FE1 Cal ES
GOV.OW S OFC
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Standard Assurances
For Cal OES Federal Non. Disaster Grant Programs
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(d) Applicant is authorized by the city council, governing board, or authorized body to apply for federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-federal share of project cost, if any) to ensure proper planning, management and completion of the project described in this application; and
(e) Official executing this agreement is authorized by the Applicant.
This Proof of Authority must be maintained on file and readily available upon request.
2. Period of Performance
The period of performance is specified in the Award. The Applicant is only authorized to perform allowable activities approved under the award, within the period of performance.
3. Lobbying and Political Activities
As required by Section 1352, Title 31 of the United States Code (U.S.C.), for persons entering into a contract, grant, loan, or cooperative agreement from an agency or requests or receives from an agency a commitment providing for the United States to insure or guarantee a loan, the Applicant certifies that:
(a) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned. to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement.
(b) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress. an officer or employee of Congress, or an employee of a Member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying”, in accordance with its instructions.
(c) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly./
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Standard Assurances
For Cal OES Federal Non-Disaster Grant Programs
The Applicant will also comply with provisions of the Hatch Act (5 U.S.C. § 1501- 1508 and § 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with federal funds.
Finally, the Applicant agrees that federal funds will not be used, directly or indirectly, to support the enactment, repeal. modification or adoption of any law, regulation or policy without the express written approval from the California Governor’s Office of Emergency Services (Cal QES) or the federal awarding agency.
4. Debarment and Suspension
As required by Executive Orders 12549 and 12689, and 2 C.F.R. § 200.214 and codified in 2 C.F.R. Part 180, Debarment and Suspension, the Applicant will provide protection against waste, fraud, and abuse by debarring or suspending those persons deemed irresponsible in their dealings with the federal government. The Applicant certifies that it and its principals, recipients, or subrecipients:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal deportment or agency;
(b) Have not within a three-year period preceding this application 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;
(c) 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 (2)(b) of this certification; and (d) Have not within a three-year period preceding this application had one or more public transaction (federal, state, or local) terminated for cause or default.
Where the Applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application.
5. Non-Discrimination and Equal Employment Opportunity
The Applicant will comply with all state and federal statutes relating to non discrimination, including:
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Standard Assurances
For Cal OES Federal Non-Disaster Grant Programs
(a) Title VI of the Civil Rights Act of 1964 (Public Law (P.L.) 88-352 and 42 U.S.C. § 2000d et. seq.) which prohibits discrimination on the basis of race, color, or national origin and requires that recipients of federal financial assistance take reasonable steps to provide meaningful access to persons with limited English proficiency (LEP) to their programs and services;
(b) Title IX of the Education Amendments of 1972, (20 U S.C. § 1681-1683, and 1685-1686). which prohibits discrimination on the basis of sex in any federally funded educational program or activity;
(c) Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794), which prohibits discrimination against those with disabilities or access and functional needs; (d) Americans with Disabilities Act (ADA) of 1990 (42 U .S.C. § § 12101- 12213), which prohibits discrimination on the basis of disability and requires buildings and structures be accessible to those with disabilities and access and functional needs;
(e) Age Discrimination Act of 1975, (42 U.S.C. § 6101-6107). which prohibits discrimination on the basis of age;
(f) Public Health Service Act of 1912 (42 U.S.C. § 290 dd—2), relating to confidentiality of patient records regarding substance abuse treatment; (g) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. § 3601 et seq.), relating to nondiscrimination in the sale, rental or financing of housing as implemented by the Department of Housing and Urban Development at 24 C.F.R. Part 1 00. The prohibition on disability discrimination includes the requirement that new multifamily housing with four or more dwelling units—i.e., the public and common use areas and individual apartment units (all units in buildings with elevators and ground-floor units in buildings without elevators)— be designed and constructed with certain accessible features (See 24 C.F.R. § 100.201); (h) Executive Order 11246, which prohibits federal contractors and federally assisted construction contractors and subcontractors, who do over $10,000 in Government business in one year from discriminating in employment decisions on the basis of race, color, religion, sex, sexual orientation, gender identification or national origin;
(i) Executive Order 11375, which bans discrimination on the basis of race, color, religion, sex, sexual orientation, gender identification, or national origin in hiring and employment in both the United States federal workforce and on the part of government contractors;
(j) California Public Contract Code § 10295.3, which prohibits discrimination based on domestic partnerships and those in same sex marriages;
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Standard Assurances
For Cal OES Federal Non-Disaster Grant Programs
(k) DHS policy to ensure the equal treatment of faith-based organizations, under which all applicants and recipients must comply with equal treatment policies and requirements contained in 6 C.F.R. Part 19;
(I) The Appilcant will comply with California’s Fair Employment and Housing Act (FEHA) (California Government Code §12940, 12945, 12945.2), as applicable.
FEHA prohibits harassment and discrimination in employment because of ancestry, familial status, race, color, religious creed (including religious dress and grooming practices), sex (which includes pregnancy, childbirth, breastfeeding and medical conditions related to pregnancy, childbirth or breasifeeding), gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, genetic information, medical condition, age, pregnancy, denial of medical and family care leave, or pregnancy disability leave, military and veteran status, and/or retaliation for protesting illegal discrimination related to one of these categories, or for reporting patient abuse in tax supported institutions; (m)Any other nondiscrimination provisions in the specific statute(s) under which application for federal assistance is being made; and
(n) The requirements of any other nondiscrimination statute(s) that may apply to this application.
6. Drug-Free Workplace
As required by the Drug-Free Workplace Act of 1988 (41 U.S.C. § 701 et seq.), the Applicant certifies that it will maintain a drug-free workplace and a drug-free awareness program as outlined in the Act.
7. Environmental Standards
The Applicant will comply with state and federal environmental standards, including:
(a) California Environmental Quality Act (CEQA) (California Public Resources Code § 21000-21177), to include coordination with the city or county planning agency;
(b) CEQA Guidelines (California Code of Regulations, Title 14, Division 6. Chapter 3, § 15000- 15387);
(c) Federal Clean Water Act (CWA) (33 U.S.C. § 1251 et seq.), which establishes the basic structure for regulating discharges of pollutants into the waters of the United States and regulating quality standards for surface waters; (d) Federal Clean Air Act of 1955 (42 U.S.C. § 7401) which regulates air emissions from stationary and mobile sources;
Cal OES
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Standard Assurances
For Cal OES Federal Non-Disaster Grant Programs
(e) Institution of environmental quality control measures under the National Environmental Policy Act (NEPA) of 1969 (P.L. 91-190); the Council on Environmental Quality Regulations for Implementing the Procedural Provisions of NEPA; and Executive Order 12898 which focuses on the environmental and human health effects of federal actions on minority and low-income populations with the goal of achieving environmental protection for all communities;
(f) Evaluation of flood hazards in floodplains in accordance with Executive Order 11988;
(g) Executive Order 11514 which sets forth national environmental standards; (h) Executive Order 11738 instituted to assure that each federal agency empowered to enter into contracts for the procurement of goods. materials, or services and each federal agency empowered to extend federal assistance by way of grant, loan, or contract shall undertake such procurement and assistance activities in a manner that will result in effective enforcement of the Clean Air Act and the Federal Water Pollution Control Act Executive Order 11990 which requires preservation ofwetlands;
(i) The Safe Drinking Water Act of 1974, (P.L. 93-523); 0) The Endangered Species Act of 1973, (P.L. 93-205);
(k) Assurance of project consistency with the approved state management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §1451 etseq.);
Q) Conformity of Federal Actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §7401 et seq.);
(rn)Wild and Scenic Rivers Act of 1968 (16 U.S.C. § 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system.
The Applicant shall not be: 1) in violation of any order or resolution promulgated by the State Air Resources Board or an air pollution district; 2) subject to a cease and desist order pursuant to § 13301 of the California Water Code for violation of waste discharge requirements or discharge prohibitions; or 3) determined to be in violation of federal law relating to air or water pollution.
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GOVERNOR S
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Standard Assurances
For Cal OES Federal Non-Disaster Grant Programs
8. Audits
For subrecipients expending $750,000 or more in federal grant funds annually, the Applicant will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and Title 2 of the Code of Federal Regulations. Part 200, Subpart F Audit Requirements.
9. Cooperation and Access to Records
All Applicants must cooperate with any compliance reviews or investigations conducted by DHS. In accordance with 2 C.F.R. § 200.337, the Applicant will give the awarding agency. the Comptroller General of the United States and, if appropriate, the state, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award. The Applicant will require any subrecipients, contractors. successors, transferees and assignees to acknowledge and agree to comply with this provision.
10. Conflict of Interest
The Applicant will establish safeguards to prohibit the Applicant’s employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain.
11. Financial Management
False Claims for Payment -The Applicant will comply with 31 U.S.C § 3729-3733 which sets forth that no subrecipient, recipient, or subrecipient shall submit a false claim for payment, reimbursement or advance.
12. Reporting - Accountability
The Applicant agrees to comply with applicable provisions of the Federal Funding Accountability and Transparency Act (FFATA) (P.L. 109-282), specifically (a) the reporting of subawards obligating $30,000 or more in federal funds and (b) executive compensation data for first-tier subawards. This includes the provisions of FFATA, which includes requirements for executive compensation, and also requirements implementing the Act for the non-federal entity at 2 C.F.R. Part 25 Financial Assistance Use of Universal Identifier and Central Contractor Registration and 2 C.F.R.
Part 170 Reporting Subaward and Executive Compensation Information.
13. Whistleblower Protections
The Applicant also must comply with statutory requirements for whistleblower protections at 10 U.S.C. § 2409,41 U.S.C. § 4712, and 10 U.S.C. § 2324, 41 U.S.C. § 4304 and § 4310.
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Standard Assurances
For Cal OES Federal Non-Disaster Grant Programs
14. Human Trafficking
The Applicant will comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act of 2000, as amended (22 U.S.C. § 7104) which prohibits grant award recipients or a subrecipient from: (1) engaging in trafficking in persons during the period of time that the award is in effect; (2) procuring a commercial sex act during the period of time that the award is in effect; (3) using forced labor in the performance of the award or subawards under the award.
15. Labor Standards
The Applicant will comply with the following federal labor standards:
(a) The Davis-Bacon Act (40 U.S.C. § 276a to 276a-7), as applicable, and the.
Cojeland Act (40 U.S.C. § 3145 and 18 U.S.C. § 874) and the Contract Work Hours and Safety Standards Act (40 U.S.C. § 327-333), regarding labor standards for federally-assisted construction contracts or subcontracts, and (b) The Federal Fair Labor Standards Act (29 U.S.C. § 201 et aL) as they apply to employees of institutes of higher learning (IHE), hospitals and othernon-profit organizations.
16. Worker’s Compensation
The Applicant must comply with provisions which require every employer to be insured to protect workers who may be injured on the job at all times during the performance of the work of this Agreement, as per the workers compensation laws set forth in California Labor Code § 3700 et seq.
17. Property-Related
If applicable to the type of project funded by this federal award, the Applicant will:
(a) Comply with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of federal or federally-assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of federal participation in purchase; (b) Comply with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires subrecipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more;
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\ OFEEtYSERVCS
Standard Assurances
For Cal OES Federal Non-Disaster Grant Programs
(c) Assist the awarding agency in assuring compliance with Section 106 of the (d) National Historic Preservation Act of 1966, as amended (16 U.S.C. § 470), Executive Order 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §469a-1 et seq.); and
(e) Comply with the Lead-Based Paint Poisoninci Prevention Act (42 U.S.C. § 4831 and 24 CFR Part 35) which prohibits the use of lead-based paint in construction or rehabilitation of residence structures.
18. Certifications Applicable Only to Federally-Funded Construction Projects For all construction projects, the Applicant will:
(a) Not dispose of, modify the use of, or change the terms of the real property title or other interest in the site and facilities without permission and instructions from the awarding agency. Wilt record the federal awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with federal assistance funds to assure nondiscrimination during the useful life of the project;
(b) Comply with the requirements of the awarding agency with regard to the drafting, review and approval of construction plans and specifications; and (C) Provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications and will furnish progressive reports and such other information as may be required by the assistance awarding agency or State.
19. Use of Cellular Device While Driving Is Prohibited
Applicants are required to comply with California Vehicle Code sections 23123 and 23123.5. These laws prohibit driving motor vehicle while using an electronic wireless communications device to write, send, or read a text-based communication. Drivers are also prohibited from the use of a wireless telephone without hands-free listening and talking, unless to make an emergency call to 911, law enforcement, or similar services.
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Standard Assurances
For Cal OES Federal Non-Disaster Grant Programs
20. California Public Records Act and Freedom of Information Act The Applicant acknowledges that all information submitted in the course of applying for funding under this program, or provided in the course of an entity’s grant management activities that are under Federal control, is subject to the Freedom of Information Act (FOIA), 5 U.S.C. § 552, and the California Public Records Act, California Government Code section 6250 et seq. The Applicant should consider these laws and consult its own State and local laws and regulations regarding the release of information when reporting sensitive matters in the grant application, needs assessment, and strategic planning process.
HOMELAND SECURITY GRANT PROGRAM (HSGPI —
PROGRAM SPECIFIC ASSURANCES I CERTIFICATIONS
21. Acknowledgment of Federal Funding from DHS
All recipients must acknowledge their use of federal funding when issuing statements, press releases, requests for proposals, bid invitations, and other documents describing projects or programs funded in whole or in part with federal funds.
22. ActivIties Conducted Abroad
All recipients must ensure that project activities carried on outside the United States are coordinated as necessary with appropriate government authorities and that appropriate lIcenses, permits, or approvals are obtained.
23. Best Practices for Collection and Use of Personally Identifiable Information (P11) DHS defines personally identifiable information (P11) as any information that permits the identity of an individual to be directly or indirectly inferred, including any information that is linked or linkable to that individual. All recipients who collect P11 are required to have a publicly-available privacy policy that describes standards on the usage and maintenance of P11 they collect. Recipients may also find the DHS Privacy Impact Assessments: Privacy Guidance and Privacy template a useful resource respectively.
24. Copyright
All recipients must affix the applicable copyright notices of 17 U.S.C. § 401 or 402 and an acknowledgement of U.S. Government sponsorship (including the award number) to any work first produced under federal financial assistance awards.
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Standard Assurances
For Cal OES Federal Non-Disaster Grant Programs
25. Duplication of Benefits
Any cost allocable to a particular federal financial assistance award provided for in 2 C.F.R. Part 200, Subpart E may not be charged to other federal financial assistance awards to overcome fund deficiencies, to avoid restrictions imposed by federal statutes, regulations, or federal financial assistance award terms and conditions, or for other reasons. However, these prohibitions would not preclude recipients from shifting costs that are allowable under two or more awards in accordance with existing federal statutes, regulations, or the federal financial assistance award terms and conditions.
26. Energy Policy and Conservation Act
All recipients must comply with the requirements of 42 U.S.C. § 6201 which contain policies relating to energy efficiency that are defined in the state energy conservation plan issued in compliance with this Act.
27. Federal Debt Status
All recipients are required to be non-delinquent in their repayment of any federal debt. Examples of relevant debt include delinquent payroll and other taxes, audit disallowances, and benefit overpayments. See 0MB Circular A-i 29.
28. Fly America Act of 1974
All recipients must comply with Preference for U.S. Flag Air Carriers: (air carriers holding certificates under 49 U.S.C. § 41102) for international air transportation of people and property to the extent that such service is available, in accordance with the International Air Transportation Fair Competitive Practices Act of 1974 (49 U.S.C. § 40118) and the interpretative guidelines issued by the Comptroller General of the United States in the March 31, 1981, amendment to Comptroller General Decision B138942.
29. Hotel and Motel Fire Safety Act of 1990
In accordance with Section 6 of the Hotel and Motel Fire Safety Act of 1990, all Applicants must ensure that all conference, meeting, convention, or training space funded in whole or in part with federal funds complies with the fire prevention and control guidelines of the Federal Fire Prevention and Control Act of 1974, as amended, 15 U.S.C. § 2225a.
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Standard Assurances
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30. Non-supplanting Requirement
All recipients who receive federal financial assistance awards made under programs that prohibit supplanting by law must ensure that federal funds do not replace (supplant) funds that have been budgeted for the same purpose through nonfederal sources.
31. Patents and Intellectual Properly Rights
Unless otherwise provided by law, recipients are subject to the Bayh-DoIe Act, Pub. L.
No. 96-517, as amended, and codified in 35 U.S.C. § 200 et seq. All recipients are subject to the specific requirements governing the development, reporting, and disposition of rights to inventions and patents resulting from financial assistance awards located at 37 C.F.R. Part 401 and the standard patent rights clause located ot37 C.F.R. § 401.14.
32. SAFECOM
All recipients who receive federal financial assistance awards made under programs that provide emergency communication equipment and its related activities must comply with the SAFECOM Guidance for Emergency Communication Grants, including provisions on technical standards that ensure and enhance interoperable communications.
33. Terrorist Financing
All recipients must comply with Executive Order 13224 and U.S. law that prohibit transactions with, and the provisions of resources and support to, individuals and organizations associated with terrorism. Recipients are legally responsible to ensure compliance with the Order and laws.
34. ReportIng of Matters Related to Recipient Integrity and Performance If the total value of the recipient’s currently active grants, cooperative agreements, and procurement contracts from all federal assistance offices exceeds $10,000,000 for any period of time during the period of performance of this federal financial assistance award, you must comply with the requirements set forth in the government-wide Award Term and Condition for Recipient Integrity and Performance Matters located at 2 C.F.R. Part 200, Appendix XII, the full text of which is incorporated here by reference in the award terms and conditions.
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Standard Assurances
For Cal OES Federal Non-Disaster Grant Programs
35. USA Patriot Act of 2001
AU recipients must comply with requirements of the Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act (USA PATRIOT Act), which amends 18 U.S.C. § 175—1 75c.
36. Use of DHS Seal, Logo, and Flags
All recipients must obtain permission from their DHS Financial Assistance Office, prior to using the DHS seal(s). logos, crests or reproductions of flags or likenesses of DHS agency officials, including use of the United States Coast Guard seal, logo, crests or reproductions of flags or likenesses of Coast Guard officials.
37. Performance Goals
In addition to the Biannual Strategy Implementation Report submission requirements outlined in the Preparedness Grants Manual, subrecipients must demonstrate how the grant-funded project addresses the core capability gap associated with each project and identified in the Threat and Hazard Identification and Risk Analysis or Stakeholder Preparedness Review or sustains existing capabilities, as applicable. The capability gap reduction or capability sustainment must be addressed in the Project Description of the BSIR for each project.
38. Applicability of DHS Standard Terms and Conditions to Tribes The DHS Standard Terms and Conditions are a restatement of general requirements imposed upon recipients and flow down to subrecipients as a matter of law, regulation, or executive order. If the requirement does not apply to Indian tribes or there is a federal law or regulation exempting its application to Indian tribes, then the acceptance by Tribes of, or acquiescence to, DHS Standard Terms and Conditions does not change or alter its inapplicability to an Indian tribe. The execution of grant documents is not intended to change. alter, amend, or impose additional liability or responsibility upon the Tribe where it does not already exist.
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Standard Assurances
For Cal OES Federal Non-Disaster Grant Programs
IMPORTANT
The purpose of the assurance is to obtain federal and state financial assistance, including any and all federal and state grants, loans, reimbursement, contracts, etc. The Applicant recognizes and agrees that state financial assistance will be extended based on the representations made in this assurance. This assurance is binding on the Applicant, its successors, transferees, assignees, etc. Failure to comply with any of the above assurances may result in suspension, termination, or reduction of grant funds.
All appropriate documentation, as outlined above, must be maintained on file by the Applicant and available for Cal QES or public scrutiny upon request. Failure to comply with these requirements may result in suspension of payments under the grant or termination of the grant or both and the subrecipient may be ineligible for award of any future grants if the Cal QES determines that any of the following has occurred: (1) the recipient has made false certification, or (2) violates the certification by failing to carry out the requirements as noted above.
All of the language contained within this document must be included in the award documents for all subowards at all tiers. All recipients are bound by the Department of Homeland Security Standard Terms and Conditions 2021, Version 11.4, hereby incorporated by reference, which can be found at:
https://www.dhs.gov/publlcotion/fyl 5-dhs-standard-terms-and-conditions.
The undersigned represents that he/she is authorized to enter into this agreement for and on behalf of the Applicant.
Subrecipient:__Los Angeles/Long Beach Urban Area
Signature of Authorized Agent:
_________________________________
Printed Name of Authorized Agent V. Jasso
Title: Director of Grants and Finance Date: 12/13/2021
EXHIBIT C
FEMA
Trigger Line # Project
Information
National
Priority
Area
Project
Letter
Item
#
SubLine #
Mayor's
Office
ID #
LA/LB
IJ# Jurisdiction Department Project Name Funding Source Disc Solution Area Sub-Solution Expenditure Category Sub-Line #'s
Total Allocated
Master Item #'s
Total Allocated
Total Approved
(Expended)
Remaining Balance
(Obligated)
%
Complete
K 24 147 41 IJ-3 Beverly Hills Fire Urban Search and Rescue Training UASI FS Training Staff Expenses OT / Backfill $ 100,000.00 $ - $ 100,000.00 0% N 30 174 51 IJ-4 Beverly Hills Fire Community Emergency Response Team Training UASI FS Training Staff Expenses OT / Backfill $ 30,000.00 $ - $ 30,000.00 0% O 32 183 55 IJ-4 Beverly Hills Fire Fire Ground Survival (FGS) Training UASI FS Training Staff Expenses OT / Backfill $ 5,000.00 $ - $ 5,000.00 0% P 35 213 58 IJ-4 Beverly Hills Police Vision Optics - Night Vision, Binoculars and Laser Range Finder UASI LE Equipment Other AuthorizedEquipment N/A $ 35,025.00 $ - $ 35,025.00 0% P 35 218 58 IJ-4 Beverly Hills Police Tactical Robotic Systems UASI LE Equipment Other Authorized Equipment N/A $ 28,350.00 $ - $ 28,350.00 0%
P 35 221 58 IJ-4 Beverly Hills Police Unmanned Aircraft Systems (UAS) UASI LE Equipment Other Authorized Equipment N/A $ 88,867.00 $ - $ 88,867.00 0%
EXHIBITD
Department Phone Number Today's Date Grant Year
Summary and reason for modification request: Are the modified ledgers attached electronically? Will the project require approvals? EHP
Sole Source
EOC
Watercraft
Aircraft
Modified From:
FMU
ONLY
Project
Letter
Item
#
Sub
Line # Project Name Investment Justification (IJ) Disc Solution Sub-Solution $ Before $ After $ Change Action APPR # From $ -
From $ -
From $ -
From $ -
From $ -
Total: $ -
Modified To:
FMU
ONLY
Project
Letter
Item
#
Sub
Line # Project Name Investment Justification (IJ) Disc Solution Sub-Solution $ Before $ After $ Change Action APPR # To $ - $ - $ -
To $ - $ - $ -
To $ - $ - $ -
To $ - $ - $ -
To $ - $ - $ -
Total: $ -
Date Received Date Approved by MOPS
Date Reviewed
$ -
$ -
Grant Specialist
MOPS Use Only :
Exercise Ledger
$ -
Organization Ledger
Planning Ledger
Revised Amount
25% Increase
LA/LB UASI Modification Request Form
Jurisdiction
UASI 20
REQUIREMENTS FOR SUBMISSION:
Name of Representative
Grant Specialist to complete
Email Address
Equipment Ledger
Training Ledger
Please fill out the Modification Request Form, and associated Project Timeline, and submit it to your Grant Specialist. Include the project details for each line # affected by the modification request. For new line #'s being created, leave the Project Letter, Item #, and Sub-Line # columns in the 'Modified To' section blank- your Grant Specialist will assign them. You MUST include the reason for the modification request. Your Grant Specialist will advise if your modification request requires additional information. Additionally, you MUST attach a completed ledger(s) with the proposed changes. Formulas are embedded in the Form to automatically calculate the $ Change, and the Form is balanced when the Totals (highlighted yellow) in the 'Modified From' and the 'Modified To' sections are equal. Modification requests are submitted to CalOES on a monthly basis. To be considered for that month's modification request, please submit by the 15th of each month.
Contract Amount
Amendment Y/N?
Council/14.8 Y/N?
FMU Verification-- Name Modification #
Modification # Notes
Notes
LA-LB+UASI+Modification+Form+7.30.20 1 of 1
EXHIBITE
California Governor’s Office of Emergency Services
AIRCRAFT/AVIATION-RELATED EQUIPMENT REQUEST
Subgrantee Name:
Homeland Security Grant Program FY Grant Number Cal OES ID#_______ Urban Area Security Initiative (UASI) FY Grant Number Cal OES ID#_______ Other Program FY Grant Number Cal OES ID#_______
ProjectAmount: UASI $____________ SHSP $____________
1. Indicate the type of aircraft/aviation equipment for this request (choose only one ofthe following).
Aircraft Aviation Related Equipment
2. Please provide a description of the area that will be served by the requested equipment.
Equipment & Description Cost AEL number
3. Please justify the need for the aircraft/aviation equipment, and how the requested platform best meets that need as compared to other options. Include the cost, discipline, and funding source.
4. Please identify the applicable goals and objectives in your State/Urban Area Homeland Security Strategy that the requested aircraft/aviation equipment addresses.
5. Please explain how the requested aircraft/aviation equipment fits into the State/Urban Area’s integrated operational plans.
Cal OES ARF Revised 07/31/14
6. Please explain what types of terrorism incident response and prevention equipment with which the requested aircraft/aviation equipment will be outfitted.
7. Please describe how this aircraft/aviation equipment will be used operationally and which response assets will be deployed using the requested aircraft/aviation equipment.
8. Please describe how this aircraft/aviation equipment will be utilized on a regular, nonemergency basis.
9. Please certify on signed letterhead that an existing aviation unit is operating and will continue to operate independent ofthe requested funding. Describe the active, operating aviation unit and certify that no expenses will be charged against the grant award for the operation of such aviation unit. Please certify licensing, registration fees, insurance, and all ongoing operational expenses are the responsibility ofthe grantee or the local units of government and are not allowable under this grant.
10. Attach letters of endorsement, if applicable.
Submitted by:__________________
(Name) (Signature>
Cal OES ARF Revised 07/31/14
California Governor’s Office of Emergency Services
WATERCRAFT REOUEST
Subgrantee Name:
Homeland Security Grant Program FY Grant Number Cal OES ID#_______ Urban Area Security Initiative (UASI) FY Grant Number Cal OES ID#_______ Other Program FY Grant Number Cal OES ID#_______
ProjectAmount: UASI $____________ SHSP $____________
1. Indicate the type of equipment for this request (choose only one ofthe following).
Watercraft Watercraft- Related Equipment
2. Please provide a description ofthe area that will be served by the requested equipment.
Equipment & Description Cost AEL number
3. Please justify the need for the watercraft and how the requested platform best meets that need as compared to other options. Include the cost, discipline, and funding source.
4. Please describe the active, operating waterway patrol unit and certify on signed letterhead that no expenses will be charged against the grant award for the operation of such unit.
5. Please identify the applicable goals and objectives in your State/Urban Area Homeland Security Strategy that the requested watercraft addresses, and the waterway identified as critical asset requiring state andlor local prevention and response capabilities.
6. Please explain how the requested watercraft fits into the State/Urban Area’s integrated operational plans and vulnerability assessment.
Cal OES WRF Revised 07/11/13
California Governor’s Office of Emergency Services
WATERCRAFT REOUEST
7. Please describe how this watercraft will be used operationally and which response assets will be deployed using the requested watercraft.
8. Please describe how this watercraft will be utilized on a regular, non-emergency basis.
9. Please describe what types ofterrorism incident response and prevention equipment with which the requested watercraft will be outfitted. Include any specialized navigational, communications, safety, and operational equipment necessary to enable such watercraft to support the homeland security mission. Please certify on signed letterhead that licensing, registration fees, insurance, and all ongoing operational expenses are the responsibility ofthe grantee or the local units of government and are not allowable under this grant.
10. Attach letters of endorsement, if applicable.
Submitted by:__________________
(Name) (Signature)
Cal OES WRF Revised 07/11/13
California Governor’s Office of Emergency Services
ESTABLISH/ENHANCE EMERGENCY OPERATIONS CENTER (EOC) REOUEST Subgrantee Name:
Homeland Security Grant Program FY Grant Number Cal OES ID#_______ Urban Area Security Initiative (UASI) FY Grant Number Cal OES ID#_______ Other Program FY Grant Number Cal OES ID#_______
1. What type of EOC does your organization plan to establish/enhance? (Choose one ofthe following)
Primary EOC Alternate/Back-up/Duplicate EOC
2. Physical address of facility:
3. Describe how the establishment/enhancement of an EOC improves your organization’s ability to prevent, plan for, respond to, and recover from a terrorism event (on a separate attachment).
4. Identify all other sources and uses of additional funds assisting the project in any way.
5. Identify anticipated homeland security grant costs to establish/enhance your organization’s EOC in the table below.
6. Supplies/Equipment AEL # Cost
Computers
Network Servers
Printers
Computer accessories (i.e. surge protectors, battery backups, etc.) Computer maintenance contracts
Computer connections and cables (including fiber optic cabling) Fax machines
Lighting Systems
LCD projectors
Projection/plasma/flat screens/monitors/televisions
GIS plotter and software
Telephone systems
Software development
Commercial_off-the-shelf(COTS)_software
Installation of EOC items
Miscellaneous_connections_for EOC_items
Standardized_mapping_software
Cal OES EOCRF Revised 08/1/13
Standardized emergency management software
Installation of EOC items
Miscellaneous connections for EOC items
Leasing Costs2 (Indicate starting and ending dates of lease and explain the circumstances under which the moving or leasing costs will be incurred.)
Other (must provide list/description of “other” items and costs) TOTAL -EOC Supplies and Equipment
7. Explanation of “other” items:
8. Has your organization determined the costs are reasonable? Submitted by: Date:
(Name) (Signature)
II1’ Cal OES REQUEST FOR NONCOMPETITVE PROCUREMENT AUTHORIZATION FORUSE WITH FY2G9ND PRIOR YEAR::FMNT AWARDS. ONLY
Grant Program:
Grant Award No.(s): FIPS #:
Subrecipient Name:
If Subaward, list second-tier subrecipient:
Project No.(s):
Project Title(s):
Requested Amount: Contract Total:
Vendor:
Please complete the following questions based on the entity making the purchase
1. Describe what the proposed vendor/contractor will provide:
2. Has Cal OES approved a noncompetitive procurement for this item(s)/service(s) in the past?
DYes EIN0
If Yes, attach the most recent approval letter and Noncompetitive Procurement Authorization form.
3. Is this noncompetitive procurement being made under a multi-year contract? El Yes EINo
If No, proceed to question 6.
4. If Yes to Question 3, has Cal OES approved a noncompetitive procurement in the past under this multi-year contract?
El Yes LIN0
If No, proceed to question 6.
5. If Cal OES has previously approved a noncompetitive procurement under this multiyear contract, have there been any modifications since that approval? LI Yes ElNo
Note: A price/cost analysis must be performed with every procurement above the Simplified Acquisition Threshold (SAT) including modifications. Modifications include ç change to the original contract, including extensions.
If Yes, proceed to question 8.
If No, proceed to question 10.
6. Indicate which of the following circumstances resulted in your organization’s need to enter into a noncompetitive contract and describe the details of those circumstances for this request under the following below. See 2 C.F.R. Part 200, Subpart D, 200.320 (0. • The item is available only from a single source. (Describe and detail the process used to make that determination.)
• A public necessity or emergency for the requirement will not permit a delay resulting from competitive solicitation. (Describe the necessity or emergency. Provide details.) • After solicitation of a number of sources, the competition was determined inadequate. (Describe the solicitation process that determined competition was inadequate. Provide details including the length of the solicitation.)
7. Describe your organization’s standard procedures when considering a noncompetitive procurement, including the conditions under which a noncompetitive procurement is allowed, and any other applicable criteria (i.e., approval requirements, monetary thresholds, etc.).
8. Attach a copy of the cost/price analysis for this procurement or contract modification if above the SAT.
9. Do you have documentation to support profit negotiation? See 2 C.F.R. Part 200. Subpart D, 200.323 (b.
DYes EN0
Note: Profit must be negotiated for each contract in which there is no price competition and in all cases where cost analysis is performed.
10. Certification:
This is to certify that, to the best of our knowledge and belief, the data furnished on this form is accurate, complete and current. We further certify that this procurement has followed local procurement policies, and state and federal guidelines. We understand that any fraudulent information contained on this form may affect the allowability of federal funding for this item and/or have an effect on future Cal OES funding for this organization.
Purchasing Name: Signature: Date:
Agent:
Primary Name: Signature: Date:
Su brecipient:
Cal OES Internal Use Only
Date Submitted:
Procurement Type: Single Source EPublic Emergency Lilnadequate Competition Attachments enclosed:
Previous Approval Letter
LI Previous Noncompetitive Procurement Authorization Request form for this item(s)/service(s) LI Cost/Price Analysis
LI Other Supporting Documents:
Program Representative Review -Comments:
Unit Chief Review -Comments:
LI Approved LI Denied
Grants Procurement Compliance Manager -Comments:
Grants Procurement Compliance Manager: Date:
DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
ENVIRONMENTAL AND HISTORIC PRESERVATION SCREENING FORM 0MB Control Number: 1660-0115 Expiration: 1/31/2024
Paperwork Burden Disclosure Notice
Public reporting burden for this data collection is estimated to average 8 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form.
This collection of information is required to obtain or retain benefits. You are not required to respond to this collection of information unless a valid 0MB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, Washington, DC, 20472, Paperwork Reduction Project (1660-0115).
PRIVACY NOTICE
The collection of this information is authorized by the National Environmental Policy Act of 1969, as amended, Pub. L. No. 91-1 90, § 102, 42 U.S.C. § 4321-4347; and National Historic Preservation Act of 1966, as amended, Pub. L. No. 89-665, § 102, 16 U.S.C. § 470.
This information is being collected for the primary purpose of determining eligibility and administration of FEMA Preparedness Grant Programs and to ensure compliance with existing laws and regulations regarding the environment and historic preservation.
The disclosure of information on this form is required by law and failure to provide the information requested may delay or prevent the organization from receiving grant funding.
Directions for completing this form: This form is designed to initiate and facilitate the environmental and historic preservation (EHP) compliance review for your FEMA preparedness grant-funded project(s). FEMA conducts its EHP compliance reviews in accordance with National Environmental Policy Act (NEPA) and other EHP-related laws and executive orders. In order to initiate EHP review of your project, you must complete all relevant sections of this form and submit it to the Grant Programs Directorate (GPD) along with all other pertinent project information. Failure to provide requisite information could result in delays in the release of grant funds. Be advised that completion of this form does not complete the EHP review process. You will be notified by FEMA when your review is complete and/or if FEMA needs additional information.
This form should be completed electronically. The document is available in both Word and Adobe Acrobat (pdf) formats at this website:
( http://wwwfema.gov/library/viewRecorddo?fromSearch=fromsearch&id=4802. The following website has additional guidance and instructions on the EHP review process and the information required for the EHP review: https://www.fema.gov/environmenta-planning-and historic-preservation--compilance
Submit completed form through your grant administrator who will fo,ward it to GPDEHPInfofema.dh&gov. Please use the subject line: EHP Submission: Project Title, location, Grant Award Number (Example, EHP Submission: Courthouse Camera Installation, Any Town, State, 12345; 2011-SS-Oxxxx).
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Pagelofl2 SECTION A. PROJECT INFORMATION
DHS Grant Award Number:
Grant Program:
Grantee:
Grantee POC:
Mailing Address:
E-Mail:
Sub-Grantee:
Sub-Grantee POC:______________________
Mailing Address:
E-Mail:
Estimated cost of project:
Project title:
Project location (physical address or latitude-longitude):
Project Description. Provide a complete project description. The project description should contain a summary of what specific action is proposed, where it is proposed, how it will be implemented. Include a brief description of the objectives the project is designed to accomplish (the purpose), and the reason the project is needed. Use additional pages if necessary. If multiple sites are involved, provide the summary for each site:
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Page2ofl2 SECTION B. PROJECT TYPE
Based on the proposed project activities, determine which project type applies below and complete the corresponding sections that follow.
For multi-component projects or those that may fit into multiple project types, complete the sections that best apply and fully describe all major components in the project description. If the project involves multiple sites, information for each site (such as age of structure, location, ground disturbance, etc.) must be provided. Attach additional pages to this submission, if needed.
1. E Purchase of equipment. Projects in this category involve the purchase of equipment that will require installation on or in a building or structure. Complete other portions of Section B as needed. Complete Section C.1.
2. Li Training and exercises. Projects in this category involve training exercises with any field-based components, such as drills or full-scale exercises. Complete Section C.2.
3. fl Renovations/upgradeslmodifications or physical security enhancements to existing structures. Projects in this category involve renovations, upgrades, retrofits, and installation of equipment or systems in or on a building or structure. Examples include, but are not limited to: interior building renovations; electrical system upgrades; sprinkler systems; vehicle exhaust systems; closed circuit television (CCTV) cameras; security fencing; access control for an area, building, or room; bollards; motion detection systems; alarm systems; security door installation or upgrades; lighting; and audio-visual equipment (projectors, smart boards, whiteboards, monitors, displays, and projector screens). Complete Section C.3.
4. Generator installation. Projects in this category involve installation of new or replacement generators, to include the concrete pads, underground fuel and electric lines, and if necessary, a fuel storage tank. Complete Section C.4.
New constructionladdition. Projects in this category involve new construction, addition to, or expansion of a facility. These projects involve construction of a new building, or expansion of the footprint or profile of a current structure. Complete Section C.5.
6. Communication towers, antennas, and related equipment. Projects in this category involve construction of new or replacement communications towers, or installation of communications-related equipment on a tower or building or in a communications shelter or building. Complete Section C.6.
El Other. Projects that do not fit in any of the categories listed above. Complete Section C.7.
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Page3ofl2 SECTION C. PROJECT TYPE DETAILS
Check the box that applies to the proposed project and complete the corresponding details.
Purchase of equipment. If the entire project is limited to purchase of mobile/portable equipment and there is no installation needed, this form does not need to be completed and submitted. a. Specify the equipment, and the quantity of each:
b. Provide the Authorized Equipment List (AEL) number(s) (if known):
c. Complete Section D.
2. Training and exercises. If the training is classroom and discussion-based only, and is not field-based, this form does not need to be completed and submitted.
a. Describe the scope of the proposed training or exercise (purpose, materials, and type of a activities required):
b. Provide the location of the training (physical address or latitude-longitude):
c. Would the training or exercise take place at an existing facility which has established procedures for that particular proposed training or exercise, and that conforms with existing land use designations? fl Yes fl No
• If yes, provide the name of the facility and the facility point of contact (name, telephone number, and e-mail address):
• If no, provide a narrative description of the area where the training or exercise would occur (e.g., exercise area within four points defined by latitude/longitude coordinates):
• Does the field-based training/exercise differ from previously permitted training or exercises in any way, including, but not limited to frequency, amount of facilities/land used, materials or equipment used, number of participants, or type of activities?
• If yes, explain any differences between the proposed activity and those that were approved in the past, and the reason(s) for the change in scope:
• If no, provide reference to previous exercise (e.g., FEMA grant name, number, and date):
d. Would any equipment or structures need to be installed to facilitate training?
• If yes, complete Section D
3. Renovationslupgradeslmodifications, or physical security enhancements to existing structures. If so, Complete Section D.
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Page 4 of 12
4. Generator installation.
a. Provide capacity of the generator (kW):
b. Identify the fuel to be used for the generator (diesel/propane/natural gas):
c. Identify where the fuel for the generator would be stored (e.g. stand-alone tank, above or below ground, or incorporated in generator):
d. Complete Section D.
5. fl New constructionladdition.
a. Provide detailed project description (site acreage, new facility square footage/number of stories, utilities, parking, stormwater features, etc):
b. Provide technical drawings or site plans of the proposed project:
c. Complete Section D.
6. fl Communication towers, antennas, and related equipment. a. Provide the current net height (in feet above ground level) of the existing tower or building (with current attached equipment):
b. Provide the height (in feet above ground level) of the existing tower or building after adding/replacing equipment:
c. Provide the ground-level elevation (feet above mean sea level) of the site of the proposed communications tower:
d. Provide the total height (in feet above ground level) of the proposed communications tower or structure, including any antennas to be mounted:
Attached
• If greater than 199 feet above ground level, state why this is needed to meet the requirements of the project:
e. Would the tower be free-standing or require guy wires? • If guy wires are required, state number of bands and the number of wires per band:
• Explain why a guyed tower is needed to meet the requirements of this project:
fl Free standing D Guy wires
f. What kind of lighting would be installed, if any (e.g., white strobe, red strobe, or steady burning)?
g. Provide a general description of terrain (e.g., mountainous, rolling hills, flat to undulating):
h. Describe the frequency and seasonality of fog/low cloud cover:
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Page 5 of 12 i. Provide a list of habitat types and land use at and adjacent to the tower site (within % mile), by acreage and percentage of total (e.g., woodland conifer forest, grassland, agriculture) water body, marsh:
j. Is there evidence of bird roosts or rookeries present within % mile of the proposed site? El Yes El No • Describe how presence/absence of bird roosts or rookeries was determined:
k. Identify the distance to nearest wetland area (e.g., forested swamp, marsh, riparian, marine) and coastline if applicable:
I. Distance to nearest existing telecommunication tower:
m. Have measures been incorporated for minimizing impacts to migratory birds? El Yes El No • If yes, Describe:
n. Has a Federal Communications Commission (FCC) registration been obtained for this tower? El Yes El No • Ifyes,provideRegistration #:
• If no, why?
o. Has the FCCE1O6 process been completed? El Yes El No p. Has the FCC Tower Construction Notification System (TCNS) process been completed? El Yes El No • If yes, Describe:
q. Would any related equipment or structures need to be installed (e.g., backup generator and fuel source, communications shelter, fencing, or security measures)? El Yes El No • If yes, explain where and how each installation would be done.
Provide details about generator capacity (kW), fuel source, fuel location and tank volume, amount of fencing, and size of communication shelter:
r. Complete Section D.
7. El Other: Complete this section if the proposed project does not fit any of the categories above, a. Provide a complete project description:
b. Complete Section D.
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Page 6 of 12 SECTION D. PROJECT DETAILS
Complete all of the information requested below.
1. J Project Installation
a. Explain how and where renovations/upgrades/modifications would take place, or where equipment/systems will be installed:
b. Would ground disturbance be required to complete the project or training? Yes No • If Yes, provide total extent (depth, length, and width) of each ground-disturbing activity. Include both digging and trenching.
For example, light poles and fencing have unique ground-disturbing activities (e.g., six light poles, 24” dia. x 4’ deep; trenching 12” x 500’ x 18” deep; 22 fence posts, 12” diameter x 3’ deep, and 2 gate posts, 18” diameter x 3’ deep):
• If yes, describe the current disturbed condition of the area (e.g., parking lot, road right-of-way, commercial development):
c. Would the equipment use the existing infrastructure for electrical distribution systems? FE Yes El No • If no, describe power source and detail its installation at the site:
2. fl Age of structurelbuilding at project site
a. Provide the year existing building(s) or structure(s) on/in/nearest to the location involved in the proposed project was built:
• If the building or structure involved is over 45 years old and significant renovation, rehabilitation, or modification has occurred, provide the year(s) modified and briefly describe the nature of the modification(s):
b. Are there any structures or buildings that are 50 years old or older in or adjacent to the project area?
• If yes, provide the location of the structure(s), ground-level color photographs of the structure(s), and identify their location(s) on an aerial map:
c. Is the project site listed in the National Register of Historic Places (National Register), or in/near a designated local or National Register Historic District? The internet address for the National Register is: http://nrhp.focus.npsgov/
• If yes, identify the name of the historic property, site and/or district and the National Register document number:
El Yes El No
El Yes E] No
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Page7ofl2
3. i: Site photographs, maps and drawings
a. Attach site photographs. Site photographs are required for all projects.
Use the following as a checklist for photographs of your project. Attach photographs to this document or as accompanying documents in your submission.
. Labeled, color, ground-level photographs of the project site: Required . Labeled, color photograph of each location where equipment would be attached to a building or structure: Required
. Labeled, color aerial photographs of the project site: Required . Labeled, color aerial photographs that show the extent of ground disturbance (if applicable): fl Attached
. Labeled, color ground-level color photographs of the structure from each exterior side ofthe building/structure (applicable only if building! structure is more than 45 years old): fl Attached
b. Are there technical drawings or site plans available? E Yes 0 No . If yes, attach: El Attached
Appendix A has guidance on prepanng photographs for EHP review
4. Environmental documentation
a. Is there any previously completed environmental documentation for this project at this proposed project site (e.g., Environmental Assessment, or wetland delineation, or cultural/archaeological study)? El Yes El No If yes, attach documentation with this form: El Attached b. Is there any previously completed agency coordination for this project (e.g., correspondence with the U.S. Fish and Wildlife Service, State Historic Preservation Office, Tribal Historic Preservation Office)? El Yes El No • If yes, attach documentation with this form: El Attached c. Was a NEPA document prepared for this project? El Yes El No • If yes, what was the decision? (Check one, and please attach):
El Finding of No Significant Impact (FONSI) from an Environmental Assessment (EA) or El Record of Decision (ROD) from an Environmental Impact Statement (EIS).
Name of preparing agency:
Date Attached:
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Page8ofl2 Appendix A. Guidance for Supporting Photographs for EHP Grant Submissions Photographs are a vital component of the EHP review process and add an additional level of understanding about the nature and scope of the project. They also provide pre-project documentation of site conditions. Please follow the guidance provided below when preparing photographs for your EHP submission. The following pages provide examples of best practices used in earlier EHP submissions.
Minimum requirements for photographs
1. Photographs should be in color.
2. Label all photographs with the name of facility, location (city/county, state) and physical location (physical address or latitude-longitude).
3. Label the photographs to clearly illustrate relevant features of the project, such as location of installed features (e.g., cameras, fences, sirens, antennas, generators) and ground disturbance. See examples below.
4. Identify ground disturbance. Adding graphics to a digital photograph is a means to illustrate the size, scope and location of ground disturbing activities.
Best Practices
1. Provide photographs in a separate file.
2. Place no more than 2 pictures per page.
3. Compressing pictures files (such as with Microsoft Picture Manager)1 or saving the file in PDF format will reduce the size of the file and facilitate e-mail submissions.
4. Identify the photograph file with the project name so that it can be matched to the corresponding FEMA EHP screening form.
5. Maximum file size for enclosures should not exceed 12 MB. If the total size of files for an EHP submission exceeds 12MB, send the submission in multiple e-mails.
6. If necessary, send additional photographs or data in supplemental e-mails. Please use the same e-mail subject line with the additional label: I ofx,2ofx,.. .xofx.
Options for Creating Photographs
1. Obtain an aerial photo. There are multiple online sources for aerial photographs.
2. For the aerial photo, use the screen capture feature (Ctrl + Print Screen keys) and copy the image to photo editing software, such as Paint, or PhotoShop.1 Use that software to crop the image so the photo has the content necessary.
3. Open PowerPoint, or other graphics-oriented software, and paste the aerial or ground-level photograph on the canvas.
4. Use drawing tools, such as line drawing and shapes, to indicate the location of project features (for example: fencing, lighting, sirens, antennas, cameras, generators).
5. Insert text to label the features and to label the photograph.
6. Use drawing tools to identify ground-disturbing activities (if applicable).
7. Save the file with the project name or grant number so that it can be appropriately matched to the corresponding FEMA EHP screening form. Include this file with the EHP screening when submitting the project.
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Page 9 of 12 Appendix A. Supporting Photographs for EHP Grant Submissions Example Photographs
Aerial Photographs. The example in Figure
1 provides the name of the site, physical
address and proposed location for installing
new equipment. This example of a labeled
aerial photograph provides good context of
the surrounding area.
Ground-level photographs. The groundlevel photograph in Figure 2 supplements the aerial photograph in Figure 1, above.
Combined, they provide a clear
understanding of the scope of the project.
This photograph has the name and address
of the project site, and uses graphics to
illustrate where equipment will be installed.
Figure 1. Example of labeled, color aerial photograph.
Figure 2. Example of ground-level photograph showing proposed attachment of new equipment.
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Page 10 of 12 Appendix A. Supporting Photographs for EHP Grant Submissions Ground-level photograph with equipment
close-up. Figure 3 includes a pasted image
of a CCTV camera that would be placed at
the project site. Using desktop computer
software, such as PowerPoint,1 this can be
accomplished by inserting a graphic symbol
(square, triangle, circle, star, etc.) where the
equipment would be installed. This example
includes the name and location of the site.
The site coordinates are in the degreeminute-second format.
Ground-level photograph with excavation
area close-up. The example in Figure 4
shows the proposed location for the concrete
pad for a generator and the ground
disturbance to connect the generator to the
building’s electrical service. This information
can be illustrated with either an aerial or
ground-level photograph, or both. This
example has the name and physical address
of the project site.
New CCTV
Camera
Figure 3. Ground-level photograph with graphic showing
proposed equipment installation.
Trenchfrig from
nertorto
bui1dfrgs
e1vtric& service.
22 xiS in x 6
in,
nerator Pad,
4ftx1Oftx8n ““
Figure 4. Ground-level photograph showing proposed ground disturbance area.
Someto n Commurnt Center 12$ m Street Somety n State
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Page 11 of 12 Appendix A. Supporting Photographs for EHP Grant Submissions Communications equipment
photographs. The example in
Figure 5 supports a project involving
installation of equipment on a tower.
Key elements are identifying where
equipment would be installed on the
tower, name of the site and its
location. This example provides site
coordinates in decimal format.
Figure 5. Ground-level photograph showing proposed
locations of new communications equipment on an existing tower.
Interior equipment photographs.
The example in Figure 6 shows the
use of graphic symbols to represent
security features planned for a
building. The same symbols are used
in the other pictures where the same
equipment would be installed at other
locations in/on the building. This
example includes the name of the
facility and its physical address.
A camera wiH be aaded
n th taper rlit
ccrer ard a proximFtv
door access reader ,lI
e add+d for accei
contra
Figure 6. Interior photograph showing proposed location of new equipment.
Ground-level photographs of nearby historic structures and buildings. Consultation with the State Historic Preservation Office (SHPO) may be required for projects involving structures that are more than 50 years old, or are on the National Register of Historic Places. In that event, it will be necessary to provide a color, ground-level photograph of each side of the building/structure. 1 Use of brand name does not constitute product endorsement, but is intended only to provide an example of the type of product capable of providing an element of the EHP documentation.
FEMA FORM FF-207-FY-21-100 (formerly 024-0-1) Page 12 of 12
EXHIBIT F
Mayors Office of Public Safety
City of Los Angeles
Subrecipient Grants Management Assessment
1 VeryLow
2 Low
3 Medium
L 4 High
5 Very High
Information
Mayors Date of Assessment Office Grant Name and Grant Year UASI FY21 Use Subrecipient Name Only Type of Non-Federal Entity (Local, JPA, Non-Profit) 8rant Administration Yes In Progress No N/A Comments
1. Prior to receiving a subaward from the City of Los Angeles, did the organization receive a Federal grant (direct or indirectly) within the past 3 years? If Yes, please indicate the total number of Federal awards in the Comments section.
2. Does the organization have written policies and procedures in place in accordance with 2 CFR Part 200, that include procedures for procurements, travel, contractual services and records retention?
3. Does the organization have a method in place to track projects performed under Federal awards?
4. Does the organization have a method in place to track revenues and expenditures separately and distinctly from other sources of revenues and expenditures?
5. Does the organization have a method in place to track costs incurred against the approved grant budget?
Personnel Yes In Progress No N/A Comments
6. Are the individuals with primary responsibility for the fiscal and administrative oversight of the grant familiar with the applicable grants management rules, principles, and
regulations including the Uniform Administrative
Requirements, Cost Principles, and Audit Requirements for Federal Awards (2 CFR Part 200)?
7. Does the organization have a structure in place whereby the preparer of documents is different than the approver?
8. Are timesheets used to track the time staff spend on specific grants?
Audits Yes In Progress No N/A Comments
9. Did the organization receive more than $750,000 in Federal awards in the past fiscal year? If No, skip to Question 13.
10. Was a single audit report completed per 0MB Circular A133? If No, skip to Question 13.
11. Did the single audit result in ‘No Findings?’ If Yes, skip to Question 13.
12. If findings were identified, have the findings been resolved?
Monitoring Yes In Progress No N/A Comments
13. Does the organization have documented policies and
procedures in place related to fraud investigations and reporting?
14. Does the organization have equipment monitoring
policies in place, including the tracking and safeguarding of equipment?
15. Does the organization inventory grant-funded equipment at least every two years?
IaTt1IIasI7
Name/Title of Preparer
Name/Title of Mayor’s Office Reviewer #1
Signature
Signature
Date
Date
Name/Title of Mayor’s Office Reviewer #2 Signature Date