HomeMy WebLinkAbout20122809.tiff RESOLUTION
RE: APPROVE APPLICATION FOR 2013 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 2013 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 Local Affairs, Division 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 2013 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 Local Affairs, Division 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 3rd day of October, A.D., 2012.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: .'�i -� r
Sean P. C w Chair
Weld County Clerk to the Board
1-7
Will m F. arc ,-Pro-Tem
BY: ' I >�/LI /, � �� n( a
Deputy Cler o the Board
ra Kirkmeyer
APP: . ' AST• • t86t - 1
vid E. Long
'Co ty Att ey c . C) t - -c(15O/1/1a.
'"" Dougla- Rademac -r
Date of signature: /O aw�f
O72//,77
2012-2809
EM0015
Weld County 2013 EMPG Part 1 Work Plan
Part I
FFY 2013 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 2013
Program Guidelines and Application Kit.
Jurisdiction:
Emergency Manager of Jurisdiction: Wed-V: r
Date: OCT 0 3 2012
COEM Regional Field Manager:
Date:
2012-2809
Weld County 2013 EMPG Part I Work Plan
Part I
FFY 2013 EMPG-LEMS Grant Activities
Work Plan Template
FFY 2013 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
1st Quarter Planned Activities: Administer EMPG Results:
10/1/12-12/31/12 grant and submit quarterly reports to
CDHSEM Regional Field Manager by
established deadlines
Required Reporting: Submit on time and
detailed quarterly reports of status of
deliverables and work plan activities.
2nd Quarter Planned Activities: Administer EMPG Results:
1/1/13-3/31/13 grant and submit quarterly reports to
CDHSEM Regional Field Manager by
established deadlines
Required Reporting: Submit on time and
detailed quarterly reports of status of
deliverables and work plan activities.
3rd Quarter Planned Activities: : Administer EMPG Results:
4/1/13-6/30/13 grant and submit quarterly reports to
CDHSEM Regional Field Manager by
established deadlines
Required Reporting: Submit on time and
detailed quarterly reports of status of
deliverables and work plan activities.
4`"Quarter Planned Activities: : Administer EMPG Results:
7/1/13-9/30/13 grant and submit quarterly reports to
CDHSEM Regional Field Manager by
established deadlines
Required Reporting: Submit on time and
detailed quarterly reports of status of
deliverables and work plan activities.
Weld County 2013 EMPG Part I Work Plan
FFY 2013 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
management.
Weld County adopted NIMS by Resolution in January 2006 (N 2006-0143) and will use NIMS as
the standard for all hazards incident 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
1st Quarter Planned Activities: Results:
10/1/12-12/31/12
Work with local jurisdictions to meet NIMS
Compliance and to report in NIMS CAST
2nd Quarter Planned Activities: Results:
1/1/13-3/31/13
Review Hazmat Agreements and update as
needed
3rd Quarter Planned Activities: Results:
4/1/13-6/30/13 Update Weld County Code via BOCC to
identify specific authority for Emergency
Management operations by the EM
Director.
4th Quarter Planned Activities: Results:
7/1/13-9/30/13 Complete review of EOP and adopt
updates by BOCC as needed.
FFY 2013 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
Weld County 2013 EMPG Part 1 Work Plan
corresponding risk management strategies
Mandatory Federal Activities for this EMF: None
1"Quarter Planned Activities: Results:
10/1/12-12/31/12 Work with CDPS and FMO to update the
Annual Operating Plan for Weld County
2nd Quarter Planned Activities: Results:
1/1/13-3/31/13 Review THIRA documentation and CGP
101v2. Start the update process for
updating the County Hazard Mitigation
Plan utilizing the THRIA Guide.
3rd Quarter Planned Activities: Results:
4/1/13—6/30/13 Continue Cl/KR identification, and begin
assessments of identified local Cl/KR
4th Quarter Planned Activities: Results:
7/1/13—9/30/13
Update risk/capability assessment utilizing
homeland security THRIA Guide
FFY 2013 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 Planned Activities: Results:
10/1/12—12/31/12 Update Hazard Mitigation plan with
current information on incidents for 2012
2n°Quarter Planned Activities: Results:
1/1/13-3/31/13
Review THIRA documentation and CGP
101v2. Start the update process for
updating the County Hazard Mitigation
plan utilizing the THRIA Guide
Weld County 2013 EMPG Part 1 Work Plan
3rd Quarter Planned Activities: Results:
4/1/13-6/30/13 Continue Cl/KR identification,and begin
assessments of identified local Cl/KR.
4th Quarter Planned Activities: Results:
7/1/13-9/30/13 Update risk/capability assessment
utilizing homeland security THRIA Guide
FFY 2013 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.
1s`Quarter Planned Activities: Results:
10/1/12-12/31/12 Review CPG 101 and make updates to EOP
2nd Quarter Planned Activities: Results:
1/1/13-3/31/13 Update EFS 6 and 8
3rd Quarter Planned Activities: Results:
4/1/13—6/30/13 Update ESF 1 and 7
4th Quarter Planned Activities: Results:
7/1/13—9/30/13
Complete EOP review and submit to BOCC
for approval and adoption.
FFY 2013 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
Weld County 2013 EMPG Part I Work Plan
Mandatory Federal Activities for this EMF: None
15t Quarter Planned Activities: Results:
10/1/12-12/31/12 Establish or update MOU's with
American Red Cross to establish
shelter operations and identify a
cache of emergency supplies for use
in emergency shelters.
2nd Quarter Planned Activities: Results:
1/1/13—3/31/13
Support efforts for updating mutual aid
agreements within the county and region,
with an emphasis on further strengthening
mutual aid ties. Review State Recovery plan
and adapt plan to Weld County.Identify
working group to develop a Weld County
Recovery Plan.
3rd Quarter Planned Activities: Results:
4/1/13—6/30/13
Continue to update MOU's and MAA's.
Continue to work on County Recovery
Plan.
4th Quarter Planned Activities: Results:
7/1/13-9/30/13 Review Recovery plan with SOEM NE Field
Rep and BOCC. Identify improvements to
and present final draft to the BOCC.
FFY 2013 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 8-31-2013, (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
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.
1't Quarter Planned Activities: Results:
10/1/12-12/31/12
Weld County 2013 EMPG Part I Work Plan
Continue to attend/provide training as
identified in the NIMS Training Guide,
complete FEMA PDS as needed. Update
TEP to incorporate EOC exercises and
training for the local communities.
2nd Quarter Planned Activities: Results:
1/1/13—3/31/13
Attend the Colorado Wildland Fire and
Emergency Management conference. Also
attend the CEMA Emergency Management
Conference
3rd Quarter Planned Activities: Results:
4/1/13-6/30/13 Provide ICS 402 to local communities.
4th Quarter Planned Activities: Results:
7/1/13-9/30/13 Update NIMSCAST for Weld County
FFY 2013 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 Planned Activities: Results:
10/1/12-12/31/12 Hold TEP for Weld County Agencies,
identify specific exercises to meet Incident
Management and Resources Ordering
requirements
Participate with Greeley and Carbon Valley
EOC Exercises.
2nd Quarter Planned Activities: Results:
1/1/13-3/31/13
Hold EOC Drill,Work on Improvement
Plan for EOC from 2012 exercises.
3rd Quarter Planned Activities: Results:
4/1/13-6/30/13
Weld County 2013 EMPG Part 1 Work Plan
Exercise with 137th, Mass Care.
4th Quarter Planned Activities: Results:
7/1/13-9/30/13
FFY 2013 EMPG-LEMS Grant Activities
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
1st Quarter Planned Activities: Results:
10/1/12-12/31/12
Attend monthly meetings; COG Team,
Police Chief's, Fire Chiefs, NCEM and
NEAHR
god Quarter Planned Activities: Results:
1/1/13—3/31/13
Provide opportunities for Weld County
agencies to participate in C&G review of
local incidents. Provide information on
AAR's for national events. Utilizing best
practices from IMT's.
3rd Quarter Planned Activities: Results:
4/1/13—6/30/13
Provide NIMS ICS 300-400 Classes,
encourage training in position specific
NIMS courses.
4th Quarter Planned Activities: Results:
7/1/13—9/30/13
FFY 2013 EMPG-LEMS Grant Activities
EMF-10
Communications
Objective(s) of Planned Activities:Activities supporting interoperability, including cooperative planning,
equipment tests, drills, radio checks, purchases, etc
Mandatory Federal Activities for this EMF: None
Weld County 2013 EMPG Part 1 Work Plan
1"Quarter Planned Activities: Results:
10/1/12—12/31/12
Participate in Weld County
Communication Center Review.
Participate in Long Range Communications
Planning and Weld Comm. Board meetings
2nd Quarter Planned Activities: Results:
1/1/13—3/31/13
Participate in Communication drills with
WCRCC. Quarterly activity
3rd Quarter Planned Activities: Results:
4/1/13—6/30/13
Participate in State and Regional
development of LTE Communications.
4th Quarter Planned Activities: Results:
7/1/13—9/30/13
FFY 2013 EMPG-LEMS Grant Activities
EMF-11
Operations Procedures
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
15t Quarter Planned Activities: Results:
10/1/12—12/31/12
Update Weld EOC Operations Plan for EOC
Operations.
2nd Quarter Planned Activities: Results:
1/1/13-3/31/13 Update ESF booklets
3rd Quarter Planned Activities: Results:
4/1/13—6/30/13
Complete EOC Taskbook updates for Weld
4th Quarter Planned Activities: Results:
7/1/13—9/30/13
Continue to work on EOC Taskbooks
Weld County 2013 EMPG Part 1 Work Plan
FFY 2013 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
1n Quarter Planned Activities: Results:
10/1/12—12/31/12
Review state IGA on Emergency
Management.
2nd Quarter Planned Activities: Results:
1/1/13-3/31/13
Update Hazmat IGA with Greeley Fire, Mt
View Fire and Frederick-Firestone Fire
3rd Quarter Planned Activities: Results:
4/1/13-6/30/13
4th Quarter Planned Activities: Results:
7/1/13-9/30/13
FFY 2013 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
1St Quarter Planned Activities: Results:
10/1/12—12/31/12
Review ESF 7 and update as needed. Start
development of County Resources
Mobilization Plan
2nd Quarter Planned Activities: Results:
1/1/13—3/31/13
Update WebEOC with County resources
from Public Works.Continue planning
County for Resource Mobilization Plan
Weld County 2013 EMPG Part I Work Plan
3rd Quarter Planned Activities: Results:
4/1/13—6/30/13
Coordinate with local agencies to update
resources inventories in WebEOC. Identify
key agencies to help in resource
coordination, continue the planning
process for mobilization of resources.
4th Quarter Planned Activities: Results:
7/1/13—9/30/13 Complete resources inventory and make
sure local agencies have access to
WebEOC to status their resources.
Complete planning process for County
Resource Mobilization Plan and
implement the plan.
FFY 2013 EMPG-LEMS Grant Activities
EMF-14
Facilities Management
Objective(s)of Planned Activities: Monitoring& maintenance of EOC/Alternate FOC facilities and
equipment
Mandatory Federal Activities for this EMF: None
15t Quarter Planned Activities: Results:
10/1/12—12/31/12
Check EOC systems and Equipment on a
monthly basis. Have Spillman updates
installed on PC's in EOC.
2o°Quarter Planned Activities: Results:
1/1/13-3/31/13
Work with IT to have non county
employees have access to printing for
their computers.
3rd Quarter Planned Activities: Results:
4/1/13-6/30/13 Identify staffing needs for 24hr EOC
operations. Identify needed supplies to
support work/rest onsite to include; food
contracts, cots, blankets,water, etc.
4th Quarter Planned Activities: Results:
7/1/13-9/30/13 Develop a rotation plan for EOC supplies
that have an expiration date.
Weld County 2013 EMPG Part I Work Plan
FFY 2013 EMPG-LEMS Grant Activities
EMF-15
Crisis Communication, Public Information and Education
Objective(s) of Planned Activities: Development/maintenance of Joint Information System (JIS)protocols
and procedures, web page management, and procedures for utilizing social media
Mandatory Federal Activities for this EMF: None
15t Quarter Planned Activities: Results:
10/1/12-12/31/12 Work with Weld PIO toward social media
planning for emergency information.
2nd Quarter Planned Activities: Results:
1/1/13-3/31/13 Provide quarterly EMPG/LEMS
claims for reimbursement to
CDEM and ensure financial
records are managed according to
audit requirements. This is a
quarterly activity
3rd Quarter Planned Activities: Results:
4/1/13—6/30/13 Maintain communication with the
Colorado Information Analysis Center,and
work with regional law enforcement
agencies to promote awareness of
identified issues and threats, and promote
the use of CIAC services in areas than can
assist in surveillance and threat
identification efforts. This will be done on
a monthly basis.
4th Quarter Planned Activities: Results:
7/1/13-9/30/13 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.
Continue to work on Functional
Needs registry for Weld County
Citizens and Facilities.
Weld County 2013 EMPG Part 1 Work Plan
Colorado Division of Homeland Security and Emergency Management
2013 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: 1150 O Street PO BOX 758 Greeley Co 80632
Physical Address(if different):
Phone Contact Information
Office Phone number: 970-304-6540
24 Hour Emergency Line: 970-346-6819
Office Fax: 970-3367242
Cellular: 970-381-0417
Pager:
E-Mail Address: Rudisill@co.weld.co.us
Employment Status(Please indicate how many)
Paid Full Time: 2 Paid Part Time: 1 Volunteer: Other:
Jurisdiction Job Title Program Manager Reports to: Board of Weld County Commissioners
Hours worked per week for jurisdiction in all job titles: 40
Hours worked per week devoted to Emergency Management: 40
Additional Emergency Management Staff
Type of Employment Flow many? Total staff hours/week Total E.M.hours/week
Paid full time professional 2 80 80
Paid full time clerical
Paid part time professional
Paid part time clerical 1 20 20
Volunteer
Other personnel
Senior Elected Official (Name and Title) Sean P. Conway, Chair, Board of Weld County Commissioners
Chief Executive Officer(if different from above)
Signature/Chief Executive
C� OCT 0 3 2012
Signature/Emergency Manager/Coordinator 296/(Ca---ate
-
Date OCT 0 3 2012
Signature/COEM Regional Field Manager
Date
&C/2- , G';
% Colorado Office of Emergency Management (COEM)
.- Emergency Management Program Grant (EMPG)
fa -.44,,� A Local Emergency Manager Support (LEMS)
Program Funding Application
/ 8 7 h
Staffing Pattern for FFY2013
Note: This for MUST be resubmitted whenever the jurisdiction has personnel changes.
JURISDICTION:
1a) 2) 3) 4)
Date of Appoint- Employee Status-Type
Classification Specification/Full ment or of Appointment
Employee Name Position Title Date Hired SEE INSTRUCTIONS
Ro Rudisill OEM Director 10/15/1989 Perminate
Mark Stafford EM S.ecialist 1/26/2012 Perminate
Gracie Mar.uiez Admin Assistant 1/2/2012 Part time
1b) 5) 6) 7) 8) 9) 10) 11)
Jurisdiction Gross Annual Percent
Gross Annual Employer- Total LEM LEM LEMS LEMS
salary(All job Provided Hours/ Hours/ Hours/ Eligible Eligible
PAID Employee Name titles) Benefits Week Week Week Salary Benefits
--_- 0% $0 $0
---_ 0% $0 $0
Ro Rudisill $80,805 $30 298 40 40 100% $80,805 $30,298
$0-- 0% $0 $0
Mark Stafford $43,853 $16,443 40 40 100% $43,853 $16,443
$0-- 0% $0 $0
Gracie Mar.uez $20,535 $7,700 20 20 100% $20,535 $7,700
---- 0% $0 $0
---- 0% $0 $0
---- 0% $0 $0
Totals $ 145,193.00 $54,440 $145,193 $54,440
Enter in Enter in
Slot A Slot B
On Funding On Funding
Request Request
Colorado Office of Emergency Management (COEM)
Emergency Management Program Grant (EMPG)
'A) ; Local Emergency Manager Support (LEMS)
•w,- Program Funding Application
Staffing Pattern and Program Funding for FFY2013
Note: This for MUST be resubmitted whenever the jurisdiction has personnel changes.
JURISDICTION:
Salaries & Benefits
LEMS Eligible Salary
A (Staffing Report Block 10 Total): $145,193
LEMS Eligible Benefits
B (Staffing Report Block 11 Total): $54,440
C Total Salary and Benefits(a+b): $ $199,633 I
Travel Expenses
Local Travel
D (mileage, fleet expense, or other): $ 12,185.00
E Out of State Travel: $ -
Conference& Seminars (Registration Fees,
F Hotels, etc.): $ 1,500.00
Training
G (Registration Fees, hotels, etc.): $ 6,000.00
H Per Diem: $ -
Other(Dues, Certifications and Membership
I Fees): $ 200.00
J Total Travel Expenses (D+E+F+G+H+1): $ $ 19,885.00)
Office Support Expenses (more than$200 for year)
K Office Supplies and Materials: $ 400.00
L Equipment Purchase: $ 3,000.00
M Equipment Lease: $ -
N Rent, Utilities, etc.: $ -
O Printing &Copying: $ 500.00
P Postage: $ 500.00
Other EOC Phones 28, Cell Phones 2, 1
Q Satellite Phone $ 5,360.00
R Total Office Support Expenses(K+L+M+N+O+p+Q): $ $ 9,760.00
S Total Request(C+J+R): $ 229,278.12
T Federal (Eligible for Reimbursement)Amount(One half of S): $ 114,639.06
/2a,,&a'
Jurisdiction Emergency Manager Signature OCT Q 3 212 Date
Jurisdiction Chief Financial Officer Signature OCT 0 3 2012 Date
CDEM Regional Field Manager Signature Date
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 number assigned to your 075757955
DUNS # jurisdiction or specifically to
your agency
Parent Organization DUNS If the Jurisdiction has a DUNS
number, if applicable number and the Agency has one
as well, insert the Jurisdiction's
DUNS here.
Name of Entity Receiving Jurisdiction or Agency Name to Weld County
Award which the DUNS number is
assigned
Location of Entity Receiving Full Street Address of the 1150 O Street
Award Recipient Agency PO Box 758
Greeley, Co 80632
Primary Location of Include City, State and Greeley, Colorado Congressional
Performance of the Award Congressional District District 4
The Information Below MAY be Required— See Determining"and" statements
Names and Total If all of the Conditions Below
Compensation of the Five (5) are true then the names and
most highly compensated compensation information is
officers required—otherwise mark Box 1
as "Not Required" Information if Required
The entity in the preceding fiscal year received 80% or more of 1.
its annual gross revenues in federal awards, and;
The entity received$25,000,000 or more in annual gross 2.
revenues from Federal awards, and;
The public does not have access to this information through 3.
periodic reports filed with the IRS or SEC 4.
5.
Signature: Date: OCT O 3 2012
Agency's Authorized Representative(usually the GraCIA-dmitjsator 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.
Hello