Fort Walton Beach Resolution — 2013 -03 FEMA--fire equipment — reading text

list the person your organization has selected to be the primary point of contact for this grant. This should be a Chief Officer or long time member of the organization who will see this grant through completion. 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 get In direct contact with the POC. Primary Point of Contact Title Chief Prefix ( check one) Mr. First Name Kenneth Middle Initial w Last Name Perkins Business Phone ( e. g. 123- 456 -7890) 850- 833 -9564 Ext. Home Phone (e. g. 123 -456 -7890) 850 -855 -1869 Ext. Mobile Phone /Pager ( e. g. 123 -456 -7890) 850 -585 -0350 Fax ( e. g. 123- 456 -7890) 850 -833 -9685 Email ( e. g. user @xyz. org) kperkins @fwb. org Contact Information Alternate Contact Information Number 1 Title Firefighter https: / e/ services. fema. gov/ FemaFireGrant/ firegrant/ jsp/fue2012lapplicationlprint_app.jsp ?print= tme &app_ nu... 1/ 4/ 2013 Application Number: ENM- 2012 -PO -02509 Page 2 of 2, Prefix N/ A First Name Crystal Middle Initial Last Name Adams Business Phone 850- 833 -9570 Ext. Home Phone 850- 685 -5957 Ext. Mobile Phone /Pager Fax 850 -833 -9685 Email cadams@fwb. org Alternate Contact Information Number 2 Title Staff Assistant Prefix N/ A First Name MerlinMerlin Middle Initial Last Name Johnson Business Phone 850- 833 -9565 Ext. Home Phone 850850 - - 585585 - - 44524452 Ext.Ext. Mobile Phone /Pager Fax 850- 833 -9685 Email mjohnson @fwb. org https: / /eservices. fema. gov/ PemaFireGrantlfiregrantli splflre20l2lapplicationlprint_app. i sp?print= tme &app_ nu... 1/ 4/ 201_ Application Number: EMW- 2012 -FO -02509 Page 3 of 24 Applicant Information EMW- 2012 -FO -02509 Originally submitted on 07/05/ 2012 by Ken Perkins ( Userid: balden) Contact Information: Address: 5 NE Hollywood Blvd City: Fort Walton Beach State: Florida Zip: 32548 Day Phone: 8508339564 Evening Phone: 8505850350 Cell Phone: 8508551869 Email: kperkins@iwb. org Application number is EMW- 2012 -FO -02509 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 What is your organization' s DUNS Number? 079455101 ( call 1- 866 -705 -5711 to get a DUNS 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 s Need help for ZIPa4? 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 +41 Please describe all grants that you have received from DHS, for example, 2008 AFG grant for a vehicle or 2010 HSGP grant for exercises. ( Enter N/ A if Not Applicable). 2002 AFG grant for gym equipment. 2003 AFG grant for replacement of SCBA equipment. 2007 AFG grant for thermal imagers, SCBA voice amplifiers, automatic ventilators, 75 Kw generator. 2007 CEDAP grant for hazmat detection equipment. 2008 AFG grant for fire operations equipment, personal protective equipment, and training. 2009 AFG grant for upgrade kits and lightweight bottles for SCBA' s. https: / /eser ices. fema. govIFemaFireGrantlfregrmtljsp/ fire20l2 lapplicationlprint_app.jsp ?print= we &app_ no... 1/ 4/ 2013 Application Number: EMW- 2012 -FO -02509 Page 4 of 2, 2010 AFG grant for 3 Life Pack 15' s. 2011 AFG grant for computers, portable radios, AED' s and monitoring and sampling devices. Account Information Type of bank account Checking Bank routing number - 9 di it number on the bottom left hand 063115136 corner of your check Your account number 20012993 Additional Information For this fiscal year (Federal) is your organization receiving Federal funding from any other grant program that may No duplicate the purpose and /or scope of this grant request? If awarded the AFG grant, will your organization expend more than $ 500, 000 in Federal funds during your organization's fiscal No 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: Department Characteristics ( Part 1) Are you a member of a Federal Fire Department or contracted by the Federal government and solely responsible for No 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 Is your Organization considered a Metro Department? No WhatWhat isis thethe squaresquare mileagemileage ofof youryour firstfirst - - duedue response response area?area? 9 What percentage of your response area is protected by 100% hydrants? InIn whatwhat countycounty / / parishparish isis youryour organizationorganization physicallyphysically located?located? If you have more than one station, in what county /parish is your Okaloosa mainmain stationstation located?located? DoesDoes youryour organizationorganization protectprotect criticalcritical infrastructureinfrastructure ofof thethe Yes state? How much of your jurisdiction' s land use is for agriculture, 0 wildland, open space, or undeveloped properties? What percentage of your jurisdiction' s land use is for 30 commercial and industrial purposes? What percentage of your jurisdiction' s land is used for 70 residential purposes? How many occupied structures ( commercial, industrial, 7 residential, or institutional) in your jurisdiction are more than https: / /eservices. fema. gov/FemaFireGrant/firegrmUi sp /fire2O l2 /applicaLion /print app. jsp? print= true& app_nu... 1/ 4/ 20 1  Page 5 of 24 Application Number EMW- 2012 -FO -02509 three stories tall? Do not include structures which are not regularly occupied such as silos, towers, steeples, etc. What is the permanent resident population of your 19600 Primary/ First- Due Response Area or iur' sdiction served? Do you have a seasonal increase in population? No If " Yes' what is your seasonal increase in population? How many active firefighters does your department have who 36 perform firefighting duties? How many ALS level trained members do you have in your 14 department/ organization? How many stations are operated by your organization? 2 Is your department compliant to your local Emergency Management standard for the National Incident Management Yes Yes System ( NIMS)? Do you currently report to the National Fire Incident Reporting Yes Yes System ( NFIRS)? If you answered yes above, please enter your FDIN /FDID 4303243032 What percent of your active firefighters are trained to the level 100% of Firefighter I? What percent of your active firefighters are trained to the level 100 of Firefighter II? If you answered less than 100% to either question above, are you requesting for training funds in this application to bring 100% of your firefighters into compliance with NFPA 10019 If you indicated that less than 100% of your firefighters are trained to the Firefighter II level and you are not asking fortraming funds in this application, please describe in the box below your training program and your plans to bring your