HomeMy WebLinkAbout20142680.tiff RESOLUTION
RE: APPROVE HAZARD MITIGATION GRANT APPLICATION FOR DISASTER
PREPAREDNESS OUTREACH AND RESILIENCE BUILDING MATERIALS
THROUGHOUT WELD COUNTY 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 a Hazard Mitigation Grant Application for
Disaster Preparedness Outreach and Resilience Building Materials 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 Division of Homeland Security and
Emergency Management, 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 Hazard Mitigation Grant Application for Disaster Preparedness
Outreach and Resilience Building Materials 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 Division of Homeland Security and 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 27th day of August, A.D., 2014.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: Saw_ . k L SC110.0ths
/.KAw1/ Kouglademr Chair
Weld County Clerk to the Board
•
E La Barbara Kirkmeyer, Pro-Tem /
BY.
e.1 ty Clerk t the :.' (` ' •. . .ti♦
can P. Conway
Nrr
'•ii�i�
APP ED A •:'ARM: `�, EXCUSED
/2 `®u N�, Mike Free
ounty Attorney l
W a . Garcia
Date of signature: 9 -9-I
As Ceei)OEMOtR) 2014-2680
9h5 EM0016
Colorado
Allin
Leading with resrponsive,innovative and cost effective services_
Weld County Emergency Management
Preparedness Outreach Materials
Hazard Mitigation Grant Program Application
FEMA-4145-DR-CO
August 29, 2014
5% Initiative Project
Preparedness Outreach Application
1a6 I
2014-2680
0Colorado Division of Homeland Security Hazard Mitigation Application
and Emergency Management Other Project Type
EXHIBIT D-OT
THIS SECTION FOR STATE USE ONLY
DISASTER: 4145
FEMA Identification Number: Colorado Point of Contact:
State Hazard Mitigation Officer
Date Application Received: Colorado DHSEM
9195 East Mineral Avenue, Suite
Date State Approved: 200 Centennial,Colorado 80112
Office: 720.852.6600
Colorado Identification Number: Fax: 720.852.6750
E-mail: Sean.Settle@state.co.us
FEMA Application Submittal Date:
NOTE:Application must be submitted in digital form.
PROJECT OVERVIEW
I. Applicant Legal Name: Weld County, Colorado
2. Applicant Type: n Local Government n Native American Tribe
nState Government n Private Non-Profit(Attach copy of 501c3)
3. Project Title: Weld County Preparedness Outreach Materials
4. Proposed Project Total Cost: $48,360 The State of Colorado I lazard Mitigation Grant Program
Federal Share(75%): $ 36,720 Scoring Sheet accompanies this application. For other project
type applications,the applicant request technical assistance
State Match(12.5%) $6,045 from the Division of Homeland Security&Emergency
Local Match(12.5%): $6,045 Management by e-mail or phone.
5. Projects submitted under the HMGP 5% Initiative Program are exempt from Benefit Cost Analysis requirements. For Other
Project Types not submitted on a state designed specific project type application enter the Benefit Cost benefits, cost, and
ratio determined prior to application. Export the Benefit Cost file and provide in electronic format,along with all supporting
documentation used to develop the ratio. If Benefit Cost Analysis was waived, place an "N/A" in the blanks,and provide
explanation below for the exemption. Attach documentation.
Benefits: $N/A Cost: $N/A Ratio: N/A
r l Waiver Used: ri Initiative 5%Project (No BCA Required) El Cost Effectiveness Policy I I Other(explain)
6. Certifications:
The undersigned assures fulfillment of all requirements of the Hazard Mitigation Grant Program as contained in the program
guidelines and that all information contained herein is true and correct to the best of my knowledge. The governing body of
the applicant has duly authorized the document,commits to the non-Federal share identified in the Scope of Work/Budget,and
hereby applies for the assistance documented in this application. Also,the applicant understands that the project may proceed
ONLY AFTER FEMA/STATE APPROVAL is gained.
Douglas Rademacher Chariman, County Commissioner 970-336-7204
"typed Mime of Authorized Represen atne Applicant Agent p lI, Tide Telephone Number
100 TA Stgnmu ,of Authorized Represemaime Applicant Agent A.s,ignej
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
APPLICANT INFORMATION
1. Does your community have a current FEMA approved multi-hazard mitigation plan? ✓❑ Yes No
Location of proposed project in mitigation plan strategies Page 492 Section/Part WC Annex Action#1
2. Is the community a member of good standing with the National Flood Insurance Program? El Yes n No
3. Has the community adopted the IBC nationally recognized building code? ✓Q Yes No
4. FIPS Code: 123 DUNS Number: 07575-7955
5. U.S. Congressional District: 4th Congressman Name: Mr. Cory Gardner
6. State Senatorial District: 1 Senator Name: Senator Greg Brophy
7. State Legislative District: 50 Representative Name: Representative David Young
8. Primary Point of Contact:
The Primary Point of Contact is the person responsible for coordinating the implementation of this proposal, if approval
is granted.
nMs. n Mr. n Mrs. First Name: Merrie Last Name: Leach
Title: Coordinator Organization: Weld County Office of Emergency Management
Street Address: 1150 O Street
City: Greeley State: CO Zip Code: 80632
Telephone: 970-304-6540 Fax: 970-336-7242 Mobile: 970-397-1076 E-mail Address: mleach@weldgov.com
9. Alternate Point of Contact:
The Alternate Point of Contact is the person that can address questions or concerns in the Primary Point of Contact's
absence.
ICMs. n Mr. El Mrs. First Name: Roy Last Name: Rudisill
Title: Director Organization: Weld County Office of Emergency Management
Street Address: 1150 O Street
City: Greeley State: CO Zip Code: 80632
Telephone: 970-304-6540 Fax: 970-336-7242 Mobile: 970-381-0417 E-mail Address: rrudisill@weldgov.com
10. Application Prepared by:
Ms. D. Mr. n Mrs. First Name: Merrie Last Name: Leach
Title: Coordinator Organization: Weld County Office of Emergency Management
Street Address: 1150 O Street
City: Greeley State: CO Zip Code: 80632
Telephone: 970-304-6540 Fax: 970-336-7242 Mobile: 970-397-1076 E-mail Address: mleach@weldgov.com
11. Authorized Applicant Agent:
The Authorized Applicant Agent MUST be the chief executive officer, mayor, etc. This person must be able to sign
contracts,authorize funding allocations or payments,etc.
Ms. n Mr. Mrs. First Name: Douglas Last Name: Rademacher
Title: Chair, Commissioner Organization: Weld County Board of County Commissioners
Street Address: 1150 O Street
City: Greeley State: CO Zip Code: 80632
Telephone: (970)336-7204 Fax: (970)336-7233 Mobile: E-mail Address: drademacher@weldgov.com
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
PROJECT DESCRIPTION
1. Type of Project Disaster Preparedness Outreach and Resilience Building Materials
2. Site Address: (No PO or Route No.) Throughout Weld County
3. City, State,Zip Code:
4. Tax Parcel ID: 5. Property Tax ID:
6. Latitude(in decimal form): 7. Longitude(in decimal form):
8. Flood Zone Designation: AE or A 1-30 A (no base flood elevation given)
B or X(shaded) C or X(un-shaded)
9. Panel Number of the FIRM used to determine the above: 10. Date of FIRM:
11. Describe, in detail,the proposed project. Explain how the proposed project will solve the problem(s)and provide the
level(s)of protection. Include a description of the desired outcome and methodology of the mitigation activity in terms
of mitigation objectives to be achieved.
PROJECT DESCRIPTION
11. Proposed Project Overview
The scope of activities in disaster preparedness outreach is directed at life and property safety just before,
during, and just after a disaster. Building resilience in people and communities is the result of disaster
preparedness and reducing risk on an ongoing basis. Reducing the loss of life, injuries and property losses,
12. Is this a new or revised application? Q New [] Revised
If revised, check appropriate box: n Funding Change n Timeline Extension
ri Change in Scope of Work in Other(specify below)
13. Is this a Phased Project application? I-I Yes I I No
If Phased,check appropriate box: n 2 Phase(list phases n 3/4 Phase(list phases
below) below)
Includes Acquisition n Includes Easements
Involves Relocating pi Other(specify below)
Utilities
14.Other Federal Agency(OFA)Partner? 7 Yes I I No
If yes, check appropriate box: Ii FEMA is primary agency I-I FEMA has a limited role
riDuplication of Programs review process has been established.
Provide name(s)of all OFAs
15. Will all partners use ASCE/SEI 24-05? Yes l 7 I No
If yes, check appropriate box(es): 1.5 Basic Design 2.0 Basic Requirements
(Hydrologic/Hydrotropic projects only) 3.0 High Risk Flood Hazard 5.0 Materials
riOther ASCE commentary data/addendum
16. Describe yes answers to questions 13, 14,and/or 15.
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
17. Site Plan(For projects that will change the function /functionality of land surfaces to include easements):
plan view
with alignment drawings, that include the location, a
A site plan (engineering report, feasibility study report), a b g . p
and cross-section of cuts, fills and control structures, is required. Include the type, and measurement, of all pipes,
culverts,ditches, swales and detention/retention basins and ponds. Send the following engineering as appropriate.
ElCalculations used to determine the sizes of any culverts in the project (drainage area, amount of flow, slope of
culvert,invert elevations).
nCalculations used to determine the sizes of any ditches and swales in the project (drainage area, amount of flow,
slope and depth of the ditch).
niCalculations used to determine the sizes of any detention/retention basins and ponds in the project (drainage area,
amount of flow, stage-storage,and stage-discharge).
18. Structural Plan(For projects that trilI change the l'utction functionality of buildings and other structures to include retrofitting):
A structural plan (engineering report, feasibility study report), with architectural drawings, that include the location, a
topographical view and a view of existing structures, is required. Include the following engineering as appropriate.
nCalculations used to determine the necessary strength,densities, composition and sizes of any structural construction
materials proposed for use in the project.
FLCalculations used to determine the sizes of any storm-water control systems proposed in the project (to include
ditches, culverts,detention ponds,swales,etc.).
piAll other pertinent calculations developed to support the need for the project to be considered as proposed
19. Describe answers to questions 18 as necessary.
TIMELINE / MAINTENANCE
Insert the proposed work schedule as tasks to accomplish the overall goal of the proposed activity, i.e.,appraisals,title
search,closing,etc.,and provide a description of the task's purpose. This timeline will be used as a measurement tool for
progress in the project's implementation and is included in the required Quarterly Reports. Also, FEMA uses the timeline
for determining the approved period of performance. It will be the basis used to justify delays or extensions, if necessary,
and should be estimated carefully. The first and last entries are state requirements and have already been entered.
1. Mask 1: Colorado State Contract Process Timeframe: 3 Months
The State contract is the State's legal mechanism required to ensure funding or services to the
applicant. The timeframe reflects up to a 3 month period.
lash 2: Brochure content development Timeframe: 4 Months
lash 3: Spanish translation Timeframe: 2 Months
Task 4: Electronic content adaptation Timeframe: 2 Months
Task 5: Brochure design and layout Timeframe: 1 Month
Mask 6: Display design and headline development Timeframe: 2 Months
lash 7: Printing Timeframe: 1 Month
Task 8: State Compliance Review and Closeout Timeframe: 3 Months •
Financial and project reconciliation with local,state,and federal concurrence.
Total Timeframe(must not exceed 1,095 days,36 months,or 3 years) Timeframe: to Months
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
2. The start date for any proposed project begins upon FEMA approval. If a specific timeframe is needed, provide the
timeframe and an explanation.
3. An Operations and Maintenance(O&M) plan must be developed for each project. For application purposes, there
must be an assurance acknowledging that the project will be operated and maintained in a manner that will achieve the
proposed hazard mitigation. The final plan must be submitted prior to project closeout, because FEMA will review the
final O& M plan during project closeout.
For the application,do you provide assurance that:
A. The project will be operated and maintained in a manner that will achieve the proposed n Yes I I No
hazard mitigation?
B. The final O&M Plan will be provided prior to project closeout,for review by FEMA? [] Yes n No
C. Is a signed Maintenance Agreement attached to this application? n Yes I I No
4. In addition to #3 above, the following questions are to give assurance on the project's maintenance over its useful life.
Please answer each question and give a brief explanation.
a. Who will be responsible for providing any needed maintenance for the project?
The Weld County OEM Coordinator and Administrative Technician will maintain the preparedness
b. What is the cost of maintenance on an annual basis?
The cost of maintenance is primarily staff time to update electronic content, and future printing costs asp
Note: The cost of maintenance is considered an application prioritization weighting factor. Projects containing high
maintenance costs have a greater risk of future failure due to deferred maintenance. Therefore,the responses
provided above should be as complete and verifiable as possible in order to minimize the likelihood of ranking points
reductions due to maintenance concerns.
ALTERNATIVE ACTIONS
List two feasible alternative projects to mitigate the hazard(s)in the project area. One alternative is the"No Action
Alternative."
I. No Action Alternative
Discuss the impacts on the project area if no action is taken.
If no action is taken, Weld County OEM will continue to use existing materials for preparedness outreach,as
available. There is currently a limited supply of hazard information booklets,which will need to be reprinted
when they are depleted. The number and scope of reprinting will depend on available budget funds at the
2. Other Feasible Alternative Project Title:
Weld County Preparedness Outreach Brochures—Electronic Format Only
a. Project Description and Scope of Work
Discuss a feasible alternative to the proposed project. This could be an entirely different mitigation method or a
significant modification to the design of the current proposed project. Please include scope of work, engineering
details(if applicable), estimated budget and the impacts of this alternative. Also, explain how the alternative project
will solve the problem(s)and/or provide protection for the hazard(s).
As an alternative,Weld County OEM would significantly modify the scope of the proposed project. The
preparedness, hazard and resilience content for the brochure would be developed,and then presented in
electronic format only,with no printed brochures. In addition,staff would do a greater portion of the design
and layout of the electronic brochure.These modifications would significantly reduce the overall cost of the
oroiect a
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
SCOPE OF WORK / BUDGET
In this section,provide the details of all costs of the project. For estimates,reasonable projections are essential.
1. If this is NOT a PHASED PROJECT,enter the estimated costs beginning on line 2. If acquisition is part of the
non-phased project,also enter acquisition related costs on Line lb.
2. If this is a PHASED PROJECT—enter the estimated costs for Phase 1 beginning on Line la.
la. Pre-Construction Cost(include any planning, study fees,architectural and/or engineering design costs, costs
permit costs, etc.)—(indicate if item will be used as in-kind or pre-award)
Hours
Description Rate Cost
Units
$ $
$ $
$ $
$ $
$ $ I
$ $
$ $
$ $
$ $
$ $
$ $
Total Cost $ $
la. Total Pre-Construction Cost la. $
lb. If real property acquisition or real property easement is proposed as part of the project,list each property on the
Property Inventory Worksheet(attached)and tabulate all property costs here.
1. Estimated Pre-Event Fair Market Value $
2. Estimated Cost for Demolition $ If CDBG-DR funds are included in
this cost estimate,the value of general
3. Estimated cost for Structure Relocation $ and/or professional labor wages must
4. Estimated Appraisal Cost $ be tabulated in accordance with the
5. Estimated Closing Costs/Legal Fees $
Davis Bacon Act of 1931.
6. Uniform Relocation Assistance $
7. Comparable Housing $
8. Other(specify below) $ (a)Total of 1-8 $
9. Program Income $
10. Duplication of Benefits $ (b)Total of 10-11 $
11. Subtract(b)from (a)to determine Total Cost to Acquire Property lb. $
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
2. Phase II Costs(of if the proposal is for a NON-PHASED Project):
a. Materials(indicate if item will be used as in-kind offset)
Item Dimension Quantity Cost per Unit Cost
Printing(English) 10,000 $2.25 $22,500
Printing(Spanish) smallerontymlgher per out cost 4,000 $2.50 $9,200
Spanish Translation(.10/word x 50 pgs) avg word count per page 300 14,400 $.10 $1,440
Tabletop display unit 1 $1000 $1,000
Touch Screen Monitor 1 $1,500 $1,500
$ $
$ $
$ $
$ $
$ $
Total Cost 2a. $ $35,640
b. Labor—include equipment costs—(indicate if item will be used as in-kind)
Description Hours Rate Cost
Brochure content development(staff time) 159 $38 $6,045
Electronic brochure adaptation 32 $21 $675
Brochure design and layout 40 $125 $5,000
Messaging and headline development 8 $125 $1,000
$ $
$ $
$ $
$ $
$ $
$ $
Total Cost 2b. $ $12,720
c. Fees Paid(include any other costs associated with the project, i.e.,project management,inspection services,permit
costs, etc.)—(indicate if item will be counted as in-kind offset)
Description Hours Rate Cost
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Total Cost 2c. $ $
2d. Total Construction (or Phase II)Cost (2a+2b+2c) 2d. $ 48,360
3. Phase III Costs(generally final& de-mobilization costs. If another Phase exists,copy and paste the details):
a. Materials(indicate if item will be used as in-kind offset)
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
Item Dimension Quantity Cost per Unit Cost
$ $
$ $
$ $
s $
$ $
$ $
$ $
_ $ $
$ $
$ $
Total Cost 3a $ $
b. Labor—include equipment costs—(indicate if item will be used as in-kind)
Description Hours Rate Cost
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Total Cost 3b $ $
c. Fees Paid(include any other costs associated with the project,i.e.,project management,inspection services,permit
costs, etc.)—(indicate if item will be counted as in-kind offset)
Description Hours Rate Cost
$ $
$ $
$ $
$ $
$ $
$36,270 $
$ $
Total Cost 3c $ $
2d. Total Construction (or Phase III)Cost (3a+3b+3c) 3d. $
4. Total Project Cost(1 a+l b+2d+3d) $48,360
5. Total Project Cost(A+B)
75%Federal Share: $36,270 Round Federal Share to nearest dollar
12.5%State Match: $6,045
12.5%Local Match: $6,045
:vO%E:Roundfigures to the nearest dollar.
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
6. Non-Federal Funding Share(25%of Total Cost)
List all sources and amounts utilized in the non-federal share including all in-kind services. In-kind services may not
exceed the 25%non-federal share. If any portion of the non-Federal share will come from non-applicant sources
(donated services,private donation,etc.),attach letters of funding commitment for each non-applicant source.
Commitment
Source Name of Source Agency Type Funding Amount
Letter Attached
State Match Colorado DHSEM cash $6.045 no
Local Match Weld County cash,direct staff time $6.045 yes
Source=State,Local Private Non-Profit,Other
Source Agency=Specific entity providing match
Type Funding=Administration,Cash,Consulting Fees,Engineering Fees,Equipment Operation/Rental.Labor.Supplies,Other
7. Describe how you will manage the costs and schedule,and how you will ensure successful performance.
The Weld County Office of Emergency Management Coordinator will be responsible for managing the project and ensuring costs stay
within budget. The project will be managed using basic project management methodology;Project phases include Initiation,Definition,
Execution,Performance,and Monitoring.A combination of a personal Kanban program management system will be used to map tasks 3i
8. Would the applicant consider a reduced federal&state cost share in full project funding was not available?
Yes,a reduction up to %or up to$ would be acceptable.
H No
9. Additional Comments
Enter any additional comments related to the proposed project's funding, if desired.
Without full federal funding,Weld County would be unable to complete the project's full scope. The applicant would consider a reduced
scope if reduced funds were available.
CDBG-DR FUNDING FOR NON-FEDERAL SHARE
Grant recipients may be eligible to use Community Development Block Grant—Disaster Recovery(CDBG-DR) funds for a
portion,or all,of the non-Federal share match requirement to FEMA's Hazard Mitigation Grant Program (HMGP). The
physical location of the activity must be within a county listed in FEMA Presidential Declaration FEMA-DR-4145-CO. This
section of the application should be filled-in only if you are seeking to obtain CDBG-DR funds for this purpose.
An activity may be assisted in part with CDBG-DR funds only if ALL of the following requirements are met.
1. Connection to FEMA-DR-4145-CO
CDBG's Disaster Recovery funds must be used for necessary expenses related to disaster relief, long-term recovery,
restoration of infrastructure and housing,and economic revitalization. The activity must show a direct link to damages
received during the September 11-30,2013 flooding,which resulted in FEMA Presidential Declaration FEMA-DR-
4145-CO. Please provide a brief explanation of how the proposed acquisition activity: (1)was a result of this flooding
event;and (2)will restore housing or infrastructure,or revitalize the economy.
N/A
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
2. Compliance with national objectives
State recipients receiving allocations under the CDBG-DR program must certify that their projected use of funds will
ensure, and maintain evidence, that each of its activities assisted with CDBG-DR funds meets at least one of the three
below national objectives.
a. Which of the national objectives will the proposed project meet?
1-1 Will benefit to low-and moderate-income persons;
El
I W• ill aid in the prevention or elimination of slums or blight;or
1�
I I M• ay also include activities that the State and its State grant recipient certifies are designed to meet other
community development needs having a particular urgency because existing conditions pose a serious and
immediate threat to the health or welfare of the community where other financial resources are not available
to meet such needs.
b. Flow will the proposed project meet the above checked national objective(s).
3. Compliance with the primary objective
The primary objective for using CDBG Disaster Recovery funds is benefitting, by at least 51 percent,persons of low-
and moderate-income. The following provides the information necessary to complete this requirement.
a. Is the proposed activity: ❑ jurisdiction wide l l specified target area
If you checked specified target area, which data source was used?(Note: select the smallest unit of Census data that
encompasses your proposed target area.)
b. Enter the number of households involved in the proposed project.
c. In the space below, describe how the applicant will comply with the requirement that at least 51 percent of CDBG-
DR dollars will principally benefit low-and moderate-income households and persons.
d. Enter the number of households within each income category expected to benefit from the proposed project.
Incomes above 80%of the County Median
Incomes above 50%and up to 80%of the County Median
Incomes at or below 50%of the County Median
e. Which type of income was used to determine the above? (Check only one)
^I1 1 A• nnual income as defined for Public Housing and Section 8
I�I A• nnual income as reported under the Census long form
1
I l Adjusted gross income as defined for reporting under IRS
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
ENVIRONMENTAL/CONSULTATION REQUIREMENTS
Regulations governing the Hazard Mitigation Grant Program(HMGP)state that any project must"be in conformance with 44
CFR part 9, Floodplain,tlanagement and Protection of Wetlands, and 44 CFR part /0, Environmental Considerations." To
comply with this mandate, written coordination must occur with the state and Federal agencies listed below to provide
documentation relative to its potential effect on the physical,biological and built environment.
NOTE: In coordinating with the below listed agencies, please provide photographs of the project site and adjacent
area/structures, a description of the project referencing structure/site addresses, site map,property map and USGS
map with the property location marked Maps must be of sufficient scale and detail that show the project site and
surrounding project area(area of potential effects).
Attach copies of the correspondence sent and received from below agencies (letters, permits, etc.). A list of contacts,
addresses, and phone numbers, as well as an example letter,are provided in the Applicant Handbook.
State Historical Preservation Office
Environmental Requirement: National Historic Preservation Act: Historical Structures and Archeological Resources
Questions Addressed: Does your project affect or is it in close proximity to any buildings or structures of any kind?
Does your project involve disturbance of ground?
Colorado Division of Wildlife-T&E Species AND U.S. Department of the Interior(Fish and Wildlife Service)
Environmental Requirement: Endangered Species Act and Fish and Wildlife Coordination Act
Questions Addressed: Does your project remove vegetation?
Is your project in or near any type of waterway or body-of water?(within'L mile)
Is the project not contained within existing structures.or may it result in changes or potential effects to
the natural environment'?
Are there threatened or endangered species or their critical habitat present in the project area or within
the county the project is located within?
Will this activity require an Aquatic Resource Alteration Permit'?
Colorado Department of Public Health and Environment AND U.S. Army Corps of Engineers
Environmental Requirement: Clean Bauer Act. Rivers and Harbors Act.and Executive Order 1/990(Protection of Ietlands)
Executive Order 11988(Floodplain Management)
Questions Addressed: Will the project involve work near or in a waterway. dredging or disposal of dredged material.
excavation.adding fill material or result in any modification to water bodies or wetlands designed as
"waters of the U.S."as identified by the US Army Corps of Engineers or on the National Wetland
Inventory'?
Will the project require a National Pollutant Discharge Elimination System (NPDES) permit from the
U.S.Environmental Protection Agency'?
Will this activity require a Construction Storm-water Permit?
Does the project alter a watercourse- water flood patterns.or a drainage way,regardless of its floodplain
designation? Will the activity require a CLOMR(Conditional letter of Map Revision)?
U.S. Department of Agriculture(Natural Resources Conservation Services)
Environmental Requirement: Farmland Protection Policy Act
Questions Addressed: Will the project convert more than 5 acres of farmland outside community limits and require
documentation from the USDA Natural Resource Conservation Service (Prime, Unique or other
Important Farmlands)?
U.S. Army Corps of Engineers AND Colorado Department of Transportation
Regulatory Requirement: 44 CFR x+80/3(h): Consultation regarding other ongoing Federal Activities
Question Addressed: (I)The sub-applicant must demonstrate that is has consulted with USACE regarding the subject land's
potential future use for the construction of a levee system. The subapplicant must also demonstrate
that it has, and will. reject any future consideration of such use if it accepts FEMA assistance to
convert the property to permanent open space.
(2)The sub-applicant must demonstrate that it has coordinated with its State Department of
Transportation to ensure that no future. planned modifications. improvements. or enhancements to
Federal aid systems are under consideration that will affect the subject property.
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hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
Additional Comments
Enter any additional comments related to environmental concerns for the proposed project if desired.
N/A
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
ASSURANCES
Construction Programs
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding the burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management
and Budget, Paperwork Reduction Project(0348-0042),Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact
the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to
additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance, one of the 19 statutes or regulations specified in
and the institutional, managerial and financial capability Appendix A of OPM's Standards for a Merit System of
including funds sufficient to pay the non-Federal share Personnel Administration(5 C.F.R. 900, Subpart F).
of project costs to ensure proper planning, management
and completion of the project described in this 9. Will comply with the Lead-Based Paint Poisoning
application. Prevention Act(42 U.S.C. §§4801 et seq.)which
prohibits the use of lead-based paint in construction or
2. Will give the awarding agency, the Comptroller General rehabilitation of residence structures.
of the United States and, if appropriate, the State, 10. Will comply with all Federal statutes relating to non-
through any authorized representative, access to and discrimination. These include but are not limited to: (a)
the right to examine all records, books, papers, or Title VI of the Civil Rights Act of 1964(P.L. 88-352)
documents related to the assistance; and will establish a •
which prohibits discrimination on the basis of race, color
proper accounting system in accordance with generally
•
accepted accounting standards or agency directives. or national origin, (b)Title IX of the Education
Amendments of 1972, as amended(20 U.S.C. §§1681-
3. Will not dispose of, modify the use of, or change the 1683, and 1685-1686), which prohibits discrimination on
terms of the real property title, or other interest in the the basis of Sex; (c) Section 504 of the Rehabilitation
site and facilities without permission and instructions Act of 1973, as amended (29 U.S.C. §794), which
from the awarding agency. Will record the Federal prohibits discrimination on the basis of handicaps; (d)
interest in the title of real property in accordance with the Age Discrimination Act of 1975,as amended (42
awarding agency directives and will include a covenant U.S.C. §§6101-6107),which prohibits discrimination on
in the title of real property acquired in whole or in part the basis of age; (e)the Drug Abuse Office and
with Federal assistance funds to assure non- Treatment Act f 1972(P.L. 92-255), as amended,
discrimination during the useful life of the project. relating to nondiscrimination on the basis of drug abuse;
(f)the Comprehensive Alcohol Abuse and Alcoholism
4. Will comply with the requirements of the assistance
awarding agency with regard to the drafting, review and (P.L.Prev 91-61on, ),T as amended,n and Rehabilitation no di of 1970
ation
approval of construction plans and specifications. on the basis), asalcohol relating alcoholism;c (g)g)imin23
on basis of abuse or §§523
5. Will provide and maintain competent and adequate and 527 of the Public Health Service Act of 1912(42
engineering supervision at the construction site to U.S.C. §§290 dd-3 and 290 ee-3), as amended, relating
ensure that the complete work conforms with the to confidentially of alcohol and drug abuse patient
approved plans and specifications and will furnish records; (h)Title VIII of the Civil Rights Act of 1968(42
progress reports and such other information as may be U.S.C. §§3601 et seq.), as amended, relating to
required by the assistance awarding agency or state. nondiscrimination in the sale, rental or financing of
housing; (i) any other nondiscrimination provisions in the
6. Will initiate and complete the work within the applicable specific statute(s) under which application for Federal
time frame after receipt of approval of the awarding assistance is being made; and(j)the requirements of
agency. any other nondiscrimination statute(s)which may apply
7. Will establish safeguards to prohibit employees from to the application,
using their positions for a purpose that constitutes or 11. Will comply, or has already complied, with the
presents the appearance of personal or organizational requirements of Titles II and Ill of the Uniform
conflict of interest, or personal gain. Relocation Assistance and Real Property Acquisition
8. Will comply with the Intergovernmental Personnel act of Policies Act of 1970(P.L. 91-646)which provide for fair
1970(42 U.S.C. §§4728-4763)relating to prescribed and equitable treatment of persons displaced or whose
standards for merit systems for programs funded under property is acquired as a result of Federal and federal-
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Hazard Mitigation Application Continued Colorado Division of homeland Security&Emergency Management
assisted programs. These requirements apply to all approved State management program developed under
interests in real property acquired for project purposes the Coastal Zone Management Act of 1972(16 U.S.C.
regardless of Federal participation in purchases. §§1451 et seq.); (f)conformity of Federal actions to
State(Clean Air) Implementation Plans under Section
12. Will comply with the provisions of the Hatch Act(5
176(c)U.S.C. §§1501-1508 and 73247328)which limit the U.S.C.of the 1 Clean et Air Act g of protecb1955, na ofa underground
ndeed(42
political activities of employees whose principal U.S.C. §oof drin i g water
seq.); r under er the S Safe
Drinking Water
employment activities are funded in whole or in part with sources 7 ,d as k amended d (PL
3-5 Safe d,,(h)
• Federal funds. Act of 1974, (PL. 93-523); and, (h)
protection of endangered species under the
13. Will comply, as applicable, with the provisions of the Endangered Species Act of 1973, as amended(P.L. 93-
Davis-Bacon Act(40 U.S.C. §§276a to 276a-7),the 205).
Copeland Act(40 U.S.C. §276c and 18 U.S.C. §874), 16. Will comply with the Wild and Scenic Rivers Act of 1968
and the Contract Work Hours and Safety Standards Act (16 U.S.C. §§1271 et seq.) related to protecting
(40 U.S.C. §§327-333) regarding labor standards for components or potential components of the national wild
federally-assisted construction sub-agreements. and scenic rivers system.
14. Will comply with flood insurance purchase requirements 17. Will assist the awarding agency in assuring compliance
of Section 102(a)of the Flood Disaster Protection Act of with Section 106 of the National Historic Preservation
1973(P.L. 93-234)which requires recipients in a special Act of 1966, as amended (16 U.S.C. §470), EO 11593
flood hazard area to participate in the program and to (identification and protection of historic properties), and
purchase flood insurance if the total cost of insurable the Archaeological and Historic Preservation Act of
construction and acquisition is$10,000 or more. 1974(16 U.S.C. §§469a-1 et seq.).
15. Will comply with environmental standards which may be 18. Will cause to be performed the required financial and
prescribed pursuant to the following: (a)institution ofcompliance audits in accordance with the Single Audit
environmental quality control measures under the Act Amendments of 1996 and OMB Circular Na A-133,
National Environmental Policy Act of 1969(P.L. 91-190) "Audits of States, Local Governments, and Non-Profit
and Executive Order(EO) 11514; (b) notification of Organizations."
violating facilities pursuant to EO 11738; (c)protection
of wetlands pursuant to EO 11990; (d)evaluation of 19. Will comply with all applicable requirements of all other
flood hazards in floodplains in accordance with EO Federal laws, executive orders, regulations, and policies
11988; (e)assurance of project consistency with the governing this program.
•
QI Q��0 t Q( ,Cr Chairman, Weld County BOCC
ATURE FAUT RIZE CERTIFYING O FCCIA_Lv TITLE
Weld County, Colorado e/p.:7 (`
APPLICANT ORGANIZATION DATE U MITT D
SF-424D(Rev.7-97)Back
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
ASSURANCES CONTINUED
Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; and Drug-Free
Workplace Requirements
Section 17.630 of the regulations provide that a grantee that is a State may elect to make one certification in each Federal
fiscal year. A copy of which should be included with each application for FEMA funding. States and State agencies may elect
to use a Statewide certification.
Applicants should refer to the regulations dted 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
on this form provides for compliance with certification requirements under 44 CFR Part 18, "New Restrictions on Lobbying; and
28 CFR Part 17, "Government-wide Debarment and suspension(Non-procurement)and Government-wide Requirements for
Drug-Free Workplace(Grants)."The certifications shall be treated as a material representation of fact upon which reliance will
be placed when the Federal Emergency Management Agency (FEMA)determines to award the covered transaction, grant, or
cooperative agreement.
1. LOBBYING
A. As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons entering
into a grant or cooperative agreement over$100,000, as defined at 44 CFR Part 18,the applicant certifies that:
(a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person
for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer
or employee of congress, or an employee of a Member of Congress in connection with the making of any
Federal grant, the entering into of any cooperative agreement and extension, continuation, renewal, amendment,
or modification of any Federal grant or cooperative agreement;
(b) If any other funds than Federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with 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 certification be included in the award documents for all
the sub awards at all tiers(including subgrants, contracts under grants and cooperative agreements, and •
subcontract(s))and that all subrecipients shall certify and disclose accordingly.
2. DEBARMENT,SUSPENSION AND OTHER RESPONSIBILITY MATTERS(DIRECT RECIPIENT)
As required by Executive Order 12549, Debarment and Suspension, and implemented at 44 CFR Part 67, for prospective
participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17.510-A. The applicant certifies that
it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of
Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal
department or agency;
(b) Have not within a three-year period preceding this application been convicted of or had a civilian judgment
rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to
obtain, or perform a public(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 locally)with commission of any of the offenses enumerated in paragraph(1)(b)of this certification; and
(d) Have not within a three-year period preceding this application had one or more public transactions(Federal,
State, or local)terminated for cause 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 44 CFR Part 17, Subpart F,for grantees, as
defined at 44 CFR part 17, Sections 17.615 and 17.623:
(A) The applicant certifies that it will continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture, 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;
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation and employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in the performance of the grant to be given a copy of
the statement required by paragraph(a);
(d) Notifying the employee in the statement required by paragraph (a)that, as a condition of employment under the
grant, the employee will:
(1) Abide by the terms of the statement; and
(2) Notify the employee in writing of his or her conviction for a violation of a criminal drug statute occurring in the
workplace no later than five calendar days after such conviction.
(e) Notifying the agency, in writing within 10 calendar days after receiving notice under subparagraph(d)(2)from an
employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must
provide notice, including position title, to the applicable FEMA awarding office, i.e. regional office or FEMA office.
(f) Taking one of the following actions against such an employee, within 30 calendar days of receiving notice under
subparagraph(d)(2),with respect to any employee who is so convicted:
(1) Taking appropriate personnel action against such an employee, up to and including termination, consistent
with the requirements of the Rehabilitation Act of 1973, as amended; or
(2) Require 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 enforcement or other appropriate
agency.
(g) Making a good 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 City State Zip Code
c;/• Chairman, Weld County BOCC
TUR O°AUTHORIZ CERTIFY' G FFICIAL TITLE
Weld County, Colorado � /99/ F 7'
APPLICANT ORGANIZATION DATE EMITTED
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
PROPERTY OVERVIEW (If property surface rights or easements are to be acquired)
The following table should be a compilation of all properties to be included in the proposed project. In the Property ID#
column, assign a unique ID number to each property in the project(i.e., Property# 01, 02, 03, etc.)and refer to this number
in the information listed under Individual Property Worksheets on the following page.
ID# Owner of Property Street Address Total Property Cost
(Do not use ROUTE or PO BOX)
$
$
$
$
$
$
$
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
Special Consideration Properties (If property sub-surface rights or easements are
to be acquired) — Complete Individual Property Worksheet for each.
Street Address
Owner of Property
(Do not use ROUTE or PO BOX)
Special Consideration Properties (If transportation or public access easements are
necessary) — Complete Individual Property Worksheet for each.
Street Address
Owner of Property
(Do not use ROUTE or PO BOX)
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hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
INDIVIDUAL PROPERTY WORKSHEET
This section must be filled out for each individual property to be acquired. Make as many copies as needed and be sure to
label each sheet with its corresponding Property ID#(given on the previous page)for reference. Homeowners should be able
to assist you in filling in the information requested.
I. Property ID: 2. Property Owner
3. Property Address:(No PO or Route No.)
4. City, State, Zip Code:
5. Tax Parcel ID: 6. Property Tax ID:
7. Latitude: 8. Longitude:
I'ro erty natal
9. Property owner have flood insurance? 10. If Yes, Insurance Policy Provider:
11. If Yes,NFIP Policy Number: 12. Repetitive Loss Number:
13. Is property in a r 1 Floodway n Floodplain n Other High Hazard Area n Not Applicable
14. Flood Zone Designation: AE or A 1-30 A(no base flood elevation given
B or X (shaded C or X (unshaded)
15. Panel Number of the FIRM used to determine the above: 16. Date of FIRM:
17. Construction Date of Structure:
18. Building Type: n 1-story with basement [] 2-story with basement 7 Split level with basement
n1-story w/o basement n 2-story w/o basement n Split level w/o basement
_7 Manufactured Home 7 Other(specify)
19. Construction Type: n Wood Frame 7 Concrete Block n Other(specify)
20. Foundation of Building: n Basement n Crawl Space n Elevated on Piers,Piles, Posts,or Columns
n Slab or Grade n Vacant Land n Other(Specify Below)
21. Type of Residency: n Owner Occupied n Principal Residence I I Rental Property
Owner Occupied n Secondary Residence [1 Not Applicable
7 Other(Specify)
22. If Rental,how many units are occupied?
23. If Rental,tenant names:
24. If property is a critical facility, what type? I1 Hazardous Materials Facility n E• mergency Operations Center
n Power Facility n W• ater Facility
Sewer/wastewater treatment facility 7 C• ommunications Facility
nEmergency Medical Care Facility n F• ire Protection
7 Other(Specify)
25. Historic bldg controls(easements): 7
26. Percent of Structure's Damage [ 0-49% n 50-99% n 100%
27. How many times has the property flooded?
n2-3 insured losses cumulatively= <than building fair market value n 4 or more insured losses since 1978
n2-3 insured losses cumulatively= >than building fair market value PI Not Applicable
28. What is the source of flooding: [i Riverine Flooding n Storm-water Runoff n Closed Basin
Ti Other(Specify)
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
Proposed Cost to Acquire Property
In this section,provide the details of all costs of the project. For estimates,reasonable projections are essential.
29. Estimated Appraisal Cost $
30. Estimated Pre-Event Fair Market Value $
31. Estimated Closing Costs/Legal Fees $
(includes all costs necessary, including:title
search,title insurance, settlement statement,
deed preparation and recording,release of
liens)
32. Estimated Cost for Demolition $
(consists of all costs necessary for demolition
of structure,including:hazardous materials
inspection,testing,abatement,clearance,and
disposal to approved landfill)
33. Uniform Relocation Assistance $
34. Comparable Housing $
35. Other(specify below) $
36. Total of 29-35 $
37. Duplication of Benefits $
38. Subtract 37 from 36 to determine Total Cost to Acquire Property $
Attach the following:
39. Declaration and Release form for property owner: � 40. Elevation Certificate, if available: n
41. Declaration and Release form for each tenant household: n 42. Duplication of Benefits Affidavit: n
43. Hazardous Materials Certification: 44. Signed Notice of Voluntary Interest:
45. Pictures showing front, back and side view:
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PROJECT DESCRIPTION
11. Proposed Project Overview
The scope of activities in disaster preparedness outreach is directed at life and property safety just
before, during, and just after a disaster. Building resilience in people and communities is the result of
disaster preparedness and reducing risk on an ongoing basis. Reducing the loss of life, injuries and
property losses, as well as reducing risk, is one of our highest mitigation priorities. The disaster
preparedness outreach materials developed in this project will be used to encourage people and
communities to anticipate the effects of a disaster, to make good decisions during a disaster, and to
incorporate strategies into their daily lives that will reduce their risk, increase their resilience and
mitigate losses due to disasters.
Problem Statement and Desired Outcomes
Due to the diverse (rural, urban and suburban; economically varied; students and seasonal; business and
residential) populations in Weld County,there is a need for greater coordination and focused intention
in our preparedness and resiliency outreach efforts. This project will allow us to create a consistent
preparedness messaging and a curriculum that can also be customized for particular audiences. The
current available materials are somewhat outdated, and the messaging is at times inconsistent or too
general. We are currently able to raise awareness about preparedness and mitigation, but have
identified a need to be more effective and up-to-date in communicating community-specific and local
risks, and offering tangible, actionable ideas to the public.
The desired outcomes for this project in the areas of consistent preparedness messaging will include:
(1) developing updated, coordinated disaster messages, and (2) sharing the preparedness materials as a
resource for all agencies involved in disaster education and outreach, both in Weld County and
throughout the Northeast Region. (3) We will reach Weld County residents with preparedness,
mitigation and resilience information by distributing the brochures, promoting the electronic versions,
and presenting an interactive display at community events. Additionally, (4)Weld County OEM will use
these materials to develop a survey process to measure the level of preparedness, knowledge or
hazards, and resilience of Weld County residents. Follow up surveys will determine the effectiveness of
the program, and adjustments can be made to improve the preparedness program as it develops.
The desired project outcomes for this project in the area of preparedness and resiliency outreach are:
(1) to reach 200-250 residents per year in a direct educational setting, and (2)to demonstrate increased
resilience and preparedness within three months of instruction. (3) To reach 1000-1500 residents in a
more casual community location, and (4) to demonstrate increased resilience by documenting steps
taken at these events.
All of the elements in the Weld County OEM disaster outreach materials will be developed with
professional support for design and messaging (headline) development, keeping diverse communication
strategies in mind.
Background
The land area of Weld County is 3,999 square miles, making it the third largest county in the State of
Colorado. There are 31 incorporated cities and towns within Weld County. The total population is
about 270,000 according to the U.S. Census Bureau in 2013.
Weld County is home to a diverse population. Its workforce in the range of 20 to 60 years of age is
137,394 people, which is 54%of the total population. There is a large manual labor force, some of
which is seasonally transient, especially related to agriculture. A Bell Policy Institute estimates 6,000
migrant workers come in to Weld County annually for harvest season. This population primarily speaks
Spanish, and may not be aware of local hazards. There are also a large number of people in trade
occupations, and a well-educated sector due to the number of higher education institutions in the area.
In addition, Weld County has been recognized as one of the 100 fastest-growing counties in the nation,
with a growth rate of 3-5% per year, and an estimated population of nearly 375,000 in 10 years.
The City of Greeley serves as the County Seat and also houses many of the major municipal buildings,
such as the County Courthouse, County Jail, County Administration and Department Offices, and the City
of Greeley and Weld County Emergency Operations Centers. Greeley is located near the confluence of
the South Platte and Cache la Poudre rivers. The Great Western Railway of Colorado and the Union
Pacific Railway serve the Greeley community, and other major transportation routes include State
Highways 34 and 85. Interstate Highway 25 is located a short distance away. The Greeley-Weld Airport
provides a hub for airport travel, and the City of Greeley is a major route on the Greyhound bus route, in
addition to providing local bus transportation.
Greeley is home to both AIMS Community College and the University of Northern Colorado (UNC). UNC
has just over 10,000 undergraduate students enrolled per year. These students also are often unaware
of local hazards.
These community characteristics present a relatively transient population, and therefore necessitate
continuously re-educating and engaging the community in preparedness education. Additionally, there
is a strong need to offer preparedness materials in Spanish, as just over 28%of Weld County's
population is identified as Hispanic or Latino, and 18.2%of the population primarily speaks Spanish at
home (city-data.com).
Weld County OEM participates in up to 20 special events per year(exhibitor table at a planned event),
reaching 50-100 people at each, and delivers about 12-18 preparedness trainings through community
organizations,facilities, or by special request. There are typically 15-30 attendees at these trainings. In
August 2014, Weld County OEM delivered the first "preparedness train-the-trainer" (PTTT) program in
order to expand its capability to deliver preparedness training.
Hazards to be mitigated
• Flooding
• Tornado
• Severe Winter Storm
• Severe Thunderstorm/Lightning/Hailstorm
• Wildland/Grassland fires
• Biological Hazards
• Drought
• Man-made Threats
Statewide Mitigation Goal and Priority
This project addresses Goal 1 of the Colorado Natural Hazards Mitigation Plan—Reduce the loss of life
and personal injuries from natural hazard events.
Proposed Project Detail
The Weld County Office of Emergency Management will develop a suite of comprehensive disaster
preparedness outreach materials, including digital, print, and display,to support Weld County citizens in
disaster preparedness and mitigation, and building resilience. These materials will be used in a number
of ways to support a robust disaster preparedness outreach program. The elements include:
• Magazine-style brochure
• Electronic brochure
• Presentation Folders for customizable content
• Interactive media exhibit
Magazine-style brochure
The first component of the preparedness outreach campaign is a detailed magazine-style brochure. The
brochure will be about 50 pages, divided into several sections, and will include preparedness
information, mitigation ideas and actions, hazard information and a recovery overview. It will also
address specific disaster concerns, such as business preparedness, disaster behavior and warning
system. Finally,the content will include some everyday information about life safety issues, such as
"about 9-1-1" and home and school safety. All together, this information will help people to take
specific actions to increase their resilience and mitigate the effects of a disaster.
• General Preparedness Information
o About 911
o Emergency Alerts& Warning Systems
o Planning for Emergencies
o Behavior and Decision-Making in Disasters
o The Hierarchy of Preparedness
o Evacuation
o Shelter-In-Place
o School Safety
o Preparedness for Pets and Livestock
o Behavioral Health in Disaster
o Helping Others in a Disaster
o Business Preparedness
o Recovering from Disaster
• Natural Hazards(this section will be in a "before, during, after"format, includes mitigation,
preparedness, response and recovery)
o Flood& Flash Flooding
o Severe Thunderstorms
o Lightning
o Tornadoes/High Winds
o Winter Storms
o Grassfire/Wildfire
o Drought/Extreme Heat
o Public Health Emergencies
• Man-Made& Technological Hazards
o Home Safety
o Structure Fire Safety
o Hazardous Materials Incidents
o National Security Emergencies
• Resources
o Preparedness Checklist
o Family Communications Plan
The brochure content will be developed by the Weld County OEM Coordinator. Access and Functional
Needs concerns will be addressed throughout the planning and resilience subject areas. The brochure
will be translated into Spanish. 10,000 English and 4,000 Spanish brochures will be printed initially, and
these will be shared and distributed through local agencies and municipalities within Weld County. This
will ensure consistent disaster and emergency messaging, and promote cooperation between agencies
throughout Weld County.
Electronic brochure
In addition, the brochure will be produced electronically, and will contain hyperlinks and interactive
content. This electronic version will be produced with a responsive design method, which is most
effective for use on a smart phone, tablet or computer. Weld County Information Technology is
currently developing this capability, and anticipates having it available by mid-year 2015. The electronic
version will also be presented in Spanish.
Customizable brochure and folders
The brochure will be designed so that any section or component may be used individually and in any
combination with other sections. This will allow Weld County OEM staff to customize outreach
presentations based on the needs of a particular community or group. To that end, a materials
presentation folder will also be printed, and the individual subjects or"chapters" will be printed by the
Weld County print shop as needed. In this way, the project will be easy to maintain in the future, using
existing resources.The individual elements will also support Weld County OEM's preparedness "train-
the-trainer" program as curriculum.
Interactive Media Exhibit
Finally, Weld County OEM wants to enhance its presence at community and special events by
developing a modern, interactive tabletop display for promoting preparedness and resilience in the
community.
The display will include a tension fabric structure or backdrop, and a touch screen monitor. This
enhanced display will enable Weld County OEM to engage audiences at special events in a unique way,
and will allow us to provide opportunities for the public to take immediate actions to increase their
resilience. For example,the interactive display may be used to allow people to sign up for emergency
messages, or to start and save a family preparedness plan. Additionally, the interactive display will
attract individuals who are used to relating with the world and communicating electronically to learn
about disaster preparedness. Students and children will also be attracted, who in turn typically bring
these concepts home to their parents.
TIMELINE/MAINTENANCE
4a. Who will be responsible for any needed maintenance to the project?
The Weld County OEM Coordinator and Administrative Technician will maintain the preparedness
outreach program and materials, supported by the Weld County Information Technology Department.
4b. What is the cost of maintenance on an annual basis?
The cost of maintenance is primarily staff time to update electronic content, and future printing costs as
inventory is depleted. Local customized printing will be done on an "as-needed" basis by the Weld
County Printing and Mailing Department, and is anticipated to cost a maximum of$600 annually. This
cost will be paid through the Weld County OEM training budget.
Alternative Actions
1. No Action Alternative
If no action is taken, Weld County OEM will continue to use existing materials for preparedness
outreach, as available. There is currently a limited supply of hazard information booklets, which will
need to be reprinted when they are depleted. The number and scope of reprinting will depend on
available budget funds at the time. The current supply is expected to be depleted by early to mid-year,
2015. We will also still use existing Ready Colorado and FEMA materials,which offer more general
preparedness and awareness information. American Red Cross also offers some preparedness
materials, but availability has been inconsistent, and they are provided for a fee. Weld County OEM
would use existing training budget funds, as available, to purchase additional preparedness materials.
The impact on the program is that it will be less coordinated than ideal,the messaging will be less
consistent, and therefore potentially confusing, and the presentation less appealing to a diverse
population. Our ability to present materials in Spanish and to incorporate Access and Functional Needs
preparedness information will be limited.
2. Other Feasible Alternative Weld County Preparedness Outreach Brochures—Electronic Format Only
As an alternative, Weld County OEM would significantly modify the scope of the proposed project. The
preparedness, hazard and resilience content for the brochure would be developed, and then presented
in electronic format only,with no printed brochures. In addition, staff would do a greater portion of the
design and layout of the electronic brochure. These modifications would significantly reduce the overall
cost of the project.
Instead of printed magazine-style brochures, simple "call-to-action" materials, such a postcard or flyer
could be handed out at events to drive people to visit our website, where the electronic brochure can be
found. For direct instruction classes, materials can be printed on an as-needed basis, for one class per
month. The brochure could also be provided to students electronically.
Weld County would still seek to translate the materials to Spanish, but would look for a qualified
translator among County employees or Non-governmental partner agencies to provide this service at a
reduced rate.
Included in this scope are only deviations from the scope of the proposed original project to the
modified project.
Project Overview
The Weld County Office of Emergency Management will develop a comprehensive preparedness
outreach brochure in digital format,to support Weld County citizens in disaster preparedness and
building resilience. The electronic brochure will be used to support a robust preparedness outreach
program. All of the elements in the Weld County OEM preparedness outreach materials will be
developed with minimal or no professional design support. The design and layout will be carried out by
administrative staff, and will be simplified to minimize impact on day-to-day operations.
The brochure content will be developed by the Weld County OEM Coordinator. Access and Functional
Needs planning concerns will be addressed throughout the planning and resilience subject areas. The
brochure will be translated into Spanish, using an in-house or partner agency translator,as available.
Both English and Spanish versions will be shared with local agencies and municipalities within Weld
County, and agencies throughout the Northeast All-Hazards Planning Region. This will ensure consistent
disaster and emergency messaging, and promote cooperation between agencies throughout Weld
County and the region.
The electronic brochure will be produced with a responsive design method, which is most effective for
use on a smart phone,tablet or computer. Weld County Information Technology is currently working on
adding this capability, and anticipates its' availability by mid-year 2015.
Customizable content
The brochure will be designed so that any section or component may be used individually and in any
combination with other sections. This will allow Weld County OEM staff to customize educational
presentations based on the needs of a particular community or group. The individual subjects or
"chapters" will be printed by the Weld County print shop as needed. In this way, the project will be easy
to maintain in the future, using existing resources.The individual elements will also support Weld
County OEM's preparedness "train-the-trainer" program as curriculum. The printing costs will remain
within Weld County OEM's current training budget,which may limit the number of courses offered.
However, other agencies participating in the "train-the-trainer" program may be willing to bear costs
associated with printing.
Display at Outreach and Community events
Weld County OEM will acquire a computer and large monitor for use at community outreach events.
This will serve as a display and allow attendees to browse the electronic brochure, and possible take
other steps, such as signing up for emergency alerts. In this way, we can introduce our"brand" and
preparedness information to the general public. The monitor display will attract individuals who are
used to relating with the world and communicating electronically to learn about disaster preparedness.
Students and children will also be attracted, who in turn typically bring these concepts home to their
parents.
This staff time required to complete this alternative would mean extending the timeline for completion
of this project. In addition,the final product would not have the benefit of professional design, layout
and marketing services. This alternative would produce good information in a presentable manner, but
may not have as much impact as a professionally designed project.
Preparedness Outreach Electronic Only Project Budget
Brochure Content Development (staff time) 7,200
Electronic program content adaptation (staff time) 540
Brochure Design and Layout (staff time) 990
_ Translation Services (Spanish) 1,440
Computer with case 1,000
Touch Screen Monitor 1,500
TOTAL $12,670
Preparedness Outreach Project Budget
Brochure Content Development(In-Kind) 6,045
Electronic content adaptation 675
Brochure Design and Layout 5,000
Messaging and Headline development 1,000
Translation Services (Spanish) (est. 300 words/pg*48 pages*.10/word) 1,440
Printing (English)10,000 @$2.25 ea 22,500
Printing (Spanish)4,000 @$2.50 ea(higher per piece cost for smaller quantity) 9,200
Tabletop Display, media stand, and monitor mount 1,000
Touch Screen Monitor 1,500
TOTAL $48,360
Project Management:(Describe how you will manage the costs and schedule, and how you will ensure
successful performance)
The Weld County Office of Emergency Management Coordinator will be responsible for managing the project and ensuring costs
stay within budget. The project will be managed using basic project management methodology;Project phases include Initiation,
Definition, Execution, Performance, and Monitoring.A combination of a personal Kanban program management system will be used
to map tasks as they are being done, and a performance measurement metric will be used to define and manage specific goals,
strategies, tasks and resources related to the project
The first phase of this project will be to plan and define the details of the various elements, i.e.,plan the content and overall
elements of the project, as well as to initiate specific project elements. This will be done by Weld County OEM, with input from local
and regional partners. Next, the OEM Coordinator will develop the content of the preparedness guide and electronic/display
materials. A professional translator will translate the materials to Spanish. Simultaneously, design/layout/printing consultants will be
explored, vetted,and a bid process will be undertaken to select appropriate vendors.
Next, the design, layout, and content will be combined and prepared for printing, and the preparedness guides and display materials
will be ordered. As the items are being produced, the Weld County OEM will pursue community outreach opportunities and develop
a calendar of events, to include community outreach and direct instruction deliveries,as well as"train the trainer"opportunities. We
will also develop the electronic counterparts to the guides and promote them "internally"(partner agencies)and"externally"(with the
public)through our website and social media platforms.
The Weld County OEM will execute the delivery of the preparedness program, with a goal of at least one community event and one
direct instruction event per month. In the final phase of the project,performance will be monitored by seeking feedback from
participants. We will include a measurement element in a follow up survey to participants,in order to attempt to quantify the
effectiveness of the program.Adjustments will continually be made as we learn what works and what doesn't. It is our intent to
share the printed materials and instruction curriculum throughout with all of our local and regional partners who are interested. In
addition, it is our intent that this be an ongoing program, with opportunities multiplied by developing volunteer preparedness trainers
throughout Weld County communities and the Northeast Region.
Costs will be managed in every phase of the project by careful monitoring of expenditures and time spent on the project,as well as
thorough and thoughtful selection of vendors. By exploring all printing and display options,such as CCI(Colorado Correctional
Industries), the project will be managed to stay at or below budget.
OEM — Office of Emergency Management
lbak- aG Director: Roy Rudisill
z 1150 "O" Street
- , ,_i it i� li PO Box 758
4,1 la r 'I 1y Greeley, CO 80632-0758
K - COUNTY -_ Phone 970-304-6540
,;. , _ Fax 970-336-7242
•
www.co.weld.co.us
EMERGENCY MANAGEMENT
August 27, 2014
Mrs. Marilyn Gaily
State Hazard Mitigation Officer
Colorado Department of Public Safety
Division of Homeland Security and Emergency Management
Office of Emergency Management
9195 E. Mineral Ave. Suite 200
Centennial, CO 80112-3556
Dear Mrs. Marilyn Gaily,
As part of the Hazard Mitigation Grant Program process, a local funding match is required to be
identified. This letter serves as Weld County's commitment to meet the matching fund requirements for
the Hazard Mitigation Program project, Weld County Preparedness Guides. The local matching fund
requirement is$6,045.00.
The local match will be provided for as a soft match from OEM Coordinator, OEM Administrative
Technician and Information Technology support staff time (labor) to assist in the development of the
brochure content and conversion to an electronic format. These employees and their direct supervisors
will track their time spent on this project. Weld County is mindful of other soft match obligations, such
as EMPG, and will be precise in accounting for these.
It is understood that 12.5% of the non-federal share of the HMGP projects will be contributed by the
State of Colorado.
Your assistance is greatly appreciated.
Sincerely,
BOARD OF COUNTY COMMISSIONERS
°C) 17 c9� GNYX1C Q
Douglas Rademacher, Chair
COLORADO
41/4 CDPS
Division of Homeland Security
CO - &Emergency Management
Hazard Mitigation Grant Program (HMGP)
Sub-Grantee Maintenance Agreement Certification
WHEREAS, the Board of Weld County County Commissioners [city/county] (herein after referred to as the Sub-grantee) and the
Colorado Division of Homeland Security & Emergency Management (DHSEM), (herein after referred to as the Grantee) desire to reduce
or eliminate future natural hazard damages in the best interest of the community,the State,and the federal government;and
WHEREAS, the FEMA Hazard Mitigation Grant Program (HMGP) provides funding to Territories, Indian Tribal governments, local
governments, and eligible private non-profits (PNPs) following a Presidential major disaster declaration. The cost-shared federal funding
assists projects that meet FEMA Benefit Cost Analysis(BCA)methodologies for mitigation projects.These projects reduce or eliminate the
long-term risk of natural hazard damage through a national competitive process;and
WHEREAS,the FEMA Hazard Mitigation Grant Program(HMGP)allows funds to be used to procure property,equipment,and allow for the
modification of property(herein after referred to as the Property)to assist in the Applicant's statewide mitigation goals:
Goal I -Reduce the loss of life and personal injuries from natural hazard events,
Goal 2-Reduce damage to local government assets;
NOW,THEREFORE,the Grantee and the Sub-grantee agree to participate in the FEMA Hazard Mitigation Grant Program(HMGP)funded
by the U. S. Department of Homeland Security, Federal Emergency Management Agency (FEMA) based upon the Hazard Mitigation
Assistance Unified Guidance(2013),and:
1. The Sub-grantee agrees to install(if applicable)and maintain the Property as in functional working order and/or as specified in the HMA
Guidance,at their own expense as specified in the project scope for the duration of the BCA or manufacture's guidelines useful life;
2.The Sub-grantee agrees the routine maintenance requirements will be sufficiently identified, and the sub-grantee or another authorized
entity has accepted the maintenance responsibility. This shall include, but not be limited to, as maintaining generators or other purchased
equipment/systems as specified by the manufactures specifications,keeping vacant land clear of debris,garbage,and vermin;keeping stream
channels,culverts.and storm drains clear of obstructions and debris:and keeping detention ponds free of debris,trees,and woody growth;
3.The Sub-grantee agrees it is required to undertake periodic inspections of the Property to ensure that compliance is being maintained;
4.The Sub-grantee discovers that if the Property is out of compliance(or is informed of same at any time),the Sub-grantee shall notify the
Grantee of the violation and indicate what steps are being taken to remedy the situation;
5.The Sub-grantee will then have 60-days to bring the Property back into compliance. If compliance cannot be achieved within the 60-day
timeframe,the Grantee will notify the FEMA Regional Administrator of the violation and must also outline how the matter will be resolved;
6.The Sub-grantee,agrees if enforcement action is needed,the FEMA Regional Administrator may direct that future FEMA grant funds be
withheld pending corrective action; that the sub-grantee reimburse FEMA and the Grantee prorated portion of the expended project funds
equal to all of the costs necessary to cure the violated property;and/or require the transfer of Title to another eligible entity;
7.The Sub-grantee agrees if none of these actions brings the Property back into compliance,the FEMA Regional Administrator may refer the
matter to the Office of Chief Counsel for criminal and civil prosecutions in a court of competent jurisdiction(44 CFR,80./9).
( ' cQJV €CL&Q/ Date: AUG 2 7 2014
Signature/of Sub-Grant (or Authorized Agent)
Douglas Rademacher Chair
Sub-Applicant(Type Name and Title)
7/2014 DHSEM Maintenance Agreement
('O!(
700 Kipling Street Suite 1000,Lakewood,CO 80215 P 303.239.4398 F 303.239.4670 cdpsweb.state.co.us c,
John W. Hickentooper, Governor I Stan Hilkey, Executive Director . .
`. O47i.•
Colorado DHSEM
EXHIBIT C
Hazard Mitigation Application All Project Types
DESIGNATION OF AGENT
RESOLUTION
BE IT RESOLVED Board of County Commissioners OF Weld County
(Governing Body) (Public Entity)
THAT Douglas Rademacher , Chair,
(Name) (Title)
is hereby authorized to execute for and in behalf of
Weld County
a public entity established under the laws of the State of Colorado, all required forms and documents for the
purpose of obtaining financial assistance for the Hazard Mitigation Grant Program (HMGP) under the Robert
T. Stafford Disaster Relief and Emergency Assistance Act (Public Law 93-288 as amended)
Passed and approved this 27th day of August , 20 14
CERTIFICATION
1, Esther E. Gesick , duly appointed and Clerk to the Board
(Name) (Title)
of Weld County , do hereby certify that the above is a true and correct copy of
(Public Entity)
a resolution passed and approved by the Board of County Commissioners
(Governing Body)
of Weld County, Colorado on the 27th day of August 2014 .
/ rc) Clerk to the Board 8/27/2014
(Signature) (Official Position) (Date)
BOARD OF COUNTY COMMISSIONERS
1861 1150 O STREET
11 P.O. BOX 758
GREELEY, COLORADO 80632
PHONE: 970-336-7204
O U N T Y FAX: 970-352-0242
August 26, 2014
Environmental Justice Statement
The proposed project shall comply with Executive Order 12898, Environmental Justice and the
applicant certifies that:
1. There are no concentrations of low income or minority populations in or near the
Planning area that will be negatively impacted by this project.
2. The Project will not result in a disproportionately high or adverse effect on low income or
minority populations
3. As there are no concentrations of low income or minority populations in or near the
Planning area that will be negatively impacted by this project, there will be no actions
required to ensure achievement of environmental justice for low income and minority
populations.
Douglas Rademacher, Chairman
Board of County Commissioners of Weld County
Signature:
Date: AUG 2 7 2014
U.S. DEPARTMENT OF HOMELAND SECURITY O.M.B. No. 1660-0025
FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31. 2007
SUMMARY SHEET FOR ASSURANCES AND CERTIFICATIONS
FOR CA FOR (Name of Recipient)
FY -
This summary sheet includes Assurances and Certifications that must be read, signed, and submitted as a part of the
Application for Federal Assistance.
An applicant must check each item that they are certifying to:
Part I I FEMA Form 20-16A, Assurances-Nonconstruction Programs
Part II FEMA Form 20-16B, Assurances-Construction Programs
Part III ✓ FEMA Form 20-16C, Certification Regarding Lobbying;
Debarment, Suspension, and Other Responsibility
Matters; and Drug-Free Workplace Requirements
Part IV ni SF LLL, Disclosure of Lobbying Activities (If applicable)
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the identified
attached assurances and certifications.
Douglas Rademacher, Chairman , County Commissioner
Typed Name of Authorized Representative Title
ctoL94 ( r--- c>;?Cat
AUG 272014
Signature of Authorized Representative Date Signed
NOTE : By signing the certification regarding debarment, suspension, and other responsibility matters for primary
covered transaction, the applicant agrees that, should the proposed covered transaction be entered into, it shall not
knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this covered transaction, unless authorized by FEMA entering into this transaction.
The applicant further agrees by submitting this application that it will include the clause titled "Certification
Regarding Debarment, Suspension , Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction," provided by the
FEMA Regional Office entering into this covered transaction, without modification, in all lower tier covered transactions and in
all solicitations for lower tier covered transactions. (Refer to 44 CFR Part 17.)
Paperwork Burden Disclosure Notice
Public reporting burden for this form is estimated to average 1 .7 hours per response. The burden estimate includes the time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing ,
reviewing, and maintaining the data needed, and completing and submitting the form. Send comments regarding the
accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, U .S.
Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington DC 20472.
You are not required to complete this form unless a valid OMB control number is displayed in the upper corner on this form.
Please do not send your completed form to the above address.
FEMA Form 20-16, OCT 04 PREVIOUS EDITION OBSOLETE
U.S DEPARTMENT OF HOMELAND SECURITY O.M.B. No. 1660-0025
FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 2007
ASSURANCES-NONCONSTRUCTION PROGRAMS
Paperwork Burden Disclosure Notice
Paperwork reporting burden for this form is estimated to average 1 .7 hours per response The burden estimate includes the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing, reviewing, and submitting the form. You are not required to
respond to this collection of information unless a valid OMB control number appears in the upper right corner of this form. Send comments regarding the
accuracy of the burden estimate and any suggestions for reducing the burden estimate to: Information Collection Management, U. S. Department of
Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472. NOTE: Do not send your completed form to
the above address.
NOTE:
Certain of these assurances may not be applicable to your project or program. If you have any questions, please contact the awarding agency. Further,
certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1 . Has the legal authority to apply for Federal assistance, and the 9. Will comply, as applicable, with the provisions of the Davis-Bacon Act
institutional, managerial and financial capability (including funds sufficient (40 U.S.C. Sections 276a to 276a-7) the Copeland Act (40 U.S.C. Section
to pay the non-Federal share of project costs) to ensure proper planning, 276c and 18 U.S.C. Sections 874), and the Contract Work Hours and
management and completion of the project described in this application. Safety Standards Act (40 U.S.C. Sections 327-333), regarding labor
standards for federally assisted construction subagreements.
2. Will give the awarding agency, the comptroller General of the United
States, and if appropriate, the State, through any authorized 10. Will comply, if applicable with flood insurance purchase requirements
representative, access to and the right to examine all records, books, of Section 102a of the Flood Disaster Protection Act of 1973 (P.L. 93-234)
papers, or documents related to the award; and will establish a proper which requires recipients in a special flood hazard area to participate in the
accounting system in accordance with generally accepted accounting program and to purchase flood insurance if the total cost of insurable
standards or agency directives. construction and acquisition is $10,000 or more.
3. Will establish safeguards to prohibit employees from using their 11 . Will comply with environmental standards which may be prescribed
positions for a purpose that constitutes or presents the appearance of pursuant to the following: (a) institution of environmental quality control
personal gain. measures under the National Environmental Policy Act of 1969 (P.L.
91-190) and Executive Order (EO) 11514; (b) notification of violating
4. Will initiate and complete the work within the applicable time frame after facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO
receipt of approval of the awarding agency. 11990; (d) evaluation of flood hazards in floodplains in accordance with EO
11988;(e) assurance of project consistency with the approved State
5. Will comply with the Intergovernmental Personnel Act of 1970 (42 management program developed under the Coastal Zone Management
U.S.C. Section 4727-4763) relating to prescribed standards for merit Act of 1972 (16) U.S.C. Sections 1451 et seq.); (f) conformity of Federal
systems for programs funded under one of the nineteen statues or actions to State (Clear Air) Implementation Plans under Section 176 (c) of
regulations specified in Appendix A of OPM's Standards for Merit System the Clear Air Act of 1955, as amended (42 U.S.C. Section et seq.); (g)
of Personnel Administration (5 C.F.R. 900, Subpart F). protection underground sources of drinking water under Safe Drinking
Water Act of 1974, as amended, (P.L. 93-523); and (h) protection of
6. Will comply with all Federal statues relating to nondiscrimination. These endangered species under the Endangered Species Act of 1973, as
include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P. amended, (P.L. 93-205).
L. 88-352) which prohibits discrimination on the basis of race, color, or
national origin; (b) Title IV of the Education Amendments of 1972, as 12. Will comply with the wild and Scenic Rivers Act of 1968 (16 U.S.C.
amended (20 U.S.C. Sections 1681 -1683, and 1685-1686), which prohibits Sections 1271 et seq.) related to protecting components of the national
discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act wild and scenic rivers systems.
of 1973, as amended (29 U.S.C. Section 794), which prohibits
discrimination on the basis of handicaps; (d) the Age Discrimination Act of 13. Will assist the awarding agency in assuring compliance with Section
1975, as amended (42 U.S.C. Sections 6101-6107). which prohibits 106 of the National Historic Preservation Act of 1966, as amended (16
discrimination on the basis of age; (e) the Drug Abuse Office and U.S.C. 470), EO 11593 (identification and protection of historic properties),
Treatment Act of 1972 (P.L. 92-255), as amended, relating to and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C.
nondiscrimination on the basis of drug abuse; (f) the Comprehensive 469a-et seq.).
Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970,) P.L. 91-616), as amended, relating to nondiscrimination on 14. Will comply with P.L 93-348 regarding the protection of human subjects
the basis of alcohol abuse or alcoholism; (g) Sections 523 and 527 of the involved in research, development, and related activities supported by this
Public Health Service Act of 1912, (42 U.S.C. 290-dd-3 and 290 ee-3), as award of assistance.
amended, relating to confidentiality of alcohol and drug abuse patient
records; (h) Title VIII of the Civil Rights Acts of 1968 (42 U.S.C. Section 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L.
3601 et. seq.), as amended, relating to nondiscrimination in the sale, rental 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care,
or financing of housing; (i) any other nondiscrimination provision in the handling, and treatment of warm blooded animals held for research,
specific statue(s) under which application for Federal assistance is being teaching, or other activities supported by this award of assistance.
made; and (j) the requirements of any other nondiscrimination statue(s)
which may apply to the application. 16. Will comply with the Lead-Based Paint Poising Prevention Act (42
U.S.C. Sections 4801 et seq.) which prohibits the use of lead based paint
7. Will comply, or has already complied, with the requirements of Title II in construction or rehabilitation of residence structures.
and III of the Uniformed Relocation Assistance and Real Property
Acquisition Policies Act of 1970 (P.L. 91 -646) which provides for fair and 17. Will cause to be performed the required financial and compliance
equitable treatment of persons displaced or whose property is acquired as audits in accordance with the Single Audit Act of 1984.
a result of Federal or Federally assisted programs. These requirements
apply to all interest in real property acquired for project purposes 18. Will comply with all applicable requirements of all other Federal laws,
regardless of Federal participation in purchase. executive orders, regulations and policies governing this program.
8. Will comply with provisions of Hatch Act (5 U.S.C. Sections 1501-1508 19. It will comply with the minimum wage and maximum hours provisions
and 7324-7328) which limit the political activities of employees whose of the Federal Fair Labor Standards Act (29 U.S.C. 201), as they apply to
principle employment activities are funded in whole or in part with Federal employees of institutions of higher education, hospitals, and other
funds. non-profit organizations.
FEMA Form 20-16A, OCT 04 PREVIOUS EDITION OBSOLETE
U. S. DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 1660-0025
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND Expires July 31, 2007
OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to average 1 .7 hours per response. The burden estimate includes the time for reviewing instructions and
searching existing data sources, gathering and maintaining the data needed and completing, and submitting the form. You are not required to respond to
this collection of information unless a valid OMB control number appears in the upper right corner of this form. Send comments regarding the accuracy of
the burden estimate and any suggestions for reducing the burden to: Information Collections Management, U.S. Department of Homeland Security, Federal
Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (1660-0001). NOTE: Do not send your
completed form to this address.
Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the
instructions for certification included in the regulations before completing this form. Signature of this form provides for compliance with certification
requirements under 44 CFR Part 18, "New Restrictions on Lobbying" and 28 CFR Part 17, "Government-wide Debarment and Suspension (Nonprocurement)
and Government-wide Requirements for Drug-Free Workplace (Grants),." The certifications shall be treated as a material representation of fact upon which
reliance will be placed when the Federal Emergency Management Agency (FEMA) determines to award the transaction, grant, or cooperative agreement.
1. LOBBYING (c) Are not presently indicted for otherwise criminally or civilly charged by a
governmental entity (Federal, State, or local) with commission of any of the
As required by section 1352, Title 31 of the U.S. Code, and implemented offenses enumerated in paragraph (1 ) (b) of this certification; and
at 44 CFR Part 18, for persons entering into a grant or cooperating
agreement over $ 100,000, as defined at 44 CFR Part 18, the applicant
(d) Have not within a three-year period preceding this application had one or
certifies that
more public transactions (Federal, State, or local) terminated for cause of
(a) No Federal appropriated funds have been paid or will be paid, by or on default; and
behalf of the undersigned, to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of Congress, B. Where the applicant is unable to certify to any of the statements in this
an officer or employee of Congress, or an employee of a Member of certification, he or she shall attach an explanation to this application.
Congress in connection with the making of any Federal grant, the entering
into of any cooperative agreement, and the extension, continuation ,
renewal, amendment, or modification of any Federal grant or cooperative
agreement.
3. DRUG-FREE WORKPLACE
(b) If any other funds than Federal appropriated funds have been paid or (GRANTEE OTHER THAN INDIVIDUALS)
will be paid to any other person for influencing or attempting to influence
an officer or employee of any agency, a member of Congress, an officer As required by the Drug-Free Workplace Act of 1988, and implemented at
or an employee of Congress, or employee of a member of Congress in 44 CFR Part 17, Subpart F, for grantees, as defined at 44 CFR Part 17.615
connection with this Federal Grant or cooperative agreement, the and 17.620-
undersigned shall complete and submit Stand Form-LLL, "Disclosure of
Lobbying Activities," in accordance with its instructions A. The applicant certifies that it will continue to provide a drug-free
(c) The undersigned shall require that the language of this certification be workplace by;
included in the award documents for all subawards at all tiers (including (a) Publishing a statement notifying employees that the unlawful
subgrants, contracts under grants and cooperative agreements, and manufacture, distributions
subcontracts) and that all subrecipients shall certify and disclose (b) Establishing an on-going drug free awareness program to inform
accordingly. employees about-
LIStandard Form-LLL "Disclosure of Lobbying Activities" attached (1) The dangers of drug abuse in the workplace;
(This form must be attached to certification if nonappropriated funds are to (2) The grantee's policy of maintaining a drug-free workplace;
be used to influence activities.)
(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;
2. DEBARMENT,SUSPENSION, AND OTHER RESPONSIBILITY
MATTERS (DIRECT RECIPIENT) (c) Making it a requirement that each employee to be engaged in the
As required by Executive Order 12549, Debarment and Suspension, and performance of the grant to be given a copy of the statement required by
implemented at 44 CFR Part 67, for prospective participants in primary paragraph (a);
covered transactions, as defined at 44 CFR Part 17, Section 17.510-A.
The applicant certifies that it and its principals: (d) Notifying the employee in the statement required by paragraph (a) that,
as a condition of employment under the grant, the employee will-
(a) Are not presently debarred, suspended, proposed for debarment,
declared ineligible, sentenced to a denial of Federal benefits by a State or (1) Abide by the term of the statement; and
Federal court, or voluntarily excluded from covered transactions by any
Federal department or agency; (2) Notify the employee in writing of his or her conviction for a
(b) Have not within a three-year period preceding this application been violation of a criminal drug statute occurring ion the workplace no
convicted of a or had a civilian judgment rendered against them for later than five calendar days after such convections;
commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or perform a public a public (Federal ,State, or local) (e) Notifying the agency, in writing, with 10 calendar days after receiving
transaction or contract under a public transaction; violation of Federal or notice under subparagraph (d)(2) from an employee or otherwise receiving
State antitrust statutes or commission of embezzlement, theft, forgery, actual notice of such conviction. Employers of convicted employees must
bribery, falsification or destruction of records, making false statements, or provide notice, including position, title, to the applicable FEMA awarding
receiving stolen property; office, i.e., regional office or FEMA office.
FEMA Form 20-16C, OCT 04 PREVIOUS EDITION OBSOLETE
(f) Taking one of the following actions, within 30 calendar days of receiving
notice under subparagraph (d)(2), with respect to any employee who is Place of Performance (Street address, City, County, State, Zip code)
convicted-
(1) Taking appropriate personnel action against such an employee,
up to and including termination, consistent with the requirements of
the Rehabilitation act of 1973, as amended; or
(2) Requiring such an employee to participate satisfactorily in a
drug abuse assistance or rehabilitation program approved for such Check la If there are workplaces on file that are not identified
purposes by a Federal, State, or local health, law enforcement, or here.
other appropriate agency;
Section 17.630 of the regulations provide that a grantee that is a
(g) Making a good faith effort to continue to maintain a drug free workplace State may elect to make one certification in each Federal fiscal
through implementation of paragraphs (a),(b),(c),(d),(e) and (f). year. A copy of which should be included with each application for
FEMA funding. States and State agencies may elect to use a
B. The grantee may insert in the space provided below the site(s) for the state wide certification.
performance of work done in connection with the specific grant:
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