Loading...
HomeMy WebLinkAboutResolutions - 2016.11.10 - 22662MISCELLANEOUS RESOLUTION #1.6305 November 10, 2016 BY: General Government Committee, Christine Long, Chairperson IN RE: HEALTH AND HUMAN SERVICES - HOMELAND SECURITY DIVISION — 4195-DR-MI HAZARD MITIGATION GRANT PROGRAM GRANT AGREEMENT ACCEPTANCE 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 efforts of the hazard; 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 hazards that may affect it; and WHEREAS Oakland County will receive $152,045 in grant funding to hire a company to assist in the creation and approval of the Hazard Mitigation plan; and WHEREAS the required 25% in kind match of $51,920 will be met with staff salary to support the selected contracted vendor, ensure all grant requirements are met and complete all required paperwork; and WHEREAS the grant agreement period will be from September 16, 2016 to June 21, 2019; and WHEREAS the grant agreement has completed the Grant Review Process according to the Board of Commissioners Grant Acceptance Procedures. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners authorizes acceptance of grant funding in the amount of $152,045 for the 4195-DR-MI Hazard Mitigation Grant Program from the Michigan Department of State Police, Emergency Management and Homeland Security Division, with a $51,920 required county match for total program funding of $203,965 for the period September 16, 2016 through June 21, 2019. 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 Motion carried unanimously on a roll call vote with Quarles absent. GRANT REVIEW SIGN OFF — Homeland Security GRANT NAME: Hazard Mitigation Assistance Grant Agreement for 495-DR-MI Hazard Mitigation Grant Program FUNDING AGENCY: Michigan State Police Emergency Management and Homeland Security Division DEPARTMENT CONTACT PERSON: Sara Stoddard 248 858-5080 STATUS: Grant Acceptance DATE: October 19, 2016 Pursuant to Misc. Resolution #13180, 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 (10/19/2016) Department of Human Resources: HR Approved (No Committee) — Lori Taylor (10/18/2016) Risk Management and Safety: Approved by Risk management. — Robert Erlenbeek (10/18/2016) Corporation Counsel: Approved by Corporation Counsel. — Stephen Rideout (10/19/2016) From: Van Pelt, Laurie M To: West, Catherine A; Taylor, Lori; Davis, Patricia G; Schultz, Dean 2 Cc: Stoddard, Sara D; Quisenberry, Theodore H; Scalf, Bonnie L; Pisacreta, Antonio S Subject: RE: GRANT REVIEW: Health & Human Services/Homeland Security Division - Hazard Mitigation Assstance Grant Agreement for 495-DR-MI Hazard Mitigation Grant Program - Acceptance Date: Wednesday, October 19, 2016 1:31:43 PM Approved. From: West, Catherine A Sent: Tuesday, October 18, 2016 1:55 PM To: Van Pelt, Laurie M; Taylor, Lori; Davis, Patricia G; Schultz, Dean J Cc: Stoddard, Sara D; Quisenberry, Theodore H; Scalf, Bonnie L; Pisacreta, Antonio S Subject: GRANT REVIEW: Health & Human Services/Homeland Security Division - Hazard Mitigation Assistance Grant Agreement for 495-DR-MI Hazard Mitigation Grant Program - Acceptance GRANT REVIEW FORM TO: REVIEW DEPARTMENTS — Laurie Van Pelt — Lori Taylor — Dean Schultz— Pat Davis RE: GRANT CONTRACT REVIEW RESPONSE— Health & Human Servces, Homeland Security Division Hazard Mitigation Assistance Grant Agreement for 495-DR-MI Hazard Mitigation Grant Program 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: October 20, 2016 GRANT INFORMATION Date: 10/17/16 Operating Department: Health &. Human Services, Homeland Security Division Department Contact: Sara Stoddard Contact Phone: 248-858-5080 Document Identification Number: P4195.14 REVIEW STATUS: Acceptance— Resolution Required Funding Period: 9/16/2016 through 6/21/2019 Original source of funding: FEMA, CFDA 97.039 Will you issue a sub award or contract: Yes, contract From: Taylor, Lori To: West. Catherine A; Van Pelt. Laurie M; Davis, Patricia G; Schultz, Dean 3 Cc: Stoddard, Sara I); Ouisenberry, Theodore H; Scalf, Bonnie 1; pisacrete, Antonio S Subject; RE: GRANT REVIEW: Health & Human Services/Homeland Security Division - Hazard Mitigation Assistance Grant Agreement for 495-DR-MI Hazard Mitigation Grant Program - Acceptance Date: Tuesday, October 18, 2016 3:28:23 PM HR Approved (No Committee) From: West, Catherine A Sent: Tuesday, October 18, 2016 1:55 PM To: Van Pelt, Laurie M; Taylor, Lori; Davis, Patricia G; Schultz, Dean J Cc: Stoddard, Sara D; Quisenberry, Theodore H; Scalf, Bonnie L; Pisacreta, Antonio S Subject: GRANT REVIEW: Health & Human Services/Homeland Security Division - Hazard Mitigation Assistance Grant Agreement for 495-DR-MI Hazard Mitigation Grant Program - Acceptance GRANT REVIEW FORM TO: REVIEW DEPARTMENTS— Laurie Van Pelt — Lori Taylor— Dean Schultz—Pat Davis RE: GRANT CONTRACT REVIEW RESPONSE — Health & Human Services, Homeland Security Division Hazard Mitigation Assistance Grant Agreement for 495-DR-MI Hazard Mitigation Grant Program 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: October 20, 2016 GRANT INFORMATION Date: 10/17/16 Operating Department: Health & Human Services, Homeland Security Division Department Contact: Sara Stoddard Contact Phone: 248-858-5080 Document Identification Number: P4195.14 REVIEW STATUS: Acceptance — Resolution Required Funding Period: 9/16/2016 through 6/21/2019 Original source of funding: FEMA, CFDA 97.039 Will you issue a sub award or contract: Yes, contract From: frlenbeck. Robert To: West. Catherine A; Van Pelt. Laurie M; Taylor, Lod; Davis, Patricia G; Schultz, Dean Cc: Stoddard, Sara I); Ouisenberrv. Theodore It Scalf, Bonnie L; Pisacreta, Antonio S Subject: RE: GRANT REVIEW: Health & Human Services/Homeland Security Division - Hazard Mitigation Assistance Grant Agreement for 49S-DR-MI Hazard Mitigation Grant Program - Acceptance Date: Tuesday, October 18, 2016 5:26:58 PM Approved by Risk management. R.E. 10/18/16, From: Easterling, Theresa Sent: Tuesday, October 18, 2016 3:34 PM To: West, Catherine A; Van Pelt, Laurie M; Taylor, Lori; Davis, Patricia G; Schultz, Dean Cc: Stoddard, Sara D; Quisenberry, Theodore H; Scalf, Bonnie L; Pisacreta, Antonio S Subject: RE: GRANT REVIEW: Health & Human Services/Homeland Security Division - Hazard Mitigation Assistance Grant Agreement for 495-DR-MI Hazard Mitigation Grant Program - Acceptance Please be advised that your request for Risk Management's assistance has been assigned to Bob Erlenbeck, (ext. 8-1694). If you have not done so already, please forward all related information, documentation, and correspondence. Also, please include Risk Management's assignment number, RM17-0033, regarding this matter. Thank you. From: West, Catherine A Sent: Tuesday, October 18, 2016 1:55 PM To: Van Pelt, Laurie M; Taylor, Lori; Davis, Patricia G; Schultz, Dean 3 Cc: Stoddard, Sara D; Quisenberry, Theodore H; Scalf, Bonnie L; Pisacreta, Antonio S Subject: GRANT REVIEW: Health & Human Services/Homeland Security Division - Hazard Mitigation Assistance Grant Agreement for 495-DR-MI Hazard Mitigation Grant Program - Acceptance GRANT REVIEW FORM TO: REVIEW DEPARTMENTS— Laurie Van Pelt — LOFI Taylor — Dean Schultz—Pat Davis RE: GRANT CONTRACT REVIEW RESPONSE — Health & Human Services, Homeland Security Division Hazard Mitigation Assistance Grant Agreement for 495-DR-MI Hazard Mitigation Grant Program 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: October 20, 2016 From: To: Cc: Subject: Date; pideout, Steohen West. Catherine A Van Pelt. Laurie M; Taylor. Lori; Schultz, Dean 3; 5todcfard. Sara D; Ouisenberrv. Theodore H; Scalf, Bonnie L; pisacreta, Antonio S GRANT REVIEW: Health & Human Services/Homeland Security Division - Hazard Mitigation Assistance Grant Agreement for 495-DR-MI Hazard Mitigation Grant Program - Acceptance Wednesday, October 19, 2016 2:21:17 PM Approved by Corporation Counsel. Steve IlrOA eriierv M N r Stephen Rideout Department of Corporation Counsel 1200 N. Telegraph Road, Bldg. 14 East Courthouse West Wing Extension, 3 111 Floor Pontiac, MI 48341 Phone Number: (248) 858-4097 Fax Number: (248) 858-1003 E-mail: rideouts@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 confidentlal 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. RICK SNYDER GOVERNOR STATE OF MICHIGAN DEPARTMENT OF STATE POLICE LANSING COL. KR1STE KIBBEY ETUE DIRECTOR If you have any questions regarding this correspondence, please contact Mr, Matt Schnepp at 517-284-3950i, Sincerely, , I/ 4z"1 / ,Antfibmi K rsky, 7 e4 arit ofti ande, —Governor's Authorize Representative Emergency Management and Homeland Security Division October 14, 2016 Ms. Sara Stoddard Oakland County Emergency Management and Homeland Security Division 1200 N. Telegraph Rd. 13Idg. 47W Pontiac, Michigan 48341-0410 Subject: 4195-DR-MI Hazard Mitigation Grant Program Dear Ms. Stoddard: Enclosed is the 4195-OR-MI Hazard Mitigation Grant Program (HMGP) grant agreement package for the Oakland County Hazard Mitigation Plan update, Please return the required grant documentation listed on the enclosed Subgrantee Checklist to our office. Enclosures (10) cc: Lt. Ketvirtis EMERGENCY MANAGEMENT AND HOMELAND SECURITY DIVISION • P.O, BOX 30634 • LANSING, MICHIGAN 48909 www,rnichigan.govirnsp • 517-284-3745 State of Michigan Hazard Mitigation Assistance Grant Agreement for 4195-DR-MI Hazard Mitigation Grant Program September 18,2016 to June 21, 2019 CFDA Number: 97.039 Project Number: P419514 This 4195-DR-MI Hazard Mitigation Grant Program (HMGP) 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 OAKLAND COUNTY .(hereinafter called the Sulograntee) I. Purpose The purpose of this grant agreement is to assist the Subgrantee in the implementation of P4195.14 (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. HMGP program funding is awarded by the Federal Emergency Management Agency (FEMA) and is administered by the Subgrantor. H. Objective The principal objective of this grant agreement is to provide financial assistance to the Subgrantee. The Subgrantee must complete the approved measures detailed in the attached 4195 HMGP formal application submitted by the Subgrantee, and summarized as follows: This subgrant is for the update of the multi-jurisdictional hazard mitigation plan for Oakland County. The process for updating the existing multi-jurisdictional hazard mitigation plan will be consistent with the FEMA "Local Multi- hazard Mitigation Planning Guidance" document, which can be found at httpl/www.fema,giov. This subgrant award must result in the updated multi-jurisdictional plan for Oakland County that meets the hazard mitigation planning requirements set forth in 44 CFR Part 201, has been approved by FEMA, and has been locally adopted by participating jurisdictions prior to the expiration of this Grant Agreement, No modifications to the approved scope of work can be implemented without prior FENIA approval. Requests for modifications to the scope of work must be made to FEMA through the 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 4195 HMGP formal application submitted by the Subgrantee) may not fluctuate by more than 10% without prior approval from FEMA. Statutory Authority This grant agreement is made pursuant to the HMGP, Section 404 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 USC 5170c, The Subgrantee agrees to comply with all HMGP Grant Program requirements in accordance with the Hazard Mitigation Assistance (HMA) FY 2013 Unified Guidance, located at: http://www.femagov. The Subgrantee also agrees to comply with regulations, including but not limited to the following, as applicable: A. Administrative Requirements 1. 44 CFR, Part 13, Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments (OMB Circular A-102) 2. 2 CFR, Part 215, Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals, and Other Non-Profit Organizations (OMB Circular A-110) 3. 44 OFR, Part 10, Environmental Considerations 4195-DR-MI Hazard Mitigation Grant Program Grant Agreement Oakland County Page 2 of 8 B. Cost principals 1 2 CFR, Part 225, Cost Principles for State, Local, and Indian Tribal Governments (OMB Circular A-87) 2, 2 CFR, Part 220, Cost Principles for Educational Institutions (OMB Circular A-21) 3. 2 CFR, Part 230, Cost Principles for Non-Profit Organizations (OMB Circular A-122) 4. 48 CFR, Part 31,2 Federal Acquisition Regulations (FAR), Contract Cost Principles and Procedures, Contracts with Commercial Organizations [The above referenced Code of Federal Regulations (CFR) documents are online at http://mmecfr.govl C. Audit Requirements and Other Assessments 1. OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations, located at http://www.whitehouse.goviombicirculars_default 2. Public Law 107-300, Improper Payments Information Act (IPIA) of 2002 located at http://www.dol.goviocfc/rnedia/regs/IPIA.pdf IV. Hazard Mitigation Grant Program Award Amount and Restrictions FEMA has approved a federal share for this project in the amount of: $ 152,045 Total estimated cost of this mitigation project is $ 203,965 Total 4195 HMGP contribution is $ 152,045 Total nonfederal contribution is $ 51,920 Federal assistance is made available within the limits of funds avaiiable 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 Hazard Mitigation Grant Program 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, The Subgrantee shall provide the required nonfederal matching funds. Adjustments may be made among cost line items in the approved budget (from the 4195 HMGP formal application submitted by the Subgrantee) 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 the Subgrantor and supported by adequate justification in order to be processed. The federal share will not be increased. Any costs incurred prior to September 25, 2014 (the date 4195-DR-MI was declared a disaster), are not allowable costs for the grant. Eligible costs incurred prior to the award but on or after September 25, 2014 are allowable if identified as separate (pre-award) line items in the application cost estimate and approved by FEMA. Jurisdictions with FEMA-approved mitigation plans that have been formally adopted in accordance with FEMA regulations by the end of the period of performance are not subject to recoupment of funds. FEMA will recoup mitigation planning grant funds for grants that do not meet the deliverable criteria of an adopted, FEMA-approved mitigation plan by the end of the period of performance. The amount recouped will be based on the following guidelines: 6 Jurisdictions with plans that have been approved pending adoption by FEMA, but are not yet formally adopted (in accordance with FEMA regulations) by the end of the period of performance, must return a minimum of 10 percent of the grant award; Jurisdictions with plans that have been reviewed by FEMA, but require changes in order to meet the minimum requirements, must return a minimum of 25 percent of the grant award if the required changes have not been made by the end of the period of performance; and Jurisdictions with plans that have not been submitted to FEMA for review by the end of the period of performance must return 100 percent of the grant award. 4195-DR-MI Hazard Mitigation Grant Program Grant Agreement Oakland County Page 3 of 8 In an effort to avoid recoupment of funds, the Subgrantee must submit a draft version of the revised local hazard mitigation plan to the Grantee no later than six months prior to (June 21, 2019) the end of the Period of Performance for this grant agreement. This allows for an adequate amount of time for review of the draft plan by Grantee planning staff, FEMA planning staff, completion of any necessary edits to meet FEMA requirements, and the formal adoption of the plan by the Subgrantee within the Period of Performance of this grant agreement. V. Responsibilities of the Subgrantee 4195 1-111/1GP 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 follow all responsibilities set forth in this grant agreement, Section V includes a list of these responsibilities with further detail provided in following sections. If the Subgrantee becomes unable to fulfill the responsibilities of Section V, refer to Section XI for instructions on how to terminate this agreement, The Subgrantee agrees to comply with all applicable federal and state regulations and program requirements, including the following: A. In addition to this 4195 HMGP grant agreement, Subgrantees shall complete, sign, and submit to the Subgrantor the following documents, which are incorporated by reference into this grant agreement: 1. Standard Assurances 2. Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; and Drug-Free Workplace Requirement 3, State of Michigan Audit Certification (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 4195 HMGP Grant covers eligible costs from September 25, 2014 until June 21, 2019. Allowable costs are only those specifically detailed in the attached 4195 HMGP formal application submitted by the Subgrantee. For costs incurred between September 25, 2014 and September 16,2016, only those that are specifically identified in the attached 4196 HMGP formal application submitted by the Subgrantee as "pre- award' costs are eligible for reimbursement. C. The Subgrantee shall provide at least 25 percent matching funds from nonfederal sources. Approval of in- kind match is at the sole 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.) D. Make all purchases and/or procure services in accordance with grant guidance and local purchasing/procurement policies. 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 NF1P arid to enforce NFIP requirements for all development in identified flood hazard areas, the Subgrantee shall repay to Subgrantor the 4195 1-11411GP funds related to the Project. P. 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. Submit quarterly progress reports to the Subgrantor on the status of this approved project. Quarterly progress reports must be submitted on form EMD-16 no later than 15 days following the end of the fiscal quarter. Quarterly reports shall be submitted each quarter until the project is complete and all grant requirements have been met (starting with the quarter in which this grant agreement was issued). The due dates for quarterly reports are identified in Section VII of this agreement. 4195-DR-MI Hazard Mitigation Grant Program Grant Agreement Oakland County Page 4 of 8 H. Comply with applicable financial and administrative requirements set forth in the current edition of 44 CFR, Part 13 including the following provisions: 1. Account for receipts and expenditures, maintain adequate financial records, and refund expenditures disallowed by federal or state audit. 2. Retain all financial records, supporting documents, statistical records, and all other records pertinent to the 4195 HMGP for at least three years after the financial close-out date of this grant program by FEMA for purposes of federal and/or state examination and audit. 3. Perform the required financial and compliance audits in accordance with the Single Audit Act of 1984, as amended and OMB Circular A -133 "Audits of States, Local Governments, and Non-Profit Organizations" as further described in 44 CFR, Part 13. Random audits shall be performed to ensure compliance with applicable provisions. 4. Subgrantor and the Subgrantee 4195 HMGP information constitute records subject to the Michigan Freedom of Information Act (FOlA), MCL 15.231 et seq. See section XV for more information. I. Environmental and Historic Preservation Program (EHP): The federal government is required to consider the potential impacts to the human and natural environment of projects proposed for federal funding, The EHP 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 shall not undertake any project having the potential to impact EHP resources without prior approval. Any activities that have been initiated without the necessary EHP review and approval will result in a non- compliance finding and will not 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 VI. Responsibilities of Subgrantor The Subgrantor, in accordance with the general purposes and objectives of this grant agreement, will: A. Administer the 4195 HMGP in accordance with all applicable federal and state regulations and guidelines and provide quarterly reports to FEMA documenting this administration. B. Provide direction and technical assistance to the Subgrantee. C. Provide to the Subgrantee any special report forms and reporting formats (templates) required for operation of the program. D. Reimburse the Subgrantee, within the limits of funds available from Congressional appropriations for such purposes and in accordance with this grant agreement, for the federal share of allowable project expenses based upon the Project Application approved by FEMA. E. At its discretion, independently or in conjunction with FEMA, may conduct random on-site reviews with Subgrantee(s), 4195-DR-MI Hazard Mitigation Grant Program Grant Agreement Oakland County Page 5 of 8 VII. Reporting Procedures Submit quarterly progress reports to the Subgrantor on the status of all funding using the Hazard Mitigation Grant Program Quarterly Progress Report form (EMD-16). Quarterly progress reports are required whether or not expenditures are incurred. 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 16 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, PO Box 30634, Lansing, Michigan 48909, unless the Subgrantee is otherwise notified by the Subg ranter. VW. 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. The Subgrantor's timely receipt and verification of all required documentation is a condition of payment, The Subgrantor may pursue all available remedies for the recoupment of any advance payments that have been inadequately documented or determined by the 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: A. If the Subgrantee provides the 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 the Subgrantor's sole discretion, receive reimbursement of eligible expenditures of up to 75% of the federal share of the grant. The Subgrantor will review the expenditures and make payment of no more than 75% of total eligible expenditures to date. Prior to Project completion, the Subgrantor will pay to the Subgrantee no more than a total (including all advance and reimbursement payments) of 75% of the federal share of the grant, B. Upon the Subgrantee's completion of the Project, the 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, the Subgrantee must provide completed reimbursement request forms that include the total expenditures for the project and separate documentation supporting each expenditure category. C. In rare circumstances only, if the Subgrantee provides the Subgranter with a letter outlining the immediate need for an advance payment and the amount of the requested advance, the Subgrantee may (at the Subgrantor's sole discretion) receive an initial advance payment of up to 50% of the Subgrantee's federal share of the grant. Pursuant to federal regulations, the Subgrartee 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 feast quarterly, be remitted to: MSP/EMHSD, Grants and Financial 4195-DR-MI Hazard Mitigation Grant Program Grant Agreement Oakland County Page 6 of 8 Management Section, PO Box 30634, Lansing, Michigan 48909. The Subgrantee may keep interest amounts up to $100 per year for administrative expenses. No payment will be made unless all quarterly reports have been submitted and are up to date, IX. Employment Matters 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 1976; Titles I, II and HI 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 et 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 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 https://wvmsam.gov , X. 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 he 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 September 16,2016 through June 21, 2019. Nc 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 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 Subgrantee shall have no further obligation to reimburse the Subgrantee, X111. 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 the Suberantee, 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. The 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. Charges in dates, budget, or services are subject to prior 4195-DR-MI Hazard Mitigation Grant Program Grant Agreement Oakland County Page 7 of 8 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. The Subgranbr may suspend or terminate subgrant funding, in whole or in part, or other measures may be imposed for any of the following reasons: • Failure of the Subgrantee to expend funds in a timely manner consistent with the grant milestones, guidance and assurances. • Failure of the Subgrantee to comply with the requirements or statutory objectives of federal or state law. • Failure of the Subgrantee to make satisfactory progress toward the goals or objectives set forth in the subgrant application. • Failure of the Subgrantee to follow grant agreement requirements or special conditions. • Proposal or implementation by the Subgrantee of substantial plan changes to the extent that, if originally submitted, the project would not have been approved for funding. • Failure of the Subgrantee to submit required reports. • Filing of a false certification by the Subgrantee in the application or other report or document. • Failure of the Subgrantee 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; 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 Part 1520), as these designations may provide additional protection to certain classes of homeland security information. 4195-DR-MI Hazard Mitigation Grant Program Grant Agreement Oakland County Page 8 of 8 XVI, Official Certification For the Subqrantee 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. Oakland County Name of Subgrantee Printed Name Title Signature Date For the Subgrantor Michigan State Police, Emergency Management and Homeland Security Division Anthony P. Katarsky Printed Naryid Governor's Authorized Representative Title Date Print Application https://eservices ,fonaa,gov/FEMAMitigationNtint.do Subgrant Planning Application Application Title: Oakland County Hazard Mitigation Plan Su bgrant Applicant: Oakland County Homeland Security Application Number: Application Year: 2015 Grant Type: Planning Application Address: 1200 N. Telegraph Rd. Bldg. 47W, Pontiac, M148341-0410 Subapplicant Information Name of Subapplicant Oakland County Homeland Security State MI Type of Subapplicant Local Government Legal status, function, and facilities owned: State Tax Number: Federal Tax Number: Other type name; Federal Employer Identification (FIN) What is your DUNS Number? Is Subapplication subject to review by Executive Order 12372 Process? Is the Subapplicant delinquent on any Federal debt? Explanation: Federal Identification Processing Standard (FIPS) Place Code Community 38-6004876 No. Program is not covered by ED. 12372 No 1 of 20 Print Application littps://eservices.feina. g, ov/FEMAVIitig ationtl)r,int.dc Title First Name Middle Initial Last Name Title Agency/Organization Address 1 Address 2 City State ZIP Phone Fax Email Contact Authorized Suldgrant Agent Ms. Sara Stoddard Chief, Homeland Security Division Oakland County Homeland Security 1200 N. Telegraph Rd. Bldg. 47 W Pontiac Ml 48341 -0410 248-858-5080 Ext. 248-888-5550 stoddards@oakgov.com Title First Name Middle Initial Last Name Title Agency/Organization Address 1 Address 2 City State ZIP Phone Fax Email Point of Contact Mr, Michael Pousak Emergency Management Coordinator Oakland County Homeland Security 1200 N. Telegraph Rd, Bldg. 47'W Pontiac Ml 48341 - 0410 248-858-5371 Ext. 248-858-5550 pcusaltm@oakgov.corn of 20 Print Application https://eservices.fema.gov/PEMAMitigation/Print.de Community Information Please provide the name of each community that will benefit from this mitigation activity by clicking on the Find Community button. You shall modify Congressional District for each community by directly editing the textbox(es) provided. You should also notify your state NFIP coordinator so that it can be updated in the Community Information System database, When you are finished, click the Save and Continue button below. Slate County Code Community Name CID Number CRS Community CRS Rating State Legislative District US Congressional District MI 260177_QBMOZOA96 Comments PONTIAC, CITY OF 260177 260177 2 As with all communities in Michigan, Oakland County is subject to natural, technological and human hazards that can threaten life and health, impacting the quality life, property, environment and infrastructure. Therefore, Oakland County continuously prepares and updates a multi-jurisdictional Hazard Mitigation Plan to bettor understand significant Oakland County hazards and their impacts and to identify ways to mitigate those hazards, All 62 communities will participate in this process and each jurisdiction will be included in the plan, Attached is the 2012 Hazard Mitigation Plan and profiles of each community within Oakland County. Attachments 2012 Oakland County Hazard Mitigation Pian.pdf Community Profiles, Oakland County.pdf State Community Name County Name County Cede City Code FIPS Code MI PONTiAC, CITY OF MICHIGAN OAKLAND COUNTY 260177 125 Help CID Number CRS Community CRS Rating State Legislative District US Congressional District FIRM or PHBM available? Community Status Community participates in NFIP? Date entered in NFIP Date of most recent Community Assistance Visit (CAV)? 260177 Help 260177 2 Yes PARTICIPATING Yes 08-07-1973 Help 3 of 20 Total Does the State/Tribe in which the entity is located have a current FEMA-approved mitigation plan in compliance with 44 CFR Part 201? It Yes, please answer the following; Yes Print Application haps://eservices.fema.gov/FEMA/vlitigation/Printric Mitigation Plan Is the entity that will benefit from the proposed activity covered by a current FEMA-approved multi- hazard mitigation plan in compliance with 44 CFR Part 201? If Yes, please answer the following: What is the name of the plan? Oakland. County Hazard Mitigation Plan Yes WIlat is the type of plan? When was the current rnultihazard mitigation plan approved by FEMA? Describe how the proposed activity relates to or is consistent with the FEMA-approved mitigation plan. Local Multinazard Mitigation Plan 11-01-2012 Updating the Hazard Mitigation Plan will maintain our conformance with FFMA requirements. If No or Not Known, please answer the following: Does the entity have any other mitigation plans adopted? No It Yes, please provide the following information. Plan Name Plan Type Date Adopted Attachment Please identify all previous FEMA planning grants received: Performance Period Type of Grant Pre-Disaster Mitigation Plan Deliverable Activity Produce a Hazard Mitigation Plan Amount $79,615,15 $79,615.15 Beginning Date Ending Date 03-18-2011 02-28-2014 What is the name of the plan? Michigan Hazard Mitigation Plan What is the type of plan? When was the current multihazard mitigation plan approved by FEMA? Describe how the proposed activity relates to or is consistent with the State/Tribes FEMA-approved mitigation plan, Standard State Multi-hazard Mitigation Plan 04-23-2014 The Oakland County lifv1P will be consistent with and support the state's plan. If you would like to make any comments, please enter them below. 4 of 20 Print Application https;lleservices.fema.gov/FENIAMitigation/Print.do To attach documents, click the Attachments button below. 5 of 20 Print Application https://eservices.fema gov/FEMANlitigation/Printdi Scope of Work (Page 1 of 2) Title of your proposed activity (should include the type of activity and location): Oakland County Hazard Mitigation Plan Proposed types of Mitigation Activity(les); Activity Code Activity Name 01.1 Local Multihazard Mitigation Plan If Other or Miscellaneous selected above, please specify: Describe the geographic area(s) to be covered by the planning activity; Oakland County is located in south east Michigan with a 2010 population of 1.2 million people. The county is the states most populated area and covers 910 square miles. It has a variety of 62 cities, townships and villages comprised of urban and rural areas. Many hazards can affeet one or multiple communities, most are natural occurrences such as floods, high winds, tornadoes and ice storms. Planning efforts will be coordinated with each individual jurisdiction via meeting with representatives from each community. These representatives will provide input to review and update their sections relating to hazards that affect them and the mitigation strategies that are specific to their needs. Source(s) of hazards specific to the geographic area to be addressed by the planning activity: Fire, Biological, Darn/Levee Break, Human Cause, Severe Ice Storm, Special Events, Toxic Substances, Earthquake, Freezing, Nuclear, Snow, Tornado, Civil Unrest, Flood, Chemical, Drought, Land Subsidence, Severe Storm(s), Terrorist, Windstorms Scope of Work (Page 2 of 2) Option that describes the intent of this planning application: Update If a plan update, describe the evaluation process of the existing plan for its strengths, weaknesses and utility: Oakland County's current Hazard Mitigation Plan is a comprehensive document as it pertains to active, potential hazards and threats which are specific to the individual communities in Oakland County, However, over time mitigation objectives have been addressed and completed while new hazards have been identified. The purpose of updating our current plan is to identify new hazards and develop mitigation strategies for those hazards. Describe the process for implementing this planning activity, including the following plan development requirements: 1) participation of agencies, stakeholders and the public; 2) hazard identification and risk/vulnerability assessment; 3) mitigation strategy; 4) plan adoption; and 5) plan maintenance: Meetings will be hosted by Oakland County and the agency contracted to create the updated plan. Representatives from all 62 communities within the county will be invited to identify, discuss and document the hazards, risk and vulnerabilities that are specific to their communities. Mitigation strategies specific to their risks will be developed and documented. Public meetings will also be conducted at various locations within the county, allowing input from the general public. Once completed, all the jurisdictions would be required to adopt the plan by a formal resolution signed by the jurisdiction's officials. What are the primary sources of information and data and how it will be incorporated into existing planning mechanisms? Oakland County and the agency contracted to create the updated plan will work with representatives from all 62 communities in the county or identifying hazards and mitigation strategies that are specific to their own jurisdiction. Representatives from the various school districts will also be included and asked to identify hazards that pertain to their district. The use of census data, GIS mapping and other demographic informational tools will be utilized to assist in the creation of the updated version. Also, the prior edition of the plan will be used as a reference guide to assist with determining if previously identified hazards have been addressed or still present a concern. of 20 Print Application hitps://eservic s.ferit a.gov/FEMAMitiga tion/Pr int ,d o What staff and resources will be used to implement this planning activity? The Oakland County Homeland Security Division will assign two staff members to oversee the project and work with the contracted agency in updating the plan. Oakland County's Local Emergency Planning Committee will also be involved for input and review, Work and meetings will be conducted during normal scheduled work hours and Oakland County has its own resources for data and mapping needs. Oakland County's Local Planning Committee will also be involved for input and consultation. Documentation of hazardous spill releases from prior years will also be reviewed and utilized, If you would like to make any comments, please enter them below: This is an update of our current 20 .12 Hazard Mitigation Plan. Each plan section (hazard, risk and vulnerability assessments, goals/objectives and projects) will be reviewed and any new information or additions will be included. Oakland County Local Emergency Planning Committee will serve as the advisory committee to update the Oakland County HMP. This is made up of representatives from community/human services, education, local government, health, fire, law enforcement, labor, transportation, private business/facilities and the like, However, each community will be interviewed to review and update their sections relating to the specific hazards that affect them and the mitigation strategies specific to those hazards.. Attachments: 7 of 20 Description Of Task Develop, request for proposal and select contractor Conduct Hazard Identification Review 1 2 Starting Point Unit Of Time MONTHS MONTHS MONTHS 3 1 MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS 2 3 1 1 2 2 6 6 Print Application htlps://eservicesitemaigov/FEMAlvlitigationfEriDt.di Schedule Conduct Risk Assessment 3 Develop a base map of hazards 4 Assess vulnerabilities in each community Develop mitigation goals and objectives to reduce risks Develop list of prioritized hazard mitigation projects Submit updated plan to state & FEMA for review Adoption of updated plan monitor, evaluate and update Updated HMP adoption by local communities monitor, evaluate and update Estimate the total duration of the proposed activity: Duration Unit Of Time MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS MONTHS Work Complete By Oakland County and Contractor Contractor with input of LEPC S.< local communities Contractor with the Oakland County LEPC Contractor, County GIS Contractor wilt meet with representatives from each of the 62 communities to identify hazards LEPO, Homeland Security staff and contractor Oakland County Homeland Security staff Oakland County, State, and FEMA Oakland County HSO through Board of Commissioners Local communities, Oakland County Oakland County staff, local community liaisons Local communities, Oakland County 5 6 7 8 10 11 10 3 of 20 Subgrant Budget Class Contractual Contractual Contractual Contractual Contractual Contractual Contractual Contractual Contractual Contractual Contractual Contractual Contractual Contractual Contractual Contractual 1.00 Hour 1.00 Hour 10.00 Hour 10.00 Hour 10.00 Hour 10.00 Hour 10.00 Hour 840.00 Hour 240.00 Hour 220.00 Hour 2.00 Hour 20.00 Hour 365.00 Hour 1,00 Hour 10.00 Hour 1,00 Hour $ 600,00 $ 100.00 $ 600,00 $ 100,00 $ 600,00 $ 100.00 $ 600,00 $ 77.00 $ 77.00 $ 77.00 $ 600.00 $ 77,00 $ 77.00 $ 800.00 $ 77,00 $ 500,00 $ 000.00 $ 100.00 $ 6,000.00 $ 1,000.00 $ 6,000.00 $ 1,000.00 $ 6,000.00 $ 64,680,00 $ 18,480,00 $ 16,940.00 $ 1,200.00 $ 1,540.00 $ 28,105.00 $ 800.00 $ 770,00 $ 500.00 Grant Budget Class Unit Unit of Unit Cost Cost Quantity Measure ($) Estimate ($) Personnel 540.00 Hour $ 50.00 $ 27,000.00 Personnel 260.00 Hour $ 50.00 $ 13,000,00 Personnel 175.00 Hour $ 50.00 $ 8,750.00 Personnel 20,00 Hour $ 50.00 $ 1,000,00 Personnel 10,00 Hour $ 50.00 $ 500.00 Print Application https://eservicesfema.gov/FEMAMitigationiPrint,do 91.1 - Local Multlhazard Mitigation Plan Federal Share: $ 152,044.71 Item Name Initial project meeting Travel for initial project meetings Project meetings Travel for planning meetings Planning team meetings Travel - planning team meetings Public meetings Hazard assessement research & update Goals - 1st revision based on public input Complete research: Produce initial draft 1st review - County Commissioners Revisebased upon review Include public comment/create draft/finalize submit adopted plan Respond to FEMA until plan approved Supplies Hazard assessement research & update (Match) Jurisdictional and risk assessment (Match) Create staff reports (Match) Submit adopted plan to FEMA (Match) Respond to FEMA until plan approved (Match) Total Cost $ 203,965.00 Total Plan Cost Estimate; $ 203,965.00 9 of 20 Print Application https1//aservices.fer1a.gov/FEMA_Mitigationrint . dc Activity Cost Estimate Federal Share Percentage Non-Federal Share Percentage Proposed Federal Share Proposed Non-Federal Share Cost Share $ 203,965.00 74.54451009% 25.45548991% . Dollars $ 152,044,71 $ 51,920.29 Percentage 74.54451009% 25.46648941% Source Agency Local Agency Funding Name of Source Agency County General Fund Non-Federal Funds Funding Type Administration Grand Total $ 61,920.29 View Details $ 51,920.29 Amount ($) Action If you would like to make any comments, please enter them below. The unit costs were based on a current hourly rate from a planning consultant. Personnel costs were based on existing staff hourly rate pay plus 54.5% fringes. Unit quantity and pricing is based upon a recent quote from a local consulting -firm (Environmental Compliance Consultants and Engineers LLC). A copy of the consultant's quote is attached. Attachments HMP Cost Etimate Quote - Envrionmental Compliance Consultants.pdf Funding Source Name of Funding Source Funding Type Amount Date of availability Funds commitment letter date Attachment (funds commitment fetter) Local Agency Funding County General Fund Administration $ 51,920.29 [0 of 20 Print Application https lieservices,fema.gov/FEMAMitigation/Print, do Ii of 20 Print Application https://eservices.fema.gov/FEMAlvlitigation/Print.dc Evaluation (Page 1 of 2) is the recipient participating in the Community Rating System (CRS)?. No If yes, what is their CRS rating? is the recipient a Cooperating Technical Partner (CTP)? Yes Is the recipient a Firewise Community? No If yes, please provide their Firewise Community number, Has the recipient adopted building codes consistent with the International Codes? Has the recipient adopted the National Fire Protection Association (NEPA) 5000 Code? Have the recipient's building codes been assessed on the Building Code effectiveness Grading Schedule (SCEGS)? If yes, what is their KEGS rating? Is this a small, impoverished community? Yes Yes No 12 of 20 Print Application https://eservices.fema ,gov/FEIvIAMitigation/Puirir.do Evaluation (Page 2 of 2) How will this mitigation activity leverage involvement of partners to enhance its outcome? Describe how this planning activity will benefit your community and how the plan/data will be used to promote resiliency? Comments: Oakland County will commit staff resources allowing local communities to be eligible for future mitigation funding. Representatives from all 62 communities will be asked for their input regarding the identification of hazards that directly affect their communities, Furthermore, mitigation strategies, related to those hazards, will also be included with their hazard identification. Additionally, public visitation sessions and forums will be conducted to inform and obtain input from citizens, local businesses and government.Oakland County's Local emergency Planning Committee will also provide input in the development of this updated plan. This planning activity will offer each of Oakland County's 62 communities eligibility for future PQM, FMA, RFC and SRL benefits, Attachments: Name Date Attached 13 of 20 Incomplete Incomplete Incomplete Print Application Ittps://eservic es.ferna,gov/FEMAMitigation/Pririt.dc Assurances and Certifications Please click the link in the status column to view forms. Forms Status Part I: Assurances Non-Construction Programs. Part II: Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibilities Matters; and Drug-Free Workplace Requirements. Part SF-LLL, Disclosure of Lobbying Activities (Complete only if applying for a grant of more than $10D,000 and have lobbying activities using Non-Federal funds. See the Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibilities Natters; and Drug-Free Workplace Requirements form for lobbying activities definition.) 14 of 20 Attach ments 15 of 20 Print Application https:Heseivices.fema.gov/FEMAMitigation/Printdo Print Application https://eservices.fema.gov/FEMAMitigation/Print.do Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; and Drug-Free Workplace Requirements. .Attachments Section 17.630 of the regulations provide 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 application for FEMA funding, States and State agencies may elect to use a Statewide certification. 16 of 20 Attachments 17 of 20 Print Application https://eservices.fema.gov/FEMANlitigation/Print.do Print Application https://eservices.fema.gov/FEMAMitigation/Print,c1 Comments and Attachments Name of Section Comment Attachment Date Attached As with all communities in Michigan, Oakland County is subject to natural, technological and human hazards that can threaten life and health, impacting the quality life, property, environment and infrastructure. Therefore, Oakland County continuously prepares and updates a multi- jurisdictional Community Hazard Mitigation Plan to better understand significant Oakland County hazards and their impacts and to identify ways to mitigate those hazards. All 62 communities will participate in this process and each jurisdiction will be included in the plan. Attached is the 2012 Hazard Mitigation Plan and profiles of each community within Oakland County. This is an update of our current 2012 Hazard Mitigation Plan. Each plan section Scope of Work (hazard, risk and vulnerability assessments, goals/objectives and projects) will be reviewed and 2012 Oakland County Hazard Mitigation Plan,odf 02-26-2015 Community Profiles, Oakland County.pdt 02-26-2015 IS of 20 Print Application hdps://eserviccs.fema.gov/FEMAMitigation/Print.do any new information or additions will be included. Oakland County Local Emergency Planning Committee will serve as the advisory committee to update the Oakiand County HMP. This is made up of representatives from community/human services, education, local government, health, fire, law enforcement, labor, transportation, private business/facilities and the like. However, each community will be interviewed to review and update their sections relating to the specific hazards that affect them and the mitigation strategies specific to those hazards. Cost Share The unit costs were based on a current hourly rate from a planning consultant. Personnel costs were based on existing staff hourly rate pay plus 54.5% fringes. Unit quantity and pricing is based upon a recent quote from a local consulting firm (Environmental Compliance HMP Cost Estimate Quote - Envrionmental Compliance Consultants.pdf 05-12-2015 19 of 20 Print Application https://eservices.fenm.gov/FEMAMitigation/Print,d( Consultants and Engineers LLC), A copy of the consultant's quote Is attached, ?.0 of 20 SUBGRANTEE CHECKLIST 4195-DR-M1 HAZARD MITIGATION GRANT PROGRAM (HMGP) GRANT AGREEMENT CFDA No: 97.039 Submit the following items as necessary to: Attn: Ms. Sara Long, Emergency Management and Homeland Security Division, Michigan Department of State Police, PO Box 30634, Lansing, Michigan 48909 SUBGRANTEE WILL NOT BE REIMBURSED FOR FUNDS UNTIL ALL REQUIRED SIGNED DOCUMENTS ARE RECEIVED 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. 2, Summary Sheet for Assurances and Certifications (FEMA Form 20-16) 3. Assurances-Nonconstruction Programs (FEMA Form 20-16A) 4. Assurances-Construction Programs (FEMA Form 20-16B) 5. Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; and Drug-Free Workplace Requirements (FEMA Form 20-16C) 6. Disclosure of Lobbying Activities (if applicable) (SF LLL) 7. Audit Certification (EMD-053) El 8. Request for Taxpayer Identification Number and Certification (W-9) POST REIMBURSEMENT REQUIREMENTS Participate with Grantee 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, PO Box 30634, Lansing, Michigan 48909. U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY SUMMARY SHEET FOR ASSURANCES AND CERTIFICATIONS CA FOR (Name of Recipient) FOR 0,M.8, No. 1660-0025 Expires July 31, 2007 FY 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: FEMA Form 20-16A, Assurances-Nonconstruction Programs FEMA Form 20-16B, Assurances-Construction Programs FEMA Form 20-16C, Certification Regarding Lobbying; Debarment, Suspension, and Other Responsibility Matters; and Drug-Free Workplace Requirements SF LLL, Disclosure of Lobbying Activities (If applicable) Part 1 Part ll Part III Part IV As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the identified attached assurances and certifications, Typed Name of Authorized Representative Title Signature of Authorized Representative Date Signed NOTE: By signing the certification 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.) Paperwork BurdenBurden Disclosure Notice Public reporting burden for this form is estimated to average 1.7 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing, reviewing, and maintaining the data needed, and completing and submitting the form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to; Information Collections Management, U.S. Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington DC 20472. You are not required to complete this form unless a valid OMB control number is displayed in the upper corner on this form. Please do not send your completed form to the above address, FEMA Form 20.16, OCT 04 PREVIOUS EDITION OBSOLETE U.S DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY ASSURANCES-NONCONSTRUCTION PROGRAMS 02111 1111111151E1SEEM AlliSEMENNEF AITLIZ O.M.B. No. 1660-0025 Expires July 31, 2007 Paperwork Burden Disclosure Notice Paperwork reporting burden for this form is estimated to average 1.7 hours per response The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing, reviewing, and submitting the form. You are not required to respond to this collection of Information unless a valid OMB control number appears In the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden estimate to: information Collection Management, U. S. Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472. NOTE: Do not send your completed form to the above address. NOTE: Certain of these assurances may not 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 4727-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statues or regulations specified In Appendix A of OPM's Standards for Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will comply with all Federal statues 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 IV of the Education Amendments of 1972, as amended (20 U.S.C. Sections 1651-1683, 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 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (r) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970,) Pl. 91-616), as amended, relating to nondiscrimination on the basis of 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 1968 (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 provision in the specific statue(s) under which application for Federal assistance is being made; and (j) the requirements of any other nondiscrimination statue(s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Title 11 and III of the Uniformed Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provides 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 purchase. 5. Will comply with provisions of Hatch Act (5 U.S.C. Sections 1501-1508 and 7324-7328) which limit the political activities of employees whose principle 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 273a-7) the Copeland Act (40 U.S.C. Section 276c and 18 U.S.C. Sections 874), and the Contract Work Hours and Safety Standards Act (40 U.S.0. Sections 327-333), regarding labor standards for federally assisted construction subagreernents. 10. Will comply, if applicable with flood insurance purchase requirements of Section 102a of the Flood Disaster Protection Act of 1973 (Pl. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total east of insurable construction and acquisition is $10,000 or more. 11. 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 (EO) 11514; (b) notification of violating facilities pursuant to E0 11738; (c) protection of wetlands pursuant to EC) 11990; (d) evaluation of flood hazards In floodplains in accordance with EO 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. Sections 1451 at seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans under Sectlori 176 (o) of the Clear Air Act of 1955, as amended (42 U.S.C, Section at seq.); (g) protection underground sources of drinking water under Safe Drinking Water Act of 1974, as amended, (Pt 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (Pl. 93-205). 12. Will comply with the wild and Scenic Rivers Act of 1965 (16 U.S.C. Sections 1271 at seq.) related to protecting components of the national wild and scenic rivers systems, 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), EO 11593 (Identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-et seq.). 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 or 1966 (P.L. 89-544, as emended, 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 Poising Prevention Act (42 U.S.C. Sections 4801 at 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. 18, Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. 19. 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, FEMA Form 20.16A, OCT 04 PREVIOUS EDITION OBSOLETE FENIA Form 20-16B, OCT 04 PREVIOUS EDITION ()MOLE = ===t1M-- U, S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY ASSURANCES-CONSTRUCTION PROGRAM PAPERWORK BURDEN DISCLOSURE NOTICE 0,M.D, No. 1060-0026 Expires July 31, 2007 Public reporting burden for this form is estimated to average 1.7 hours per response. The burden estimate includes the time for reviewing instructions and searching existing data sources, gathering and maintaining the data needed and completing, and submitting the form, You are not required to respond to this collection of Information unless a valid OMB control number appears in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, U. S. Department of Homeland Security, Federal Emergency Management Agency, 500 G Street, SW, Washington, DC 20472, Paperwork Reduction Project (1660-0001). NOTE: Do not send your completed form to this address. NOTE" Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency, Further, certain federal assistance awarding agencies may require applicants to certify additional assurances. lf 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 cost) to ensure proper planning, management, and completion of the project described In this application. 2. Wil give the awarding agency, the comptroller General of the United States, and If appropriate, the States, 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 paper 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 reel 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 to interest, or personal gain. 8. Will comply with 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 statues or regulations specified in Appendix A of OP M's standards for a Merit System of Personnel Administration (5 C.F.R. 900-subpart F). 9. Will comply with the Lead-eased Paint Poisoning Prevention Act (42 U,S.C. Sections 4801-at seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statues relating to non-discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (PL. 88-352) which prohibits discrimination on the basis of race, color er 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, Sections 794) which prohibits discrimination on the basis of; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. Sections 6101-61-7) which prohibits discrimination on the basis of age; (e) the Drug Abuse Office Treatment Act of 1972 (P,L. 93-255), as amended, relating to non-discrimination on the bases of abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (Pl. 91-616), as amended, relating to nondiscrimination on the bases of 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 Act of 1968 (42 U.S.C, Sections at seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (I) and other non-discrimination provisions in the specific statutes(s) under which application for Federal assistance is being made, and (j) the requirements on any other non-discrimination Statues(s) which may apply to the application. 11. Will comply, or has already complied, with the requirements of Title II and Ill of the Uniform Relocation Assistance and Real Property Acquisition policies Act of 1970 (Pl. 91-646) which provides for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and Federally assisted programs. These requirements apply to all interest in real properly acquired for project purpose regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. Sections 1601-1508 and 7324-7328) which limit the political activities of employment activities are funded in whole or impart with Federal funds. 13. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. Sections 27a to 276a-7), the Copeland Act (40 Section 276c and 18 U.S.C. Section 874), the Contract Work Hours and Safety Standards Act (40 U.S.C. Sections 327-333) regarding labor standards for Federally assisted construction subagreernents. 14. Will comply with the flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (FL. 93-234) which requires recipients in a special flood hazard area to participate In the program and to purchase flood insurance in the total cost of insurable construction and acquisition is $ 10,000 or mare. 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 1909 (Pl. 91-190) and Executive Order (EQ.) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards In floodplains in accordance with EC/ 11988; (e) assurance of project consistency with the approved - State management programs developed under the Coastal Zone Management Act of 1973 (16 LI,S.C. Sections 1451 at seq.); (t) conformity of Federal actions to State (Clean Air) Implementations Plans under Section 175(c) of the Clean Alr Act of 1955, as amended (42 U.S.C, Section 7401et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); (H) Protection of Endangered species Act of 1973, as amended, (P.L. 93-205). 23. It will require the facility to be designed to comply with the "American Standard Specifications for Making Buildings and Facilities Accessible to, and Usable by, the Physically Handicapped,' Number A117-1901, as modified (41CFR 101-17.703), The applioent wilt 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 transferee, for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose Involving the provision of similar services or benefits. 25. in making subg rants with nonprofit institutions under this Comprehensive Cooperative Agreement, it agrees that such grants will be subject to OMB Circular A-122, "Cost Principles for Non-profit Organization" including but not limited to, the 'Lobbying Revision" published in voi 49, Federal Register, pages 18260 through 18277 (April 27, 1984). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Sections 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), EO 11593 (identification and preservation of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 46s-1 et sect), 18. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 19, Will comply with all applicable requirements of all other Federal laws, Executive Orders, regulations and policies governing this program. 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 agencies 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 be 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. Q.M.R. No, 16'60-0025 Expires July 31, 2007 U. S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS Public reporting burden for this form is estimated to average 1.7 hours per response. The burden estirnate includes the time for reviewing Instructions and searching existing data sources, gathering and maintaining the data needed and completing, and submitting the form. You are not required to respond to this collection of Information unless a valid OMB control number appears in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, U.S. Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (1660-0001). NOTE: Do not send your completed form to this address, 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 form provides for compliance with certification requirements under 44 CFR Part 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 be placed when the Federal Emergency Management Agency (FEMA) determines to award the transaction, grant, or cooperative agreement. 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 cooperating agreement over $ 100,000, as defined at 44 CFR Part 18, 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 influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress In connection 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 other funds than Federal appropriated funds have been paid or Will be paid to any other person for 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 Stand Form-L11, "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 documents for all subawards at all tiers (including subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all subrecipients shall certify and disclose accordingly. la Standard Form-LL. "Disclosure of Lobbying Activities" attached (This form must be attached to certification if nonapproptiated funds are to be used to influence activities.) 2. DEBARMENT,SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT) As required by Executive Order 12549, Debarment and Suspension, and implemented at 44 CFR Part 67, for prospective participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17.510-A. The applicant certifies that it and 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 a or 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 a public (Federal ,State, orlocal) transaction or contract 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 statements, or receiving stolen property; (c) Are not presently indicted for 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 application had one or more public transactions (Federal, State, or local) terminated for cause of 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 (GRANTEE OTHER THAN INDIVIDUALS) As required by the Drug-Free Workplace Act of 1988, and implemented at 44 CFR Part 17, Subpart F, for grantees, as defined at 44 CFR Part 17.615 and 17,620- A. The applicant certifies that it will continue to provide a drug-free workplace by; (a) Publishing a statement notifying employees that the unlawful manufacture, distributions (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; (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 will- (1) Abide by the term of the statement; and (2) Notify the employee in writing of his or her conviction for a violation of a criminal drug statute occurring ion the workplace no later than five calendar days after such convections; (e) Notifying the agency, in writing, with 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction, Employers of convicted employees must provide notice, including position, title, to the applicable FEMA awarding office, i.e., regional office or EEMA office. ,.177g7": c. FEIVIA Form 20-16C, OCT 04 PREVIOUS EDITION OBSOLETE (t) Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who is 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 an 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 through implementation of paragraphs (a),(b),(c),(d),(e) and (1). 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 fa If there are workplaces on file that are not identified here. Section 17.630 of the regulations provide 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 application for FEMA funding. States and State agencies may elect to use a state wide certification. DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 0348-0046 See reverse for public burden disclosure. 1. Type of Federal Action: , . 2. Status of Federal Action: award a. bidiofferiapplicatlen 3. Report Type: change Change Only: quarter a. contract a, initial filing b, material b. grant c. cooperative agreement d, loan e. loan guarantee f. loan insurance b. initial c. post-award For Material year date of last report 4, Name and Address of Reporting Entity: , if known: 4° 5. if Reporting Entity in No. 4 is a Subawardee, Enter Name and Address of Prime: Congressional District, if known: • Prime El Subawarclee Tier Congressional District, if known: 6. Federal Department/Agency: 7. Federal Program CFDA Number, if Name/Description: applicable: 13. Federal Action Number, if known: 9. Award Amount, if known: $ 10, a, Name and Address of Lobbying Registrant (if individual, last name, first name, MI): b. Individuals Performing Services (including address if different from No. 10a) (last name, first name, MI): li. Information requested through this form is authorized by tille 31 U.S,C. sashes 1352. This disclosure of lobbying aclivilles is a matesiat representation of fact upon which reliance was placed by the fur above when this transaction was made or entered Into, This disclosure Is required pursuant to 31 U.S.C. 1352. This information %All be available for public Inspection. Any person who falls to file the required disclosure shell be subject to a civil penally of not less then S10,000 and not more than $100,000 for each such failure, Signature: Print Name: Title: Telephone No,: Date: Federal Use Only; Authorized for Local Reproduction Standard Form LLL (Rev. 7-97) INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C, section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employeeof a Member of Congress in connectIonwith a covered Federal action. Complete all items that apply for both the initial filing and material change report Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. 2, Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previcuslysubmitted report by this reporting entity for this covered Federal action, 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if It is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards Include but are not limited to subcontracts, subgrants and contract awards under grants, 6. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment, Include at least one organizationailevel below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, bans, and loan commitments, 8. Enter the most appropriate Federal identifying number available for the Federal action Identified In Item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IF B) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9, Fore covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5, 10. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act oft995 engaged by the reporting entity identified in Item 4 to influence the covered Federal action. (b) Enter the full names of the Individual(s) performing services, and include full address if different from 10 (a). Enter Last Name, First Name, and Middle Initial (MI). 11. The certifying official shall sign and date the form, print his/her name, title, and telephone number. According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is CMB No. 0348-0048. Public reporting burden for this collection of information is estimated to average 14 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503. EMD-053 (0612016) MICHIGAN STATE POLICE Emergency Management and Homeland Security Division AUDIT CERTIFICATION AUTHORITY: MCL 30,407a and 2 CFR Part 200, Subpart F; COMPLIANCE: Voluntary, but necessary to be considered for grant assistance. Federal Audit Requirements Non-federal organizations, which expend $750,000 or more in federal funds during their current fiscal year, are required to have an audit performed in accordance with 2 CFR Part 200, Subpart F. Recipients 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, P.O. Box 30634, Lansing, Michigan 48909. Submit completed document to: Michigan State Police Emergency Management and Homeland Security Division P.O. Box 30634 Lansing, Michigan 48909 Program Information' Program Name CFDA Number 6,01.0190t3P,f00,11.0.00.,i; Jurisdiction Nam Street Address City State ZIP Code I ertificition for Fiscal Y Recipient Fiscal Year Period: to 0 I certify that the recipient shown above does NOT expect it will be required to have an audit performed under 2 CFR Part 200, Subpart F, for the above listed program, I certify that the subgrantee shown above expects it will be required to have an audit performed under 2 CFR Part 200, Subpart F, during at least one fiscal year funds are received for the above listed program. A copy of the audit report will be submitted to: Michigan State Police, Grants and Community Services Division, P.O. Box 30634, Lansing, Michigan 48909, Signature of Recipient's Authorized Representative Date Form W124 9 (Rev. December 2014) Department et the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Print or type I 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 blank. 2 Businessname/disregarded entity name, If different from above 3 Check appropriate box for federal tax classification: check only one of the following seven boxes: /I Individual/sole proprietor or El C Corporation Oil S corporation n Partnership LI Trust/estate single-member LLC 111111 Limited liability company. Enter the tax classification (CC corporation, S'S corporation, Papartnership) 0- 4 Exemptions (codes apply only to certain entities, not individuals; see Instructions on page 3): Exempt payee code (if any) Exemption from FATCA reporting code (If any) Note. For a single-member LLC that is disregarded, de not check LLC; check the appropriate box in the line above for the tax classification of the single-member owner. LI Other (see instructions) 0. (App/rag to It,C011,45 maintained ants! da Me U.S.) 5 Address (number, street, and apt, or suite no,) ectuester's name and address (optional) 6 City, state, and ZIP code 7 List account number(s) here (optional) Part II Taxpayer Identification Number {TIN) Enter your TIN in the appropriate box, The TIN provided must match the name given on line 1 to avoid Sod i seou Ity number 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 oat a _ _. TiN on page 3. Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter. or Employer identification number IC=11 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 bean notified by the Internal Revenue Service (IRS) that 1 am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA 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 person Pate)- 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 www.lis.grwlfw9. Purpose of Form An individual or entity (Form W-a 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 (ITN), adoption taxpayer Identification number (ATIN), or employer Identification number (FIN), 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 1099-151 (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1029-MISO (various types of income, prizes, awards, or gross proceeds) • Form 10a9-B (stook or mutual fund sales and certain other transactions by brokers) • Farm 1099-S (proceeds from real estate transactions) • Form 1099.4< (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1020-C(canceled debt) • Form 1092-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you donor return Form 11-9 to the requester with a TIN, you might be subject to backup withholding. Sae What is backup withholding? on page 2. By signing the Flied-out forrn, you: 1. Certify that the TIN you are giving is correct (or you are welting tore number to be Issued), 2. Certify that you are not subject to backup withholding, or a 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, 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. 1023121 Farm W-9 (Rev, 12-2014) Form W-9 (Rev. 12-2014) Page 2 Note. If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requesters 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; • A partnership, corporation, company, or asSocietion created or organized In the United States or under the laws of the United Slates; • 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 pay a 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 net been reeeived, the rules under section 1446 requires 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 Ins 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 Income. In the cases below, the following person mest 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 U.S. grantor or other U.S. owner of the grantor trust and not the trust; and • In the case of a U.S. trust tother than a grantor trust), the U.S. trust (otherthan a grantor trust) and not the beneficiaries of the trust. Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (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 'saying clause." Exceptions specified in the saving clause may permit en 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 flee 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 erticle 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.-Chins treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is 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, sonernployee 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 air your taxable interest and dividends on your lax return. Payments you receive will be subject to backup withholding if; 1. You do not ternish your TIN to the requester, 2. You do not certify your TIN when required (seethe Part II Instructions on page 3 1or details), 3, The IRS tells the requester that 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 withhoiding, See Exempt payee code on page 3 and the separate instructions for the Requester of Form W-9 for more information. Also see Special rules for partnerships above. What is FATCA reporting? The Foreign Account Tax Compliance Act (ATCA) 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 FA TEA reporting code on page 3 and the Instructions for the Requester of Form W-9 for more information. Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee it you crane 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 lithe name or TIN changes for the account; for example, if the grantor of a grantor trust dies. 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 eaoh such failure unless your failure Is due to reasonable cause and not to willful neglect. Clef 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 TI Ns. If the requester discloses or uses Tile's 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 bleelle The name should match the name an your tax retem. If this Form W-9 Is for a joint account, list first, and than circle, the name of the person or entity whose number you entered in Part I of Form W.O. a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Secerity Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new test name. Note. ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040E7 you filed with your application. b. Sole proprietor or single-member LLC. Enter your Individual name as shown on your 1040/1040A11o4oa on line 1. You may enter your business, trade, or "doing business as" (ORA) name on line 2. c. Partnership, LLC that is not a single-member LL.C, C Corporation, or S Corporation. Enter the entity's name as shown on the antity'S tax return on line 1 and any business, trade, or DBA name on line 2. d, Other entitles. 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 or other legal document creating the entity. You may enter any business, trade, or ORA name on line 2, e. Disregarded entity. For U.S. federal tax purposes, an entity that M disregarded as an entity separate from Its owner Is treated as a "disregarded entity." See Regulations section 301.7791-2(c)(2)(111). Enterthe 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 he reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes bass single owner that it a U.S. person, the U.S. owners name is required to be provided online 1. lithe 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 lathe case even if the foreign person has a U.S. TIN. Form 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 Dee 1, Check only one box In line 3. Limited Liability Company (LLC). lithe 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. lithe LLC has filed Form 8832 or 2553 to be taxed as a corporation, check the "Limited Liability Company box and lathe space provided enter "C" for 0 corporation or ''S" for S corporation, If it le a single-member LLC that Is a disregarded entity, do not check the 'Limited Liability Company' box; instead check the first box in line 3 "Individual/sole proprietor or single-member LLC," 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. • Generally, Individuals (including sole proprietors) are not exempt from backup Withholding. • Except as provided below, corporations are exempt from backup withholding for certain payments, Including Interest and dividends, • 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 respect to payments reportable on Form 1009-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(5), any IRA, or a custodial account under section 403(6)(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 instrumontalitles 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 B —A real estate investment trust 9—An entity registered stall 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 iestitution 12—A middleman known in the investment community as a nominee or custodian 13—A trust exempt from tax under section 654 or described in suction 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 for , , , THEN the payment is exempt for . „ Interest and dividend payments All exempt payees except for 7 Broker transactions Exempt payees 1 through 4 and Er through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sates of rioncovered 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 62 Payments made in settlement of payment Gerd or third party network transactions Exempt payees 1 through 4 See Form 1099-MISC, Miscellaneous Income, and its instructions. 2 However, the following payments made to a corporation and reportable an Form 1099-MISC 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 code. 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 Slates, 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 riot 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 coda. A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(0(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 lostrumentalities Da-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 is a member of the same expanded affiliated group as a corporation described In Regulations section 1.1472-1(0)(1)1A F —A dealer Insecurities, commodities, or derivative financial Instruments (including notional principal contracts, futures, forwards, and options) that Is registered as such under the laws of the United States or any state G—A real estate investment trust /-1—A regulated investment company as defined In section 851 or an entity registered at ail times during the tax year under the Investment Company Act of 104-0 IA 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 684 or described In section 4947(a)(1) M—A tax exempt trust uncier a section 403(b) plan or section 457(5) plan Note. You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed. Line 5 Enter your address (number, street, and apartment or suite number). This Is where the requester of this Form W-9 will mail your information returns. Line 6 Enter your city, state, arid ZIP code. Part L Taxpayer Identification Number (TIN) Enter your TEN In the appropriate box, If you are a resident alien and you do not have and are not eilgib is to get an SSN, your TIN is your IRS individual taxpayer ldeatification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, sae How to get a TIN below. If you area sole proprietor and you have an ElN, you may enter either your SSN or FIN. However, the IRS prefers that you use your SSN. If you are a single-member LLC that is disregarded scan entity separate from its owner (sae Limited Liability Company (LLC) on this page), enter the owner's SSN (or Elf', If the owner has one). Do not enter the disregarded entity's EN. lithe LLC Is classified as a corporation or partnership, enter the entity's EIN. Note. Seethe chart on page 4 for further clarification of name and TIN combinations. How to gate TIN. If you do not haves TIN, apply for one immediately. To apply for an SSN, get Form SS-6, Application fora Social Security Card, front your local asA office or get this form online at www.sse.gov. You rney also get this form by calling 1-800-772-1213. Use Form W-7, Applioalion 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 accesaing the IRS website at www.irs,govlbusinesses and clicking on Employer Identification Number (EIN) under Starting a Badness. You can get Forms W-7 and SS-4 from the IRS by visiting IRS.gov or by calling 1-000-TAX-FORM (1-800-829-3676). tf you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write "Applied For" in the space for the TlN, sign and date the form, and give 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 all such payments until you provide your TIN to the requester. Note. Entering 'Applied For" means that you have already applied for a TIN or that you Intend to apply for one soon, Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8. 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 aiien, sign Form W-9. You may be requested to sign by the withholding agent even If items 1, 4, or 5 below Indicate otherwise. For a joint aocount, only the person whose TIN Is shown in Part I should sign (when required), In the ease of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code earlier. Signature requirements. Complete the certification as Indicated In items 1 through 5 below. I. interest, dividend, and barter exchange accounts opened before 1989 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 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 °edification. 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 (otherthan bills for merchandise), medical and health care services (Including payments to corporations), payments to a nonemoloyee for services, payments made In settlement of payment card and third panty 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, Coverdoll ESA, Archer MBA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification, What Name and Number To Give the Requester For thls type of account: Give name and 5S-N 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 also 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 B. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.371-4(b)(2)(0 (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 SIN of; 7. Disregarded entity not owned by art Individual 8. A valid trust, estate, or pension trust 9. Corporation or t_l__C electing corporate status on Form 8832 or Forn-1 2553 10, Association, club, religious, charitable, educational, or other tax- exempt organization 11. Partnership or multi-member LLC 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 1090 Filing Method 2 (see Regulations section 1.671-4(b)(2)(1) (8)) The owner Legal entity' The corporation The organization The partnership The broker or nominee The public entity The trust Llet first and circle the name of the person whose comber you furnish, if aray one person on a loint account has an 53N, that person's number must be furnished. 'Circle the minor's name and iurnish the minor's 531,1, You must show year individual name and you may also enter your business or IDBA cease on the "Business namehisregarded antIty" harne line. You may use either your ask or Elk (If you have one), but The IRS encourages you to use your SSTs). List first and clrole the name of the trust, estate, or pension trust. pc) not furnish the TIN of the personal representative or trustee Unless the legal entity Itself Is not designated In the account title.) Also see Special rules for partrletships on page 2. *Note. Grantor also must provide a Forel W..3 to trustee of trust. Note. If no name 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 his a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, arid • Be careful when choosing a tax preparer. If your tax records are affected 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 your 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 1-800-908-4490 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 (TAB) assistance. You can reach TAB by calling the TAB toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4050. Protect yourself from suspicious ernalis or phishing schemes. Phishing lathe creation and use of email and websites designed to mimic legitimate business emalis 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 emalls. Also, the IRS does not request personal detailed Information through email or risk taxpayers for the PIN numbers, passwords, or similar secret access information for their credit yard, bank, or other financial accounts. If you receive an unsolicited email claiming to be from the IRS, forward this message to phIshingWrs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury inspector General for Tax Administration (TIM) at 1-800-366-4484. You can forward suspicious emails to ihe Federal Trade Commission at: spam@uce.gov or contact them at www.ftc.govlicitheft or 1-877-IDTHEFT (1-877-438-4336). Visit IRS.gov to learn more about identity theft and how to reduce your risk. Privacy Act Notice Section 6109 of the Internal Revenue Cade 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 HSA. The person collecting this form uses the information on the form to file information returns with thelFtS, 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 Soother countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return, Under section 3405, 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. EMD-009 (10/2014) MICHIGAN STATE POLICE Emergency Management and Homeland Security Division REQUEST FOR REIMBURSEMENT OF MITIGATION PROJECT EXPENSES AUTHORITY: 1976 PA 390, MCL 30.407a; COMPLIANCE: Voluntary 1) Total of Approved Grant Federal Share Local Match TOTAL Project Amount $0.00 2) Amount Spent to Date Enter the Total Dollar Amount Spent to Date Note: Amount entered must equal the total In Project Amount Spent Since Last Request and the most recently reported Amount Spent to Date. 3) Total Received to Date Enter the Amount of the Federal Share of the Grant Received Prior to this Request 4) Itemized Project Amounts Spent Since Last Request Note: Attach supporting documentation. Contract Work Materials/Supplies/Equipment Purchase Equipment Usage Labor Travel TOTAL $0.00 5) Third Party/In-Kind Contributions Enter Any Third Party or in-Kind Contributions from the Itemized Project Amounts Above 6) Requested Federal Share Project Reimbursement Note; Attach supporting documentation_ Note: Prior approval is required to submit. Signature of Suhgrantee's Authorized Representative Date EMD USE ONLY BELOW Federal Share Project Amount Reimbursement Approved: LI Signature of State Mitigation Representative Data MITIGATION PROJECT LABOR RECORD Subgrantee: Location of Work: Description of Work: Time Period: to Project No. Check One: I 1 Subgrantee Project Expense In-Kind Contribution Employee Name/Title date/hours worked each day Total Hours Rate per Hour Total Date Hours $ Hours $ Hours $ Hours $ Hours $ Hours $ Hours $ Hours $ Hours $ Hours 1....—......1 Total Hrs. $ $................... TOTAL (2) Regular Pay (2) $ x Fringe Benefit Rate Regular Benefits (1) $ (1) $ (2) $ Grand Total (this page only) $ I certify that the above information was transcribed from timesheets, payroll records, equipment log, EMI) USE ONLY invoices, stock records or other documents which are available for audit This form has been reviewed and found correct with the exceptions as noted. Reviewer Initials: Signature - Subgranteers Authorized Representative Mitigation Payment Request Support Forms Comblned 10/17/2016 EMD-016 (08/2014) MICHIGAN STATE POLICE Emergency Management and Homeland Security Division HAZARD MITIGATION GRANT PROGRAM QUARTERLY PROGRESS REPORT AUTHORITY: 1976 PA 390, MCL 30,407a; COMPLIANCE: Voluntary Quarters l st (October to December) LI 2" (January to March) 3rd (April to June) Li 4Ih (July to September) Date Declaration Number FEMA DR-MI Project Number HMGP Name Title Organization/Agency Street Address/P.O. Box City State ZIP Code Telephone Number ( ) - EXT. Fax Number ) - Project Title Date Project Started Anticipated Completion Date Total Funds Expended to Date Local Share Expended to Date Anticipated Cost Overrun H Yes I7 No if Yes, Indicate Amount Anticipated Cost Under Run El Yes E No If Yes, Indicate Amount Summary of Progress on the Project Project Status (Check the Appropriate Box) Fil (a) Project on Schedule E (b) Project Suspended 0 (c) Project Delayed 111 (d) Project Cancelled 7 (e) Project Completed NOTE: If b, c, or d Is checked, provide explanation below. Problems Encountered During the Quarter Assistance Needed Additional Comments NOTE If available, submit "in-progress" photographs of the project for the project file. (MISC. #16305) FISCAL NOTE November 10, 2016 BY: Finance Committee, Tom Middleton, Chairperson IN RE: HEALTH AND HUMAN SERVICES - HOMELAND SECURITY DIVISION — 4195-DR-MI HAZARD MITIGATION GRANT PROGRAM GRANT AGREEMENT ACCEPTANCE 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 authorizes the acceptance of a grant award from the Michigan Department of State Police, Emergency Management and Homeland Security Division. 2. Total program funding of $203,965 consists of $152,045 in grant funding and an in-kind match of $51,920. 3. Funding will be used to update a Hazard Mitigation Plan for communities covered under its emergency operations plan in an effort to permanently reduce or eliminate the long-term risk to human life and property from natural, technological or human-caused disasters and their effects. 4. The County's portion of the grant match is comprised of in-kind support from staff salary to support the selected contracted vendor ensuring all grant requirements are met and all required paperwork completed. 5. The grant period is September 16, 2016 through June 21, 2019. 6. The FY 2017 Special Revenue Budget is amended as follows: FEMA GRANTS (Fund 29330) GR0000000774 / Bud Ref 2017 Revenues 1060601-115185-610313-62000 Federal Operating Grants Total Revenues Expenditures 1060601-115185-731388-62000 Printing 1060601-115185-731458-62000 Professional Services Total Expenditures FY 2017 $ 152,045 $ 152,045 $ 5,000 147,045 $_152,045 FINANCE COMMITTEE VOTE: Motion carried unanimously on a roll call vote with Crawford and Zack absent. Resolution #16305 November 10, 2016 Moved by Fleming supported by McGillivray the resolutions (with fiscal notes attached) on the Consent Agenda be adopted (with accompanying reports being accepted). AYES: Dwyer, Fleming, Gershenson, Gingell, Gosselin, Hoffman, Kochenderfer, KowaII, Long, McGillivray, Middleton, Quarles, Scott, Spisz, Taub, Weipert, Woodward, Zack, Bowman, Crawford. (20) NAYS: None. (0) A sufficient majority having voted in favor, the resolution (with fiscal notes attached) on the Consent Agenda were adopted (with accompanying reports being accepted). GERALD D. ISSON CHIEF DEPUTY COUNTY EXECUTIVE ACTING PURSUANT TO MCL 45.559A(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 November 10, 2016, 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 10th day of November, 2016. Lisa Brown, Oakland County