HomeMy WebLinkAboutResolutions - 2002.12.12 - 26765MISCELLANEOUS RESOLUTION #06 14 December 12, 2002
BY:
PUBLIC SERVICES COMMITTEE, HUGH D. CRAWFORD,
CHAIRMAN
IN RE: COUNTY EXECUTIVE EMERGENCY RESPONSE AND
PREPAREDNESS — 2002 STATE DOMESTIC PREPAREDNESS
EQUIPMENT GRANT (SDPEG) ACCEPTANCE
TO: THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS the Michigan Department of State Police, Emergency
Management Division, has received funding through a federal grant to provide
equipment to local governmental agencies for emergency response; and
WHEREAS an Oakland County Needs Assessment was conducted for the
State in 2001 for future grant funds in accordance with the Michigan Three-Year
Domestic Preparedness Strategy; and
WHEREAS THE State of Michigan has awarded Oakland County
$301,790 for equipment and an additional award of $4,500 for exercises
for the 2002 State Domestic Preparedness Program Grant; and
WHEREAS the purpose is to provide funds for the purchase of specialized
emergency response equipment and begin an exercise program to enhance the
basic defensive capabilities of the County to respond to an incident of domestic
terrorism or incident involving weapons of mass destruction; and
WHEREAS this grant is one 100% federal pass through funded with no
county match; and
WHEREAS the grant agreement has been processed through the County
Executive Contract Review and the Board of Commissioners Grant Acceptance
Procedures.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners accept the grant funding from the State of Michigan in the
amount of $301,790 for equipment and $4,500 for exercises.
BE IT FURTHER RESOLVED that acceptance of this grant does not
obligate the County to any future commitment.
Mr. Chairperson, on behalf of the Public Services Committee, I move the
adoption of the foregoing resolution.
PiLA3L4 SERVICES GMMITTEE
Public Services Committee Vote:
Motion carried unanimously on a roll call vote with McPherson, Obrecht, Garfield and
Sever absent.
OAKLAND COUNTY
EMERGENCY RESPONSE AND PREPAREDNESS
EXECUTIVE SUMMARY
STATE DOMESTIC PREPAREDNESS EQUIPMENT GRANT
2002
BACKGROUND
The threat of biological and chemical attacks to the United States population is
increasing. With the event of 9/11 and anthrax incidents, more than at any other
time in history, terrorists may act on a variety of motives. They have easy access
to weapons of mass destruction including an assortment of chemical or biological
agents. A release of an agent strategically placed in a location where a large
number of people are present or pass though, could have a tragic affect.
Our community's emergency responders have had training in hazardous
materials ranging from first responder awareness to operational level response at
the technician and specialist levels. However, special protection, detection, and
other equipment are required to enable a safe response to such incidents.
GRANT
In 1999, Oakland County received funding in a maximum amount of $300,000.
The grant funded personal protection, detection, and communication equipment
to enhance local basic defensive capabilities.
An Oakland Needs Assessment was conducted for the State in 2001 for future
grant funds in accordance with the Michigan Three-Year Domestic Preparedness
Strategy. The Michigan Department of State Police, Emergency Management
Division, submitted the Strategy to the Department of Justice and has received
funding for a second year through a federal grant to provide equipment to city
and county governmental agencies for emergency response.
Earlier this year Oakland County received pass-through funding at a maximum of
$164,755 for equipment. We have been notified that we are again on a list of
eligible jurisdictions to receive pass-through funding at a maximum of $301,790
for equipment and $4,500 for exercises. The grant period is October 1, 2002
to December 31, 2003.
11/1/02
3
Linda Pearson
• From: Greg Givens [givensg@co.oakland.mi.us ]
Sent: Monday, November 18, 2002 4:46 PM
To: . Novak, Gail; Sturm, Michael; VanLeuvenj; Pearson, Linda; Frederick, Candace
Subject: CONTRACT REVIEW- Emergency Response and Preparedness
RE: CONTRACT REVIEW - Emergency Response and Preparedness
GRANT NAME: 2002 State Domestic Preparedness Program
FUNDING AGENCY: Michigan Department of State Police
DEPARTMENT CONTACT PERSON: Gail Novak - 85080
STATUS: Acceptance
DATE: November 18, 2002
Pursuant to Misc. Resolution #01320, please be advised the captioned
grant materials have completed internal contract review. Below are the
comments returned by review departments.
Department of Management and Budget:
Approved - Laurie Van Pelt (5 Nov 2002)
Personnel Department:
I approve - Judy Eaton (4 Nov 2002)
Risk Management and Safety:
Approved. - Stan Fayne (4 Nov 2002)
Corporation Counsel:
After reviewing this grant contract, there appear to be no outstanding
legal issues that require additional action or resolution. However, the
.copy of the grant contract that I reviewed has several documents
accompanying it, including a signoff for the ekistence or submittal of •
an Equal Employment Opportunity Plan,- certifications regarding lobbying,
debarment and related issues, and several other items. Many of these
typically accompany the grant application, but here, these must all be
completed before the contract is submitted to the state. I am not sure
who
is responsible for ensuring that all these documents are signed. Please
advise.
- Karen Agacinski (18 Nov 2002)
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
email containing grant review comments) may be requested to be placed on
the appropriate Board of Commissioners' committee(s) for grant
acceptance by Board resolution.
Greg Givens, Supervisor
Grants Administration Unit
Fiscal Services Division
State of Michigan
2002 STATE DOMESTIC PREPAREDNESS PROGRAM
GRANT AGREEMENT
October 1, 2002 through December 31, 2003
CFDA Number - 16.007
This State Domestic Preparedness Program Grant (SDPP) Grant Agreement is hereby entered into between the
Michigan Department of State Police, Emergency Management Division, hereinafter called the Subgrantor, and
County of Oakland
hereinafter called the Subgrantee.
I. Purpose
The purpose of this Grant Agreement is to provide federal pass-through funds to the Suberantee for the procurement
of specialized emergency response equipment and conducting exercising that will enhance the basic defensive
capabilities of the state to respond to an incident of domestic terrorism or incident involving weapons of mass
destruction. Grant funds are allocated in accordance with the Michigan Three-Year Domestic Preparedness
Strategy.
Objectives
The principal objectives of this Grant Agreement are to provide financial assistance:•
A. For the purchase of specialized equipment and the conduct of exercises to enhance the capability of state
and local agencies to respond to incidents of terrorism involving the use of chemical and biological agents,
as well as radiological and explosive devices.
B. To ensure standardization and interoperability of the specialized equipment.
DI. Statutory Authority
Funding for the 2002 SDPP is supported by Public Law 107-77, 107-117, and 107.56. The Subgrantee agrees to
comply with all program requirements in accordance with the SDPP, Office of Management and Budget Circulars
A-87, A-102, and A-133, and applicable state and federal laws and regulations.
IV. State Domestic Preparedness Program Award Amount and Restrictions
The equipment award for the Subgrantee is $301,790 and the exercise award is $4,500.00.
This Grant Agreement designates SDPP funds for reimbursement of items listed on the 2002 SDPP Approved
Supplies and Equipment List and the 2002 SDPP Authorized Exercise Cost List. Grant Agreement funds shall not
be used for other purposes. The funds awarded in the Grant Agreement shall only be used to cover allowable costs
that are incurred during the Grant Agreement period. The funds must supplement, not supplant, state or local funds.
The Subgrantee is not required to provide any matching funds under this grant program. 2002 SDPP Approved
Page 1 of 4
2002 State Domestic Preparedness Program
Grant Agreement between the State of Michigan
and County of Oakland
Supplies and Equipment List and the 2002 SDPP Authorized Exercise Cost List are incorporated by reference into
this Grant Agreement.
V. Responsibilities of the Subgrantee
The Subgrantee agrees to comply with all applicable federal and state regulations, including the following:
A. In addition to this SDPP Grant Agreement, Subgrantee shall complete, sign, and submit to Subgrantor the
following documents, which are incorporated by reference into this Grant Agreement:
1) Assurances (02 Form 4000/3)
2) Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters;
and drug-Free Workplace Requirement (01P Form 4061/6)
3) Audit Certification Form
4) Request for Taxpayer Identification Number and Certification, Form W-9
5) Other documents that may be required by federal or state officials.
B. Comply with requirements to submit an Equal Employment Opportunity Plan (EEOP), if applicable, to the
U.S. Department of Justice, Office of Justice Programs, Office for Civil Rights, 810 Seventh Street, N.W.,
Room 5107, Washington, D.C. 20531 within 60 days of the date of this award. Failure to submit an
acceptable EEOP (if Subgrantee is required to submit one pursuant to 28 CFR Section 42.302) that is
approved by the Office of Civil Rights, is a violation of the Subgrantee's Certified Assurances and may
result in funds from the award being frozen, until such time as the Subgrantee is in compliance.
C. Obtain prior written approval from the Subgrantor before using grant funds to purchase items not on the
2002 SDPP Approved Supplies and Equipment List.
D. Purchase approved supplies and equipment and conduct all exercises by December 31, 2003.
E. Submit the Request for Reimbursement forms and required documentation to the Subgrantor for
reimbursement of eligible expenses by January 30, 2004.
F. Comply with applicable financial and administrative requirements set forth in the current edition of "U.S.
Department of Justice Financial Guide" 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 SDPP for at least three years after the final grant report, for purposes of federal or state
examination and audit.
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 OJP's "Financial Guide," Chapter 19. If an audit is required,
submit a copy of the annual audit report to Financial Services Section, Michigan Department of State
Police, 714 South Harrison Road, East Lansing, Michigan 48823.
VI. Responsibilities of the Subgrantor
The Subgrantor, in accordance with the general purposes and objectives of this Grant Agreement, will:
-
A. Administer the SDPP in accordance with all applicable federal and state regulations and guidelines.
B. Provide direction and technical assistance to the Subgrantee.
C. Provide any special report forms and reporting formats required by the Subgrantor for operation of the
program.
D. Reimburse the Subgrantee in accordance with this Grant Agreement based on appropriate documentation
submitted by the Subgrantee.
(3)
Page 2 of 4
2002 State Domestic Preparedness Program
Grant Agreement between the State of Michigan
and County of Oakland
E. Conduct at least one on-site review with the Subgrantee to inspect equipment and financial documents.
VII. Payment and Reporting Procedures
A. The Subgrantee agrees to prepare the Request for Reimbursement Forms and submit them to the
Subgrantor with supporting documentation. The documentation requirement can be met by submitting an
approved purchase order, invoice, sales receipt, and payroll registers, etc
B. If the Request for Reimbursement was supported by a purchase order instead of an invoice or sales receipt,
after the vendor has been paid, the Subgrantees shall also provide the Subgrantor with adequate
documentation to show the items were received and the bills were paid.
C. The Subgrantee agrees to return to the Subgrantor any unobligated balance of funds held by the Subgrantee
at the end of the Grant Agreement period or handle them in accordance with the instructions provided by
the Subgrantor.
VIII. Employment Matters
Subgrantee shall comply with the Elliott-Larsen Civil Rights Act, 1976 PA 453, as amended, MCL 37.2101 et seq.,
the Michigan Handicappers' Civil Rights Act, 1976 PA 200, as amended, MCL 37.1101 et seq., and all other
federal, state and local fair employment practices and equal opportunity laws and covenants that it shall not
discriminate against any employee or applicant for employment, to be employed in the performance of this Grant
Agreement, with respect to his or her hire, tenure, terms, conditions, or privileges of employment, or any matter
directly or indirectly related to employment, because of his or her race, religion, color, national origin, age, sex,
height, weight, marital status, or handicap that is unrelated to the individual's ability to perform the duties of a
particular job or position. Subgrantee agrees to include in every subcontract entered into for the performance of this
Grant Agreement this covenant not to discriminate in employment. A breach of this covenant is a material breach
of the Grant Agreement.
Subgrantee shall ensure that no subcontractor, manufacturer or supplier of Subgrantee on this Project appears in the
register compiled by the Michigan Department of Labor pursuant to 1980 PA 278, as amended, MCL 423.321 et
seq. (Employers Engaging in Unfair Labor Practices Act).
LX. Limitation of Liability
Subgrantor and Subgrantee to this Grant Agreement agree that each must seek its own legal representative and bear
its own costs, including judgments, in any litigation that may arise from performance of this contract. It is
specifically understood and agreed that neither party will indemnify the other party in such litigation.
This is not to be construed as a waiver of governmental immunity.
X. Third Parties
This Grant Agreement is not intended to make any person or entity not a party to this Grant Agreement a third-party
beneficiary hereof or to confer on a third party any rights or obligations enforceable in their favor.
M. Grant Agreement Period
This Grant Agreement is in full force and effect from October 1,2002 through December 31, 2003. This Grant
Agreement consists of two identical sets that may be simultaneously executed, each of which shall be deemed to be
an original having identical legal effect. No costs eligible under this Grant Agreement shall be incurred before the
Page 3 of 4
2002 State Domestic Preparedness Program
Grant Agreement between the State of Michigan
and County of Oakland
starting date of this Grant Agreement except with prior written approval. 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 Subgrantee shall
have no further obligation to make payments.
XII. Entire Grant Agreement
This Grant Agreement is governed by the laws of the State of Michigan and supersedes all prior agreements,
documents, and representations between Subgrantor and Subgrantee, whether expressed, implied or oral. This
Grant Agreement constitutes the entire agreement between the parties and may not be amended except by written
instrument executed by both parties prior to the termination date set forth in Paragraph XI above. No party to this
Grant Agreement may assign this Grant Agreement or any of his/her/its rights, interest, or obligations hereunder
without the prior consent of the other party. Subgrantee agrees to inform Subgrantor in writing immediately of any
proposed changes of dates, budget, or services indicated in this Grant Agreement, as well of changes of address or
personnel affecting this Grant Agreement. Changes in dates, budget or services are subject to prior written approval
of Subgrantor. If any provision of this Grant Agreement shall be deemed void or unenforceable, the remainder of
the Grant Agreement shall remain valid.
XIII. Official Certification
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 responsible governing board, official, or agency. Subgrantee further
certifies that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this grant by any federal department or agency. If
Subgrantee is unable to certify to any portion of this statement, Subgrantee shall attach to this Grant Agreement an
explanation of the reason.
For the Subgrantee
Printed Name Title
Signature Date
For the Subgrantor:
Deputy State Director of Emergency Management
Title
October 14, 2002
Date
Page 4 of 4
CERTIFICATION
Grant Title:
Grantee Name:
Address: Contact Person: Tel.#:
Grant Number: Award Amount:
Date and effective duration of EEOP:
Policy Statement:
CERTIFICATION (EEOP ON FILE)
Certification Statement:
[executive officer], certify that the
[organization] has formulated an Equal
Employment Opportunity Plan in accordance with 28 CFR 42.301, etg., subpart E, that it has been signed
into effect by the proper authority and disseminated to all employees, and that it is on file in the Office of
[name],
[address],
[title], for review or audit by officials
of the cognizant State planning agency or the Officefor Civil Rights, Office of Justice Programs as required
by relevant laws and regulations.
[signature] [title] [date]
CERTIFICATION (NO EEOP REQUIRED)
I HEREBY CERTIFY THAT THE FUNDED ENTITY HAS LESS THAN 50 EMPLOYEES AND
THEREFORE IS NOT REQUIRED TO MAINTAIN AN EEOP, PURSUANT TO 29 CFR 42301, ET SEQ.
Isi,gnaturel [title] [date]
OMB Approval No. 1121-0140
Expiration Date: 09/30/2002
Paperwork Reduction Act Notice. Under the Paperwork Reduction Act, a person is not required to respond
to a collection of information unless it displays a currently valid OMB control number. We try to create
forms and instructions that are accurate, can be easily understood, and which impose the least possible burden
on you to provide us with information. The estimated average time to complete and file this certification is
15 minutes per application. If you have comments regarding the accuracy of this estimate, or suggestions for
making this form simpler, you can write to the Office of Justice Programs, Office for Civil Rights, 810 7 th
Street N.W., Washington, D.C. 20531.
Date
lb
OMB APPROVAL NO. 1121-0140
EXPIRES: 1/31/96
ASSURANCES
; The Applicant hereby assures and certifies compliance with all Federal statutes, regulations, policies, guidelines and requirements,
including OMB Circulars No. A-21, A-110, A-122, A-128, A-87; E.O. 12372 and Uniform Administrative Requirements for Grants and
Cooperative Agreements-28 CFR, Part 66, Common Rule, that govern the application, acceptance and use of Federal funds for this
federally-assisted project. Also the Applicant assures and certifies that:
1. It possesses legal authority to apply for the grant; that a
resolution, motion or similar action has been duly adopted or
passed as an official act of the applicant's governing body,
authorizing the filing of the application, including all under-
standings and assurances contained therein, and directing
and authorizing the person identified as the official represen-
tative of the applicant to act in connection with the application
and to provide such additional information as may be re-
quired.
2. It will comply with requirements of the provisions of the
Uniform Relocation Assistance and Real Property Acquisi-
tions Act of 1970 P.L. 91-646) which provides for fair and
equitable treatment of persons displaced as a result of Fed-
eral and federally-assisted programs.
3. It will comply with provisions of Federal law which limit certain
political activities of employees of a State or local unit of
government whose principal employment is in connection
with an activity financed in whole or in part by Federal grants.
(5 USC 1501, et seq.)
4. It will comply with the minimum wage and maximum hours
provisions of the Federal Fair Labor Standards Act if appli-
cable.
5. It will establish safeguards to prohibit employees from using
their positions for a purpose that is or give the appearance of
being motivated by a desire for private gain for themselves or
others, particularly those with whom they have family, busi-
ness, or other ties.
6. It will give the sponsoring agency or the Comptroller General,
through any authorized representative, access to and the right
to examine all records, books, papers, or documents related to
the grant. •
7. It will comply with all requirements imposed by the Federal
Sponsoring agency conceming special requirements of law,
program requirements, and other administrative requirements.
8. It will insure that the facilities under its ownership, lease or
supervision which shall be utilized in the accomplishment of
the project are not listed in the Environmental protection
Agency's (EPA-list of Violating Facilities and that it will notify
the Federal grantor agency of the receipt of any communica-
tion from the Director of the EPA Office of Federal Activities
indicating that a facility to be used in the project is under
consideration for listing by the EPA.
9. It will comply with the flood insurance purchase requirements
of Section 102(a) of the Flood Disaster Protection Act of
1973, Public Law 93-234, 87 Stat. 975, approved December
31, 1976. Section 102(a) requires, on and after March 2,
1975, the purchase of flood insurance in communities where
such insurance is available as a condition for the receipt of
any Federal financial assistance for construction or acquisi-
tion purposes for use in any area that had been identified by
the Secretary of the Department of Housing and Urban Devel-
opment as an area having special flood hazards. The phrase
"Federal financial assistance" includes any form of loan,
grant, guaranty, insurance payment, rebate, subsidy, disas-
ter assistance loan or grant, or any other form of direct or
indirect Federal assistance.
10. It will assist the Federal grantor agency in its compliance with
Section 106 of the National Historic Preservation Act of 1966
as amended (16 USC 470), Executive Order 11593, and the
Archeological and Historical Preservation Act - of 1966 (16
USC 569a-1 et seq.) by (a) consulting with the State Historic
Preservation Officer on the conduct of investigations, as
necessary, to identify properties listed in or eligible for inclu-
sion in the National Register of Historic Places that are
subject to adverse effects (see 36 CFR Part 800.8) by the
activity, and notifying the Federal grantor agency of the
existence of any such properties, and by (b) complying with
all requirements established by the Federal grantor agency to
avoid or mitigate adverse effects upon such properties.
11. It will comply, and assure the compliance of all its subgrantees
and contractors, with the applicable provisions of Title I of the
Omnibus Crime Control and Safe Streets Act of 1968, as
amended, the Juvenile Justice and Delinquency Prevention
Act, or the Victims of Crime Act, as appropriate; the provi-
sions of the current edition of the Office of Justice Programs
Financial and Administrative Guide for Grants, M7100.1; and
all other applicable Federal laws, orders, circulars, or regula-
tions.
12. It will comply with the provisions of 28 CFR applicable to grants
and cooperative agreements including Part 18, Administrative
Review Procedure; Part 20, Criminal Justice Information Sys-
tems; Part 22, Confidentiality of Identifiable Research and
Statistical Information; Part 23, Criminal Intelligence Systems
Operating Policies; Part 30, Intergovernmental Review of De-
partment of Justice Programs and Activities; Part 42, Nondis-
crimination/Equal Employment Opportunity Policies and Pro-
cedures; Part 61, Procedures for Implementing the National
Environmental Policy Act; Part 63, Floodplain Management
and Wetland Protection Procedures; and Federal laws or regu-
lations applicable to Federal Assistance Programs.
13. It will comply, and all its contractors will comply, with the
nondiscrimination requirements of the Omnibus Crime Con-
trol and Safe Streets Act of 1968, as amended, 42 USC
3789(d), or Victims of Crime Act (as appropriate); Title VI of
the Civil Rights Act of 1964, as amended; Section 504 of the
Rehabilitation Act of 1973, as amended; Subtitle A, Title II of
the Americans With Disabilities Act (ADA) (1990); Title IX of
the Education Amendments of 1972; the Age Discrimination
Act of 1975; Department of Justice Non-Discrimination Regu-
lations, 28 CFR Part 42, Subparts C, D, E, and G; and
Department of Justice regulations on disability discrimina-
tion, 28 CFR Part 35 and Part 39.
14. In the event a Federal or State court or Federal or State
administrative agency makes a finding of discrimination after
a due process hearing on the grounds of race, color, religion,
national origin, sex, or disability against a recipient of funds,
the recipient will forward a copy of the finding to the Office for
Civil Rights, Office of Justice Programs.
15. It will provide an Equal Employment Opportunity Program if
required to maintain one, where the application is for $500,000
or more.
16. It will comply with the provisions of the Coastal Barrier
Resources Act (P.L. 97-348) dated October 19, 1982(16 USC
3501 et seq.) which prohibits the expenditure of most new
Federal funds within the units of the Coastal Barrier Re-
sources System.
Signature
OJP FORM 4000/3 (Rev. 1-93) PREVIOUS EDMONS ARE OBSOLETE.
ATTAr.1-1KAFKIT 171 F-49t1
U.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND
OTHER RESPONSIBIUTY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
Applicants should refer to the regulations cited below to determine the certification to which they are required to
attest. Applicants should also review the instructions for certification included in the regulations before completing this
form. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, "New
Restrictions on Lobbying" and 28 CFR Part 67, "Government-wide Debarment and Suspension (Nonpro-curement) and
Government-wide Requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a material
representation of fact upon which reliance will be placed when the Department of Justice determines to award the
covered transaction, grant, or cooperative agreement.
1. LOBBYING
As required by Section 1352, Title 31 of the U.S. Code, and
implemented at 28 CFR Part 69, for persons entering into a
grant or cooperative agreement over $100,000, as defined at
28 CFR Part 69, the applicant certifies that
(a) No Federal appropriated funds have been paid or will be
paid, by or on behalf of the undersigned, to any person for in-
fluencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in con-
nection with the making of any Federal grant, the entering into
of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal grant or
cooperative agreement;
(b) If any funds other than Federal appropriated funds have
been paid or will be paid to any person for influencing or at-
tempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with this
Federal grant or cooperative agreement, the undersigned shall
complete and submit Standard Form - LLL, "Disclosure of
Lobbying Activities; in accordance with its instructions;
(c) The undersigned shall require that the language of this cer-
tification be included in the award documents for all subawards
at all tiers (including subgrants, contracts under grants and
cooperative agreements, and subcontracts) and that all sub-
recipients shall certify and disclose accordingly.
2. DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBIUTY MATTERS
(DIRECT RECIPIENT)
As required by Executive Order 12549, Debarment and
Suspension, and implemented at 28 CFR Part 67, for prospec-
tive participants in primary covered transactions, as defined at
28 CFR Part 67, Section 67.510—
A. The applicant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debar-
ment, declared ineligible, sentenced to a denial of Federal
benefits by a State or Federal court, or voluntarily excluded
from covered transactions by any Federal department
or agency;
(b) Have not within a three-year period preceding this applica-
tion been convicted of or had a civil judgment rendered against
them for commission of fraud or a criminal offense in connec-
tion with obtaining, attempting to obtain, or performing a
public (Federal, State, or local) transaction or contract under a
public transaction; violation 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 or otherwise criminally or
civilly charged by a governmental entity (Federal, State, or
local) with commission of any of the offenses enumerated in
paragraph (1)(b) of this certification; and
(d) Have not within a three-year period preceding this applica-
tion had one or more public transactions (Federal, State, or
local) terminated for cause or default; and
B. Where the applicant is unable to certify to any of the
statements in this certification, he or she shall attach an
explanation to this application.
3. DRUG-FREE WORKPLACE
(GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and
implemented at 28 CFR Part 67, Subpart F, for grantees, as
defined at 28 CFR Part 67 Sections 67.615 and 67.620—
A. The applicant certifies that it will or will continue to provide
a drug-free workplace by:
(a) Publishing a statement notifying employees that the
unlawful manufacture, distribution, dispensing, possession, or
use of a controlled substance is prohibited in the grantee's
workplace and specifying the actions that will be taken against
employees for violation of such prohibition;
(b) Establishing an on-going drug-free awareness program to
inform employees about—
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee
assistance programs; and
(4) The penalties that may be imposed upon employees for
drug abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged
in the performance of the grant be given a copy of the state-
ment required by paragraph (a);
(d) Notifying the employee in the statement required by para-
graph (a) that, as a condition of employment under the grant,
the employee will—
I I OW FORM 4061/6 (3-91) REPLACES OW FORMS 4061/2.4061/3 AND 4061/4 WHICH ARE OBSOLETE.
2. Application Number and/or Project Name 3. Grantee IRS/Vendor Number
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her cr,nviction for a
violation of a criminal drug statute occurring in the workplace
no later than five calendar days after such conviction;
(e) Notifying the agency, in writing, within 10 calendar days
after receiving notice under subparagraph (d)(2) from an
employee or otherwise receiving actual notice of such convic-tion.
Employers of convicted employees must provide notice, including
position title, to: Department of Justice, Office of
Justice Programs, ATTN: Control Desk, 633 Indiana Avenue,
tl W.; Washington, D.C. 20531. Notice shall include the iden-
tAcation number(s) of each affected grant;
Taking one of the following actions, within 30 calendar
clays of receiving notice under subparagraph (d)(2), with
respect to any employee who is so convicted—
(1) Taking appropriate personnel action against such an
employee, up to and including termination, consistent with the
requirements of the Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a
drug abuse assistance or rehabilitation program approved for
such purposes by a Federal, State, or local health, law enforce-
ment, or other appropriate agency;
(g) Making a good faith effort to continue to maintain a drug-
free workplace through implementation of paragraphs (a), (b),
(c), (d), (e), and (f).
B. The grantee may insert in the space provided below the
site(s) for the performance of work done in connection with
the specific grant:
Place of Performance (Street address, city, county, state, zip
code)
Check 0 if there are workplaces on file that are not indentified
here.
Section 67, 630 of the regulations provides that a grantee that
is a State may elect to make one certification in each Federal
fiscal year. A copy of which should be included with each ap-
plication for Department of Justice funding. States and State
agencies may elect to use OJP Form 4061/7.
Check 0 if the State has elected to complete OJP Form
4061/7.
DRUG-FREE WORKPLACE
(GRANTEES WHO ARE INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and
implemented at 28 CFR Part 67, Subpart F, for grantees, as
defined at 28 CFR Part 67; Sections 67.615 and 67.620—
A. As a condition of the grant, I certify that I will not engage
in the unlawful manufacture, distribution, dispensing, posses-
sion, or use of a controlled substance in conducting any
activity with the grant; and
B. If convicted of a criminal drug offense resulting from a
violation occurring during the conduct of any grant activity, I
will report the conviction, in writing, within 10 calendar days
of the conviction, to: Department of Justice, Office of Justice
Programs, ATTN: Control Desk, 633 Indiana Avenue, N.W.,
Washington, D.C. 20531.
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications.
1. Grantee Name and Address:
4. Typed Name and Title of Authorized Representative
5. Signature 6. Date
Check appropriate box: E3 Individual/Sole proprietor
Address (number. street, and apt. or suite no.)
Corporation 0 Partnership Other 10:
Requester's name and address (optional) Please print or type Business name, if different from above. (See Specific Instructions on page 2.)
Part I Taxpayer Identification Number (TIN) List account number(s) here (optional)
Social security number
11414111
11-11111 -1
Or
Employer identification number
For U.S. Payees Exempt From
Backup Withholding (See the
instructions on page 2.)
Part I
Signature of
U.S. person •
Sign
Here Date •
Form W-9
(Rev. December 2000)
Department of the Treasury
Internal Revenue Service
Request for Taxpayer
Identification Number and Certification
Give form to the
requester. Do not
send to the IRS.
Name (See Specific Instructions on page 2.)
City, state. and ZIP code
Enter your TIN in the appropriate box. For
individuals, this is your social security number
(SSN). However, for a resident alien, sole
proprietor, or disregarded entity, see the Part I
instructions on page 2. For other entities, it is your
employer identification number (EIN). If you do not
have a number, see How to get a TIN on page 2.
Note: If the account is in more than one name, see
the chart on page 2 for guidelines on whose number
to enter.
Part III 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 (15) I have not been notified by the Internal
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding, and
3. I am a U.S. person (including a U.S. resident alien).
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 2 :-.)
Purpose of Form
A person who is required to file an information
return with the IRS must get your correct
taxpayer identification number (TIN) to report, for
example, income paid to you, real estate
transactions, mortgage interest you paid,
acquisition or abandonment of secured property,
cancellation of debt, or contributions you made
to an IRA.
Use Form W-9 only if you are a U.S. person
(including a resident alien), to give your correct
TIN to the person requesting it (the requester)
and, when applicable, to:
1. Certify the TIN you are giving is correct (or
you are waiting for a number to be issued),
2. Certify you are not subject to backup
withholding, or
3. Claim exemption from backup withholding if
you are a U.S. exempt payee.
If you are a foreign person, use the
appropriate Form W-8. See Pub. 515,
Withholding of Tax on Nonresident Aliens and
Foreign Corporations.
Note: If a requester gives you a form other than
Form W-9 to request your TIN, you must use the
requester's form if it is substantially similar to this
Form W-9.
What is backup withholding? Persons making
certain payments to you must withhold and pay
to the IRS 31% of such payments under certain
conditions. This is called "backup withholding."
Payments that may be subject to backup
withholding include interest dividends, broker
and barter exchange transactions, rents,
royalties, nonemployee pay, and certain
payments from fishing boat operators. Real
estate transactions are not subject to backup
withholding.
If you give the requester your correct TIN.
make the proper certifications, and report all
your taxable interest and dividends on your tax
return, payments you receive will not be subject
to backup withholding. Payments you receive
will be subject to backup withholding if:
1. You do not furnish your TIN to the
requester, or
2. You do not certify your TIN when required
(see the Part III instructions on page 2 for
details), or
3. The IRS tells the requester that you
furnished an incorrect TIN, or
4. The IRS tells you that you are subject to
backup withholding because you did not report
all your interest and dividends on your tax return
(for reportable interest and dividends only), or
5. You do not certify to the requester that you
are not subject to backup withholding under 4
above (for reportable interest and dividend
accounts opened after 1983 only).
Certain payees and payments are exempt
from backup withholding. See the Part II
instructions and the separate Instructions for
the Requester of Form W-9.
Penalties
Failure to furnish TIN. If you fail to furnish your
correct TIN to a requester, you are subject to a
penalty of $50 for each such failure unless your
failure is due to reasonable cause and not to
willful neglect.
Civil penalty for false information with respect
to withholding. If you make a false statement
with no reasonable basis that results in no
backup withholding, you are subject to a $500
penalty.
Criminal penalty for falsifying information.
Willfully falsifying certifications or affirmations
may subject you to criminal penalties including
fines and/or imprisonment.
Misuse of TINs. If the requester discloses or
uses TINs in violation of Federal law, the
requester may be subject to civil and criminal
penalties.
Form W-9 (Rev. 12-2000) Cat. No. 10231X
Form W-9 (Rev. 12-2000)- Page 2
Specific Instructions
Name. If you are an individual, you must
generally enter the name shown on your social
security card. However, if you have changed
your last name, for instance, due to marriage
without informing the Social Security
Administration of the name change, enter your
first name, the last name shown on your social
security card, and your new last name.
If the account is in joint names, list first and
then circle the name of the person or entity
whose number you enter in Part I of the form.
Sole proprietor. Enter your individual name
as shown on your social security card on the
"Name" line. You may enter your business,
trade, or "doing business as (DBA)" name on the
"Business name" line.
Limited liability company (LLC). If you are a
single-member LLC (including a foreign LLC with
a domestic owner) that is disregarded as an
entity separate from its owner under Treasury
regulations section 301.7701-3, enter the
owner's name on the "Name" line. Enter the
LLC's name on the "Business name" line.
Caution: A disregarded domestic entity that has
a foreign owner must use the appropriate
Form W-8.
Other entities. Enter your business name as
shown on required Federal tax documents on
the "Name" line. This name should match the
name shown on the charter or other legal
document creating the entity. You may enter any
business, trade, or DBA name on the "Business
name" line.
Part I—Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box.
If you are a resident alien and you do not
have and are not eligible to get an SSN, your
TIN is your IRS individual taxpayer identification
number (ITIN). Enter it in the social security
number box. If you do not have an ITIN, see
How to get a TIN below.
If you are a sole proprietor and you have an
EIN, you may enter either your SSN or EIN.
However. the IRS prefers that you use your SSN.
If you are an LLC that is disregarded as an
entity separate from its owner (see Limited
liability company (U_C) above), and are owned
by an individual, enter your SSN (or "pre-LLC"
EIN, if desired). lithe owner of a disregarded
LLC is a corporation, partnership. etc., enter the
owner's EIN.
Note: See the chart on this page for further
clarification of name and TIN combinations.
How to get a TIN. If you do not have a TIN,
apply for one immediately. To apply for an SSN.
get Form SS-5, Application for a Social Security
Card, from your local Social Security
Administration office. Get Form W-7, Application
for IRS Individual Taxpayer Identification
Number, to apply for an ITIN or Form SS-4,
Application for Employer Identification Number.
to apply for an EIN. You can get Forms W-7 and
SS-4 from the IRS by calling 1-800-TAX-FORM
(1-800-829-3676) or from the IRS's Internet Web
Site at www.irs.gov.
If you do not have a TIN, write "Applied For"
in the space for the TIN, 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: Writing "Applied For" means that you have
already applied for a TIN or that you intend to
apply for one soon.
Part II—For U.S. Payees Exempt From Backup
Withholding
Individuals (including sole proprietors) are not
exempt from backup withholding. Corporations
are exempt from backup withholding for certain
payments. such as interest and dividends. For
more information on exempt payees, see the
separate Instructions for the Requester of
Form W-9.
If you are exempt from backup withholding,
you should still complete this form to avoid
possible erroneous backup withholding. Enter
your correct TIN in Part I. write "Exempt" in
Part II, and sign and date the form.
If you are a nonresident alien or a foreign
entity not subject to backup withholding, give
the requester the appropriate completed Form
W-8.
Part III—Certification
To establish to the withholding agent that you
are a U.S. person, or resident alien, sign Form
W-9. You may be requested to sign by the
withholding agent even if items 1, 3, and 5
below indicate otherwise.
For a joint account, only the person whose
TIN is shown in Part I should sign (when
required).
1.. Interest, dividend, and barter exchange
accounts opened before 1984 and broker
accounts considered active during 1983. You
must give your correct TIN, but you do not have
to sign the certification.
2. Interest, dividend, broker, and barter
exchange accounts opened after 1983 and
broker accounts considered inactive during
1983. You must sign the certification or backup
withholding will apply. If you are subject to
backup withholding and you are merely providing
your correct TIN to the requester, you must
cross out item 2 in the certification before
signing the form.
3. Real estate transactions. You must sign
the certification. You may cross out item 2 of the
certification.
4. Other payments. You must give your
correct TIN, but you do not have to sign the
certification unless you have been notified that
you have previously given an incorrect TIN.
"Other payments" include payments made in the
course of the requester's trade or business for
rents, royalties, goods (other than bills for
merchandise), medical and health care services
(including payments to corporations), payments
to a nonemployee for services, payments to
certain fishing boat crew members and
fishermen, and gross proceeds paid to attomeys
(including payments to corporations).
5. Mortgage interest paid by you,
acquisition or abandonment of secured
property, cancellation of debt, qualified state
tuition program payments. IRA or MSA
contributions or distributions, and pension
distributions. You must give your correct TIN,
but you do not have to sign the certification.
Privacy Act Notice
Section 6109 of the Internal Revenue Code
requires you to give your correct TIN to persons
who must file information returns with the IRS to
report interest, dividends, and certain other
income paid to you, mortgage interest you paid,
the acquisition or abandonment of secured
property, cancellation of debt, or contributions
you made to an IRA or MSA. The IRS uses the
numbers for identification purposes and to help
verify the accuracy of your tax return. The IRS
may also provide this information to the
Department of Justice for civil and criminal
litigation, and to cities, states, and the District of
Columbia to carry out their tax laws.
You must provide your TIN whether or not you
are required to file a tax return. Payers must
generally withhold 31% of taxable interest.
dividend, and certain other payments to a payee
who does not give a TIN to a payer. Certain
penalties may also apply.
What Name and Number To
Give the Requester
For this type of account Give name and SSN of
1. Individual The individual
2. Two or more The actual owner of the
individuals Ooint account or, if combined
account) funds, the first individual
on the account '
3. Custodan account of The minor '
a minor (Uniform Gift
to Minors Act)
4. a. The usual The grantor-trustee '
revocable savings
trust (grantor is
also trustee)
b. So-called trust The actual owner '
account that is not
a legal or valid trust
under state law
5. Sole proprietorship The owner 3
For this type of account Give name and EIN of:
6. Sole proprietorship The owner'
7. A valid trust, estate, or Legal entity 4
pension trust
8. Corporate The corporation
9. Association, club, The organization
religious, charitable.
educational, or other
tax-exempt
organization
10. Partnership The partnership
11. A broker or registered The broker or nominee
nominee .
12. Account. with the The public entity
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
Ust first and circle the name of the person whose
number you furnish. If only one person on a joint
account has an SSN. that person's number must be
furnished.
'Circle the minor's name and furnish the minor's SSN.
'You must show your individual name, but you may also
enter your business or -DBA' name. You may use either
your SSN or EIN (if you have one).
'List first and circle the name of the legal trust, estate,
or pension trust. (Do not furrish the TIN of the personal
representative or trustee unless the legal entity itself is
not designated in the account title.)
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.
EMD-48 (03/01)
MICHIGAN STATE POLICE
Emergency Management Division
FY 2002 STATE DOMESTIC PREPAREDNESS PROGRAM
AUDIT CERTIFICATION
Federal Audit Requirements
Fiscal Years Beginning After June 30, 1996
Non-federal organizations which expend $300,000 or more in federal funds during their fiscal year are required to
have an audit performed in accordance with the Single Audit Act of 1984, as amended, and Office of Management
and Budget (OMB) Circular A-133. Department of Justice Subgrantees must submit a copy of their audit report to:
Financial Services Section, Michigan State Police, 714 South Harrison Road, East Lansing, Michigan 48823 for
each year they meet the funding threshold.
FY 2002 State Domestic Preparedness Program (SDPP) CFDA Number: 16.007
Subgrantee Information
Jurisdiction Name:
Street Address:
City, State, Zip Code:
Certification for Fiscal Year Ending (mm/dd/yyyy):
(Check appropriate box).
I certify that the subgrantee shown above expects it will not be required to have an audit performed under the
Single Audit Act of 1984, as amended, and the OMB Circulars as revised, for the State Domestic Preparedness
Program (SDPP) listed above.
I certify that the subgrantee shown above expects it will be required to have an audit performed under the Single
Audit Act of 1984, as amended, and the OMB Circulars as revised, during at least one fiscal year when
Department of Justice pass-through funds are received for the SDPP listed above. A copy of the audit report
will be submitted to: Financial Services Section, Michigan State Police, 714 South Harrison Road, East
Lansing, Michigan 48823.
(Signature of Subgrantee's Authorized Representative) (Date)
Please mail completed form to: Michigan State Police
Emergency Management Division
4000 Collins Road
P.O. Box 30636
Lansing, Michigan 48909
For MSP-EMID Use Only
Reviewed By: Date:
Authority: 1976 PA 390, as amended
Completion: Voluntary, but completion
necessary to be considered for
assistance. 16
FISCAL NOTE (MISC. #02314) December 12, 2002
BY: FINANCE COMMITTEE, SUE ANN DOUGLAS, CHAIRPERSON
IN RE: COUNTY EXECUTIVE EMERGENCY RESPONSE AND PREPAREDNESS - 2002 STATE DOMESTIC
PREPARDNESS EQUIPMENT GRANT (SDPEG) 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. Oakland County conducted a Needs Assessment for the State in 2001
for future grant funds in accordance with the Michigan Three-Year
Domestic Preparedness Strategy.
2. The County Executive - Emergency Response and Preparedness Division
has been awarded $301,790, for the purchase of specialized equipment
and an additional award of $4,500 for exercises.
3. The specialized equipment will enhance the capability of state and
local agencies to respond to incident of domestic terrorism or
incidents involving weapons of mass destruction.
4. The grant agreement has been processed through the County Executive
Contract Review Process and the Board of Commissioners Grant
Acceptance Procedures.
5. The Fiscal Year 2003 County Executive-Emergency Preparedness Grant
budget should be entered, as specified below, to recognize the
revenues and expenses of the State Domestic Preparedness Equipment
Grant (SDPEG) Grant Agreement for the period of October 1, 2002
through December 31, 2003 as follows:
Revenue
1-11-276-100602-65001-0113 Grants - Federal $306,290
Expense
2-11-276-200602-65001-3712 Training Related
2-11-276-200602-65001-3364 Protective Cloth. & Eq.
2-11-276-200602-65001-4101 Expend. Equip. Exp.
$ 4,500
148,790
153,000
$306,290
$ -0-
FINANCE COMMITTEE
FINANCE COMMITTEE
Motion carried unanimously on a roll call vote with Dingeldey,
Taub and Melton absent.
•-1.777.BY ;THE FOREGOING RESOI
// aotil
G. William Caddell, County Clerk
Resolution #02314 December 12, 2002
Moved by Sever supported by Suarez the resolutions on the Consent Agenda, be adopted (with
accompanying reports being accepted).
AYES: Brian, Buckley, Causey-Mitchell, Crawford, Dingeldey, Douglas, Galloway, Gregory, Law,
McPherson, Melton, Middleton, Moffitt, Moss, Obrecht, Palmer, Patterson, Sever, Suarez,
Webster, Appel. (21)
NAYS: None. (0)
A sufficient majority having voted therefore, the resolutions on the Consent Agenda, were adopted (with
accompanying reports being accepted).
L. Brooks Patterson. ;' Date
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, G. William Caddell, 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
December 12, 2002, 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 12th day of December, 2002.