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Resolutions - 2015.03.18 - 21721
MISCELLANEOUS RESOLUTION # 15057 March 18, 2015 BY: GENERAL GOVERNMENT COMMITTEE, Christine Long, Chairperson IN RE: HEALTH AND HUMAN SERVICES - HOMELAND SECURITY DIVISION - 2014-2015 HAZARDOUS MATERIALS EMERGENCY PREPAREDNESS PLANNING PROGRAM (HMEP-PP) GRANT AGREEMENT TO: THE OAKLAND COUNTY BOARD OF COMMISSIONERS Mr. Chairperson, Ladies and Gentlemen: WHEREAS the Superfund Amendment and Reauthorization Act (SARA) of 1986, Title III, requires the planning and provisions for community right-to-know on extremely hazardous substances in local communities; and WHEREAS the Oaldand County Local Emergency Planning Committee (LEPC) has been organized and meets minimum criteria in performing planning functions; and WHEREAS the Hazardous Materials Emergency Preparedness Planning Program (HMEP-PP) grant provides funds to Oakland County for the purpose of enhancing hazardous material response planning; and WHEREAS an application was submitted, and Oakland is eligible to receive $11,380 for the submittal for new and updated plans during the grant period of October 1, 2014 through September 30, 2015; and WHEREAS the required 25% in kind match of $2,845 will be used for PTNE staff salary to support the LEPC planning effort; and WHEREAS no reports are required and the funds will be received upon submittal of the plans as a work product; and WHEREAS the grant agreement has been processed through the County Executive Contract Review Process and the Board of Commissioners Grant Acceptance Procedures. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners authorizes acceptance of the Hazardous Materials Emergency Preparedness Planning Program (HMEP-PP) grant in the amount of $11,380 from the Michigan Department of State Police, Emergency Management and Homeland Security Division. BE IT FURTHER RESOLVED that the Chairperson of the Oakland County Board of Commissioners is authorized to execute the grant agreement of $11,380 and a 25% match of $2,845 for a total of $14,225 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. GRANT REVIEW SIGN OFF — Homeland Security GRANT NAME: 2014-2015 Hazardous Materials Emergency Preparedness (HMEP) FUNDING AGENCY: Michigan State Police Emergency Management and Homeland Security Division DEPARTMENT CONTACT PERSON: Sara Stoddard 248 858-5080 STATUS: Grant Acceptance DATE: February 27, 2015 Pursuant to Misc. Resolution 413180, 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 place 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 (2/20/2015) Department of Human Resources; HR Approved (No Committee) — Lori Taylor (2/27/2015) Risk Management and Safety: Approved by Risk Management. — Robert Erlenbeck (2/23/2015) Corporation Counsel: There appear to be no unresolved legal issues that require action at this time. — Heather Lewis (2/26/2015) From: To: Cc: Subject: Date: Laurie VanPeit West Catherine Julie Secontine; Lori Taylor; pat Davis; Stoddard, Sara; ‹quIsenberryt@oakgov.corn>; Pisacreta. Antonio; Scalf Bonnie Re: GRANT REVIEW: Health & Human Services, Homeland Security Division - 2014-2015 Hazardous Materials Emergency Preparedness Planning Program - Grant Acceptance Friday, February 20, 2015 11:43:20 AM Approved. Sent from my iPhone On Feb 20, 2015, at 11:35 AM, "West, Catherine" <westea • oakgov.com> wrote: GRANT REVIEW FORM TO: REVIEW DEPARTMENTS Laurie Van Pelt Lori Taylor —Julie Secontine — Pat Davis RE: GRANT CONTRACT REVIEW RESPONSE — Health & Human Services, Homeland Security Division 2014-2015 Hazardous Materials Emergency Preparedness Planning Program (HMEP-PP) Agreement Michigan 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: February 26, 2015 GRANT INFORMATION Date: February 20, 2015 Operating Department: Health & Human Services, Homeland Security Division Department Contact: Sara Stoddard Contact Phone: 248 858-5080 Document Identification Number: HM-HMP-0439-14-01-00 REVIEW STATUS: Agreement - Resolution required Funding Period: 10/01/14 through 9/30/15 New Facility / Additional Office Space Needs: None From To: Cc: Subject: Date: Taylor, Lori "West, Catherine"; "Jute Secontine"; "Laurie VanPelt"; "Pat Davis" "Stoddard, Sara"; huisenbenytt@oakuov.com ; "Pisacreta, Antonio"; "Scalt, Bonnie RE; GRANT REVIEW; Health & Human Services, Homeland Security Division - 2014-2015 Hazardous Materials Emergency Preparedness Planning Program - Grant Acceptance Friday, February 27, 2015 9152;01 AM HR Approved (No Committee) Lori Taylor Manager-Human Resources Recruitment & Workforce Planning Oakland County Michigan 2100 Pontiac Lake Road Waterford, MI 48328 taylorloc@oalcgov.corn www.oakgov.com/jobs Phone: 248-858-0548 Fax: 248-858-8391 From: West, Catherine [mailto:westca@oakgov.corn] Sent: Friday, February 20, 2015 11:35 AM To: Julie Secontirie; Laurie VanPelt; Lori Taylor; Pat Davis Cc: Stoddard, Sara; quisenberryt©oakgov.com ; `Pisacreta, Antonio'; Scalf, Bonnie Subject: GRANT REVIEW: Health &. Human Services, Homeland Security Division - 2014-2015 Hazardous Materials Emergency Preparedness Planning Program - Grant Acceptance GRANT REVIEW FORM TO: REVIEW DEPARTMENTS — Laurie Van Pelt — Lori Taylor —Julie Secontine — Pat Davis RE: GRANT CONTRACT REVIEW RESPONSE Health & Human Services, Homeland Security Division 2014-2015 Hazardous Materials Emergency Preparedness Planning Program (HMEP-PP) Agreement Michigan 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: February 26, 2015 GRANT INFORMATION Date: February 20, 2015 From: To: Cc: Subject: Date: Erlenbeck, Robert "West, Catherine"; "Julie Secontine"; "Laurie VanPelt"; "Lori Taylor"; "Pat Davis" "Stoddard, Sara"; auisenberrytoalmov,corn; "Pisacreta, Antonio"; "Scalf, Bonnie" RE: GRANT REVIEW: Health & Human Services, Homeland Security Division - 2014-2015 Hazardous Materials Emergency Preparedness Planning Program - Grant Acceptance Monday, February 23, 2015 7:42:17 AM Approved by Risk Management. R.E. 2/23/15. Robert Erlenbeck, Risk Management Office: 248-858-1694 Cell: 248-421-9121 Office schedule: Monday through Thursday 7:00 to 5:30 From Easterling, Terri trnailto:easterlingt@oakgov.corn] Sent: Friday, February 20, 2015 3:12 PM To: 'West, Catherine'; 'Julie Secontine'; 'Laurie VanPelt', 'Lori Tayior'; 'Pat Davis' Cc; 'Stoddard, Sara'; quisenberryt©oakgov.com ; 'Pisacreta, Antonio'', 'Scaif, Bonnie' Subject: RE: GRANT REVIEW: Health & Human Services, Homeland Security Division - 2014-2015 Hazardous Materials Emergency Preparedness Nanning Program - Grant Acceptance • Please be advised that your request for Risk Management's assistance has been assigned to Bob Erlenbeck, (ext. 84694). If you have not done so already, please forward all related information, documentation, and correspondence. Also, please include Risk Management's assignment number, RM15-0068, regarding this matter. Thank you. From: West, Catherine imailtomestcaPoakgov.coml Sent: Friday, February 20, 2015 11:35 AM To: Julie Secontine; Laurie VanPelt; Lori Taylor; Pat Davis Cc: Stoddard, Sara; quisenberryt©oakgov.com ; Tisacreta, Antonio'; Scalf, Bonnie Subject: GRANT REVIEW: Health & Human Services, Homeland Security Division - 2014-2015 Hazardous Materials Emergency Preparedness Planning Program - Grant Acceptance GRANT REVIEW FORM TO: REVIEW DEPARTMENTS — Laurie Van Pelt — Lori Taylor —Julie Secontine — Pat Davis RE: GRANT CONTRACT REVIEW RESPONSE — Health & Human Services, Homeland Security Division 2014-2015 Hazardous Materials Emergency Preparedness Planning Program (HMEP-PP) Agreement Michigan 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 From: Lewis Heather To: "Katie West"; "Stoddard, Sara" Cc; "Miller, George; "Ouisenberry, Theodore H."; "Adoolu-Jones, Ebru"; "Bertolini. Phil "; "Easterling, Terri"; "Erlenbeck, Robert"; "Guzzy. Scott"; "Holdsworth, Art"; 'Johnson. Sandy"; "Joss, Ed"; "Larkin Robert"; Mason. Heather"; "Hr, Gala"; "Poisson, Edwin "; "Scarlet, Nancy"; "Secontine,. Julie"; "Shih. Julie"; "Sonkiss, Lynn"; "Stolzenfeld, Tracy"; "Taylor. Lori"; "VanPelt, Laurie"; "Ward, Christopher"; "Worthington, Pam"; "Blaszczak Mike"; "Davis, Patricia"; "LerminiaUx Keith"; "Shortley, Joellen; "Coffer'. Sharon"; montei@oakgov.com Subject; RE: #2015-0167 2014-2015 Hazardous Materials Emergency Preparedness Planning Program (HMEP-PP) - Grant Acceptance Date: Thursday, February 26, 2015 2:20:18 PM Attachments: 2015 HMEP Grant Agreement.odf There appear to be no unresolved legal issues that require action at this time. Thank you, Heather Lewis foAmivisav Cot;wry MICHIGAK Heather L. Lewis PTNE Oakland County Corporation Counsel 1200 N. Telegraph Road, Bldg. 14 East Courthouse West Wing Extension, 3 1-cl Floor Pontiac, MI 48341 Phone Number: (248) 858.2003 Fax Number: (248) 858.1003 E-mail: lewish@oakgov.com PRIVILEGED AND CONFIDENTIAL ATTORNEY 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 any way. 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 2014-2015 Hazardous Materials Emergency Preparedness Planning Program Grant Agreement October 1, 2014 to September 30, 2015 CFDA Number: 20.703 Grant Number: FINI-HIVIP-0439-14-01-00 This 2014-2015 Hazardous Materials Emergency Preparedness (HMEP) Planning 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 the COUNTY OF OAKLAND (hereinafter called the Subgrantee) I. Purpose The purpose of this grant agreement is to provide federal funds to the Subgrantee for the development of new Superfund Amendments and Reauthorization Act (SARA), Title Ill, Section 302, hazardous materials emergency response plans, as well as for the updating of previously submitted plans. This grant agreement provides financial assistance to first responders (fire, law enforcement, emergency medical services, etc.) for allowable costs in the following areas: A. Provision of assistance to public sector employees through planning grants to states, territories, and Native American tribes for emergency response. B. Increased state, territorial, tribal, and local effectiveness in implementation of the federal Emergency Planning and Community Right-to-Know Act of 1986. C. Encouragement of a comprehensive approach to emergency planning by incorporating the unique challenges of response to transportation situations. II. Statutory Authority Funding for the 2014-2015 HMEP Grant Program is authorized by Federal Hazardous Materials Transportation Law (49 U.S.C. Section 6101 et. seq.). The Subgrantee agrees to comply with all program requirements and the most recent version of the regulations, including, but not limited to the following: A. 49 CFR, Part 110 Hazardous Materials Public Sector Training and Planning Grants. B. 49 CFR, Part 18, Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments. C. 2 CFR, Part 225, Cost Principles for State, Local, and Indian Tribal Governments (OMB Circular A-87). a OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations, located at http://www.Whitehouse.gov/omb/circulars_default, which is incorporated by reference into 49 CFR Part 18. E. Public Law 107-300, Improper Payments Information Act (IPIA) of 2002, located at http://vvww.dol.gov/ocfo/media/regsflPIA.pdf. F. 49 CFR, Part 32, Govemmentwide Requirements for Drug-Free Workplace (Financial Assistance), which implements the requirements of Public Law 100-690, Title V, Subtitle D, Drug-Free Workplace Act of 1988. Code of Federal Regulations (CFR) documents are located online at http://www.eofr.gov . 2014-2015 HMEP Planning Grant County of Oakland Page 2 of 7 Award Amount and Restrictions A. The County of Oakland is awarded $11,380.00 under the 2014-2015 HIVIEP Planning Program Grant Agreement. This funding will be awarded as described in Hazardous Materials Emergency Preparedness Planning Grant Instructions 2014 -2015 attached to this grant agreement, and is based on information provided in the HMEP grant application submitted for the 2014-2015 grant year. This allocation is dependent upon the level of federal funding and may be reduced if federal funding is reduced. Any unused grant funds remaining at the end of the grant year will be used to increase the reimbursement for accepted new SARA Title III plans submitted by participating Local Emergency Planning Committees (LEPCs). The Subgrantee's payment per new plan will be recalculated using these funds and the award to the Subgrantee for the number of new plans submitted will be adjusted. This may affect the match amount required for this grant. Based on the Subgrantee's application, a match amount of $2,845.00 is required. However, the Subgrantee must be prepared to match all funds received through this contract (which equates to 25% of any federal funds received), as noted in Section III, D of the Hazardous Materials Emergency Preparedness Planning Grant Instructions 2014 -2015 that are attached to this grant agreement. B. The United States Pipeline and Hazardous Materials Safety Administration (PHMSA) reserves the right to a royalty-free, non-exclusive, and irrevocable license to reproduce, publish, or otherwise use, and authorize others to use, for federal government purposes: 1. The copyright on any work developed under this grant, subaward, or contract under a grant subaward 2. Any rights of copyright to which the Subgrantee, Subgrantee's subrecipient, or a contractor purchases ownership with grant support. IV. Responsibilities of the Subgrantee A. Grant funds must supplement, not supplant, state or local funds. Federal funds must be used to supplement existing funds, not replace (supplant) funds that have been appropriated for the same purpose. Potential supplanting will be carefully reviewed in subsequent monitoring reviews and audits. 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. B. In addition to this grant agreement, the Subgrantee shall complete, sign, and submit to the Subgrantor the following documents, which are incorporated by reference into this grant agreement: 1. HMEP 2014-2015 Planning Grant Agreement In-Kind Match form (EMD-063) 2. Standard Assurances 3. Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; and Drug-Free Workplace Requirements 4. Audit Certification (EMD-053) 5, Request for Taxpayer Identification Number and Certification (W-9) 6. 2014-2015 SARA Title III Hazardous Materials, Off-site Emergency Response Plan Update List. The Plan Update List does not need to be completed and returned with the 2014-2015 HMEP Planning Program grant agreement. This form is to be used if and when a list of updated plans is submitted for your grant. The Plan Update List form can be submitted directly to the SARA Title Ill Planner at the Michigan State Police, Emergency Management and Homeland Security Division (MSP/EMHSD) when plan updates have been completed for the grant year. 7. Other documents that may be required by federal or state officials C. The Subgrantee agrees to comply with all applicable federal and state regulations, including, but not limited to, the following: 2014-2015 HMEP Planning Grant County of Oakland Page 3 of 7 1. Meet the LEPC eligibility requirements, as stated in the attached Hazardous Materials Emergency Preparedness Planning Grant Instructions 2014 -2015, Section IL 2. Submit new SARA Title ill (Section 302) community hazardous materials emergency response plans to the MSP/EMHSD no later than July 1, 2015. Support grant documentation must meet the requirements stated in the attached Hazardous Materials Emergency Preparedness Planning Grant Instructions 2014-2015, Section MB., or forfeit that portion of the grant award. 3. Submit a list of updated SARA Title ill (Section 302) community hazardous materials emergency response plans to MSP/EMHSD no later than July 1, 2015. The form for submitting these updates is available on the MSP/EMHSD website located at http://www.michigan.gov/emhsd . Support grant documentation must meet the requirements stated in the attached Hazardous Materials Emergency Preparedness Planning Grant Instructions 2014 -2015, Section IV.B., or forfeit that portion of the grant award. 4. Comply with National Incident Management System (NIMS) requirements to be eligible to receive federal preparedness funds. N1MS information is available at http://www.fema.gov/emergency/nims . More information on complying with NIMS is available from the State N1MS Coordinator. 5. Integrate individuals with disabilities into emergency planning in compliance with Executive Order 13347 and the Rehabilitation Act of 1973. 6. Comply with applicable financial and administrative requirements set forth in the current edition of 49 CFR, Part 18, including, but not limited to, the following provisions: a. Account for receipts and expenditures, maintain adequate financial records, and refund expenditures disallowed by federal or state audit. b. Retain all financial records, statistical records, supporting documents, and other pertinent materials 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. c. 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 49 CFR, Part 18. 7. Comply with the Department of Transportation's policy for contracting with small and minority firms, women-owned business enterprises, veteran owned, and HubZone area firms, The Subgrantee and any of the Subgrantee's subrecipients are encouraged to take all necessary affirmative steps to assure that small, women-awned, minority disadvantaged businesses, veteran, and HubZone business firms are used when possible. 8. Complete federally-mandated reporting requirements, including, but not limited to, requirements related to the Federal Funding Accountability and Transparency Act of 2006 (FFATA) (Public Law 109 - 282), as amended by Section 6202(a) of the Government Funding Transparency Act of 2008 (Public Law 110-252) and program specific reporting requirements. V. Responsibilities of the Subgrantor The Subgrantor, in accordance with the general purposes and objectives of this grant agreement, will: A. Administer the grant in accordance with all applicable federal and state regulations and guidelines and submit required reports to the awarding federal agency. B. Provide direction and technical assistance to the Subgrantee. C. Provide to the Subgrantee any special report forms and reporting formats (templates) required for administration of the program. 2014-2015 1-MEP Planning Grant County of Oakland Page 4 of 7 D. Reimburse the Subgrantee, in accordance with this grant agreement, based on appropriate documentation submitted by the Subgrantee. E. At its discretion, independently, or in conjunction with the federal awarding agency, conduct random on- site reviews of the Subgrantee(s). VI. Reporting Procedures Submit new and updated SARA Title III (Section 302) community hazardous materials emergency response plans, and identify which facility plans were updated on the attached Plan Update List form as stated in the 2014-2015 application to MSP/EMHSD, no later than July 1,2015. Complete instructions on how and where to submit required reports can be found in the Hazardous Materials Emergency Preparedness Planning Grant Instructions 2014-2015 that are attached to this grant agreement. If a support grant was requested, the LEPC must meet the requirements stated in the attached Hazardous Materials Emergency Preparedness Planning Grant Instructions 2014 -2015, Section 1V.B., or forfeit that portion of the grant award. VII. Payment Procedures Upon receipt, review, and acceptance of all work products and other requirements, as referenced in this contract, the Subgrantor will calculate the payment to be made to the Subgrantee and will forward this information to the Subgrantee. See the Hazardous Materials Emergency Preparedness Planning Grant Instructions 2014 -2015 document attached to this grant agreement for further information. All Subgrantees in the HMEP grant program must submit documentation on the associated costs being charged to the $1,000.00 HMEP support grant. The eligible expenses are laid out in the HMEP $1,000.00 Support Grant Certification Form, which will be mailed to each LEPC at the close of the federal fiscal year. When a LEPC enters information into this form, the cost will need to be supported by a receipt, time sheet (reflecting hours worked on SARA related planning issues), purchase order or a paid invoice. The support grant form and attachments must be returned to MSP/EMHSD by the assigned due date. VIII. Employment Matters The Subgrantee shall comply with Title VI of the Civil Rights Act of 1964, as amended; Title VIII of the Civil Rights Act of 1968; Title IX of the Education Amendments of 1972 (Equal Opportunity in Education Act); the Age Discrimination Act of 1975; Titles!, II and 111 of the Americans with Disabilities Act of 1990; 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 at seq., and all other federal, state and local fair employment practices and equal opportunity laws and covenants. The Subgrantee 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. The Subgrantee agrees to include in every subcontract entered into for the performance of this grant agreement this covenant not to discriminate in employment. A breach of this covenant is a material breach of the grant agreement. The Subgrantee must comply with 2 CFR 1200, Nonprocurement Suspension and Debarment, located at http://wvvvv.ecfr.gov . The Subgrantee shall ensure that no subcontractor, manufacturer, or supplier of the Subgrantee for projects related to this grant agreement appears on the Federal Excluded Parties List System located at http://www.sam.gov. 2014-2015 HMEP Planning Grant County of Oakland Page 5 of 7 The Subgrantee shall comply with regulation 49 CFR, Part 21, Nondiscrimination in Federally-Assisted Programs of the Department of Transportation — Effectuation of the Title VI of the Civil Rights Act of 1964 (see related certification form contained as an attachment to this grant agreement). The Subgrantee shall comply with regulation 49 CFR Part 20 relating to New Restrictions on Lobbying (see related certification form contained as an attachment to this grant agreement). IX. Limitation of Liability The Subgrantor and the Subgrantee to this grant agreement agree that each must seek its own legal representative and bear its own costs, including judgments, in any litigation that may arise from performance of this contract. It is specifically understood and agreed that neither party will indemnify the other party in such litigation. This is not to be construed as a waiver of governmental immunity for either party. X. 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. Xl. Grant Agreement Period This grant agreement is in full force and effect from October 1, 2014 to September 30, 2015. No costs eligible under this grant agreement shall be incurred before the starting date of this grant agreement, except with prior written approval. This grant agreement package consists of two identical grant agreements, 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. XII, 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 the Subgrantor and the 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 grant end date. 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. The Subgrantee agrees to inform the Subgraritor 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 the Subgrantor. If any provision of this grant agreement shall be deemed void or unenforceable, the remainder of the grant agreement shall remain valid. The Subgrantor may suspend or terminate grant funding to the Subgrantee, in whole or in part, or other measures may be imposed for any of the following reasons: A. Failure to expend funds in a timely manner consistent with the grant milestones, guidance, and assurances. B. Failure to comply with the requirements or statutory objectives of federal or state law. C. Failure to follow grant agreement requirements or special conditions. D. Proposal or implementation of substantial plan changes to the extent that, if originally submitted, the project would not have been approved for funding. 2014-2015 HMEF Planning Grant County of Oakland Page 6 of 7 E. Failure to submit required reports. F. Filing of a false certification in the application or other report or document. G. Failure to adequately manage, monitor or direct the grant funded activities of its 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. XIII, 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 Subgrantees business integrity. XIV. 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; and discussions of demographics, transportation, public works, and industrial and public health infrastructures. Therefore, each Subgrantee agency Freedom of Information Officer will need to determine what information is to be withheld on a case-by-case basis. The Subgrantee should be familiar with the regulations governing Protected Critical Infrastructure Information (6 CFR Part 29) and Sensitive Security Information (49 CFR Fart 1520), as these designations may provide additional protection to certain classes of homeland security information. 2014-20151-{MEP Planning Grant County of Oakland Page 7 of 7 XV. Official Certification For the Subgrantee The individual or officer signing this grant agreement certifies by his or her signature that he or she is authorized to sign this grant agreement on behalf of the organization he or she represents. The Subgrantee agrees to complete all requirements specified in this grant agreement. Subgrantee Name Subgrantee's DUNS Number Printed Name Title Signature Date For the Subgrantor (Michigan State Police, Emergency Management and Homeland Security Division) Chris A. Kelenske, Captain Deputy State Director of Emergency Management and Homeland Security Title Printed Name a. ‘aoini- 2/6/2015 Date Signature SUBGRANTEE CHECKLIST 2014-2015 HAZARDOUS MATERIALS EMERGENCY PREPAREDNESS (HMEP) PLANNING PROGRAM GRANT AGREEMENT CFDA No: 20.703 Submit the following items as necessary to Attention: Ms. June Martin, Emergency Management and Homeland Security Division, Michigan Department of State Police, 4000 Collins Road, Lansing, Michigan 48910 SUBGRANTEE WILL NOT BE REIMBURSED FOR FUNDS UNTIL ALL REQUIRED SIGNED DOCUMENTS ARE RECEIVED 7 1. Grant Agreement. There are two identical grant agreements enclosed. Please sign both, but retain one signed document for your records and return the other signed document. E 2. HMEP 2014-2015 Planning Grant Agreement In-Kind Match form 111 3. Standard Assurances El 4. Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; and Drug-Free Workplace Requirements 5. Audit Certification (EMD-053) 6. Request for Taxpayer Identification Number and Certification (W-9) C. 7. 2014-2015 SARA Title Ill Hazardous Materials, Off-site Emergency Response Plan Update List NOTE: The Plan Update List does not need to be completed and returned with your 2014-15 HMEP Planning Program grant agreement. This form is to be used if and when a list of updated plans is submitted for your grant. The Plan Update List form can be submitted directly to the SARA Title ill Planner at the MSP/EMEISD when you have completed all plan updates for the grant year. POST REIMBURSEMENT REQUIREMENTS 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 grant is closed by the awarding federal agency. Be sure to comply with Single Audit requirements of OMB Circular, A-133. If required, the Subgrantee submits audit copy to: Michigan Department of State Police, Grants and Community Services Division, 333 South Grand AvenUe, Lansing, Michigan 48909. RANT QUESTIONS, PLEASE CONTACT fs:„Fi::0:1-0n00:01A ICHIGAN.GOV OR (5 EMD-063 (0912014) MICHIGAN STATE POLICE Emergency Management and Homeland Security Division HMEP PLANNING GRANT AGREEMENT IN-KIND MATCH FOR FISCAL YEAR 2014-2015 The Oakland County Local Emergency Planning Committee (LEPC) has been allocated the funding amount specified in the attached grant agreement. Therefore, a local fund match of $2,845 is required, The LEPC agrees to use the following as its in-kind match (This can be any non-federal money from a government jurisdiction, industry, or other organization represented on the LEPC. Staff paid with EIVIPG/HGSP funds CANNOT be used for match.): Ti PLANNING PERSONNEL: (Full Name of Employee) , whose salary and fringe benefits cost $ per hour, will work approximately hours on LEPC planning. SECRETARIAL: (Full Name of Employee or Secretarial Service) , whose salary and fringe benefits cost $ per hour, will work approximately hours on LEPC business. OFFICE SPACE: (Government Jurisdiction or Other Entity) , will provide a square foot office located at (Address) to the LEPC at a cost of $ per square foot. 1-1 MAILING: (Government Jurisdiction or Other Entity) , will provide $ toward LEPC related mailings. PRINTING: (Government Jurisdiction or Other Entity) , will provide $ toward LEPC related printing. ri OTHER (Describe): AUTHORITY: 1976 PA 390, as amended, MCL 30,407a, .42 USG 11002- 11003 COMPLIANCE: Voluntary, however failure to complete application will result in denial of request OMB APPROVAL NO. 1121-0140 EXPIRES 06/30/2009 STANDARD ASSURANCES The Applicant hereby assures and certifies compliance with all applicable Federal statutes, regulations, policies, guidelines, and requirements, including OMB Circulars A-21, A-87, A-102, A-110, A-122, A- 133; Ex. Order 12372 (intergovernmental review of federal programs); and 28 C.F.R, pts, 66 or 70 (administrative requirements for grants and cooperative agreements). The applicant also specifically assures and certifies that: 1. It has the legal authority to apply for federal assistance and the institutional, managerial, and financial capability (including funds sufficient to pay any required non-federal share of project cost) to ensure proper planning, management, and completion of the project described in this application. 2. It will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 3. It will give the awarding agency or the General Accounting Office, through any authorized representative, access to and the right to examine all paper or electronic records related to the financial assistance, 4. It will comply with all lawful requirements imposed by the awarding agency, specifically including any applicable regulations, such as 28 C_F.R. pts. 18, 22, 23, 30, 35, 38, 42, 61, and 63, and the award term in 2 C.F.R. § 175.15(b). 5. It will assist the awarding agency (if necessary) in assuring compliance with section 106 of the National Historic Preservation Act of 1966 (16 U.S.C. § 470), Ex. Order 11593 (identification and protection of historic properties), the ArcheOlogical and Historical Preservation Act of 1974 (16 U.S.C.§ 469 a-1 et seq.), and the National Environmental Policy Act of 1969 (42 U.S.C. § 4321). 6. It will comply (and will require any subgrantees or contractors to comply) with any applicable statutorily-imposed nondiscrimination requirements, which may include the Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. § 3789d); the Victims of Crime Act (42 U.S.C. §10604(e)); The Juvenile Justice and Delinquency Prevention Act of 2002 (42 U.S.C. § 5672(b)); the Civil Rights Act of 1964 (42 U.S.C. § 2000d); the Rehabilitation Act of 1973 (29 U.S.C. §7 94); the Americans with Disabilities Act of 1990 (42 U.S.C.§ 12131-34); the Education Amendments of 1972 (20 U.S.C. §§1681, 1683, 1685-86); and the Age Discrimination Act of 1975 (42 U.S.C. §§ 6101-07); see Ex. Order 13279 (equal protection of the laws for faith-based and community organizations). 7. If a governmental entity- _ a) it will comply with the requirements of the Uniform Relocation Assistance and Real Property Acquisitions Act of 1970 (42 U.S.C.§ 4601 et seq.), which govern the treatment of persons displaced as a result of federal and federally-assisted programs; and b) it will comply with requirements of 5 U.S.C.§§ 1501-08 and §§7324-28, which limit certain political activities of State or local government employees whose principal employment is in connection with an activity financed in whole or in part by federal assistance. Signature Date Date U.S. DEPARTMENT OF JUSTICE OFFICE OF JUSTICE PROGRAMS OFFICE OF THE COMPTROLLER CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS Applicants should refer to the 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 of this farm provides for compliance with certification requirements under 28 CFR Part 69, New Restrictions on Lobbying" and 28 CFR Part 67, "Government-wide Debarment and Suspension (Nonpro-curement) and Government-wide Requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Justice determines to award the covered transaction, grant, or cooperative agreement. i. LOBBYING As required by Section 1362, Title 31 of the U.S. Code, and implemented at 28 CFR Part 69, for persons entering into a grant or cooperative agreement over $100,000, as defined at 28 CFR Part 69, the applicant certifies that: (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for in- fluencing or attempting to influence an offioer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in con- nection with the making of any Federal grant, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal grant or cooperative agreement; (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or at- tempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in 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 cer- tification be included in the award documents for all subawards at all tiers (including subgranis, contracts under grants and cooperative agreements, and subcontracts) and that all sub- recipients shall certify and disclose accordingly, 2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT) As required by Executive Order 12549, Debarment and Suspension, and implemented at 28 CFR Part 67, for prospec- tive participants in primary covered transactions, as defined at 28 CFR Part 67, Section 67.510— A. The applicant certifies that it and its principals; (a) Are not presently debarred, suspended, proposed for debar- ment, 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 applica- tion been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connec- tion with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation cf Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) Have not within a three-year period preceding this applica- tion had one or more public transactions (Federal, State, or local) terminated for cause or default; and B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application. 3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS) As required by the Drug-Free VVorkplace.Act of 1988, and implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 CFR Part 67 Sections 67.615 and 67.620— A. The applicant certifies that it will or will continue to provide 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 that will be taken against employees for violation of such prohibition; (b) Establishing an on-going drug-free awareness program to inform employees 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; (a) Making It a requirement that each employee to be engaged in the performance of the grant be given a copy of the state- ment required by paragraph (a); (d) Notifying the employee In the statement required by para- graph (a) that, as a condition of employment under the grant, the employee will—. OJP FORM 4061/6 (3-61) REPLACES ()JP FORMS 4061/2, 406113 AND 4061/4 WHICH ARE OBSOLETE. (1) Abide by the terms of the statement; and (2) Notify the employer in writing of his Or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction; (e) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such convic-tion. Employers of convicted employees must provide notice, including position title, to: Department of Justice, Office of Justice Programs, ATTN: Conteol Desk, 633 Indiana Avenue, N.VV., Washington, D.C. 20531. Notice shall include the iden- tification number(s) of each affected grant; (f) Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted— (1) 'Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (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 enforce- ment, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug- free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f). B. The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant: Place of Performance (Street address, city, county, state, zip code) Check 0 if there are workplaces on file that are not indentifled here. Section 67, 630 of the regulations provides that a 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 ap- plication for Department of Justice funding. States and State agencies may elect to use OJP Farm 4061/7, Check p if the State has elected to complete OJP Form 4051/7. DRUG-FREE WORKPLACE (GRANTEES WHO ARE INDIVIDUALS) As required by the Drug-Free Workplace Act of 1988, and implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 CFR Part 67; Sections 67.615 and 67.620— A. As a condition of the grant, I certify that I will not engage in the unlawful manufacture, distribution, dispensing, posses- sion, or use of a controlled substance in conducting any activity with the grant; and B. If convicted of a criminal drug offense resulting from a violation occurring during the conduct of any grant activity, I will report the conviction, In writing, within 10 calendar days of the conviction, to: Department of Justice, Office of Justice Programs, ATTN: Control Desk, 810 Seventh Street NW., Washington, DC 20531 : • As the duly authorized representative of the applicant, / hereby certify that the applicant will comply with the above certifications. 1. Grantee Name and Address: 2. Application Number and/or Project Name 3, Grantee IRS/Vendor Number 4, Typed Name and Title of Authorized Representative 5. Signature 6. Date 'U.S. Government Printing Office: 19.95- 405-03E40014 EIVID-053 (12/2014) MICHIGAN STATE POLICE Emergency Management and Homeland Security Division AUDIT CERTIFICATION AUTHORITY: 1976 PA 390, MCL 30.407a, Single Audit Act of 1984, PL 98-502, as amended; COMPLIANCE: Voluntary, but necessary to be considered for grant assistance Federal Audit Requirements Non-federal organizations which expend $500,000 or more in federal funds during their current fiscal year or expend $750,000 or more in federal funds in a fiscal year beginning on or after December 26, 2014, 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 or 2 CFR 200 after December 26, 2014. Subgrantees MUST submit a copy of their audit report for each year they meet the funding threshold to: Michigan State Police, Grants and Community Services Division, 333 South Grand Avenue, Lansing, Michigan 48933, Program Name CFDA Number I. Subgrantee Information Jurisdiction Name Street Address City State ZIP Code II. Certification. for Fiscal Year Subgrantee Fiscal Year Period: to . 0 I certify that the subgrantee shown above does NOT the Single Audit Act of 1984, as amended, and the OMB expect it will be required to have an audit Circular, as revised, for the above listed be required to have an audit performed as revised, during at least one fiscal year will be submitted to: Michigan State Avenue, Lansing, Michigan 48933. performed under program. under the Single funds are received Police, Grants Date • I certify that the subgrantee shown above expects it will Audit Act of 1984, as amended, and the OMB Circular for the above listed program. A copy of the audit report and Community Services Division, 333 South Grand Signature of Subgrantee's Authorized Representative Submit Completed Document To: Emergency Management and Homeland Security Division Michigan Department of State Police Attention: Grants Development Unit 4000 Collins Road Lansing, Michigan 48910 'orm W-9 Rev. December 2014) )euartment of the Treasury nternal Revenue Service Request for Taxpayer identification Number and Certification Give Form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2_ 1 Name (as shown on your Income tax return). Name Is required on this line; do not leave this line Nark. 2 Business name/disregarded entity name, If different from above , 3 Check appropriate box for federal tax dassMcation; check only one of the following seven boxes: El Individual/sole proprietor or • c Corporation II S Corporation / Partnership • Trust/estate single-member LLC El Limited liability company. Enter the tax classification (C ,-0 corporation, S.—.S corporation, P=partnership) 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 0): Exempt payee code Of any) Exemption from FATCA reporting code (if any) Note. For For a single-member LLC that Is disregarded, do not check LI_C; check the appropriate box in the line above for the tax classification of the single-member owner. • Other (see instructions)* VippWos to accounts melnlotned outsIde the US 5 Address [number, street, and apt. or suite no.) Requester's name and address (optional) 6 City, state, and ZIP code 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line Ito avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see 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 aot a Social security number I — — TIN on page 3. or Note. if the account is in more than one name, see the instructions for line 1 and the chart on page 4 for Employer identification number guidelines on whose number to enter. Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified roe that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that! am exempt from PATCA reporting is correct 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 apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sign Here Signature of U.S. person If- Date General instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. Information about developments affecting Form W-9 (such as legislation enacted after we release it) is at viww.irs.gov1fw9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), Individual taxpayer Identification number (MN), adoption taxpayer Identification number (ATIN), or employer identification number (BIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of Information returns include, but are not limited to the following: • Form 1099-INT (interest earned or paid) • Form 1099-D1y (dividends, Including these from stooks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan-interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only it you are a U.S. person (ncluding a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding? on page 2. By signing the filled-out form, you: 1. 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 withholding, or S. Claim exemption from backup withholding if you area 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, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What Is FATCA reporting? on page 2 for further Information. Cat. No. 10231X Form W-9 (Rev. 12-2014) Form W-9 (Rev. 12-2014) Page 2 Note. If you are s U.S. person and a requester gives you a form otherthan Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form 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; i• A partnership, corporation, company, or association created or organized in the United State or underthe laws of the United States; • An estate (other than a foreign estate); or • A domestic trust (as defined in Regulations section 301.7701-7). Special rules for partnerships. Partnerships that conduct a trade or business In the United States are generally required to pays withholding tax under section 1446 on any foreign partners' share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner Is a foreign person, and pay the section 1446 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 States, provide Form W-9 to the partnership to establish your U.S, status and avoid section 1446 withholding on your share of partnership Inceme. In the cases below, the following person must give 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: • in the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity; • in the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the LI.S. grantor or other U.S. owner of the grantor trust and not the trust; and • In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the tryst. Foreign person. If you area foreign person or the U.S. branch of a foreign bank that has eleoted to be treated as a U.S. person, do not use Form W.S. instead, use the appropriate Form W-8 or Form 6233 (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. fax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items: 1. The treaty country. Generally, this 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 exceptions. 4. The type and amount of income that qualifies 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.-China 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 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions ef Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is 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, give the requester the appropriate completed Form W-8 or Form 8233. Backup Withholding What is backup withholding? Persons making certain payments to you must under certain Conditions withhold and pay to the IRS 28% 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, nonempioyee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will he subject to backup withholding if; 1. You do not furnish your TIN to the requester, 2. You do not certify your TIN when required (see the Fart II Instructions on page 3 for details), 3. The IRS tells the requesterthat you furnished an incorrect TIN, 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 5. 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 1983 only). Certain payees and payments are exempt from backup withholding. See Exempt payee code on page Sand the separate Instructions for the Requester of Form W-9 for more Information. Also see Special rules for partners hips above. What is FATCA reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code on page 3 and the instructions for the Requester of Form W-9 for more ieforrnation. Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee If you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated Information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies, Penalties Failure to furnish TIN, if you fall 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 information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse 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 Line 1 You must enter one of the following on this line; do not leave this line blank. The name should match the name on yourtax return. If this Form W-9 is for a joint account, list first, and then circle, the name of the person or entity whose number you entered In Part I of Form W-9. a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without Informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name. Note_ ITIN applicant Enter your individual name as it was entered on your Form W-7 application, line la. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application. b. Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/10405Z on line 1. You may enter your business, trade, or "doing business as" (OEA) name on line 2. c. Partnership, LL0 that is not a single -member LLC, C Corporation, or S Corporation. Enter the entity's name as shown or the entity's tax return on line 1 and any business, trade, or DBA name on line 2. d, Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter er other legal document creating the entity. You may enter any business, trade, or CEA name on line 2. e, Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a 'disregarded entity." See Regulations section 301.7701-2(c)(2)P), Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LeC that is treated ass disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name Is required to be provided on line 1. if the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, "Business name/disregarded entity name." if the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN, Farm W-9 (Rev. 12-2014) Page 3 Line 2 If you have a business name, trade name, DBA name, or disregarded entity name, you may enter It on line 2. Line 3 Check the appropriate box in line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box in line 3. Limited Liability Company (LLC), If the name on line 1 is an LLC treated as a partnership for U.S. federal tax purposes, check the "Limited Liability Company" box and enter "P" in the space provided, if the LLO has filed Form 8832 or 2553 to be taxed as a corporation, check the "Limited Liability Company box and in the space provided enter "C" for C corporation or "S" for S corporation. If it Is a single-member LW that is a disregarded entity, do not check the 'Limited Liability Company' box instead check the first box in line $ "Individual/sole proprietor or single-member LW," Line 4, Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space in line 4 any code(s) that may apply to you. Exempt payee code. a Generally, individuals (including sole propriatcrs) are not exempt from backup withholding. . Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. a Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions. . Corporations are not exempt from backup withholding with respect to attorneys' fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respeot to payments reportable on Form 1099-MISC, The following codes identify payees that are exempt from backup withholding. Enter the appropriate code In the space in Line 4. 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 U.S. commonwealth or possession, or any of their political subdivisions or Instrumentalities 4—A foreign government or any of Its political subdivisions, agencies, or instrumentalities 5—A corporation 6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession 7—A futures commission merchant registered with the Commodity Futures Trading Commission 8—A real estate investment trust 9—An entity registered at all times during the tax year under the Investment Company Act of 1940 10—A common trust fund operated by a bank under section 584(a) 11—A financial institution 12—A middleman known in the Investment community as a nominee or custodian 13—A trust exempt from tax under section 664 or described In section 4947 _ The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13. IF the payment is tor . „ THEN the payment is exempt for .. , Interest and dividend payments All exempt payees except fort Broker transactions Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of ncincovered securities acquired prior to 2012. Barter exchange transactions and patronage dividends Exempt payees 1 through 4 Payments over $600 required to be reported and direct sales over $5,0001 Generally, exempt payees 1 through 52 Payments made in settlement of payment card or third party network transactions Exempt payees I through 4 1 See Form 1099-MISC, Miscellaneous Income, and its instructions. 2 However, the following payments made to a corporation and reportable on Form 1099-M ISC are not exempt from backup withholding: medical and health care payments, attorneys' fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency. Exemption from FATCA reporting node. The following codes Identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions, Therefore, If you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution Is subject to these requirements. A requester may indicate that a code Is not required by providing you with a Form W-9 with "Not Applicable" (or any similar indication) written or printed on the line for a FATCA exemption cede. A—An organization exempt from tax under section 601(a) or any individual retirement plan as defined in section 7701(a)(37) B—The United States or any of its agencies or instrumentalities C —A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or Instn.imentalIties D—A corporation the stock of which is regularly traded on one or more established securities markets, as described In Regulations section 1.1472-1(c)(1)(i) E—A corporation that ls a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(0)0)(0 F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the taws of the United States or any state a—A real estate investment trust H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940 I—A common trust fund as defined in section 584(a) J—A bank as defined in section 581 K—A broker L—A trust exempt from tax under section 604 or described in section 4947(a)(1) M —A tax exempt trust under a section 403(b) plan or section 457(g) plan Note. You may with to consult with the financial institution requesting this form to determine whetherthe FATCA code and/or exempt payee code should be completed. Line 5 Order your address (number, street, and apartment or suite number). This is where the requester ot this Form W-9 will mall your information returns. Line 6 Enter your city, state, and ZIP code, 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 SON, your TIN is your IRS individual taxpayer identification number (mN). Enter it in the social security number box, If you do not have an 1TIN, see How to get a TIN below. if you are a sole proprietor and you have an El N, you may enter either your SSN or Eial. However, the IRS prefers that you use your SON, If you are a single-member LL.0 that is disregarded as an entity separate from as owner (see Limited i_lability Company ((4.5) on this page), enter the owner's SSN (or RN, if the owner has one). Do not enter the disregarded entity's EIN. If the LLC is classified as a corporation or partnership, enter the entity's EN. Note. See the chart on page 4 for further clarification of name and TIN combinations. Ficw to get a-T1N. If you do not have a TIN, apply for one immediately. To apply for an SON, get Form as-5, Application for a Social Security Card, from your local SSA office or get this form online at www.ssa.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at wwwirs.govlbusinesses and clicking on Employer Identification Number (ELNI) under Starting a Business. You can get Forms W-7 and SS-4 from the IRS by visiting IRS.gov or by calling 1-800-TAX-FORM (1-800-829-3676). If you are asked to complete Form W-9 but do not have a TIN, apply fore TIN and write 'Applied For" in the space forthe TIN, sign and date the form, and give it to the requester. For interest arid dividend payments, and certain payments made With respect to readily tradable Instruments, generally you will have 60 days to get a T1N 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 all such payments until you provide your TIN to the requester. Note. Entering "Applied Fore means that you have already applied for a TIN orthat you intend to apply for one soon. Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-S. Form W-9 (Rev. 12-2014) Page 4 Part II. 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, or 5 below indicate otherwise. Fore joint account, only the person whose TIN is shown in Part i should sign (when required). In the case of a disregarded entity, the person Identified on tne 1 must sign. Exempt payees, see Exempt payee code earlier. Signature requirements. Complete the certification as Indicated in items 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, arid 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 TIN to the requester, you must cross out Item 2 In the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. 'Other payments" 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 for services, payments made In settlement of payment card and third party network transactions, 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, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), IRA, Coverdell ESA, Archer MSA or IISA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification, What Name and Number To Give the Requester For this type of account Give name and SSN of: 1. Individual 2. Two or more individuals (joint account) 3. Custodian account of a minor (Uniform Gift to Minors Act) 4. a. The usual revocable savings trust (grantor is ale° trustee) b. So-called trust account that is not a legal or valid trust under state law 5. Sole proprietorship or disregarded entity owned by an individual 6. Grantor trust filing under Optional Forrn 1099 Filing Method I (see Regulations section 1.671-4(b)(2)(i) (A)) The individual The actual owner of the account or, if combined funds, the first individual on the account' The minor' The grantor-trustee' The actual owner' The owner" The grantor' For this type of account Give name and EIN of: 7. Disregarded entity not owned by an Individual 8. A valid trust, estate, or pension trust 9. Corporation or i_LC electing corporate status on Form 8832 or Form 2553 10. Association, club, religious, charitable, educational, or other tax- exempt organization 11. Partnership or multi-member LI_O 12. A broker or registered nominee 13. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments 14. Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)(I) (B)) The owner Legal entity' The corporation The organization The partnership The broker or nominee The public entity The trust ,, List first arid circle the name ef the parson whose number you furnish, if only one person on a feint account Inas an SSW, that person's number must be furnished. Circle the minor's name and furnish the minor's $SN. You must show your Individual name and you may also enter your business or DEA name on the "Business name/disregarded entity" name line. You may use either your SSN or EIN (if you have one), but the Ins encourages you to use your SSN : List fist and circle the name of the trust, estate, or pension trust (Do riot furnish the TIN of the personal representative or trtistee unless the legal entity itself Is not designated tithe account tills,) Also see Special Ivies for partnerships an page 2. *Note. Grantor also must provide a Form W-9 to trustee of trust, Note. If no lame Is circled when more than one name is listed, the number will be considered to be that of the first name listed. Secure Your Tax Records from Identity Theft Identity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An Identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • ffnsure your employer Is protecting your SSN, and • Be careful when choosing a tax preparer, If your tax records are effected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. If Our tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS identity Theft Hotline at 1-500-908-4490 or submit Form 14039. For more information,-see Publication 4535, Identity Theft Prevention and Victim Assistance. 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 reach TAS by calling the TAS toil-free case intake line at 1477-777-4778 or TTY/TDD 1 ,-800-829-4059. Protect yourself from suspicious emalls or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private Information that will be used for identity theft, The IRS does not initiate contacts with taxpayers via emails, Also, the IRS does riot 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. If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@iragov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (lIGTA) at 1-800-388-4484. You can forward suspicious emalls to the Federal Trade Commission at: spamOuce.gov or contact them at www.ftc.goylidthaft or 1-877-IDTHEFT (1-877-438-4338), Visit IRS.gov to learn more about Identity theft and how to reduce your risk. Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or NSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcerneet end Intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return, Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information, MI -SARA ID-Number aCility Emergency Contac EMD-064 (0812014) MICHIGAN STATE POLICE Emergency Management and Homeland Security Division SARA TITLE III HAZARDOUS MATERIALS, OFF-SITE EMERGENCY RESPONSE PLAN UPDATE LIST AUTHORITY: 1976 PA 390, MCL 30.407a; 42 USC 11002-11003 COMPLIANCE: Required PENALTY: Civil penalty of not more than $25,000 for each day such violation occurs This form is used for the recording of updated emergency contact information for sites required under 42 USC 11002 (SARA Title III, Section 302). DO NOT list new plans on this sheet. Please note that the Michigan State Police, Emergency Management and Homeland Security Division may contact facilities to verify the plan review. Local Emergency Planning Committee (LEPC) Name: Date: - 'Emergency Contact Phone ate Original Plan Submitted SIGNATURE (LEPC Chair or Local Emergency Management Coordinator) FISCAL NOTE , (MISC. #15057) March 18, 2015 BY: FINANCE COMMITTEE, TOM MIDDLETON, CHAIRPERSON IN RE: HEALTH AND HUMAN SERVICES — HOMELAND SECURITY DIVISION — 2014-2015 HAZARDOUS MATERIALS EMERGENCY PREPAREDNESS PLANNING PROGRAM (HMEP-PP) GRANT AGREEMENT 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 resolution recognizes the Superfund Amendment and Reauthorization Act (SARA) of 1986, Title III which requires the planning and provision for community right to know on extremely hazardous substances in local communities. 2. A grant application was submitted and Oakland County has been notified that the Local Emergency Planning Committee (LEPC) as eligible to receive up to $11,380 for the submittal of new and updated plans during the grant period October 1, 2014 through September 30, 2015. 3. This grant requires an in-kind grant match of 82,845 in General Fund expenditures for total program costs of $14,225. 4. The FY 2015 Budget is amended as follows to reflect the grant award: GENERAL FUND (10100) Project ID 100000001941 Revenue 1060601-115180-610313 9010101-196030-665882 FY 2015 Amendment Federal Operating Grants Planned Use of Balance Total Revenue $ 1,440 ($ 1,440) $ 0 FINANCE COMMITTEE FINANCE COMMITTEE VOTE: Motion carried unanimously on a roll call vote. Resolution #15057 March 18, 2015 Moved by KowaII supported by Quarles the resolutions (with fiscal notes attached) on the amended Consent Agenda be adopted (with accompanying reports being accepted). AYES: Dwyer, Fleming, Gershenson, Gingell, Gosselin, Hoffman, Jackson, KowaII, Long, Matis, McGillivray, Middleton, Quarles, Scott, Spisz, Taub, Weipert, Woodward, Zack, Bowman, Crawford. (21) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the amended Consent Agenda were adopted (with accompanying reports being accepted). HEREBY APPROVE THIS RESOLUTION CHIEF DEPUTY COUNTv EXECUTIVE ACTING PURSUANT TO MCL 45.550A (7) STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lisa Brown, 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 March 18, 2015, 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 18th day of March 2015. Lisa Brown, Oakland County