Chino City Council
February 20, 2024

STATE OF CALIFORNIA CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES OES--0 (Rev. 2022) Disaster No: Cal OES ID No: UEI No: SUBRECIPIENT’S NAME: (Name of Organization) PRIMARY MAILING ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE: FAX NUMBER: CA ASSEMBLY DIST: CA SENATE DIST: U.S. CONGRESSIONAL DIST: Visitsos.ca.gov/elections/who-are-my-representatives to find your district number. AUTHORIZED AGENT: TITLE: EMAIL ADDRESS: Note: Certain of these assurances may not be applicable to all your projects. If you have questions, please contact the California Governor’s Office of Emergency Services. Further, certain federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the subrecipient named above: 1. Has the legal authority to apply for federal assistance, and the institutional,managerial and financial capability (including funds sufficient to pay the non-federal share of project costs) to ensure proper planning, management, andcompletion of the project described in this application.2. Will give the awarding agency, the Comptroller General of the United States,Federal Office of Inspector General 2 CFR 200.336, and if appropriate, thestate, through any authorized representative, access to and the right toexamine all records, books, papers, or documents related to the assistance;and will establish a proper accounting system in accordance with generallyaccepted accounting standards or agency directives.Rev. 102022 OES-- Rev. 102022 OES-0
STATE OF CALIFORNIA CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES OES- (Rev. 2022) 3. Will not dispose of, modify the use of, or change the terms of the real propertytitle, or other interest in the site and facilities without permission andinstructions from the awarding agency. Will record the federal interest in thetitle of real property in accordance with awarding agency directives and willinclude a covenant in the title of real property acquired in whole or in partwith federal assistance funds to assure nondiscrimination during the useful lifeof the project.4. Will comply with the requirements of the assistance-awarding agency withregard to the drafting, review and approval of construction plans andspecifications.5. Will provide and maintain competent and adequate engineeringsupervision at the construction site to ensure that the complete workconforms with the approved plans and specifications and will furnishprogress reports and such other information as may be required by theassistance awarding agency or state.6. Will initiate and complete the work within the applicable time frame afterreceipt of approval of the awarding agency.7. Will establish safeguards to prohibit employees from using their positions fora purpose that constitutes or presents the appearance of personal ororganizational conflict of interest, or personal gains.8. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C.§§ 4801 et seq.), which prohibits the use of lead-based paint in constructionor rehabilitation of residential structures.9.Will comply with all federal statutes relating to nondiscrimination. Theseinclude but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L 88-352) which prohibits discrimination on the basis of race, color, or nationalorigin; (b) Title IX of the Education Amendments of 1972, as amended (20U.S.C. §§ 1681-1683 and 1685-1686) which prohibits discrimination on the basisof sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29U.S.C. § 794) which prohibit discrimination on the basis of handicaps; (d) theAge Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101-6107) whichprohibits discrimination on the basis of age; (e) the Drug Abuse Office andTreatment Act of 1972 (P.L. 93-255) as amended, relating to nondiscriminationon the basis of drug abuse; (f) the Comprehensive Alcohol Abuse andAlcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616)as amended, relating to nondiscrimination on the basis of alcohol abuse oralcoholism; (g) §§ 523 and 527 of the Public Health Service Act of 1912 (42U.S.C. 290 dd- 3 and 290 ee-3) as amended, relating to confidentiality ofalcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of Rev. 102022
STATE OF CALIFORNIA CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES OES-(Rev. 2022) 1968 (42 U.S.C. § 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental, or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for federal assistance is being made, and (j) the requirements on any other non-discrimination statute(s) which may apply to the application. 10. Will comply, or has already complied, with the requirements of Titles II and IIIof the Uniform Relocation Assistance and Real Property Acquisition PoliciesAct of 1970 (P.L. 91-646) which provides for fair and equitable treatment ofpersons displaced or whose property is acquired as a result of federal andfederally assisted programs. These requirements apply to all interests in realproperty acquired for project purposes regardless of federal participation inpurchases.11. Will comply with the flood insurance purchase requirements of Section 102(a)of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requiresrecipients in a special flood hazard area to participate in the program and topurchase flood insurance if the total cost of insurable construction andacquisition is $5,000 or more.12. Will comply with environmental standards which may be prescribed pursuantto the following: (a) institution of environmental quality control measuresunder the National Environmental Policy Act of 1969 (P.O. 91-190) andExecutive Order (EO) 11514; (b) notification of violating facilities pursuant toEO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation offlood hazards in floodplains in accordance with EO 11988; (e) assurance ofproject consistency with the approved state management programdeveloped under the Coastal Zone Management Act of 1972 (16 U.S.C. §§ 1451 et seq.); (f) conformity of federal actions to State (Clean Air)Implementation Plans under Section 176(c) of the Clean Air Act of 1955, asamended (42 U.S.C. § 7401 et seq.); (g) protection of underground sources ofdrinking water under the Safe Drinking Water Act of 1974, as amended, (P.L.93-523); and (h) protection of endangered species under the EndangeredSpecies Act of 1973, as amended (P.O. 93-205).13. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§ 1271 etseq.) related to protecting components or potential components of thenational wild and scenic rivers system.14. Will assist the awarding agency in assuring compliance with Section 106 ofthe National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO11593 (identification and preservation of historic properties), and theArcheological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).OES- STATE OF CALIFORNIA CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES OES--0 (Rev. 2022) Will comply with Standardized Emergency Management (SEMS)requirements as stated in the California Emergency Services Act,Government Code, Chapter 7 of Division 1 of Title 2, Section 8607.1(e) andCCR Title 19, Sections 2445, 2446, 2447, and 2448.Subrecipients expending $750,000 or more in federal grant funds annuallyare required to secure an audit pursuant to OMB Uniform Guidance 2 CFRPart 200, Subpart F. Will cause to be performed the required financial andcompliance audits in accordance with the Single Audit Act of 1984 and theSingle Audit Act Amendments of 1996.Will disclose in writing any potential conflict of interest to the Federalawarding agency or pass-through entity in accordance with §200.112.Will comply with all applicable requirements of all other federal laws,Executive Orders, regulations and policies governing this program.Has requested through the State of California, federal financial assistance tobe used to perform eligible work approved in the subrecipient application forfederal assistance. Will, after the receipt of federal financial assistance,through the State of California, agree to the following:The state warrant covering federal financial assistance will be depositedin a special and separate account and will be used to pay only eligiblecosts for projects described above.To return to the State of California such part of the funds so reimbursedpursuant to the above numbered application, which are excess to theapproved actual expenditures as accepted by final audit of the federalor state government.In the event the approved amount of the above numbered projectapplication is reduced, the reimbursement applicable to the amount ofthe reduction will be promptly refunded to the State of California.The non-Federal entity for a Federal award must disclose, in a timely manner,in writing to the Federal awarding agency or pass-through entity all violationsof Federal criminal law involving fraud, bribery, or gratuity violationspotentially affecting the Federal award §200.113. Failure to make requireddisclosures can result in any of the remedies described in §200.338 Remediesfor noncompliance, including suspension or debarment.Rev. 102022 OES- STATE OF CALIFORNIA CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES OES- (Rev. 2022) “I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized by ____________________________________________________________ (Name of Organization) to enter into this agreement for and on behalf of said subrecipient, and by my signature do bind the subrecipient to the terms thereof.” PRINTED NAME SIGNATURE OF AUTHORIZED AGENT TITLE DATE Rev. 102022 OES-