Okaloosa County BOCC — 2013 meeting #1141 (date undetermined) — EMPG Agreement 2013-2014 — reading text

BASIS EVEN IF YOU ARE NOT CLAIMING ANY EXPENDITURES. Quarterly Financial Report (Form 1) and Detail of Claims (Form 2): 1. These forms are to be submitted quarterly. Complete Quarterly Financial Report by entering all information needed for reimbursement. The Detail of Claims form must accompany the Quarterly Financial Report. The Quarterly Financial Report form must be signed by the contract manager or someone with equal authority. Claims are to be submitted to the following address: AWN DIVISION OF EMERGENCY MANAGEMENT 2555 SHUMARD OAK BOUEVARD TALLAHASSEE, FLORIDA 32399-2100 Attn: (Contract Manager's name) Staffing Detail and Exercise Detail - (Form 3): 1. The Staffing Detail and Exercise Detail Form is due every quarter with your quarterly financial report. This is to identify all EMPG funded employees, the required training completed by those employees and the required amount of exercises that the EMPG funded employee has to participate in each quarter. 2013 EMPG - FUNDING OPPORTUNITY ANNOUNCEMENT (FOA) 2. AILEMPG funded personnel shall participate in three exercises of any type (e.g. Drills, Tabletop Exercises, Functional), within a 12-month period. Please note that response to any real-world events within a 12-month period may fulfill a single, quarterly exercise requirement. 3. Target Training and Verify Capability of Personnel. Training activities supported with EMPG Program funds should strategically align to the NPG core capabilities identified in the Multi-Year TEP, To ensure the development of a professional emergency management workforce all EMPG Program funded personnel shall complete the following training requirements and record proof of completion. NIMS Training: IS 100; IS 200; IS 700; and IS 800; FEMA Professional Development Series: IS 120; IS 230; IS 235; IS 240; IS 241; 1S 242; and |S 244. Previous versions of the 1S courses meet the NIMS training requirement. A complete list of Independent Study Program Courses may be found at http:/Araining.fema.goviis. Close Out Report - (Form 4): 4. Close Out Reports are due forty-five (45) days after the contract end date. 2. The agreement cannot be considered closed until the Close Out Report has been received. Documentation of project expenditures: 1. Grantees must maintain documentation of expenditures for a minimum period of five years following the close of project/program operations unless audits require a longer period of time. 2. Grantees should maintain a financial file with copies of back-up documentation for all paid project/program expenditures made by the grantee during the grant period. Documentation of expenditures against the program will be reviewed and verified upon receipt by DEM staff. Acceptable documentation includes copies of purchase orders and paid vouchers, paid invoices or cancelled checks, payroll vouchers, journal transfers, etc. These documents should be submitted when requesting reimbursement. 3. In order to document hours worked on the program by permanent or temporary staff, the grantee may use its own time and attendance forms. A Staffing Detail Worksheet is also required to identify positions being funded by the agreement. 4. Allclaims for reimbursement of expenditures must be submitted on the approved DEM Quarterly Financial Reporting forms. Claims not submitted on the proper form, cannot be processed and will be returned for corrections, Forms must be submitted with original signatures. IF YOU WISH TO OBTAIN THESE FORMS ELECTONICALLY, PLEASE FIND THEM ON OUR WEBSITE AT http: /Awww.floridadisaster.org/grants/index.htm OR NOTIFY YOUR CONTRACT MANAGER GRANTEE: Claim # County Name: Address: (Select the quarter of submission) QUARTERLY REPORTING DUE DATES July 1 — September 30 — Due no later than October 31 Point of Contact: October 1 — December 31 - Due no later than January 34 Telephone # January 4 — March 31 — Due no taler than April 30 AGREEMENT # April 4 - June 30 — Due no later than July 34 CUM. FUNDS REMAINING CUMULATIVE TOTAL ALLOCATED CURRENT CLAIM EXPENDED BALANCE 1, Organizational Costs 2, Planning Costs 3. Training Costs 4. Exercise Costs 5. Equipment Costs 6, Management and Administration Costs (limited to 5% of the total award) TOTAL} $0.00 $0.00 $0.00 TOTAL AMOUNT TO BE PAID ON THIS INVOICE $0.00 EMPG MATCH Federal funds provided under this Agreement:shall be matched by:the. Recipient dollar for dollar from non-federal-funds.. NOTE: If the [amount entered below is NOT EMPA, provide appropriate back-up/supporting documentation. MATCH EMEA —|— LOGAL OTHER NON FEDERAL : hereby certify that the above costs are true and valid costs incurred in accordance with the project agreement. Signed: Grantee Contract Manager or Financial Officer Date RTER “ATI = This information below is required EACH QUARTER. This information MUST be clearly linked to the project TIMELINE, DELIVERABLES AND SCOPE OF WORK. Report event, progress, delays, etc., that pertain to this project (i.¢., incidents, activities, meetings, reporting training and /or exercises) { THIS SECTION BELOW IS TO BE COMPLETED BY DEM WITH EACH QUARTERLY FINANCIAL PAYMENT Total EMPG (Federal) Amount Prior Payments This Payment Unexpended Funds eo'os JUEIZ) SIL} O} petueua S}SOD jE}OL (aiqeondde 3) #ay yunoury JaquINN 49949) Pied e120 SOd]AIVS fo ayeq [paajecey a2 asoding WJ Si! pue way aquicseg Azoug opus, MOQUINN WIRID ! yO polieg oyy Bung peunsuy sysop # ANOSALVS @WeOod SWIVID 40 NWVL3d LNVYS ASV - WVWeOONd LNVeD SONVNYOAYSd LNSWSDVNVW AQNADYSNS Ayunog 00°0s UBIO) SIU} 0} pasieyD syjeusg pue soueyes [RIO], quel) WEI SI SI} 0} posseqD qBAH sip 0} podueqD $ SIyousg esuLIy | 07 pesaeyD ¢ Arejes | ou jo % aDLL gor ssosoidurg Jo omen OquinN We] / / o1 / / JO polled ot] SuLING posmoyy sso Aqan0D ‘ou Jo poliod oryjo0ds @ Joy uoTIsod poystiquiss ue ut soXojdwio Jepndol v Aq palopual SdTAJos JO} UOTesuadtICS Yseo eu, (NOLLINIAAG AMV IVS SLSOO SLITANAG GNV SARIV TVS / TYNOLLVZINVOYO SWIV1O JO TIVLAC (e1qeordde yx) 7 uu0g INVad dS Vd - AVabodd LNVaD FONVWeOAdAd LNAWADVNVA AONAD YAW ui peedpqied sekojdwe OgN9 (s}esaexe au} Jo Uonduosep Jaug e ‘g UUUN|OD UT *S U peyedpred eakodue (sjasiaiexg Jo ayep ‘Z uumnjoo ul Z SINS WM pepuny $1 324) yeys jueWeBeueW AOUebIeWE Jo Sepy Due ORL ySIf ‘| UNICO U] *L 'SNOLLOSMIG {el [zt asioiexy jo Uondusseq eq Ol OBL UOnIsOd @ eweN HERD J0d (SJesiqiex9 OdING “Uolpsod Uoes JO Z UWINJoO aya\dwieg “Z FS pepun} Oe WA T1v JO SWeU PUB SepN Isl] | ULUNIOO Uy *| PUVL30 DNHAVLS SNOWLIIC [i le] Iz] fh] seliag jusudojensq | 008 SI] 002 $1] 00z SI] 001 SI ( ) a semAnoy leuo|ssajo1g VS | SWIN | SWIN | SWIN | SWIN [21@p93) ]UEID uoRIsOd Aq siyeueg W2 0} pezoreg SAL UORISog By eweN Sseg OdWS% | 3 Soueles [eyo jenuuy yeanyysly jo #xaiddy (ou J0 Saf) ‘BulMmojjoy au} peje|duosayeoulao pansiasal aafjduwis ay) SEH oy GuruperL Oda €Wwuod AINO SASAO0 Tdi CSONNS Ode HOS PLOZ-E102 At ALNNOD LNAWSDVNVW ADNASYSWS JO NOISIAIG Division of Emergency Management 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 EMERGENCY MANAGEMENT PERFORMANCE GRANT PROGRAM - BASE GRANT CLOSE-OUT REPORT FORM 4 This form should be completed and submitted to the Division no later than forty-five (45) days after the termination date of Grantee Address City and State Cost Categories By Category - Total Contract Expenditures 4. Organizational Activities 2. Planning Activities 3. Training Costs. 4. Exercise Costs 5. Equipment Acquisition Costs| 6. Management and Administration Costs Total $0.00 the Agreement. Agreement No. Agreement Amount Agreement Period Payments Received Under this Agreement (Include any advanced funds and finaj requested payment) Date Amount Total 7 $0.00) Agreement Amount Minus Total Payments (Including final requested funds ~ Line 7) Refund and/or final interest checks are due no later than ninety (90) days after the expiration of the Agreement, Make checks payable to: Cashier, Division of Emergency Management Mail To: Division of Emergency Management 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 Attn: (contract manager} Unspent balance hereby certlfy that the above costs are true and valid costs incurred in accordance with this Agreement. Signed Date Grantee Contract Manager or Financial Officer