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Fort Walton Beach Council agenda — 04-13-2010 Regular — reading text

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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

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