. Application Prepared By Provide the preparer information. May be different from the point of contact (line 9) and/or the applicant’s agent (line 11). 11. Authorized Applicant Agent An authorized agent must sign the application. “An authorized agent is the chief elected official of a local government who has signature authority, so for a county it would be the Chairman of the Board of County Commissioners and for a municipality it would be the Mayor (the exact title sometimes varies). Any local government may delegate this authority to a subordinate official (like a City or County Manager) by resolution of the governing body (the Board of County Commissioners or Board of City Commissioners). If a local government delegates signature authority, a copy of the resolution by the governing body authorizing the signature authority for the individual signing must be provided.” 16.C.4.b Packet Pg. 1229 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 17 For Private Non-Profit: A member of its Board of Directors or whoever has authority to authorize funding for such a project. If this task is delegated down, a copy of a resolution confirming this must be provided. 12. LMS Compliance a) LMS Project List: All proposed projects must be included in the county’s Local Mitigation Strategy (LMS) Project List and must be on file with FDEM’s Mitigation Bureau Planning Unit. b) LMS Endorsement Letter: All proposed projects must include an endorsement letter from the county’s Local Mitigation Strategy Coordinator. You may use 1 letter as long as it includes every proposed project. c) Estimated Costs & Application Costs: The LMS Project List must include an Estimated Cost column and each HMGP project application must be within $500.00 of that Project List’s estimated cost. Also ensure that the Federal Cost Share indicated on the LMS Coordinator’s Endorsement Letter exactly matches the Federal Cost Share indicated within the application. Ensure the LMS endorsement letter contains both the Total Estimated Projects Cost (Section IV. D.), along with the Estimated Federal Share (Section IV. I.1.) allocated to this project. A letter of endorsement for the project and its priority number from the Local Mitigation Strategy Project List must be included. Refer to Sample LMS Letter. Applications without a letter of endorsement will not be processed. (44 CFR 201.6 Local Mitigation Plans) 13. Previous Submittal If the project has been previously submitted under another disaster, provide the disaster number, the project number, and the title of the project. Section II - Project Description A. Hazards to be Mitigated/Level of Protection 1. Type of Hazards Type of Hazards the Proposed Project will Mitigate: Identify the hazard(s) that the proposed project will mitigate. More than one hazard may be selected. 2. Identify the Type of Project Identify the Type of Proposed Project: Describe the mitigation project being proposed. (Example: drainage, wind retrofit, generator etc.) 3. Number of Persons Protected Explain how many people will be protected by or benefit from the proposed project. (Example: A drainage project improving a residential area of 23 homes, with an average household of 2 people = 46 people) 4. Total Impacted Area Explain how many acres will be impacted from the proposed project: Drainage/Berm/Pond/Culverts/Flood hazard projects: combination of the area to be protected and ground disturbance must not exceed 25 acres. 5. Level of Protection Specify the level of protection and magnitude of the event the proposed project will mitigate. Attach support documentation that verifies the stated level of protection. (Example: In a wind retrofit project, it will be the design wind speed to comply with the Florida Building Code requirements. In a drainage project, it will be the implemented design level, e.g. a 25-year FDOT design standard for culvert.) 6. Project Impact Identify all the items the project may impact or are within the project area. 7. Engineered Projects (e.g. Drainage) Include available engineering calculations, studies, and designs for the proposed project showing results from applied Recurrence Interval scenarios before and after mitigation. (Number of structures, building replacement value, depth of the water, structural damages, content damages, displacement, road closures, etc.) B. Project Description, Scope of Work, and Protection Provided (Must be Completed in Detail) 1. Existing Problem Describe the existing problem, location, source of the hazard, and the history and extent of the damage. Include newspaper articles, insurance documentation, photographs, etc. If this project is eligible for PA (406) mitigation activities, describe the 406 activities. 2. Type of Protection Determine how the funding will solve the existing problem and provide protection. 3. Scope of Work: What the Project Proposes to Do: Determine the work to be done. The scope of work must meet eligibility based on HMGP regulations and guidance. Explain how the proposed problem will be solved. (NOTE: The proposed project must be a 16.C.4.b Packet Pg. 1230 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 18 mitigation action, not maintenance.) Does the proposed project solve a problem independently or constitute a functional part of a solution where there is assurance that the project as a whole will be completed (44 CFR 206.434[c][4])? Does the proposed project address a problem that has been repetitive or that poses a significant risk to public health and safety if left unresolved (44 CFR 206.434[c][5][i])? Projects that merely identify or analyze hazards or problems are not eligible. 4. On-Going or Proposed Projects in the Area Determine if other projects, zoning changes, etc. are planned (particularly in the same watershed if flooding is being addressed) that may negatively or positively impact the proposed project. If there is a drainage project or downstream issue elsewhere, it may eliminate the current flooding issue, erasing the need for the proposed project. Response applies to drainage and acquisition projects. N/A is appropriate in wind retrofit shutter projects only. If this project is also being considered under the Public Assistance Program (406), describe in detail the 406 mitigation activities and/or services. Do not include project costs associated with this HMGP application. Section III - Project Location A. Site 1. Physical Location List the physical location of the project site(s) including the street number(s), zip code(s) and GPS coordinates (latitude/longitude, in decimal degrees). The physical address must correspond with the address locations specified on maps submitted with the application. 2. Titleholder Provide the titleholder’s name. 3. Project Seaward of the CCCL? Determine if the project site is located seaward of the Coastal Construction Control Line. https://floridadep.gov/water/coastal-construction-control-line 4. Number and Types of Structures Affected Specify the number and type of properties affected by the project. (Example: Drainage project that affects 100 homes, 15 businesses and 2 schools.) What does the project protect? Should have a number next to the box that is checked. (See Section II, Item A.5 – detail of these totals) B. Flood Insurance Rate Map (FIRM) Showing Project Site 1. Copies of FIRM Attach a copy (or copies) of the FIRM and clearly identify the project site. The FIRM Panel number must be included. To obtain a FIRM map, go to https://msc.fema.gov/portal. See instructions on How to make a FIRMette. 2. Flood Zone Determination Specify the flood zone(s) of the project site(s). If project is located in a Special Flood Hazard Area. Amount of coverage must be equal to or greater than the amount of Federal mitigation funding obligated to the project. 3. Flood Hazard Boundary Map (FHBM) Not required if a copy of the FIRM is attached. 4. Model Acknowledgement of Conditions form The Model Acknowledgement of Conditions for Mitigation in Special Flood Hazard Area form is required for those structures receiving federal funds that will also remain in the special flood hazard area by the close of the project. This form is required at application. It can be found on FEMA’s website at https://www.fema.gov/media- library/assets/documents/15677 D. C. Maps with Project Site and Photographs 1. City/County Map with Project Site The project site and staging location (if applicable) should be clearly marked on a legible City/County map. The map should be large enough to show the project site. More than one map may be required. 2. USGS TOPO with Project Site The project site should be clearly marked on a legible USGS 1:24,000 TOPO map. To obtain a TOPO map, go to https://ngmdb.usgs.gov/topoview/ 3. Parcel/Tax Map A Parcel, Tax or Property Identification map is required only for acquisition and elevation projects. The location of the structure must be clearly identified. 4. Site Photographs At least four photographs are required that clearly identify the project site. The photos must be representative of the project area, including any relevant streams, creeks, rivers, etc., and drainage areas that affect the project site or will be affected by the project. The front, back and both side angles are required for each structure. For acquisition and elevation projects, a photo taken away from the structure (in front toward the street, and in back toward backyard) to show the area along with 16.C.4.b Packet Pg. 1231 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 19 photographs of specific elements of the structure affected by the project (windows for shutters or window replacements) should also be provided. Label photographs appropriately. In addition, CDs may be submitted. Section IV - Budget/Costs Make sure all calculations are correct. Provide a breakdown of materials, labor and fees for the proposed project. Support documentation must be attached, i.e. vendor’s quote, professional estimate (from engineer, architect, local building official, etc.). The proposed budget line items should represent allowable costs associated with the scope of work. Contingency Cost should be included as a line item in the budget section, and justified – Maximum allowed is 5%, and is required to complete this section; it will be used for the Benefit-Cost Analysis (BCA). Costs should be accurate, complete and reasonable compared to industry standards. Make sure the total cost is correct on the entire application. A. Materials List materials and their associated costs. Provide breakdown. B. Labor Provide a breakdown of description, hours, rate, and cost or lump sum labor cost. Can use in-kind contribution as part of the 25% match. (Attach support documentation for in-kind, in-house to detail wages and salaries charged for any contribution. No overtime wages can be used to satisfy match contributions). C. Fees Paid Provide a breakdown of associated fees i.e., consultants, studies, engineering, permits, and project management. Maintenance is not an allowable cost under HMGP.Pre-award costs may be requested (See Pre-award Costs guidance). D. Total Estimated Project Cost This number includes all project costs without contingency costs included. Make sure all calculations are correct. E. Contingency Cost Per FEMA’s HMA Guidance (Section VI Part D.3.4), a contingency cost is, “an allowance in the total cost estimate to cover situations that cannot be fully defined at the time the cost estimate is prepared but that will likely result in additional eligible costs. Allowances for major project scope changes, unforeseen risks, or extraordinary events may not be included as contingency costs.” The applicant may request up to 5% of material/labor costs. As with other line items, the applicant must justify these contingency costs based on the nature of the project at application. If an applicant wants to include contingency costs, they will need to enter the percentage that they require as well as what amount they want that percentage to be applied to. Type the resulting calculation in the final cell on the right. These cells will NOT auto-calculate. Be sure that they are calculated correctly. F. Final Project Cost This number includes any contingency costs that were requested. The final BCA will use this number in its final calculation. G. Project Management Costs After reading the guidance provided on pg. 5, select either YES or NO to indicate your need for management costs for this project. If YES, provide a breakdown of description, hours, rate and costs for requested management costs. If NO, continue to Part I. H. Total Estimated Management Costs Requested This will auto complete based on what is entered into the cost cells above. Your request must not exceed 5 percent of the total project cost available for this project. I. Funding Sources (round figures to the nearest dollar) The proposed sources of non-federal matching funds must meet eligibility requirements. (Except as provided by Federal statute, a cost-sharing or matching requirement may not be met by costs borne by another Federal grant.) 2 CFR Part 200.306. 1. Estimated Federal Share The estimated Federal share is generally 75%. If the Federal share is not 75%, assure actual amount is entered. It could be 50.1234% or 35.1234%, etc. of the total dollar amount of project depending on county LMS allocation and priority. This figure cannot exceed 75%. 2. Non-Federal Share May include all 3 sources, i.e. cash, in-kind and global match, as long as the total is a minimum of 25%. Match cannot be derived from a federal agency except Federal funds that lose their federal identity (e.g., CDBG funding and certain tribal funding). 3. Cash Cash- Local funding will be utilized for the non-federal share. Enter amount of cash and percentage of total that amount represents. 4. Total In-Kind May use materials, personnel, equipment, and supplies owned, controlled and operated from within governing jurisdiction as an in-kind match. Third party in-kind contributions would be volunteer services, employee services from other 16.C.4.b Packet Pg. 1232 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 20 organizations furnished free of charge, donated supplies, and loaned equipment or space. The value placed on these resources must be at a fair market value and must be documented. If in-kind is claimed from outside the applicant jurisdiction, it must be cash only. ** Identify proposed eligible activities in Section IV B. and C. as a separate line with In-kind written as a part of the description. 5. Total In-house Sub-Recipient employees, equipment, etc. – internal services (must utilize the Personnel Activity Report or the Equipment Activity Report for the Request for Reimbursement) 6. Total Project (Global) Match Project (global) match must 1) meet all the eligibility requirements of HMGP; and 2) begin after FEMA’s approval of the match project. A separate HMGP application must be submitted for global match projects. Indicate which project(s) will be matched. The global match is not required to be an identical project. Projects submitted as global match for another project must meet the same period of performance time constraints as the HMGP. 7. Other Agency Share Identify Non-Federal Agency and availability date; provide the documentation from the agency. (e.g., CDBG funding, and certain tribal funding) 8. Total Funding Total must represent (100%) of the total estimated project cost. Ensure that percentages match corresponding cost-shares and the total matches the Budget (in Section IV. F. - Total Estimated Project Cost). 9. Your requested amount must be equal to or less than 5 percent of the total project cost J. Project Milestones/Schedule of Work 1. Milestones (Schedule) Identify the major milestones in the proposed project and provide an estimated time- line (e.g. Designing, Engineering – 3 months, Permitting – 6 months, Procurement – 30 days, Installation – 6 months, Contracting – 1 month, Delays, Project Implementation, Inspections, Closeout, etc.) for the critical activities not to exceed a period of 3 years (36-months) for performance. Milestones should not be grouped together but listed individually. Allot for the appropriate amount of time for final inspection and closeout (about 3 months). Section V - Environmental Review & Historic Preservation Compliance No work can begin prior to the completion of the environmental (NEPA) review. In order for the Environmental staff to conduct the NEPA review, all sections listed below must be completed. 1. Description, SOW & Budget Detailed Project Description, Scope of Work & Budget/Costs. Complete Sections II & IV of the application. 2. Area Maps Project area Maps - Attach a copy of the maps and clearly mark the project site, and place the specific project structure(s) on map(s). Complete Section III, part B & C of the application. 3. Project Area/Structure Photographs Complete Section III part C of the application. 4. Preliminary Project Plans For shutters see the scope of work and for drainage & elevation see engineering drawings. 5. Project Alternatives Complete Section V part D. of this application. 6. Project Worksheets Dates of construction are required for all structures. See worksheets. 7. Environmental Justice Documentation See Section V.B for applicable information. 8. Information/ Documentation Requirements by Project Type Provide any of the required documentation as listed at the end of Section V in the Information and Documentation Requirements by Project Type that may have already been obtained. B. Executive Order 12898, Environmental Justice for Low Income and Minority Population 1. Disproportionate Effects Determine if there are populations in either the project zip code or city that are characterized as having a minority background or living below the poverty level.If yes, 16.C.4.b Packet Pg. 1233 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 21 complete the rest of Section V, part B. Describe any disproportionate effects that these populations would experience if the project were completed. 2. Population Affected Describe the population affected by this project and the portion of the population adversely impacted. Attach any documentation and list the attachments here. C. Information required for Tribal Consultation Documentation for Tribal Consultation For all projects with any ground disturbing activities of 3 inches or more, complete Section V part C. D. Alternative Actions 1. No Action Alternative Discuss the impacts on the project area if no action is taken. 2. Other Feasible Alternative Action This is a FEMA and FDEM requirement for any Application Review. A narrative discussion of at least three project alternatives (from No Action to the most effective, practical solution) and their impacts, both beneficial and detrimental is required. It is expected that the jurisdiction has completed sufficient analysis to determine the proposed project can be constructed as submitted and it supports the goals and objectives of the FEMA approved hazard mitigation plan. Has the proposed project been determined to be the most practical, effective and environmentally sound alternative after consideration of a range of options? (44 CFR 206.434[c][5][iii]) a. Project Description It is very important and a requirement that an Alternative project is submitted. NEPA requires that at least three alternatives must be presented to mitigate the problem. In addition to the proposed action and no action, one other feasible alternative must be provided. b. Project Location of the Alternative Describe the surrounding environment. Include information regarding both natural (i.e., fish, wildlife, streams, soils, plant life) and built (i.e., public services, utilities, land/shoreline use, population density) environments. c. Scope of Work – Alternative Project Describe how the alternative project will solve the problem and provide protection from the hazard. Provide enough detail to describe the project for the evaluation panel to decide the best course of action for the state. Include any appropriate diagrams, sketch maps, amount of materials and equipment, dimensions of project, amount of time required to complete, etc. d. Impacts of the Alternative Project e. Estimated Budget/Costs for the Alternative Project Total cost is required. Materials, Labor, and Fees Paid Detailed line items are not required. Just enter a total amount. Total Estimated Project Costs Total cost is required. Vendor quote is not required. A lump sum budget may be submitted as justification to why this alternative was not chosen. Section VI – Maintenance Agreement Maintenance Agreement Complete, sign and date the maintenance agreement. The maintenance agreement must be signed by an individual with signature authority, preferably the authorized agent. Other Required Documentation Go to www.floridadisaster.org/dem/mitigation/hazard-mitigation-grant-program/ for additional documents 1. Maps All maps must be included with the application. 2. FFATA Form During contracting with the state, complete, sign and date the FFATA Project File Form. Instructions are provided for your convenience in the document provided. This is not required at the time of application submittal. 3. SFHA Acknowledgement of Conditions Required for all projects in the Special Flood Hazard Area. Read and sign the SFHA Acknowledgement of Conditions document. This form must be notarized, signed by the local jurisdiction and the property owner. 4. Pre-award Cost Form If pre-award costs are being requested with your project, be sure to identify all pre- award costs in the application budget per instructions. The pre-award cost form must be completed and submitted with your application. 16.C.4.b Packet Pg. 1234 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 22 5.Request for Public Assistance Form Applicable if no FIPS number is assigned to applicant/recipient. 6. Model Statement of Assurances for Property Acquisition Projects For Acquisition projects only. 7. Declaration and Release For Acquisition projects only. Must be signed by all persons whose names are on the property deed. 8. Notice of Voluntary Interest For Acquisition projects only. Two forms are available for your convenience. Use the form that is most appropriate to your situation. Must be signed by all persons whose names are on the property deed. 9. Statement of Voluntary Participation for Acquisition of Property for Purpose of Open Space For Acquisition projects only. Must be signed by all persons whose names are on the property deed. 10. Worksheets The appropriate worksheet(s) must be completed and submitted with the application. a. Flood Control – Drainage Improvement b. Generator c. Tornado Safe Room d. Hurricane Safe Room e. Wind Retrofit f. Wildfire g. Drought *Submit 1 original (signed) and 1 full copy of the entire application and backup documentation. Include a full copy of the submittal and all documentation on CD or thumb drive. 16.C.4.b Packet Pg. 1235 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 23 Attachment Index Use the following template to list any supporting documentation that is included on the CD or flashdrive. Clearly and concisely label each attachment on this form to correspond with the file name on the CD or flashdrive. In the first column list which section and item (from the HMGP application) the attachment refers to. Example: Section 2, Item 1. If any required documentation is not included on the CD or flashdrive, the application will be considered incomplete and will not be considered for possible funding. Section # & Item Attached Document Name 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 16.C.4.b Packet Pg. 1236 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program NOTE: Having a complete worksheet will expedite the Technical Review. 16.C.4.b Packet Pg. 1237 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program If your critical facility is a HOSPITAL please answer the following questions: If your critical facility is a POLICE STATION please answer the following questions: Electrical Wastewater Gas Potable Water Telecom Other(describe): Provide the address of the nearest Fire Station (Name, Street Address, City, Zip Code): Provide the address of the nearest Fire Station with EMS (Name, Street Address, City, Zip Code): How many people are served by this Fire Station? If your critical facility is a FIRE STATION please answer the following questions: Select the type of area served by this Fire Station Urban Other (Please describe): How many officers would still work from this building if it is shut down due to a disaster? What is the population being served by the utility system that will be mitigated? Population relates to number of customers being served by the system and that will be affected in the case of an outage. Include only the customers connected to locations that will be mitigated. If your critical facility is a UTILITY please answer the following questions: Select the type of critical facility service to mitigate: How many people are being served by this Hospital? Suburban Rural *In the case of "Other" skip the following questions and refer to "Other Critical Facility Building". Does the Fire Station provide Emergency Medical Services (EMS)? SECTION V - LOSS OF SERVICE YES NO What is the address of the nearest Hospital capable of providing the same type of service? Hospital Fire Station Utility Police Station How many people are being served by the nearest Hospital capable of providing the same type of service? How many people are served by this Police Station? How many Police Officers work or report to this Police Station? Rural City MetropolitanIndicate the type of area served by this Police Station Select the type of utility infrastructure to mitigate: Generator Worksheet Page 2 of 3 16.C.4.b Packet Pg. 1238 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1239 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program Instructions for Completing the Collier County Model Acknowledgement of Conditions Form According to the Federal Emergency Management Agency (FEMA) participation in Federally-funded programs require Property Owners to maintain flood insurance as well as maintain all structures above the floodplain management criteria. It is required in order to participate in the program or be submitted in the application that Property Owners sign the Model Acknowledgement of Conditions form agreeing to its terms and conditions. For application purposes only, this form does not need to be notarized. Please only complete the following items: o Property Owner: Name of first property owner on mortgage/deed. o Street Address/City/State/Zip: Of property being acquired/elevated. o SECOND PAGE: Only sign above the line "Name of Property Owner". This must be the signature of the Property Owner listed on the first page. DO NOT complete the following items: o Deed Dated o Recorded o Tax Map o Block o Parcel o Base Flood Elevation at the site o Map Panel Number o Effective Date The remaining information will be completed by Collier County officials. Please do not have this form notarized. Official notarized forms will not be completed until approval of each individual project at which time you will be notified. Original Form must be mailed or delivered to: Collier County Growth Management, 2800 Horseshoe Dr N, Naples, FL 34104, ATTN: Floodplain Management Section If you have any questions, you may contact our office at (239) 252-2943 FloodInfoRequest@CollierCountyFL.gov 16.C.4.b Packet Pg. 1240 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program Model Acknowledgement of Conditions For Mitigation of Property in a Special Flood Hazard Area With FEMA Grant Funds Hazard Mitigation Grant Program (HMGP) / Flood Mitigation Assistance (FMA) Property Owner: Collier County Board of County Commissioners StreetAddress: 3299 Tamiami Trail East, Suite 303 City:Naples State: FL Zip Code: 34112 Deed Dated: 9/1/1974 Recorded: DB 601 PG 806 Tax Map: 4B36 Block: N/A Parcel:298520004&289720004 Base Flood Elevation at the site is:12.0 feet (NAVD) Map Panel Number: 12021C0416H Effective Date: 5/16/2012 As a recipient of Federally-funded hazard mitigation assistance under the Hazard Mitigation Grant Program, as authorized by 42 U.S.C. §5170c / Pre-Disaster Mitigation Program, as authorized by 42 U.S.C. §5133 / Flood Mitigation Assistance Program, as authorized by 42 U.S.C. §4104c / Severe Repetitive Loss, as authorized by 42 U.S.C. §4102a, the Property Owner accepts the following conditions: 1. That the Property Owner has insured all structures that will not be demolished or relocated out of the SFHA for the above-mentioned property to an amount at least equal to the project cost or to the maximum limit of coverage made available with respect to the particular property, whichever is less, through the National Flood Insurance Program (NFIP), as authorized by 42 U.S.C. §4001 et seq., as long as the Property Owner holds title to the property as required by 42 U.S.C. §4012a. 2. That the Property Owner will maintain all structures on the above-mentioned property in accordance with the floodplain management criteria set forth in Title 44 of the Code of Federal Regulations (CFR) Part 60.3 and Collier County Floodplain Management Ordinance 2019-01 as long as the Property Owner holds title to the property. These criteria include, but are not limited to, the following measures: i. Enclosed areas below the Base Flood Elevation will only be used for parking of vehicles, limited storage, or access to the building; ii. All interior walls and floors below the Base Flood Elevation will be unfinished or constructed of flood resistant materials; iii. No mechanical, electrical, or plumbing devices will be installed below the Base Flood Elevation; and iv. All enclosed areas below Base Flood Elevation must be equipped with vents permitting the automatic entry and exit of flood water. For a complete, detailed list of these criteria, see Collier County Floodplain Management Ordinance 2019-01 attached to this document. 16.C.4.b Packet Pg. 1241 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 3.The above conditions are binding for the life of the property. To provide notice to subsequent purchasers of these conditions, the Property Owner agrees that the Collier County will legally record with the parish or approp notice that includes the name of the current property owner (including book/page reference to record of current title, if readily available), a legal description of the property, and the following notice of flood insurance requirements: requires that flood insurance coverage on this property must be maintained during the life of the property regardless of transfer of ownership of such property. Pursuant to 42 U.S.C. §5154a, failure to maintain flood insurance on this property may prohibit the owner from receiving Federal disaster assistance with respect to this property in the event of a flood disaster. The Property Owner is also required to maintain this property in accordance with the flood plain management criteria of Title 44 of the Code of Federal Regulations Part 60.3 and Collier County Floodplain Management Ordinance 2019-01. 4. Failure to abide by the above conditions may prohibit the Property Owner and/or any subsequent purchasers from receiving Federal disaster assistance with respect to this property in the event of any future flood disasters. If the above conditions are not met, FEMA may recoup the amount of the grant award with respect to the subject property, and the Property Owner may be liable to repay such amounts. personal representatives, and assignees. Collier County A Municipal Corporation By: [Name, Title] of the Collier County & [Name of Property Owner] WITNESSED BY: [Name of Witness] [SEAL] Notary Public 16.C.4.b Packet Pg. 1242 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program Alternative Powerlines location16.C.4.bPacket Pg. 1243Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF 16.C.4.b Packet Pg. 1244 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1245 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program after receipt of approved submittal and accepted PO NOTICE: As a result of the outbreaks of the disease COVID-19 arising from the novel coronavirus, temporary delays in delivery, labor, or services from Cummins and its sub-suppliers or subcontractors may occur. Among other factors, Cummins' delivery is subject to correct and punctual supply from our sub-suppliers or subcontractors, and Cummins reserves the right to make partial deliveries or modify its labor or service. While Cummins shall make every commercially reasonable effort to meet the delivery, service, or completion described herein, such date(s) is(are) subject to change. 16.C.4.b Packet Pg. 1246 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1247 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program AS A RESULT OF THE OUTBREAK OF THE DISEASE COVID-19 ARISING FROM THE NOVEL CORONAVIRUS, TEMPORARY DELAYS IN DELIVERY, LABOUR OR SERVICES FROM CUMMINS AND ITS SUB-SUPPLIERS OR SUBCONTRACTORS MAY OCCUR. AMONG OTHER F D PUNCTUAL SUPPLY FROM OUR SUB-SUPPLIERS OR SUBCONTRACTORS, AND CUMMINS RESERVES THE RIGHT TO MAKE PARTIAL DELIVERIES OR MODIFY ITS LABOUR OR SERVICE. WHILE CUMMINS SHALL MAKE EVERY COMMERCIALLY REASONABLE EFFORT TO MEET THE DELIVERY, SERVICE OR COMPLETION OBLIGATIONS SET FORTH HEREIN, SUCH DATES ARE SUBJECT TO CHANGE. 16.C.4.b Packet Pg. 1248 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1249 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1250 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1251 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1252 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program after receipt of approved submittal and accepted PO NOTICE: As a result of the outbreaks of the disease COVID-19 arising from the novel coronavirus, temporary delays in delivery, labor, or services from Cummins and its sub-suppliers or subcontractors may occur. Among other factors, Cummins' delivery is subject to correct and punctual supply from our sub-suppliers or subcontractors, and Cummins reserves the right to make partial deliveries or modify its labor or service. While Cummins shall make every commercially reasonable effort to meet the delivery, service, or completion described herein, such date(s) is(are) subject to change. 16.C.4.b Packet Pg. 1253 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1254 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program AS A RESULT OF THE OUTBREAK OF THE DISEASE COVID-19 ARISING FROM THE NOVEL CORONAVIRUS, TEMPORARY DELAYS IN DELIVERY, LABOUR OR SERVICES FROM CUMMINS AND ITS SUB-SUPPLIERS OR SUBCONTRACTORS MAY OCCUR. AMONG OTHER F D PUNCTUAL SUPPLY FROM OUR SUB-SUPPLIERS OR SUBCONTRACTORS, AND CUMMINS RESERVES THE RIGHT TO MAKE PARTIAL DELIVERIES OR MODIFY ITS LABOUR OR SERVICE. WHILE CUMMINS SHALL MAKE EVERY COMMERCIALLY REASONABLE EFFORT TO MEET THE DELIVERY, SERVICE OR COMPLETION OBLIGATIONS SET FORTH HEREIN, SUCH DATES ARE SUBJECT TO CHANGE. 16.C.4.b Packet Pg. 1255 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1256 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1257 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1258 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program !!!!!!!!!!!!!!!! 12021C0420H 12021C0416H 12021C0418H I-75 S I-75 N Keane AVE Markley AVE Everly AVE Brantley BLVD Beck BLVD Newman DR City Gate BLVD N Crawford AVE 31st AVE SW 29th AVE SW 27th AVE SW 25th AVE SW Kearney AVE Jay Guevara AVE Ivisa AVE Jenkins WAY Kearney AVE 10.5 12.5 12.5 11 12 12 Growth Management Department Floodplain Management Section Collier County Landfill 0 660 1,320 1,980 2,640330 FeetMap Date: 4/28/2021 !!!!Landfill Boundary 2012 Panel 2012 BFE 2012 SFHA Zone AE AH X X500 16.C.4.b Packet Pg. 1259 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program 16.C.4.b Packet Pg. 1260 Attachment: APP 2021 05-07 FDEM HMGP FM-5309-FL 36TH FIRE_complete application (15852 : ATF Hazard Mitigation Grant Program