Agenda 01/13/2015 Item #16E 2 1/13/2015 16.E.2.
n
EXECUTIVE SUMMARY
Recommendation to provide after-the-fact approval of the Assistance to Firefighters Grant
application that was electronically submitted to the-Fails*.Emergency Management Agency for
the purchase of 88 mobile radios and 100 portable radios in the amount of$717,374($652,159 grant
and$65,215 County match).
OBJECTIVE: To replace old and obsolete radio equipment and bring communications into
compliance with new FCC regulations.
CONSIDERATIONS: On December 4, 2014, the County Manager approved the electronic
submittal of an after-the-fact grant application, in accordance with Collier County CMA #5330
which authorizes the County Manager to approve the submittal of grai t applications with
subsequent ratification by the Board. The Assistance to Firefighters Grant program typically provides
only a month for development and submittal of grant applications. This year,the program was announced
on November 3rd with a deadline of December 5th. Staff was unable to develop the full application in
time to meet the deadline for the December 9,2014 Board meeting.
The County's mobile radios were purchased in 1996 and the portable radios purchased in 2000,
with necessary replacements over the years. Emergency Medical Services has continued to use
the current system and over time availability of accessories (chargers, batteries and spare parts)
has diminished as the manufacturer focuses on Project 25 (P25) compliant hardware. P25 is a
n suite of standards for digital communications for use by federal, state and local public safety
agencies in North American to enable communication with other agencies and mutual aid
response teams in emergencies. As the County begins to upgrade its infrastructure to the new
standard, current radio equipment will become obsolete. If funded, this grant will help ensure
the department's ability to maintain an adequate supply of functioning radio equipment.
FISCAL IMPACT: There is no Fiscal Impact at this time. The total funds requested for this project
was $717,374, $652,159 to be funded by the grant and a match of$65,215 to be funded by EMS
Fund 490. If awarded, staff will request Board acceptance at a future meeting.
LEGAL CONSIDERATIONS: The Board will have the opportunity to accept or reject the
funds if the grant is approved. Accordingly, this Office has no issue with respect to the legality
of this request, which is appropriate for Board action and requires a majority vote for Board
action. —JAB
GROWTH IMPACT: There is no Growth Management Impact resulting from this action.
RECOMMENDATION: That the Board of County Commissioners provides after-the-fact
approval of the electronic submittal of an Assistance to Firefighters Grant application to fund the
purchase of mobile and portable radios for Emergency Medical Services.
PREPARED BY: Artie Bay, Supervisor,Emergency Medical Services Admi .
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1/13/2015 16.E.2.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.E.16.E.2.
Item Summary: Recommendation to provide after-the-fact approval of the Assistance to
Firefighters Grant application that was electronically submitted to the Federal Emergency
Management Agency for the purchase of 88 mobile radios and 100 portable radios in the
amount of$717,374 ($652,159 grant and $65,215 County match).
Meeting Date: 1/13/2015
Prepared By
Name: BayArtie
Title: Supervisor-Accounting,EMS Operations
12/8/2014 2:20:17 PM
Approved By
Name: SummersDan
Title: Director-Bureau of Emergency Services, Bureau of Emergency Services
Date: 12/8/2014 4:31:42 PM
Name: KopkaWalter
Title: Chief-Emergency Medical Services,EMS Operations
Date: 12/9/2014 8:21:43 AM
Name: Joshua Thomas
Title: Grants Support Specialist, Grants Management Office
Date: 12/9/2014 9:46:22 AM
Name: BelpedioJennifer
Title: Assistant County Attorney, CAO General Services
Date: 12/15/2014 3:56:36 PM
Name: PriceLen
Title: Administrator-Administrative Services, Administrative Services Division
Date: 12/29/2014 3:26:42 PM
Name: BelpedioJennifer
Title: Assistant County Attorney, CAO General Services
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1/13/2015 16.E.2.
Date: 12/30/2014 10:19:52 AM
Name: IsacksonMark
Title: Director-Corp Financial and Mngmt Svs, Office of Management&Budget
Date: 12/30/2014 1:27:00 PM
Name: KlatzkowJeff
Title: County Attorney,
Date: 12/30/2014 3:34:21 PM
Name: StanleyTherese
Title: Manager-Grants Compliance, Grants Management Office
Date: 1/5/2015 1:46:51 PM
Name: DurhamTim
Title: Executive Manager of Corp Business Ops,
Date: 1/6/2015 8:43:07 AM
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1/13/2015 16.E.2.
BayArtie
From: FEMA (Federal Emergency Management Agency)
[fema @service.govdelivery.com]
Sent: Friday, October 31, 2014 12:10 PM
To: BayArtie
Subject: AFG Application Period Opens Monday, November 3,
2014 at 8 A.M. EST — FOA Now Available
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APPLICATION PERIOD FOR FY 2014 ASSISTANCE TO FIREFIGHTERS GRANTS(AFG)OPENS AT 8 A.M.
EST MONDAY, NOVEMBER 3,2014,TO 5 P.M.EST FRIDAY, DECEMBER 5,2014
■ FY 2014 FUNDING OPPORTUNITY ANNOUNCEMENT(FOA)AVAILABLE NOW
SAM.GOV REGISTRATION IS REQUIRED TO APPLY AND RECEIVE GRANTS
■ REGIONAL SUPPORT AVAILABLE FOR FY 2014 AFG
APPLICATION PERIOD FOR FY 2014 ASSISTANCE TO FIREFIGHTERS GRANTS(AFG)OPENS AT 8 A.M.
EST MONDAY, NOVEMBER 3,2014,TO 5 P.M. EST FRIDAY, DECEMBER 5,2014
The FY 2014 AFG application period will open this coming Monday, November 3, 2014,at 8 am EST,and will
close on Friday, December 5, 2014,at 5 pm EST.Application assistance and tools are available. Begin your
application now by utilizing the application assistance tools available below:
FY 2014 Assistance to Firefighters Grant(AFG)Application Assistance Tools
• Workshop Presentation
• FY 2014 Workshop Presentation
• SAM.gov Get Ready Guide
• SAM.gov application preparation guide
• AFG Get Ready Guides
• Get Ready Guide—AFG Narrative
• Get Ready Guide—Grants Management
• Get Ready Guide—Grant Application
• AFG Funding Opportunity Announcement(FOA)
• Program Guidance
• AFG Application Checklist
• A sneak peak at the application
FY 2014 FUNDING OPPORTUNITY ANNOUNCEMENT(FOA)AVAILABLE NOW
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1/13/2015 16.E.2.
o er County
t t
Office of Management& Budget
w
Grant Application Reviewed and Approved by County
M.nager•r designee:
11• -.�► — %�`
County Ma a:,
\1 \t(date)
After-the-Fact Approval by the BCC is required at the
January 13,2015 BCC meeting
TO: Leo Ochs,County Manager
CC: Artie Bay,EMS Supervisor
FROM:Joshua Thomas,Grants Support Specialist.Ns
RE: County Manager review and approval of a 2014 Assistance to Firefighters Grant sponsored by
FEMA in the amount of$652,159.
December 3, 2014
Collier County Emergency Medical Services(EMS)is applying for an Assistance to Firefighters Grant to
acquire funds for communication equipment, including mobile and portable radios. If awarded,this grant
will be used to replace old and obsolete equipment and bring communications into compliance with new
FCC regulations. Current mobile radios were purchased in 1996 and portable radios were purchased in
2000,with necessary replacements over the years. The current system is not P-25 compliant and the
Countywide Enhanced Digital Access Communication.System(EDACS) is being phased out and is no
longer supported by the manufacturer. Awarded funds will allow for the department to update the entire
inventory of mobile and portable radios. The Assistance to Firefighters Grant requires a 10%match in
the amount of$65,215 and matching funds are available in EMS Fund 490.
The Notice of Funding was announced on November 3,2014 with a due date of December 5, 2014. Due
to the short turnaround,we are requesting your approval to submit the application,followed by after the
fact approval by the Board of County Commissioners at the January 13,2015 BCC meeting. Once you
have reviewed the application,please sign in the box above and call me for pickup at 239-252-8989.
Thank you,and please let me know if you have any questions regarding this request.
UN1
rr
3299 Tamiami Trail East,Suite 201•Naples,Florida 34112-5746.239-252-8973•FAX 239-252-8828
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Application Number: EMW-2014-FO-02982 1/13/2015 16.E.2.
Entire Application
Applicant's Acknowledgements
• As required per 2 CFR L 25.205,I certify that prior to submission of this application I have checked the DUNS number listed in this application against
the SAM.gov website and it is a correct and active at time of submission.
• I certify that the applicant organization has consulted the appropriake Funding Opportunity Announcement and that all requested activities are
programmatically allowable,technically feasible and can be completed within the award's one(1)year Period of Performance(POP).
• I certify that the applicant organization is aware that this application period is open from 11/03 to 12/05/2014 and will close at 5 PM EST;further that the
applicant organization is aware that that once an application is submitted,even if the application period is still open,a submitted application cannot be
changed or released back to the applicant for modification.
• I certify that the applicant organization is aware that it is solely the applicant organization's responsibility to ensure that all activities funded by this award
(s),comply with Federal Environmental planning and Historic Preservation(EHP)regulations,laws,and Executive Orders as applicable.The EHP
Screening Form designed to initiate and facilitate the EHP Review is available at:htto://www.fema.00v/media-library/assets/documents/30521?id=6906
• I certify that the applicant organization is aware that the applicant organization is ultimately responsible for the accuracy of all application information
submitted.Regardless of the applicant's intent,the submission of information that is false or misleading may result in actions by FEMA that include,but
are not limited to:the submitted application not being considered for award,an existing award being locked pending investigation,or referral to the Office
of the Inspector General.
Signed by Artie Bay on 2014-12-04
Overview
•Did you attend one of the workshops conducted by an AFG regional fire program specialist?
No,I have not attended workshop
*Did you participate in a webinar that was conducted by AFG?
No
Are you a member,or are you currently involved in the management,of the fire department or nonaffiliated EMS organization
or a State Fire Training Academy applying for this grant with this application?
Yes,I am a member/officer of this applicant
If you answered"No",please complete the information below.If you answered"Yes",please skip the Preparer Information section.
Fields marked with an•are required.
Preparer Information
Preparer's Name
•Address 1
Address 2
•City
•State
Zip Need help for ZIP+4?
In the space below please list the person your organization has selected to be the primary point of contact(POC)for this grant.This should be a
department officer or member of the organization who will see this grant through completion,to include closeout.Reminder:if this person changes at any
time during the period of performance please update this information.Please list only phone numbers where we can reach the POC.
Primary Point of Contact
•Title Supervisor-EMS Administration
Prefix(select one) Ms.
•First Name Artie
Middle Initial R
•Last Name Bay
•Primary Phone(e.g.123-456-7890) 239-252-3740 Ext. Type work
•Secondary Phone(e.g.123-456-7890) 239-252-3756 Ext. Type cell
Optional Phone(e.g.123-456-7890) Type Select
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Fax(e.g.123-456-7890) 239-252-3298
•Email(e.g.user @xyz.org) artiebay @colliergov.net
Contact Information
Alternate Contact Information Number 1
•Title Chief
Prefix(select one) Mr.
•First Name Walter
Middle Initial J
•Last Name Kopka,II
•Primary Phone 239-252-3757 Ext. Type work
-Secondary Phone 239-293-7239 Ext. Type cell
Optional Phone Type
Fax 239-252-3298
*Email walterkopka @colliergov.net
Alternate Contact Information Number 2
•Title County Manager
Prefix(select one) Mr.
•First Name Leo
Middle Initial E
•Last Name Ochs,Jr.
•Primary Phone 239-252-8383 Ext. Type work
Secondary Phone 239-252-8999 Ext. Type cell
Optional Phone Type
Fax
-Email leoochs @colliergov.net
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Applicant Information
EMW-2014-FO-02982
Originally submitted on 12/04/2014 by Artie Bay(Userid:marlenefoord)
Cont2ct Ipfprp+ation•
Address:8075 Lely Cultural Pkwy
City:Naples
State:Florida
Zip:34113
Day Phone:2392523756
Evening Phone:2392523740
Cell Phone:
Email:ArtieBay @colliergov.net
Application number is EMW-2014-F0-02982
•Organization Name County of Collier EMS
•Type of Applicant Non-Affiliated EMS Organization
•Fire Department/District,Nonaffiliated EMS,and Regional applicants, County
select type of Jurisdiction Served
If"Other',please enter the type of Jurisdiction
SAM.qov(System For Award Management)
•What is the legal
name of your Entity as
it appears in SAM.gov?
Note:This information
must match your County of Collier
SAM.qov profile if your
organization is using
the DUNS number of
your Jurisdiction.
What is the legal business address of your Entity as it appears in SAM.qov?
Note:This information must match your SAM.gov profile if your organization is using the DUNS number of your Jurisdiction.
•Mailing Address 1 3299 Tamiami Trail East
Mailing Address 2 Suite 700
•City Naples
•State Florida
Zip 34112-3969
Need help for Zi.+4?
•Employer
Identification Number
(e.g.12-3456789) 59-6000558
Note:This information
must match your
SAM.gov profile.
•Is your organization
using the DUNS Yes
number of your
Jurisdiction?
I certify that my
organization is
authorized to use the
DUNS number of my
Jurisdiction provided in
this application.
(Required if you select
Yes above)
What is your 9 digit 076997790
DUNS number? (call 1-866-705-5711 to get a DUNS number)
If you were issued a 4
digit number(DUNS
plus 4)by your
Jurisdiction in addition
to your 9 digit number
please enter it here.
Note:This is only
required if you are
using your
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Jurisdiction's DUNS
number and have a
separate bank account
from your Jurisdiction.
Leave the field blank if
you are using your
Jurisdiction's bank
account-or-have-your
own DUNS number
and bank account
separate from your
Jurisdiction.
• Is your DUNS
Number registered in
SAM.gov(System for Yes
Award Management
previously CCR.gov)?
• I certify that my --
organization/entity is
registered and active at
SAM.gov and
registration will be
renewed annually in
compliance with
Federal regulations.I
acknowledge that the
information submitted
in this application is
accurate,current and
consistent with my
organization's/entity's
SAM.gov record.
Headquarters or Main Station Physical Address
Physical Address 1 8075 Lely Cultural Pkwy
Physical Address 2 Suite 267
•City Naples
•State Florida
/"""`•
^Zip
34113-9005
Need help for ZPP+4?
•Mailing Address 1 8075 Lely Cultural Pkwy
Mailing Address 2 Suite 267
•City Naples
State Florida
Zip 34113-9005
• Need help for ZIP+4?
Bank Account Information
•The bank account Note:If this is selected,a 4 digit DUNS plus 4 is required if you answered"YES"to using the DUNS number of your Jurisdiction.
being used is:(Please
select one from right) Maintained by my Jurisdiction
Note:The following banking information must match your SAM.gov profile.
•Type of bank account Checking
•Bank routing number-
9 digit number on the
bottom left hand corner
of your check
Your account number-
Additional Information
For this fiscal year(Federal)is your organization receiving Federal
funding from any other grant program that may duplicate the purpose No
and/or scope of this grant request?
•If awarded,will your organization expend more than$750,000 in Federal
funds during your organization's fiscal year?If"Yes",your organization
may be required to undergo an A-133 audit.Reasonable costs incurred
for an A-133 audit are an eligible expenditure and should be included in Yes
the applicant's proposed budget.Please enter audit costs only once under
any"Additional Funding"in the"Request Details"section of the
application. �.
Is the applicant delinouent on any Federal debt? No
If you answered"Yes"to any of the additional questions above,please provide an explanation in the space provided below:
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In 2013 Collier County expended$48,799,000 in federal funds.It is reasonable to expect that Collier County will continue to expend more than$750,000
each subsequent year.
Non-Affiliated EMS Organization Department Characteristics(Part 1)
What kind-oforganization-do-you represent? Aifflaid/Carne
If you answered"Combination"above,what is the percentage of career r/
members in your organization?
•What type of community does your wganization serve? Suburban
•Does your department transport? Yes
•What is the square mileage of your Primary/First Due Response Area? 2025
•In what county/parish is your organization physically located?If you have Collier
more than one station,in what county/parish is your main station located?
^Does your organization protect critical infrastructure or key resources of No
the state?
•How much of your Primary/First Due Response Area land use is for 81
agriculture,wildland,open space,or undeveloped properties?
•What percentage of your Primary/First Due Response Area land use is 3,/Q
for commercial and industrial purposes?
•What percentage of your Primary/First Due Response Area land is used 16
for residential purposes?
^What is the permanent resident population of your Primary/First Due 321520
Response Area served?
•Do you have a seasonal increase in population? Yes
If"Yes"what is your seasonal increase in population? 89000
•How many active members does your EMS organization have that meet
the minimum EMS certification standards as dictated by your jurisdiction 199
or state?
•How many stations are operated by your organization? 23
•How many personnel are trained to First Responder/Emergency Medical 199
Responder?
•How many untrained members perform other duties such as only drive? 0
How many personnel are trained to Emergency Medical Technician 199
(EMT)?
•How many personnel are trained to EMT-Advanced? 199
•How many personnel are trained to Paramedic? 127
•Does your department have a Community Paramedic program? No
•How many personnel are trained to the Community Paramedic level? 0
•What services does your organization provide?
Advanced Life Support Non-Transport Rescue Operational Level
Advanced Life Support Transport Fire Suppression Rescue Technical Level
Haz-Mat Operational Level
Basic Life Support Non-Transport Vehicle Extrication
Basic Life Support Transport Medical First Response
•Please describe your organization and/or community that you serve.
Collier County EMS is the sole provider of emergency medical transport services for all of Collier County,Florida.Collier is the largest county in the
state,encompassing 2025 square miles,with a combination of urban,suburban and rural areas.Collier County is located on the southwest coast of
Florida with a permanent population of 321,520(based on the 2010 census).Approximately 20,000 workers increase the population each day.In
addition,the moderate climate,miles of beaches,three airports and numerous marinas attract a multitude of visitors each day,swelling the population
level in excess of 400,000(Collier County Planning Department estimate)during peak season.This agency responded to 38,349 calls for emergency
medical services in FY 2014 and provided 24,805 transports.Emergency medical services are provided to the County via 162 full-time Paramedics and
EMTs,with an additional 20 part-time EMTs and 11 field supervisors.
EMS Department Characteristics(Part II)
2013 2012 2011
What is the total number of line of duty member fatalities in your 0 0 0
jurisdiction over the last three calendar years?
•What is the total number of line of duty member injuries in your
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jurisdiction over the last three calendar years? 21 13 12
•Over the last three years,what was your organization's average TOTAL 22373500 22294700 23247700 ''�
operating budget?
•What percentage of your TOTAL budget is dedicated to personnel costs 83% 82% 82%
(salary,overtime and fringe benefits)?
What porcontago of your annual oporating budget iodorivod from: 2013 2012 2011
Enter numbers only,percentages must sum up to 100% •
Taxes? 55% 56% 58
Bond Issues 0% 0% 0%
EMS Billing? 45% 44% 42%
Grants? 0% 0% 0%
Donations? 0% 0% 0%
Fund drives? 0% 0% 0%
Fee for Service? 0% 0% 0%
Other? 0% 0% 0%
If you entered a value into Other field(other than 0),please explain
Does your organization intend to provide a cost share greater than the
required amount? No
(If applying for a Micro Grant,please select"N/A")
If yes,how much additional funding in excess of the required cost share is
your organization willing to contribute?Enter the amount in the box to the $
right.
Note:This figure will not affect the budget calculations.
*Please describe your organization's need for Federal financial assistance.
Approximately 83%of the Collier County EMS budget is utilized to cover personnel costs.The remaining 17%is utilized to cover operating costs and
capital purchases to replace worn equipment.The budget is largely dependent(45%in FY2013)on ambulance fee revenues.With the majority of the
county being agricultural,there is a large influx of both a migrant population and indigent patients.As such,Collier County experiences a high volume of
write-offs for ambulance services.The offsetting funds must come from ad valorem taxes,which are terribly strained due to the growth of the area and
demands on the infrastructure of the county.Especially significant is a mandate by the State of Florida to reduce property taxes that has crippled county
agencies from obtaining necessary funding through ad valorem taxes.While Collier County is beginning to see some recovery in property values,funds
are extremely scarce because every agency within the county is vying for funding for equipment replacement and improvements to infrastructure that
have gone unfunded due to annual budget cuts.As is the case with Collier County EMS,replacement of worn out ambulances and medical equipment is
eating up any available funds and a surge of new housing developments has placed even greater demand on the system,requiring additional funding for /...,„
more units to be placed in service,yet the radios currently in use will be obsolete by our next fiscal year and there is no funding available to bring this
critical equipment up to the level of P25 compliance.
•How many vehicles does your organization have in each of the type or class of vehicle listed below?You must include vehicles that are leased or as
well as any vehicles that have been ordered or otherwise currently under contract for purchase or lease by your organization but not yet in your
possession.(Enter numbers only and enter 0 if you do not have any of the vehicles below)
Number
Number of Number of of Seated
Type or Class of Vehicle Front Line Reserve
Apparatus Apparatus Riding
Positions
Ambulances 25 9 102
Bariatric Ambulance 1 0 3
Non-Transport:
EMS Chase Vehicle,Air/Light Unit Rehab Units,Bomb Unit,Technical Support(Command, 17 0 85
Operational Supporl/Supply),Salvage Truck,ARFF(Aircraft Rescue Firefighting),
Command/Mobile Communications Vehicle
EMS Department Call Volume
2013 2012 2011
'How many responses per year by category?(Enter whole numbers only.If you have no calls for any of the categories,Enter 0)
Structural Fires 0 0 0
EMS-BLS Response Calls 3053 2903 3969
EMS-ALS Response Calls 35406 33366 32205
EMS-BLS Scheduled Transports 0 0 0
EMS-ALS Scheduled Transports 0 0 0
Vehicle Extrications 0 0 0
Community Paramedic Response Calls 0 0 0
Other Rescue 0 0 0 ^
Hazardous Condition/Materials Calls 28 13 11
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Application Number: EMW-2014-FO-02982 1/13/2015 16.E.2.
Total 38487 36282 36185
•How many responses per year by category?(Enter whole numbers only.If you have no calls for any of the categories,Enter 0)
Total calls requiring transport,exclusive of
scheduled transport declared above 24359 24058 23920
All°the,Calls and 1.■,..ide,6 not declared _ .. 0 0 above,including fire,good-intent,etc.
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EMS Request Information
1.Select a program for which you are applying.You can apply for as many activities within a program as you need.If you are interested in applying
under Vehicle Acquisition,EMS Operations and Safety,and/or Regional application,you will need to submit separate applications.
Program Name
EMS-Operations-and-Safely
2.Will this grant directly benefit more than one organization?
No
3.Enter grant-writing fee associated with the preparation of this request.Enter 0 if there is no fee.
$0
4.Are you requesting a Micro Grant?
A Micro Grant is limited to$25,000 Federal share.Modification to Facilities activity is No
ineligible for Micro Grants.
Request Details
The activities for program Operations and Safety are listed in the table below.
Activity Number of Entries Total Cost Additional Funding
Equipment 4 $717,374 $0
Modify Facilities 0 $0 $0
Personal Protective Equipment 0 $0 $0
Training 0 $0 $0
Wellness and Fitness Programs 0 $0 $0
Grant-writing fee associated with the preparation of this request. $0
EMS Equipment
1.What equipment will be purchased with grant funds? Mobile Radios(Must be P-25 Compliant)
Please provide a detailed description of the item selected above Rear Mount Mobile Radios
2.Number of units: 34 (whole number only)
3.Cost per unit: $5570 (whole dollar amounts only:this amount should reflect any
volume discounts,rebates,etc.)
4.Generally the equipment purchased under this grant program will:(select one) Replace obsolete or damaged equipment that can no
longer meet the applicable standards
5.Will the equipment being requested bring the organization into voluntary compliance with a
national standard,e.g.compliance with NFPA,OSHA,etc.
Yes
In your Narrative Statement,please explain how this equipment will bring the organization into
voluntary compliance.
6.At what level of service will this equipment be used if awarded this grant? Paramedic
7.Is your department trained in the proper use of the equipment being requested? Yes
8.Are you requesting funding to be trained for these item(s)?Funding for requested training No
shall be entered in the corresponding Additional Funding section.(Under the Action column
select Update Addition Funding)
9.If you are not requesting training funds through this application,will you obtain training for No
this equipment through other sources?
EMS Equipment
1.What equipment will be purchased with grant funds? Mobile Radios(Must be P-25 Compliant)
Please provide a detailed description of the item selected above Scan Remote Mount Mobile Radios
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2.Number of units: 48 (whole number only)
' 3.Cost per unit: $4305 (whole dollar amounts only;this amount should reflect any
volume discounts,rebates,etc.)
4.Generally the equipment purchased under this grant program will:(select one) Replace obsolete or damaged equipment that can no
longer meet the applicable standards
5 Will the equipment being requested bring the organization into voluntary compliance with a
na lona s anew.,e.g.comp lance WI ,• ,e c.
Yes
In your Narrative Statement,please explain how this equipment will bring the organization into
voluntary compliance.
6.At what level of service will this equipment be used if awarded this grant? Paramedic
7.Is your department trained in the proper use of the equipment being requested? Yes
8.Are you requesting funding to be trained for these item(s)?Funding for requested training No
shall be entered in the corresponding Additional Funding section.(Under the Action column
select Update Addition Funding)
9.If you are not requesting training funds through this application,will you obtain training for No
this equipment through other sources?
EMS Equipment
1.What equipment will be purchased with grant funds? Portable Radios(Must be P-25 Compliant)
Please provide a detailed description of the item selected above Scan Portable Radio Package
2.Number of units: 100 (whole number only)
3.Cost per unit: $2892 (whole dollar amounts only;this amount should reflect any
volume discounts,rebates,etc.)
4.Generally the equipment purchased under this grant program will:(select one) Replace obsolete or damaged equipment that can no
longer meet the applicable standards
5.Will the equipment being requested bring the organization into voluntary compliance with a
national standard,e.g.compliance with NFPA,OSHA,etc.
Yes
In your Narrative Statement,please explain how this equipment will bring the organization into
voluntary compliance.
6.At what level of service will this equipment be used if awarded this grant? Paramedic
7.Is your department trained in the proper use of the equipment being requested? Yes
8.Are you requesting funding to be trained for these item(s)?Funding for requested training No
shall be entered in the corresponding Additional Funding section.(Under the Action column
select Update Addition Funding)
9.If you are not requesting training funds through this application,will you obtain training for No
this equipment through other sources?
EMS Equipment
1.What equipment will be purchased with grant funds? Mobile Radios(Must be P-25 Compliant)
Please provide a detailed description of the item selected above System Dual Control Head Mobile Radio
2.Number of units: 6 (whole number only)
3.Cost per unit: $5359 (whole dollar amounts only;this amount should reflect any
volume discounts,rebates,etc.)
4.Generally the equipment purchased under this grant program will:(select one) Reg e damaged equipment that can no
longer meet the he appp licable s st a tandards_
5.Will the equipment being requested bring the organization into voluntary compliance with a
national standard,e.g.compliance with NFPA,OSHA,etc.
Yes
In your Narrative Statement,please explain how this equipment will bring the organization into
voluntary compliance.
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6.At what level of service win this equipment be used if awarded this grant? Paramedic
7.Is your department trained in the proper use of the equipment being requested? Yes ^.
8.Are you requesting funding to be trained for these item(s)?Funding for requested training No
shall be entered in the corresponding Additional Funding section.(Under the Action column
select Update Addition Funding)
9.If you are not requesting training funds through this application,will you obtain training for No
this equipment through other sources?
EMS Equipment-Narrative
*Section#1 Project Description:In the space provided below,include clear and concise details regarding your organization's project's description and
budget.This includes providing local statistics to justify the needs of your department and a detailed plan for how your department will implement the
proposed project.Further,please describe what you are requesting funding for,including budget descriptions of the major budget items,i.e.,personnel,
equipment,contracts,etc.*4000 characters
As the sole emergency ambulance transport for Collier County,Florida,Collier County Emergency Medical Services(Collier EMS)is requesting this
grant to acquire funds for communication equipment,mobile and portable.This request is to replace old and obsolete equipment and bring our
communications into compliance with new FCC regulations.Our current mobile radios were originally purchased in 1996 and our portables in 2000,with
necessary replacements over the years.Collier EMS has continued to support the current system and over time our available accessories(chargers,
batteries and spare parts)have been diminished.The current system we are using is not P25 compliant-our Countywide Enhanced Digital Access
Communication System(EDACS)currently in place is also being phased out and is no longer supported by the manufacturer.This phase of the
Countywide EDACS system,along with increasing difficulties to acquire parts for needed repairs,has made it difficult to maintain an adequate supply of
functioning radio equipment.Collier EMS works with multiple local agencies in responding to medical emergencies and this challenge in communicating
continues to increase as the phasing in of P25 compliant communications equipment continues.We are requesting funds to update our entire inventory
of mobile and portable radios for a total of$717,374 to include:88 mobile radios(2 per each transport apparatus,1 per each command vehicle,and a
total of 6 for facilities),and 100 portable radios(one radio assigned to each individual staffing an ambulance,10 assigned to command staff,8 for Collier
EMS staffing an ALS engine under one of the ALS partnerships with local independent fire districts,as well as 10 spares).The equipment we are
requesting will accommodate future technologies and offers 700/800 MHz frequency capability,P25 trunking,EDACS digital trunking,encryption and
falls within the equipment standards as noted in the 2014 SAFECOM Guidance for Emergency Communications Grants.This project meets the highest
priority standards found in the 2014 AFG Guidance as the equipment we are replacing is P25 compliant,greater than 10 years old and is obsolete.
*Section#2 Cost/Benefit:In the space provided below please explain,as clearly as possible,what will be the benefits your department or your
community will realize if the project described is funded(i.e.anticipated savings and/or efficiencies)?Is there a high benefit for the costs incurred?Are
the costs reasonable?Provide justification for the budget items relating to the costs of the requested items.*4000 characters
This request is to replace old and obsolete equipment and bring our communications into compliance with new FCC regulations.Our current mobile and
portable radios were originally purchased in 1996 and 2000 with necessary replacements over the years.Adequate radio communications is an integral
component of safely mitigating an incident—for our personnel,the public and property.With the mandatory transition to P25 compliance by the FCC
rapidly approaching,Collier EMS is working towards allocating funds to comply.This project will reduce repair costs associated with emergency
communications equipment that is being phased out.The use of alternative funds will allow Collier EMS'limited resources to continue to remain available
to support daily operations and medical equipment needs.The long term value of being awarded this request is the personnel will have the radio
equipment necessary to meet the interoperability standards for communication amongst all public safety agencies.This project will bring Collier EMS into
compliance with the FCC narrow banding and allow for all of our communications equipment to be P25 compliant.Collier EMS works closely with
multiple jurisdictions and agencies to provide Advanced Life Support to the citizens and visitors of Collier County.In fact,our personnel staff fire
apparatus of independent fire districts within the County,while fire personnel staff Collier EMS ambulances under our Advanced Life Support Partnership
Agreements.All agencies support one another to provide the most efficient emergency medical response throughout this vast county.It is imperative that
radio communications be stable and adequate so that personnel and the public are safe.Additionally,severe weather and hurricane conditions pose
additional communication challenges.Communications capabilities must be compatible with automatic and mutual aid agencies.
Seeking alternative funding sources for the requested items is necessary because of limited financial resources and it will be very difficult for Collier EMS
to financially support the daily operations and transition all mobile and portable radios radio equipment into P25 FCC compliance.Should only a portion
of this request be funded the benefit of that component will still support Collier EMS in its efforts to provide a safe environment for our employees,our
patients and the public.
*Section#3 Statement of Effect:How would this award impact the daily operations of your department?How would this award impact your departments
ability to protect lives and property in your community?*4000 characters
Our current radio system,parts of which are almost 20 years old,is obsolete.Through the years we have purchased new radios on an as needed basis,
but with the advent of FCC P25 compliance and the transition to narrow-banding,our radios(mobile and portable)are being phased out of existence.As
the largest county in the State of Florida,we respond to nearly 40,000 calls for emergency services per year,some in very remote areas where
personnel are not always close to command.We implement our accountability system and utilize radio communications to maintain an awareness as to
where our personnel are located,what task they are working on and what hazards might be presented.This is an example of why radio equipment that is
capable of communicating with multiple jurisdictions and agencies is an important safety tool.The FCC has established this regulation to ensure that all
public safety agencies have interoperability for communications on an emergency incident.The project we are requesting will allow Collier EMS to
comply with the FCC P25 and narrow-banding requirements.The radios we are considering for purchase will allow software upgrades in the future which
are significantly less expensive than having to replace radios.The components of this project will enhance our ability to safely communicate with our
personnel and those working with us,in addition to providing another decade or two of emergency communications.In consideration of the volume of our
responses in a given year,radio communication is critical to the outcome.
Budget
k
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Budnet Object Class
■ • , a.Personnel $0
b.Fringe Benefits $0
c.Travel $0
d.Equipment $717,374
e.Supplies $0
I.Contractual $0
g.Construction $0
h.Other $0
i.Indirect Charges $0
j.State Taxes $0
Federal and Applicant Share
Federal Share $652,159 •
Applicant Share $65,215
Applicant Share of Award(%) 10
•Non-Federal Resources(The combined Non-Federal Resources must equal the Applicant Sham of$65,215)
a.Applicant $65,215
b.State $0
c.Local $0
d.Other Sources $0
If you entered a value in Other Sources other than zero(0),include your explanation below.You can use this space to provide information on the
project,cost share match,or if you have an indirect cost agreement with a federal agency.
Total Budget $717,374
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Narrative Statement
For 2011 and on,the Narrative section of the AFG application has been modified.You will enter individual narratives for the Project
Description,Cost-Benefit,Statement of Effect,and Additional Information in the Request Details section for each Activity for which you are
requesting funds.Please return to the Request Details section for further instructions.You will address the Financial Need in Applicant
Characteristics II section of the application.We recommend that you type each response in a Word Document outside of the grant application
and-then-copy-and-paste-it-into-the-spaces-provided-within-the application. —
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Assurances and Certifications
FEMA Form SF 424B
You must read and sign these assurances.These documents contain the Federal requirements attached to all Federal grants including the
right of the Federal government to review the grant activity.You should read over the documents to become aware of the requirements.The
Assurances and Certifications must be read,signed,and submitted as a part of the application.
Note:Fields marked with an*are required.
0.M.B Control Number 4040-0007
Assurances Non-Construction Programs
Note:Certain of these assurances may not be applicable to your project or program.If you have any questions,please contact the awarding agency.
Further,certain Federal awarding agencies may require applicants to certify to additional assurances.If such is the case,you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal assistance and the institutional,managerial and financial capability(including funds
sufficient to pay the non-Federal share of project costs)to ensure proper planning,management and completion of the project
described in this application.
2. Will give the awarding agency,the Comptroller General of the United States,and if appropriate,the State,through any authorized
representative,access to and the right to examine all records,books,papers,or documents related to the award;and will establish a
proper accounting system in accordance with generally accepted accounting standards or agency directives.
3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance
of personal or organizational conflict of interest,or personal gain.
4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency.
5. Will comply with the Intergovernmental Personnel Act of 1970(42 U.S.C.Section 4728-4763)relating to prescribed standards for
merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for
a Merit System of Personnel Administration(5 C.F.R.900,Subpart F).
6. Will comply with all Federal statutes relating to nondiscrimination.These include but are not limited to:(a)Title VI of the Civil Rights
Act of 1964(P.L.88-352)which prohibits discrimination on the basis of race,color or national origin;(b)Title IX of the Education
Amendments of 1972,as amended(20 U.S.C.Sections 1681-1683,and 1685-1686),which prohibits discrimination on the basis of
sex;(c)Section 504 of the Rehabilitation Act of 1973,as amended(29 U.S.C.Section 794),which prohibits discrimination on the
basis of handicaps;(d)the Age Discrimination Act of 1975,as amended(42 U.S.C.Sections 6101-6107),which prohibits
discrimination on the basis of age;(e)the Drug Abuse Office and Treatment Act of 1972(P.L.92-255),as amended,relating to
nondiscrimination on the basis of drug abuse;(f)the Comprehensive Alcohol Abuse and Alcoholism Prevention,Treatment and
Rehabilitation Act of 1970(P.L.91-616),as amended,relating to nondiscrimination on the basis of alcohol abuse or alcoholism;(g)
§§523 and 527 of the Public Health Service Act of 1912(42 U.S.C.§§290 dd-3 and 290 ee-3),as amended,relating to confidentiality
of alcohol and drug abuse patient records;(h)Title VIII of the Civil Rights Acts of 1968(42 U.S.C.Section 3601 et seq.),as
amended,relating to nondiscrimination in the sale,rental or financing of housing;(i)any other nondiscrimination provisions in the
specific statute(s)under which application for Federal assistance is being made;and(j)the requirements of any other
nondiscrimination statute(s)which may apply to the application.
7. Will comply,or has already complied,with the requirements of Title II and III of the Uniform Relocation Assistance and Real Property
Acquisition Policies Act of 1970(P.L.91-646)which provide for fair and equitable treatment of persons displaced or whose property
is acquired as a result of Federal or federally-assisted programs.These requirements apply to all interest in real property acquired for
project purposes regardless of Federal participation in purchases.
8. Will comply,as applicable,with provisions of the Hatch Act(5 U.S.C.§§1501-1508 and 7324-7328)which limit the political activities
of employees whose principal employment activities are funded in whole or in part with Federal funds.
9. Will comply,as applicable,with the provisions of the Davis-Bacon Act(40 U.S.C.§§276a to 276a-7),the Copeland Act(40 U.S.C.
§276c and 18 U.S.C.§874),and the Contract Work Hours and Safety Standards Act(40 U.S.C.§§327-333),regarding labor
standards for federally-assisted construction subagreements.
10. Will comply,if applicable,with flood insurance purchase requirements of Section 102(a)of the Flood Disaster Protection Act of 1973
(P.L.93-234)which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if
the total cost of insurable construction and acquisition is$10,000 or more.
11. Will comply with environmental standards which may be prescribed pursuant to the following:(a)institution of environmental quality
control measures under the National Environmental Policy Act of 1969(P.L.91-190)and Executive Order(EO)11514;(b)notification
of violating facilities pursuant to EO 11738;(c)protection of wetlands pursuant to EO 11990;(d)evaluation of flood hazards in
floodplains in accordance with EO 11988;(e)assurance of project consistency with the approved State management program
developed under the Coastal Zone Management Act of 1972(16 U.S.C.§§1451 et seq.);(f)conformity of Federal actions to State
(Clean Air)Implementation Plans under Section 176(c)of the Clean Air Act of 1955,as amended(42 U.S.C.§§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.Section 1271 at seq.)related to protecting components or
potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966,as
amended(16 U.S.C.470),EO 11593(identification and protection of historic properties),and the Archaeological and Historic
Preservation Act of 1974(16 U.S.C.469a-1 et seq.).
14. Will comply with P.L.93-348 regarding the protection of human subjects involved in research,development,and related activities
supported by this award of assistance.
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15. Will comply with the Laboratory Animal Welfare Act of 1966(P.L.89-544,as amended,7 U.S.C.2131 et seq.)pertaining to the care,
handling,and treatment of warm blooded animals held for research,teaching,or other activities supported by this award of
assistance.
16. Will comply with the Lead-Based Paint Poisoning Prevention Act(42 U.S.C.Section 4801 et seq.)which prohibits the use of lead
based paint in construction or rehabilitation of residence structures.
17 Will cause to be performed the required financial and compliance audits in acrordancg with the Single Audit Act Amendments of
1996-and-OMB CircolarNo-A133fAudila of Slates,Luc.at-G Governments,and-M rOffl Olganicdtitms-
18. Will comply with all applicable requirements of all other Federal laws,executive orders,regulations and policies governing this
program.
Signed by Artie Bay on 1210412014
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Form 20-16C
..' You must read and sign these assurances.
Certifications Regarding Lobbying,Debarment,Suspension and Other Responsibility Matters and Drug-Free Workplace Requirements.
Note:Fields marked with an*are required.
- O.IDLBIontroillurriber_.i6b0 uOzs
Applicants should refer to the regulations cited below to determine the certification to which they are required to attest.Applicants should also review the
instructions for certification included in the regulations before completing this form.Signature on this form provides for compliance with certification
requirements under 44 CFR Part 18,"New Restrictions on Lobbying;and 44 CFR Part 17,"Government-wide Debarment and Suspension(Non-
procurement)and Government-wide Requirements for Drug-Free Workplace(Grants)."The certifications shall be treated as a material representation of
fact upon which reliance will be placed when the Department of Homeland Security(DHS)determines to award the covered transaction,grant,or
cooperative agreement.
1.Lobbying
A.As required by the section 1352,Title 31 of the US Code,and implemented at 44 CFR Part 18 for persons(entering)into a grant or cooperative
agreement over$100,000,as defined at 44CFR Part 18,the applicant certifies that:
(a)No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for influencing or
attempting to influence an officer or employee of any agency,a Member of Congress,an officer or employee of congress,or an employee
of a Member of Congress in connection with the making of any Federal grant,the entering into of any cooperative agreement and
extension,continuation,renewal amendment or modification of any Federal grant or cooperative agreement.
(b)If any other funds than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency,a Member of Congress,an officer or employee of congress,or an employee of a Member
of Congress in connection with this Federal grant or cooperative agreement,the undersigned shall complete and submit Standard Form
LLL,"Disclosure of Lobbying Activities",in accordance with its instructions.
(c)The undersigned shall require that the language of this certification be included in the award documents for all the sub awards at all
tiers(including sub grants,contracts under grants and cooperative agreements and sub contract(s))and that all sub recipients shall certify
and disclose accordingly.
2.Debarment,Suspension and Other Responsibility Matters(Direct Recipient)
A.As required by Executive Order 12549,Debarment and Suspension,and implemented at 44CFR Part 67,for prospective participants in primary
covered transactions,as defined at 44 CFR Part 17,Section 17.510-A,the applicant certifies that it and its principals:
(a)Are not presently debarred,suspended,proposed for debarment,declared ineligible,sentenced to a denial of Federal benefits by a
State or Federal court,or voluntarily excluded from covered transactions by any Federal department or agency.
(b)Have not within a three-year period preceding this application been convicted of or had a civilian judgment rendered against them for
commission of fraud or a criminal offense in connection with obtaining,attempting to obtain or perform a public(Federal,State,or local)
transaction or contract under a public transaction;violation of Federal or State antitrust statutes or commission of embezzlement,theft,
forgery,bribery,falsification or destruction of records,making false statements,or receiving stolen property.
(c)Are not presently indicted for or otherwise criminally or civilly charged by a government entity(Federal,State,or local)with commission
of any of the offenses enumerated in paragraph(1)(b)of this certification:and
(d)Have not within a three-year period preceding this application had one or more public transactions(Federal,State,or local)terminated
for cause or default;and
B.Where the applicant is unable to certify to any of the statements in this certification,he or she shall attach an explanation to this application.
3.Drug-Free Workplace(Grantees other than individuals)
As required by the Drug-Free Workplace Act of 1988,and implemented at 44CFR Part 17,Subpart F,for grantees,as defined at 44 CFR part 17,
Sections 17.615 and 17.620:
(A)The applicant certifies that it will continue to provide a drug-free workplace by:
(a)Publishing a statement notifying employees that the unlawful manufacture,distribution,dispensing,possession,or use of
a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against
employees for violation of such prohibition;
(b)Establishing an on-going drug free awareness program to inform employees about:
(1)The dangers of drug abuse in the workplace;
(2)The grantees policy of maintaining a drug-free workplace;
(3)Any available drug counseling,rehabilitation and employee assistance programs;and
(4)The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
(c)Making it a requirement that each employee to be engaged in the performance of the grant to be given a copy of the
statement required by paragraph(a);
(d)Notifying the employee in the statement required by paragraph(a)that,as a condition of employment under the grant,the
employee will:
(1)Abide by the terms of the statement and
(2)Notify the employee in writing of his or her conviction for a violation of a criminal drug statute occurring in the
workplace no later than five calendar days after such conviction.
Packet Pa e -1759
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(e)Notifying the agency,in writing within 10 calendar days after receiving notice under subparagraph(d)(2)from an
employee or otherwise receiving actual notice of such conviction.Employers of convicted employees must provide notice,
including position title,to the applicable DHS awarding office,i.e.regional office or DHS office.
(f)Taking one of the following actions,against such an employee,within 30 calendar days of receiving notice under
subparagraph(d)(2),with respect to any employee who is so convicted:
(1)Taking apprnpriatP pprsnnnPl actinn against Mich an Pmpinypp,up to and inrliiding tprminatinn,rnnsistpnt
with-the-requirements-ofithwRBhabliitatiorrAct of 1973 as amended`oi
(2)Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program
approved for such purposes by a Federal,State,or local health,law enforcement or other appropriate agency.
(g)Making a good faith effort to continue to maintain a drug free workplace through implementation of paragraphs(a),(b),(c),
(d),(e),and(f).
(B)The grantee may insert in the space provided below the site(s)for the performance of work done in connection with the specific grant:
Place of Performance
Street City State Zip Action
If your place of performance is different from the physical address provided by you in the Applicant Information,press Add Place of
Performance button above to ensure that the correct place of performance has been specified.You can add multiple addresses by repeating
this process multiple times.
Section 17.630 of the regulations provide that a grantee that is a State may elect to make one certification in each Federal fiscal year.A copy of
which should be included with each application for DHS funding.States and State agencies may elect to use a Statewide certification.
Signed by Artie Bay on 12/04/2014
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FEMA Standard Form LLL
Only complete if applying for a grant for more than$100,000 and have lobbying activities.See Form 20-16C for lobbying activities definition.
This form is not applicable
You must read and sign these assurances by providing your password and checking the box at the bottom of this page.
Note:Fields marked with an*are required.
O.M.B Control Number 0348-0046
Standard Form LLL:Disclosure of Lobbying Activities
1.*Type of Federal Action Grant
2.'Status of Federal Action Bid/Offer/Application
3.*Report Type Initial filing
This subsection is for Material Change only
Year 2014
Quarter 1
Date of last report:
4.*Name and Address of Reporting Entity:
*Reporting Entity Type Prime
Tier(if known)
*Name County of Collier
*Street 3299 Tamiami Trail East Suite 700
*City Naples
*State Florida
34112-3969
*Zip Need help for ZIP+49
5.If Reporting Entity in No.4 is a Subawardee,enter name and address of Prime:
Name
Street
City
State
If Need help for ZIP+4?
Congressional District if known
6.*Federal Department/Agency FEMA
7*Federal Program Name/Description Assistance to Firefighters Grant
CFDA Number if known 97.044
8.Federal Action Number if known: EMW-2014-FO-02982
9.Award Amount if known:$
10a.Name and address of Lobbying Registrant:(if individual,Last Name,First Name,MI)
Name Valerie Gelnovatch
Street 1130 Connecticut Avenue
City Washington
State District of Columbia
Zip 20036-3904
10b.Individuals Performing Services:(include address if different from No.10a)(Last Name,First Name,MI)
Name
Street
City
State
Zip
Information requested through this form is authorized by Title 31 U.S.C.Section 1352.This disclosure of lobbying activities is a material
representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into.This disclosure is
required pursuant to 31 U.S.C.1352.This information will be reported to the Congress semi-annually and will be available for public inspection.
Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for
each such failure.
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Signed by Artie Bay on 11/20/2014
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Submit Application
Application 100%complete, Submitted
Pfease-ctick un an he�foiiowin inkstovisi
y-oft gi Ya-partfcularsectfon-ofyourarypilcattorr-071cra-a1t-ai=eas-ofyour applicationn are e complete,you
may submit your application.
Application Area Status
Applicant's Acknowledgements Complete
Overview Complete
Contact Information Complete
Applicant Information Complete
Applicant Characteristics(I) Complete
Applicant Characteristics(II) Complete
Department Call Volume Complete
Request Information Complete
Request Details Complete
Budget Complete
Assurances and Certifications Complete
PLEASE READ THE FOLLOWING STATEMENTS BEFORE YOU SUBMIT.
• YOU WILL NOT BE ALLOWED TO EDIT THIS APPLICATION ONCE IT HAS BEEN SUBMITTED.If you are not yet ready to submit this
application,save it,and log out until you feel that you have no more changes.
• When you submit this application,you,as an authorized representative of the organization applying for this grant,are certifying that the
following statements are true:
To the best of my knowledge and belief,all data submitted in this application are true and correct.
This application has been duly authorized by the governing body of the applicant and the applicant will comply to the Assurances and
Certifications if assistance is awarded.
To sign your application,check the box below and enter your password in the space provided.To submit your application,click the Submit
Application button below to officially submit your application to FEMA.
Note:The primary contact will be responsible for signing and submitting the application.Fields marked with an•are required.
I,Artie R Bay,am hereby providing my signature for this application as of 04-Dec-2014.
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