HomeMy WebLinkAboutResolutions - 2010.12.09 - 10046MISCELLANEOUS RESOLUTION 11 °316 December 9, 2010
By: General Government Committee. Christine Long, Chairperson
IN RE: HEALTH AND HUMAN SERVICES — HOMELAND SECURITY DIVISION - ACCEPTANCE FOR
2010 INTEROPERABLE EMERGENCY COMMUNICATIONS GRANT PROGRAM
TO: OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
WHEREAS funding was released from the United States Department of Homeland Security,
Federal Emergency Management Agency (FEMA) and the DHS Office of Emergency Communications
(OEC) to the State of Michigan for the 2010 Interoperable Emergency Communications Grant Program
(IECGP); and
WHEREAS the State has designated Homeland Security Region 2 in the State which includes,
but is not limited to the following political subdivisions: City of Detroit and Macomb, Monroe, Oakland, St.
Claw, Washtenaw, and Wayne Counties; and
WHEREAS the Regional Homeland Security Planning Board for Region 2 ("Region 2 Planning
Board") is comprised of the representatives from the above-listed political subdivisions, is not a legal
entity that can be a subgrantee for the interoperable Emergency Communications Grant Program or that
can manage and distribute the grant funds, and has chosen Oakland County to serve as fiduciary and
subgrantee for this award; and
WHEREAS the State has awarded a 20101ECGP grant to Region 2 in the amount of $318,965 to
be used to fund projects that strengthen interoperable communications capabilities in the areas of
Leadership and Governance, Common Planning and Operational Protocols. and Emergency Responder
Skills and Capabilities during the period of June 1.2010 through February 28, 2013; and
WHEREAS the funding may be used to purchase equipment if all activities in the areas of
Leadership and Governance, Common Planning and Operational Protocols, and Emergency Responder
Skills and Capabilities as defined in the grant guidance have been adequately addressed; and
WHEREAS the grant requires a 25% cash or in-kind match for purchases of equipment only; and
WHEREAS the grant agreement has been reviewed and approved through the County Executive
contract review process, and
NOW THEREFORE BE /1- RESOLVED that the Oakland County Board of Commissioners
accepts the position of Fiduciary and Subgrantee far the 2010 Interoperable Emergency Communications
Grant and accepts the grant funds in an amount up to $318,965 with a 25% match required on equipment
purchases only,
BE IT FURTHER RESOLVED that the Oakland County Board of Commissioners authorizes its
Chairperson or his designee to execute and enter into this agreement on behalf of the County of Oakland.
BE IT FURTHER RESOLVED that the Chairperson of the Board of Commissioners is authorized
to execute the Grant Agreement and to approve an grant extensions or changes, within fifteen percent
(15%) of the original award, which are consistent with the original agreement as approved.
BE IT FURTHER RESOLVED that all positions and other program costs associated with this
grant are contingent upon continuation of grant funding.
Chairperson, on behalf of the General Government Committee, I move the adoption of the
foregoing resolution.
GENERAL GOVERNMENT COMMITTEE
GENERAL GOVERNMENT COMMITTEE
Motion carried unanimously on a roll call vote with Capella and Hatchett absent.
Page 1 of 4
Brandon Lewis
From: Pik- Gaia [piirg@oakgov.comj
Sent: Friday, November 05, 2010 2:57 PM
To: 'Lewis, Brandon'; 'Quisehberry, Theodore H.% 'Plsacreta, Antonio'
Subject: GRANT REVIEW SIGN OFF - Homeland Security -2010 Interoperable Emergency
Communications Grant Program (IECGP) - Grant Acceotance
GRANT REVIEW SIGN OFF — Homeland Security
GRANT NAME: 200 Interoperable Emergency Communications Grant Program (IECGP)
FUNDING AGENCY: State of Michigan-Department of State Police/Federal Emergency Management Agency
DEPARTMENT CONTACT PERSON: Brandon Lewis 8-1598
STATUS: Grant Acceptance
DATE: November 5, 2010
Pursuant to Misc. Resolution #01320, please be advised the captioned grant materials have completed internal
grant review. Below are the returned comments.
The captioned grant materials and grant acceptance package (which should include the Board of Commissioners'
Liaison Committee Resolution, the grant agreement/contract, Finance Committee Fiscal Note, and this Sign Off
email containing grant review comments) may be requested to be placed on the appropriate Board of
Commissioners' committee(s) for grant acceptance by Board resolution.
DEPARTMENT REVIEW
Department of Management and Budget:
Approved. — Laurie Van Pelt (11/3;2010)
Department of Human Resources:
Approved. — Cathy Shai:al (11/3/2010)
Risk Management and Safety:
Approved by Risk Management. — Andrea Piotkowski (11/3/2010)
Corporation Counsel:
After reviewing the above-reference grant agreement, I found no legal issues that must be resolved before the
agreement is executed. — Jody S. Hall (11/4/2010)
COMPLIANCE
The grant agreement references a number of specific federal and state regulations. Below is a list of these
specifically cited compliance related documents for this grant.
FEMA - Uniform Administrative Requirements for Grants and Cooperative agreements with State and Local
Governments (44 CFR Part 13)
ww. acceks.lzpo.govinaraic friwa is idx_06:41cfr13 06.htm I
Cost Principles for State, Local and Indian Tribal Governments (OMB CIRCULAR A-37) (2 CFR Part 225)
http:././www.accessvc,govinaraicfriwaisidx _Q822cfr225 08,html
Federal Office of Management and Budget (OMB) Circular No. A-133
http://www.whilehousuoviomb'ci:culars,:a133/a133.html
GRANT REVIEW FORM
TO: REVIEW DEPARTMENTS — Laurie Van Pelt — Cathy Shallal — Julie Secontine — Pat Davis
RE: GRANT CONTRACT REVIEW RESPONSE — Department of Health and Human Services
— Homeland Security Division
2010 Interoperabie Emergency Communications Grant Program
State of Michigan-Department of State Police/Federal Emergency Management Agency
Attached to this email please find the grant document(s) to be reviewed. Please provide your
review stating your APPROVAL, APPROVAL WITH MODIFICATION. or DISAPPROVAL
with supporting comments, via reply (to all) of this email.
Time Frame for Returned Comments: 11/10/10
GRANT INFORMATION
Date: 11/2/10
Operating Department: Homeland Security Division
Department Contact: Brandon Lewis
Contact Phone: 858-1598
Document Identification Number: 97.055
REVIEW STATUS: Acceptance
Funding Period: 6/1/2010 through 2/28/2013
New Facility / Additional Office Space Needs: N/A
IT Resources (New Computer Hardware / Software Needs or Purchases): N/A
MNVBE Requirements: [Yes-Federal Pass Through] Level: [] Required by [compliance with
OMB tint mulai.A-1.021
Funding Continuation/New: Continuation
Application Total Project Amount: $318,965
Prior Year Total Funding: $353,770
New Grant Funded Positions Request: N/A
Changes to Current Positions: N/A
Grantor Funds: $318,965
Total Budget: $318,965
Match and Source: 25% Match on equipment purchases only. It is currently unknown if any
equipment will be purchased, therefore the extent of any match is yet to be determined.
PROJECT SYNOPSIS
The principal objective of the FY 2010 Interoperable Emergency Communications Grant
Program is to provide financial assistance to Michigan Homeland Security Region 2 in the areas
of Communications Leadership and Governance, Common Planning and Operational Protocols,
and Emergency Responder Skills and Capabilities. The grant will fund planning and training
activities in the above listed areas. Communications equipment can be purchased only in the
event that all planning and training benchmarks are met. Oakland County will be serving as
fiduciary for the Region 2 Homeland Security Board, consisting of the Counties of Macomb.
Monroe, Oakland. St. Clair. Wayne and Washtenaw, plus the City of Detroit,
ztObie.cidt rthi ertN any= r r15-231
Page 2 (-44
Single Audit Act of 1984 (with amendments in 1996)
htt-p:.:/ww w. whitchouse, guy lomblii nancialifin_single
Executive Order 13347 - Individuals With Disabilities in Emergency Preparedness
htto://www.fema govind remerger: cyin irnsit s_sxecutive,orde0 314 74 .<
Title VI of the 1964 Civil Rights Act (42 U.S.0 Section 2001k1)
http;/Iwww.usdoj,gov/crtcoi.içoordijievjtat.htm
Michigan Elliott -Larsen Civil Rights Act — "Act 453 of 1976"
htto://wi.m. icais[ature.rn Lid] x eit.mri 5z55z2uiwv45 )/mil eg.asnx ?nage -- getobie ciankij ec tria mr=mr I-A rt-4 5"2L:of-
197684queryid14718540
Michigan Persons with Disabilities Civil Rights Act — "Act 220 of 1976"
htt13 7,/,t WW . I egi slature. m i.go rifuu Hut ltrnri5 i I eu asp x ?naec.= etrillienth riflj prin r—m (-1- A r.r-77 0-of-
1976Szquervid -147185
Michigan State Contracts with Certain Employers Prohibited — Act 278 of 1980
http://www . slature.m L2ov/i'Realraov4unc hvh 1 001 15 C i I f.fl nc.tvelniwr=rret0hiertkoNertNnme—rnol- A rt-/78-0f..
1980
The Freedom of Information Act (5 U.S.C. § 552)
htto:ilwww.uscioi.govioinifoia_undatesiVoLXVTL4ipagelhttr
Michigan — Freedom of Information Act 442 of 1976 (MCL 15.231)
ht /14/wwJe ,iMatire mt.00 hilite2 xtlefl nin-ii1C2.2.snx9n
Department of Homeland Security — Protected Critical Infrastructure Information (6 CFR Part 29)
htm://ecfr.znoaccess.gov/cetitextitext-iL.'x?c-ecfr&tn1=iecfrhrowce/Title06/6cfr'9_main_07 tpl
Department of Homeland Security — Protection of Sensitive Security Information (49 CFR Part 1520)
_hitt /ww _04, timid
Trafficking Victims Protection Act of 2000, Section 106
http:Pwww state.gov/tetinirlsitiprpt20_07/8620.5.,htin
Federal Office of Management and Budget (OMB) Guidelines to Agencies on Governmentvvide Debarment and
Suspension (Nonprocurcntent) (2 CFR, Part 180)
http://www .acc ess giao.govinaraicfr'wa is idx_08/2c Uri 84...98.html
Title 2 — Grants and Agreements — Definitions (2 CFR Part 175.25)
kitsp edocicet.ikt,:cess.gpo. govic 2008liancitr'pd fl2cfr 1 75.1 5. pdf
Federal Office of Management and Budget (OMB) Circular No. A-87, A-102, and A-133
kttp: 'iwyrw,w1) itehousp. gpwombici rckilqr/(ndex. hurl
Executive Order 12372 - Intergovernmental review of Federal programs
http::7wAvw.frAP6.gov,:polieviibrarfrgeol 23 f
US DO Uniform Administrative Requirements for Grants and Cooperative Agreements (28 CFR Part 66 and 28 (FR
Part 70)
http:!7wN,vw_ziecess.gnogov'riara/c,.. friw Lix_04/2Ed:v2_04. hunt
Office of Justice Programs Hearing and Appeal Procedures (28 CFR Part 18)
Lit2iL(www ac:_essrgp_,, v.inara/cfr wa is idx 0 / 28 cfr; 8_01 .b1m1
Confidentiality of Identifiable Research and Statistical Information (28 CFR Part 22)
hum ,/ www.aceess zao sovinara icfriwaisidx_04 -'28cfr22_04.himl
Criminal Intelligence Systems Operating Policies (28 CFR, Part 23)
Page 3 of 4
Mtp:i'www.acce5s,gpo.go.inara:cfr/waisidx_04/28cfr23 . 04,html
Intergovernmental Review of Department of Justice Programs and Activities (28 CFR Part 30)
hap:/..www,access.gpo.gov ,'nara .cfrwaisidx.,,131.2 Scfr30_01.html
Nondiscrimination of the basis of Disability in State and Local Government Services (18 CFR Part 35)
hup://WWW.Argcess_gpozovinara:cfr'waisidx_01:28cfr35 01.h tml
Equal Treatment for Faith Based Organizations (28 CFR Part 38)
usdo .. oylovw/docsas art38. df
Nondiscrimination; Equal Employment Opportunity; Policies and Procedures (28 CFR Part 42)
hu
Procedures for Implementing the National Environmental Policy Act (28 CFR Part 61)
http:liwww.acces$Tpo,gov ,naraicfr: waisiclx_01128cfr61_01 .html
Floodpinin Management and Wetland Protection Procedures (28 CFR Part 63)
Intril.www.aecessrgpolpv'ilaraicfrAvaisidx_01:28cfr63_01,1tutl
National Historic Preservation Act of 1966 (16 U.S.C. 470)
littp://wv,'w • np_s_gpvih isto ryilocal- law/14.41966.1=
Executive Order 11593— Protection and enhancement of the cultural environment
http:!/www..gsa.g.00P011.aligSa:epiC on tentView.do?comentType---G S A J3A$IC81cortteMId=12094
Archeological and Historic Preservation Act of 1974 (16 U.S.C. 469)
littpwww.rips.2Qvihimry,./local-law/fHPL_ArchflistPIcs..wif
The National Environmental Policy Act of 1969 (42 U.S.C. 4321)
Ilttv/ikn,•ww iepa/rqsimpa/nepaegia.htrn
Omnibus Crime Control and Safe Streets Act of 1968
http:ifwww,usdoj.gov .'cn;"split/42use3789d.him
Victims of Crime Act (42 USC Section 10604)
litp:.:/www.usdoj.gov/crticoribvagencyldoj10604.11tm
Juvenile Justice and Delinquency Prevention Act
http://ojjdp.ncjrs.org/abouilidpa2002thievpsif
Federal Civil Rights Act of 1964
http:/:www.usdoj,govicrticor'index.tum
The Rehabilitation Act of 19'73, Section 504 (29 U.S.C. Section 794)
www. doi ,gov;oasam" w_!sfstatines/ser.:.5021.11tm
The Americans with Disabilities Act of 1990 (42 U.S.C., See 12101)
ht.tv!www.ada. 20 V 'n bs/ada,htm
The Education Amendments of 1972 (20 U.S.C„ See 1681, 1683. 1685-86)
w .tiWoj.gpv!crtia)r/coord,:tit le i stat.h t ra
Age Discrimination Act of 1975 42 U.S.C. Sections 6101-6107
intp: v wv,dol.gov'oasam _rev, qatu tes: a (re act..ltrn
Executive Order 13279 - Equal Protection of the Laws for Faith-based and Community Organizations
hap: '‘‘ VCW.WhitehOUSe,iZOv' news,' releases '2002:1220021212-6.1am!
U.S. Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970
Page 4 of 4
http://wwy, thwa.dot,v virea 0,itatefact.hn]
Federal Hatch Act - Political Activity 11f Certath State and Local Employees
hap w w.osc.ovihatchact Irrn
Restrictions on Lobbying (a CFR part 69)
www.acces.;;.gpo,gov /r araicfr'wakdx_04/28cfr69_04.htra1
Executive Order 12549 — Debarment and Suspension
tittp::.'www.archives.v,o%,:fed,ffal-registe!, codification, exec Llf ivt.-order1254C;.11trn
Government-Wide Debarment and Suspension (28 CFR, Part 67)
1-11tp:!!'w tY, acces,. gpo,uov : taralcfr:v icbc04:25cfre37_04.himi
Drug-Free Workplace Act of 1988
http 'iftwekkote.acce,po.;oy'cgi-bin 'getdoc.cgi7cibnanw—browse_usc&docid -=Citc-41Usc7fil
Michigan Emergency Management Act, Act 390, P.A. of 1976, as amended —
httr: www.rnichigan.vA,:documentsitr ,pcmd-Act_390_of j 976_7 i 2 .5,L
State of Michigan
2010 interoperable Emergency Communications Grant Program
Grant Agreement
June 1, 2010 to February 28, 2013
CFDA Number: 97.056
; Grant Number: 2010413-T0-0011
This Fiscal Year 2010 (FY 200) Interoperable Emergency Communications Grant Program (IECGP) grant
agreement is hereby entered into between the Michigan Department of State Police, Emergency Management and
Homeland Security Division (hereinafter called the Subgrantor), and the
COUNTY OF OAKLAND
(hereinafter called trie Subgrantee)
1. Purpose
The purpose of this grant agreement is to provide federal pass-through funds to the Region 2 Homeland Security
Planning Board through the Subgrantee (which has been voted and approved to act as the Fiduciary Agent for the
Beard for the FY 20101ECGP) for the purposes of improving local, tribal, regional, statewide, and national
intenoperable communications. This includes communications in collective response to naturai disasters, acts of
terrorism, and other man-made disasters.
M. Obierceves
For FY 2010, U.S. Department of Homeland Security (OHS) has identified the following oojectives deemed critical
for advancing interoperable emergency communications in alignment wit') the criteria established for the Statewide
Communication Interoperability Plan (SC1P) process. These objectives nave been developed to address National
Emergency Communieations Plan (NECP) goals, objectives. and milestones to support SOP implementation.
• Priority Group One: Gaps in leadership and governance and common operatiorial planning and protocols
• Priority Group Two: Emergency responder skilis and capabilities development through training and
exercises
1ECGP funds will address objectves in either Priority Group el or Priority Group #2, based on the most critical
needs corsistent with SOP goals,
For the FY 2010 1ECGP, if and only if the subgrantee has achieved or will achieve all Priority Group 1 and 2
objectives, 1ECGP funds may be used to purchase interoperable communications equipment with any remaining
funds. Subgrantees must receive approval from the Subgrantor verifying that the objectives have been met before
pursuing any equipment requests. Intereperable emergency communications equipment must comply with
standards in the SAFECOM Guidance, including Project 25 compliance and narrowPand capability.
For guidance on allowable costs, priority groups, and program activities, please refer to the FY 20101ECGP
Guidance and Application Kt, located at httpleverwiema.govipdfigovernmentigran1/2010ify1 0 Jecge ekit.pdf.
III. Statutory Authority
"-'unding for the FY 20101ECGP is authorized by the Department of Homeland Security Appropriations Act, 2010
(Public Law 111-83) arid he Homeland Security Act of 2002 (6 U.S.C. §101 et seq.),
The Subgrantee agrees to comply with all IECGP program requirements in accordance with he 1ECGP Grant
Guidance. The Subgranlee also agrees to comply with the foilowing regulations:
A. Administrative Requirements
1. 44 CFR, Part 13, Uniform Adminlstrative Requirements for Grants and Cooperative Agreements to
State and Local Governments, located at httplieCFR.gpoaccess.goviogifttlextrtext-
idx?ceecfretp1=lecfrbrowsere itle44/44cfr13ernain_02.10
FY 2010 IECGP Grant Agreement
County of Oakland (Region 2 Fiduciary Agent)
Page 2 of 9
2. 2CFR, Part 215, Uniform Administrative Requirements for Grants and Cooperative Agreements to
Institutions of Higher Learning, Hospitals, and Other Non-Profit Organizations (OMB Circular A-110),
located at httptileefr.gpoaccess.govicgiNtext/text-
idx?o=ecfr&sid=5f90b818356757091bb65ea93f153c6aSitpl4ecfrbrowsefritle02/2dfr2152nalh 02 tpl
B. Cost principals
1. 2 CFR, Part 225, Cost Principals for State, Local, and Indian Tribal Governments (OMB Circular A-87).
located at httplieckgpoaccess.govicgt/tItextitexl-
idx?c=ecfr&tplitlecfrbrowseiritle02/2cfr225_m a in 02.tpl
2. 2 CFR, Part 220, Cost Principals for Educational institutions (OMB Circular A-21), located at
http://ecfr.gpoacoess.gov/cgiNtextftext-idx?c=ecfrigrgn--aliv5iSview=text&nocie=2:1.1,2.3.4aidne=2
3. 2 CFR, Part 230, Cost Principals for Non-Profit Organizations (OMB Circular A-122), located at
ht(p://edfr.gpoaccess.govicgittftextitext-idx ?c=ecfr&tpt=tecifitrokiseiTitle02/2cfr230_main_02,/p1
4. Federal Acquisition Regulatkins (FAR), Part 31.2 Contract Cost Princip/es and Procedures, Contracts
with Commercial Organizations, located at
https://www.acquisition.govifar/html/Subaart%2031_2.ntmlftwp1095562
C. Audit Requiremers
1. OMB Circular A-133, Audits of States, Local Governments, and Non-Profif Organizations, located at
http://livonv.wh tehou se .goviom bIcircularsta133/a133.html
Interoperable Emergency Communications Grant Program Award Amount and Restrictions
The County of Oakland, as the Fiduciary Agent for Region 2, is awarded $31/3,965,00 under the FY 2010 IECC3P.
Al! activities proposed under IECGP mast be integral to interoperable emergency communications and must be
aligned with the goals, objectives, and/or initiatives identified in the grantee's SCIP
In FY 2010, IECGP requires a 25% cost share, cash or in-kind for ecuipment purchases only. Unless otherw se
authorized by law, federal funds cannot be matched with other federal funds. This cost share is based on the tote'
project cost. Refer to the grant guidance document for additional information.
This grant agreement only designates IECGP funds for reimbursement of authorized costs that arelacurred during
the FY 2010 IECGP grant agreement period. Grant agreement funds shall not be used for other purposes
NIo FY 2010 IECGP grant program finds may be used to support a project that will include access to classiled
national security information where the Subgrantee has not been approved for access to his information For the
definition of 'classified national seowity information" see federal Executive Order 12958 as amended, located at
http://www.archives.goviltioo/policy-documentsteo-12958-amendrnent.htrnt Where a Subgrantee has been
approved for and has access to classified nationa, security information, no funding under this award shall he used
to support a contract, subaward, or cther agreement for goods or services that will include access to classified
national security information by the contractor, subawardee, or other entity without prior written approval from the
OHS Office of Security, Industrial Security Program Branch (ISPB), or. an appropriate official within the Federal
oepartment or agency with whom the classified effort will be performed. Sucri contracts, subawards, or other
agreements snag be processed and administered in accordance with the OHS Standard Operating rocedures.
Oassifiecl Contracting by States and Local Entities, dated July 7, 2008; E0s 12529, 12958. 12965, as amended;
the National Industrial Security Program Operating Manual (1\l(SPOM): andtor other applicable implementing
directives or instructions. All security requirement documents are located at
fittp://vyww.dris govixoprtiWgralts/irdex.shtm.
For any activities involving construction, demolition, or installations of equipment, an Environmenta and Historic
Preservation (EHP) Review must be completed prior to arty work being done. Any activities that have been
initiated without the necessary EHP review and approval will result in a non-compliance finding and will not
be eligible for federal fLnding.
FY 2010 IEGGP Grant Agreement
County of Oakland (Region 2 Fiduciary Agent)
Page 3o1 9
Final determination on how funds awarded by this grant agreement will be allocated will be determined
through a review process by the Subgrantor of projects submitted by the Region 2 Homeland Security
Planning Board, not by the Sub grantee (Fiduciary Agent).
V. Responsibilities of the Subgrantee
FY 2010 IECGP funds must supplement, not supplant, state or local funds. Federal funds wiii be used to
supplement existing funds, and will not replace (supplant) funds that have been appropriated for the same purpose.
Potential supplanting will be carefully reviewed in the application review, in subsequent monitoring, and in the audit.
The Subgrantee maybe required to supply documentation certifying that it did not reduce non-federal funds
because of receiving federal funds. Federal funds cannot be used to replace a reduction in non-federal funds or
solve budget shortfalls in general fund programs.
The Subgrantee agrees to act as the designated Fiduciary Agent for the Region 2 Homeland Security Planning
Board. The Subgrentee agrees to comply with all applicaole federal and state regulations, including, but not limited
to, the following:
A. In addon to this FY 2010 IECGP grant agreement, the Subgrantee shall complete, sign, and submit to the
Subgrantor the following documents, which are incorporated by reference into this grant agreement:
1. Standard Assurances
2. Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; and
Drug-Free Workplace Requirement
3. State of Michigan Audit Certification Form (EMD-053)
4. Reauest for Taxpayer Identification Number and Certification (W-9)
5. Compliance with Federal Special Grant Condition Related to Trafficking Victims Protection Act of 2000
6. Other documents that may be required by federal or state officials
B. The FY 2010 IECGP covers eligible costs from June 1, 2010 to February 28 2013. Please refer to the FY
2010 IECGP Guidance and Application Kit, located at
http://www.fema.goe/pdf/government/grantl20101fy10 iecgp_kit,pdf for a detailed list of etat costs are
eligible under th's grant_ Allowable costs are specificaly addressed in Part IV.E, of the federal grad
guidance.
C. Make ail Purchases in accordance with federal and state grant guidance and local purchasing policies.
D. Submit project applications, which have been prepared and approved by the Homeland Security Regional
Board, to the Subgrantor for evaluation and approval of projects prior to starting a project. All projects must
meet OHS and Subgrantor grad guidelines and must directly support one of the required eivestrnent
projects from the regional supplemental guidance. Projects should be coordinated with Regional Homeland
Security Board activities and strategies. Any project that proposes a change in scope of wurk during the
grant performance period must be resubmitted to the Subgrantor for approve ..
E Submit an Allowabie Cost Justification (ACJ) form for all costs that are Part of approved prolects prior to the
encumbering of the cost. If an ACJ is not submitted, the Subgrantee will be held responsible for at costs
determined to be ineligible by the Subgrantor or
Within 30 days of the end of the Subgrantee's fiscal year, the Subgrantee must supply a document to the
other local government agencies reporting the dollar amount spent on their behalf, so the local government
agencies can submit the information on their Schedule of Expenditures of Fecteral Awards (SEFA) report
NOTE: Copies of these documents must also be provided to the Michigan State Poiice, Emergency
Management and Homeland Security Division, Audit Unit, 4000 Collins Road, Lansing, Micnigan 48910-
5883.
G. Create and rnaintal an inventory of all equipment purchases in accordance with 44 CFR Part 13.32(dX1),
found at httpliteCFR.gpoaccess.govicgifertextitext-iclx?c=ecfretplefecfrbrieviseffille44/44cfr13_main_02.01.
Within 30 days of the end of the Subgrantee's fiscal year, the Subgrantee must supply a copy of this
FY 2014 IECGP Grant Agreement
County of Oakiand (Region 2 Fiduciary Agee)
Page 4 of 9
Inventory to the Miehigan State Police, Emergency Management and Homeland Security Division, Audit
Unit, 4000 Collins Road, Lansing, Michigan 48910-5853, An Equipment Tracking Form is available to assist
the Subgrantee in 'meting these requirements. The form can be found online at
http,fievww.m ich igen.govim sp,0,1607,7-# 23-1593_3507_41574-214684-m00J-ft I. The Subgrantee is
advised that, when practicable. any equipment purchased with grant funding shall be prominently merited
as follows: "Purchased with funds provided by the U.S. Department of Homeland Security'.
H. Make FY 2010 IEGGP equipment available for pick-up by other government agencies per equipment
assignments by the Region 2 Homeland Security Vanning Board. This process needs to include legal
transfer of the equipment to he designated government ageneiee. At minimum, the Subgrantee should
prepare documents, which, viten signed, will indicate other designated government agencies accept full
legal and financial responsibility for pieces of equipment.
I. The Subgrantee agrees to prepare the Reimbursement Cover Sheet (EFille-054) arid all required attached
documentation, inducing all required authorized signatures, and submit these to the Sulegrantor at a
minimum at the end of each quarter (or more frequently, as needed), Please note: One Reimbursement
Cover Sheet and related forms must be completed for each grant project, solution area, allocation
type, and individual exercise. Reimbursement Cover Sheets must be filled out completely or they wiN be
returned to the Se bgrantee for proper completion. Please refer to the Reimbursement Guidance included
with each of the reimbursement forms. The Reimbursement Cover Sheet and other reimbursement forms
can be found on tee EMHSD welpsite, located at http://weev.michigan ,govfmspf0,16137,7-123-
1593_3507_41574-214884—,00.henl, The Subgrantee wiJI not be reimbursed for funds until all required
signed documents and reimoursement documents are received.
J. Submit quarterly progress reports to the Subgrantor on tee status of all approved projects. The due dates
for quarterly progress reports are detailed in Section VII of ells agreement.
le. Submit upoated project and allocation information on a regular oasis through the Biannual Strategy
Implementation Reports (BSIR). The EtSlfe is due within 20 days alter the end of the reporting period. The
due dates for the BSIR are on July 20, 2010, January 20, 2011, July 20, 2011, January 20, 2012, July 20,
2012, eareary 2C, 2013, anc July 20, 2013. The reporting periods are from eartuary 1 through June 30 arid
July 1 through December 3 1 . The finel BS1R is due 90 days after the end date V the FY 2010 IECGP
award period.
L. Comoy with Fv 2010 National Incident Management System (141MS) implemereation requirerneets and
move towards ocmpietion by 2013. NIMS information is available at http://wwwfema.goviernergericetrems .
M Comply with applicable fine ecial and administrative requirements set forth ie the current ecition ef 44 CFR.
Part 13 including, but not iimited to, the following peevisions:
1. Account for receipts and expenditures, maintain adequate financial records, and refund expenditures
disallowed by federal or state audit.
2. Retain all financial records, statisticai records, supporting cocuments, and other materials pertinent to
the FY 2010 IECGP for at least three years after the grant is closed by the awarding Federal Agency,
for purposes of federal andior state examination and audit.
3. Perform the required financial and compliance audits in accordance with the Single Audit Mt of 1984,
as amended, and OMB Circular A-133, tAudits of Stakes, Lccal Governments. ano Non-Profit
Organizations,' as furteer described ir, 44 CFR, Part 13.
N. Integrate indiv id Jals with disabilities into emergency rear:ring in compliance with Execetive Order 13347.
0. Environmental and Historic Preservation Compliance: The federal government is required to consider
the potential impacts to the human and natural environment of projects proposed for federal funding. The
Environmental and Historic Preservation (EHP) Program engages in a review process to ensure that
federaily-tundeci activities comply with various federal laws. The goal of these compliance requirements is
to protect cer nation's water, air, coastal, wildlife, agricultural, historical, and cultural resources, as well as
to minimize potential adverse effects to children and ioweecome and minority populations. The Subgrantee
shall not undertake any project having the potential to impact EHP resources without prior approval.
FY 2010 IECGP Grant Agreement
County of Oakland (Region 2 Fiduciary Agent)
Page 5 of 9
Any activities that have been initiated without the necessary EHP review and approval will result in
a non-compliance finding and will not be eligible for federal funding.
VI. Responsibilities of Subgrantor
The Subgrarlor, in accordance with the general purposes and objectives of this grant agreement, will:
A. Adrninister the FY 2010 IECGP in accordance with all applicable federal and stale regulations and
guidelines and provide quarterly reports documenting this administration.
B. Provide direction and technical assistance to the Subgrantee.
C. Provide to the Subgrantee any special report forms and reporting formats (templates) requied for operation
of the program.
D. Reimburse the SuPgrantee in accordance with this grant agreement, based on appropriate documentation
submitted by the Subgrantee.
E. Independently, or in conjunction with DHS, conduct random on-site reviews with Subgrantee(s).
V11. Reporting Procedures
Submit quarterly progress reports to the Subgrantor on the status of all funding. Quarterly progress reports are
required whether or not expenditures are incurred
The Subgrantee's failure to fulfill the quarterly reporting requirements, as required by the grant, may result in the
suspension of grant activities until reports are received.
Reporting periods and due dates for each year are as fellows:
January 1 through March 31; Due April 30
April 1 through June 30; Due July 31
July 1 through September 30; Due October 31
October 1 through December 31; Due January 31
The final reporting quarter ends with the end of the grant performance period, which may result in this final quarter
being less than three mortns in duration.
Quarterly reports are to be submitted by the end of the month following the end of each quarter. The first quartedy
progress report fo, the FY 2010 IECGP grant is due on October 31, 2010. Reports are to be sent electronically to
emd_hsgp@nnichigan.goy.
VIII. Payment Procedures
The Subgrantee agrees to prepare the Reimbursement Cover Sheet (EMD -054) and all required attached
documentation, including all required authorized signatures, and submit these to the Subgrantor at a minimum at
the end of each quarter (or more frequently, as needed). Please note: One Reimbursement Cover Sheet and
related forms must be completed for each grant project. solution area, allocation type, and individual
exercise. Reimbursement Cover Sheets must be filled out oornpletely or they will be returned to the Subgrantee for
proper completion. Please refer to the Reimbursement Guidance included with each of the reimbursement forms.
The Reimbursement Cover Sheet and other reimbursement forms can be found on the EMHSD website. located at
FY 201D IECGP Grant Agreement
County of Oakland (Region 2 Fiduciary Agent)
Page 6 of 9
http:th.vvevenichigan.gcvimspi0,1607,7-123--1593_35D7_41574-214684—,00.11m1. The Subgrantee will not be
teimbursed for funds until all required signed documents and reimbursement documents are received.
Drawdown of Funds in AcNanoe: Subgrantees may request funds (for purchases of $25,000 or more) up to 120
days prior to expenditure. AI of the fielowing requirements must be met to obtain advarced funds: 1) The
Subgrantee must comple1e. a letter stating lite reason they are requesting an advance; 2) The Subgrantee must
submit a copy of an approved purchase order showing the delivery date for the items ordered to be within 120 days
of the purchase order date; 3) These funds must be placed in ae interest-bearing account. The Subgrantee may
keep interest up to $100 per year (CFR44, part 13.21i) for administrative expenses for all federal grants combined.
If the Subgrantee is notfied by the vendor of delays in the delivery date of equipment, tunas must be returnec to
the Subgrantor. Advances cannot be outstanding for more than 120 days; 4) Any interest earned over $100 must
promptly, but at least quarerly, be remitted to: NISI:VE*1SO, Financial Section, 4000 Collins Road, Lansing, M'
48910. The Subgrantee must also notify the Subgrantor in writing of any interest earned over $100 quarterly.
IX. Employment Matters
Subgrantee shall ccrnply with Title VI of the Civil Rights Act of 1964, as amended, the Elliott-Larsen Civil Rights
Act, 1976 PA 453, as amended, MCI.. 37.2101 et seq,, the Persons with Disabilities Civil Rights Act, 1976 PA 220,
as amended, MCL N.1101 ef sag., and al other federal, State and local fair employment praices and equal
opportunity laws and covenants that it shall not discriminate against any employee or applicant for employment, to
be employed in the perforranoe of this grant agreement, with respect to his or her hire, tenure, terms, conditions,
or privileges of employment; or any matter directly or indirectly related to employment because of his or her race,
religion, cot or, national origin, age, Sex, height, weight, marital steles, •mited English proficiency, or handicap that is
unrelated to the individual's ability to perform the duties of a particular jab or position. Subgrantee agrees to include
ni every subcontract entered into for the performance of this grant agreement this covenant not to discriminate in
employment. A breach of this covenant is a material breach of the grant agreement.
The Subgrarnee shall ensure that no subcontractor, menufacturer, or supplier of Subgrantee on this project
appears in tie register compiled by the Michigan Department of Energy. Labor, and Economic Growth, Bureau of
Commercial Services, Licensing and Enforcement Divisions, pursuant to 1980 PA 278, as amended, MCI 423.321
at seq. (State Contractors with Certain Employers Prohibited Act), or on the Federal Excluded Party List System,
located at yinee.eplegov
X. Limitation of Liability
Subgrantor and Subgranee to this grant agreement agree that each must seek its own legal representative and
bear its own costs, incluc in judgments, in any litigation that may are frcm performance of this contract:. Its
specifically understood and agreed that neither party will indemnify the other party in such litigation.
This is not to be construed as a wa,:ier of governmental immunity.
Xl. Third Parties
This grant agreement is not intended to make any person or entity, not a party to this grant agreement, a third paiy
beneficiary hereof or to confer on e third party any rights or obligations enforceable in their favor.
MI, Grant Agreement Period
This grant agreement is in full force and affect from June 1, 2010 to February 2, 2013. No ccsts eligtle under
this grant agreement shall be incurred before the starting date of this grant agreement, except witti prior written
approval. This grant agreement oOrsiste of two identical sets, simultaneously executed; each is considered an
original having identical legal effect This grant agreement may be terminated by either party by giving thirty (3C)
days written notice to the ottier party stating reasons for termination and the effective date, or upon the ta.lure of
FY 2010 IECGP Grant Agreement
County of Oakland (Region 2 FiducIary Agent)
Page 7 of 9
either party to carry out the terms of he grant agreement. Upon any such termination, the Subgrantee agrees to
return to the Subgrantor any funds not authorized for use, arid the Subgraltor shall have no further obligation to
reimburse the Subgrantee. Upon termination of grant agreement, the Subgrantee shall submit documentation, in a
format specified by the Subgrantor, to formally end its status as Fiduciary Agent.
XIII. Entire Grant Agreement
This grant agreement is governed by the laws of tne State of Michigan and supersedes all prior agreements,
documents, and representations between Subgrantor and Subgrantee, whether expressed, implied. or oral. This
grant agreement constitutes the entire agreement between the parties and may not be amended except by written
instrument executed by botn parties prior to the termination date set forth in Section XII above. No party to this
grant agreement may assign this grant agreement or any of hislherfits rignts, interest, or obligations hereunder
without the prier consent at the other party. Subgrantee agrees to inform Subgrantor in writing immediately of any
proposed changes of dates, budget, or services indicated in this grant agreement. as well as changes of address or
personnel affecting this grant agreement. Changes in dates, budget. or services are subject to prior written
approval of Subigrantor. If any provision of this grant agreement shall be deemed void or unenforceable, the
remainder of the grant agreement shall remain valid,
The Subgrantor may suspend or terminate subgrant tureen% in Miele or in part, or other measures may be
imposed for any of the following reasons:
• Failure to expend funds in a timely manner consistent with the grant milestones, guidance, and assurances.
• Failure to comply with the requirements or statutory objectives of federal or state law
• Failure to make satisfactory progress toward the goals. or objectives set forth in the subgrartt application.
• Failure to fellow grant agreement requirements or special conditions.
• Proposal or implementation of substantial plan changes to the extent that, if originally submitted, the project
would not have been approved for funding.
• Failure to submit required reports,
• Filing of a false certification in the application or other report or document.
• Failure to adequately manage, monitor or direct the grant funding activ ties of their subrecipients.
Before taking action. the Subgoaritor will provide the Subgrantee reasonable notice of intent to impose corrective
measures and will make every effort to resolve the problem informally.
XIV. Business Integrity Clause
The Sulograntor may immediately cancel the grant without further liability to the Subgrantor or its employees lithe
Suograntee, an officer of the Subgrantee, or an owner of a 25% or greater share of the Subgrantee is convicted of
a criminal offense incident to the application for or performance of a state, public, or private grant or subcontract: or
convicted of a criminal offense, including but not limited to any of the following embezzlement. theft, forgery,
bribery, falsification or destruction of records, receiving stolen property, attempting to influence a public employee
to breach the ethical conduct standards for State of Michigan employees: convicted under state or federal antitrust
statutes; or convicted of any other criminal offense which, in the sole discretion of the Subgraritor, reflects on the
Subgrantee's business integrity.
XV. Freedom of Information Act (FM)
Much of the information submitted in the course of applying for funding under this program, or provided in the
course of grant management activities, may te considered law enforcement-sensitive or otherwise critical to
national security interests. This may include threat, risk, and needs assessment information; and discussions of
demographics, transportation public works, and industrial and public health infrastructures. -Therefore, each
Subgrantee agency Freeoom of Information Officer will need to determine what information is to be withheld on a
case-by-case basis. The ..eubgrantee should be familiar with he regulations governing Protected Critical
FY 2010 IECGP Grant Agreement
County of Oakland (Region 2 Fiduciary Agent)
Page 8 ol 9
Infrastructure Information ((i CFR Pan 29) and Sensitive Security Information (49 CFR Part 1520), as these
designations may provide Eidd;tional votection to certain crasses of horneland security information.
Capt. W. Thomas Sands
Printed Name
Deputy State Director of Emergency
Manadement and Homeland Security
Title
Date
FY 2010 IECGP Grant Agreement
County of Oakland (Region 2 FiduciaryAgent)
Page 9 of 9
XVI. Official Certification
For the Subgrantee
The individual or officer signing this grant agreement certifies by his or her signature that he or she is authorized to
sign this grant agreement on behalf of the jurisdiction he or she represents. The Subgrantee agrees to complete all
requirements specified in this grant agreement.
County of Oakland
Name of Jurisdiction
Printed Name Title
Signature Date
For the Subgrantor (Michloan State Police. Erneroenov Manaaernent. and Homeland SAfttiritv riivnnl
For the Regional Board
The Regional Board Chair's signature appears on this grant agreement as a cedificatior that Region 2 Hometanc
Security Board has chosen the County of Oakland to serve as the Fiduciary Agent for the FY 2010 IECGP, This
signature apes not provide inclusion of the Regional Board Chair or the jor;sdiction he or she represents as part of
the agreement between the Subgrantor and Subgrantee.
Reaional Board Chair
Printed Name Title
Signature Date
Compliance with Federal Special Grant Condition
Related to Trafficking Victims Protection Act of 2000
The Subgrantee must certify that they have reviewed the following special grant condition. The
special condition requires compliance with the Trafficking Victims Protection Act of 2000, as
amended. This condition specifies that the federal government may unilaterally terminate grant
awards to the Suberantee in case of non-compliance.
A ProVisions applible to a recipient that is a private entity.
1. You as the recipient, your employees, subrecipents under this award, and subrecipieres; employees
may not:
a. Engage in severe forms of trafficking in persons during the period of time that the award is in effect;
b. Procure a commercial sex act during the period of time that the award is in effect; or
c. Use forced labor in the performance of the award or subawards under the award.
2. We as the Federal awarding agency may unilaterally terrairate this aware without penalty, if you or a
subreteplent that is a private entity:
a. Is determined to have violated a pronibition in paragraph Al of this award term; or
b. Has an employee who is determined by the agency official authorized to terminate the award to have
violated a prohibition in paragraph Al of this award term through conduct that is either:
I. Associated wen performance under this award: or
e Imputed to you or the sub recipient using the standards and due process for imputing the conduct of an
individual to an organization that are provided in 2 CFR Part 180. OMB Guidelines to Agencies on
Governmentwide Debarment and Suspension (Non-procurement), as implemented by or agency at 2
CFR Part 3000.
B. Provisions applicable to a recipient other than a private entity. We as the Federal awarding agency
may unilaterally terminate this award, without penalty, if a subrecipient that is a private entity:
Is determined to have violated an applicable prohibition in paragraph A1 of this award term, or
2, Has an employee who is determined by the agency official authorized to terminate the award to have
violated an applicable prohibition in paragraph Al of this award term through conduct that is either.
a. Associated with erforrnance under this awant or
b. Imputed to the subreciOent using the standards and due process for imputing the conduct of an
individual to an organization that are provided In 2 CFR part 180, OMB Guidelines to Agencies on
Governmentvede Debarment and Suspension (Non-procurerrent), as implemented by our agency at 2
CFR part 3000.
C. Provisions applicable to ary recipient
11. You must inform us immediately of any information you receive from any source alleging a violation of
a prohibition ir paragraph A 1 of this award term.
2. Our right to terminate unilaterally that is described in paragraph A.2 or B of this section:
a. Implements section 108(g) of the Trafficking Victims Protection Act of 2000 (TVPA), as wonted (22
U.S.C. 7104(g)), and
lb. Is in addition to all other remedies for noncemplance that are available to us under this award.
3. You must include the reau!rements of paragraph A I of this award term in any subawarcl you rrake to
a private entity.
0. Definitions. For purposes of this award term:
1. "Employee" means either:
a. An individual employed by you or a subrecipient who is engaged in the performance of the project or
program under this award; or
b. Another person engaged in the performance of the project or program under this award and not
compensated by you including, but not limited to, a volunteer or individual whose services are
• contributed by a third party as an in-kind contribution toward cost sharing or matching requirements
.2. "Forced labor' means labor obtained by any Of the following methods: the recruitment, harborieg,
transportation, provision, or obtaining of a person for labor or services, through the use of force, fraud,
or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery.
3. "Private entity" means:
a. Any entty other than a State, local government, Indian Tribe, or foreign public entity, as those terms
are, defined in 2 CFR 175,25.
b. Includes:
I A rionproft organization, including any nonprofit institution of higher education, hospital, orteoal
organization Other than one included in the definition of Indian Tribe at 2 CFR 175.26(4
ii. A for-profit organization.
4. "Severe forms of trafficking in persPns,"'cornmercial sex act," and "coercion" have the meanings given
at section 143 of the TWA, as amended (22 11.S.C. 7102
The individual or officer signing this grant agreement certifies by his or her signature that he or
she is authorized to sign this grant agreement on behalf of the jurisdiction he or she represents.
The singing individual or officer certifies that he or she has reviewed the special condition for
compliance with the Trafficking Victims Protection Act of 2000 on behalf of the jurisdiction he or
she represents.
Printed Name Title
Signature Date
--11 OMB APPROVAL NO. 1121-0140
EXPIRES 013 I'2006
STANDARD ASSURANCES
Signature Date
The Applicant hereby assures and certifies compliance with all applicable Federal statutes, regulations,
policies, guidelines, and requirements, including OlkAll Circulars A-21, A-87, A-102, A-110, A-122. A-
133; Ex. Order 12372 (intergovernmental review of federal irrograins); and 28 C.F.R. pts. 66 or 70
(administrative requirements for grants and cooperative agreements). The applicant also specifically
assures and certifies that:
I. It has the legal authority to apply for federal assistance and the institutional, managerial, and financial
capability (including funds sufficient to pay any required non-federal share of project cost) to ensure
proper planning, management, and completion of the project described in this application.
2. It will estabilsh eafeguards to prohibit employees from using their positions for a purpose that
constitutes or presents the appearance of personal or organizational conflict cf interest, or personal gain.
3. It will give the awarding agency or the General Accounting Office, through any authorized
representative., access to and the right to examine all pager or electronic records related to the financial
assistance.
4. It will comply with all lawfal requirements imposed by the awarding agency, specifically including
any applicable regulations, such as 28 C.F.R. pis. 18, 22, 23, 30, 35, 38, 42, 61„ and 63.
5. it will assist the awarding agency (if necessary) in assuring compliance with section 106 of the
National Historic Preservation Act of l966 (16 U.S.C. § 470), Ex. Order 11593 (identification and
protection of historic properties), the Archeological and Historical Preservation Act of 1974 (16 U.S.C.
469 a- t eq..), and the National Environmental Policy Act of 1969(42 U.S.C. § 4321).
6. It will comply iand will require any subgrantees or contractors to comply) with any applicable
statutorily-imposed nondiscrimination requirements, which may include the Omnibus Crime Control and
Safe Streets Act of 1968 (42 U.S.C. § 3789d); the Victims of Crime Act (42 U.S.C. § 0604(*)); The
Juvenile Justice mad Delinquency Prevention Act of 2002 (42 U.S.C. § 5672(b)); the Civil Rights Act of
1964 (42 U.S.C. § 2000d); the Rehabilitation Act of 1973 (29 U.S.C. §7 94); the Americans with
Disabilities Act of 1990 (42 U.S.C,§ 12131-34); the Education Amendments of 1972(20 U.S-C. §§1681,
1683, 1685.86); and the Age Discrimination Act of 1975 (42 U.S.C. §§ 6101-07); see Ex. Order 13279
(equal protection of the Laws for faith-based and community organizations).
7. If a governmetnal entity-
a) it will comply with the requirements of the Unifonn Relocation Assistance and Real Property
Acquisitions Act of 1970 (42 ILL S.C.§ 4601 et m.), which govern the treatment of persons displaced as a
result of fnderal arid federally-assisted programs; and
h) it will comply with requirements of 5 U.S.C.§§ 1501-08 and §§7324-28, which limit certain
political activities of State or local government employees whose principal employment is in Connection
with an activity financed in whole or in part by federal assistance.
U.S, DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND
OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
:Applicants should refer to the regulations eited below to tielermine the cartilicatien to which they are required to
attest. Applicants Si'Vale also review the Instructions for certification ire:tided in the regu aliens before completing this
form. Signature of this form provides for compliance with certification requirements under 28 CPR Part 69, 'Neat
Restrictions on Lobbying' and 28 CFR Part 67, 'Government-wide Debarment and Suspension (NonprO-curarrent) and
Governrrieet-Wide Requirements for Drug.Free Workplace {Grants).' The certifications shall be treated as a material
represantation of fact upon ?Arai reliance will be placed whoa the Department of Justice determines to award the
covered transaction. grant, or cooperative agreement.
1. LOBBYING
As required by Section 1352, Title 31 of the U.S. Code, and
Implemented at 28 CFR Pert 69. for persons entering into a
grant or cooperattve agreement over Sitnig/Ek as defined at
26 CFR Part 69, the applicant cedillas three
(at No Federal eppropriated feeds have been paid or will be
pale, by ores behalf of the undersigned, to any person for In-
(luencing 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 cf Congress in con-
nection ?nth the makieg el any Federal grant, the catering Into
of any cooperative agreemont, arid the extension, continuation.
renewal, arnereMerit, or modification of any Fetter& grail or
cooperative agreement:
(o) If any funds ether than Federal eippreprieted funds have
Dean paid or will be pied to any person for influencing or at-
tempting to influence ar officer or ernoioyee et any agency, a
Member Of Congress, an officer or employee of CongrlaitS, or
an employee of a Member of Congress in connection with this
Federal grant or cooperative agreement, the undereler ed shall
COTIlkieT4 and submit Standard Form - Lee, 'Necklet-we of
Lobbying Activitiet,- In apeordance with is instruction .;
(t) The undersr.grrect seal require that the language of this cer-
tification he "riche:led in the award documents for all subawards
at all liars (irralluding subgrants, contracts under grants inc
cooperative agreements: arid subcontract and thai all sub-
recipients shall certify and disclose aecordingly:
2. DEBARMENT, SUSPENSION, AND OTHER
RESpoNsisiurf MATTERS
(DIRECT RECIPIENT)
As requited by Executive Order 12849, Debarment and
Suspension. and implemented at 26 CFR Part 67, for prosPec-
live participants in primary covered transactions, as defined at
26 CFR Part 67 eection 67510-
A. The appl telt certifies that it ann ,te principals
(a) Are not presently debarred, suspended, proposed ror debar-
ment, Ceclared ineligible. Sentenced te a deeial of Federal
benellts by a State or Federal court, or voluntaily excluded
frorn cowed CrsrlSectiors by any Federal ccoartment
or agency;
(bil Have rodi within a three-year period preceding this aped ca-
tion been convicted ol or had a civil judgment rendered against
them fur commission of fraud or a cerrenze offense in connec-
tier with obtaining. Attempt ng to amain or et doming a
petite (federal, State, Or 11=20 transaction or ounbact under a
pulitic trensactlore violation of Federal or State antitrust statutes
or commission ot embezzlement, theft, forgery.
bribery, falsification or destruction of records, making falee
statements, Or receiving stolen property;
(c)Are not presently indicted for or othesarive criminally or
civil charged by a governmereal entity (Federal. State. or
local) with ceminieshon of any of the offeeses eriumerated in
paragraph (1",(b) of this oertificetioc; and
(d) Have not within a three-year peeled preceding title applica-
tion had one or more public transactions (Federal. Slade. Or
loran terminated for cause ur default; and
B. Where the applicant re unable to carel`yk anYci be
statements In this certification, he DI she shale attach an
explanation to this application.
3. DRUCT,FREE WORKPLACE
GRANTEES OTHER THAN INDIVIDUALS)
Aa required by the Drug-Free Workplace Act of 1988, and
implemented at 28 CFR Part 67, Scrbparl F. for cc apices, as
defined at 26 CFR Part 67 Secaons 67.515 and 67 821)-
A. The applicant terelles the it will DT Will continue to provide
a if rug-free workplace by:
(a) Publishing a statement notifying emp/oyees that the
unlawful rneoufacture, distrIbutioe, dispensing, pcssession. Or
use eta controlled substance is prohibited in the grantee's
workplace and specifying tee actions that will be taken against
employees For vielallan of Such prohibition-.
(b) Establietileg an el-going d meeker° awareness program to
inform employees abou t—
(1) The dangers of drug abuse in the workplace;
(2)The grantee's policy of maintaining a dreg-free workp.ace;
(3) Any available drug aoerseling, rehabilitation, and employee
assistance progreres; and
(4) The penalties that may be imposed upon employees for
drug abuse vio'allons ocCt Ring in the workplace;
(c) 'caking it a "eeulremeril that each erepoyee lo be engaged
in the performance of the grant be gieen a copy of the state-
ment required by paragraph (a).
(d) Notifying the employee io the statement required by pare-
gragh (a) that, as a eor,ditiort of employment wider the grant,
the employee will--
OW FORM eneve 91) nERLAces OUP FORMS .1.0.01eZ, dailin AND 1061;4 wincH ARE ceSOLETE
(1) Abide by Me terms of the taternent, enc
2_ Application Number and/or Project Nen-re 3. Grantee IRS/Vendor ...lumber
5. Signature 6. Date
12) Notify the err,pioyer in writieg of his or her oonvictien for a
violatiefn of a crimirfal drug statute couurrio5 ie the workplace
no later than five calendar days after such -..onvicUom
(0) Notifying the agency, in writing. within 10 ealentar days
after receiving notice under subpasegreph Oa) (rem an
employee or °thong's/3 reoeiving &deal natice of such nonvic-tiore
Employers of convicted emptc yeas must provide notice, inducting
position title, to: Department of Justice, Office at
Justice Programa, ATTN. Control Desk, 63:3 Ind:any Avenue,
Waetvieglen, D.C. 20531. Notice shall Include the iden-
tification mete r(s) of each affected grart .
iI) Taking one Mite following actions, within 30 catendar
days of receiving notice under subperagraph 14)(2), with
respect to any employee who is so convicted—
(1) Taidng appropriete persornel action against such an
employee. up to and including termination, consistent with the
requirements of the Rehabilitatioe Act of 1 R 73, as amended; 0-
(2 Requiring such employee to participate ealisfactorily in a
drug abuse assistance or renabilitalion program approved ior
Such purposes by a Federal, Stale, or loge health, kw enforce-
meet, or other appropriate agency.,
(g) Making a good faith effort to continue to maintain a drug-
free workplace through rtiplerriereatirre af paragraphs (a), cal.
(c), (d), (a), and (f).
B. The gratitee may insert is :he space prey del below the
elte(s) ler he performance al work done ir connection with
the specific grant:.
Mee of Performance (Street address, city county, stale, zip
code)
Clock ni it Mere are workpaoes on file that are not irkdenitried
here
Sect oil 67, 630 of the regulations provides that a grantee that
is a Stets may elect lo make one certilicatiork it each Feeeral
Iscal year. A dopy of which should be included with each zip-
pAolitior for Department of Justice funding. Slain and Stale
agencies ,eay elect to use OJ P Form 4081/7.
Dhece 0 If the State hats elected to complete OJP Farm
4881/7.
DRUG-FREE VifORKPLACE
(GRANTEES WHO ARE INDIVIDUALS
As required by the Drug-Pee Workplace Act of 1988, and
implemented at 28 CFR Part 67, Subpart F, for grantees. as
defined at 28 CF R Part 67; Sectione 67.616 and 67.620-
& As a condibion of the grant, 1 gratify that I will not engriee
in he unlawful manufacture, distribution, clislienteng, posses-
sion, or use of a controlled substance in conduering any
activity with the grant; end
B. If lurvictscl ot a crirreral drug offense resulting from a
Violation oocurring during the condurA of any grant activity, I
will report the canviction, In willing. within 10 calendar days
of the conviction, Ice Department of Justice, Office of Justice
program, ATTN: Coctrol Des; 810 Seventh Street NW.,
Washington, DC 20531,
As the dJIy authorized reprerentative ot Ire applicant. I hereby certify that Pie spOicant will comply With the above certifications
1. Grantee Narne and Adores
4 Typed Name and Title of huthorized Representative
1,1 5 Cr:log.1.4'4rd Prinirg Oft* 199C 4135-0317.11001
EMD-063 (03-2004)
MICHIGAN STATE PCUCE
Emergency Management 8 Homeland Security Division
STATE OF MICHIGAN
AUDIT CERTIFICATION
Federal Audit Requirements
Fiscal Years Beginning After June 30, 1996
Non-Federal organizations which expend $500,000 or more in Federal funds during their fiscai year are required to
have an audit performed in accordance with the Single Audit Act of 1984, as amended, arid Office of klanagernent
and Budget (OMB) Circular A-133. Subgrantees must submit a COM of their audit report te: Budget and Financial
Services Division, Michigan Department of State Police, 333 South Grand Avenue, P.O. Box 30634, Lansing,
Michigan 48909-0634 for each year they meet the funding threshold.
Program: FY 2010 Interoperable Emergency Communications Grant
CFDA Number: 97.055
Subgrantee Information
Jurisdiction Name:
Street Address:
City, State, Zip Code:
Certification for Fiscal Year Ending (mmiddlyyyy):
(Check appropriate box)
0 I certify that the subgrantee shown above does not expect it will be required to have an audit performed under
the Singre Audit Act of 1984, as amended, and the OMB Circulars as revised, for the above listed program.
I certify that the subgrantee shown above expects it will be required to have an audit performed under the Single
Audit Act of 1984, as amended, and the ONIB Circulars as revised, during at least one fiscal year funds are
received for the above listed program. A coov of the a idit recoil will be submitted to; Budget and Financial
Services Division, Michgan Department of State Police, 333 South Grand Avenue, P.O. Box 30634, Lansing,
Michigan 48909-0634.
(Signature of Subgrantee's Authorized Representative) (Date)
Please mail completed form to: Michigan Department of State Police
Emergency Management and Homeland Security Division
Financial Section
4000 Collins Road
Lansing, Michigan 48910
For PASP-EMD Use Only
Reviewed By: Date:
Authority: Act 390. P. A. c 1978, as amended
Completion: VoIontary, but oompletion
necessary to be oonsIdered for
Fteeoenier's name arid address (ovOsnall
Seciel earcrurny mortar
or
Employer identilloarrim rigrtif
FW
{Fier. October 2007)
Depernent oi Vs frame,
rn
Request for Taxpayer
Identification Number and Certification
Give form tithe
register. Do not
Send to the IRS.
Marne Oa shovm on yrnr income UK rtlurr4
Cn en EiLMinea narnt ii1141urent Nom above
sr Check soprOOrete box: D Indrviclual/S.ole 'Droplet, 0 Corporation J Partnership
LmledI y ci.n.tnflhe titk Oa:5040MA (1).crs'agardeci *nay, C000cqaon. P.oartnerehip)
ri Other Isar irsisuoiana)
ASOrm (nunkruar, Street errcl rifzit or s..re )
g Cary, Odle, ald ZIP coW
List account numbele) Pere (ontcrni)
Enter your TIN in the approp late box. . The TIN provided must match the na me given on Una 1 to avoid
baciarp %vithholding. For individuals, this its your soCIMI security rumba (SSN). However, for a restdont
alien, sole PrOprietion, Or dierigarded entity, see the Pao 1 instructions on page 3. For other entities, it Is
your employer idertelcation lumber (UN). you do riot harfiel mutter. see How to get a 17N on page 3,
Ft the acco.int is in mcre than one name. see the chwt ou page 4 for guidelines on whose
reurnber to enter.
MO Certification
Under pecallies of perftify. I ertiIy tat;
1. The number shown on this form is my correct taxpayer klentircabor number (or arn wailing ter a number to be Issued to me), and
2. I am riot subject to beck JO withholding because: (a) am exempt from backup withholding. or lb}I have not been notified by the internal
Revenue service (RS) that I am subject to backup withholding as a Issue of a failure to report at interest or dividends. or lot t* IRS has
notified me that I am no '-onger subject to haoic.ip withholding. and
3, I am a U.S. citizen or otter U.S, person (defined below).
Certification inetniellons, Sou must 'sloes out item 2 above if you have been notified by the HIS that you are ocrrently sulaiect to berle4o
withholding because you hase failed to reasoe al interest arid dryidends on your tax retum. For real estate transactions, item 2 does not apply.
For neurtgage Internet paid, MgLiMition or abandonment of secured property. cancellation of debt, oontributions to an individual retinal:WI
arrangement ORAL and genaraliy. Derrieres other than interest arid dividends, ycc we not required to sign the Canificallon, but yru must
provide your coreot TN. Sea the instructions on page 4.
El payee°
Sign Haire Sligatonip of
11.S Me IP,
General Instructions
Section references are to foe Internet Swann Code unless
otnerwise noted.
Purp-ose of Form
A perm= who is requinscl to file an information return with the
IRS must obtain your correct taxpayer Identification number (TINI
to report, for example, income paid to sou, real estate
transactions, mortgage intiirest you paid. acquisition or
abandonment of secured property, cancellation of debt, or
contributions you made to an IRA.
Use Form W-9 only If ycu are a US. person (Inc/tiding a
resitent aiiep, to provide i.tour correct TiNI to the person
reosiesting it ttne rorluesteii and, when applicable, to:
1. Certify that the TIN you are givlra soorrect (or you are
waiting for a number to be issued),
2. Certify tnat you are rl sect to backup vgitebold iris, or
3. Claim exemption from backup withholding If you are a U.S.
exempt payee. If applicable, you are aleo certifying that as a
,Dere011, your allocable share of any partnership inmate from
a U.S. trade or !A:SIMMS is not subject to the withholding tax on
foreign partners share of i3ffectively connected income.
Note. It a requester gives you a form other than Form W-9 10
request your TIN, you must use the requester's form if it is
substantially similar to this Form W-9.
Dednidon of a U.S.. parsec. For federal tax purposes, you are
considered a US, person if you are:
An tridividuai eito is a U.S. citizen or U.S. resident aiien,
• A partnership, corporation. company, or associatien created re
organized in the United States or under the laws of the Linited
States,
• An estate (other than a foreign estate). or
• A domestic trust (as defined in Regulatians section
30.7701-7)
Special rules for partnership*. Parteerarrica that conduct
trails or business in the United States are generally required to
bay a v,rithholding tax on any foreign partners' share of neon*
from such business. Further, in Golan cases where a Farm W-9
has not been received, a partnership is requiree to presume that
a partner is a foreign person, and pay the withho.ding lax.
Therefore, If you are a U.S. person that is a partner in a
partnership oonduering a trade Or business in the United States,
provide Form W-9 to the partnership to establish your U.S.
status and avoid withholding on your share of partnership
income.
The person who gives Form W-9 to the partnership for
purposes of establishing its U.S. status and avoiding withholding
on .ts allocable share of not income from the partnersnp
conChictiei a trade or business in the United States is in the
following cases:
• The U.S. owner of a disregarded entity and rot the entity.
Cat. rki. t=311( Fain Mew. r0-20i0)
Ft7111 Y4-3 craw ve-ecor)
• The U.S. granter or other °weer of a grantor trust and not the
trust, and
• The U,S. trust {other than a grantor trust) and not the
beneholaries of the trust.
Foreign potion. if you are a forelgn person, do not use Forte
W-g. Instead, use the appropriate Form W-8 (see Publication
515, Withholding of Tax on Nonresident Aliens and Foreign
Entities?.
Nonreeldent alien who becomes a resident alien. Generally,
only a nonresfeert alien irehriduel may use the terms of a tax
treaty to mace or eliminate U.S. lax on certain types of Income.
Hciwelier, illOst tax beetles contest a provision known as a
"saving clause." Exceptions specified in the saving clause may
permit an exemption from tax to continue for certain types of
iroorne even after the payee has otheiwise beicorne U.S.
resident alien ler fax purposee.
It yeti are a U.S. resident alien velo rs retying on an exceptive
contained in the saving clause of a tax treaty to elalm an
exemption from U.S. tax on certain types of income, you must
attach a statement to FOFM W-9 that specifies the following five
Items;
1. The treaty country. Generally, this must be the sarre treaty
wider which you claimed exemption from tax as a nonresident
alien.
2. The treaty artice addressing the income
3. The article number (or location? in the tax treaty that
contains the saving clause and its exceptions.
4. The type and amount of income that qualifies for tee
exemption from tax.
5. Sufficient treete to justify the exemption from tax under the
terms Of the treaty article.
Example. Articie 20 of the U.S.-China Income tax bratty allows
an exerriptloe from tax 'or scleplarship income received by a
Chinese etuderd temporarily present in the United Slates. Under
U.S. law. this student will become a resident alien for tax
purposes If his or her stay in tee United States exceeds 5
calendar years. However, Paragraph 2 of the first Protocol to the
13.5,-China treaty (dated April 30, 1984) stews the provielons of
Article 20 to eentinue to aeply even after the Chinese student
becomes a resident alien of the United States. A Chirsese
student whO quelifies for this exception (under paragraph 2 of
the first protocol) and is relying on this exception to claim an
exemption from lax on his or her scholarship or fellowship
income would attach to Form W-9 a statement that includes the
information stesorlbed above to support that exemption.
If you are a noreesieient alien or a foreign entity not suoyect to
backup withholding, give the requester tee appropriate
completed Form W-8.
Whet is backup withhokilng? Parsons making certain payments
to you must under certain conditions withhold and pay to the
IRS 213% of such payments. This is called 'backup vvithliciding."
Payments that May be subject to backup withholeing include
'Merest, tax-exernot interest. eiviciends. broker and batter
exchange transactions, rents, royalties, nonernehoyee pay, and
certain peyrrents from feriae boat operators. Real estate
transactions are not subject to backup withholding.
Yoe will not be subject to backup withholding on payments
you receive if you give the requester your correct TIN, make the
proper certifications, and report al your taxable interest and
dividends on your tax ret urn.
Payments you receive will be subject to backup
Withholding lf
1. You cic riot furnish your TIN to tali requester,
2. You do not certify your TIN when required (see the Part II
instruction on page 3 for details),
3. The /RS toils the requester that you furnished an incorrect
TIN,
4, The IRS tells you that you are subject to backup
withholding because you did riot repast all your interest arid
dlekkocis an your tax return (for reportable interest and
dividencs only), or
5. You do not certify to the reouester that you are not subject
to backup withholding Under 4 aecee (lot reportable iteree and
dividend accounts opened after 1983 only).
Certain payees and paymerts are exempt from backup
withholding. See the Instructions below arid the separate
Instructions for the Requester of Form W-9.
Aso see Specie! wise For pot wrships on page 1.
Penalties
Failure to furnish TIN. If you fail tu furnish your correct TIN to a
requester, you are sebiect to a penalty of e50 for each such
failure unless your faun is due to reasonable eauSe and not to
wine neglect.
Civil penalty for false Information with respect to
withlueding- if you Make a false statement with no reasonable
basis that results in no backup withhoteling, you are subject to a
000 penalty.
Grimiest penalty for falsifying lefermelien. Wlieuty ra.eityiag
certifications or affirmations may Subject you to criminal
penahlee includIng lines mike imprisonment.
Meuse of TIN& If the rea.4.16Ster discloses OC uses TINs
vlblerlien of fedens law, ties requester may he subject to civi! and
criminal penalties.
Specific Instructions
Name
If you are an Individual, you must generally enter the name
shown on your locum° tax return. However, If you have changed
your last name, for Instance, due to ma -liege without inferring
the Social Security Administration of the name change, enter
your fret name, the last name shewn on your social se•ourity
card, and your new last narne.
If the aecount is in joint names, list first, and then oirele. the
name of the person or entity whose number you entered in Part I
of the forte.
$o* eneprWtoe Enter your individual name as shown on your
income tax return on the 'Name line. You may ewer your
biteineUi trade, or 'doing business as ow name on the
"Dustiness name line.
Limited M.Iy company (LLC). Check the limited .labifity
company" Mix only and enter the appropriate code for the tax
classification ("D" for disregarded entity, "C" for corPoration, "P"
for partnership) in the space provided
For a single-rnernber LLC ;including a toreign LLC with a
domestic owner) that Is disregarded as eh entity separate from
its owner under Regulations section 301.7701-3, enter the
owner's name on the "Name" line. Enter the LLC's name on the
"Dueinesa name" Ire..
For an LLC classified as a petteership or a corporation, alter
the LLC's name on the 'Name" line and any business, trade, or
D A name On the "Busireass .narne' line.
Other entities. Enter you- business name as shown on required
federal tax documents on the 'Verne line. This name should
reateh the narne shown on the charter Or other legal document
creating the entity. You may enter any business. trade, or DBA
name on the "Bueiness name'. fine.
Note. You are re:vested to check the appropriate box for your
status eiedivicuefirsole proprietor, comoration. etc.)
Exempt Payee
If you are exemet from backup withholding, enter your name as
described above and cheek the appropriate box for your status,
then check the 'Exempt payee" box in the 'he tollowlag the
busies= name, sign, and date the form.
Pep 3
Deneralty, individuals (Deluding sole proprietors) are not exempt
from backup withholding. Corporation's are exempt from backup
withholding for certain payments, such as interest and dIvideeds.
Note. If yoi are exempt from bacKup wittaalding, you should
still complete this form to avoid possibie ertontieus backup
wirttolding.
The following payees are exempt 'From backup witthoding:
1. An organization exempt from tax under section 501(a). any
IRA, or a custodial account under sectOn 40303n if the account
satisfies tne requiremente o! section 401if)(2),
2. The United States or any of its agencies or
instnirnentalites.
3. A state. the District of Columbia, a possession of the Wed
States, or any of their politioal subdivisions or instrumentalities,
4. A foreign government or any of its political subdivisions,
agencies, or Instrumentalities, Or
5. An international orgae ization or any of its agencies or
instrumental heel.
Other payees that may Os' exempt from backup withholding
6. A corporation.
7. A foreign central bank of issue,
8. A dealer in securities or commodities required to register in
the United States, the Dist c1 of Colurntia, or a possession of
the United States,
9. A futures commissiori merchant registered with the
Commodity Futures Trading Commission,
10. A real estate investmont trust,
11. An entity registered ge all times etring the fax year Linea
the luvestment Company Act of 1940,
12. A pommel, trust func operated ty a bank wrest section
584(4
13: A financial institution.
14. A middlerrein known in the investment community as a
rominee or cuatodian, or
15. A trwt exempt from tax under sect on 664 or descritied ir.
section 4947.
The chart below shows types ef par -awes that may be
exempt freer' backup withholding. The Chart applies to the
exempt payees tiered above, 1 troigh 15.
IF the payment is tor . — THEN the payment Is exempt
Interest and dividend payments All exempt payees except
ler 9
Beaker transactions exernot payees 1 through 13
Also, a pervert registered uncles'
the Investment Advisers Act of
1040 *IV ougufarly acts as a
broke-
Barter exchange transaot000 a EXernot payees 1 through 5
arid patronage dividends
Payments over =) requires Generally, etterritet Mews
to be reported and direct I theeigh 7
sales over S.5,000 1
'See Fo,rn ceaeASC, oteetai was income and it; inSbA411410.
'skewer, the following peyrnerts made to. a corporation (inducing grass
meows pod to en aliceney id 56G5011 5n45(5, even it Inc attorney Is a
oarooration) and reportable on 'arrn 1099-14ee are riot exempt Froir
backmrnittiletilding: metica art health care payments, attorneys' fees, and
payments for service paid by a Wail axecoinnt agency..
Part I. Taxpayer Identification
Number (TiN)
Enter your TIN in the appropriate box. If yoa are a resident
alien erre you do not have and are not eligible to get an SSN,
your TIN is your IRS Individual taxpayer relentification number
PIM. Enter it in the social security number box. If you oo not
have an Mt see tlow to get a TIN belenv,
If yoi are a sole proprietor and you have al Elie. you may
enter aline- your SSN or EIN, However, the IRS Pre'LCera that you
use your S-SN.
if you are a single-member LLO that is disregarded as en
entity separate Iron itSewner (see Lintited tititeety company
41.C) or page 2), enter the owner's SSN (or MN, If the owner
nes one). Do not enter the disregarded entity's BN. lit the LLC is
classified as a corporation or partnership, enter the entity's
Nate See the chart on page 4 tor further claritcaticn of name
and TIN combinations.
How to get a TINA you do not have et TIN, apply for one
immediately. To apply for an SSIal, get Form SS-6, Application
for a Social Security Card, from your Iota; Sergio! Security
Admeistration cetice or get this form Wine at www.ssa.gov . You
may also get this form by calling 1-800-772-1213, (se Form
ate7, Application for IRS indeedual Taxpayer Idertificetion
Number, to apply fi,r an ITN, or Form 55-4, Applkatticn for
Employe. Identification Number, to apply for an EM. You can
eapty for an EIN online by accessing the IRS website at
wwwira.govibusinessed and eliciting en Employer kientiOcation
Nember (FON) under Stertwig a Business. You can get hems W-7
arid 55-4 from the IRS by visiting talifigint.goe or by codling
1-800-TAX-FORM (1-800-829-3676).
If you are asked to complete Form W-9 but do not have a TIN,
write 'Applied For" In the space tot the TIN. sign and date the
fOrm and give It to the rootteeter. For interest and dividend
payments, and certain .payments made with reSEtect to readily
tradaber Instrureards. generally you wit; have 60 days to get a
TIN ane give it to the requester before you are sutteet to backup
withholding on payments. The 60-day rut does DIA acrlY
other types cif payments: You will be subject to baceup
withholding on all such payments untN you provide your TIN to
the requester.
Note. Entering 'Applied For Means that you have already
applied for a T1N or that yea ritered to apply for one soon.
Caution:A dtstegardear doireatic entity that has a taralgri owner
must use the appropriate EOM iv-8.
Part II. Certification
To eetableh to the withholding agent that you are a U.S. person,
or resident den, sign Ferm W-9. You may be requested to sign
by the withholding agent (wen i4 items 1, 4, and 5 teeow indicate
otherwise.
For a joint aecoure, only the person whose IN Fe shown in
Part I should sign when recloirece. Exempt payees. see Exempt
Payee en page 2.
Signature requirements. Complete the certification as ndoated
'Li") 1 through 5 below,
1. Interest, dividend, and barter exchange accounts
opened beeere 1984 and broker accounts considered cetera
during 1963. You must give your correct TIN, but you do lot
have to sign the certification.
2. Interest, dividend, broker, and barter exchange
accounts opened after 1963 and broker acoounts considered
inactive during 1%13. tio..1 must sign the celificatien or backup
withholdirei will eppty. If you are subject to backup eel -evicting
and you are merely providing your correct TIN to the requester.
you roue cross out Item 2 in the carefieatior before signing the
form.
For Vie type at arovunti. Glee corns and SSN el:
The individual
The actual eerier (tithe amount or,
coritir.ed *Linde. the Irst
indtvidual on the scowl'
The minor '
The grantoptr.istee
The actua, owner
The owner
Give nacho end BItt ot
Tho owner
Legal entty
The =evocation
The organization
The crowiererop
The broker Or nurninie
The publio entity
Form Ylkg (Rev. 10-2007)
3. Real eitate transactions. You Must sign the certification
You may cross cut item 2 of the certification.
4. Other payments. You muet give your correct TIN, but yoe
do not have to sign the certificetion unless you have been
notified that you have previopsly given an incorrect N. 'Other
paymerrts" include payments mode iii tre course et the
requesters tracer or Ousiness ler rents, royalties. goods (Other
than utils for merchandise), medical and health care services
(Including payments to corporations), payrnieres to a
nortempioyee for services, payments to certain fishing boat crew
mernoars and fishermen, and gross proceeds paid to attorneys
(Including payments to corporations).
5. Mortgage Interest paid by you, acquisition or
abaridonreent el mewed property, cancellation of debt,
qualified tuition program payments (under section 529), IFtil,
Coverdell ESA, Archer MBA or NSA contributions or
distributions, tend pension dittributions. You most give your
correct TIN, but you do rrot have to sign the certificat'on.
What Name and Number To Give the Requester
1. Individual
2, TwI2 or more individuals foint
account
3. °Molten =ewe cr' a minor
(UNtorm OA to tenets ACI)
4, a. The usual revocable senrisr.
ewe eatentor iialma Vutrace)
o So-verled trust =mitt that is
rot a area Of valid trust under
stall taw
3. Sole proprietorship or dlerogeroali I
entity owned by an individual
For this type of account;
ti. Owegercled entry not corned by an
individual
7 A veild trust, eporta or pension .eusi
Corporate or LL:..", electing
corporate statue on Form et332
O. iliseociatrom, club, religious,
charitable, educational, or other
ow-exempt orgarwaton
10. Portneas•ip or avall.rbeeflae(
11. A hooker or registered nominee
12. Account elth the Depertrierit
AgriCUttan6l the rame Cif a Pitni16
tstility ciktCh Slate rff
government, school cheviot, or
prison) that reveees ogricutturer
=gram torments
Secure Your Tax Records from Identity Theft
identity theft occurs when someone uses your personal
information such as your name, social security number (SM. Or
other identilyng information, without your permission, to COMM
fraud or other crimes- An Identity thief may use your 55N to get
a job or MI file a tax return using your SSN to receive a refund.
Tc reduce your risk:
• Protect your SSN,
• Ensure your employer is ix-decking yeur SSel. end
• Be careful when choosing a tax preparer.
Call the IRS at 1-6004329-1040 if you think your kientty has
been used Inappropriately for tax purposes.
Victims of identity theft who are experiencing aoonornic harm
or a system problem, or ate seeking help in resoelng tax
problems that have riot been teS0hied through normal channels,
may be eligible for Taxpayer ACIVOCAtie Service ITAS) assistance.
You can reach TAS by Ceiling the TAS toll-free case intake 4'1e
at 1-8T7-777-4778 or TTY/TOD 1-800-829-4059.
Proteet yourself from suspicious °mails or rthishing
echemes. Phiehing is the creation and use of email and
webeetes designed to mimic legitimate business emirs and
websites. The most common act is sending an email to a user
falsely claiming to be an established legitimate enterprise in an
attempt to soam the Lleer into surrendering private inforinarbori
that MI be used for identity theft.
The IRS does not initiate contacts with taxpayer-5
Aso, the IRS does riot requeeet personal detailed information
itimiugh email or ask taxpayers for the PIN numbers, passwords,
or similar secret access :nfermadion for their credit card. bark. or
other financial accounts.
If Mit receive an unsolicited email oak-rang to be earn the IRS,
forward this message to phishingOiregree You may also report
misuse of the IRS name, logo, or other IRS personal property to
the Treasury inspector General for Tax Administration at
-1-800-366-M8e. You can forward suspicious emits to the
Federal Trade Commission at spentOuce.gov or contact tnern
weev,correemereeoviicirreft or 1-877-10THEFT{-038-433Be
\AA the W website at weeeefregov to learn more abol
Identity theft and how to reduce your disk.
11•11 ere circle the core 0' II* Arlan 1•1147s1 nwribirt yaLf turnit IfSfIfy we Form' cri • Forit =caw/ has ap 5SN. Thal owsion's nuerbfr Ave be Am:abet
'Oren Ow rebore nano ono km* the frinoes 5f.
'You sus Incno your nchidaJ ten's end you may Lea enter youf business or 'DEW
ram vie* Wand nem' Ire You Mt, LEM aMer you SSisi of Of 24 you $45 ore.
btf It. IRS //voyages you 1a use yo.r 5..SA
Lid artt and coda the rwww a+ the trusi ••tale, or peresio4 trurl 100 not *wish the TIN
et the Pewee reprewwesbew tr !new trees Pe Inv entity eel is cot Morrow al
the account ftLsej Aix/ use Spasm' ougs for - partnarthia• an pays 1
Note. It no reme is circled when ntore than one name is listed,
the number wit be considered to be that ef the first name listed.
Privacy Act Notice
section. isics Irm, Internal.' Reyenue CCI:16 requires you to provide your axles( TIN to perm:A13 who maw lie informatton retwro with re IRS to repcn Interest
&Addends, arid certain other mourns paid to you, cnortilage interest you paid, the acquIstOn or abandonmant of secured property, cancelletton of debL or
contributions you made to an IRA, or Archer IlelSA or RSA, The IRS tries the numOerst:x idenlifiCater OurPtetes end to eetp verity the scartcy el you.. ies
Tie MS may also made the inlorrration la the Department of Junco for otell and criminal II4jâen wed to cites, states. the Distriell ot Columbia. and LI.S.
possesolcers 10 Carry Cl.fl 1hav Lax laws We may also disclose this inlornatlian to other counties under a tea treaty. to *dare and SAM agencies at enforce fiedera
natters criminal laws, or to federal isw enforcement and intelligence agencies to combat terrorism.
You mem pewee your TIN whether or not you are mond to Ille a tart reterrr. Payers MUM vonerally withhold 28% el tomb* interest, diezdend, end certai n ether
prime/Fits to a payee who does riot .EiFwe aIN to a payer. Certain panaIl.to may also WO.
FISCAL NOTE (MISC. 110316) December 9, 2010
BY: FINANCE COMMITTEE, TOM MIDDLETON, CHAIRPERSON
IN RE: HEALTH AND HUMAN SERVICES — HOMELAND SECURITY DIVISION — ACCEPTANCE FOR
2010 INTEROPERABLE EMERGENCY COMMUNICATIONS GRANT PROGRAM
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies. and Gentlemen:
Pursuant to Rule X11-C of this Board, the Finance Committee has reviewed the above referenced
resolution, and finds:
1) The State of Michigan has awarded a 2010 Interoperable Emergency Communications
Grant Program grant (IECGP) to Region 2, which includes, but not limited to the City of
Detroit and Macomb, Monroe, Oakland, St. Clair, Washtenaw, and Wayne Counties, with
Oakland County selected as the fiduciary and subgrantee for the grant award in the
amount of $318,965.
2) The grant award is ($34,805) less than the prior year's award of $353,770.
3) The grant period is from June 1, 2010 through February 28, 2013.
4) The grant will be used to fund projects that strengthen interoperable communications
capabilities in the areas of Leadership and Governance, Common Planning and
Operational Protocols, and Emergency Responder Skills and Capabilities as defined by
the grant guidelines.
5) Funding may also be used to purchase equipment if all these activities are met per the
grant guidelines, but would require a 25% cash or in-kind match for purchases of
equipment only.
6) No equipment has been identified at this time for purchase.
7) The FY 2011 Special Revenue Budget is amended to recognize the grant award as
follows:
FUND 29330 —#GR0000000541
FEMA Grants
Revenue
1060601-115095-610313
Total Revenue
FY 2011 FY 2011
Adopted Amended
Budget Amendment Budget
Federal Grant $ 0 $ 318.965 $ 318,965
$ 0 $31965 $ 318,965
Expenditures
1060601-115095-731458
Total Expenditures
Prof Svcs $ 0 $ 318,965 $ 318,965
$ 0 $ 318,965 $ 318..965
CE COMMITTEE
FINANCE COMMITTEE
Motion carried unanimously on a roll call vote with Woodward absent.
Resolution #10316 December 9, 2010
Moved by Middleton supported by Coleman the resolutions (with fiscal notes attached) on the amended
Consent Agenda be adopted (with accompanying reports being accepted).
AYES: Bullard, Burns, Coleman, Coulter, Douglas, Gershenson, Gingell, Greimel, Hatchett,
Jackson, Jacobsen, Long, McGill, vray, Middleton, Nash, Potts, Runestad, Scnwartz, Scott, Taub,
Woodward, Zack. (22)
NAYS: (0)
A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the amended
Consent Agenda were adopted (with accompanying reports being accepted).
I HEREBY APPROVE?E FOREGN RESOLUTION
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
1, Ruth Jonnson, Clerk of the County of Oakland, co hereby certify that the foregoing resolution is a true
and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on December
9, 2010, with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at
Pontiac, Michigan this 9 of December, 2010.
/0
oat
Ruth Johnson, County Clerk