HomeMy WebLinkAboutResolutions - 2010.09.01 - 10318MISCELLANEOUS RESOLUTION #.10211 September 1, 2010
By: General Government Committee, Christine Long, Chairperson
IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES — HOMELAND
SECURITY DIVISION — ACCEPTANCE FOR 2009 MICHIGAN CITIZEN CORPS
PROGRAM GRANT — OAKLAND COUNTY
TO: OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
WHEREAS funding was released under the U.S. Department of Homeland
Security for the 2009 State of Michigan Citizen Corps Grant Program for funding for
programs to increase domestic preparedness among members of the community; and
WHEREAS the State of Michigan has awarded Oakland County reimbursement
for qualified expenses up to, but not exceeding $27,175 for the period of August 1 2009
to April 30. 2012; and
WHEREAS funds are to be used for training, planning, educational outreach,
exercise and equipment for the Citizen Corps Program Partners of Community
Emergency Response Teams, Medical Reserve Corps, Neighborhood Watch, Volunteer
in Police Service, and Fire Corps: and
WHEREAS the Michigan Department of State Police Emergency Management
and Homeland Security Division will serve as the administrating agency for this grant;
and
WHEREAS the grant agreement has been reviewed and approved through the
County Contract Review Process.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners accept the grant funding from the State of Michigan in an amount up to
$27,175.
BE IT FURTHER RESOLVED that the chairperson of the Board of
Commissioners is authorized to execute the grant agreement and to approve any 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 acceptance of this grant does not obligate the
County to any future commitment.
Chairperson, on behalf of the General Government Committee, I move the
adoption of the foregoing resolution.
c.
GENERAL GOVERNMENT COMMITTEE
GENERAL GOVERNMENT COMMITTEE VOTE:
Motion carried unanimously on a roll call vote.
Original Message
From: Piir, Gala [mailto:piirg@oakgov,com]
Sent; Wednesday, July 07, 2010 2:24 PM
To: 'Novak, Gail'; 'Quisenberry, Theodore H.'; 'Pearson, Linda'; Pisacreta, Antonio
Subject: Grant Sign Off: Homeland Security - 2009 Citizen Corps Grant Program - Grant
Acceptance
GRANT REVIEW SIGN OFF — Homeland Security
GRANT NAME: 2009 Citizen Corps Grant Program
FUNDING AGENCY: Michigan Department of State Police
DEPARTMENT CONTACT PERSON: Gail Novak 248-858-5080
STATUS: Grant Acceptance
DATE: July 7, 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 he
place on the appropriate Board of Commissioners' committee(s) for grant acceptance by Board
resolution.
PROJECT SYNOPSIS
FEMA provides Federal Homeland Security Grant pass-through funds through the Michigan
Citizen Corps Program to local Emergency Management agencies. The funds are to engage and
actively involve all citizens in hometown security through personal preparedness, training,
exercises and volunteer service and to provide and to provide a structured opportunity for citizens
to augment local emergency response activities.
DEPARTMENT REVIEW
Department of Management and Budget:
Approved. — Laurie Van Pelt (6/28/2010)
Department of Human Resources:
Approved. Cathy Sballal (6/25/2010)
Risk Management and Safety:
Approved by Risk Management. — Andrea Plotkowski (6/29/2010)
Corporation Counsel:
There are no legal issues that need to be resolved before the above-referenced Grant Agreement is
executed.
However, there is one issue that I would like to bring to your attention. In order to spend these
grant funds, the County must get approval from the Region 2 Homeland Security Planning Board.
even though the funds were solely awarded to Oakland County (not as Region 2 Fiduciary). This
requirement is contained in Section rv (page 2) and Section V.D. (page 3) of the Grant
Agreement. Although this is not a legal issue, it will take time and money to get the
projects/funds approved by the Region 2 Board as well as by the State, — Jody S. Hall
(6/29/2010)
COMPLIANCE
The grant agreement references a number of specific federal and state regulations. Below is a list of the 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)
ltm.//www.access.gpo.govinara/cfr/waisidx 06/44cfr13 06 html
Cost Principles for State, Local and Indian Tribal Governments (OMB CIRCULAR A-87) (2 CFR Part 225)
jan.ilwww.access.uuo.uovinata/cfr/wai5idx 08r2efr225 OR.html
Federal Oilier of Management and Budget (OMB) Circular No, A-87, A-102, and A-113
huo://www,whitehouse.aoviornbicirculars/index.html
Single Audit Act of 1984 (with amendments in 1996)
hapiiwww.whitehouse goviombtfinancialifin single audithtml
Title VI of the 1964 Civil Rights Act (42 U.S.0 Section 2000d)
Ittpftwww.usdnj.govicrt/coricoordintlevistathtm
Michigan Elliott-Larsen Civil Rights Act — "Act 453 of 1976"
)11s.i.iwww legislature fft, PerrThi ollxueltniri57.5572inwv45)/risi lea asoxIone-aetchicegtohiectname=mcl-Act453-P1-
197684queryid=14718540
Michigan Persons with Disabilities Civil Rights Act — "Act 220 of 1976"
http Amu leticlatnre mi noviflin3 I xteltmri5z55z2uiwv451/mileeasoxlvage—getoblect&oblecMame—mcl-Act-220-of-
9768Auervic.=14718589
Michigan State Contracts with Certain Employers Prohibited —Act 278 of 1980
pttkiiwww icricianirr mi gov/(Slealranv4uncluhvh10s2135511/milee asnx?nage=uetObiect&ohicaNarricnc1 -Act-278-of-1980
Department of Homeland Security — Protected Critical Infrastructure Information (6 CFR Part 29)
PlYn'ileeft 21)0P.11CC5c zovicai/t/textitcxt-idx?c&-ccfr&tol-/ecfrbrowse/Title06/6cfr29 main 02.4)1
Department of Homeland Security — Protection of Sensitive Security Information (49 CFR Part 1520)
http kwww_s_c_ccslapo.1;ovinaratcfriwaisidx 04/49efri520 04.html
Executive Order 12372W Intergovernmental review of Federal programs
titto://www.fws. gov/po1icy!IibraryJreol 2372.odf
US DoJ Uniform Administrative Requirements for Grants and Cooperative Agreements (28 CFR Part 66 and 28 CFR Part
70)
littpSwvAsraccess envinaraicfr/waisidx 04/28cfna 04.html
Office of Justice Programs Hearing and Appeal Procedures (28 CFR Part 18)
ptto://www.acms arta aotetnaralcfriwaisidx 801 01.htant
Confidentiality of Identifiable Research and Statistical Information (28 CFR Part 22)
Jittp://www.acecss.rnioov/nnra'cfr/waisidx 04128cfr22 04.html
Criminal Intelligence Systems Operating Policies (28 CFR, Part 23)
Pao fiwww.acccss.atIo.aovinaralcfriwaisictx 04/23cfr23 04,httrd
Intergovernmental Review of Department of Justice Programs and Activities (28 CFR Part 30)
hrx://www.acCe55.0‘,1,govinaruicfriwaisicix n1 128650 01.html
Nondiscrimination of the basis of Disability in State and Local Government Services (28 CFR Part 35)
hradiwww.access.grio.govinaralcfriwaISidx 01128cfr35 Cl.himl
Equal Treatment fur Faith Based Organizations (28 CFR Part 38)
hap.iivorm usdoi.2ov,ovvtidocs/asernentoreimplementationof28erpart38.odf
Nondiscrimination; Equal Employment Opportunity; Policies and Procedures (28 CFR Part 42)
hllp//www access.aoo.uovinaraleftlwaisidx 01/28cfr42 Qt html
Procedures for Implementing the National Environmental Policy Act (28 CFR Part 61)
arp.//www access apo eovinaraicfr/waisiclx 01128;fr61 01.htttil
Floodplain Management and Wetland Protection Procedures (28 CFR Part 63)
Lq).//www.access.aco.goviraraicfriwaisidx 01128cfr63 01.htmi
National Historic Preservation Act of 1966 (16 U.S.C. 470)
11t1o://wwvoloswv/histutyAocal-lawinhpal966.htm
Executive Order 11593 — Protection and enhancement of the cultural environment
osa f,rivirPnrtal/uca/eptcontentVicw.do 9contentTyne—GSA BASIC&contentId—I2094
Archeological and Historic Preservation Act of 1974 (16 U.S.C. 469)
http://www.nps,pvinistr.rylocal-lawiFHPL ArchHistPres.pdf
The National Environmental Policy Act uf 1969 (42 U.S.C. 4321)
hitxllsyww,ncria aovinepaircesineuaineuaeoia.httm
Omnibus Crime Control and Safe Streets Act of 1968
iliwpwww.usdiii.govicit/sn1it/42usc3789d,htm
Victims of Crime Act (42 USC Section 10604)
imp liwww.usdoj govictlicetwagendoi10604.11t.m
Juvenile Justice and Delinquency Prevention Act
http:/toiidn.n.7.irs.orsOboutilidna2402titlev.pdf
Federal Civil Rights Act of 1964
httri://www.usdni govicrt/corlindex.htm
The Rehabilitation Act of 1973, Section 504 (29 U.S.C. Section 794)
httpliwww..dol Rov1cosurnircgsfstahltedsec504.htm
The Americans with Disabilities Act of 1990 (42 U.S.C., Sec 12101)
http :fiwww. ada. ROI/ IP libstada.11im
The Education Amendments of 1972(20 U.S.C., Sec 1681, 1683, 1685-86)
htlp liwww.usdoj.guvicrt/cor/coorclititleixstat. htm
Age Discrimination Act of 1975 42 U.S.C, Sections 6101-6107
httuliwww.dol gov/oasarnirersistatutesfage act him
Executive Order 13279- Equal Protection of the Laws for Faith-based and Community Organizations
httni/www whitehousc. coy/news/releases/2002i I 2/20021212-6.html
U.S. Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970
htIo://www.fhwa.dotgovireatestate act. him
Federal Hatch Act - Political Activity of Certain State and Local Employees
htm://wv..-ar.usc.envihatchaahtm.
Restrictions on Lobbying (28 CFR part 69)
iittn.fivAswe access eno,govinaratcfrAvaisicix 04/28.-,f169 04.html
Executive Order 12549— Debarment and Suspension
'Ino://www archives Rov/fecleral-register/codification/exccutive-ordcr/12549 html
Government-Wide Debarment and Suspension (28 CFR, Part 67)
humThyvew access.sno.govInaraicfrAvaisidx 04/28cfr67 04.html
Drug-Free Workplace Act of 1988
hirviffnvchvate ACcegs govkai-biniectdoc cEi9d1name-brows.c usadociditc--41USC701
Goia V. Piir
GratitS Compliance and Programs Coordinator
OalCand County Fiscal Services Division
Phone (246)858-1037
Fax (248) 858-9724
plirg@oakgov.corn
0124104:43 t•
State of Michigan
2009 Homeland Security Grant Program
Grant Agreement for Citizen's Corps Program
August 1,2009 to April 30, 2012
1 CFDA Number: 97.067
Grant Number: 2009-SS-T9-0060
This Homeland Security Grant Program Citizen's Corp Program (HSGP-CCP) 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 the Subgrantee)
I. Purpose
The purpose of this grant agreement is to provide federal pass-through funds to the Subgrantee for the Fiscal Year
(FY) 2009 Citizen's Corps Program (CCP). The funding under this grant agreement will be allocated to the
Subgrantee from the CCP allocation to the State of Michigan. CCP funds are intended to engage and actively
involve all citizens in hometown security through personal preparedness, training, exercises, and volunteer service
and to provide a structured opportunity for citizens to augment local emergency response activities
11. Objectives
The principal objective of this grant agreement is to provide financial assistance to the Subgrantee for allowable
costs in the CCP and the following specific programs:
1. Community Emergency Response Teams (CERT)
2. Medical Reserve Corps (MRC)
3 Neighbornood Watch
4. Volunteer in Police Service (VIPS)
5. Fire Corps
Allowable Investments made in support of he programs listed above must fall into one of the following four
categories:
1. Planning
2. Equipment
3. Training
4. Exercises
For guidance on allowable costs for the CCp program areas, please refer to the FY 2009 Homeland Security Grant
Program (HISGP) GLidance, located at http://www.ferna.govipdfigovernmentigrant/hsgpify09_nsgo_guidance.pdf.
To assist Subgrantees, the Subgrantor, in conjunction with the Michigan Homeland Security Preparedness
Committee, has created a I;st of priority projects that Subgrantees shall use their FY 2009 HSGP-CCP funds to
support. These projects were derived from the 11 Investment Justifications developed by Michigan that are to be
implemented at the regional/local level. Additional information is provided in the Michigan FY 2009 HSGP
Supplemental Grant Guidance, Suograntees must take a regional approach when determining tne best use of FY
2009 HSGP-CCP funcs. Subgrantees must consider the needs of local units of government and applicable
volunteer organizations in the projects and activities included in their FY 2009 HSGP-CCP application.
III. Statutory Authority
Funding for the Fiscal Year 2009 HSGP is authorized by the Consolidated Security, Disaster Assistance, and
Continuing Appropriations Act of 2009 (Public Law 110-329).
2009 Citzen Corps Grant Agreement
County of Oakland
Page 2 of 8
The Subgrantee agrees to comn wth all HSGP-CPP program requirements in accordance with the HSGP
Guidance. The Subgrantee also agrees to comply with the following regulations:
A. Administrative Requirements
1. 44 CFR, Part 13. Uniform Administrative Requirements for Grants and Cooperative Agreements to
State and Local Governments, located at htto://eCFR.gpeaccess.gov/ogi/titext/text-
iax?c=ecfr&tol-/ecfrbrowseiTitIOLI/44cfr13_rnain_02.tpl
2. 2 CFR, Part 215, Uniform Administrative Requirements for Grants and Cooperative Agreements to
Institutions of Higher Learning, Hospitals, and Other Non-Profit Organizations (OMB C:rcular A-110),
located at htfp:gecfr.gpoaccessrgovicgi/t1textitext-
idx?c,--ecfr&sid=5f90b818356757091bb65ea93f163c6a&tpWecfrbrowse/Title02/2cfr215_main_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 httpliecfr.gpoaccess.govicgi/t/textitext-
idx7c=ecfr&tpl=/ecfrbrowserr itle02/2cfr225_main_02.tpl
2. 2 CFR, Part 220, Cost Principals for Educational institutions (OMB Circular A-21), located at
http://ecfr,gpoaceess .gov/cg i/t/textftext-idx?c=ecfr&rgn=div5Swiew=text&node=2:1 .1 .2.3.48Lidno=2
3. 2 CFR, Part 230, Cost Principals for Non-Profit Organizations (OMB arcular A-122), located at
httoPecfr.gpoaccess.govIcgi/titext/text-idx?c=ecfr&tpl=iecfrbrowse/Title02/2cfr230_main_02.tpl
4. Federal Acquisition Regulations (FAR), Part 31,2 Contract Cost Principles and Procedures, Contracts
with Commercial Organizations, located at
https://www.acquisition ,gov/far/html/Subpart%2031_2.html#wp1095552
C. Audit Requirements
1. OMB Cscular A-133 Audits of States, Local Governments, and Non-Profit Organizations, located at
http://vvww,whitehouse.gov/ombleirculars/a133/a133.html
IV. Homeland Security Grant Program Award Amount and Restrictions
The COUNTY OF OAKLAND is awarded $27,175 in CCP funding under the FY 20091-ISGP-CCP.
This grant agreement designates CCP funds only for reimbursement of authorized costs that are incurred during
the FY 2009 grant agreemert period. Grant agreement funds shall not be used for other purposes. Allocations for
the FY 2009 HSGP-CCP have been determined on a regional basis through a funding methodology consistent with
current DHS guidance. Regional Boards have been created to ensure that all jurisdictions within a designated
region have an equal say in how funds are spent.
At least $6,794.00 of CCP award funds must be dedicated to strengthening preparedness planning through
planning, training, and exercising activities. This is a DHS requirement and additional details can be found in the
FY 2009 HSGP Guidance
For any activities involving construction, demolition, or installations of equipment; an Environmental and Historic
Preservation (El-iP) Review must be completed prior to any work being done. Any activities that have been
initiated without the necessary BHP review and approval will result in a non-compliance finding and will not
be eligible for federal funding.
Final determination on how funds awarded by this grant agreement will be allocated will be determined
through a review process by the Sub grantor of projects submitted by the Region 2 Homeland Security
Planning Board, not by the Sub grantee.
V. Responsibilities of the Subgrantee
FY 2009 HSGP-CCP funds must supplement, not supplant, state or local funds. Federal funds will be used to
supplement existing funds, and will not replace (supplant) funds that have been appropriated for the same purpose.
2009 Citizen Corps Grant Agreement
County of Oakland
Page 3 of 8
Potential supplanting will be carefully reviewed in the application review, ia subsequent monitoring, and in the audit,
The Subgrantee may be required to supply documentation certifying that it did not reduce nor-federal fdacis
because of receiving federal tines. Federal funds cannot be used to replace a reduction in non-federai funos or
solve budget shortfalls in general fund programs.
The Subgrantee agrees comply with all applicable federal and state regulations including, out not limited to, the
following:
A. In addition to this FY 2009 HSGP-CCP grant agreement, the Subgrantee shall complete, sign, and submit
to 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. Request for Taxpayer Identification Number and Certification (W-9)
5. Other documents that may be required by federal or state officials
B. The FY 2009 HSGP-CCP Grant covers eligible costs from August 1, 2009 to April 30. 2012. Please refer
to the Fiscal Year 2009 Homeland Security Grant Program Guidance, located at
http://www.fema.govIpaf/government/grantihsgpify09_hsgp_guidance.pdf., for a detailed list of what costs
are eiigible under this grant Allowable costs are specifically addressed in Part VW of the HSGP Guidance.
C. Make all purchases in accordance with grant guidance and local purcnasing policies.
D. Submit project applications to the Subgrantor, which have been prepared and approved by the Homeland
Security Regional Board, for evaluation and approval of projects prior to starting a project. All projects
must meet OHS and EMHSD grant guidelines and must directly support one of the required projects from
the regionai supplemental guidance, and at least one of the 37 target capabilities. Projects should be
coordinateo with Regional Homeland Security Board activities, Any project that proposes a change in
scope of work during the grant performance period must be resubmitted to the Subgrantor for approval.
E. Submit an Allowable Cost Justification (ACJ) form for all costs that are part of approved projects prior to the
encumbering of the cost. If an ACJ is not submitted, the Subgrantee will be held responsible for al costs
determined to be ineligible by the Subgrantor or by DHS.
E. 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 Federal Awards (SEFA) report.
NOTE: Copies of these documents must also be provided to the Michigan State Police, Emergency
Management and Homeland Security Division, Audit Unit, 4000 Collins Road, Lansing, Michigan 48910-
5883.
F. Create and maintain an inventory of all FY 2009 HSGP-CCP equipment purchases that Vsts, at minimum.,
the piece of equipment, the cost of the equipment, what agency the equipment is assigned to and the
physical location of the equipment for the grant period and for at least Three years after the grant is closed
by the awarding Federal Agency, The Subgrantee is advised that, when practicable, any equipment
purchased with grant fundino shall be prominently marked as follows: "Purchased with funds provided by
the U.S. Department of Homeland Security". Within 30 days of the end of the Su grantees fiscal year, the
Subgrantee must supply a copy of this inventory to the Michigan State Police, Emergency Management
and Homeland Security Division, Audit Unit, 4000 Coffins Road. Lansing, Michigan 48910-5883
G. Make FY 2009 HSGP-CCP equipment available for pick-up by other government agencies per equipment
assignments by the Region 2 Homeland Security Planning Board. This process needs to Include egal
transfer of the equipment to the designated government agencies. At minimum, the Subgrantee should
prepare documents, which when signed, will inaicate other designated government agencies accept full
legal and financial responsibility for pieces of equipment.
2009 Citizen Corps Grant Agreement
County of Oakland
Page 4 of 8
H. The Subgrantee agrees to prepare the Reimbursement Cover Sheet (EMD-054) and all required attached
documentation, including all required authorized signatures, and submit it to the Subgrantor at a mi.-lir-UM
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 filed out completely 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 (EM0-054) and other
reimbursement forms can ae found on the EMHSD website, located at
http://www.michigarkgovimsp/0,1607,7-123-1593_3507_41574-214684--,00.html . The Subgrantee wiil not
be reimbursed for funds until all required signed documents and reimbursement documents are received.
I. Submit quarterly Progress reports to the Subgrartor on the status of all approved projects. The due dates
for quarterly progress reports are detailed in Section VII of this agreement.
J. Submit updated project and allocation information on a regular basis through the Biannual Strategy
Implementation Reports (BSIR). The BSIR is due within 20 days after the end of the reoorting period. The
due dates for the BSIR are on January 20, 2010, July 20, 2010, January 20, 2011, July 20, 2011! January
20, 2012, and July 20, 2012. The reporting periods are from January 1 through June 30 and July 1 through
December 31. The final BSIR is due 90 days after the end date of the FY 2009 HSGP-CCP award period.
K. Comply with FY 2009 National Incident Management System (N1MS) implementation requirements and
move towards completion by September 30, 2012. FY 2009 NIMS requirements must be fuily complied
with by September 30, 2012. NIMS information is available at httpliwvvw.fema.goviemergencyinims
L. Comply with applicable financial and administrative requirements set forth in the current euition of 44 CFR,
Part 13 including the following provisions:
1. Account for receipts and expenditures, maintain adequate financial records, aid refund expenditures
disallowed by federal or state audit.
2. Retain all financial records, statistical records, supporting documents, and other materials pertinent to
the FY 2009 HSGP-CCP for at least three years after the grant is closed by the awarcing Federal
Agency, for purposes of federal and/or state examination and audit.
3. Perform the required financial and compliance audits in accordance with the Single Audit Act of 1984,
as amended, and OMB Circular A-133, "Audits of States, Local Governments, and Non-Profit
Organizations," as furtner described in 44 CFR, Part 13. Ranoom audits shall be performed to ensure
compliance with applicable proVsions.
M. Integrate individuals with disabilities into emergency planning, per Executive Order 13347.
N. 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 aria Historic Preservation (EHP) Program, engages in a review erocess to ensure that
federally-funded activities comply with various federal laws. The goal of these compliance requirements is
to protect our nation's water, air, coastal, wildlife, agricultural, historical, and cultural resources, as well as
to minimize potential adverse effects to children and low-income and minority Populations. The Subgrantee
shall not undertake any project having the potential to impact EHP resources without prior approval.
Any activities that have been initiated without the necessary EHP review and approval will result in
a non-compliance finding and will not eligible for federal funding.
VI. Responsibilities of Subgrantor
The SuPgrantor, in accordance with the general purposes and objectives of this grant agreement, will.
A. Administer the FY 2009 HSGP-CCP in accordance with all applicable federal and state regulations and
guidelines and provide quarterly reports documenting this administration.
2009 Citizen Corps Grant Agreement
County of Oakland
Page 5 of 8
Provide di7ection and tecnnical assistance to the Subgrantee,
C. Provide to the Subgrantee any special report forms and reportng formats (templates) required for operation
of the program.
D. Reimburse the Subgrantee 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.
VII. 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.
Subgrantees 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 quarters for each year are as follows:
January 1 through March 31
April 1 through June 30
July 1 through September 30
October 1 through December 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 months in duration.
Quarterly reports are to be submitted by end of the month following the end of each quarter. The first quarterly
progress report for the FY09 HSGP grant ;s due on April 30, 2010, Reports are to be sent electronically to
emd_hsgpOmichigan.gov.
SUBGRANTEE WILL NOT BE REIMBURSED FOR FUNDS UNTIL ALL REQUIRED SIGNED DOCUMENTS
AND REIMBURSEMENT DOCUMENTS ARE RECEIVED.
VIII. Payment Procedures
The Suograntee agrees to prepare the Reimbursement Cover Sheet (EMD-054) and al required attached
documentation, including all required authorized signatures, and suomit it 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 completely or they will be returned to the SU bgrantee
for proper completion. Please refer to the Reimbursement Guidance included with each of the reimbursement
forms. The Reimbursement Cover Sheet (EMD-054) and other reimbursement forms can be found on the EMHSD
website at http://www.michigan.govfmsp/0,1607,7-123-1593_3507_41574-214684--,00.html The Subgrantee will
not be reimbursed for funds Lint] all requirea signed documents and reimbursement documents are recelved.
Drawoown of Funds in Advance: Suograntees may request funds (for purchases of $25,000 or more) up to 120
days prior to expenditure. All of the following requirements must be met to obtain advanced funds: 1) The
Subgrantee must complete a .etter stating the 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 an interest-bearing account (2CFR, part 215,22k).
The Subgrantee may keep interest up to $100 per year (CFR44, part 13.21h) for administrative expenses for all
federal grants combined (Der DRS Financial Management Guide, January 2006). If the Subgrantee is notified by
B.
2009 Citizen Corps Grant Agreement
County of Oakland
Page 6 of 8
the vendor of delays in tne delivery date of equipment, funds must be returned to the Subgrantor. Advances cannot
be outstanding for more than 120 days; 4) Any interest earned over $100 must promptly, but at least quarterly, be
remitted to: MSP/EMHSD, Financial Section, 4000 Collins Road, Lansing, Ml 48910. The Subgrantee must a:so
notify the Subgrantor in writing of any interest earned over $100 quarterly.
IX. Employment Matters
Subgrantee shall comply with Title VI of the Civil Rights Act of 1964, as amended, the Elliott-Larsen Civil Rights
Act, 1976 PA 453, as amended. MCL 37.2101 et seq., the Persons witn Disabilities Civil Rights Act, 1976 PA 220,
as amended. MCL 37,1101 et seq., and all other federal, state and local fair employment practices and equal
opportunity laws and covenants that it shall not discriminate against any employee or applicant for employment, to
be employed in the performance of this grant agreement, with respect to his or her hire, tenure, terms, conditions,
or privileges Of eesployieeet; or any matter directly or indirectly related to employment because of his or her race,
religion, color, national origin, age, sex, height, weight, marital status, limited English proficiency, or handicap that is
unrelated to the individuals ability to perform the duties of a particular job or position. Subgrantee agrees to
include in 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 Subgrantee shall ensure that no subcontractor, manufacturer, or supplier of Subgrantee on this Project
appears in he register compiled by the Michigan Department of Energy, Labor, and Economic Growth, Bureau of
Commercial Services, Licensing and Enforcement Divisions, pursuant to 1 980 PA 273, as amended, MCL 423.321
et seq. (State Contractors with Certain Employers Prohibited Act), or on the Federal ExcoJded Party List database,
located at vvww.epis.gov .
X. Limitation of Liability
Subgrantor and Subgrantee to this grant agreement agree that each must seek its own legal representative and
bear its own costs, including judgments, in any litigation that may arise from performance of this contract. it is
specifically understood and agreed that neither party will indemnify the other party in such litigation.
This is not to be construed as a waiver of governmental immunity.
XI. Third Parties
This grant agreement is not intended to make any person or entity, not a party to this greet agreement, a third party
beneficiary hereof or to confer on a thirc party any rights or obligations enforceable in their favor.
XII. Grant Agreement Period
This grant agreement is in full force and effect from August 1, 2009 to April 30, 2012. No costs eligible uncer this
grant agreement shall be incurred before the starting date of this grant agreement except with prior written
approval. This grant agreement consists of two identical sets simultaneously executed, each is considered an
original having identical legal effect. This grant agreemert may be terminated by either party by giving thirty (30',
days written notice to the other party stating reasons for termination and the effective date, or upon the failure of
either party to carry out the terms of the grant agreement. Upon any such termination, the Subgrantee agrees to
return to the Subgrantor any funds not authorized for use, and the Subgrantor shall have no further obligation to
reimburse the Subgrantee.
XIII. Entire Grant Agreement
This grant agreement is governed by the laws of the State of Michigan ana supersedes all prior agreements.
documents, and representations between Subgrantor and Subgrantee, whether expressed, mplied, or oral, This
2009 Citizen Corps Grant Agreement
County of Oakland
Page 7 of 8
grant agreement constitutes the entire agreement between the parties and may not be amended except by wr:tten
instrument execute° by both parties prior to the termination date set forth in Section XI( above, No party to this
grant agreement may assign this grant agreement or any of his/her/its rights, interest, or obligations hereunder
without the prior consent of the other party. Subgrantee agrees to inform Subgrantor in writing immediately of ary
proposed changes of dates, budget, or services indicated in this grant agreement, as well as changes of address or
personne affecting this grant agreement. Changes in da;es, budget, or services are subject to prior written
approval of Subgrantor. If any provision of this grant agreement shall be deemed void or unenforceable, the
remainder of the grant agreement shail remain \laid.
The Subgrantor may suspend or terminate subgrantee funding, in whole 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 subgrant application,
• Failure to fohow 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 activities of their eubreciplents.
Before taking act on. the Subgrantor 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 Subgrantor may immediately cancel the grant without further liability to the Subgrantor or its employees if me
Subgrantee, an office, of the Subgrantee, or an owner of a 25% or greater share of the Subgrantee is convicted of
a crimina 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 conouct 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 tne Subgrantor, reflects on the
Subgrantee's business integrity.
XV. Freedom of Information Act (FOIA)
Much of the information submitted in the course of applying for funding under this program, or provided in the
course of greet management activities, may be considered iaw enforcement-sensitive or otherwise criecal 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 Freedom of Information Officer will need to determine what information is to be withheld on a
case-by-case basis, The Subgrantee should be familiar with the regulations governing Protected Critica
Infrastructure Information (6 CFR Part 29) and Sensitive Security Information (49 CFR Part 1520), as these
designations may provide additional protection to certain classes of homeland security information,
Cnt._W. Thomas Sands
Printed Name
Deputy State Director of Emergency
Management and Homeland Security
Title
2009 Citizen Corps Grant Agreement
County of Oakland
Page 8 of 8
XVI. Official Certification
For the Subgrantee. The indivrdua; 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 n this grant agreement.
County of Oakland
Name of Jurisdiction
Printed Name Title
Signature Date
For the Subgrantor (Michigan State Police — Emergency Management and Homeland Security Division)
ignature Date
OMB APPROVAL NO. 1121-0140
EXPIRES 01/31/2006
STANDARD ASSURANCES
The Applicant hereby assures and certifies compliance with all applicable Federal statutes, regulations,
policies, guidelines, and requirements, including OMB Circulars A-21, A-87, A-102, A-110, A-122, A-
133; Ex. Order 12372 (intergovernmental review of federal programs); and 28 C.F.R. pts. 66 or 70
(administrative requirements for grants and cooperative agreements). The applicant also specifically
assures and certifies that:
1. 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 establish safeguards to prohibit employees from using their positions for a purpose that
constitutes or presents the appearance of personal or organizational conflict of 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 paper or electronic records related to the financial
assistance.
4. It will comply with all lawful requirements imposed by the awarding agency, specifically including
any applicable regulations, such as 28 C.F.R. pts. 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 1966 (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-I et and the National Environmental Policy Act of 1969 (42 U.S.C. § 4321).
6. It will comply (and 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. §I0604(e)); The
Juvenile Justice and 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 governmental entity—
a) it will comply with the requirements of the Uniform Relocation Assistance and Real Property
Acquisitions Act of 1970 (42 U.S.C.§ 4601 et 5.), which govern the treatment of persons displaced as a
result of federal and federally-assisted programs; and
b) 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.
Signature Date
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 reguiatiOns cited below to determine the certification to which they are requited to
attest. Atepticants should also review the instrueteens for certification included in the regulations before completing this
form. Signature of this form orovides for compliance with certiffeatiOn requireenents under 28 CFR Part 69, New
Restrictions on Lobbying and 28 CFR Part 67. "Government-Mee Debarment and Suspension (Nonpro-curement) and
Government-Wide Requirements for Drug-Free Veorkelace (Grants)." The certifications Shall be treated as a Material
representation of fact upon which reliance %eel be placed when the Department of Justice determines to award the
covered transaction, grant, or cooperative agreement.
"I. LOBBYING
As require:re by Section 1352, Title 31 of the U.S. Cede, and
implernentee at 28 CFR Part 59. for persons entering into a
grant or ceoperatIve agreement over $100,000, as defined at
28 CFR Part 69, tie applicant certifies that=
(a) No Federal aapropriated funds nave been paid or will be
paid, by or on behalf of the undersigned. to any person for in-
fluencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in con-
nection with the making of any Federal grant, the entering into
of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal grant or
cooperative agreement;
(b) If any funds other than Federal appropriated furde nave
been paid or wil: be pod to any parser for influencing or at-
tempting to influence an officer er: employee of any agency, a
Member of Congress, or efficer or employee of Congress, or
an employee of a Member of Congress in connection w:th ties
Federal grant Or cooperative agreement, the ureersigned shall
complete and submit Standard corm - LL_. 'Disclosure of
Lobbying Activities:" in accordance with its instructiors:
(e) The undersigned shall require that the language of this cer-
tification be included ir the award documents for all stabawards
at all tiers (including subgrants, contracts under grants and
cooperative agreements, and subcontracts) and that all sub-
recipients shall certify end disclose accoreingly.
2. DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
(DIRECT RECIPIENT)
As required by Executive Order 12549, Debarment and
Suspension, and implemented at 28 CFR Part 67. for orospec-
five participants in primary covered traneactioris, as defined at
28 CFR Part 67. Section 57.E10—
A. The applicant certifies that it and its principals:
(a) Are not presently oebarred, seependeo. proposed for eerier-
rnent, declared ineligible, sentenced to a denial of '7ederal
beeetits by a State or Federal ceert, or voluntarily excluded
from covered transactions by any Federal deportment
or agency,
(b) Have not within a three-year period preceding this applica-
tion been convicted of or had a sive jedgment renderee against
them for commission of fraud or a criminal offense in connec-
tion with obtaining, attempting to obtain, or eel-louring a
public (Federal, State, or local) transaction or e.ontraet under a
public transaction: violation of Federal or State antitrust statutes
or eommiesion of embezzlement theft, forgery,
bribery. falsification or destruction of records, making false
statements, or receiving stolen property;
(c) Are not presently it:dieted for or otherwise criminally or
civilly charged by a governmental entity (eeoeral, State, or
local) with commission of any of the offenses enumerated in
paragraph (1)(b) of this certification; and
(d) Have rot within a three-year period preceding this applica-
tion had one or more public transactions (Federal, State, or
local) terminated for cause or default: and
B Where the applicant is unable to certify to any of the
statements in this certification, he or she snail attach an
explanation to this application.
3. DRUG-FREE WORKPLACE
(GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and
implemented at 28 CFR Part 57, Subpart F for grantees. as
defined at 28 CFR Part 67 Sections 67.615 and 67.620-
A, The applicant certifies that -t will or will uonenue to provide
a dreg-free workplace by.
(a) Publishing a statement notifying employees that the
unlawful manufacture, distribution, diseensing, possession. or
use of a controlled substance is prohibited in the grantee's
workplace and specifying the actions that will be taken against
employees for vloiation of such prohibition;
(6) Establishing an on-going erug-free awareness program to
inform employees about—
(1/ The dangers of drug abuse in the workplace;
(2) The grantees policy of maintaining a drug-free workperce.
(3) Any available drug counseling, rehabilitation, and employee
assistance programs; and
(4) The penalties that may be imposed upon employees for
drug abuse violations occurring in the workplace:
(e) Mak ne it a requirement that each erripeoyee ter be engaged
in the performance of the grant be given a copy of the state-
ment required by paragraph (a);
(d) Notifying the emeloyee in the statement requeee by care,
graph (a) that. as a condition of employment under the greet,
the empeeyee will-
LEW FORM 4051/5 t3-0 REPLACES OJP PORIM 4051'2. 4051+3 AND 4001+4 MICri Apr OnoLETE
(1) Abide by the terms of the statement; and –
(2) Notify the ernp:oyer in writing of his or her conviction fora
violation of a criminal drug statute occurring in the workplace
no later then five calendar days after such conviction: Check 0 if there are workp.eces on file that are not Mdentified
(e) Notifying the agency, in writing within A:0 calendar cays here_
after receiving notice under subparagraph (d)(2) from an Section 67, EH of the regulations provides that a grantee that employee or otherwise receiving actual notice of such convic-tioe is a State may elect to make one certification in each Fed era Employers of convicted employees must provice notice, including fiscal year. A copy of whicn should be included with each ap- position title, to: Department of Justice, Office of plicafion for Department of Justice funding. States and State Justice Programs, ATTN: Control Desk, 633 Indiana Avenue, agencies may elect to use OJP Form 4061/7. NW,, Washington, D.C. 20531. Notice shall include the iden-
tification rumber(s) of each affected grant; Check [L1 if the State has elected to complete OJP Form
4C61/7. (f) Taking one of the following actions, within 30 calendar
days of receiving notice under subparagraph (e)(2), with
respect to any employee who is so convicted— DRUG-FREE WORKPLACE
(GRANTEES WHO ARE INDIVIDUALS) (1) Taking appropriate personnel action against such an
employee, up to anc including termination, consistent Witt the As required by (no Drug-Free Workplace Act of 1988, anc
requirements of the Rehabilitation Act of 1973, as amended; or implemented at 28 CFR Part 67, Subpart F, for grantees, as
defined at 28 CFR Part 67; Sections 67_615 and 67.623- 2) Requiring such ernp:oyee to participate satisfactorily In a
drug abuse assistance or rehabilitation program approved for A. As a condition of the grant, I certify that I will not engage
such purposes by a Federal, State, or local health, law enforce- in the unlawful manufacture, distribution, dispensing, posses-
rnent, or other appropriate agency; sion, or use of a controlled substance in conducting cry
(g) Making a good faith effort to continue to maintain a drug- activity with the grant; and
free workplace througn implementation of paragraphs (a), (b), B. If convicted of a criminal drug offense resuling from a (c), id), (e), and (f) violation occurring during the conduct of any grant activity, I
B. The grantee may insert in the space provided below the will report the conviction, in writing, within t D calendar days
site(s) for the performance of work done in connection vsiith of the conviction, to: Department of Justice, Office of Justice
tie specific grant; Programs. ATTN: Control Desk, 533 Indiana Avenue, NW.,
Washington, D.C. 20531.
Place of Performance (Street address, city, county, state, zip
coee)
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications.
1. Grantee Name and Address:
—
2. Application Number end/or Project Name 3. Grantee IRS/Vendor Number
4 Typed Name and Title of Authorized Representative
5. Signature 6. Data
Goyarnentl,nr,ny 0--,c0-1596 - 435 0374CKiI4
EMD-053 (03-2004)
MICHIGAN STATE POLICE
!oh.. n nronrn.rt•
INIn
STATE OF MICHIGAN
AUDIT CERTIFICATION
Federal Audit Requirements
Fiscal Years Beginning After June 30, 1996
Non-Federal organizations which expend $500000 or more in Federal funds during their fiscal year are required to
have an audit performed in accordance with the Single Audit Act of 1984, as amended, and Office of Management
and Budget (OMB) Circular A-133. Subgrantees must submit a cony of their audit report th: Budget and Financial
Services Division, Michigan Department of State Police, 714 South Harrison Road, East Lansing, Michigan 48823
for each year they meet the funding threshold,
Program: 7nnn Fmeroencv Manaaement Performance Grant
CFDA Number: 97.042
Subgrantee Information
Jurisdiction Name: _
Street Address:
City, State, Zip Code: _ _
Certification for Fiscal Year Ending (mmiddiyyyy):
(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 Single Audit Act of 1984, as amended, and the OMB Circulars as revised, for the above listed program.
II 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 OMB Circulars as revised, during at least one fiscal year funds are
received for the above listed program A nruly of the audit report will be submitted to: Budget and Financia
Services Division, Michigan Department of State Police, 714 South Harrison Road, East Lansing, Michigan
48823.
_
(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 MSP-EMD Use Only
Reviewed By: Date:
Authority: Act 390, P. A of 1976. as amended
Completion: Voluntary. but ccmpletion
necessary to be considered for
assistance.
Bus ness name, t different from above
Check aporoprjate boa. L inMedualiSola prorirIoto E GOpotio L Partnersnip
1_, Limited 11m-illy co-loany. Enter t4c tax ciess 4icatzen (D,disnafAarded entity, Ccoroorat on. P=pannersh
iather {see instructicns)
Aderess inumOer, street. and apt, or suite no.
City. state, and ZIP Code
List account numoarts) here (opt ()nal)
0
a
I5 2:
to
a.9
:79r.errat
deyee
Requesters name and addruss `..c:ptiorzti)
Social security number
or
Employer Rientification number
Form VVI.9
(Rev, October 2007)
Department er TrgB54,7),,
Request for Taxpayer
Identification Number and Certification
Give form to the
requoster. Do not
send to the IRS.
Name (as shown oi yo,x income tax raurn)
Taxpayer Identification Number fTIN)
Enter your TIN in the appropriate box. Tne TIN provided must match the name given on Line 1 to avoid
backup withholding. For individuals, this is you- social security number (SSN). Fiowever, for a resident
alien, sae propnetor, or disregarded entity. see the Part I instructions on page 3. For other entitres, it -!s
your employer identification number (EIN). If you do not have a number, see How to get a TIN en page 3.
Note. If tile account is in more Man one name, see the chart on page 4 to guidelines on whose
number to enter.
Part II Certification
Under penalties of perjury. I certify Matt
1. The number shown on tills form is my correct taxpayer identification number (Or I am waiting for a number to be issued to me). and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Certification instructions. You must cross out item 2 above if you have been notified by the !RS that you are currently subject to backup
withholding because you have failed to report all interest and divider-Us on your tax return. For real estate transactions, item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement
arrangement (IRA). and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. See the instructions on page 4.
Sign Signature of
Here U.S. person 0- Date lib
General Instructions
Section references are to the Interne Revenue Code unless
otherwise noted.
Purpose of Form
A person who is required to file an information return with the
IRS must obta.n your correct taxpayer identification number (TIN)
to report, for example, income paid to you, real estate
transactons. mortgage interest you paid, acquisition or
abandonment of secured property, cancellation of debt, cr
contributions you made to an IRA.
Use Form W-9 only if you are a U.S. person (including a
resident Oen), to provide your correct TIN to the person
requesting it (the requester) and, when applicable, to:
1. Getty that the TIN you are giving is correct (or you are
waiting for a number to beissued),
2. Cern, that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S.
exempt payee. If applicable, you are also der-Hying that as a
U.S. person. your allocaole share of any partnership ricome from
a U.S. trade or busriess is not sub:ect to the withnoiding tax on
foreign partners' share of effectively connected income.
Note. If a requester gives you a form other than Form W-9 to
request your TIN, you must use the requester's form if it is
substantiary simi.ar to this Form W-9.
Definition of a U.S. person. For fede-al tax purposes, you are
considered a U.S. person if you are:
• An Individua. who is a U.S. Citizen or U.S. resident alien,
• A partnership, corporation, corroany, or assoOat or created or
organized in the United States or under the laws of the United
States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined in Regulat ons sect on
301.7701-7).
Special rules for partnerships. Partnerships that conduct a
trade or business in the United States are generely required to
pay a withrio)ding lax on any foreign partners share of ncorne
from Such business. Further, in certain cases where a Form W-9
has not been received, a partnership is required to presume that
a partner is a foreign Person, and pay the withho:d ng tax.
Therefore, you are a U.S. person that is a partner in a
oartnersnia concocting a trade or business in the United States.
provide Form W-9 to the partnership to establish your U.S.
status arid avoid withholding on your share of partnersnp
income.
The person who gives Form W-9 to the partnersnip for
purposes of establishing its U.S. status and avoiding Wthh.cichng
on Its allocable share of net income from the partnership
conCucting a trade or business in the United States Is in the
following eases'
• The U.S. owner of a disregarded entty and not the entity.
F91-r -VV-9 (Flev. 10-2007) Cat. No, 10231x
• The U.S. grantor or other owner of a grantor trust and not the
trust, and
• The U.S. trust (other than a grantor trust) and not tie
beneficiaries of the trust.
Foreign person. If you are a foreign pe:.son, do nut use Form
W-9. Instead, use tre approp!"ate Form W-8 (see Pabl'caton
515, Withho ding of Tax on Nonresident Aliens and Foreign
Entities).
Nonresident alien who becomes a resident alien. Gerieraby,
only a nonresident aiien leclividuai may use the terms of a tax
treaty to reduce or elim=nate U.S. tax on certain types of income.
However, most tax treates contain a provieion known as a
"saving clause." Exceptions specified in the saving clause may
permit an exemption from tax to continue for certain types of
income even after the payee has otherwise become a U.S.
resident alien for tax purposes.
If you are a U.S. resident aiier who is relying en an exception
contatied in the saving cause of a tax treaty to claim an
exemption from U.S. tax or certain types of income, you trust
attach a statement to Forty W-9 that specifies the following flve
Items:
1. The treaty eountry, Generaly, this must be the same treaty
under whtch you claimed exempt on from tax as a nonresident
alien,
2. The treaty article acdressing the income.
3. The article number (or location) in the tax treaty that
contains the saving cause and its exceptons.
4. The type and amount of Income that qualif:es for the
exemption from tax.
5. Sufficient facts to justify the exemption from tax under the
terms of the treaty artive.
Example. Article 20 of the U.SeCtena income tax treaty allows
an exemption from tax for scholarship income received by a
Ch:nese student temporarily present in the United States. Unaer
U.S. law, this student wil become a resident alien for tax
purposes if his or her stay In the United States exceeds 5
calendar years. However, pa'agraph 2 of the first Protocol to the
U.S.-China treaty (dated April 30.1954} allows the provisions of
Article 20 to continue to apply even after the Chinese student
becomes a resident alien of the United States. A Chinese
student who qualifies for this exception (under paragraph 2 of
the first protocol) and is re ying on this exception to claim an
exemption from tax on his or her scholarship or fellowship
income would attach to Form W-9 a statement that includes the
information described above to support that exemption.
If you are a nonresident al.en Cr a foreign entity not subject to
backup erthholding, give the requester the appropriate
completed Form W-8.
What is backup withholding? Persons maeing certain payments
to you must under certain conditioes withholc and pay to tne
IRS 28% of such payments. This is Galled "backup withholdieg."
Payments that may be subject to teaceuo wThhceding Include
Interest, tax-eaemat interest, deedends, broker and barter
exchange transactions, rents, royalties, nonempoyee pay, and
certain payments from fishing boat operators. Real estate
transactions are not subject to backup withholding.
You will not ba suNoot to backup withholding on payments
you receive if you give the requester your correct TIN, mace the
proper certifications, and report all your Taxable interest and
dividends on your tax return.
Payments you receive will be subject to backup
withholding If:
1. You do not furnish your TIN to the requester,
2. You do not certify your TN when rectuseo (see the Part II
instructions on page 3 for details),
3. The IRS ttels the relaueste;• that you furnished an incorrect
TIN,
Page 2
4. The IRS tells you that you are subject to backup
withholding because you did not report all your interest arc
divicends on your tax return (for reportabie interest and
divioends on y), or
5. You do not certify to the requester that you are not subject
to backup withholding under 4 above (for reportab a interest ano
eividenci accounts opened after 1983 only,.
Certain payees and payments are exempt from backup
withholding. See the instructions below and the separate
Instructions for the Requester of Form W-9.
Also see Special rules for partnerships an page 1.
Penalties
Failure to furnish TIN. If you fail to furnish your correct TLN to a
requester, you are subject to a pena,ty of $50 for each sucn
failure unless your failure is due to reasonable cause and not to
wilul neglect.
Civil penalty for false information with respect to
withholding. If you make a false statement with no reasonable
basis that results in no backup withholding, you are subject to a
$500 penalty.
Criminal penalty for falsifying information. Willfully fas tying
certifications or affirmations may subject you to criminal
penalties including fires and/or imprisonment.
Misuse of TINs. If the recuester discloses or uses TINs ,n
v,olation of federal law, the requester may be subject to civil arid
criMnal penalties.
Specific Instructions
Name
If you are an individual, you must generals, enter the name
shown on your income tax return. However, if you have changed
your last name, for instance, due to marriage withoet informing
the Social Security Administration of the name change, enter
your first name, the last name shown on your social security
card, and your new last name.
if the account s n joint names, list first and then zercie, the
name of the person or entity whose number you entered in Part I
of the form_
Sole proprietor, Enter your individual name as shown on your
income tax return on the "Name" Lne, You may enter your
business, trade, or "doing business as (DBA)" name on the
"Business name" line.
Limited liability company ILLC). Check the "Limited liabillty
company' box only and enter the appropriate code for the tax
classification ("D" for disregarded entity, "C" for corporatoen, "P''
for partnership) in the space provided.
For a single-member LLC (including a fore ign LOC with a
domestic owner) that is disregarcied as an entity separate from
its owner under Regulations section 301.7701-, enter the
owner's name on tre "Name" line. Enter the LLC's name on the
"Business name" fine.
For an LLC classited as a partnershiu or a corporatioo, enter
the LLC's name on the "Name" line and any business, trade, or
Df3A name on tne "Business name" Ime.
Other entities. Enter your business name as shown on required
federal tax documents on the "Name" line. This name should
maton the name shown on the charter or other iega document
creating the entity. You may finite- any business, trade, or 03,4
natne on the "Business name" line.
Note. You are requested to check the appropriate oox for your
status (!ndirduesole proprietor, corporation, etc.),
Exempt Payee
If you are exempt from backup withholding, enter your name as
described above and check the appropriate box for your status,
then check the "Exempt payee" box in the line folowino the
business name, sign and date the form,
Page 3
Generally, individuais (nceeeng so.e proprietors) are not exempt
from backup witheo!ding: Corporations are exempt from backup
withholdlng for certain payments, such as interest and dividends.
Note. If you are exempt from backup withholding, you shculd
still complete this form to avoid possible erroneous backup
withholding.
The eel:owing payees are exempt from oackup withholding:
1. An organization exempt from tax under section 501(a, any
IRA, or a custocial account uncer section 403(b)(7) if the account
satisfies the requeernents of seetion 401 (fp),
2. The Ureted States or any of it5 agencies or
instrumentalities,
3, A state, the D:strct of Columbia, a possession of tne United
States, or any of their polit cal subdivisions or instrumentalities,
4, A foreign government or any of its political subdivisions,
agencies, or instrumentalities, or
5. An international organization or any of its agencies or
instrumentalities.
Other payees that may be exempt from backup withhold:rig
include:
6. A corporation,
7. A foreign central bank of issue.
8. A dealer in secuetes or commodities required to register in
the United States. the District of Columbia. or a possession of
the United States.
9. A futures commission merchant registered with the
Commodity Futures Trading Commission,
10. A real estate investment trust,
11. An enety reg]stered at at tmes during tee tax year under
the Investment Company Act of 1945,
12. A common trust fund operated by a bane under section
584(a),
13. A financial institution.
14. A middleman known in the investment community as a
nominee or custociian. or
15. A trust exempt from tax under section 664 or described In
section 4947.
The chart below snows types ut payments tnat may be
exempt from baceup withholding. The Gnarl applies to the
exempt payees listed above, 1 through 15.
I THEN the payment is exempt
for
Interest and dividend payments All exempt payees except
fo, 9
Exempt payees 1 through 13.
Also, a person registered Under
the investment Advisers Act of
1940 who regularly acts as a
broke-
Barter exchange transactions Exempt payees 1 through 5
and patronage divide1ds
Payments over $600 rewired
to be reported arid direct
sales over S5,000'
See Form 1099-RISC., Race laneou5 income. and ft instructions.
However. the fallowing pay-^o^ts mace 'r,o a corporet.on gross
proceeds paid to an attorney under secton 6045('t, even 1 the attorney is El
corweticr) and reportable on Form 1099-M55 we not exempt from
backup withhofeingf medical and !web care payment, attorneys fees, alb
payments for services paic by a federai execkave agency.
Part I. Taxpayer Identification
Number (TIN)
Enter your TIN In the appropriate box. If you are a resicent
alien and you du not have and are not eiigiele to get an SSN,
you" TIN is your IRS individual taxpayer identification number
(ITIN). Enter it in the social security number box. If you co not
have an ITIN, see How to get a TIN below.
If you are a sole proprietor ens you have an EIN. you may
enter either your SSN or EIN. However, the IRS prefers that you
use your SSN.
If you are a single-member LeC that is disregarded as an
entity separate from its owner (see Limited liability company
(LLC) on page 2), enter the owner's SSN tor EIN, if the owner
has one). Do not enter the disregarded entity's EN. If the LLC is
classified as a corporation or partnership, enter the entity's EIN.
Note. See the chart on page 4 for further clarification of name
and TIN combinations.
How to get a TIN. If you do not have a TIN, apper for one
immediately. To apply for an SSN, get Form 59-5.. Application
for a Social Security Card, from your local Soclal Security
Admin'stration office or get this form online at wweessa.gov. You
may also get this form by calling 1-800-772-1213. Use Form
W-7, Application for IRS Inolvidual Taxpayer Identifieation
Number, to apply for an !TIN, or Form SS-4. Application for
Employer Identification Number, to apply for an EIN. You can
appiy for an EIN online by accessing the IRS website at
wwwirs.govlbusinesses anC clicking on Employer Identificatior.
Number (EN) under Starting a Bustness. You can get Forms W-7
and SS-4 from the IRS by visiting www.irs_gov or by calling
1-800-TAX-FORM (1-800-829-3676).
If you are asked to complete Form W-9 but do not have a T1N.
write "Applied For" in the space for the TIN, sign and date the
form, and give it to the requester. For Interest and divieend
payments, and certain payments made wite respect to readily
tradable instruments, generality you will have 60 says to get a
TIN arid give it to the requester before you are subject to backup
wehnolciing on payments. The 60-day rule does riot apply to
other types of payments. You will be subject to backup
withho:ding on all such payments untii you provide your TIN to
the requester.
Note. Entering "APplied For" means that you have already
applied for a TIN or that wee intend to apply for one soon.
Caution: A disregarded domestic entity that has a foreign owner
must use the ap,orobriate Form W-8.
Part II. Certification
To establish to the withhoiding agent that you are a U.S. person,
or resident alien. sign Form W--9. You may be requested to sign
by the withholding agent even if items 1, 4, and 5 be'ow incicete
otherwise.
For a joint account, only the person whose TIN ie shown in
Part I should sign (when requ red). Exempt payees, see Exempt
Payee on page 2.
Signature requirements. Complete tre certification as indicatee
in 1 through 5 below.
1. Interest, dividend, and barter exchange accounts
opened before 1984 and broker accounts considered active
during 1983. You must give your correct TIN, out you do not
have to sign the certification.
2. Interest dividend, broker, and barter exchange
accounts opened after 1983 and broker accounts considered
inactive during 1983. You must sign the certification or backup
withholding will apply. If you are subject to backup withhold.ng
and you are merely providing your correct TIN to the requester,
you must cross out item 2 in the certification before swing the
form.
IF the payment is for.
Broker transactions
Generally, exempt payees
1 (Tough 7
Give name arid SSN ot
The individcal
The actual owner of the account or,
if combined funds, the first
individual on the aCcoun1.
The minor m
graritcr-austee
The anua owner
The owner
Give name and EN of:
The ow-or
Legal entity
The corporation
The OrDon:Zaton
The partnerstrP
The broker or nominee
The pubic entity
3. Real estate transactions. You must s:gn the certifIcat on,
You may cross out Item 2 of the certification_
4. Other payments. You must give your correct TIN, but you
do not have to sign the certification unless you have been
notified that you have previously given an incorrect TIN. "Other
payments" "noluce payments made in the course of tr'e
requester's trace Or bust-less for rents, royalties, woos (other
than bills for meronanchse), medical and health care services
(including payments to corpora:ions), payments to a
nonernployee for services, payments to certain fishirg boat crew
members and fishermen, and gross proceeds paid to attorneys
(inc udlng payments to corporations).
5. Mortgage interest paid by you, acquisition or
abandonment of secured property, cancellation of debt,
qualified tuition program payments (under section 529), IRA.
Coyerdell ESA, Archer MSA or HSA contributions or
distributions, and pension distributions. You must give your
correct TIN, but you do not have to sign the certification.
What Name and Number To Give the Requester
For this type of account
1. Ineividual
2 Two or more individua s (joint
OCCOUnt.)
3 Custodian account of a minor
(Jnifcfrn aft to Minors Act)
4. a. Thu usual revocable savings
trust (grantor is also trustee)
b. So-caled trust account that is
not a legal or voile trust under
State law
5. Sole proOnetotsh,p or disregarded
entity owned by an individua
For this type of aonount
6. Disregarded entity rot owned by an
irdivtdual
7. A valid trust., estate. or persion trust
B. Corporate oi• LLC e.ect
corporate status on Form 9832
9. Association, dub reiigioua,
charitable. educationai, or other
tax-exempt orgartzat on
10. Partriersn p or mJiti -member LLC
1. A brolcer or regstered norniitee
12. Account w-th the Department of
Agriculture in the name of a PuOilc
entity (such as a state Or inza
government, Settdd district, or
prison) that receives agricuitaroi
program Payments
'List first end circle the name of lire person whose number you furnish 11 or.y one person
on a .141A aC•Cotall has 5r S5N, the% uteson's norrtier Must be lerrrshed.
C4100 Oa nehor's name end turnien its -Wnor's 85N.
You Meal show your Individual name erel yOu may niso ante, yotr Ou5,1105,5 or "Diarii'
name ix', the SOCOnd name line, Yot may t.se wirer your 55r1 or EiN ft you have Mal. Oil trio ik3 er;ourages you ID rise yaiii
..tst 'irs' and eirde the rain D ." the trust. Of nension trust (Do not turnish the To% of the nersphal feeresernove t.USLOC unless Iris ego. entity itsts' i5 101 CIUSVIaled the account tt'e.} Nee see Spec& PADS .67' ofirtrvrOlus up page 1.
Note. lf rio r.arne is circled when more than one name is listed,
the number w.li be considered to oe that of the first name listed.
Page 4
Secure Your Tax Records from Identity Theft
Identity theft occurs when someone uses your personal
informatiol such as your name, social security number (SSN), or
other identifying information, witnout your permission, to commit
fraLIO or other crimes. An identity thief may use your SSN to get
a job or may He a tax return using your SSN to receive a refund.
To reduce your risk!
• Protect your SSN,
• Ensure your emboyer is proteang your SSN, and
• Be careful when choosing a tax preparen
Call the IRS at 1-HO-829-1040 if you think your icentity has
been used inauproprately for tax purposes.
Victims of identity theft wno are experiencing economic harm
or a system problem, or are seekrng help ir resolving t-ax
problems that have not been resolved through normal channels,
may be eligible for Taxpayer Advocate Service (TAS) assistance.
You can reach TAS by calling the TAS tot -free case intake The
at 1 -877-777-4778 or ITY/TDD 1-8130-829-4058.
Protect yourself from suspicious emails or phishing
schemes. Phishing is the creation tine use of email and
websites designed to mimic iegitimate business emails anc
websites. The most common act is senoing an email to a user
fa'sely claiming to be an established legitimate enterprise :n an
attempt to scam the user into surrendering pnvate information
that will be used far identity theft.
The IRS does not initiate contacts with taxpayers via emails.
Also, the IRS does not request personal Cetaied information
through emai, or ask taxpayers for the PIN numbers : passworos,
Or similar secret access information for the credt card, bank, or
other financial accounts.
If you receive an unsolicited email claming to be from the IRS,
forward this message to phishongOrs.gcv. You may as' report
misuse of the IRS name, logo, or other IRS persona property to
the Treasury Inspector General for Tax Administration at
1-800-366-4484. Yoa can forward suspicious entails to the
Federal Trade Commission at: sparn@uce.gov or contact them at
www.consomertgov/kitheft or 1-877-IDTHEFT(438-4038).
Visit the IRS website at wwwirs.goP to learn more about
identity theft and how to reduce your risk.
Privacy Act Notice
Sect on 6109 of the Internal Rever.ie Code reouires you to prov4e your correct TIN to nersons who mast file Iinformation returns with the iRS to ropon interest.
dividends, and certain other ircomor Paid to you, mortgage interest you Dad, the acquisition Of abandOnm poentsesof saonodurteodnpre ipooveertriyN, onaenco !ation of debt, Or
contributors you mace to an IRA, or Archer MSA or hiSA, The IRS uses the numbers tor identifiCation Du accuracy ol your tar return,
The IRS may aso provide this information to re Departmet of Justice for civil and or mine lit gat on, and to cities, states the De.riet o Co1u7vD4a., and Li.S.
possessions to carry out their tax laws. We may a,so disclose this information to other countries under a tax treaty. to federal anc state ager.6es to enforce tedara
nortax erminel laws, or to fedora low erforcement and intelligence agencies to combat terrorism.
Yoe must provide your TIN whether or not you are recu'red to fie a tax return. Payers must generaliy w,thhold 29% of taxable interest. div dent, and certa n other
payments to a payee who does rot give a TIN to a payer. Certain penalies may also apply.
September 1, 2G10
FISCAL NOTE (11SC . #10211)
BY: FINANCE COMMITTEE, TOM MIDDLETON, CHAIRPERSON
IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES - HOMELAND SECURITY DIVISION -
ACCEPTANCE FOR 2009 MICHIGAN CITIZEN CORPS PROGRAM GRANT - OAKLAND COUNTY
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
Pursuant to Rule XII-C of this Board. the Finance Committee has reviewed the above-referenced
resolution and finds:
1. The State of Michigan has awarded Oakland County grant funding in an amount up to. but
not exceeding $27.175 as reimbursement for quaMiecl expenses related to the Michigan
Citizen Corps Program.
2. The grant funds cover the period of August 2009 through April 30. 2012.
3 The grant award is an increase of $15,854 over the prior year grant award of $11,321,
4. The funds wil be used to establish Citizen Corps Councils to support the oversight and
outreach functions of the councils and to expand CERT training essential for developing the
Cit zen Corps.
5. The Michigan Department of State Police Emergency Management Division will serve as the
administrating agency for this grant.
6. The FY 2010 Budget is amended as follows to reflect the grant award:
Fund 29330 GR0000000513
Revenues
1060601-115096-610313
FY 2010
Federal Operating Grants $27,175
Expenditures
1060631-115096-750154 Expendable Equip. $27,175
$ 0
CE COl
1-
1-1110
Finance Committee Vote:
Mot:_ton carried unanimously on a roll ;all vote
Resolution #10211 September 1, 2010
Moved by Nash supported by Gosselin the resolutions (with fiscal notes attached) on the Consent
Agenda be adopted.
AYES: Burns, Coulter, Douglas, Gershenson, Gingell, Gosselin, Greimel, Hatchett, Jackson,
Jacobsen, Long, McGillivray. Middleton, Nash, Potts, Runestad, Schwartz, Scott, Taub,
Woodward, Zack, Bullard. (22)
NAYS: None. (0)
A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the Consent
Agenda were adopted.
I WEN A ") E TjjafiEGOING RESOLUTION
(91/
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
1, Ruth Johnson, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true
and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on
September 1, 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 1st day of September, 2010.
eat
Ruth Johnson, County Clerk