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HomeMy WebLinkAbout20133308.tiffRESOLUTION RE: APPROVE APPLICATION FOR 2014 EMERGENCY MANAGEMENT PERFORMANCE PROGRAM GRANT AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Application for the 2014 Emergency Management Performance Program Grant from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Office of Emergency Management, to the Colorado Department of Public Safety, Office of Emergency Management, commencing upon full execution, with terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Application for the 2014 Emergency Management Performance Program Grant from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Office of Emergency Management, to the Colorado Department of Public Safety, Office of Emergency Management, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 2nd day of December, A.D., 2013. BOARD OF COUNTY COMMISSIONERS WELD COI. NTY, COLORADO ATTEST: Weld County Clerk to the Board BY:�L� Deputy C Date of signature: DEC 1 6 2013 APPR• D A to the Board A orney am F. Garcia C 12r- Dougla3 Rademac . Conway SED Freeman CUSED er, Barbara Kirkmeyer ec oil4, n_ 2013-3308 EM0016 Weld County 2014 EMPG Part I FFY 2014 EMPG-LEMS Grant Activities Work Plan Template Instructions Use the 15 EMF categories as a framework for planning your annual work program and consider identified capability gaps or shortfalls that need to be addressed. This can be done in four steps. 1. First, consider your community's long-term strategy for developing and sustaining an all - hazards preparedness strategy, including initiatives that can be accomplished during the grant performance period as well as those objectives that will need to be phased over multiple years. 2. Second, identify Planned Activities that, when completed, will assist you in achieving your long-term strategy. Complete the Work Plan Template by identifying Planned Activities for each Emergency Management Function (EMF) that is relevant to your strategy. Identify to the extent possible the measurable outcome for each Planned Activity. 3. Third, place those activities that can be accomplished during the current performance period in the quarter that you expect the activity to be completed (it is recognized that schedules and priorities change and that activities may actually be accomplished in a different quarter than the one projected). 4. Finally, submit the finished document to your assigned COEM Regional Field Manager. Please don't hesitate to contact your COEM Regional Field Manager for assistance in completing this Work Plan Template. Signatures Must be signed (in ink) or (Adobe Acrobat digital signature) by the emergency manager and forwarded to the assigned COEM Regional Field Manager for approval. By signing, the applicant acknowledges that he/she has read and understands the FFY 2014 Program Guidelines and Application Kit. Jurisdiction: WELD COUNTY Emergency Manager of Jurisdiction: Roy Rudisill Date: _11-4-13 COEM Regional Field Manager: Date: 1 2013-3308 Weld County 2014 EMPG Part I FFY 2014 EMPG-LEMS Grant Activities Work Plan Template FFY 2014 EMPG-LEMS Grant Activities EMF-1 Finance and Administration Objective(s) of Planned Activities: Budget preparation, grant administration, LEMS application, expense tracking, quarterly reimbursement requests, quarterly performance reports, equipment monitoring Mandatory Federal Activities for this EMF: Submit updated FFATA 1n Quarter 10/1/13-12/31/13 Planned Activities: Submit completed 2014EMPG application packet. Submit 1st Quarter report and reimbursement request. Results: 2nd Quarter 1/1/14-3/31/14 Planned Activities: Submit 2nd Quarter report and reimbursement request. Results: 3rd Quarter 4/1/14-6/30/14 Planned Activities: Submit 3rd Quarter report and reimbursement request. Results: 4th Quarter 7/1/14-9/30/14 Planned Activities: Submit 4th Quarter report and reimbursement request. Results: FFY 2014 EMPG-LEMS Grant Activities EMF-2 Laws and Authorities Objective(s) of Planned Activities: Ordinances, resolutions, emergency declarations, EMAP accreditation, compliance with laws and regulations The Weld County Government has identified the legal authority for the development and maintenance of the emergency management program with an emphasis of NIMS for all incident 2 Weld County 2014 EMPG management The Weld County Office of Emergency Management was established by resolution by the Weld County Commissioners in 1988 Mandatory Federal Activities for this EMF: None 1" Quarter 10/1/13-12/31/13 Planned Activities: Work on identified code changes and related issues based on flooding incident from Sept 2013. Results: 2nd Quarter 1/1/14 — 3/31/14 Planned Activities: Review Hazmat agreements. Update as needed Results: 3rd Quarter 4/1/14-6/30/14 Planned Activities: Review EM Code, identify any changes from EOP updates. Results: 4th Quarter 7/1/14-9/30/14 Planned Activities: Present updates for EOP and EM Code to BOCC for adoption. Results: FFY 2014 EMPG-LEMS Grant Activities EMF-3 Risk Assessment Objective(s) of Planned Activities: Development/upgrade of local/tribal THIRA (Threat and Hazard Risk Identification and Assessment) or (HIRA Hazard Risk Identification and Assessment), development of corresponding risk management strategies Mandatory Federal Activities for this EMF: None 1st Quarter 10/1/13 — 12/31/13 Planned Activities: Review the hazard threat assessment for Weld County, coordinate meetings with community partners to update the assessment to be included in the Hazard Mitigation Plan. Participate in local TWG meetings Work with COPS and FMO to update the Results: 3 Weld County 2014 EMPG Annual Operating Plan for Weld County 2n° Quarter 1/1/14 — 3/31/14 Planned Activities: Participate in TWG meetings, update Continue to coordinate with local LE and CIAC on Risk Assessments for Planned events. This will be a quarterly process. Results: 3rd Quarter 4/1/14 — 6/30/14 Planned Activities: Review THIRA documentation and CGP 101v2. Utilize these documents in updating the County Hazard and Risk assessment for the EOP and the Hazard Mitigation plan. Results: 4th Quarter 7/1/14 — 9/30/14 Planned Activities: Participate in the Regional THIRA, utilize information from the County assessment to support the regional planning process. Results: FFY 2014 EMPG-LEMS Grant Activities.. EMF-4 Hazard Mitigation Plans and Projects Objective(s) of Planned Activities: Development of local/tribal hazard mitigation plans, implementation of hazard mitigation projects, coordination of Environmental and Historic Preservation (EHP) reviews Mandatory Federal Activities for this EMF: None 1st Quarter 10/1/13-12/31/13 Planned Activities: Coordinate Hazard mitigation Planning meetings and develop a meeting schedule. Provide information and schedule to FM. Results: 2nd Quarter 1/1/14 — 3/31/14 Planned Activities: Continue the planning process and plan development for the updating the Hazard Mitigation Plan. Hold a kick off meeting with Community partners. Results: 4 Weld County 2014 EMPG 3rd Quarter 4/1/14-6/30/14 Planned Activities: Continue planning process for Hazard Mitigation Plan. Develop Action items for participating Communities. Hold Community meetings for Plan Review. Results: 4th Quarter 7/1/14-9/30/14 Planned Activities: Complete final Draft Hazard Mitigation Plan and submit to the State Mitigation Office for review. Results: FFY 2014 EMPG-LEMS Grant Activities EMF-5 Emergency Operations Plans Objective(s) of Planned Activities: Development/upgrades of local/tribal emergency operations plans (EOPs) in accordance with CPG-101, Version 2.0, fostering partnerships with EOP stakeholder agencies and organizations Mandatory Federal Activities for this EMF: All EMPG Program grantees/sub-grantees must maintain, or revise as necessary, jurisdiction -wide all -hazards Emergency Operations Plans that are consistent with CPG-101 v.2 (November 2010) and provide copies of new and revised EOPs/Annexes to COEM Regional Field Manager. 15t Quarter 10/1/13-12/31/13 Planned Activities: Submit current EOP to Field Manger, provide a statement of changes to EOP based on Flood incident in September 2013. Results: 2nd Quarter 1/1/14-3/31/14 Planned Activities: Update elements of the EOP that are more than 3 years old. Hold work session with BOCC for EOP updates. Results: 3rd Quarter 4/1/14-6/30/14 Planned Activities: Update elements of the EOP that are more than 3 years old Results: 4th Quarter 7/1/14-9/30/14 Planned Activities: Submit revised EOP to BOCC for adoption Results: 5 Weld County 2014 EMPG and to NE Field Manager. FFY 2014 EMPG-LEMS Grant Activities EMF-6 Recovery Plans Objective(s) of Planned Activities: Development/upgrades of local/tribal recovery plans, fostering partnerships with recovery stakeholder agencies and organizations Mandatory Federal Activities for this EMF: None 1st Quarter 10/1/13-12/31/13 Planned Activities: Coordinate the Recovery process for the Flood incident from September 2013. Develop a fluid recovery committee with reporting processes. Results: 2nd Quarter 1/1/14-3/31/14 Planned Activities: Develop a recovery ESF that meets the needs for Weld County as a whole. Identify RSF that are specific to Weld County. Results: 3rd Quarter 4/1/14-6/30/14 Planned Activities: Provide first Draft of Recovery ESF to BOCC, Identifying roles and responsibilities for RSF's Results: 4th Quarter 7/1/14-9/30/14 Planned Activities: Present Recovery ESF to BOCC for adoption, this will be included in the adoption of the EOP. Results: FFY 2014 EMPG-LEMS Grant Activities., EMF-7 Training Objective(s) of Planned Activities: NIMS training delivery, staff professional development, development of Training & Exercise Plans (TEPs) Mandatory Federal Activities for this EMF: (1) Update NIMSCAST data by 8-31-2014, (2) all EMPG program funded personnel (State/Local/Tribal) must complete the following NIMS training courses and record proof of completion: IS 100; IS 200; IS 700; and IS 800; FEMA Professional Development Series: IS 6 Weld County 2014 EMPG 139; IS 230.a; IS 235.a; IS 240.a; IS 241.a; IS 242.a; and IS 244.a, (3) all grantees and sub -grantees are required to develop a Multi -Year TEP that incorporates linkages to core capabilities and update it annually. 1st Quarter 10/1/13 - 12/31/13 Planned Activities: Update multi -year training and exercise plan. This plan should include required training for EMPG funded personnel Report completed training for EMPG funded personnel. Develop MAC Group and identify meeting dates Hold Training and Exercise planning meeting for TEP development. Results: god Quarter 1/1/14-3/31/14 Planned Activities: Submit updated TEP to FM Wildland Fire Academy Attend the Colorado Emergency Managers Conference. Hold MAC Group training and workshops Report completed training for EMPG funded personnel. Provide ICS 300-400 courses as requested. Results: 3rd Quarter 4/1/14-6/30/14 Planned Activities: Implement training plan Provide ICS 402 for local Jurisdictions Hold MAC Group training and Workshops Report completed training for EMPG funded personnel. Results: 4th Quarter 7/1/14-9/30/14 Planned Activities: Implement training plan Report completed training for EMPG funded personnel. Results: 7 Weld County 2014 EMPG Attend CEPC/LEPC conference (Sept.) Hold MAC Group Training and Workshops Update NIMSCAST or NIMS training for Weld County. FFY 2014 EMPG-LEMS Grant Activities EMF-8 Exercises Objective(s) of Planned Activities: Participation in exercises as "Sponsoring" and/or "Participating" agencies Mandatory Federal Activities for this EMF: (1) All EMPG program funded personnel (State/Tribal/Local) must participate in at least three exercises in a 12 -month period. Sub -grantees may sponsor and/or participate in other sponsor's exercises to fulfill this requirement, (2) all grantees and sub -grantees are required to develop a Multi -Year TEP that incorporates linkages to core capabilities and update it annually. 1st Quarter 10/1/13-12/31/13 Planned Activities: Implement exercise program as outlined in the TEP Develop plan to meet FEMA exercise requirement and review with FM. Report on completed exercises include AAR or CAP Results: 2n° Quarter 1/1/14-3/31/14 Planned Activities: Implement exercise program as outlined in the TEP Report on completed exercises include AAR or CAP Results: 3rd Quarter 4/1/14-6/30/14 Planned Activities: Implement exercise program as outlined in the TEP Report on completed exercises include AAR or CAP St Vrain Storage Exercise (May 14 & 15) Independent Stampede (IAP Development) Results: 8 Weld County 2014 EMPG 4th Quarter 7/1/14-9/30/14 Planned Activities: Implement exercise program as outlined in the TEP Results: Report on completed exercises include MR or CAP 233rd EOD Exercise with CST (Aug 7) EOC Exercise (Sept) FFY 2014 EMPG-LEMSGrantActivities EMF-9 Incident Management Objective(s) of Planned Activities: EOC management, COG, multi -agency coordination, support of incident command operations Mandatory Federal Activities for this EMF: None 1:t Quarter 10/1/13 —12/31/13 Planned Activities: Attend monthly/ quarterly meetings; COG Team, Police Chiefs', Fire Chiefs', EMS Council, WCHCC, NCEM and NEAHR Results: 2nd Quarter 1/1/14-3/31/14 Planned Activities: Provide opportunities for Weld County agencies to participate in C&G review of local incidents. Provide information on AARs for national events. Utilizing best practices from IMTs. Develop IAPs for planned events, hold planning meeting with local agencies involved in the event. Results: 3rd Quarter 4/1/14-6/30/14 Planned Activities: Provide NIMS ICS 300-400 Classes as requested, encourage training in position specific NIMS courses Develop IAPs for planned events, hold planning meeting with local agencies involved in the event. Results: 9 Weld County 2014 EMPG 4th Quarter 7/1/14 — 9/30/14 Planned Activities: Develop IAPs for planned events, hold planning meeting with local agencies involved in the event. Results: FFY 2014 EMPGLEMS Grant Activities EMF-10 Communications Objectives) of Planned Activities: Activities supporting interoperability, including cooperative planning, equipment tests, drills, radio checks, purchases, etc. Mandatory Federal Activities for this EMF: None 15` Quarter 10/1/13 —12/31/13 Planned Activities: Participate in Weld county Communications Board meeting; coordinate with Weld County Regional Communication in planning of exercises and communication drills. Results: 2nd Quarter 1/1/14 — 3/31/14 Planned Activities: Coordinate with agencies and organization outside Weld County for radio communication needs related to changes with FRIC. Results: 3rd Quarter 4/1/14 — 6/30/14 Planned Activities: Participate in Communication drills with WCRCC. Quarterly activity Results: 4th Quarter 7/1/14-9/30/14 Planned Activities: Results: FFY 2014 EMPG-LEMS Activities EMF-11 Operations Procedures 10 Weld County 2014 EMPG Objective(s) of Planned Activities: Development/maintenance of systems (e.g., Web EOC), processes (e.g., resource order process), capabilities (e.g., EOC management training), and Plans (e.g., COOP) to support incident operations Mandatory Federal Activities for this EMF: None 1st Quarter 10/1/13-12/31/13 Planned Activities: Develop a MAC Group that will focus on planning, exercise development, training and ESF development. Include stakeholders that are critical to supporting incident response. Hold quarterly LEPC meetings, participate in State CEPC meeting Results: 2nd Quarter 1/1/14-3/31/14 Planned Activities: Hold MAC and LEPC meetings, provide agenda and sign in roster to NE Field manager in monthly reports. Results: 3rd Quarter 4/1/14-6/30/14 Planned Activities: Hold MAC and LEPC meetings, provide agenda and sign in roster to NE Field manager in monthly reports Results: 4th Quarter 7/1/14-9/30/14 Planned Activities: Hold MAC and LEPC meetings, provide agenda and sign in roster to NE Field manager in monthly reports Results: FFY 2014.EMPG-LEMS Grant Activities EMF-12 Mutual Aid Objective(s) of Planned Activities: Maintenance of local, interagency, regional and statewide intergovernmental agreements Mandatory Federal Activities for this EMF: None 1st Quarter 10/1/13-12/31/13 Planned Activities: Schedule mutual aid meeting with all mutual aid partners for 2nd Qtr Results: 2nd Quarter 1/1/14-3/31/14 Planned Activities: Hold mutual aid meeting with all mutual Results: 11 Weld County 2014 EMPG aid partners 3rd Quarter 4/1/14-6/30/14 Planned Activities: Revise mutual aid agreements as necessary Results: 4th Quarter 7/1/14-9/30/14 Planned Activities: Revise mutual aid agreements as necessary Results: FFY 2014 EMPG-LEMS Grant Activities EMF-13 Resource Management Objective(s) of Planned Activities: Development/maintenance of resource mobilization plans and processes, including database management systems, financial controls and relevant forms Mandatory Federal Activities for this EMF: None 15t Quarter 10/1/13-12/31/13 Planned Activities: Update Weld EOC Operations Plan for EOC Operations. Update ESF 7 resource management annex to EOP Submit working draft to Field Manager Review and update all resource data in the WebEOC Resource Management System Results: 2nd Quarter 1/1/14-3/31/14 Planned Activities: Complete update of EOC operation plan; include update to ESF 7 Resource Management to include web EOC resource ordering process. Submit draft to Field Manager Results: 3rd Quarter 4/1/14-6/30/14 Planned Activities: Meet with Field Manager to review plan Conduct a resource management drill with EOC personnel, local resource management personnel from jurisdictional Results: 12 Weld County 2014 EMPG agencies, and your OEM Regional Field Manager 4th Quarter 7/1/14 - 9/30/14 Planned Activities: Finalize plan and present EOP to BOCC for adoption. Submit adopted plan to NE Field Manager Results: FFY 2014EMPG-LEMS Grant Activities EMF-14 Facilities Management Objective(s) of Planned Activities: Monitoring & maintenance of EOC/Alternate EOC facilities and equipment Mandatory Federal Activities for this EMF: None 15t Quarter 10/1/13 — 12/31/13 Planned Activities: Check EOC systems and Equipment on a monthly basis. Have Spillman updates installed on PC's in EOC. Add additional printing and projection equipment. Results: 2nd Quarter 1/1/14-3/31/14 Planned Activities: Work with IT to have non county employees have access to printing for their computers. Include air printer systems. Results: 3rd Quarter 4/1/14 — 6/30/14 Planned Activities: Identify staffing needs for 24hr EOC operations. Identify needed supplies to support work Results: 4th Quarter 7/1/14-9/30/14 Planned Activities: Review equipment needs based on EOC activation, drills and exercises. Develop budget request for identified equipment. Results: 13 Weld County 2014 EMPG FFY 2014;EMPG-LEMS Grant Activities EMF-15 Crisis Communication, Public Information and Education Objective(s) of Planned Activities: Development/maintenance of Joint Information System (J1S) protocols and procedures, web page management, and procedures for utilizing social media. Development and maintenance of Alert and Warning Plans and procedures. Mandatory Federal Activities for this EMF: None 1st Quarter 10/1/13 - 12/31/13 Planned Activities: Review status of alert and warning plan with the Regional Field Manager Coordinate with Weld PIO group; participate in meetings and planned events. Results: 2nd Quarter 1/1/14 — 3/31/14 Planned Activities: Alert and warning plan development Work with County PlOs on continued use of social media for public information. Research available products to provide the messaging to citizens. Utilize best practices and lessons learned for continued development of communication program. Results: 3rd Quarter 4/1/14 - 6/30/14 Planned Activities: Alert and warning plan training and testing Conduct test of Siren system Review procedure for local communities. Results: 4th Quarter 7/1/14-9/30/14 Planned Activities: Enhance and update community and responder preparedness information contained on local and regional emergency management web sites. Provide updates to Weld County and the Northeast Regions Web Page. Results: 14 Colorado Office of Emergency Management (COEM) Emergency Management Program Grant (EMPG) Local Emergency Manager Support (LEMS) Program Funding Application Staffing Pattern for FFY2014 Note: This for MUST be resubmitted whenever the jurisdiction has personnel changes. JURISDICTION: 1a) Employee Name 2) Classification Specification/Full Position Title 3) Date of Appoint- ment or Date Hired 4) Employee Status- Type of Appointment SEE INSTRUCTIONS Roy Rudisill Full Time / OEM Director 10/16/1989 Perminate Merrie Leach Full Time / EM Corrdinator 9/16/2013 Perminate Gracie Marquiz Full Time / EM Admin Assistant 1/2/2012 Perminate 1 b) PAID Employee Name Roy Rudisill Merrie Leach Gracie Marquez Totals 5) 6) 7) 6) 9) Jurisdiction Gross Annual - Percent Gross Annual Employer- Total LEM LEM LEMS LEMS salary (All job Provided Hours/ Hours/ Hours/ Eligible Eligible titles) Benefits Week Week Week Salary Benefits $55,558 $33,565 $ 173,605.00 $20,994 $16,317 100% $55,558 $33,565 On Funding::. Reque`st $20,994 $16,317 Colorado Office of Emergency Management (COEM) Emergency Management Program Grant (EMPG) Local Emergency Manager Support (LEMS) Program Funding Application Staffing Pattern and Program Funding for FFY2014 Note: This for MUST be resubmitted whenever the jurisdiction has personnel changes. JURISDICTION: Salaries & Benefits A B C LEMS Eligible Salary (Staffing Report Block 10 Total): LEMS Eligible Benefits (Staffing Report Block 11 Total): $173,605 $71,606 Total Salary and Benefits (a+b): $ Travel Expenses D E Local Travel (mileage, fleet expense, or other): Out of State Travel: Conference & Seminars (Registration Fees, Hotels, etc.): Training (Registration Fees, hotels, etc.): Per Diem: $ 16,585.00 F G H $ 4,000.00 $ 1,500.00 J K L M N O P Other (Dues, Certifications and Membership Fees): $ 200.00 $245,211 Total Travel Expenses (D+E+F+G+H+I): $ 22,285.001 Office Support Expenses (more than $200 for year) Office Supplies and Materials: Equipment Purchase: Equipment Lease: Rent, Utilities, etc.: Dish Network Printing & Copying: Postage: Other (Advertising, Cell Phones, Aircards, etc.): Two C and (pads, 28 EOC, Sat phone $ 400.00 $ 3,000.00 $ 500.00 $ 500.00 $ 500.00 $ 300.00 Q R S T $ 15,610.00 Total Office Support Expenses (K+L+M+N+O+p+Q): $ $ 20,810.00 Total Request (C+J+R): Federal (Eligible for Reimbursement) Amount (One half of S): let &b /i ,frW Jurisdict'sii)Emergency Manager Signature Jurisdiction Chief Financial Officer Signature $ 288,306.00 $ 144,153.00 //-0.72- Jr DEC 0 2 2013 Date Date COEM Regional Field Manager Signature Date c,x/3 -saes Colorado Division of Homeland Security and Emergency Management 2014 EMPG-LEMS Annual Program Paper Part II. Jurisdiction Information and Signatures Jurisdiction Name: WELD COUNTY Emergency Program Manager Name: Roy Rudisill Job Title: Director Mailing Address: PO Box 758 Greeley Co 80632 Physical Address (if different): 1150 O Street Greeley Co. 80631 Phone Contact Information Office Phone number: 970-304-6540 24 Hour Emergency Line: 970-356-4000 x 2700 Office Fax: 970-336-7242 Cellular: 970-381-0417 Pager: N/A E -Mail Address: rrudisill(@,weldgov.com Employment Status (Please indicate how many) Paid Full Time: 3 Paid Part Time: Volunteer: Other: Jurisdiction Job Title Program Manager Reports to: Board of Weld County Commissioners Hours worked per week for jurisdiction in all job titles: 50 Hours worked per week devoted to Emergency Management: 50 Additional Emergency Management Staff Type of Employment How many? Total staff hours/week Total E.M. hours/week Paid full time professional 2 90 90 Paid full time clerical 1 40 40 Paid part time professional Paid part time clerical Volunteer Other personnel Senior Elected Official (Name and Title) William F. Garcia, Chair, Board of Weld County Commissioners Chief Executive Officer (if different from above) Signature/Chief Executiveik--1 Signature/Emergency Manager/Coordinator Date 11-.27- /3 Signature/COEM Regional Field Manager Date DEC 0 2 2013 A0r gSecr FFATA/FSRS Data Report Due to the implementation of the FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA), the COEM must enter the information for each subaward into the SUB -AWARD REPORTING SYSTEM (FSRS). This information is required by the Office of Management and Budget (OMB) and must be submitted by the COEM within 30 days of making the subaward, so is being collected at the time of each grant application. Unless otherwise indicated, all fields must be completed in order to be an eligible subgrant recipient. Information Field Field Description Response Agency or Jurisdiction DUNS /I DUNS number assigned to your jurisdiction or specifically to your agency 075757955 Parent Organization DUNS number, if applicable If the Jurisdiction has a DUNS number and the Agency has one as well, insert the Jurisdiction's DUNS here. Name of Entity Receiving Award Jurisdiction or Agency Name to which the DUNS number is assigned Weld County Location of Entity Receiving Award Full Street Address of the Recipient Agency 1150 O Street PO Box 758 Greeley, Co 80632 Primary Location of Performance of the Award Include City, State and Congressional District Greeley, Colorado Congressional District 4 The Information Below MAY be Required - See Determining "and" statements Names and Total Compensation of the Five (5) most highly compensated officers If all of the Conditions Below are true then the names and compensation information is required — otherwise mark Box 1 as "Not Required" Information if Required The entity in the preceding fiscal year received 80% or more of its annual gross revenues in federal awards, and; 1. The entity received $25,000,000 or more in annual gross revenues from Federal awards, and; 2. The public does not have access periodic reports filed with the IRS s``3 to this information through or SEC 3. 4. 5. Signature: v Date: Agency's Authorized Representative (usually the Grant Administrator named in the application and the grant contract) By signing above, I certify that the information contained in this FFATA data report is complete and accurate to the best of my knowledge. DEC 0 22013 D0/2- �cS O a - Ca aY a 0 77) a CC 0) re d - M CO co c R n E m a C O c m 0 > C m m c 0 0 = 3 O O J o a N O m a 0 U U n mO) m n N U O R i N N U U) .? =U) N U 010 =a U N N N 0 .0 C .L..R 8 O N m O= m n a Q s m m m 0 ca TZ U.w Dm (Lj 9 `) 0 U U m R N m. 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