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HomeMy WebLinkAboutResolutions - 2011.06.09 - 18595MISCELLANEOUS RESOLUTION #11115 June 9, 2011 By: General Government Committee, Christine Long, Chairperson IN RE: HEALTH AND HUMAN SERVICES — HOMELAND SECURITY DIVISION - AGREEMENT/ACCEPTANCE FOR PRE DISASTER MITIGATION PLAN TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Chairperson, Ladies and Gentlemen: WHEREAS the Robert T. Stafford Disaster Relief and Emergency Assistance Hazard Mitigation Grant Program administered by the Federal Emergency Management Agency provides grants to implement long-term hazard mitigation measures before and after a disaster; and WHEREAS to remain eligible to receive mitigation monies, Oakland County is required to prepare a Hazard Mitigation Plan for the County and all communities in the County; and WHEREAS a Hazard Mitigation Plan is a tool for reducing the risks from natural and manmade hazards and for providing a guide to commit resources that will reduce the effects of the hazards; and WHEREAS a local Hazard Mitigation Plan is created and adopted by the community and describes the ways that the community will be protected from the hazards that may affect it; and WHEREAS the Michigan Department of State Police Emergency Management and Homeland Security Division will serve as the administrating agency for this grant. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners accepts the grant funding from the State of Michigan in an amount up to $177,389.20 including an in kind match of $45,164.20. 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. GENERAL GOVERNMENT COMMITTEE GENERAL GOVERNMENT COMMITTEE Motion carried unanimously on a roll call vote with Hatchett and Nash absent. GRANT REVIEW SIGN OFF — Homeland Security Division GRANT NAME: FY 2010 Pre Disaster Mitigation Program (PDM) FUNDING AGENCY: Michigan Department of State Police, Emergency Management and Homeland Security Division DEPARTMENT CONTACT PERSON: Sara Stoddard 8-5080 STATUS: Grant Acceptance DATE: May 17, 2011 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 (5/11/2011) Department of Human Resources: Approved. Karen Jones (5/11/2011) Risk Management and Safety: Approved by Risk Management. — Andrea Plotkowski (5/1612011) Corporation Counsel: After reviewing the above-referenced grant agreement, I found no legal issues that must be resolved before the grant agreement is executed. Please let me know if you have any questions. — Jody S. Hall (5/13/2011) COMPLIANCE The grant agreement references an extensive nornber of federal and state regulations. Please refer to the document for specifically cited compliance requirements for this grant Gala Pik From: Sent: To: Cc: Subject: Approved. VanPelt, Laurie <vanpeltl@oakgov.com > Wednesday, May 11, 2011 1:45 PM 'Piir, Gala': 'Davis, Patricia': 'Jones, Karen': 'Secontine, Julie' 'Stoddard, Sara': 'Ted Quisenberry'; 'Pisacreta, Antonio' RE: Grant Review: Homeland Security Division - FY 2010 Pre Disaster Mitigation Program (PDM) - Grant Acceptance From: Piir, Gala [mailto:piirg@oakgov.corn] Sent: Wednesday, May 11, 2011 11:59 AM To: 'Davis, Patricia'; Jones, Karen; 'Secontine, Julie'; 'VanPelt, Laurie' Cc: Stoddard, Sara; Ted Quisenberryr; 'Pisacreta, Antonio' Subject: Grant Review: Homeland Security Division - FY 2010 Pre Disaster Mitigation Program (PDM) - Grant Acceptance Please Note: The application for this award completed review in December 2009. The application required modifications after submission. The updated application is also attached for reference. GRANT REVIEW FORM TO: REVIEW DEPARTMENTS — Laurie Van Pelt — Karen Jones —Julie Secontine — Pat Davis RE: GRANT CONTRACT REVIEW RESPONSE — Health & Human Services, Homeland Security Division FY 2010 Pre Disaster Mitigation Program (PDM) Grant Michigan Department of State Police, Emergency Management and Homeland Security Division 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: May 16, 2011 GRANT INFORMATION Date: May 11, 2011 Operating Department: Homeland Security Department Contact: Sara Stoddard Contact Rhone: 248-858-5080 Document Identification Number: CFDA Number: 97.047 REVIEW STATUS: Acceptance — Resolution Required Funding Period: March 18, 2011 through February 28, 2014 New Facility! Additional Office Space Needs: None IT Resources (New Computer Hardware / Software Needs or Purchases): None MWDBE Requirements: Yes, Compliance with OMB Circular A-102 Funding Continuation/New: New Application Total Project Amount: $177,389 Gaia Piir From: Sent: To: Cc: Subject: Plotkowski, Andrea <plotkowskia@oakgov.com > Monday, May 16, 2011 2:54 PM 'Piir, Gala' Tern Easterling; Sandy Johnson RE: Grant Review: Homeland Security Division - FY 2010 Pre Disaster Mitigation Program (PDM) - Grant Acceptance, RM11-0108 (RM09-0398) Approved by Risk Management. Andrea Plotkowski Andrea Plotkowski, CIC Insurance & Safety Coordinator Oakland County - Risk Management & Safety Phone: 248-858-1694 Fax: 248-452-9796 Email: plotkowskiA(aoakgov.com Hours: Monday - Thursday: 7:00 a.m. to 5:30 p.m. From: Piir, Gala [mailto:piirg©oakgov.com] Sent: Wednesday, May 11, 2011 11:59 AM To: 'Davis, Patricia`; Jones, Karen; 'Secontine, Julie', 'VanPelt, Laurie' Cc: Stoddard, Sara; Ted Quisenberry'; Pisacreta, Antonio' Subject: Grant Review: Homeland Security Division - FY 2010 Pre Disaster Mitigation Program (PDM) - Grant Acceptance Please Note: The application for this award completed review in December 2009. The application required modifications after submission. The updated application is also attached for reference. GRANT REVIEW FORM Nem..1=011011180ammezal TO: REVIEW DEPARTMENTS — Laurie Van Pelt — Karen Jones —Julie Secontine — Pat Davis RE: GRANT CONTRACT REVIEW RESPONSE — Health & Human Services, Homeland Security Division FY 2010 Pre Disaster Mitigation Program (PDM) Grant Michigan Department of State Police, Emergency Management and Homeland Security Division 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: May 16, 2011 GRANT INFORMATION Date: May 11, 2011 Operating Department: Homeland Security Department Contact: Sara Stoddard Contact Phone: 248-858-5080 Document Identification Number: CFDA Number: 97.047 1 Gala Plir From: Sent: To: Cc: Subject: Approved Jones, Karen <jonesk@oakgov.com > Wednesday, May 11, 2011 1:12 PM 'Piir, Gaia'; 'Davis, Patricia'; 'Secontine, Julie'; 'VanPelt, Laurie' 'Stoddard, Sara'; 'Ted Quisenberry'; 'Pisacreta, Antonio' RE: Grant Review: Homeland Security Division - FY 2010 Pre Disaster Mitigation Program (PDM) - Grant Acceptance -----Original Message---- From: Piir, Gaia [mailto:piirg©oakgov.corn] Sent: Wednesday, May 11, 2011 11:59 AM To: 'Davis, Patricia'; Jones, Karen; 'Secontine, Julie`; VanPelt, Laurie' Cc: Stoddard, Sara; Ted Quisenberry'; Tisaa -eta, Antonio' Subject: Grant Review: Homeland Security Division - FY.2010 Pre Disaster Mitigation Program (PDM) - Grant Acceptance Please Note: The application for this award completed review in December 2009. The application required modifications after submission. The- -Updated application is also attached for reference. GRANT REVIEW FORM TO: REVIEW DEPARTMENTS — Laurie Van Pelt — Karen Jones —Julie Secontine — Pat Davis RE: GRANT CONTRACT REVIEW RESPONSE — Health & Human Services, Homeland Security Division FY 2010 Pre Disaster Mitigation Program (PDM) Grant Michigan Department of State Police, Emergency Management and Homeland Security Division 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: May 16, 2011 GRANT INFORMATION Date: May 11, 2011 Operating Department: Homeland Security Department Contact: Sara Stoddard Contact Phone: 248-858-5080 Document Identification Number: CFDA Number: 97.047 REVIEW STATUS: Acceptance — Resolution Required Funding Period: March 18, 2011 through February 28, 2014 New Facility / Additional Office Space Needs: None IT Resources (New Computer Hardware / Software Needs or Purchases): None MWDBE Requirements: Yes, Compliance with OMB Circular A-102 Gaia Pir From: Sent: To: Cc: Subject: Hall, Jody <halljs@oakgov.com > Friday, May 13, 2011 10:50 AM 'Piir, Gaia'; `VanPelt, Laurie': 'Secontine, Julie '; Jones, Karen Quisenberry, Theodore H.; Stoddard, Sara; 'Lewis, Brandon': 'Pisacreta, Antonio' Grant Review: 2010 Pre-Disaster Mitigation Grant Program--Grant Agreement Good Morning All- After reviewing the above-referenced grant agreement, I found no legal issues that must be resolved before the grant agreement is executed. Please let me know if you have any questions. Jody © Jody S.Hall, Assistant Corporation Counsel Department of Corporation Counsel 1200 N. Telegraph Road, Bldg. 14 East Courthouse West Wing Extension, 3rd Floor Pontiac, MI 48341 Phone Number: (248) 858-0555 Fax Number: (248) 858-1003 E-mail: hallisoakqov.com PRIVILEGED AND CONFIDENTIAL — ArfORNEY_CLIENT COMMUNICATION This e-mail is intended only for those persons to whom it is specifically addressed. It is confidential and is protected by the attorney- client privilege and work product doctrine. This privilege belongs to the County of Oakland, and individual addressees are not authorized to waive or modify this privilege in anyway. Individuals are advised that any dissemination, reproduction or unauthorized review of this information by persons other than those listed above may constitute a waiver of this privilege and is therefore prohibited. If you have received this message in error, please notify the sender immediately. If you have any questions, please contact the Department of Corporation Counsel at (248) 858-0550. Thank you for your cooperation. State of Michigan FY 2010 Pre-Disc,ster Mitigation Cr-,nt Prcjram Grant Agreement March 18, 2011 — February 28, 2014 CFDA Number: 97.047 Grant Number: PDMC-PL-05-M1-2010-003 This Fiscal Year 2010 (FY 2010) Pre-Disaster Mitigation (PDM) Grant Program grant agreement is hereby entered into between the Michigan Department of State Police, Emergency Management and Homeland Security Division (hereinafter called the Subgrantor), and Oakland County (hereinafter called the Subgrantee) I. Purpose The purpose of this grant agreement is to assist the Subgrantee in the implementation of PDMC-PL-05-MI-2010- 003 (hereinafter called the Project) -- a project to provide supplementary financial assistance for the implementation of cost-effective hazard mitigation measures that will permanently reduce or eliminate the long-term risk to human life and property from natural, technological, or human-caused disasters and their effects. PDIV1 Grant Program funding is awarded by the Federal Emergency Management Agency (FEMA) and is administered by the Subgrantor. II. Objectives The principal objective of this Grant Agreement is to provide financial assistance to Subgrantee, The Subgrantee must complete the approved measures detailed in the attached FY 2010 PDM Grant Program formal application submitted by Subgrantee via the federal eGrants web-based application system, and summarized as follows: This project is to complete the update of the Oakland County Hazard Mitigation Plan, The outcome of this proposed mitigation activity will be an updated, FEMA approved, locally adopted, multi-jurisdictional local hazard mitigation plan that meets the requirements of the Disaster Mitigation Act of 2000. The Plan update shall document that it has been formally adopted by the Board of Commissioners. Also, each jurisdiction will be required to adopt the updated plan. The plan will identify all participating jurisdictions and will document an open public involvement process during the draft and prior to plan approval to include neighboring communities, local and regional agencies. It will also document how it was prepared, who and how they were involved. The scope of work will include a thorough review of the previous plan, incorporation of updates; include new hazard/risk/vulnerability identification and assessment, goal development, identification and implementation of mitigation actions, monitoring, and evaluation. Submission of the updated plan will be sent to the State and FEMA prior to adoption by the communities. Each plan section (hazard, risk, and vulnerability assessments, goals/objectives, and projects) will be reviewed and any new or additions will be included, Oakland County Local Emergency Planning Committee will again serve as the advisory committee to update the Oakland County FIMP. it is made up of representatives of community/human services, education, local government, health, hospital, fire, law enforcement, labor, transportation, private business/facilities, etc. However, each community will be interviewed to review and update their sections relating to hazards that affect them and mitigation strategies specific to each. No changes to the approved scope of work (approved measures) can be implemented without prior FEMA approval. Requests for changes to the scope of work must be made to FEMA through Subgrantor and supported by adequate justification in order to be processed. All expenses, including local match, must be appropriately documented and reasonable to be eligible for reimbursement. Expenses that are not related to the approved scope of work and budget are not eligible for reimbursement under the provisions of this grant agreement. Line items in the approved cost estimate (from the attached FY 2010 PDM Grant Program application) may not fluctuate by more than 10% without prior approval from FEMA. $132,225.00 $177,389.20 $132,225.00 $45,154.20 FY 2010 PDM Grant Program Oakland County (PDMC-PL-05-MI-2010-003) Page 2 of 8 III. Statutory Authority Funding for the FY 2010 PEW Grant Program is authorized by Section 203 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 United States Code [U.S.C.] § 5133), The Subgrantee agrees to comply with all PDM Grant Program requirements in accordance with the Hazard Mitigation Assistance (HMA) FY 2010 Unified Guidance, located at: http://www,fema.govilibrary/viewRecord.do?id=3309, 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 http://eCFR.gpoaccess.gov/cgi/t/text/text- idx?c=ecfr&tp1=/ecfrbrowse/Title44/44cfr13_main_02.tpl 5. 2 CFR, 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 http://ecfr.gpoaccess.gov/cgi/titext/text- idx?c=ecfr&sid=5f90b818356757091bb65ea93f163c6a&tpl4ecfrbrowse/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 htto://ecfr.gpoaccess.gov/cgiNtext/text- idx?c=ecfr&tp1=/ecfrbrowse/Title02/2cfr225_main_02.tpl 2. 2 CFR, Part 220, Cost Principals for Educational Institutions (OMB Circular A-21), located at http://ecfr.gpoa00ess.gov/cgi/t/textftext-idx?c=--ectr&rgn=div58(view=text&node=2:1.1.2.3.4&idno=2 3. 2 CFR, Part 230, Cost Principals for Non-Profit Organizations (OMB Circular A-122), located at http://ecfr.gpoaccess.gov/cgVt/textitext-idx?c=ecfr&tp1=/eofrbrowserritle02/2cfr230_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/htrnI/Subpart%2031_2.htmlittwo 095552 C. Audit Requirements 1. OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations, located at http://www.whitehouse.goviomb/circulars/al 33/al 33.html IV. PPM Grant Program Award Amount and Restrictions FEMA has approved a federal share for this project in the amount of: Total estimated cost of this mitigation project is Total FY 2010 PDM Grant Program contribution is Total nonfederal contribution is The Subgrantee shall provide at least 25 percent matching funds from nonfederal sources. Approval of in-kind match is at the sale discretion of the Subgrantor; the Subgrantor reserves the right to deny or adjust in-kind match, if necessary, (Community Development Block Grant funds, though federal in origin, lose their federal identity and are an acceptable matching source.) Federal assistance is made available within the limits of funds available from Congressional appropriations for such purposes in accordance with the Stafford Act, Executive Orders 12148 and 12673, appropriate regulations found in Title 44 of the Code of Federal Regulations (CFR), as amended and currently applicable handbooks. Federal funds provided under the Stafford Act for the Pre-Disaster Mitigation Grant are limited to a maximum of 75 percent of the total eligible costs. If there is a cost under-run for the project, final reimbursement for the federal share of the. project costs will be adjusted based on actual costs of the project. Subgrantee shall provide the required nonfederal matching funds. FY 2010 PDM Grant Program Oakland County (PDMC-PL-05-MI-2010-003) Page 3 of 8 In accordance with Hazard Mitigation Assistance (HMA) FY 2010 Unified Guidance, adjustments may be made among cost line items in the approved budget (from eGrants application) up to a cumulative threshold of 10% of the total budget without seeking formal approval from FEMA. Adjustments exceeding this threshold must be approved in advance by FEMA. Requests for a budget revision must be made to FEMA through Subgrantor and supported by adequate justification in order to be processed. The federal share will not be increased. ANY COSTS INCURRED PRIOR TO THE ISSUANCE OF THE FY10 HAZARD MITIGATION ASSISTANCE PROGRAM GUIDANCE ARE NOT ALLOWABLE COSTS FOR THE GRANT. ELIGIBLE COSTS INCURRED PRIOR TO THE AWARD BUT AFTER THE ISSUANCE OF THE GUIDANCE, ARE ALLOWABLE IF IDENTIFIED AS SEPARATE (PRE-AWARD) LINE ITEMS IN THE APPLICATION COST ESTIMATE AND APPROVED BY FEMA. V. Responsibilities of the Subgrantee FY 2010 PLY.': Grant Program 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. Potential supplanting will be carefully reviewed in the application review, in subsequent monitoring, and in the audit. The Subgrantee may be 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 comply with all applicable federal and state regulations, including, but not limited to, the following: E. In addition to this FY 2010 PDM Grant Program 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 2010 PDM Grant Program covers eligible costs from June 1, 2009 until February 28, 2014. Allowable costs are only those specifically detailed in the attached FY 2010 PDM Grant Program formal application submitted by the Subgrantee. For costs incurred between June 1, 2009 and March 18, 2011, Only those that are specifically identified in the grant application as "pre-award" costs are eligible for reimbursement. C. Make all purchases in accordance with federal and state grant guidance and local purchasing policies. D. Implement the project in conformance with 44 CFR, Part 80, Property Acquisition and Relocation for Open Space, located at http://eckgpoaccess.govicgieJtext/text- idxeceecfreisidea0869d2d9ecc4b82aa147a655103d1b4&rgn=div58gview=texteinode=44:1,0.1.2.46eedno=44. E. The Subgrantee shall maintain good standing with the National Flood Insurance Program (NFIP) and comply with local regulations pertaining to the NFIP. If the Subgrantee fails to maintain good standing In the NFIP and to enforce NFIP requirements for all development in identified flood hazard areas, the Subgrantee shall repay to Subgrantor FY 2010 PDM Grant Program funds related to the Project. F, The Subgrantee shall comply with all applicable codes, standards, and permitting requirements that pertain to this project and shall provide maintenance, as appropriate and required, for the life of the Project. G. The Subgrantee agrees to prepare the Request for Reimbursement of Mitigation Project Expenses Form and all required attached documentation, including all required authorized signatures, and submit these to Subgrantor, FY 2010 PDM Grant Program Oakland County (PDMC-PL-05-MI-2010-003) Page 4 of 8 H. Submit quarterly progress reports to the Subgrantor on the status of all approved projects. The due dates for quarterly progress reports are detailed in Section VII of this agreement, Comply with applicable financial and administrative requirements set forth in the current edition of 44 CFR, Part 13, including, but not limited to, the following provisions: 5. Account for receipts and expenditures, maintain adequate financial records, and refund expenditures disallowed by federal or state audit, 6. Retain all financial records, statistical records, supporting documents, and other materials pertinent to the FY 2010 PDM Grant Program for at least three years after the grant is closed by the awarding Federal Agency, for purposes of federal and/or state examination and audit 7. 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 further described in 44 CFR, Part 13, J. Environmental and Historic Preservatiou 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 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 snail 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 be eligible for federal funding. All necessary permits must be obtained for the project and are the responsibility of the Subgrantee. The project must be implemented in conformance with 44 CFR, Part 9, Floodplain Management and Protection of Wetlands, 44 CFR, Part 10 Environmental Considerations, and the environmental conditions that have been identified through the National Environmental Policy Act review, These conditions can be found in one or more of the following FEMA documents: • Record of Environmental Consideration • Categorical Exclusion ("CATEX") Letter/Memo • Environmental Assessment • Finding of No Significant Impact Vt. Responsibilities of Subgrantor The Subgrantor, in accordance with the general purposes and objectives of this grant agreement, will: A. Administer the FY 2010 PDM Grant Program in accordance with all applicable federal and state regulations and guidelines and provide quarterly reports documenting this administration. E. Provide direction and technical assistance to the Subgrantee, F. Provide to the Subgrantee any special report forms and reporting formats (templates) required for operation of the program. G. Reimburse the Subgrantee, in accordance with this grant agreement, based on appropriate documentation submitted by the Subgrantee. E. independently, or in conjunction with OHS, may conduct random on-site reviews with Subgrantee(s), Reporting Procedures Submit quarterly progress reports to the Supgrantor on the status of all funding using the Pre-Disaster Mitigation Grant Program Quarterly Progress Report Form (EMD-16). Quarterly progress reports are required whether or not expenditures are incurred. FY 2010 PDM Grant Program Oakland County (POMC-PL-05-Ml-2010-003) Page 5 of 8 Failure by the Subgrantee to fulfill 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 follows: January 1 through March 31; Due April 15 April 1 through June 30; Due July 15 July 1 through September 30; Due October 15 October 1 through December 31; Due January 15 Quarterly progress reports are to be submitted by the 15th of the month following the end of each quarter. Quarterly progress reports should be mailed to the Michigan State Police, Emergency Management and Homeland Security Division, 4000 Collins Road. Lansing MI 48910, unless the Subgrantee is otherwise notified by the Subgrantor. VIII, Payment Procedures The Subgrantee agrees to prepare the Request for Reimbursement of Mitigation Project Expenses Form and all required attached documentation, including all required authorized signatures, and submit these to Subgrantor. Subgrantor's timely receipt and verification of all required documentation is a condition of payment. Subgraritor may pursue all available remedies for the recoupmert of any advance payments that have been inadequately documented or determined by Subgrantor to have been improperly made or expended for any reason. Subject to the exercise of Subgrantor's sole discretion, three types of payments may be made to the Subgrantee for this Project: E. if the Subgrantee provides Subgrantor with a letter indicating the amount of reimbursement requested along with completed reimbursement request forms, as well as supporting documentation demonstrating the total expenditures to date for eligible Project activities, the Subgrantee may, at Subgrantor's sole discretion, receive reimbursement of eligible expenditures of up to 75% of the federal share of the grant. Subgrantor will review the expenditures and make payment of no more than 75% of total eligible expenditures to date. Prior to Project completion, Subgrantor will pay to the Subgranteo no more than a total (including all advance and reimbursement payments) of 75% of the federal share of the grant. F. Upon the Subgrantee as completion of the Project, Subgrantor will inspect the Project and review all expenditures for eligibility prior to making final payment to the Subgrantee. To receive final payment, the Subgrantee shall provide the Subgrantor with a letter indicating the project is complete. Along with the letter, provide completed reimbursement request forms that include the total expenditures for the project, and separate documentation supporting each total expenditure. G. In rare circumstances only, if the Subgrantee provides Subgrantor with a letter outlining the immediate need for an advance payment and the amount of the requested advance, the Subgrantee may, at Subgrantor's sole discretion, receive an initial advance payment of up to 50% of the federal share of the grant. Pursuant to federal regulations, the Subgrantee shall minimize the time between the receipt of advance funds and disbursement of those funds for eligible expenditures. Any interest is earned over $100 must promptly, but at least quarterly, be remitted to: MSP/EMHSD, Financial Section, 4000 Collins Road, Lansing, MI 48910, The Subgrantee may keep interest amounts up to $100 per year for administrative expenses. H. NO PAYMENT WILL BE MADE UNLESS ALL QUARTERLY REPORTS HAVE BEEN SUBMITTED AND ARE UP TO DATE. FY 2010 PDM Grant Program Oakland County (PDMC-Pt-05-MI-2010-003) Page 6 of 8 IX. Employment Matters Subigrantee 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 with 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 employment; 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 individual's 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 Subgrentee shalt ensure that no subcontractor, manufacturer, or supplier of Subgrantee on this Project appears in the 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, MCL 423.321 et seq. (State Contractors with Certain Employers Prohibited Act), or on the Federal Excluded Party List System, located at www.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 judgmente, 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 grant agreement, a third party beneficiary hereof or to confer on a third party any rights or obligations enforceable in their favor. XII. Grant Agreement Period This grant agreement is in full force and effect from March 18, 2011 to February 28, 2014. No costs eligible under this grant agreement shall be incurred before the starting date of this grant agreement, except for those costs specifically identified in the grant application as eligible "pre-award" costs, This grant agreement consists 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 (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 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 both 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 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 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 Subgrantor. If any provision of this grant agreement shall be deemed void or unenforceable, the remainder of the grant agreement shall remain valid, FY 2010 PDM Grant Program Oakland County (PDMC-PL-05-MI-2010 -003) Page 7 of 8 The Subgrantor may suspend or terminate subgrant 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 follow 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 subrecipients. Before taking action, 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 the Subgrantee, 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 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 grant management activities, may be considered law enforcement-sensitive or otherwise critical to national security interests. This may include threat, risk, and needs assessment information; arid 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 Critical 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. Signature Date Capt. W. Thomas Sands Printed Name Deputy State Director of Emergency Management and Homeland Security Title / Date FY 2010 PDM Grant Program Oakland County (PDMC-PL-05-MI-2010-003) Page 8 of 8 XVI. Official Certification For the Suborantee 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. Oakland County Name of Jurisdiction Printed Name Title For the Subgrantor (Michigan State Police, Emergency Management and Homeland Security Division) §UBGRANTEE CHECKLIST F'ir 201 Cr PRE DISASTER MITIGATION PROGRAM (r M) GRANT AGREEMENT CFDA No: 97.047 Submit the following items as necessary to: ATTN: Matt Schnepp, Michigan State Police, 4000 Collins Road, Lansing, Michigan 48910 SUS-GRANTEE WILL NOT BE REI URSED FOR FUND UNTIL ALL REQUIRED SIGNED DOCUMENTS ARE RECEIVE 0 1. Grant Agreement (NOTE: There are two (2) sets of the Agreement enclosed. Please sign both, but retain one signed document for your records and return the other signed document to us.) E 2, Summary Sheet for Assurances and Certifications II 3. Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; and Drug-Free Workplace Requirement 4. State of Michigan Audit Certification Form (EMD-053) 5. Request for Taxpayer Identification Number and Certification (W-9) OS 7 REIM CURSEMENT REQUIREMoNTS Participate with Subgrantor in an on-site monitoring of financial documents, Also retain financial records, supporting documents, and all other records pertinent to the grant for at least three years after the financial close-out date of this grant by FEMA. Be sure to comply with Single Audit requirements of OMB Circular, A-133. If required, the Sui:ograntee submits audit copy to: Michigan Department of State Police, Budget and Financial Services Division, 333 South Grand Avenue, P.O. Box 30634, Lansing, Michigan 48909-0634. ()Jibe, No. 3067-0206 Expires February 29, 2004 FOR IF/ a of App0 Signature of Authorized Representative Date Signed Typed Name of Authorized Representative Title FEDERAL EMERGENCY MANAGEMENT AGENCY SUMMARY SHEET FOR ASSURANCES AND CERTIFICATIONS This summary sheet Includes Assurances and Certifications that must be read, signed, and submitted as a part of the Application for Federal Assistance. An applicant must check each item that they are certifying to Part I U FENIA Form 20-16A, Assurances-Nonconstruction Programs Part If E—J FEMA Form 204611, Assurances-Construction Programs Part HI El FEMA Form 20-16C, Certifications Regarding Lobbying; Debarment, Suspension, and Other Responsibility .Matters; and Drug-Free Workplace Requirements Part IV SF LLL, Disclosure of Lobbying Activities (if applicable) As the duly authorized representative of the applicant, hereby certify that the applicant will comply with the identified attached assurances and certifications. NOTE: By signing the certincation regarding debarment, suspension, and other responsibility matters for primary covered transaction, the applicant agrees that, should the proposed covered transaction be entered Into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by FEMA entering into this transaction. The applicant further agrees by submitting this application that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction," provided by the FEMA Regional Office entering into this covered transaction, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. (Refer to 44 CFR Part 17.) "'MEW. tata.-ait t Paperwork Burden Disclosure Notice 'Public reporting burden for this form Is estimated to average 1.7 hours per response. Burden means the time, effort and financial resources expended by persons to generate, maintain, retain, disclose, or to provide information to us. You may send comments regarding the burden estimate or any aspect of the form, Including suggestions for reducing the burden to: information Collections Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (3067-0206). You are not required to respond to this collection of information unless a valid OMB cnntrol number appears in the upper right comer of this form. Please do not send your completed form to the above address, A Form 20-1 FEDERAL EMERGENCY MANAGEMENT AGENCY ASSURANCES-NON-CONSTRUCTION PROGRAMS Note: C ertain of these assurances may nor be applicable to your project or program. If you have any questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such Is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency ; the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to? and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. Section 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified In Appendix A of OPM's Standards for a Merit System of Personnel Administration) 5 C.F.R. 900, Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. Sections 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. Section 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. Sections 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (Pi,. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of temmeeme.MIIIMMaiwameet.alt,-,•1111111n1,,---, FEMA Form 20-16A, JUN 94 • alcohol abuse or alcoholism; (g) Sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290-dd-3 and 290-ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Acts of 196$ (42 U.S.C. Section 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Title IT and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of-Federal or Federally assisted programs. These requirements apply to all Interest in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply with provisions of the Hatch Act (5 U.S.C. Sections 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U,S.C. Sections 276a to 276a- 7), the Copeland Act (40 U.S.C. Section 276c and 18 U.S.C. Sections 874), and the Contract Work flours and Safety Standards Act (40 U.S.C, Sections 327-333), regarding labor standards for federally assisted construction subagreements. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients In a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more, II. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Polley Act of 1969 (P.L. 91490) and Executive Order (E0) 11514; (b) notification of violating facilities pursuant to Et) 11738; (e) protection of wetlands pursuant tn EO 11990; (d) evaluation of flood hazards in floodplains in accordance with E0 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. Section 1451 at seq.); (f) conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. Section 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, a.... amended, (P.L. 93-205). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. Section 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 12. Will comply with the Wild and Scenic Rivers Ac 1968 (16 U.S.C. Section 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. of 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National -Historic Preservation Act of 1966, as amended (16 U.S.C. 470), ECt 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 4694-1 et seq.). 19. It will comply with the minimum wage and maximum hours provisions of the Federal Fair Labor Standards Act (29 U.S.0 201), as they apply to employees of Institutions of higher education, hospitals, and other non-profit organizations. FEDERAL EMERGENCY MANAGEMENT AGENCY ASSURANCES-COK 1 :RUCTION PROGRAMS NOTE: Certain of these assurances may not he applicable to your project or program. If you have any questions, please contact the awarding agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the applicant; 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2, Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, acCeSS to and the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real property title, or other Interest in the site and facilities without permission and Instructions from the awarding agency. Will record the Federal interest in the title of real property in accordance with awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure nondiscrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications and will furnish progress reports and such other information as may be required by the assistance awarding agency or state. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. 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. S. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. Sections 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. Sections 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statutes relating to non-discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. Sections 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. Section 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. Sections 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (13.L. 92-255), as amended, relating to non-discrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to non-discrimination on the basis of alcohol abuse or alcoholism; (g) Sections 523 and 527 of the Public Health Service Act of 1912 (42 29(1 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohcl and drug abuse patient records; (h) Title VIII of the Civil Rights Acts of 1968 (42 U.S.C. Section 3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (i) any other non-discrimination provision in the specific statute(s) under which application for Federal assistance Is being made; and (j) the requirements of any other non-discrimination statute(s) which may apply to the application. 11. Will comply, or has already compiled, with the requirements of Title 1T and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide far fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or Federally assisted programs. These requirements apply to an Interest In real property acquired for project purposes regardless or Federal participation In purchase. 12. Win comply with provisions of the Hatch Act (5 U.S.C. Sections 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded In whole or in part with Federal funds. Vilentifid FEMA Form 20-1615, JUN 94 20, It will comply with the minimum wage and maximum hours provisions of the Federal Fair Labor Standards Act (29 U.S.C. 201), as they apply to employees of institutions of higher education, hospitals, and other non-profit organizations, 21, It will obtain approval by the appropriate Federal agency of the final working drawings and specifications before the project is advertised or placed on the market for bidding; that it will construct the project, or cause it to he constructed, to final completion in accordance with the application and approved plans and specifications; that it will submit to the appropriate Federal agency for prior approval changes that alter the cost of the project, use of space, or functional layout, that it will not enter into a construction contract(s) for the project or undertake other activities until the conditions of the construction grant program(s) have been met. 22. It will operate and maintain the facility in accordance with the minimum standards as may be required or prescribed by the applicable Federal, State, and local agencies for the maintenance and operation of such facilities, 13. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. Sections 276a to 276a-7), the Copeland Act (40 U.S.C. Section 276c and 18 U.S.C. ion 874), the Contract Work Hours and Safety ards Act (40 U.S.C. Sections 327-333) regarding labor standards for federally assisted construction subligreements. 14. Will comply with the flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance lithe total cost of insurable construction and acquisition is $10,000 or more. 15. Will comply with environmental standards which may be prescribed pursuant to the following (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (Pl. 91-190) and Executive Order (110)11514; (b) notification of violating facilities pursuant to £0 11738; (e) protection of wetlands pursuant to E0 11990; (d) evaluation of flood hazards in floodplains in accordance with E0 11988; (c) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. Section 1451 et seq.); (f) conformity of Federal aetions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. Section 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (11) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C, Section 1271 et seq.) related to protecting components or potential components of the national Wild and scenic rivers system. 17. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), ED 11593 (identification and preservation of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469e-1 et seq.). 18. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984, 19. WM comply with all applicable requirements of all other Federal laws, Executive Orders, regulations and policies governing this program. 23. It will require the facility to be designed to comply with the "American Standard Specifications for Making Buildings and Facilities Accessible to, and Usab/e by, the Physically Handicapped," Number A117. -1961, as modified (41 CFR. 101-17.703). The applicant will be responsible for conducting inspections to ensure compliance with these specifications by the contractor. 24. If any real property or structure thereon is provided or improved with the aid of Federal financial Assistance extended to the applicant, this assurance shall obligate the applicant, or in the case of any transfer of such property, any transfer, for the period during which the real property or structure is used for a purpose for which the Federal finenclei assistance is extended or for another purpose involving the provision of similar services or benefits. 25. In making subgrants with nonprofit institutions under this Comprehensive Cooperative Agreement, it agrees that such grants will be subject to OMB Circular A-122, "Cost Principles for Noneproflt Organizations" included in Vol. 49, Federal Register, pages 18260 through 18277 (April 27, 1984). MMUNRISIMIZINX, FEIMA Form 20-166 (BACK) FEDERAL EMERGENCY MANAGEMENT AGENCY CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form. Signature on this form provides for compliance with certification requirements under 44 CFR Fart 18, "New Restrictions on Lobbying; and 28 CFR Part 17, "Government-wide Debarment and suspension (Nonprocurement) and Government-wide Requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a material representation of fact upon which reliance will he placed when the Federal Emergency Management Agency (FEMA) determines M award the covered transaction, grant, or cooperative agreement. . LOBBYING A. As required by section 1352, Title 31 of the U.S. Cade, and Implemented at 44 CFR Part 18, for persons entering into a grant or cooperative agreement over $100,000, as defined at 44 CFR Part 18, the applicant certifies Met; (a) N4 Federal appropriated funds have been paid or vall be paid, by or on behalf of the undersigned, to any parson for Influencing or attempting to influence an Officer or employee of any agency, a Member of Congress, an ofiloer or employee of congress, or an employee of p Member a Congress In connection with the making of any Federal grant, the antenna into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal grant or cooperative agreement; (b) Irony other funds than Federal appropriated funds have been paid or will be paid to any pemon fer influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or an employee of Congress. or employee of a member of Congress In connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure of Lobbying Activities," in accordance with Its instructions; (c) The undersigned shall require that the language of this certification be included in the award documenta for all subawards at all tiers (including aubgrants, contracts under grants and cooperative agreements, and subcontract(s) and that all subreciplants shall Certify and disclose accordingly. El Standard Form LLL, 'Disclosure of Lobbying Activities" attached. (This form must be (Mooed to certification if nonappropriaterl funds are to be used to influence activities,) Z. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT) At required by Executive Order 12549, Debarment and Suspenuien, and Implemented at 44 CFR Part 67, for prospective participants in primary covered transactions, as defined at 44 crr:t Part 17, Section 17.510-A, The applicant certifies that it end its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial Of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency (b) Have not within a three-year period preceding this application been convicted of ar had a civilian judgment rendered against them for commission of fraud or a criminal offense In connection with obtaining, attempting to obtain, or perform a public (Federal. State, or local) transaction or col ,t,uct under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statement*, or receiving stolen property: (c) Are not presently indicted far Or Otherwise criminally or civilly charged by a governmental entity (Federal, State, or total) with CernrnieeiOn Of any of the offenses enumerated In paragraph (1)(b) of this pertlikatiett and (d) Have not within a three-year period preceding thi application had one or more public t renaactiens (Federal, State, or local) terminated for cause or default; and B. Where the applicant ie unable to certify to any of the statements in this certification, he or shall shall attached an explanation to this application. 3. DRUG•FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS) As required by the Drug-Free WOrkplece Act of 1988, and Implemented at 44 crrt Part 17, Subpart F, for grantees, as defined at 44 CFR Part 17, Seotiona 17.616 and 17.620: A. The applicant certifies that It vial continue to privide a drug. free workplace by (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited In the grantee's workplace and specifying the actions tht will be taken against employees for violation of such prohibition; (b) Establishing en on-going drug free awareness program to inform ampoyees about: (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug-free workplace; (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: FEMA Form 20-16C, JUN 94 8. the grantee may insert in the space provided below the site(a) for the performence of work done in connection with the specific grant; Place of Performance (Street address, City, County, State, Zip code) Check [pit there are workplaces en file that are not identified here. Section 17.630 of the regulations provide thet 0 grantee that is a State may elect to make one certification in each Federal fiscal year. A copy of which should be Included with each application for FE MA funding. States and State agencies may elect to use a Statewide certification. kamessemso swearmeenesmamett (c) Making it a requirement that each employee to be engaged In the performance of the grant to be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee wit: (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency, (g) Making a good faith effort to continue to maintain a drug free workplace throughimplementatien of paragraphs (a), (b), (c), (d), (a), and (f). (1) Abide by the terms of the statement: and (2) Notify the employee in writing of his or her conviction for a violation of a criminal drug statute OceWring In the workplace no later than five calendar days after suCh conviction. (el Notifying the agency. In writing, within 10 calendar days after receiving notice under subparagraph (d)(2) frem an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notlee, including position title, to the applicable FEMA awarding office, i.e., regional office or FEMA office. (f) Taking one of the following actions, within 39 calendar days of receiving notice under subparagraph (dX2), with respect to any employee who is se convicted: (1) Taking appropriate personnel action against such an employee, up to and including termination, c.orteistent3e4th-the-requirements - of the Rehabilitation Act of 1973, as amended; or FEMA Form 20-16C PACK) Name and Address of Reporting Entity: DPrime Congressional District, if known: G. Federal OepartmentiAgency: 7. Federal Program Name/Description; CFOA Number, if applicable Award Amount, if known: 10, a, Name end Address of Lobbying Regis (if individual, last name, first name, Ml): b. Individuals Performing Services (Inciudirlo address if i different from No. 10a) (last name, first name, M1): Information requested through this form is authorized by title Section 1352, This clIsclosune of lobbying activities is a material representation of fact upon which reliance was placed by the tier abOVO when this transaction was made or entered into, This disclosure is requinsd pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who falls to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than 51 00,000 kr each such failure. 1014112{FIRN.Vo' d usr, DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to dlecloue lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosure) Approved ey QM5 0545-0046 1. Type of Federal Action: 2. Status of Federal Action: Fla, oontract Da. bldfofferiapplIcation b. grant b, initial ewend C. cooperative agreement C. post-award d. loan S. loan guarantee f. loan insurance 3. Report Type; Ele, Initial filing b. material change For Material Change Only: year quarter date of last report , If known OSubawardee Tier 5. If Reporting Entity In No. 4 Is Suhawardee, Enter Name and Address of Prime: Compete:donor District, if known: a. Federal Action Number, if known: EMD-053 (03-2004) MICHIGAN STATE POLICE mergency Management & ivision land Seco Program: 2010 Pre Disaster Miti atiorit2r2gri CFDA Number: 97.047 Subgrantee information Jurisdiction Name: Street Address: City, State, Zip Code: Signature of tee's Authorized Representative) (Date) STATE OF MICHIGAN TA' CERTIF,;ATION Federal Audit Requirements Fiscal Years Beginning After June 30, 1995 Non-Federal organizations which expend $500,000 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 copy of their audit report to: Budget and Financial Services Division, Michigan Department of State Police, 333 South Grand Avenue, P.O. Box 30634, Lansing, Michigan 48909-0634. Certification for Fiscal Year Ending (mmidd/yyyy): (Check appropriate box) IT 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. E 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 cony of the audit report will be submitted to: Budget and Financial Services Division, Michigan Department of State Police, 333 South Grand Avenue, P.O. Box 30634, Lansing, Michigan 48909-0634, Please mall completed form to: Michigan Department of State Police Emergency Management and Homeland Security Division Financial Section 4000 Collins Road Lansing, Michigan 48910 Authority: At 390, P. A. of 1976, as amended Completion: Voluntary, but completion necessary to be considered for a5si5tance. g a E :*a I $04Lpi security number or Employer identification number • w Form M1-9 (Pev. October 5007) putrnyfrl Qt thq Troaw,ry intOMAI heyenue Service Request for Taxpayer 1-c7fication Number and CeFtlEcation Give form to the requester, Do not send to the IRS, Nana (es shown on your income tax re Business name, if different from above Check appropnate box: [.] Individual/Sole proprietor Li Corporation Partnership n Limited liability company. Enter the tax classification (0=diaregarded entity, O.corporation, P=partnerahip) C Other (see Inetrustlena) /-1 Exempt I—, payee Requester's name and address (optional) Address (number, street, arid apt, or suite no.) City, state, and ZIP code List account number(s) here (optional Taxpayer Identification Number (TIN Enter your TIN in the appropriate box. The TIN provided must match the name given on Line i to avoid backup withholding, For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity sea the Part I instructions on page 3. For Other entities, it is your employer Identification number (EIN). If you do not have a number, see How to get a 77N on page 3. Note. It the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Rif* it: Certification Under penalties of perjury, I certify that: 1. The number shown orr this form is my correct taxpayer identification number (or I am waiting for a number to be Issued to rne), 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 ma that) 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 IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return, For real estate transactions, item 2 does not appl 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.pclon y. Date O. General Instructions SeOtion references are to the Internal Revenue Code unless otherwise noted. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA, Use Form W-9 onty If you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: I. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup vvithholdind, or 3. Claim exemption from backup withholding if you are a U.S, exempt payee. If applicable, you are also certifying that as a U,S, person, your allocable share of any partnership Income from a U.S. trade or business is not subject to the withholding 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 substantially similar to this Farm W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S, person if you are: • An individual who is a U.S. citizen or U.S. resident alien, • A partnership, corporation, company, or association 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 Regulations section 3U1.7701-7). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners` share of income 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 withholding tax. Therefore, If you are a U.S. person that is a partner in a partnership conducting a trade or business in the United Stales, 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 Its allocable share of net Income from the partnership conducting a trade or business in the United States is in the following cases: • The U.S. owner of a disregarded entity and not the entity, Cat No. 102S1 X Form W-9 (RR,/ 1n..?007) ore W-9 (Rev, 10.2007) • The US. grantor or other owner of a grantor trust and not the trust, and • The US. trust (other than a grantor trust) and not the beneficiaries of the trust. Foreign person. if you are a foreign person, do not use Form W-9, Instead, use the appropriate Form W-8 (see Publication 515, Withholding of Tax on Nonresident Aliens and Foreign entities). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, Most tax treaties contain 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 income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the Saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five iterne; 1. The treaty courrtry. Generally, thls must be the same treaty under which you claimed exemption from tax as a nonresident alien, 2. The treaty article addressing the Income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exception, 4. The type and amount of Ineorne that qualifiee for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the _terms-of-the treaty article. Example. Article 20 of the U.S.-Chlne Income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law. this student will become a resident alien for tax purposes if his or her stay in the United States exceeds e calendar years, However, paragraph 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 feet protocol) and is relying 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 alien Or a foreign entity not subject to backup withholding, give the requester the appropriate completed Form W-8. What Is backup wfthhaidinge Persons making certain payments to you must under certain conditions withhold and pay to the IRS 26% of such payments. This is called "backup withholding." Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployea pay, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject ta backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subject to backup withholding it; 1. You do not furnish your TIN to the requester, 2. You do not certify your TIN when required (see the Part II instructions on page 3 for details), 3, The IRS toile the requester that you furnished an incorrect TIN, Pag 4, The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable Interest and dividends only), or S. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1953 only), Certain payees and payments are exempt from backup withholding. Set the instructions below and the separate Instructions for the Requester of Form W-9. Also see Special rules for partnerships on page 1. Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false intorrnatiOn 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 $500 penalty. Criminal ponalty.for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties Including fines and/or imprisonment. MiStale of TiNs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties, Specific Instructions Name If you are an individual, you must generally -enter the name shown on your income tax return. However, if you have changed your last name, for Instance, due to marriage without informing the Social Security Administration of the name change, enter your first name, the last name shown on your social security card, and your new last name. If the account is In joint names, list first, and then circle, the name ef the person or entity whose number you entered in Part I of the form. Sole proprietor. Enter your individual name as Shown on your income tax return on the "Name" line. You may enter your business, trade, or -doing business as (DBA)" name on the "Business name" line, Limited liability company (LLC). Check the "Limited liability company" box only and enter the appropriate code for the tax classification ("D" for disregarded entity, "C" for corporation, "P" for partnership) in the space Provided, Per a single-member LLC (including a foreign LLC with a domestic owner) that is disregarded as an entity separate from Its owner under Regulations section 301.7701-3, enter the owner's name on the "Name" line. Enter the LLC's name on the "Business name" fine. For an LLC classified as a partnership or a corporation, enter the LLC's name on the "Name" line and any busineae trade, or inteA name en the "Business name" line, Other entItte$. Enter your business name as shown on required federal tax documents on the "Name" line. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or pea name on the "ausIness name" line. Nate. You are requested to cheek the appropriate box fOr your status (individual/sole 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 following the business name, sign and date the form. Exempt payees 1 through 5 Generally, eicempt payees 1 thrOu.gh 7 Form VV-O ReV. 10.2007) Page 3 Generally, individuals (Including sole proprietors) are not exempt from eackup withholding. Corporations are exempt from back* withholding for certain payments, such as Interest and dividends. Note. If you are exempt from backup withholding, you should still complete this form t0 avoid possible erroneous backup withholding, The following payees are exempt from backup withholding: 1. An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2), 2. The United States or any of its agencies or Instrumentalities. 3. A state. the District of Columbia, a possession of the United States, or any of their political 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 withholding include: 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 District of Columbia, or a possession of the United States, 9. A futures commission merehant registered with the Commodity Futures Trading Commission, 10. A real estate investment trust, 11, An entity registered at all- times during the tax year under the investment Company Act of 1940, 12, A common trust fund operated by a bank under section 584(a), 13. A financial institution, 14. A middleman known in the investment community as a nominee or custodian, or 15. A trust exempt from tax under section 654 or described In section 4947, The chart below shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 15. THEN the payment is exempt for ... Interest and dividend payments Exempt payees 1 through 13. Also, a person registered under the Investment Acivlsere Act of 1940 who regularly acts as a broker Barter exchange transactions and patronage dividends a - Payment e over 5600 required to be reported and direct sales over $5,000' "See Form 1099•MiSC, MiscellaneoWnoome, and its instructions, 4HOwever, the following payrnentt made to a corporatlen (inCluding gross prooeeos paid to an attorney under section 8045(5, even II tne attorney is a corporation) and reportable On Farm 109g-M18c we net exempt from backup withholding: medical and health care payments, attorneys' tees, and payments for services paid by a federal ekecutive agency. Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below. If you are a sofa proprietor and you have an EIN, you may enter either your SSN CII FIN. However, the IRS prefers that you use your SSW. If you are a singlearnernber LLC that is disregarded as an entity separate from its owner (see Limited liability company (i_LC) on page 2), enter the owner's SSN (or EIN, if the owner has one). do not enter the disregarded entity's EIN. lithe LLC is classified as a corporation or partnership, enter the entity's FIN. Note. See the chart on page 4 for further clarification of earne and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an .SSN, get Form 33-6, Application for a Social Security Card, from your local Social Security AdmInietration office or get this form online at www..ssa.gov . You may also get this form by calling 1400-772-1213, Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an MN, or Form 33-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an FIN online by accessing the IRS weesIte at wwwIrs.povlbusinesses and clicking on Employer identification Number (EIN) under Starting a Business. You can get Forms W-7 arid 55-4 from the IRS by visiting www.lts.gov or by calling 1-800-TA.X-FORM (1-800-829-3676). if you are asked to complete Rem W-9 but do not have a TIN, write "Applied For" In the apace for the TIN, sign and date the form, and glee it to the requester, For interest and dividend payments, and certain payments made with respect to readily tradable Instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to Other types of payments. You will be subject to backup withholding on 41 such payments until you provide your TIN to the requester, Note. Entering "Applied Poe means that you have already applied for a TIN or that you intend to apply for One Soon. Caution: A disregarded domestic entity that has a foreign owner must Use the appropriate Form W-8. Part H. Certification To establish to the withholding 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 below indicate Otherwiee. For a joint account, only the person whose TIN is shown in Part I should sign (when required). Exempt payees, see Exempt Payee on page 2. Signature requirements. Complete the certification as indicated 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, but 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 withholding and you are Merely providing your correct 11N to the requester, you must cross out item 2 in the certification before signing the form. IF the payment is for, „ All exempt payees except for 9 Broker transactions Glue nem* And SSN of: The Indlvieuel The actual owner of the eteount or, if cOmbined funds, the first incilvioual on the account' The minor' The grantor-trustee The actual owner The °wrists dive name and SIN of The owner Legal entity The corporation The organization The partnership The broker or nominee The Nene entity Porm W. (Rev 1D.2007) 3, Real estate transactions. You mLiat sign the certification. You may Cross out item 2 of the certification, 4. Other payments. You must give your correct TIN, but yole dc not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. 'Other payments" Include payments made in the course of the requester's trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee tor services, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (Including payments to corporations). 5. Mortgage interest paid by you, sate-113;Mo-) or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), IRA, Coverdell ESA, Archer MSA or FISA contributions or distributions, and Pension distributions. You must give your correct TN, but you do riot have to sign the certification. What Name and Number To Give the Requester Foe this type of account: 1. Individual 2. Two or more individuals Goint account) 1. Otratedian account Of a minor (Uniform Gift to minces Act) 4. a. The usual revocable savings trust lgrantor is also trustee) b. So-callee trust account mat is not a legal or valid trust under state law hip or dieregaided entity owned by an Indivieuel For this type of account a. Disregarded entity not owned by an individual 7. A valid trust, estate, ot Odhs1011 hist B. Corporate or LLC *goofing corporate status on Form 003 9, ASSOCiatiOn, dub, ml pious, charitable, eoucationai, Of other tax-exempt orgenitation 10. Pam/mina) or rnUltenber LLC 11. A broker or registered nominee 12. ACCOunt with the Department of Agriculture in the name of a public entity (such es a state or local government, achool district, or prison) that receives agricultural program payments Page 4 Secure Your Tax Records from Identity Theft Identify theft occurs when someone uses your personal information such as your name, social security number (SSN), or other identifying information, without your permission, to commit fraud or other crimes, An identity thief may use your SSIN to get a job or may file a tax return using your SSN to receive a refund, To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax preparer. Call the IRS at 1-800-829-1040 if you think your Identity has been used inappropriately for tax purposes, Victims of identity theft who are experiencing economic harm or a system problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reacn TAS by calling the TAS toll-free case intake fine at 1-877-777-4778 or TPUTDD 1-80C-829-4059. Pmtect yotirseff from suspicious emaile or phishing schemes. Phishing is the creation end Use or email and webeites designed to Mimic legitimate business ernails and welesites. The most Common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user Into surrendering private inforrnetion that will be used for identity theft. The IRS drres not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, Or similar secret access information for their credit card, bank, or other financial accounts. It you receive an unsolicited email claiming to be from the IRS, forward this message to phishIngaire.gov. You may also report misuse of the IRS name, logo, or other IRS personal property to the Treasury Inspector General for Tax Administration at 1-800-356-4484, You can forward suspicious entails to the Federal Trade Commission at: spam@Uce.gov or contact them at www.consumerrgovficitheft Or 1-.077-1DTHEFT(4$8-4338), Visit the IRS website at www.irs.gov to learn more about Identity theft and how to reduce your risk, 'Us firs and prole the flamers( the person whose number You furnish- If enlY one Psfsoff err a 10101 sstOeurn haus an SON, five ausnaon'a nornosar nmal be furnieheU, rCSals the nanses roma end furnish tne mirtex's sSk. 3 YOu mutt thew your individual name and you may alto ontor your business or ''OsA" on the seOUn0 name tine, You may use tither ytur $SN or EIN ill you haw own, Out tho 105 woo/ropes you to use your SON. 4 Ust lust and circle The name or the truer, estate, or pension Inge. (Do col furnish the Ttal el the pertorei repre--entative or lames uniese ate least entity, itsnil is no designated in the account Inlo Alec. 0498490W rtdat Otrfrterstrips on page 1, Note.-If no name is circled when more then one name is listed, the number will be considered to be that of the first name listed, Privacy Act Notice SeOtiOn 0109 of the Internal Revenue Cone rOquiren you to provide yew correct TIN to persona who must file Information returns with the IRS to report interest. elvieenes, are certain other income paid to you, meirtaage interest you paid, the aceoleleen Or abandonment of secured property, cancellaliOn or debt, or contrbutione yov macre to an IRA, or Archer NISA or The iF1S uses the numbers for leenteicetion purposes and to help venry the eccerecy or ybur tax return. The IRS may also provide this infon-nation to the Department Cl 'Justice for civil end criminal litigation, and to citioe, slates, the District of Columbia, dna U.S Possessions to carry Out their tax laws. We may also disclose tnis 1100)104On to other countries under a tee treaty, to federal and state agencies to enforce reuerai ',entre criminal laws, or to teeerai taw enfOrcement and Intelligence agencies to combat terrorism. You must provide your TIN whether or not you aro required to file a tax return. Payers must generally withhold 20% of taxeree intereei, dividend, and tartan other payments to a Payee who does not gives TIN to a payer. Certain penalties may 5150 apply, Is application subject to review by Executive Order Process? No. Program is not covered by E.O. 12372 1 '.177 No Oakland (County) (99125) No Print Application rittps:ilesort, iccs.lcrna.gov/FEMAN1itivationll'rint,do Subgrant Planning Application Application Title: Oakland County Michigani-IMP Update Subgrant Applicant: Oakland County Homeland Secunty Application Number poroc-PL-05-m1-2010-oa3 Application Year: 2010 Grant Type: Planning Apptication Address: 120o N Telegraph Building 47, Annex 1 Pontiac MI48341-0410 Applicant Information Name of Applicant Oakland County State Ml Congressional District Type of Applicant Local Government Legal status, function, and facilities Oakland County Emergency Management Homeland owned. Security office State Tax Number: Federal Tax Number: Other type name: Federal Employer Identification Number(EIN). If Indian Tribe. this is Tribal Identification Number, 38-6004876 What is your DUNS Number? Are you the application preparer? Yes Is the application preparer the Point of Contact? Yes Is the applicant delinquent on any Federal debt" Explanation: Community: Is this a small, impoverished community? t Note For L-PDM and POM-C grants. a response lo Tiis question is requirea.) 1 ol..2I 9 2-1/20l ii 2.43 PI htips-://eservice5.-ferna,govrrumAmiii,..•••••••••:::,:••,•Ldo . a! • A:t. Ct'.171ent partic4.1.6s, in 4E1E? 3 of '21 03-07-1973 .;•.: do 4 df • 1 5 I'M No Yee 21 „4.3 Piin Appiicatinn ru 24,'20 It) 2:4; 1>,ni • .• 7 of 2 htips:f;c:ser,icr.5,.Crrn ) Orl Innri` VT:in" T.:,,L,,,..:•,-slarl3es.Tdinastorrn,‘;', • 0 '2 \ 1:••nk!N MONTHS , Pflz.;(1.11 9 of 2 9)24120 0 '2:43 PM Totui Pkol Cost Es.1-"tt ' 77,,386.20 PIP,..1 ' Unit Unit of t. quantity Moasuro ($). $ 60,00 $ 3,600,00 $ 60,00 $ 4;700.00 $ 65.00 '$ 162 Persorm! 60 C.;,0 Hour C[0 $ Per sc47n,i 60,00 ur Colriu 80,00 Hour C"efsi-n-int.rft 60.,00 Suppaes .•,- rwar Contractual 00 1'32 n,0 c.3 $ $ ;70,0e $ $ 101:L00 9,0,200 100.00 $ 8,-000,00 $ 60,00 $ 3,600,00 $ 100,00 $ $7,826.08 Hour $ 100,00 $ 8,000,00 Cc, Personnei Persorlr.el f: Pi 'ype Ametint 7 rthn $ $6,1642U of n $ „ tC21 PN1: 1111i al 14 RFC, .! , • 2:43 ("Ni i 5 2! , 21 17o121 Ptvi \A:1:U Pri MAO , (31' 2 I Attach:mem; 12 9 G3-26-2010 ,71 z,ozzif..4arogractsc fl CDrrp-ni..nty !ofr...:rrr:.11,tion D,Vtd r-3 or =r : 1.0 0121. 1.)i2,1/2.(11 0 1,13 111N1 APORP.4., • and Se.,rity Ji b • 1) OU 'SW! I. Lacza e.. Ormt f F'YDg-rain 1.• !k..:t11P; er (,) 21 n r 21 1 2 :43 l'!\1 FISCAL NOTE (MSC. #I1115) June 9, 2011 BY: FINANCE COMMITTEE, TOM MIDDLETON, CHAIRPERSON IN RE: HEALTH AND HUMAN SERVICES — HOMELAND SECURITY DIVISION — AGREEMENT/ACCEPTANCE FOR PRE DISASTER MITIGATION PLAN 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 Homeland Security Division has been granted an award up to $177,389.20, including an in-kind match of $45,164.20 from the Michigan Department of State Police, Emergency Management and Homeland Security Division. 2. The grant period is March 18, 2011 through February 28, 2014. 3. Funding will be used to update a Hazard Mitigation Plan for communities covered under its emergency operations plan. 4. To remain eligible for funding, Oakland County is required to prepare a Hazard Mitigation Plan for the County and all communities in the County. 5. The FY 2011 Special Revenue Budget is amended as follows: FEMA GRANTS (Fund 29330) GR0000000575 / Bud Ref 2011 Revenue 1060601-115185-610313 Federal Operating Grants Total Revenues Expenses 1060601-115185-731458 Professional Services Total Expenses FY 2011 Budget $ 132,225 5_132,225 $ 132,225 $132,225 FINANCE COMMITTEE ( FINANCE COMMITTEE Motion carried unanimously on a roll call vote. I HERM APPROVE Mr FOEGOINPOOLUTION II I Resolution #11115 June 9, 2011 Moved by Runestad supported by Covey the resolutions (with fiscal notes attached) on the Consent Agenda be adopted (with accompanying reports being accepted). AYES: Covey, Crawford, Dwyer, Gingell, Gosselin, Greimel, Hatchett, Hoffman, Jackson, Long, Matis, McGillivray, Middleton, Nash, Nuccio, Potts, Quarles, Runestad, Scott, Taub, Weipert, Woodward, Zack, Bosnia (24) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the Consent Agenda were adopted (with accompanying reports being accepted). STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Bill Bullard Jr., 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 June 9, 2011, 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 9th day of June, 2011. uL11,24_,J (24. Bill Bullard Jr., Oakland County