Agenda 02/26/2008 Item #16F 3
Agenda Item No. 16F3
February 26. 2008
Page 1 of 7
EXECUTIVE SUMMARY
Recommendation to approve the submittal of a Volunteer Fire Assistance
grant application to the Florida Division of Forestry for the purchase of wild
land firefighting equipment and protective clothing.
OBJECTIVE: To obtain Board of County Commissioners approval of an application
for a Volunteer Fire Assistance matching (50/50) grant for the purchase of wild land
firefighting equipment and protective clothing.
CONSIDERATIONS: Ochopee Fire Rescue District has received this type of grant
from the Division of Forestry in past years. The grant has been used to purchase
equipment to improve firefighter safety and firefighting capabilities.
FISCAL IMP ACT: The total cost of the equipment requested this year is $10,440. As
this is a 50/50 matching grant, the Division of Forestry will pay $5,220 leaving the
Oehopee Fire Rescue District to provide $5,220 from Reserves Fund 146 (Ochopee Fire
Rescue). Following award, budget amendments will be needed in order to transfer funds
to Fund 118, Emergency Management and Fire Grants.
.--
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact
associated with this Executive Summary.
RECOMMENDATION: That the Board of County Commissioners authorize the
Chairman to sign the Florida Division of Forestry Voluntcer Fire Assistance Grant
application.
Prepared Bv: Alan McLaughlin. Interim Fire Chief
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A;J8nda item No. 16f=3
February 26, 2003
Page2of7
COLLIER COUNTY
^..-
BOARD OF COUNTY COMMISSIONERS
Item Number: 16F3
Item Summary: Recommendation to approve the submittal of a Volunteer Fire Assistance grant application
from the Ochopee Fire Rescue District to the Flonda DIVISion of Forestry for the purchase of
wild land flrefighting equipment and protective clothing
Meeting Date: 2/26/20089 00 OO.AM
Prepared By
Alan M. McLaughlin Assistant Fire Chief Date
County Manager's Office Isles of Capri Fire Rescue 2/11/200812:41 :53 PM
Approved By
Rod Rodriguez Fire Chief Date
Board of County Isles of Capri Fire Rescue
Commissioners 2/12120084:03 PM
Approved By
Marlene J. Foard Grants Coordinator Date
Administrative Services Administrative Services Admin. 2112/20084:18 PM
Approved By
Dan E. Summers Bureau of Emergency Services Director Date
County Manager's Office Bureau of Emergency Services 2113/20082036 PM
Approved By
OMS Coordinator Applic;ations Analyst Date
Administrative Services Information Technology 2113/20084:10 PM
Approved By
Colleen Greene Assistant Count)' p,ttomer Cate
County Attorney County Attorney Ofk:e 2/14/200810:53 AM
Approved By
John A. Yonkosky Utility Billing Director Date
Public Utilities uses 2114120083:54 PM
Approved By
Leo E" Ochs, Jr. Deputy County Manager Date
Board of County
Commissioners County Manager's Office 2/14120085:01 PM
file://C:\AgendaTest\Export\ 10 I-Februarv%2026. %202008\ 16.%20CONSENT%20AGEND... 2/20/2008
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.t\genda ile;1'1 100. 16~3
FerJruary 26. 2008
(; Page 3 of 7
~ ..... ' Florida Department of Agriculture and Consumer Services .
'. :; Division of Forestry
CK.I,R.LESH,BR.ONSON VOLUNTEER FIRE ASSISTANCE GRANT APPLICATION
COMMISSIONER
LEGAL NAME FORM OF ORGANIZATION: (Municipal, Fire Di5trict, Non-Profit, County)
Collier Count Board of Commissioners Ochopee Fire Control District
ADL);::(.ESS
P.Q.box 70
CITY IF COUNTY, LlST VFO'S BENEFITING FROM GRANT:
STATE
COUNTY
EMPLOYER IDENTIFICATION NUMBER (EIN)
I
IS FIRE DEPARTMENT LOCATED IN AN INCORPORATED TOWN? WHAT IS THE FIRE DEPARTMENT ISO RATING? I
YES 0 NO ~ IF YES, NAME OF TOWN: I 7
POPULATION OF TOWN: I IS FIRE DEPARTMENT NIMS COMPUANT? YES G:: NO 0
CURRENT COOPERATIVE AGREEMENT WITH OOF? YES~ NO 0
PROTECTED AREA: EST, POPULA nON:t SIZE: (SQ. MILES)~
4,100 1,10 DISTANCE OF CLOSEST MUTUAL AID FIRE DEPARTMENT:t 32
NAME OF FIRE DEPARTMENT: I m~~ ,,__,
NUMBER OF FIREFIGHTERS: PAID: r-;::; VOLUNTEERS: ~ HAS APPLICANT RECEIVED GRANT FUNDS FROM ANY SOURCE IN
THE PAST 12 MONTHS? YES 0 NO 1<1
NO. OF INCIDENTS PAST YEAR: WILDLAND FIRE:['72"" OTHER: I 684 IF YES, WHERE? I
NO. OF F1REF:GHTERS CERTIFIED AS: AMOUNT: $ I
WILDLAND FIREFIGHTER I r--2O WILDLAND FIREFIGHTER f! r-
LlST TOTAL FUNDS RECEIVED FROM OTHER TAXING AUTHORITIES
SUCH AS CITY, COUNTY, TAXING DISTRICTS (Past 12 Months)
AMOUNT: $ I
LIST OF FJREFIGHTlNG VEHICLES:
TYPE MAKEfYR.MODEL PUMP CAPACITY (GPM) WATER CAPACITY (GAL.)
englne (2 Emergency ne arm 0 1000
engine Emergency One ccmn 1000
rus x M~'" 750
Brush Ford Ellte
ESTIMATED GRANT FUNDING REQUEST LIST OF EQUIPMENT OR SUPPLIES TO PURCHASE WITH GRANT FUNDS:
FEDERAL $ 5,220 NUMBER DESCRIPTION M10UNT
APPLICANT $ 5,llU 70 class A toarn tl4U.UU
COUNTY $ .:.u wlldland clothlng sets j,UUU. 0
TOTAL $ .LU,~"1"V
-.
(Federal not more than 50% of total. Applicant alleast 50% of
tolal in matching funds,)
We understand that this is a 50 percent maximum cost-share program (Cooperative Forestry Assistance Act of 1978, PL 95-313), and that funds on
deposit up to 50 percent of the actual pur::hase price of the items approved will be committed to our project. TO THE BEST OF MY KNOWLEDGE AND
BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT. THE GOVERNING BODY OF THE APPLICANT HAS DULY AUTHORIZED
THIS DOCUMENT.
Type Name of Authorized RepresentatIVe Tille Telephone Number: ( 239 695- 1...'''''1
Tern Henning Chai.rm3n of Board
4 Board of County C mopers I :l ~ (t- e. ~-3""17.3
Signature of Authorized Representative Dale Signed and Submitted Ernai!:
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DACS-11484 REV. 3/06 f-; i " . CLERK
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Agenda Item 1\10. -: 6F3
F~brL;ary 26. 2008
Page40f7
OMB Approval No. 0348-0040
ASSURANCES - NON-CONSTRUCTION PROGRAMS
Note: Certain of these assurances may not be applicable to your project or program, If you have questions, please contact the awarding agency.
Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be
notified.
As the dulv authorized rcorcscntativc ofthc aoollcant I certify that the aonlicant:
J. Has the legal authority to apply for Federal assistance, and the 7. Will comply, or has already complied, with the requirements of
institutional, managerial and financial capability (including funds Titles II and III of the Uniform Relocation Assistance and Real
sufficient to pay the non-Federal share of project costs) to ensure Property Acquisition Policies Act of 1970 (P.L. 961-646) which
proper planning, management and completion of the project provide for fair and equitable treatment of persons displaced or
described in this application. whose property is acquired as a result of Federal or federally assisted
programs. These requirements apply to all interests in real property
2. Will give the awarding agency, the Comptroller General of the acquired for project purposes regardless of Federal participation in
United States, and if appropriate, the State, through any authorized purchases.
representative, access to and the nght to examine all records, books,
papers, or documents related to the award; and will establish a proper 8. Will comply with the provisions of the Health Act (5 U.S.c. ~9
accounting system in accordance with generally accepted accounting 1501-1508 and 7324-7328) which limit the political activities of
standards or agency directives. employees whose principal employment activities are funded in
whole or in part with Federal funds.
3. Will establish safeguards to prohibit employees from using
their positions for a purpose that constitutes or presents the 9. Will comply, as applicable, with the provisions of the Davis.
appearance of personal or organizational connict of interest, or Bacon Act (40 U.S.C. SS 276a to 276a-7), tbe Copeland Act (40
personal gain. D.S.C. ~ 276c and 18 U.S.C. SS 874), and tbe Contract Work Hours
and Safety Standards Act (40 D.S.C. ~~ 327-333). regarding labor
4. Will initiate and complete the work within the applicable time standards for federally assisted construction subagreements.
frame after receipt of approval of the awarding agency.
10. Will comply, if applicable, with flood insurance purchase
5. Will comply with the Intergovernmental Personnel Act of 1970 requirements of Section 102 (a) of the Flood Disaster Protection Act
(42 u.s.e. ~~ 4728-4763) relating to prescribed standards for merit of 1973 (P.L. 93-234) which requires recipients in a special flood
systems for programs funded under one of the nineteen statutes or hazard area to participate in the
regulations specified in Appendix A of OPM's Standards for a Merit program and to purchase flood insurance if the tolal cost of insurable
System of Personnel Administration (5 C.F.R. 900, Subpart F). construction and acquisition of $1 0,000 or more.
6. Will comply with all Federal statutes relating to 11. Will comply with environmental standards which may be
nondiscrimination. These include but are not limited to: (a)TitJe VI prescribed pursuant to the following: (a) institution of environmental
of the Civil Rights Aet of 1964 (P.L. 88-352) which prohibits quality control measures under the National Environmental Poticy
discrimination on the basis of race, color or national ongin; (b) Title Act of 1969 (Pol. 91-190) and Execotive Order (EO) 11514; (b)
IX of the Education Amendments of 1972, as amended (20 U.S.c. !:is notification of violating facilities pursuant to EO 11738; (e)
1681-1683, and 1685-1686), which prohibits discrimination on the protection of wetlands pursuant to EO 11990; (d) evaluation of flood
basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as hazards in floodplains in accordance with EO 11988; (e) assurance of
amended (29 U.S.c. S 794), which prohibits discrimination on the project consistency with the approved State management program
basis of handicaps; (d) the Age Discrimination Act of 1975, as developed under the Coastal Zone Management Act of 1972 (16
amended (42 U.s.e. ~S 6101-6107), which prohibits discrimination U.S.c. S~ 1451 et seq.); (f) conformity of Federal actions to State
on the basis of age; (Clear Air) Implementation Plans under Section 176(c) of the Clear
Air Act of 1955, as amended (42 D.S.C. S 7401 et seq.); (g)
(e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92- protection of underground sources of drinking water under the Safe
255), as amended, relating to nondiscrimination on the basis of drug Drinking Water Act of 1974, as amended, (Pol. 93-523); and (h)
abuse; (t) the Comprehensive Alcohol Abuse and Alcoholism protection of endangered species under the Endangered Species Act
Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), of 1973, as amended, (P.L. 93~205).
as amended, relating to nondiscrimination on the basis of alcohol
abuse or alcoholism; (g) SS 523 and 527 of the Public Hcalth Scrvice 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16
Act of 1912 (42 U.S.c. 290-dd-3 and 290 ce-3), as amended, relating U.S.c. ~S 1271 et seq.) related to protecting components or potential
to confidentiality of alcohol and drug abuse patient records; (h) Title components of the national wild and scenic rivers system.
V111 of the Civd Rigbts Act of 1968 (42 USe. S 3601 et seq.), as V, 8-5 (02/05)
amended. relating to nondiscrimination in the sale, rental or financing Authorized for Local Reproduction
of housing; (I) any other nondiscrimination provisions in the specific Standard Form 424B (9-03)prescribed by OMB Circular A-102
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.
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p,genJa [em hio. 16r:3
Febru~rv 2& /J08
re::;earch, leaching, or other activities supporte =-OX:J-1S::- ~wat'd of
13. Will assist the awarding agency in assuring compliance with ; ~ J I /
assistance. ~
Section 106 of the National Historic Preservation Act of 1966, as
amended (] 6 U.S.t. 470), EO 1 ]593 (identification and protection of 16. Will comply with the Lead~Based Paint Poisoning Prevention
historic properties), and the Archeological and Historic Preservation Act (42 U.S.c. s~ 4801 et seq.) which prohibits the use of lead based
Act of 1974 (16 V.S.c. 469a.J el seq.). paint in construction or rehabilitation of residence structures.
14. Will comply with P.L. 93-348 regarding the protection of 17. Will cause to be performed the required financial and
human subjects involved in research, development, and related compliance audits in accordance with the Single Audit Act of 1984.
activities supported by this award of assistance.
18. Will comply with all applicable requirements of all other
15. Will comply with the Laboratory Animal Welfare Act of 1966 Federal laws, executive orders, regulations and policies governing
(P.L. 89.544, as amended, 7 D.S.C. 2131 et seq.) pertaining to the this program.
care, handling, and treatment of warm blooded animals held for
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE
-rz""o Hell,'" ~
Chairman, Boa of County Commissione s
APPLICANT ORGANIZATION DATE ()/ if, ID 't
SUBMITTED .~~
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Authorized for local Reproduction)
Standard Fonn 4248 (9'()3
Prescribed by OMS Circular A.l02
Form AD-1047 (J/92)
US DEPARTMENT OF AGRICULTURE
Certification Regarding Debarment, Suspension, and Other
Responsibility Matters - Primary Covered Transactions
This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension,
7 CPR Part 3017, Section 3017.510, Participants' responsibilities. The regulations were published as Part IV of the
January 30,1989, Federal ReuJster(pages 4722-4733). Copies of the regulations may be obtained hy contacting the
Department of Agriculture agency offering the proposed covered transaction.
(Before completing certification, read instructions on reverse.)
(1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals:
(a) are not presently debarred. suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from covered transactions by any Federal department or agency;
(b) have not within a three-year period preceding this proposal been convicted of or had a civil judgment
rendered against them for commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under a
public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft,
forgery, bribery. falsification or destruction of records, making false statements, or receiving stolen
property;
(e) are not presently indicted for or otherwise criminally or civilly charged by a governmental entity
(Federal, State or Local) with commission of any of the offenses enumerated in paragraph (l)(b) of this
certification; and
(d) have not within a three~year period preceding this application/proposal had one or more public
transactions (Federal. State or Local) terminated for cause or default.
(2) Where the prospective primary participant is unable to certify to any of the statements in this certification,
such prospective participant shall attach an explanation to this proposal.
ORGANIZATION NAME 1 PRlA WARD NUMBER OR PROJECT NAME
Collier County Board of County Ochopee Fire Control District
Commissioners
,'lAME AND TinE OF AUTlJORIZED REPRESENTATIVE
Tan Henning
Chainnan
SIGNATURE TDATE
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"i" ""5Y1'~ 1 DIi1GHT E. a ROCK . CLERK
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Form AD-1047 (J/9Z;lREVERSE)
INSTRUCTIONS FOR CERTIFICATION
1. By signing and submitting this fonn, the prospective primary participant is providing the certification set out
on the reverse side in accordance with these instructions.
2. The inability ofa person to provide the certification required below will not necessarily result in denial of
participation in this covered transaction. The prospective participant shall submit an explanation ofwby it
cannot provide the certification set out on this form. The certification or explanation will be considered in
connection with the department or agencys detennination whether to enter into this transaction. However,
failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such
person from participation in this transaction.
3. The certification in this clause is a material representation of fact upon which reliance was placed when the
department or agency determined to enter into this transaction. If it is later determined that the prospective
primary participant knowingly rendered an erroneous certification, in addition to other remedies available to
the Federal Government, the department or agency may terminate this transaction for cause or default.
4. The prospective primary participant shall provide immediate written notice to the department or agency to
whom this proposal is submitted ifat any time the prospective primary participant learns that its certification
was erroneous when submitted or has become erroneous by reason of changed circumstances.
5. The terms "covered transaction," "debarred." "suspended." "ineligible," "lower tier covered transaction,"
"participant," "person," "primary covered transaction." "principal,t' "proposal," and "voluntarily excluded," as
used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules
implementing Executive Ordcr 12549. You may contact the department or agency to which this proposal is
being submitted for assistance in obtaining a copy of those regulations.
6. The prospective primary participant agrees by submitting this form that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person
who is debarred, suspended, declared ineligible. or voluntarily excluded from participation in this covered
transaction. unless authorized by the department or agency entering into this transaction.
7. The prospective primary participant further agrees by submitting this form that it \\-'ill include this clause
titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier
Covered Transactions," provided by the department or agency entering into this covered transaction, without
modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.
8. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier
covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered
transaction, unless it knows that the certification is erroneous. A participant may decide the method and
frequency by which it determines the eligibility of its principals. Each participant may, but is not required to,
check the Nonprocurement -List.
9. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order
to render in good faith the certification required by this clause. The knowledge and information of a
participant is not required to exceed that which is normally possessed by a prudent person in the ordinary
course of business dealings.
10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered
transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred,
ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies
available to the Federal Government, the department or agency may terminate this transaction for cause or
default.
2