MANAGEMENT AND ADMIN. (Up to 5%) $0.00 $0.00 $0.00 TOTAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Please report EM activities, meetings, training, exercises, or other necessary information to support quarterly progression. QUARTER: July 1 - Sept. 30 Emergency Management Personnel NIMS IS 100 NIMS IS 200 NIMS IS 700 NIMS IS 800 FEMA Prof essional Development Series OR National Emergency Management Basic Academy EM Employee Name & Position Title QTR 1 QTR 2 QTR 3 QTR 4 QTR 1 QTR 2 QTR 3 QTR 4 QTR 1 QTR 2 QTR 3 QTR 4 QTR 1 QTR 2 QTR 3 QTR 4 QTR 1 QTR 2 QTR 3 QTR 4 QTR 1 QTR 2 QTR 3 QTR 4 DELIVERABLES/TASK REQUIREMENTS ENTER DATE COMPLETED COMMENTS Use for explanation that supports Training & Exercise progression. QTR 1 QTR 2 QTR 3 QTR 4 T1: Provide a quarterly report as outlined in Quarterly Reports (Attachment A(3)). (Q1-Q4) T1: Provide full-time Emergency Management Director's or part- time Coordinator's certified timesheets or paystubs. (Q1-Q4) T2: Submit a copy of the current and accurate County Emergency Management Local Budget (General Revenue) including the budget approval date (Q2, any updates Q3-Q4) T2: Submit a copy of the local EM general revenue expenditure (general ledger) report (Q2, any updates Q3-Q4) T3: Statewide Mutual Aid Agreement (Attachment F(1)) - Submit the current excel Statewide Mutual Aid Agreement (SMAA) list by September 30, 2021. (Q1, any updates Q2-Q4) T3: Response Capabilities (Attachment G) - Maintain current county emergency management and other contacts through the Division's SharePoint Portal including County Director and Alternate contacts. (Q3, any updates Q4) T3: Response Capabilities (Attachment G) - Maintain GIS site data in the Division's SharePoint Portal. (Q3, any updates Q4) T3: Response Capabilities (Attachment G) - Maintain site data in WEBEOC to include County Staging Areas (CSAs) and County Points of Distribution (PODs). (Q3, any updates Q4) T3: Response Capabilities (Attachment H) - Complete the SESP Shelter Inventory and Retrofit Items 1-8 on the WEBEOC SESP Shelter Inventory board no later than March 31, 2022. (Q3) T4: Recovery Capabilities (Attachment I) - Identify any potential Disaster Recovery Center (DRC) locations and provide basic information in WEBEOC. (Q4) RECIPIENT: INCURRED DATE RANGE: Example: July 1 through November 5, 2021 Please use separate Division Form 2A-Detail of Claims per allocation category. Please add additional pages or lines as needed for each allocation categ Please provide FEMA AEL numbers for EQUIPMENT expenditures only. Please provide a budget revision along with this form, if expenses being claimed are not allocated on the most recently approved budget. Please include the Costs Incurred Date Range in the applicable cell above. This is usually the quarterly period; however, a recipient may incorporate a larger date range to include a forgotten claim for reimbursement for a payment made the previous quarter (within the period of agreement). This allowance does not circumvent the four (4) required quarterly reporting forms submissions. SALARY DEFINITION: The cash compensation for services rendered by a regular employee in an established position for a specific period of time. RECIPIENT: Florida County CLAIM #: Note: If this claim includes incentives or special pay, please provide the Division w ith the w xxxxxx established policy for support EM EMPLOYEE NAME EM POSITION TITLE % TIME CHARGED TO EMPA SALARY FRINGE BENEFITS 1 Ex: Xxxx Xxx EM Planner 50% $ 5,000.00 $ 1,200.00 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Florida County $100,000 $95,000 $90,000 $85,000 $90,000 AVERAGE 10% $10,000 $5,000 This form is to be completed and sent when the Local County Budget is approved or by the end of the first quarter. Required with this form the recipient shall provide a copy of the current Emergency Management Local Budget (General Revenue) with the approved buget date. If the Recipient's county's current budget is lower than the last year or the average of the last three previous years, the county is required to request a waiver from the Division no later than forty-five (45) days after the county budget is approved. (1) Base Grants shall be matched at an amount either equal to the average of the previous three years’ level of county general revenue funding of the County Emergency Management Agency or the level of funding for the County Emergency Management Agency for the last fiscal year, whichever figure is lower. County general revenue funding for 911 services, emergency medical services, law enforcement, criminal justice, public works or other services outside the emergency management responsibilities assigned to the County Emergency Management Agency by Section 252.38, F.S., shall not be included in determining the “level of county funding of the County Emergency Management Agency.” Each county shall certify compliance with this rule chapter and this rule, as a condition precedent to receipt of funding. (2) If the Base Grant recipient demonstrates that exceptional financial circumstances prevent the Base Grant recipient from complying with the match requirements in subsection 27P-19.011(1), F.A.C., then the Base Grant recipient may request that the Division authorize a reduction in the amount of match required. The match required shall not be reduced by a percentage amount in excess of reductions in funding for county 911 services, emergency medical services, law enforcement, criminal justice, public works or other emergency management related services. To be eligible for any reduction, the Base Grant recipient shall demonstrate and certify that the reduction is due to reductions in county general revenue funding and that the amount of the requested reduction is equivalent to across the board reductions in all county budgets. County requests for reduction shall be signed by the county’s chief elected officer and the certification of reduction in county budget funding shall be signed by the county’s chief financial officer. Requests shall certify the intent to return to pre-reduced funding as soon as practicable, and shall provide an estimate of the date at which the county will return to the current level of funding. Requests for reduction shall also be accompanied by financial data for the previous three years indicating: the level of county funding for the County Emergency Management Agency budget; budget detail regarding all individual items of the County Emergency Management Agency budget; and the proposed level of funding, for all budget items, if the reduction is authorized by the Division. All requests for match reduction shall be submitted no later than forty-five (45) days after the county budget has been approved or by the first quarter by the governing body of the jurisdiction, or the opportunity to request shall be waived. REQUIRED CERTIFICATION BY AUTHORIZED REPESENTATIVE I, , certify that the above match requirements have been met in accordance with the 2021-2022 EMPA Agreement and Rule 27P-19, Florida Administrative Code. I, , certify that (RECIPIENT'S COUNTY), will not meet the match requirement. Attached is the request for waiver. SUB-RECIPIENT: FL COUNTY POINT OF CONTACT: Xxxx Xxx, Planner PHONE/EMAIL: 000-000-0000 EMPLOYEE INFORMATION LOCAL STATE AND FEDERAL # Employee Name, Position Title & Area of Responsibility (Preparedness, Response, Recovery, Mitigation & Finance [1] Approx. # of Hrs. per week Devoted to EM activities [2] Annual Total Salaries & Benefits $ by Position [3] % County General Fund (Local) [4] % Other Local Funds [5] % $ EMPA Base Grant (State) [7] % $ EMPG Base Grant (Federal)[9] % HMGP Planning Grant (State) [10] % Other State or Federal Funds [11] % Total All Funds [12] EMPA EMPG Base Grant Base Grant (State) (Federal) 1 Ex. Xxxx Xxx, Director, ALL 40 $ 60,000.00 50% $30,000.00 50% $30,000.00 100% 2 $ - $0.00 0% 3 $ - $0.00 0% 4 $ - $0.00 0% 5 $ - $0.00 0% 6 $ - $0.00 0% 7 $ - $0.00 0% 8 $ - $0.00 0% 9 $ - $0.00 0% 10 $ - $0.00 0% 11 $ - $0.00 0% 12 $ - $0.00 0% 13 $ - $0.00 0% 14 $ - $0.00 0% 15 $ - $0.00 0% 16 $ - $0.00 0% 17 $ - $0.00 0% 18 $ - $0.00 0% 19 $ - $0.00 0% 20 $ - $0.00 0% 1. In Column #1, list the name, position title and area of responsibility(s) for all Emergency Management staff, regardless if paid through grant funding. 2. In Column #2, enter the amount of anticipated hours worked per week for grant related activities for each EM position. 3. In Column #3, list total anticipated annual amount of Salaries and Benefits to be paid for each EM position. 4. In Columns #4-11, provide the funding distribution (% or $) in each applicable column. 5. Column #12 calculates the sum of percentages entered in Columns 4 - 11 and must equal 100% of the anticipated annual salaries and benefits per EM position. 6. Please provide to the Division updates or revisions to this form throughout the period of the agreement, as necessary. 7. This form is to be submitted to the Division along with the 1st Quarter submission, or by November 15, 2021, whichever occurs first. PHONE/EMAIL: UNCLAIMED BALANCE: REIMBURSEMENTS RECEIVED BY THE RECIPIENT (Include any advanced funds and final requested payment) ALLOCATION CATEGORIES ALLOCATIONS DATE AMOUNT 1. PLANNING $ - $ -
Appears in 2 contracts
Samples: Grant Agreement, Grant Agreement
MANAGEMENT AND ADMIN. (Up to 5%) $0.00 $0.00 $0.00 TOTAL $0.00 105,806.00 $6,500.00 $0.00 $0.00 $0.00 $0.00 6,500.00 $0.00 $0.00 99,306.00 By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, accurate and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the conditions of the 2020-2021 EMPA agreement. SIGNATURE: AUTHORIZED REPRESENTATIVE DATE Please report EM activities, meetings, training, exercises, or other necessary information to support quarterly progression. QUARTER: July 1 - Sept. 30 Emergency Management Personnel NIMS IS 100 NIMS IS 200 NIMS IS 700 NIMS IS 800 FEMA Prof essional Professional Development Series OR National Emergency Management Basic Academy EM Employee Name & Position Title QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 DELIVERABLES/TASK REQUIREMENTS ENTER DATE COMPLETED COMMENTS Use for explanation that supports Training & Exercise progression. QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 T1: Provide Division Exhibit 2, certification of a full-time Emergency Management Director or part-time Coordinator. (Q1, any updates Q2-Q4) T1: Provide a quarterly report as outlined in Quarterly Reports (Attachment A(3)(A3). (Q1-Q4) T1T2: Provide full-time Emergency Management Director's or part- time Coordinator's certified timesheets or paystubsthe Division Form 3 - Local Budget Match Requirement. (Q1Q2, any updates Q3-Q4) T2: Submit a copy of the current and accurate County Emergency Management Local Budget (General Revenue) including the budget approval date (Q2, any updates Q3-Q4) T2: Submit a copy of the local EM general revenue expenditure (general ledger) report (Q2, any updates Q3-Q4) T3: Statewide Mutual Aid Agreement (Attachment F(1)) - Submit the current excel Statewide Mutual Aid Agreement (SMAA) list by September 30, 2021. (Q1, any updates Q2-Q4) T3: Response Capabilities (Attachment GF) - Maintain current county emergency management and other contacts through the Division's SharePoint Portal including County Director and Alternate contacts. (Q3, any updates Q4) T3: Response Capabilities (Attachment G) - Maintain GIS site data in the Division's SharePoint Portal. (Q3, any updates Q4) T3: Response Capabilities (Attachment G) - Maintain site data in WEBEOC to include County Staging Areas (CSAs) and County Points of Distribution (PODs). (Q3, any updates Q4) T3: Response Capabilities (Attachment H) G - Complete the SESP Hurricane Shelter Inventory Retrofit items A- G in the worksheet and Retrofit Items 1-8 on the WEBEOC SESP Shelter Inventory board upload into WebEOC no later than March 31, 20222021. (Q3) T4: Recovery Capabilities (Attachment IH) - Identify any potential Disaster Recovery Center (DRC) locations and provide basic information in WEBEOCWebEOC. (Q4) RECIPIENT: INCURRED DATE RANGE: Example: July 1 through November 5, 2021 Please use separate Division Form 2A-Detail of Claims per allocation category. Please add additional pages or lines as needed for each allocation categ category. Please provide FEMA AEL numbers for EQUIPMENT expenditures only. Please provide a budget revision along with this form, if expenses being claimed are not allocated on the most recently approved budget. Please include the Costs Incurred Date Range in the applicable cell above. This is usually the quarterly period; however, a recipient may incorporate a larger date range to include a forgotten claim for reimbursement for a payment made the previous quarter (within the period of agreement). This allowance does not circumvent the four (4) required quarterly reporting forms submissions. FLORIDA DIVISION OF EMERGENCY MANAGEMENT 2020-2021 EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE GRANT - EMPA DIVISION FORM 2B - DETAIL OF CLAIMS SALARIES AND BENEFITS COSTS SALARY DEFINITION: The cash compensation for services rendered by a regular employee in an employ established position for a specific period of time. ee in an RECIPIENT: Florida County CLAIM #: Note: If this claim includes incentives or special pay, please provide the Division w ith with the w xxxxxx written established policy for support support. EM EMPLOYEE NAME EM POSITION TITLE % TIME CHARGED TO EMPA SALARY FRINGE BENEFITS 1 Ex: Xxxx Xxx EM Planner 50% $ 5,000.00 $ 1,200.00 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 (10/1/20- 9/30/21) (10/1/19- 9/30/20) (10/1/18- 9/30/19) (10/1/17- 9/30/18) Florida County $100,000 $95,000 $90,000 $85,000 $90,000 AVERAGE 10% $10,000 $5,000 This form is to be completed and sent when the Local County Budget is approved or by the end of the first quarter. Required with this form the recipient shall provide a copy of the current Emergency Management Local Budget (General Revenue) with the approved buget date. If the Recipient's county's current budget is lower than the last year or the average of the last three previous years, the county is required to request a waiver from the Division no later than forty-five (45) days after the county budget is approved.
(1) Base Grants shall be matched at an amount either equal to the average of the previous three years’ level of county general revenue funding of the County Emergency Management Agency or the level of funding for the County Emergency Management Agency for the last fiscal year, whichever figure is lower. County general revenue funding for 911 services, emergency medical services, law enforcement, criminal justice, public works or other services outside the emergency management responsibilities assigned to the County Emergency Management Agency by Section 252.38, F.S., shall not be included in determining the “level of county funding of the County Emergency Management Agency.” Each county shall certify compliance with this rule chapter and this rule, as a condition precedent to receipt of funding.
(2) If the Base Grant recipient demonstrates that exceptional financial circumstances prevent the Base Grant recipient from complying with the match requirements in subsection 27P-19.011(1), F.A.C., then the Base Grant recipient may request that the Division authorize a reduction in the amount of match required. The match required shall not be reduced by a percentage amount in excess of reductions in funding for county 911 services, emergency medical services, law enforcement, criminal justice, public works or other emergency management related services. To be eligible for any reduction, the Base Grant recipient shall demonstrate and certify that the reduction is due to reductions in county general revenue funding and that the amount of the requested reduction is equivalent to across the board reductions in all county budgets. County requests for reduction shall be signed by the county’s chief elected officer and the certification of reduction in county budget funding shall be signed by the county’s chief financial officer. Requests shall certify the intent to return to pre-reduced funding as soon as practicable, and shall provide an estimate of the date at which the county will return to the current level of funding. Requests for reduction shall also be accompanied by financial data for the previous three years indicating: the level of county funding for the County Emergency Management Agency budget; budget detail regarding all individual items of the County Emergency Management Agency budget; and the proposed level of funding, for all budget items, if the reduction is authorized by the Division. All requests for match reduction shall be submitted no later than forty-five (45) days after the county budget has been approved or by the first quarter by the governing body of the jurisdiction, or the opportunity to request shall be waived. REQUIRED CERTIFICATION BY AUTHORIZED REPESENTATIVE I, , certify that the above match requirements have been met in accordance with the 20212020-2022 2021 EMPA Agreement and Rule 27P-19, Florida Administrative Code. I, , certify that (RECIPIENT'S COUNTY), will not meet the match requirement. Attached is the request for waiver. SUB-RECIPIENT: FL COUNTY POINT OF CONTACT: Xxxx Xxx, Planner PHONE/EMAIL: 000-000-0000 EMPLOYEE INFORMATION LOCAL STATE AND FEDERAL # Employee Name, Position Title & Area of Responsibility (Preparedness, Response, Recovery, Mitigation & Finance [1] Approx. # of Hrs. per week Devoted to EM activities [2] Annual Total Salaries & Benefits $ by Position [3] % County General Fund (Local) [4] % Other Local Funds [5] % $ EMPA Base Grant (State) [7] % $ EMPG Base Grant (Federal)[9] % HMGP Planning Grant (State) [10] % Other State or Federal Funds [11] % Total All Funds [12] EMPA EMPG Base Grant Base Grant (State) (Federal) 1 Ex. Xxxx Xxx, Director, ALL 40 $ 60,000.00 50% $$ 30,000.00 50% $30,000.00 100% 2 Xxxx Xxxxx, Planner, P, R, R 40 $ 30,000.00 0% $ - 100% $0.00 030,000.00 100% 3 $ - $0.00 0% 4 $ - $0.00 0% 5 $ - $0.00 0% 6 $ - $0.00 0% 7 $ - $0.00 0% 8 $ - $0.00 0% 9 $ - $0.00 0% 10 $ - $0.00 0% 11 $ - $0.00 0% 12 $ - $0.00 0% 13 $ - $0.00 0% 14 $ - $0.00 0% 15 $ - $0.00 0% 16 $ - $0.00 0% 17 $ - $0.00 0% 18 $ - $0.00 0% 19 $ - $0.00 0% 20 $ - $0.00 0%
1. In Column #1, list the name, position title and area of responsibility(s) for all Emergency Management staff, regardless if paid through grant funding.
. 2. In Column #2, enter the amount of anticipated hours worked per week for grant related activities for each EM position.
. 3. In Column #3, list total anticipated annual amount of Salaries and Benefits to be paid for each EM position.
. 4. In Columns #4-11, provide the funding distribution (% or $) in each applicable column.
. 5. Column #12 calculates the sum of percentages entered in Columns 4 - 11 and must equal 100% of the anticipated annual salaries and benefits per EM position.
6. Please provide to the Division updates or revisions to this form throughout the period of the agreement, as necessary.
7. This form is to be submitted to the Division along with the 1st Quarter submission, or by November 15, 2021, whichever occurs first. PHONE/EMAIL: UNCLAIMED BALANCE: REIMBURSEMENTS RECEIVED BY THE RECIPIENT (Include any advanced funds and final requested payment) ALLOCATION CATEGORIES ALLOCATIONS DATE AMOUNT 1. PLANNING $ - $ -
Appears in 1 contract
MANAGEMENT AND ADMIN. (Up to 5%) $0.00 $0.00 $0.00 TOTAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 . AMOUNT OF REIMBURSEMENT FOR THIS CLAIM: By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, accurate and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the conditions of the 2020-2021 EMPA agreement. SIGNATURE: AUTHORIZED REPRESENTATIVE DATE Please report EM activities, meetings, training, exercises, or other necessary information to support quarterly progression. QUARTER: July 1 - Sept. 30 Emergency Management Personnel NIMS IS 100 NIMS IS 200 NIMS IS 700 NIMS IS 800 FEMA Prof essional Professional Development Series OR National Emergency Management Basic Academy EM Employee Name & Position Title QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 DELIVERABLES/TASK REQUIREMENTS ENTER DATE COMPLETED COMMENTS Use for explanation that supports Training & Exercise progression. QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 T1: Provide Division Exhibit 4, certification of a full-time Emergency Management Director or part-time Coordinator. (Q1, any updates Q2-Q4) T1: Provide a quarterly report as outlined in Quarterly Reports (Attachment A(3)(A3). (Q1-Q4) T1: Provide full-time Emergency Management Director's or part- time Coordinator's certified timesheets or paystubs. (Q1-Q4) T2: Provide the Division Form 3 - Local Budget Match Requirement. (Q2, any updates Q3-Q4) T2: Submit a copy of the current and accurate County Emergency Management Local Budget (General Revenue) including the budget approval date (Q2, any updates Q3-Q4) T2: Submit a copy of the local EM general revenue expenditure (general ledger) report (Q2, any updates Q3-Q4) T3: Statewide Mutual Aid Agreement (Attachment F(1)) - Submit the current excel Statewide Mutual Aid Agreement (SMAA) list by September 30, 2021. (Q1, any updates Q2-Q4) T3: Response Capabilities (Attachment GF) - Maintain current county emergency management and other contacts through the Division's SharePoint Portal including County Director and Alternate contacts. (Q3, any updates Q4) T3: Response Capabilities (Attachment G) G - Maintain GIS site data Complete Hurricane Shelter Retrofit items A-G in the Division's SharePoint Portal. (Q3, any updates Q4) T3: Response Capabilities (Attachment G) - Maintain site data in WEBEOC to include County Staging Areas (CSAs) worksheet and County Points of Distribution (PODs). (Q3, any updates Q4) T3: Response Capabilities (Attachment H) - Complete the SESP Shelter Inventory and Retrofit Items 1-8 on the WEBEOC SESP Shelter Inventory board upload into WebEOC no later than March 31, 20222021. (Q3) T4: Recovery Capabilities (Attachment IH) - Identify any potential Disaster Recovery Center (DRC) locations and provide basic information in WEBEOCWebEOC. (Q4) FLORIDA DIVISION OF EMERGENCY MANAGEMENT 2020-2021 EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE GRANT - EMPA DIVISION FORM 2A - DETAIL OF CLAIMS RECIPIENT: INCURRED DATE RANGE: Example: July 1 through November 5, 2021 2020 Please use separate Division Form 2A-Detail of Claims per allocation category. Please add additional pages or lines as needed for each allocation categ category. Please provide FEMA AEL numbers for EQUIPMENT expenditures only. Please provide a budget revision along with this form, if expenses being claimed are not allocated on the most recently approved budget. Please include the Costs Incurred Date Range in the applicable cell above. This is usually the quarterly period; however, a recipient may incorporate a larger date range to include a forgotten claim for reimbursement for a payment made the previous quarter (within the period of agreement). This allowance does not circumvent the four (4) required quarterly reporting forms submissions. ALLOCATION CATEGORIES CATEGORY: PLEASE SELECT FROM THE LIST BELOW ORGANIZATION # VENDOR DESCRIPTION OF SERVICE OR EXPENSE DATE OF PAYMENT FOR SERVICE OR EXPENSE (Include full date) PAYMENT REFERENCE (CHECK#, PO#, JT#, etc.) PURCHASE AMOUNT Equipment FEMA AEL# (N/A if equipment was not purchased) 1 Ex: Electric Company Monthly Utilities for July 2020 8/5/20 CK# 1001 $ 300.00 N/A 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, accurate and the expenditures, disbursements and cash receipts arefor the purposes and objectives set forth in the conditions of the 2020-2021 EMPA agreement. FLORIDA DIVISION OF EMERGENCY MANAGEMENT 2020-2021 EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE GRANT - EMPA DIVISION FORM 2B - DETAIL OF CLAIMS SALARIES AND BENEFITS COSTS SALARY DEFINITION: The cash compensation for services rendered by a regular employee in an established position for a specific period of time. RECIPIENT: Florida County CLAIM #: Note: If this claim includes incentives or special pay, please provide the Division w ith with the w xxxxxx written established policy for support support. EM EMPLOYEE NAME EM POSITION TITLE % TIME CHARGED TO EMPA SALARY FRINGE BENEFITS 1 Ex: Xxxx Xxx EM Planner 50% $ 5,000.00 $ 1,200.00 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 (10/1/20- 9/30/21) (10/1/19- 9/30/20) (10/1/18- 9/30/19) (10/1/17- 9/30/18) Florida County $100,000 $95,000 $90,000 $85,000 $90,000 AVERAGE 10% $10,000 $5,000 This form is to be completed and sent when the Local County Budget is approved or by the end of the first quarter. Required with this form the recipient shall provide a copy of the current Emergency Management Local Budget (General Revenue) with the approved buget date. If the Recipient's county's current budget is lower than the last year or the average of the last three previous years, the county is required to request a waiver from the Division no later than forty-five (45) days after the county budget is approved.
(1) Base Grants shall be matched at an amount either equal to the average of the previous three years’ level of county general revenue funding of the County Emergency Management Agency or the level of funding for the County Emergency Management Agency for the last fiscal year, whichever figure is lower. County general revenue funding for 911 services, emergency medical services, law enforcement, criminal justice, public works or other services outside the emergency management responsibilities assigned to the County Emergency Management Agency by Section 252.38, F.S., shall not be included in determining the “level of county funding of the County Emergency Management Agency.” Each county shall certify compliance with this rule chapter and this rule, as a condition precedent to receipt of funding.
(2) If the Base Grant recipient demonstrates that exceptional financial circumstances prevent the Base Grant recipient from complying with the match requirements in subsection 27P-19.011(1), F.A.C., then the Base Grant recipient may request that the Division authorize a reduction in the amount of match required. The match required shall not be reduced by a percentage amount in excess of reductions in funding for county 911 services, emergency medical services, law enforcement, criminal justice, public works or other emergency management related services. To be eligible for any reduction, the Base Grant recipient shall demonstrate and certify that the reduction is due to reductions in county general revenue funding and that the amount of the requested reduction is equivalent to across the board reductions in all county budgets. County requests for reduction shall be signed by the county’s chief elected officer and the certification of reduction in county budget funding shall be signed by the county’s chief financial officer. Requests shall certify the intent to return to pre-reduced funding as soon as practicable, and shall provide an estimate of the date at which the county will return to the current level of funding. Requests for reduction shall also be accompanied by financial data for the previous three years indicating: the level of county funding for the County Emergency Management Agency budget; budget detail regarding all individual items of the County Emergency Management Agency budget; and the proposed level of funding, for all budget items, if the reduction is authorized by the Division. All requests for match reduction shall be submitted no later than forty-five (45) days after the county budget has been approved or by the first quarter by the governing body of the jurisdiction, or the opportunity to request shall be waived. REQUIRED CERTIFICATION BY AUTHORIZED REPESENTATIVE I, , certify that the above match requirements have been met in accordance with the 20212020-2022 2021 EMPA Agreement and Rule 27P-19, Florida Administrative Code. I, , certify that (RECIPIENT'S COUNTY), will not meet the match requirement. Attached is the request for waiver. SUB-RECIPIENT: FL COUNTY POINT OF CONTACT: Xxxx Xxx, Planner PHONE/EMAIL: 000-000-0000 EMPLOYEE INFORMATION LOCAL STATE AND FEDERAL # Employee Name, Position Title & Area of Responsibility (Preparedness, Response, Recovery, Mitigation & Finance [1] Approx. # of Annual % % % $ % $ % % % Area of Responsibility Hrs. per week Devoted to EM activities [2] Annual Total Salaries & Benefits $ County Other EMPA EMPA EMPG EMPG HMGP Other Total tivities by Position [3] % County General Fund (Local) [4] % Other Local Funds [5] % $ EMPA Base Grant (State) [7] % $ EMPG Base Grant (Federal)[9] % HMGP Planning Grant (State) [10] % Other State or Federal Funds [11] % Total All Funds [12] EMPA EMPG Base Grant Base Grant (State) (Federal) (Federal) (State) Funds Funds 1 Ex. Xxxx Xxx, Director, ALL 40 $ 60,000.00 50% $$ 30,000.00 50% $30,000.00 100% 2 $ - $0.00 0% 3 $ - $0.00 0% 4 $ - $0.00 0% 5 $ - $0.00 0% 6 $ - $0.00 0% 7 $ - $0.00 0% 8 $ - $0.00 0% 9 $ - $0.00 0% 10 $ - $0.00 0% 11 $ - $0.00 0% 12 $ - $0.00 0% 13 $ - $0.00 0% 14 $ - $0.00 0% 15 $ - $0.00 0% 16 $ - $0.00 0% 17 $ - $0.00 0% 18 $ - $0.00 0% 19 $ - $0.00 0% 20 $ - $0.00 0%% TOTAL $ 30,000.00 $30,000.00 DIRECTIONS: General Planning State or & Benefits $ Fund Local Base Grant Base Grant Base Grant Base Xxxxx Xxxxx Federal All
1. In Column #1, list the name, position title and area of responsibility(s) for all Emergency Management staff, regardless if paid through grant funding.
2. In Column #2, enter the amount of anticipated hours worked per week for grant related activities for each EM position.
3. In Column #3, list total anticipated annual amount of Salaries and Benefits to be paid for each EM position.
4. In Columns #4-11, provide the funding distribution (% or $) in each applicable column.
5. Column #12 calculates the sum of percentages entered in Columns 4 - 11 and must equal 100% of the anticipated annual salaries and benefits per EM position.
6. Please provide to the Division updates or revisions to this form throughout the period of the agreement, as necessary.
7. This form is to be submitted to the Division along with the 1st Quarter submission, or by November 15, 20212020, whichever occurs first. [1] ac (Preparedness, Response, Recovery, Devoted to EM # PHONE/EMAIL: 000-000-0000 Xxxx Xxx, Planner FL COUNTY FLORIDA DIVISION OF EMERGENCY MANAGEMENT 2020-2021 EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE GRANT - EMPA DIVISION FORM 5-CLOSE-OUT REPORT DIVISION FORM 5 - CLOSEOUT REPORT shall be completed and submitted to the Division no later than sixty (60) days after the termination date of the agreement. The 2020-2021 period of agreement ends on June 30, 2021. DIVISION Form 5 is due by August 30, 2021. RECIPIENT: AGREEMENT#: POINT OF CONTACT: EMPA AWARD AMOUNT: PHONE/EMAIL: UNCLAIMED BALANCE: REIMBURSEMENTS RECEIVED BY THE RECIPIENT EXAMPLE (Include any advanced funds and final requested payment) ALLOCATION CATEGORIES ALLOCATIONS DATE AMOUNT 1. PLANNING $ - $ - 2. ORGANIZATION 3. TRAINING 4. EXERCISE 5. EQUIPMENT 6. MANAGEMENT AND ADMIN. $ - - $ - AWARD AMOUNT: $ (LESS ADVANCED FUNDS) (LESS REIMBURSEMENTS) In accordance with Rule 27P-19.011, Florida Administrative Code, base grants shall be matched at an amount either equal to the average of the previous three years' level of county general revenue funding of the County Emergency Management Agency or the level of funding for the County Emergency Management Agency for the last fiscal year, whichever is lower. Required with this form, the county needs to provide a copy of the current EM local budget (general revenue) and general ledger expenditure report as of 6/30/2021. RECIPIENT 2020-2021 LOCAL 2019-2020 LOCAL 2018-2019 LOCAL 2017-2018 LOCAL AVERAGE OF PREVIOUS 3 YEARS 2020-2021 EM LOCAL GENERAL REVENUE EXPENDITURES Exmple: FL County SIGNATURE AND DATE: AUTHORIZED REPRESENTATIVE BELOW TO BE COMPLETED BY DIVISION SIGNATURE AND DATE: DIVISION GRANT MANAGER SIGNATURE AND DATE: DIVISION PROGRAMMATIC REVIEWER Ex: 10/01/2020-10/14/2021 Week 1 Week 2 CATEGORY TOTALS 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 10/15/20-10/30/20 Week 3 Week 4 CATEGORY TOTALS 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0
Appears in 1 contract
MANAGEMENT AND ADMIN. (Up to 5%) $0.00 $0.00 $0.00 TOTAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 . AMOUNT OF REIMBURSEMENT FOR THIS CLAIM: By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, accurate and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the conditions of the 2020-2021 EMPA agreement. SIGNATURE: AUTHORIZED REPRESENTATIVE DATE Please report EM activities, meetings, training, exercises, or other necessary information to support quarterly progression. QUARTER: July 1 - Sept. 30 Emergency Management Personnel NIMS IS 100 NIMS IS 200 NIMS IS 700 NIMS IS 800 FEMA Prof essional Professional Development Series OR National Emergency Management Basic Academy EM Employee Name & Position Title QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 DELIVERABLES/TASK REQUIREMENTS ENTER DATE COMPLETED COMMENTS Use for explanation that supports Training & Exercise progression. QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 T1: Provide Division Exhibit 4, certification of a full-time Emergency Management Director or part-time Coordinator. (Q1, any updates Q2-Q4) T1: Provide a quarterly report as outlined in Quarterly Reports (Attachment A(3)(A3). (Q1-Q4) T1T2: Provide full-time Emergency Management Director's or part- time Coordinator's certified timesheets or paystubsthe Division Form 3 - Local Budget Match Requirement. (Q1Q2, any updates Q3-Q4) T2: Submit a copy of the current and accurate County Emergency Management Local Budget (General Revenue) including the budget approval date (Q2, any updates Q3-Q4) T2: Submit a copy of the local EM general revenue expenditure (general ledger) report (Q2, any updates Q3-Q4) T3: Statewide Mutual Aid Agreement (Attachment F(1)) - Submit the current excel Statewide Mutual Aid Agreement (SMAA) list by September 30, 2021. (Q1, any updates Q2-Q4) T3: Response Capabilities (Attachment GF) - Maintain current county emergency management and other contacts through the Division's SharePoint Portal including County Director and Alternate contacts. (Q3, any updates Q4) T3: Response Capabilities (Attachment G) G - Maintain GIS site data Complete Hurricane Shelter Retrofit items A-G in the Division's SharePoint Portal. (Q3, any updates Q4) T3: Response Capabilities (Attachment G) - Maintain site data in WEBEOC to include County Staging Areas (CSAs) worksheet and County Points of Distribution (PODs). (Q3, any updates Q4) T3: Response Capabilities (Attachment H) - Complete the SESP Shelter Inventory and Retrofit Items 1-8 on the WEBEOC SESP Shelter Inventory board upload into WebEOC no later than March 31, 20222021. (Q3) T4: Recovery Capabilities (Attachment IH) - Identify any potential Disaster Recovery Center (DRC) locations and provide basic information in WEBEOCWebEOC. (Q4) FLORIDA DIVISION OF EMERGENCY MANAGEMENT 2020-2021 EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE GRANT - EMPA DIVISION FORM 2A - DETAIL OF CLAIMS RECIPIENT: INCURRED DATE RANGE: Example: July 1 through November 5, 2021 2020 Please use separate Division Form 2A-Detail of Claims per allocation category. Please add additional pages or lines as needed for each allocation categ category. Please provide FEMA AEL numbers for EQUIPMENT expenditures only. Please provide a budget revision along with this form, if expenses being claimed are not allocated on the most recently approved budget. Please include the Costs Incurred Date Range in the applicable cell above. This is usually the quarterly period; however, a recipient may incorporate a larger date range to include a forgotten claim for reimbursement for a payment made the previous quarter (within the period of agreement). This allowance does not circumvent the four (4) required quarterly reporting forms submissions. ALLOCATION CATEGORIES CATEGORY: PLEASE SELECT FROM THE LIST BELOW ORGANIZATION # VENDOR DESCRIPTION OF SERVICE OR EXPENSE DATE OF PAYMENT FOR SERVICE OR EXPENSE (Include full date) PAYMENT REFERENCE (CHECK#, PO#, JT#, etc.) PURCHASE AMOUNT Equipment FEMA AEL# (N/A if equipment was not purchased) 1 Ex: Electric Company Monthly Utilities for July 2020 8/5/20 CK# 1001 $ 300.00 N/A 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, accurate and the expenditures, disbursements and cash receipts arefor the purposes and objectives set forth in the conditions of the 2020-2021 EMPA agreement. FLORIDA DIVISION OF EMERGENCY MANAGEMENT 2020-2021 EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE GRANT - EMPA DIVISION FORM 2B - DETAIL OF CLAIMS SALARIES AND BENEFITS COSTS SALARY DEFINITION: The cash compensation for services rendered by a regular employee in an established position for a specific period of time. RECIPIENT: Florida County CLAIM #: Note: If this claim includes incentives or special pay, please provide the Division w ith with the w xxxxxx written established policy for support support. EM EMPLOYEE NAME EM POSITION TITLE % TIME CHARGED TO EMPA SALARY FRINGE BENEFITS 1 Ex: Xxxx Xxx EM Planner 50% $ 5,000.00 $ 1,200.00 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 (10/1/20- 9/30/21) (10/1/19- 9/30/20) (10/1/18- 9/30/19) (10/1/17- 9/30/18) Florida County $100,000 $95,000 $90,000 $85,000 $90,000 AVERAGE 10% $10,000 $5,000 This form is to be completed and sent when the Local County Budget is approved or by the end of the first quarter. Required with this form the recipient shall provide a copy of the current Emergency Management Local Budget (General Revenue) with the approved buget date. If the Recipient's county's current budget is lower than the last year or the average of the last three previous years, the county is required to request a waiver from the Division no later than forty-five (45) days after the county budget is approved.
(1) Base Grants shall be matched at an amount either equal to the average of the previous three years’ level of county general revenue funding of the County Emergency Management Agency or the level of funding for the County Emergency Management Agency for the last fiscal year, whichever figure is lower. County general revenue funding for 911 services, emergency medical services, law enforcement, criminal justice, public works or other services outside the emergency management responsibilities assigned to the County Emergency Management Agency by Section 252.38, F.S., shall not be included in determining the “level of county funding of the County Emergency Management Agency.” Each county shall certify compliance with this rule chapter and this rule, as a condition precedent to receipt of funding.
(2) If the Base Grant recipient demonstrates that exceptional financial circumstances prevent the Base Grant recipient from complying with the match requirements in subsection 27P-19.011(1), F.A.C., then the Base Grant recipient may request that the Division authorize a reduction in the amount of match required. The match required shall not be reduced by a percentage amount in excess of reductions in funding for county 911 services, emergency medical services, law enforcement, criminal justice, public works or other emergency management related services. To be eligible for any reduction, the Base Grant recipient shall demonstrate and certify that the reduction is due to reductions in county general revenue funding and that the amount of the requested reduction is equivalent to across the board reductions in all county budgets. County requests for reduction shall be signed by the county’s chief elected officer and the certification of reduction in county budget funding shall be signed by the county’s chief financial officer. Requests shall certify the intent to return to pre-reduced funding as soon as practicable, and shall provide an estimate of the date at which the county will return to the current level of funding. Requests for reduction shall also be accompanied by financial data for the previous three years indicating: the level of county funding for the County Emergency Management Agency budget; budget detail regarding all individual items of the County Emergency Management Agency budget; and the proposed level of funding, for all budget items, if the reduction is authorized by the Division. All requests for match reduction shall be submitted no later than forty-five (45) days after the county budget has been approved or by the first quarter by the governing body of the jurisdiction, or the opportunity to request shall be waived. REQUIRED CERTIFICATION BY AUTHORIZED REPESENTATIVE I, , certify that the above match requirements have been met in accordance with the 20212020-2022 2021 EMPA Agreement and Rule 27P-19, Florida Administrative Code. I, , certify that (RECIPIENT'S COUNTY), will not meet the match requirement. Attached is the request for waiver. SUB-RECIPIENT: FL COUNTY POINT OF CONTACT: Xxxx Xxx, Planner PHONE/EMAIL: 000-000-0000 EMPLOYEE INFORMATION LOCAL STATE AND FEDERAL # Employee Name, Position Title & Area of Responsibility (Preparedness, Response, Recovery, Mitigation & Finance [1] Approx. # of Annual % % % $ % $ % % % Area of Responsibility Hrs. per week Devoted to EM activities [2] Annual Total Salaries & Benefits $ County Other EMPA EMPA EMPG EMPG HMGP Other Total tivities by Position [3] % County General Fund (Local) [4] % Other Local Funds [5] % $ EMPA Base Grant (State) [7] % $ EMPG Base Grant (Federal)[9] % HMGP Planning Grant (State) [10] % Other State or Federal Funds [11] % Total All Funds [12] EMPA EMPG Base Grant Base Grant (State) (Federal) (Federal) (State) Funds Funds 1 Ex. Xxxx Xxx, Director, ALL 40 $ 60,000.00 50% $$ 30,000.00 50% $30,000.00 100% 2 $ - $0.00 0% 3 $ - $0.00 0% 4 $ - $0.00 0% 5 $ - $0.00 0% 6 $ - $0.00 0% 7 $ - $0.00 0% 8 $ - $0.00 0% 9 $ - $0.00 0% 10 $ - $0.00 0% 11 $ - $0.00 0% 12 $ - $0.00 0% 13 $ - $0.00 0% 14 $ - $0.00 0% 15 $ - $0.00 0% 16 $ - $0.00 0% 17 $ - $0.00 0% 18 $ - $0.00 0% 19 $ - $0.00 0% 20 $ - $0.00 0%% TOTAL $ 30,000.00 $30,000.00 FL COUNTY Xxxx Xxx, Planner PHONE/EMAIL: 000-000-0000 # (Preparedness, Response, Recovery, Devoted to EM ac [1]
1. In Column #1, list the name, position title and area of responsibility(s) for all Emergency Management staff, regardless if paid through grant funding.
2. In Column #2, enter the amount of anticipated hours worked per week for grant related activities for each EM position.
3. In Column #3, list total anticipated annual amount of Salaries and Benefits to be paid for each EM position.
4. In Columns #4-11, provide the funding distribution (% or $) in each applicable column.
5. Column #12 calculates the sum of percentages entered in Columns 4 - 11 and must equal 100% of the anticipated annual salaries and benefits per EM position.
6. Please provide to the Division updates or revisions to this form throughout the period of the agreement, as necessary.
7. This form is to be submitted to the Division along with the 1st Quarter submission, or by November 15, 20212020, whichever occurs first. General Planning State or & Benefits $ Fund Local Base Grant Base Grant Base Grant Base Xxxxx Xxxxx Federal All FLORIDA DIVISION OF EMERGENCY MANAGEMENT 2020-2021 EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE GRANT - EMPA DIVISION FORM 5-CLOSE-OUT REPORT DIVISION FORM 5 - CLOSEOUT REPORT shall be completed and submitted to the Division no later than sixty (60) days after the termination date of the agreement. The 2020-2021 period of agreement ends on June 30, 2021. DIVISION Form 5 is due by August 30, 2021. RECIPIENT: AGREEMENT#: POINT OF CONTACT: EMPA AWARD AMOUNT: PHONE/EMAIL: UNCLAIMED BALANCE: REIMBURSEMENTS RECEIVED BY THE RECIPIENT EXAMPLE (Include any advanced funds and final requested payment) ALLOCATION CATEGORIES ALLOCATIONS DATE AMOUNT 1. PLANNING $ - $ - 2. ORGANIZATION 3. TRAINING 4. EXERCISE 5. EQUIPMENT 6. MANAGEMENT AND ADMIN. $ - - $ - AWARD AMOUNT: $ (LESS ADVANCED FUNDS) (LESS REIMBURSEMENTS) In accordance with Rule 27P-19.011, Florida Administrative Code, base grants shall be matched at an amount either equal to the average of the previous three years' level of county general revenue funding of the County Emergency Management Agency or the level of funding for the County Emergency Management Agency for the last fiscal year, whichever is lower. Required with this form, the county needs to provide a copy of the current EM local budget (general revenue) and general ledger expenditure report as of 6/30/2021. RECIPIENT 2020-2021 LOCAL 2019-2020 LOCAL 2018-2019 LOCAL 2017-2018 LOCAL AVERAGE OF PREVIOUS 3 YEARS 2020-2021 EM LOCAL GENERAL REVENUE EXPENDITURES Exmple: FL County SIGNATURE AND DATE: AUTHORIZED REPRESENTATIVE BELOW TO BE COMPLETED BY DIVISION SIGNATURE AND DATE: DIVISION GRANT MANAGER SIGNATURE AND DATE: DIVISION PROGRAMMATIC REVIEWER Ex: 10/01/2020-10/14/2021 Week 1 Week 2 CATEGORY TOTALS 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 10/15/20-10/30/20 Week 3 Week 4 CATEGORY TOTALS 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0
Appears in 1 contract
MANAGEMENT AND ADMIN. (Up to 5%) $0.00 $0.00 $0.00 TOTAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Please report EM activities, meetings, training, exercises, or other necessary information to support quarterly progression. QUARTER: July 1 - Sept. 30 Emergency Management Personnel NIMS IS 100 NIMS IS 200 NIMS IS 700 NIMS IS 800 FEMA Prof essional Professional Development Series OR National Emergency Management Basic Academy EM Employee Name & Position Title QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 DELIVERABLES/TASK REQUIREMENTS ENTER DATE COMPLETED COMMENTS Use for explanation that supports Training & Exercise progression. QTR QRT 1 QTR QRT 2 QTR QRT 3 QTR QRT 4 T1: Provide Division Exhibit 4, certification of a full-time Emergency Management Director or part-time Coordinator. (Q1, any updates Q2-Q4) T1: Provide a quarterly report as outlined in Quarterly Reports (Attachment A(3)(A3). (Q1-Q4) T1: Provide full-time Emergency Management Director's or part- time Coordinator's certified timesheets or paystubs. (Q1-Q4) T2: Provide the Division Form 3 - Local Budget Match Requirement. (Q2, any updates Q3-Q4) T2: Submit a copy of the current and accurate County Emergency Management Local Budget (General Revenue) including the budget approval date (Q2, any updates Q3-Q4) T2: Submit a copy of the local EM general revenue expenditure (general ledger) report (Q2, any updates Q3-Q4) T3: Statewide Mutual Aid Agreement (Attachment F(1)) - Submit the current excel Statewide Mutual Aid Agreement (SMAA) list by September 30, 2021. (Q1, any updates Q2-Q4) T3: Response Capabilities (Attachment GF) - Maintain current county emergency management and other contacts through the Division's SharePoint Portal including County Director and Alternate contacts. (Q3, any updates Q4) T3: Response Capabilities (Attachment G) G - Maintain GIS site data Complete Hurricane Shelter Retrofit items A-G in the Division's SharePoint Portal. (Q3, any updates Q4) T3: Response Capabilities (Attachment G) - Maintain site data in WEBEOC to include County Staging Areas (CSAs) worksheet and County Points of Distribution (PODs). (Q3, any updates Q4) T3: Response Capabilities (Attachment H) - Complete the SESP Shelter Inventory and Retrofit Items 1-8 on the WEBEOC SESP Shelter Inventory board upload into WebEOC no later than March 31, 20222021. (Q3) T4: Recovery Capabilities (Attachment IH) - Identify any potential Disaster Recovery Center (DRC) locations and provide basic information in WEBEOCWebEOC. (Q4) RECIPIENT: INCURRED DATE RANGE: Example: July 1 through November 5, 2021 2020 Please use separate Division Form 2A-Detail of Claims per allocation category. Please add additional pages or lines as needed for each allocation categ category. Please provide FEMA AEL numbers for EQUIPMENT expenditures only. Please provide a budget revision along with this form, if expenses being claimed are not allocated on the most recently approved budget. Please include the Costs Incurred Date Range in the applicable cell above. This is usually the quarterly period; however, a recipient may incorporate a larger date range daterange to include a forgotten claim for reimbursement for a payment made the previous quarter (within the period of agreement). This allowance does not circumvent the four (4) required quarterly reporting forms submissions. ALLOCATION CATEGORIES PLEASE SELECT FROM THE LIST BELOW CATEGORY: ORGANIZATION # VENDOR DESCRIPTION OF SERVICE OR EXPENSE DATE OF PAYMENT FOR SERVICE OR EXPENSE (Include full date) PAYMENT REFERENCE (CHECK#, PO#, JT#, etc.) PURCHASE AMOUNT Equipment FEMA AEL# (N/A if equipment was not purchased) 1 Ex: Electric Company Monthly Utilities for July 2020 8/5/20 CK# 1001 $ 300.00 N/A 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, accurate and the expenditures, disbursements and cash receipts arefor the purposes and objectives set forth in the conditions of the 2020-2021 EMPA agreement. SALARY DEFINITION: The cash compensation for services rendered by a regular employee in an established position for a specific period of time. RECIPIENT: Florida County CLAIM #: Note: If this claim includes incentives or special pay, please provide the Division w ith with the w xxxxxx written established policy for support support. EM EMPLOYEE NAME EM POSITION TITLE % TIME CHARGED TO EMPA SALARY FRINGE BENEFITS 1 Ex: Xxxx Xxx EM Planner 50% $ 5,000.00 $ 1,200.00 2 FLORIDA DIVISION OF EMERGENCY MANAGEMENT 2020-2021 EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE GRANT - EMPA LOCAL BUDGET MATCH REQUIREMENT DIVISION FORM 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 - LOCAL BUDGET MATCH 2020-2021 LOCAL 2019-2020 LOCAL 2018-2019 LOCAL 2017-2018 LOCAL AVERAGE (PREVIOUS 3 LOWEST AVERAGE VS PREVIOUS %2020-2021 VS $ CHANGE 2020-2021 VS $ CHANGE 2020-2021 VS RECIPIENT (10/1/20- 9/30/21) (10/1/19- 9/30/20) (10/1/18- 9/30/19) (10/1/17- 9/30/18) YEARS) YEAR AVERAGE AVERAGE 2019-2020 Florida County $100,000 $95,000 $90,000 $85,000 $90,000 AVERAGE 10% $10,000 $5,000 This form is to be completed and sent when the Local County Budget is approved or by the end of the first quarter. Required with this form the recipient shall provide a copy of the current Emergency Management Local Budget (General Revenue) with the approved buget date. If the Recipient's county's current budget is lower than the last year or the average of the last three previous years, the county is required to request a waiver from the Division no later than forty-five (45) days after the county budget is approved.
(1) Base Grants shall be matched at an amount either equal to the average of the previous three years’ level of county general revenue funding of the County Emergency Management Agency or the level of funding for the County Emergency Management Agency for the last fiscal year, whichever figure is lower. County general revenue funding for 911 services, emergency medical services, law enforcement, criminal justice, public works or other services outside the emergency management responsibilities assigned to the County Emergency Management Agency by Section 252.38, F.S., shall not be included in determining the “level of county funding of the County Emergency Management Agency.” Each county shall certify compliance with this rule chapter and this rule, as a condition precedent to receipt of funding.
(2) If the Base Grant recipient demonstrates that exceptional financial circumstances prevent the Base Grant recipient from complying with the match requirements in subsection 27P-19.011(1), F.A.C., then the Base Grant recipient may request that the Division authorize a reduction in the amount of match required. The match required shall not be reduced by a percentage amount in excess of reductions in funding for county 911 services, emergency medical services, law enforcement, criminal justice, public works or other emergency management related services. To be eligible for any reduction, the Base Grant recipient shall demonstrate and certify that the reduction is due to reductions in county general revenue funding and that the amount of the requested reduction is equivalent to across the board reductions in all county budgets. County requests for reduction shall be signed by the county’s chief elected officer and the certification of reduction in county budget funding shall be signed by the county’s chief financial officer. Requests shall certify the intent to return to pre-reduced funding as soon as practicable, and shall provide an estimate of the date at which the county will return to the current level of funding. Requests for reduction shall also be accompanied by financial data for the previous three years indicating: the level of county funding for the County Emergency Management Agency budget; budget detail regarding all individual items of the County Emergency Management Agency budget; and the proposed level of funding, for all budget items, if the reduction is authorized by the Division. All requests for match reduction shall be submitted no later than forty-five (45) days after the county budget has been approved or by the first quarter by the governing body of the jurisdiction, or the opportunity to request shall be waived. REQUIRED CERTIFICATION BY AUTHORIZED REPESENTATIVE I, , certify that the above match requirements have been met in accordance with the 20212020-2022 2021 EMPA Agreement and Rule 27P-19, Florida Administrative Code. I, , certify that (RECIPIENT'S COUNTY), will not meet the match requirement. Attached is the request for waiver. SUB-RECIPIENT: FL COUNTY POINT OF CONTACT: Xxxx Xxx, Planner PHONE/EMAIL: 000-000-0000 EMPLOYEE INFORMATION LOCAL STATE AND FEDERAL # Employee Name, Position Title & Area of Responsibility (Preparedness, Response, Recovery, Mitigation & Finance [1] Approx. # of Hrs. per week Devoted to EM activities [2] Annual Total Salaries & Benefits $ by Position [3] % County General Fund (Local) [4] % Other Local Funds [5] % $ EMPA Base Grant (State) [7] % $ EMPG Base Grant (Federal)[9Federal) [9] % HMGP Planning Grant (State) [10] % Other State or Federal Funds [11] % Total All Funds [12] EMPA EMPG Base Grant Base Grant (State) (Federal) 1 Ex. Xxxx Xxx, Director, ALL 40 $ 60,000.00 50% $$ 30,000.00 50% $30,000.00 100% 2 $ - $0.00 0% 3 $ - $0.00 0% 4 $ - $0.00 0% 5 $ - $0.00 0% 6 $ - $0.00 0% 7 $ - $0.00 0% 8 $ - $0.00 0% 9 $ - $0.00 0% 10 $ - $0.00 0% 11 $ - $0.00 0% 12 $ - $0.00 0% 13 $ - $0.00 0% 14 $ - $0.00 0% 15 $ - $0.00 0% 16 $ - $0.00 0% 17 $ - $0.00 0% 18 $ - $0.00 0% 19 $ - $0.00 0% 20 $ - $0.00 0%
1. In Column #1, list the name, position title and area of responsibility(s) for all Emergency Management staff, regardless if paid through grant funding.
2. In Column #2, enter the amount of anticipated hours worked per week for grant related activities for each EM position.
3. In Column #3, list total anticipated annual amount of Salaries and Benefits to be paid for each EM position.
4. In Columns #4-11, provide the funding distribution (% or $) in each applicable column.
5. Column #12 calculates the sum of percentages entered in Columns 4 - 11 and must equal 100% of the anticipated annual salaries and benefits per EM position.
6. Please provide to the Division updates or revisions to this form throughout the period of the agreement, as necessary.
7. This form is to be submitted to the Division along with the 1st Quarter submission, or by November 15, 20212020, whichever occurs first. DIVISION FORM 5 - CLOSEOUT REPORT shall be completed and submitted to the Division no later than sixty (60) days after thetermination date of the agreement. The 2020-2021 period of agreement ends on June 30, 2021. DIVISION Form 5 is due by August 30, 2021. PHONE/EMAIL: UNCLAIMED BALANCE: REIMBURSEMENTS RECEIVED BY THE RECIPIENT EXAMPLE (Include any advanced funds and final requested payment) ALLOCATION CATEGORIES ALLOCATIONS DATE AMOUNT 1. PLANNING $ - $ - 2. ORGANIZATION 3. TRAINING 4. EXERCISE 5. EQUIPMENT 6. MANAGEMENT AND ADMIN. $ - $ - In accordance with Rule 27P-19.011, Florida Administrative Code, base grants shall be matched at an amount either equal to the average of the previous three years' level of county general revenue funding of the County Emergency Management Agency or the level of funding for the County Emergency Management Agency for the last fiscal year, whichever is lower. Required with this form, the county needs to provide a copy of the current EM local budget (general revenue) and general ledger expenditure report as of 6/30/2021. RECIPIENT 2020-2021 LOCAL 2019-2020 LOCAL 2018-2019 LOCAL 2017-2018 LOCAL AVERAGE OF PREVIOUS 3 YEARS 2020-2021 EM LOCAL GENERAL REVENUE EXPENDITURES Exmple: FL County SIGNATURE AND DATE: AUTHORIZED REPRESENTATIVE BELOW TO BE COMPLETED BY DIVISION SIGNATURE AND DATE: DIVISION GRANT MANAGER SIGNATURE AND DATE: DIVISION PROGRAMMATIC REVIEWER Ex: 10/01/2020-10/14/2021 Week 1 Week 2 CATEGORY TOTALS 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 10/15/20-10/30/20 Week 3 Week 4 CATEGORY TOTALS 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0 1 PLANNING 0 0 0 6 MGMT & ADMIN 0 0 0
Appears in 1 contract
