READ ALONGSIDE THE SOURCE
Fort Walton Beach Council agenda — 04-13-2010 Regular — reading text
Part 6 of 9. These parts divide the reading text for browsing; they are not the source document's page numbers.
Machine-extracted text — fwb-25157-original.pdf
Machine-extracted OCR text · Review label: Machine produced / unreviewed
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
Manager
13-
Application Number: EMW-2009- FO- 0 173 5 Page 1 of 24
Did you attend one of the workshops conducted by DHS' s regional fire program specialist?
No, I have not attended workshop
Are you a member, or are you currently involved in the management, of the fire department
or non -affiliated EMS organization applying for this grant with this application?
Yes, I am a member /officer of this applicant
If you are a grant writer or otherwise not affiliated with this applicant, please complete the information below.
If you are a member /officer of this applicant, please do not complete the information requested below. After you
are finished press the Save and Continue button below.
Preparer Information
Preparer's Name
Address 1
Address 2
City
State
Zip -
3/ 24/ 2010
Application Number: EMW- 2009 -FO- 01735
. Page 2 of 24
Contact Information
Alternate Contact Information Number 1
Title Fire Chief
Prefix Mr.
First Name Michael
Middle Initial W
Last Name Dutton
Business Phone 850- 833 -9564 Ext.
Home Phone 850- 244 -1702 Ext.
Mobile Phone /Pager 850 -855 -1869
Fax 850- 833 -9685
Email mdutton @fwb. org
Alternate Contact Information Number 2
Title Deputy Chief
Prefix Mr.
First Name Kenneth
Middle Initial W
Last Name Perkins
Business Phone 850 -833 -9929 Ext.
Home Phone 850 -581 -2245 Ext.
Mobile Phone /Pager 850- 585 -9154
Fax 850 -833 -9685
Email kperkins @fwb. org
httns:// eservices. fema. izov/ FemaFireGrant/ firejzrari0sP--/fire2009 /application/ print app jsp ?... 3/ 24/ 2010
Application Number: EMW- 2009 -FO -01735 Page 3 of 24
Applicant Information
EMW-2009 -FO -01735
Originally, submitted on 05/ 13/2009 by Mike Dutton (Userid: balden) -
Contact Information:
Address: 5 NE Hollywood Blvd
City: Fort Walton Beach
State: Florida
Zip: 32548
Day Phone: 8508339564
Evening Phone: 8502441702
Cell Phone: 8508551869
Email: mdutton @fwb.org
Application number is EMW- 2009 -FO -01735
Organization Name Fort Walton Beach Fire Department
Type of Applicant Fire Department/ Fire District
Type of Jurisdiction Served City
If other, please enter the type of Jurisdiction
Employer Identification Number 59- 6000323
079455101 ( call 1- 866 -705 -5711 to get a DUNS
What is your organization' s DUNS Number?
number)
Headquarters or Main Station Physical Address
Physical Address 1 5 Hollywood Boulevard NE
Physical Address 2
City Fort Walton Beach
State Florida
32548 - 4920
Zip
Need help for ZIP +4?
Mailing Address
Mailing Address 1 5 Hollywood Boulevard NE
Mailing Address 2
City Fort Walton Beach
State Florida
32548- 4920
Zip
Need help for ZIP +4?
Account Information
Type of bank account Checking
Bank routing number - 9 digit number on the bottom 063115136
left hand corner of your check
Your account number 20012993
Additional Information
For this fiscal year ( Federal) is your organization
https: Heservices. fema. gov/ FemaFireGrant/ firegrariOsplfire2009lapplicationlprint 3/ 24/ 2010
Application Number: EMW-2009- FO- 0 173 5 Page 4 of 24
receiving Federal funding from any other grant
program that may duplicate the purpose and /or scope No
of this grant request?
If awarded the AFG grant, will your organization
expend more than $ 500, 000 in Federal funds during
Yes
your organization' s fiscal year in which this AFG grant
was awarded?
Is the applicant delinquent 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:
Fort Walton Beach Fire Department is pursuing two AFG grants; an aerial apparatus and upgrades to breathing
apparatus. If awarded both grants, they will exceed $ 500, 000.
httns: / e
/ services. fema. Rov/ FemaFireGrant/ firegrari; 3/ 24/ 2010
Application Number: EMW- 2009 -FO -01735 Page 5 of 24
Department Characteristics ( Part 1)
Are you a member of a Federal Fire Department or
contracted by the Federal government and solely No
responsible for suppression of fires on Federal
property?
What kind of organization do you represent? All Paid /Career
If you answered combination, above, what is the
percentage of career members in your organization?
If you answered volunteer or combination or paid on-
call, how many of your volunteer Firefighters are paid
members from another career department?
What type of community does your organization
serve? Suburban
What is the square mileage of your first -due
9
response area?
What percentage of your response area is protected o
100 / o
by hydrants?
In what.county /parish is your organization physically.
located? If you have more than one station, in what Okaloosa
county /parish is your main station located?
Does your organization protect critical infrastructure
Yes
of the state?
How much of your jurisdiction's land use is for
agriculture, wild land, open space, or undeveloped 0%
properties?
What percentage of your jurisdiction' s land use is for
30%
commercial, industrial, or institutional purposes?
What percentage of your jurisdiction' s land is used
70%
for residential purposes?
How many occupied structures (commercial,
industrial, residential, or institutional) in your 77
jurisdiction are more than four stories tall?
What is the permanent resident population of your
Primary /First -Due Response Area or jurisdiction 2080020800
served?
How many active firefighters does your department 37
have who perform firefighting duties?
How many stations are operated by your 22
organization?
Do you currently report to the National Fire Incident YesYes
Reporting System ( NFIRS)?
If you answered yes above, please enter your
43032
FDIN /FDID
What services does your organization provide?
Structural Fire Suppression Medical First Response Hazmat Operational Level
Wildland Fire Suppression Basic Life Support Hazmat Technical Level
https:// eservices. fema. gov /FemaFireGrant/firegratf' fgp /fire2009 /application/ print app.jsp ?... 3/ 24/ 2010
Application Number: EMW- 2009 -FO- 01735 Page 6 of 24
Advanced Life Support Rescue Operational Level
FormaiNear -Round Fire Prevention ProgramRescue Technical Level
https :Heservices. fema.gov/ FemaFireGrant/ firegrarioj splfire2009lapplicationlprint appjsp ?... 3/ 24/ 2010
Application Number: EMW- 2009 -FO -01735 Page 7 of 24
Department Characteristics ( Part li)
2008 2007 2006
What is the total number of fire -related civilian fatalities in your
0 0 0
jurisdiction over the last three years?
What is the total number of fire -related civilian injuries in your 5 0 0
jurisdiction over the last three years?
What is the total number of line of duty member fatalities in your 0 0 0
jurisdiction over the last three years?
What is the total number of line of duty member injuries in your 3 0 4
jurisdiction over the last three years?
Over the last three years, what was your organization' s average
3152275
operating budget?
What percentage of your TOTAL budget is dedicated to
90
personnel costs (salary, overtime and fringe benefits)?
What percentage of your annual operating budget is derived from:
Enter numbers only, percentages must sum up to 100%
Taxes? 92 %
Grants? 1%
Donations? 0%
Fund drives? 0%
Fee for Service? 7%
Other? 0%
If you entered a value into Other field ( other than 0), please
explain
How many vehicles does your organization have in each of the types or class of vehicle listed below? You must
include vehicles that are leased or on long -term loan as well as any vehicles that have been ordered or
otherwise currently under contract for purchase or lease by your organization but not yet in your possession.
Enter numbers only and enter 0 if you do not have any of the vehicles below.
Total Number of
Type or Class of Vehicle
