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State Homeland Security Program
Subrecipient Agreement
Grant Year 2016
Between the
County of Los Angeles
and the
City of Arcadia
SUBRECIPIENT AGREEMENT
BETWEEN THE
COUNTY OF LOS ANGELES
AND THE
CITY OF ARCADIA
THIS AGREEMENT ("Agreement") is made and entered into by and between the
County of Los Angeles, a political subdivision of the State of California (the "County of
Los Angeles"), and the City of Arcadia, a public agency (the "Subrecipient").
WITNESSETH
WHEREAS, the U.S. Department of Homeland Security Title 2 Code of Federal
Regulations (CFR) through the Office of Grants and Training (G&T), has provided
financial assistance for the State Homeland Security Program (SHSP), Catalog of
Federal Domestic Assistance (CFDA) 97.067 — Homeland Security Grant Program
directly to the California Governor's Office of Emergency Services (Cal OES) for the
2016 SHSP, FAIN #EMW-2016-SS-00102, Federal Award dated September 16, 2016.
This Federal Award is not a R&D award; and
WHEREAS, the Cal OES provides said funds to the County of Los Angeles
(DUNS #052238763) as its Subgrantee, and the Chief Executive Office (CEO) is
responsible for managing and overseeing the SHSP funds that are distributed to other
specified jurisdictions within Los Angeles County; and
WHEREAS, this financial assistance is being provided to the Subrecipient in
order to address the unique equipment, training, organization, exercise and planning
needs of the Subrecipient, and to assist the Subrecipient in building effective prevention
and protection capabilities to prevent, respond to, and recover from threats or acts of
terrorism; and
WHEREAS, the County of Los Angeles as Subgrantee has obtained approval of
the 2016 SHSP grant from Cal OES in the total amount of$10,415,280; and
WHEREAS, the CEO now wishes to distribute 2016 SHSP grant funds to the
Subrecipient in the amount of$20,196, as further detailed in this Agreement; and
WHEREAS, the CEO is authorized to enter into subrecipient agreements with
cities providing for re-allocation and use of these funds; and to execute all future
amendments, modifications, extensions, and augmentations relative to the subrecipient
agreements, as necessary; and
WHEREAS, the County of Los Angeles and Subrecipient are desirous of
executing this Agreement, and the County of Los Angeles Board of Supervisors on
November 29, 2016 authorized the CEO to prepare and execute this Agreement.
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NOW, THEREFORE, the County of Los Angeles and Subrecipient agree as follows:
SECTION I
INTRODUCTION
§101. Parties to this Agreement
The parties to this Agreement are:
A. County of Los Angeles, a political subdivision of the State of California, having its
principal office at-Kenneth Hahn Hall of Administration, 500 West Temple Street,
Los Angeles, CA 90012; and
B. City of Arcadia, a public agency, having its principal office at 240 W. Huntington
Drive, Arcadia, CA 91006
§102. Representatives of the Parties and Service of Notices
A. The representatives of the respective parties who are authorized to administer
this Agreement and to whom formal notices, demands and communications must
be given are as follows:
1. The representative of the County of Los Angeles is, unless otherwise
stated in this Agreement:
Jose Chew, Grant Director
Chief Executive Office, Los Angeles County (LAC)
500 West Temple Street, Room B-79-2
Los Angeles, CA 90012
Phone: (213) 974-1549
Fax: (213) 687-3765
jchew@ceo.lacounty.gov
With a copy to:
Craig Hirakawa, Grant Manager
Chief Executive Office, LAC
500 West Temple Street, Room B-79-2
Los Angeles., CA 90012
Phone: (213) 974-1127
Fax: (213) 687-3765
chirakawa@ceo.lacounty.gov
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2. The representative of Subrecipient is:
Name and Title: Dominic Lazzaretto, City Manager
Organization/DUNS # City of Arcadia/08-219-7278
Address: 240 W. Huntington Drive
City/State/Zip: Arcadia, CA 91007
Phone: (626) 574-5401
Fax: (626) 446-5729
Email: dlazzaretto@ArcadiaCA.gov
With a copy to:
Name and Title: Michael E. Lang, Fire Chief
Organization City of Arcadia,Fire Department/
08-219-7278
Address: 710 S. Santa Anita Avenue
City/State/Zip: Arcadia, CA 91006
Phone: (626) 574-5101
Fax: (626) 446-7410
Email: mlang@ArcadiaCA.gov
B. Formal notices, demands and communications to be given hereunder by either
party must be made in writing and may be effected by personal delivery, regular
U.S. Postal mail service and/or e-mail. In the event of personal delivery or email,
the message will be deemed communicated upon receipt by the County of Los
Angeles. In the event of mail service, the message will be deemed
communicated as of the date of mailing.
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C. If the name and/or title of the person designated to receive the notices, demands
or communications or the address of such person is changed, written notice must
be given, in accord with this section, within five (5) business days of said change.
§103. Independent Party
Subrecipient is acting hereunder as an independent party, and not as an agent or
employee of the County of Los Angeles. An employee of Subrecipient is not, and
will not be deemed, an employee of the County of Los Angeles by virtue of this
Agreement, and Subrecipient must so inform each employee organization and
each employee who is hired or retained under this Agreement. Subrecipient
must not represent or otherwise hold out itself or any of its directors, officers,
partners, employees, or agents to be an agent or employee of the County of Los
Angeles by virtue of this Agreement.
§104. Conditions Precedent to Execution of This Agreement
Subrecipient must provide the following signed documents to the County of
Los Angeles, unless otherwise exempted:
A. Certification and Disclosure Regarding Lobbying, attached hereto as Exhibit A
and made a part hereof, in accordance with §411.A.14 of this Agreement.
Subrecipient must also file a Disclosure Form at the end of each calendar quarter
in which there occurs any event requiring disclosure or which materially affects
the accuracy of the information contained in any Disclosure Form previously filed
by Subrecipient.
B. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary
Exclusion, attached hereto as Exhibit B and made a part hereof, as required by
Executive Order 12549 in accordance with §411.A.12 of this Agreement.
C. Certification Regarding Drug-Free Workplace, attached hereto as Exhibit C and
made a part hereof, in accordance with §411.A.13 of this Agreement.
D. Certification of Grant Assurances — Non-Construction Programs, attached hereto
as Exhibit D and made a part hereof, in accordance with §411.0 of this
Agreement.
SECTION II
TERM AND SERVICES TO BE PROVIDED
§201. Performance Period
The performance period of this Agreement is from September 1, 2016 to
March 31, 2019, unless the County of Los Angeles, with Cal OES approval,
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provides written notification to the Subrecipient that the performance period has
beers extended, in which case the performance period will be so extended by
such written notification, as provided in §502, below.
§202. Use of Grant Funds
A. Subrecipient and the County of Los Angeles have previously completed a
mutually approved budget/expenditure plan, hereinafter "Budget," for the 2016
SHSP, which has been approved by Cal OES. This information is contained in a
copy of the Final Grant Award Letter and Worksheet, attached hereto as Exhibit
E.
Any request by Subrecipient to modify the Budget must be made in writing with
the appropriate justification and submitted to CEO for approval. If during the
County of Los Angeles review process, additional information or documentation
is required, the Subrecipient will have ten (10) business days to comply with the
request. If the Subrecipient does not comply with the request, CEO will issue
written notification indicating that the requested modification will not be
processed. Modifications must be approved in writing by the County of Los
Angeles and Cal OES during the term of this Agreement. Upon approval, all
other terms of this Agreement will remain in effect.
Subrecipient must utilize grant funds in accordance with all Federal regulations
and State Guidelines
B. Subrecipient agrees that grant funds awarded will be used to supplement existing
funds for program activities, and will not supplant (replace) non-Federal funds.
C. Subrecipient must review the Federal Debarment Listing at
https://www.sam.gov/portal/SAM/#1 prior to the purchase of equipment or
services to ensure the intended vendor is not listed and also maintain
documentation that the list was verified.
D. Prior to the purchase of equipment or services utilizing a sole source contract of
$150,000 or more, justification must be presented to CEO, who upon review will
request approval from Cal OES. Such approval in writing must be obtained prior
to the commitment of funds.
E. Subrecipient must provide any reports requested by the County of Los Angeles
to the CEO indicating Subrecipient's performance under this Agreement,
including progress on meeting program goals. Reports must be in the form
requested by the County of Los Angeles, and must be provided by the 15th of the
following month. Subrecipient must submit claims for reimbursement in a timely
manner.
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F. Subrecipient must provide an electronic copy of their Annual Single Audit Report,
as required by 2 CFR Part 200, to CEO no later than March 31st (fiscal year
ending June 30) or June 30th (fiscal year ending September 30) of the year
following the reporting period;
G. Subrecipient will be monitored by the County of Los Angeles on an annual basis
to ensure compliance with Cal OES grant program requirements. The County of
Los Angeles anticipates that said monitoring will include, at a minimum, one on-
site visit during the term of this Agreement.
H. Subrecipient_must provide a Corrective Action Plan to CEO within 30 days of any
audit-finding.
I. Any equipment acquired pursuant to this Agreement must be authorized in the
G&T Authorized Equipment List (AEL) available online at
https://www.fema.gov/authorized-equipment-list and the Funding Guidelines of
the 2016 SHSP, Funding Opportunity Announcement, incorporated by reference,
and attached hereto as Exhibit F. Subrecipient must provide the CEO a copy of
its most current procurement guidelines and follow its own procurement
requirements as long as they meet or exceed the minimum Federal
requirements. Federal procurement requirements for the 2016 SHSP can be
found at Title 2 CFR Part 200.313.
Any equipment acquired or obtained with Grant Funds:
1. Will be made available under the California Disaster and Civil Defense
Master Mutual Aid Agreement in consultation with representatives of the
various fire, emergency medical, hazardous materials response services,
and law enforcement agencies within the jurisdiction of the applicant;
2. Will be consistent with needs as identified in the State Homeland Security
Strategy and will be deployed in conformance with that plan;
3. Will be made available pursuant to applicable terms of the California
Disaster and Civil Defense Master Mutual Aid Agreement and deployed
with personnel trained in the use of such equipment in a manner
consistent with the California Law Enforcement Mutual Aid Plan or the
California Fire Services and Rescue Mutual Aid Plan.
J. Equipment acquired pursuant to this Agreement will be subject to the
requirements of Title 2 CFR Part 200.313. For the purposes of this subsection,
"Equipment" is defined as tangible nonexpendable property, having a useful life
of more than one year which costs $5,000 or more per unit. Items costing less
than $5,000, but acquired under the "Equipment" category of the Grant must also
be listed on any required Equipment Listing.
1. Equipment must be used by Subrecipient in the program or project for
which it was acquired as long as needed, whether or not the project or
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program continues to be supported by Federal funds. When no longer
needed for the original program or project, the Equipment may be used in
other activities currently or previously supported by a Federal agency.
2. Subrecipient must make Equipment available for use on other like projects
or programs currently or previously supported by the Federal Government,
providing such use will not interfere with the work on the projects or
program for which it was originally acquired. First preference for other use
must be given to other programs or projects supported by the awarding
agency.
3 An Equipment Listing must be maintained listing each item of Equipment
acquired with SHSP funds. The Equipment Listing must be kept up to
date at all times. Any changes must be recorded in the Listing within ten
(10) business days and the updated Listing is to be forwarded to the
County of Los Angeles Auditor-Controller Shared Services Division. The
Equipment Property Records must be maintained that include: (a) a
description of the property, (b) a serial number or other identification
number, (c) the source of property, (d) who holds title, (e) the acquisition
date, (f) and cost of the property, (g) percentage of Federal participation in
the cost of the property, (h) the location, (i) use and condition of the
property, (j) and any ultimate disposition data including the date of
disposal and sale price of the property. Records must be retained by the
subrecipient pursuant to Title 2, Part 200.313 (d) (1) of the CFR.
4. All Equipment obtained under this Agreement must have an appropriate
identification decal affixed to it, and, when practical, must be affixed where
it is readily visible.
5. A physical inventory of the Equipment must be taken by the Subrecipient
and the results reconciled with the Equipment Listing at least once every
two years or prior to any site visit by State or Federal auditors/monitors.
The Subrecipient is required to submit a letter certifying as to the accuracy
of the Equipment Listing to the CEO, in the frequency as above.
K. Any planning paid pursuant to this Agreement must conform to the guidelines as
listed in 2016 SHSP, Funding Opportunity Announcement or subsequent grant
year programs.
L. Any training paid pursuant to this Agreement must conform to the guidelines as
listed in 2016 SHSP, Funding Opportunity Announcement, and must be first
submitted to CEO and then pre-authorized by Cal OES. A catalog of federally
approved and sponsored training courses is available at
https://www.firstrespondertraining.qovfirt/. .
M. Any exercise paid pursuant to this Agreement must conform to the guidelines as
listed in 2016 SHSP, Funding Opportunity Announcement. Detailed Homeland
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Security Exercise and Evaluation Program Guidance is available at
https://hseep.preptoolkit.org/.
N. Subrecipient must provide to CEO a spending plan detailing the required steps
and timeframes required to complete the approved projects within the grant
timeframe. Subrecipient must submit the spending plan to CEO prior to final
execution of the Agreement.
O. Any organization activities paid pursuant to this Agreement must conform to the
guidelines as listed in 2016 SHSP, Funding Opportunity Announcement.
P. Any personnel activities paid pursuant to this Agreement must conform to the
guidelines as listed in 2016 SHSP, Funding Opportunity Announcement.
Q. Pursuant to this Agreement, indirect costs are not reimbursable.
SECTION III
PAYMENT
§301. Payment of Grant Funds and Method of Payment
A. The County of Los Angeles will reimburse Subrecipient up to the maximum grant
amount of$20,196 as expenditures are incurred and paid by Subrecipient and all
documentation is reviewed and approved by County of Los Angeles. All
expenditures must be for the purchase of equipment, exercises, training, and
planning as described in Section II of this Agreement. The grant amount
represents the amount allocated to Subrecipient in the 2016 SHSP Grant Award
Letter from Cal OES.
B. Subrecipient must submit reimbursement requests to the County of Los Angeles
Auditor-Controller Shared Services Division requesting payment as soon as
expenses are incurred and paid, and the required supporting documentation is
available. Said timeframe should be within ten (10) business days of
Subrecipient's payment to vendors and/or prescribed due dates by CEO and/or
Cal OES. Each reimbursement request must be accompanied by the
Reimbursement Form (attached hereto as Exhibit G). All appropriate back-up
documentation must be attached to the reimbursement form, including the
method of procurement, purchase orders, invoices, report of goods received, and
proof of payment.
For training reimbursements, Subrecipient must include a copy of the class roster
verifying training attendees, proof that prior approval was obtained from Cal OES
and that a Cal OES tracking number has been assigned to the course, and
timesheets and payroll registers for all training attendees.
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For exercise reimbursements, Subrecipient must enter the After Action Report
(AAR) and Improvement Plan on the State Office of Domestic Preparedness
secure portal within 60 days following completion of the exercise and submit
proof of prior State approval of the AAR with the reimbursement request.
For planning reimbursements, Subrecipient must include a copy of the final
tangible product as a result of the planning project.
C. The County of Los Angeles may, at its discretion, reallocate unexpended grant
funds to another subrecipient. Said reallocation may occur upon approval by the
County of Los Angeles of a Subrecipient reimbursement submission, inquiry
from the County of Los Angeles to the Subrecipient regarding fund utilization, or
by written notification from the Subrecipient to the County of Los Angeles that a
portion of the grant funds identified in §301.A., above, will not be utilized. As
provided in §502, below, any increase or decrease in the grant amount specified
in §301.A., above, may be effectuated by a written notification by the County of
Los Angeles to the Subrecipient.
D. Payment of reimbursement request will be withheld by the County of Los Angeles
until the County of Los Angeles has determined that Subrecipient has turned in
all supporting documentation and completed the requirements of this Agreement.
E. It is understood that the County of Los Angeles makes no commitment to fund
this Agreement beyond the terms set forth herein.
F. 1. Funding for all periods of this Agreement is subject to continuing Federal
appropriation of grant funds for this program. In the event of a loss or reduction
of Federal appropriation of grant funds for this program, the Agreement may be
terminated, or appropriately amended, immediately upon notice to Subrecipient
of such loss or reduction of Federal grant funds.
2. County of Los Angeles will make a good-faith effort to notify Subrecipient, in
writing, of such non-appropriation at the earliest time.
SECTION IV
STANDARD PROVISIONS
§401. Construction of Provisions and Titles Herein
All titles or subtitles appearing herein have been inserted for convenience and do
not, and will not be deemed to, affect the meaning or construction of any of the
terms or provisions hereof. The language of this Agreement will be construed
according to its fair meaning and not strictly for or against either party.
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§402. Applicable Law, Interpretation and Enforcement
Each party's performance hereunder must comply with all applicable laws of the
United States of America, the State of California, and the County of Los Angeles.
This Agreement will be enforced and interpreted, as applicable, under the laws of
the United States of America, the State of California and the County of Los
Angeles.
If any part, term or provision of this Agreement is held void, illegal,
unenforceable, or in conflict with any law of a Federal, State or Local
Government having jurisdiction over this Agreement, the validity of the remainder
of the Agreement will not be affected thereby.
Applicable Federal or State requirements that are more restrictive will be
followed.
§403. Integrated Agreement
This Agreement sets forth all of the rights and duties of the parties with respect to
the subject matter hereof, and replaces any and all previous agreements or
understandings, whether written or oral, relating thereto. This Agreement may be
amended only as provided for herein.
§404. Breach
If any party fails to perform, in whole or in part, any promise, covenant, or
agreement set forth herein, or should any representation made by it be untrue,
any aggrieved party may avail itself of all rights and remedies, at law or equity, in
the courts of law. Said rights and remedies are cumulative of those provided for
herein except that in all events, no party may recover more than once, suffer a
penalty or forfeiture, or be unjustly compensated.
§405. Prohibition Against Assignment or Delegation
Subrecipient may not do any of the following, unless it has first obtained the
written permission of the County of Los Angeles:
A. Assign or otherwise alienate any of its rights hereunder, including the right to
payment; or
B. Delegate, subcontract, or otherwise transfer any of its duties hereunder.
§406. Permits
Subrecipient and its officers, agents and employees must obtain and maintain all
permits and licenses necessary for Subrecipient's performance hereunder and
must pay any fees required therefor. Subrecipient further certifies that it will
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immediately notify the County of Los Angeles of any suspension, termination,
lapse, non-renewal or restriction of licenses, certificates, or other documents.
§407. Nondiscrimination and Affirmative Action
Subrecipient must comply with the applicable nondiscrimination and affirmative
action provisions of the laws of the United States of America, the State of
California, and the County of Los Angeles. In performing this Agreement,
Subrecipient must not discriminate in its employment practices against any
employee or applicant for employment because of such person's race, religion,
national origin, ancestry, sex, sexual orientation, age, physical handicap, mental
disability, marital status, domestic partner status or medical condition.
Subrecipient must comply with Executive Order 11246, entitled "Equal
Employment Opportunity," as amended by Executive Order 11375, and as
supplemented in Department of Labor regulations (41 CFR Part 60).
If required, Subrecipient must submit an Equal Employment Opportunity Plan to
the Department of Justice Office of Civil Rights in accordance with guidelines
listed at http://www.ojp.usdoj.gov/about/ocr/eeop.htm.
Any subcontract entered into by the Subrecipient relating to this Agreement, to
the extent allowed hereunder, will be subject to the provisions of this §407 of this
Agreement.
§408. Indemnification
Each of the parties to this Agreement is a public entity. This indemnity provision
is written in contemplation of the provisions of Section 895.2 of the Government
Code of the State of California, which impose certain tort liability jointly upon
public entities, solely by reason of such entities being parties to an agreement,
and the parties agree that this indemnity provision will apply and will be
enforceable regardless of whether Section 895 et seq. is deemed to apply to this
Agreement. The parties hereto, as between themselves, consistent with the
authorization contained in Government Code Sections 895.4 and 895.6 agree to
each assume the full liability imposed upon it or upon any of its officers, agents,
or employees by law, for injury caused by a negligent or wrongful act or omission
occurring in the performance of this Agreement, to the same extent that such
liability would be imposed in the absence of Government Code Section 895.2.
To achieve the above-stated purpose, each party agrees to indemnify and hold
harmless the other party for any liability arising out of its own negligent acts or
omissions in the performance of this Agreement (i.e., the Subrecipient agrees to
indemnify and hold harmless the County of Los Angeles for liability arising out of
the Subrecipient's negligent or wrongful acts or omissions and the County of Los
Angeles agrees to indemnify and hold harmless the Subrecipient for liability
arising out of the County of Los Angeles' negligent or wrongful acts or
omissions). Each party further agrees to indemnify and hold harmless the other
party for liability that is imposed on the other party solely by virtue of Government
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Code Section 895.2. The provisions of Section 2778 of the California Civil Code
are made a part hereof as if fully set forth herein. Subrecipient certifies that it
has adequate self-insured retention of funds to meet any obligation arising from
this Agreement.
§409. Conflict of Interest
A. The Subrecipient covenants that none of its directors, officers, employees, or
agents may participate in selecting, or administrating, any subcontract supported
(in whole or in part) by Federal funds where such person is a director, officer,
employee or agent of the subcontractor; or where the selection of subcontractors
is or has the appearance of being motivated by a desire for personal gain for
themselves-or others such as family business, etc.; or where such person knows
or should have known that:
1. A member of such person's immediate family, or domestic partner or
organization has a financial interest in the subcontract;
2. The subcontractor is someone with whom such person has or is
negotiating any prospective employment; or
3. The participation of such person would be prohibited by the California
Political Reform Act, California Government Code §87100 et seq. if such
person were a public officer, because such person would have a "financial
or other interest" in the subcontract.
B. Definitions:
1. The term "immediate family" means domestic partner and/or those
persons related by blood or marriage, such as husband, wife, father,
mother, brother, sister, son, daughter, father in law, mother in law, brother
in law, sister in law, son in law, daughter in law.
2. The term "financial or other interest" means:
a. Any direct or indirect financial interest in the specific contract,
including but not limited to, a commission or fee, a share of the
proceeds, prospect of a promotion or of future employment, a profit,
or any other form of financial reward.
b. Any of the following interests in the subcontractor ownership:
partnership interest or other beneficial interest of five percent or
more; ownership of five percent or more of the stock; employment in
a managerial capacity; or membership on the board of directors or
governing body.
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C. The Subrecipient further covenants that no officer, director, employee, or agent
may solicit or accept gratuities, favors, or anything of monetary value from any
actual or potential subcontractor, supplier, a party to a sub agreement, (or
persons who are otherwise in a position to benefit from the actions of any officer,
employee, or agent).
D. The Subrecipient may not subcontract with a former director, officer, or employee
within a one year period following the termination of the relationship between
said person and the Subrecipient.
E. Prior to obtaining the County of Los Angeles' approval of any subcontract, the
Subrecipient must disclose to the County of Los Angeles any relationship,
financial or otherwise, direct or indirect, of the Subrecipient or any of its officers,
directors or employees or their immediate family with the proposed subcontractor
and its officers, directors or employees.
F. For further clarification of the meaning of any of the terms used herein, the
parties agree that references are made to the guidelines, rules, and laws of the
County of Los Angeles, State of California, and Federal regulations regarding
conflict of interest.
G. The Subrecipient warrants that it has not paid or given and will not pay or give to
any third person any money or other consideration for obtaining this Agreement.
H. The Subrecipient covenants that no member, officer or employee of Subrecipient
may have interest, direct or indirect, in any contract or subcontract or the
proceeds thereof for work to be performed in connection with this project during
his/her tenure as such employee, member or officer or for one year thereafter.
I. The Subrecipient must incorporate the foregoing subsections of this Section into
every agreement that it enters into in connection with this grant and must
substitute the term "subcontractor" for the term "Subrecipient" and "sub
subcontractor" for "Subcontractor".
§410. Restriction on Disclosures
Any reports, analyses, studies, drawings, information, or data generated as a
result of this Agreement are to be governed by the California Public Records Act
(California Government Code Sec. 6250 et seq.).
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§411. Statutes and Regulations Applicable To All Grant Contracts
A. Subrecipient must comply with all applicable requirements of State, Federal, and
County of Los Angeles laws, executive orders, regulations, program and
administrative requirements, policies and any other requirements governing this
Agreement. Subrecipient must comply with applicable State and Federal laws
and regulations pertaining to labor, wages, hours, and other conditions of
employment. Subrecipient must comply with new, amended, or revised laws,
regulations, and/or procedures that apply to the performance of this Agreement.
These requirements include, but are not limited to:
1. CFR
Subrecipient must comply with Title 2 CFR Part 200.
2. Single Audit Act
Since Federal funds are used in the performance of this Agreement,
Subrecipient must, as applicable, adhere to the rules and regulations of
the Single Audit Act (31 USC Sec. 7501 et seq.), 2 CFR Part 200 and any
administrative regulation or field memos implementing the Act.
3. Americans with Disabilities Act
Subrecipient hereby certifies that, as applicable, it will comply with the
Americans with Disabilities Act 42, USC §§12101 et seq., and its
implementing regulations. Subrecipient will provide reasonable
accommodations to allow qualified individuals with disabilities to have
access to and to participate in its programs, services and activities in
accordance with the provisions of the Americans with Disabilities Act.
Subrecipient will not discriminate against persons with disabilities nor
against persons due to their relationship to or association with a person
with a disability. Any subcontract entered into by Subrecipient, relating to
this Agreement, to the extent allowed hereunder, will be subject to the
provisions of this paragraph.
4. Political and Sectarian Activity Prohibited
None of the funds, materials, property or services provided directly or
indirectly under this Agreement may be used for any partisan political
activity, or to further the election or defeat of any candidate for public
office. Neither may any funds provided under this Agreement be used for
any purpose designed to support or defeat any pending legislation or
administrative regulation. None of the funds provided pursuant to this
Agreement may be used for any sectarian purpose or to support or benefit
any sectarian activity.
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Subrecipient must file a Disclosure Form at the end of each calendar
quarter in which there occurs any event requiring disclosure or which
materially affects the accuracy of any of the information contained in any
Disclosure Form previously filed by Subrecipient. Subrecipient must
require that the language of this Certification be included in the award
documents for all sub-awards at all tiers and that all subcontractors certify
and disclose accordingly.
5. Records Inspection
At any time during normal business hours and as often as either the
County of Los Angeles, the U.S. Comptroller General or the Auditor
General of the State of California may deem necessary, Subrecipient must
make available for examination all of its records with respect to all matters
covered by this Agreement. The County of Los Angeles, the U.S.
Comptroller General and the Auditor General of the State of California
have the authority to audit, examine and make excerpts or transcripts from
records, including all Subrecipient's method of procurement, invoices,
materials, payrolls, records of personnel, conditions of employment and
other data relating to all matters covered by this Agreement.
Subrecipient agrees to provide any reports requested by the County of
Los Angeles regarding performance of this Agreement.
6. Records Maintenance
Records, in their original form, must be maintained in accordance with
requirements prescribed by the County of Los Angeles with respect to all
matters specified in this Agreement. Original forms are to be maintained
on file for all documents specified in this Agreement. Such records must
be retained for a period five (5) years after termination of this Agreement
and after final disposition of all pending matters. "Pending matters"
include, but are not limited to, an audit, litigation or other actions involving
records. The County of Los Angeles may, at its discretion, take
possession of, retain and audit said records. Records, in their original
form pertaining to matters covered by this Agreement, must at all times be
retained within the County of Los Angeles unless authorization to remove
them is granted in writing by the County of Los Angeles.
7. Subcontracts and Procurement
Subrecipient must, as applicable, comply with the Federal, State and
County of Los Angeles standards in the award of any subcontracts. For
purposes of this Agreement, subcontracts include but are not limited to
purchase agreements, rental or lease agreements, third party agreements,
consultant service contracts and construction subcontracts.
Page 15
Subrecipient must, as applicable, ensure that the terms of this Agreement
with the County of Los Angeles are incorporated into all Subcontractor
agreements. The Subrecipient must submit all Subcontractor agreements
to the County of Los Angeles for review prior to the release of any funds to
the Subcontractor. The Subrecipient must withhold funds to any
Subcontractor agency that fails to comply with the terms and conditions of
this Agreement and their respective Subcontractor agreement.
8. Labor
Subrecipient must, as applicable, comply with the Intergovernmental
Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed
requirements for merit systems for programs funded under one of the 19
statutes or regulations specified in Appendix A of OPM's Standards for a
Merit System Personnel Administration (5 CFR 900, Subpart F).
Subrecipient must, as applicable, comply with the provisions of the Davis-
Bacon Act (40 U.S.C. §§276a to 276a-7); the Copeland Act (40 U.S.C.
§276c and 18 U.S.C. §874); the Contract Work Hours and Safety
Standards Act (40 U.S.C. §§327-333), regarding labor standards for
federally-assisted construction subagreements; and the Hatch Act (5 USC
§§1501-1508 and 7324-7328).
Subrecipient must, as applicable, comply with the Federal Fair Labor
Standards Act (29 U.S.C. §201) regarding wages and hours of
employment.
None of the funds may be used to promote or deter union/labor organizing
activities. CA Gov't Code Sec. 16645 et seq.
9. Civil Rights
Subrecipient must, as applicable, comply with all Federal statutes relating
to nondiscrimination. These include but are not limited to: (a) Title VI of
the Civil Rights Act of 1964 (P.L. 88-352), which prohibits discrimination
on the basis of race, color or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. §§1681- 1683, and 1685-
1686), which prohibits discrimination on the basis of sex; (c) Section 504
of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which
prohibits discrimination on the basis of disabilities; (d) the Age
Discrimination act of 1975, as amended (42 U.S.C. §§6101-6107), which
prohibits discrimination on the basis of age; (e) the Drug Abuse Office and
Treatment Act of 1972 (P.L. 92-255), as amended, relating to
nondiscrimination on the basis of drug abuse; (f) the Comprehensive
Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on
the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public
Page 16
Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee 3), as
amended, relating to confidentiality of alcohol and drug abuse patient
records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et
seq.), as amended, relating to non-discrimination in the sale, rental or
financing of housing; (i) any other nondiscrimination provisions in the
specific statute(s) under which application for Federal assistance is being
made; (j) the requirements of any other nondiscrimination statute(s) that
may apply to the application; and
(k) P.L. 93-348 regarding the protection of human subjects involved in
research, development, and related activities supported by this award of
assistance.
10. Environmental
Subrecipient must, as applicable, comply, or has already complied, with
the requirements of Titles II and III of the Uniform Relocation Assistance
and Real Property Acquisition Policies Act of 1970 (P.L. 91-646), which
provide for fair and equitable treatment of persons displaced or whose
property is acquired as a result of Federal or federally-assisted programs.
These requirements apply to all interests in real property acquired for
project purposes regardless of Federal participation in purchases.
Subrecipient must, as applicable, comply with environmental standards
which may be prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National Environmental
Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b)
notification of violating facilities pursuant to EO 11738; (c) protection of
wetlands pursuant to EO 11990; (d) evaluation of flood hazards in
floodplains in accordance with
EO 11988; (e) assurance of project consistency with the approved State
management program developed under the Coastal Zone Management
Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of Federal actions to
State (Clean Air) Implementation Plans under Section 176(c) of the Clean
Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection of
underground sources of drinking water under the Safe Drinking Water Act
of 1974, as amended (P.L. 93-523); (h) protection of endangered species
under the Endangered Species Act of 1973, as amended (P.L. 93205);
and (i) Flood Disaster Protection Act of 1973 §102(a) (P.L. 93-234).
Subrecipient must, as applicable, comply with the Wild and Scenic Rivers
Act of 1968 (16 U.S.C. §§1271 et seq.) related to protecting components
or potential components of the national wild and scenic rivers system.
Subrecipient must, as applicable, comply with the Lead-Based Paint
Poisoning Prevention Act (42 U.S.C. §§4801 et seq.), which prohibits the
use of lead-based paint in construction or rehabilitation of residence
structures.
Page 17
Subrecipient must, as applicable, comply with the Federal Water Pollution
Control Act (33 U.S.C. §1251 et seq.), which restores and maintains the
chemical, physical and biological integrity of the Nation's waters.
Subrecipient must, as applicable, ensure that the facilities under its
ownership, lease or supervision that are utilized in the accomplishment of
this project are not listed in the Environmental Protection Agency's (EPA)
list of Violating Facilities and that it will notify the Federal Grantor agency
of the receipt of any communication from the Director of the EPA Office of
Federal Activities indicating that a facility to be used in the project is under
consideration for listing by the EPA.
By signing this Agreement, Subrecipient warrants and represents that it
will, as applicable, comply with the California Environmental Quality Act
(CEQA), Public Resources Code §21000 et seq.
Subrecipient must, as applicable, comply with the Energy Policy and
Conservation Act (P.L. 94-163, 89 Stat. 871).
Subrecipient must, as applicable, comply with the provision of the Coastal
Barrier Resources Act (P.L. 97-348) dated October 19, 1982 (16 USC
3501 et. seq.) which prohibits the expenditure of most new Federal funds
within the units of the Coastal Barrier Resources System.
11. Preservation
Subrecipient must, as applicable, comply with Section 106 of the National
Historic Preservation Act of 1966, as amended (16 U.S.C. §470), EO
11593 (identification and protection of historic properties), and the
Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§469a-1
et seq.).
12. Suspension, Debarment, Ineligibility and Voluntary Exclusion
Subrecipient must, as applicable, comply with Title 2 CFR Part §3000,
regarding Suspension and Debarment, and Subrecipient must submit a
Certification Regarding Debarment, attached hereto as Exhibit B, required
by Executive Order 12549 and any amendment thereto. Said Certification
must be submitted to the County of Los Angeles concurrent with the
execution of this Agreement and must certify that neither Subrecipient nor
its principals are presently debarred, suspended, proposed for debarment,
declared ineligible or voluntarily excluded from participation in this
transaction by any Federal department head or agency. Subrecipient
must require that the language of this Certification be included in the
award documents for all sub-award at all tiers and that all subcontractors
certify accordingly.
Page 18
13. Drug-Free Workplace
Subrecipient must, as applicable, comply with the federal Drug-Free
Workplace Act of 1988, 41 USC §701, Title 44 Code of Federal
Regulations (CFR) Part §17; the California Drug-Free Workplace Act of
1990, CA Gov't Code §§8350-8357, and Subrecipient must complete the
Certification Regarding Drug-Free Workplace Requirements, attached
hereto as Exhibit C, and incorporated herein by reference. Subrecipient
must require that the language of this Certification be included in the
award documents for all sub-award at all tiers and that all subcontractors
certify accordingly.
14. Lobbying Activities
Subrecipient must, as applicable, comply with 31 U.S.C.1352 and
complete the Disclosure of Lobbying Activities, (OMB 0038-0046),
attached hereto as Exhibit A, and incorporated herein by reference.
15. Miscellaneous
Subrecipient must, as applicable, comply with the Laboratory Animal
Welfare Act of 1966, as amended (P.L. 89-544, 7 USC §§2131 et seq.).
B. Statutes and Regulations Applicable To This Particular Grant Agreement
Subrecipient must comply with all applicable requirements of State and Federal
laws, executive orders, regulations, program and administrative requirements,
policies and any other requirements governing this particular grant program.
Subrecipient must, as applicable, comply with new, amended, or revised laws,
regulations, and/or procedures that apply to the performance of this Agreement.
These requirements include, but are not limited to:
Title 2 CFR Part 200; EO 12372; U.S. Department of Homeland Security, Office
of State and Local Government Coordination and Preparedness, Office for
Domestic Preparedness, ODP WMD Training Course Catalogue; and DOJ Office
for Civil Rights.
Standardized Emergency Management System (SEMS) requirements as stated
in the California Emergency Services Act, Government Code Chapter 7 of
Division 1 of Title 2, §8607.1(e) and CCR Title 19, §§2445-2448.
Provisions of Title 2, 6, 28, 44 CFR applicable to grants and cooperative
agreements, including Part 18, Administrative Review Procedures; Part 20,
Criminal Justice Information Systems; Part 22, Confidentiality of Identifiable
Research and Statistical Information; Part 23, Criminal Intelligence Systems
Operating Policies; Part 30, Intergovernmental Review of Department of Justice
Programs and Activities; Part 35, Nondiscrimination on the Basis of Disability in
State and Local Government Services; Part 38, Equal Treatment of Faith-based
Page 19
Organizations; Part 42, Nondiscrimination/Equal Employment Opportunities
Policies and Procedures; Part 61, Procedures for Implementing the National
Environmental Policy Act; Part 63, Floodplain Management and Wetland
Protection Procedures; Part 64, Floodplain Management and Wetland Protection
Procedures; Federal laws or regulations applicable to Federal Assistance
Programs; Part 69, New Restrictions on Lobbying; Part 70, Uniform
Administrative Requirements for Grants and Cooperative Agreements (including
sub-awards) with Institutions of Higher Learning, Hospitals and other Non-Profit
Organizations; and Part 83, Government-Wide Requirements for a Drug Free
Workplace (grants).
Nondiscrimination requirements of the Omnibus Crime Control and Safe Streets
Act of 1968, as amended, 42 USC 3789(d), or the Juvenile Justice and
Delinquency Prevention Act, or the Victims of Crime Act, as appropriate; the
provisions of the current edition of the Office of Justice Programs Financial and
Administrative Guide for Grants, M7100.1, and all other applicable Federal laws,
orders, circulars, or regulations.
1. Travel Expenses
Subrecipient, as provided herein, will be compensated for Subrecipient's
reasonable travel expenses incurred in the performance of this
Agreement, to include travel and per diem, unless otherwise expressed.
Subrecipient's total travel for in-State and/or out-of-State and per diem
costs must be included in the contract budget(s). All travel, including out-
of-State travel, that is not included in the budget(s) will not be reimbursed
without prior written authorization from the County of Los Angeles.
Subrecipient's administrative-related travel and per diem reimbursement
costs will not be reimbursed. For programmatic-related travel costs,
Subrecipient's reimbursement rates may not exceed the amounts
established under the grant.
C. Compliance With Grant Requirements
To obtain the grant funds, the State required an authorized representative of
the County of Los Angeles to sign certain promises regarding the way the
grant funds would be spent. These requirements are included in the 2016
Funding Opportunity Announcement and in the State's "Grant Assurances".
By signing these Grant Assurances and accepting the Funding Opportunity
Announcement, the County of Los Angeles became liable to the State for any
funds that are used in violation of the grant requirements. The State's Grant
Assurances are incorporated into this Agreement through Exhibit D.
Page 20
Pursuant to this Agreement, Subrecipient shall execute Exhibit D, accepting
and agreeing to abide by all provisions, assurances, and requirements therein.
Subrecipient agrees to indemnify and hold harmless the County of Los
Angeles for any sums the State or Federal government determines
Subrecipient used in violation of the Grant Assurances.
To the extent Exhibit D conflicts with language or provisions contained in this
Agreement, or contains more restrictive requirements under Federal and State
law, Exhibit D shall control.
D. Noncompliance With Grant Requirements
Subrecipient understands that failure to comply with any of the above
assurances, including Exhibit D, may result in suspension, termination or
reduction of grant funds, and repayment by the Subrecipient to the County of
Los Angeles of any unauthorized expenditures.
§412. Federal, State and Local Taxes
Federal, State and local taxes are the responsibility of the Subrecipient as an
independent party and not of the County of Los Angeles and must be paid prior
to requesting reimbursement. However, these taxes are an allowable expense
under the grant program.
§413. Inventions, Patents and Copyrights
A. Reporting Procedure for Inventions
If any project produces any invention or discovery ("Invention") patentable or
otherwise under Title 35 of the U.S. Code, including, without limitation, processes
and business methods made in the course of work under this Agreement, the
Subrecipient must report the fact and disclose the Invention promptly and fully to
the County of Los Angeles. The County of Los Angeles will report the fact and
disclose the Invention to the State. Unless there is a prior agreement between
the County of Los Angeles and the State, the State will determine whether to
seek protection on the Invention. The State will determine how the rights in the
Invention, including rights under any patent issued thereon, will be allocated and
administered in order to protect the public interest consistent with the policy
("Policy") embodied in the Federal Acquisition Regulations System, which is
based on Ch. 18 of Title 35 U.S.C. Sections 200 et seq. (Pub. L. 95-517, Pub. L.
98-620, Title 37 CFR Part 401); Presidential Memorandum on Government
Patent Policy to the Heads of the Executive Departments and Agencies, dated
2/18/1983); and Executive Order 12591, 4/10/87, 52 FR 13414, Title 3 CFR,
1987 Comp., p. 220 (as amended by Executive Order 12618, 12/22/87, 52 FR
48661, Title 3 CFR, 1987 Comp., p. 262). Subrecipient hereby agrees to be
bound by the Policy, and will contractually require its personnel to be bound by
the Policy.
Page 21
B. Rights to Use Inventions
As applicable, County of Los Angeles will have an unencumbered right, and a
non-exclusive, irrevocable, royalty-free license to use, manufacture, improve
upon, and allow others to do so for all government purposes, any Invention
developed under this Agreement.
C. Copyright Policy
1. Unless otherwise provided by the State or the terms of this Agreement,
when copyrightable material ("Material") is developed under this
Agreement, the County of Los Angeles, at its discretion, may copyright the
Material. If the County of Los Angeles declines to copyright the Material,
the County of Los Angeles will have an unencumbered right, and a non-
exclusive, irrevocable, royalty-free license, to use, manufacture, improve
upon, and allow others to do so for all government purposes, any Material
developed under this Agreement.
2. The State will have an unencumbered right, and a non-exclusive,
irrevocable, royalty-free license, to use, manufacture, improve upon, and
allow others to do so for all government purposes, any Material developed
under this Agreement or any Copyright purchased under this Agreement.
3. Subrecipient must comply with Title 24 CFR 85.34.
D. Rights to Data
The State and the County of Los Angeles will have unlimited rights or copyright
license to any data first produced or delivered under this Agreement. "Unlimited
rights" means the right to use, disclose, reproduce, prepare derivative works,
distribute copies to the public, and perform and display publicly, or permit others
to do so; as required by Title 48 CFR 27.401. Where the data are not first
produced under this Agreement or are published copyrighted data with the notice
of 17 U.S.C. Section 401 or 402, the State acquires the data under a copyright
license as set forth in Title 48 CFR 27.404(0(2) instead of unlimited rights. (Title
48 CFR 27.404(a)).
E. Obligations Binding on Subcontractors
Subrecipient must require all subcontractors to comply with the obligations of this
section by incorporating the terms of this section into all subcontracts.
§414. Child Support Assignment Orders
Under the terms of this Agreement, Subrecipient must, as applicable, comply
with California Family Code Section 5230 et seq.
Page 22
§415. Minority, Women, And Other Business Enterprise Outreach Program
It is the policy of the County of Los Angeles to provide Minority Business
Enterprises, Women Business Enterprises and all other business enterprises an
equal opportunity to participate in the performance of all Subrecipient's contracts,
including procurement, construction and personal services. This policy applies to
all of the Subrecipient's contractors and sub-contractors.
SECTION V
DEFAULTS, SUSPENSION, TERMINATION, AND AMENDMENTS
§501. Defaults
Should either party fail for any reason to comply with the contractual obligations
of this Agreement within the time specified by this Agreement, the non-breaching
party reserves the right to terminate the Agreement, reserving all rights under
State and Federal law.
§502. Amendments
Except as otherwise provided in this paragraph, any change in the terms of this
Agreement, including changes in the services to be performed by Subrecipient,
that are agreed to by the Subrecipient and the County of Los Angeles must be
incorporated into this Agreement by a written amendment properly signed by
persons who are authorized to bind the parties. Notwithstanding the foregoing,
any increase or decrease of the grant amount specified in §301.A., above, or any
extension of the performance period specified in §201, above, does not require a
written amendment, but may be effectuated by a written notification by the
County of Los Angeles to the Subrecipient.
SECTION VI
ENTIRE AGREEMENT
§601. Complete Agreement
This Agreement contains the full and complete Agreement between the two
parties. Neither verbal agreement nor conversation or other communication with
any officer or employee of either party will affect or modify any of the terms and
conditions of this Agreement.
Page 23
§602. Number of Pages and Attachments
This Agreement may be executed in two (2) duplicate originals, each of which is
deemed to be an original. This Agreement includes (25) pages and (7) Exhibits
which constitute the entire understanding and agreement of the parties.
[Remainder of this page intentionally left blank]
Page 24
IN WITNESS WHEREOF, the Subrecipient and County of Los Angeles have caused
this Agreement to be executed by their duly authorized representatives.
COUNTY OF LOS ANGELES
BY ,f
SACHI A. - Al Date
Chief Exe ve O er
61)+1-4-
BY BY r \w.•+•-�
JOH NAIMO
CELIA ZAVALA Au• •r-Controller
Acting Executive Officer, Board of Supervisors
APPROVED AS TO FORM
MARY C. WICKHAM
County Counsel
BY jiPkIL-//N --'
Senior Deputy County Counsel
BY ty Manager Dominic Lazzaretto February 28, 2018
City ''"'tentative- .'(Signature) (Print Name) Date
APPROVED AS TO FORM
BY SStephen P. Deitsch February 28, 2018
City Attorney (Signature) (Print Name) Date
ATTEST
BY .,i(1 Lisa Mussenden February 28, 2018
City CI=r (Signature (Print Name) Date
Chief P-puty
Page 25
EXHIBITS
Exhibit A Certification and Disclosure Regarding Lobbying
Exhibit B Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion Lower Tier Covered Transactions
Exhibit C Certification Regarding Drug-Free Workplace
Exhibit D* Certification of Grant Assurances
Exhibit E Final Grant Award Letter and Project Worksheet(s)
Exhibit F Funding Guidelines
Exhibit G Reimbursement Form and Instructions
Cal OES 2-232
Approved by OMB 0348-0046
INSTRUCTIONS FOR COMPLETION OF SF-LLL,
DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether sub-awardee or prime Federal
recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing,
pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for each payment or agreement
to make payment to any lobbying entity for influencing or attempting to influence an officer or employee
of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with a covered Federal action. Use the SF-LLL-A Continuation
Sheet for additional information if the space on the form is inadequate. Complete all items that apply for
both the initial filing and material change report. Refer to the implementing guidance published by the
Office of Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured
to influence the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a follow-up report caused by a
material change to the information previously reported, enter the year and quarter in which the
change occurred. Enter the date of the last previously submitted report by this reporting entity
for this covered Federal action.
4. Enter the full name, address, city, state and zip code of the reporting entity. Include
Congressional District, if known. Check the appropriate classification of the reporting entity that
designates if it is, or expects to be, a prime or sub-award recipient. Identify the tier of the
subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are
not limited to subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name,
address, city, state and zip code of the prime Federal recipient. Include Congressional District, if
known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least
one organizational level below agency name, if known. For example, Department of
Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If
known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants,
cooperative agreements, loans, and loan commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified
in item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; sub-grant
announcement number; the contract, subgrant, or loan award number; the application/proposal
control number assigned by the Federal agency). Include prefixes, e.g.,"RFP-DE-90-001."
9. For a covered Federal action where there has been an award or loan commitment by the
Federal agency, enter the Federal amount of the award/loan commitment for the prime entity
identified in item 4 or 5.
Disclosure of Lobbying Activities-Cal OES 2-232 (Revised 7/8/2013)
Cal OES 2-232
Approved by OMB 0348-0046
10. (a.) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the
reporting entity identified in item 4 to influence the covered Federal action.
(b.) Enter the full names of the individual(s) performing services, and include full address if
different from 10 (a). Enter Last Name, First Name, and Middle Initial (Ml).
11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity
(item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual)
or will be made (planned). Check all boxes that apply. If this is a material change report, enter
the cumulative amount of payment made or planned to be made.
12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-
kind contribution, specify the nature and value of the in-kind payment.
13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature.
14. Provide a specific and detailed description of the services that the lobbyist has performed, or will
be expected to perform, and the date(s) of any services rendered. Include all preparatory and
related activity, not just time spent in actual contact with Federal officials. Identify the Federal
official(s) or employee(s) contacted or the officer(s), employee(s), or Member(s) of Congress
that were contacted.
15. Check whether or not a SF-LLL-A Continuation Sheet(s) is attached.
16. The certifying official shall sign and date the form, print his/her name, title, and telephone
number.
Public reporting burden for this collection of information is estimated to average 30 minutes per
response, including time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send
comments regarding the burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to the Office of Management and Budget,
Paperwork Reduction Project (0348-0046), Washington, D.C. 20503.
Disclosure of Lobbying Activities-Cal OES 2-232 (Revised 7/8/2013)
EXHIBIT A
Cal OES 2-232
Approved by OMB 0348-0046
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type:
11 a. contract ® a. bid/offer/application a. initial filing
b. grant b. initial award b. material change
c. cooperative agreement c. post-award
d. loan For Material Change Only:
e. loan guarantee Year Quarter
f. loan insurance
date of last report
4. Name and Address of Reporting Entity: 5. If Reporting Entity in No.4 is Subawardee,
City of Arcadia Enter Name and Address of Prime:
240 W. Huntington Drive, Arcadia, CA 91007 County of Los Angeles
Chief Executive Office
j Prime j Subawardee County Disaster Administrative Team
500 West Temple Street, Room 754
Tier, If known: Los Angeles, CA 90012
Congressional District, if known: Congressional District,if known:
6. Federal Department/Agency: 7. Federal Program Name/Description:
CFDA Number, if applicable:
8. Federal Action Number, if known: 9. Award Amount, if known:
10.a. Name and Address of Lobbying Entity b. Individuals Performing Services
(if individual,last name,first name, MI): (last name,first name,MI-include address if different from 10a)
(attach Continuation Sheet(s)SF-LLL-A,if necessary)
11.Amount of Payment(check all that apply) : 13.Type of Payment(check all that apply):
Actual I Planned j a. retainer
12. Form of Payment(check all that apply): b. one-time fee
a. cash c. commission
b. in-kind; specify: ; d. contingent fee
e. deferred
nature value
j f. other; specify:
14. Brief Description of Services Performed or to be Performed and Date(s)of Service, including officer(s),employee(s),or
Member(s)contacted,for Payment indicated in item 11: (attach Continuation Sheet(s)SF-LLL-A,if necessary)
15. Continuation Sheet(s)SF-LLL-A attached: !) Yes -. No
16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. Signature: 1 ��
This disclosure of lobbying activities is a material representation of fact upon which Name: Dominic Lazzaretto
reliance was placed by the tier above when this transaction was made or entered into. City Manager
This disclosure is required pursuant to 31 U.S.C. 1352. This information will be Title: (626) 574-5401
reported to the Congress semi-annually and will be available for public inspection. Any Telephone:
person who fails to file the required disclosure shall be subject to a civil penalty of not e)
less than$10,000 and not more than$100,000 for each such failure. Date: February 28, 2018
Federal Use Only: Authorized for Local Reproduction
Standard Form—LLL
Disclosure of Lobbying Activities-Cal OES 2-232(Revised 7/8/2013)
Approved by OMB 0348-0046
DISCLOSURE OF LOBBYING ACTIVITIES
CONCONTINUATION SHEET
Continuation of 10 a-b: additional sheets may be added if necessary
Reporting Entity:
Last Name First Name MI
Address City Zip
Last Name First Name MI
Address City Zip
Last Name First Name MI
Address City Zip
Last Name First Name MI
Address City Zip
Continuation of 14: (additional sheets may be added if necessary)
Brief Description of Services and Payments indicated in item 11:
Authorized for Local Reproduction
Standard Form—LLL-A
Disclosure of Lobbying Activities-Cal OES 2-232 (Revised 7/8/2013)
EXHIBIT B
CERTIFICATION REGARDING
DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION
LOWER TIER COVERED TRANSACTIONS
This certification is required by the regulations Implementing Executive Order 12549,
Debarment and Suspension, 24 CFR Part 24 Section 24.510, Participants'
responsibilities.
(READ ATTACHED INSTRUCTIONS FOR CERTIFICATION BEFORE
COMPLETING)
1. The prospective recipient of Federal assistance funds certifies that neither it
nor its principals are presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from participation in
this transaction by any Federal department or agency.
2. Where the prospective recipient of Federal assistance funds is unable to
certify to any of the statements in this certification, such prospective
participant shall attach an explanation to this proposal.
AGREEMENT NUMBER
City of Arcadia
CONTRACTOR/BORROWER/AGENCY
Dominic Lazzaretto, City Manager
NAME AND TITLE OF AUTHORIZED REPRESENTATIVE
February 28, 2018
S URE DATE
INSTRUCTIONS FOR CERTIFICATION
1. By signing and submitting this document,the prospective recipient of Federal assistance
is providing the certification as set out below.
2. The certification in this clause is a material representation of fact upon which reliance
was placed when this transaction was entered into. If it is later determined that the
prospective recipient of Federal assistance funds knowingly rendered an erroneous
certification, in addition to other remedies available to the Federal Government, the
department or agency with which this transaction originated may pursue available
remedies, including suspension and/or debarment.
3. The prospective recipient of Federal assistance funds shall provide immediate written
notice to the person to which this agreement is entered, if at any time the prospective
recipient of Federal assistance funds learns that its certification was erroneous, when
submitted or has become erroneous by reason of changed circumstances.
4. The terms"covered transaction," "debarred," "suspended," "ineligible," "lower tier
covered transaction," "participant," "person,""primary covered transaction," 'principal,"
"proposal,"and"voluntarily excluded," as used in this clause, have the meanings set out
in the Definitions and Coverage sections of rules implementing Executive Order 12549.
5. The prospective recipient of Federal assistance funds agrees by submitting this proposal
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 on this covered transaction,
unless authorized by the department or agency with which this transaction originated.
6. The prospective recipient of Federal assistance funds further agrees by submitting this
proposal that it will include the clause titled"Certification Regarding Debarment,
Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions,"
without modification, in all lower tier covered transactions and in all solicitations for lower
tier covered transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective
participant in a lower tier covered transaction, unless it knows that the certification is
erroneous. A participant may decide the method and frequency by which it determines
the eligibility of its principals. Each participant may, but is not required to,check the List
of Parties Excluded from Procurement or Non Procurement....Proctrams.
8. Nothing contained in the foregoing shall be construed to require establishment of a
system of records in order to render in good faith the certification required by this clause.
The knowledge and information of a participant is not required to exceed that which is
normally possessed by a prudent person in the ordinary course of business dealings.
9. Except for transactions authorized under Paragraph 5 of these instructions, if a
participant In a covered transaction knowingly enters into a lower tier covered transaction
with a person who is suspended, debarred, ineligible, or voluntary excluded form
participation in this transaction, in addition to other remedies available to the Federal
Government, the department or agency with which this transaction originated may pursue
available remedies, including suspension and/or debarment.
EXHIBIT C
STATE OF CALIFORNIA
DRUG-FREE WORKPLACE CERTIFICATION
STD. 21
COMPANY/ORGANIZATION NAME: City of Arradi
The contractor or grant recipient named above hereby certifies compliance with Government Code Section 8355 in
matters relating to providing a drug-free workplace. The above-named contractor or recipient will:
1. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession, or
use of a controlled substance is prohibited and specifying actions to be taken against employees for violations,
as required by Government Code Section 8355(a).
2. Establish a Drug-Free Awareness Program as required by Government Code Section 8355(b), to inform
employees about all of the following:
(a) The dangers of drug abuse in the workplace,
(b) The person's or organization's policy of maintaining a drug-free workplace,
(c) Any available counseling, rehabilitation and employee assistance programs, and
(d) Penalties that may be imposed upon employees for drug abuse violations.
3. Provide as required by Government Code Section 8355(c), that every employee who works on the proposed
contract or subgrant:
(a) Will receive a copy of the company's drug-free policy statement, and
(b) Will agree to abide by the terms of the company's statement as a condition of employment on the contract
or subgrant.
CERTIFICATION
I, the official named below, hereby swear that I am duly authorized legally to bind the contractor or Recipient to the above
described certification. I am fully aware that this certification, executed on the date and in the county below, is made under
penalty of perjury under the laws of the State of California.
Dominic Lazzaretto, February 28, 2018
OFFICAL'S NAME DATE EXECUTED
Los Angeles
EXECUTED I THE COUNTY OF
411
CONTRACTOR or RECEIPEI : - ,ATURE
City Manager
TITLE
95-6000667
FEDERAL I.D.NUMBER
Drug-Free Workplace Certification STD. 21 (Revised 7/2015)
STATEMENT ON THE DRUG-FREE WORKPLACE
To comply with the enactment of Senate Bill 1120, (Chapter 1170, Statutes of 1990), which established the
Drug-Free Workplace Act of 1990, the City of Arcadia
(your agency)
accordingly provides this statement of compliance.
In order to maintain funding eligibility, state agencies, along with those in receipt of grant and contractual
awards, must certify that they provide drug-free workplaces and have issued drug-free workplace statements
to their employees [Section 8355(a) of the Government Code]. Consequently, in accordance with this directive,
this statement is issued to meet this requirement.
The City of Arcadia (your agency), an agency within the State of California has adopted this
statement in compliance with legislation which addresses issues to avoid the dangers arising from drug and
alcohol abuse in the workplace. These dangers include death and injury to the employee, co-workers, or the
public resulting from accidents, dereliction of duty, poor judgment and carelessness. Substance abuse also
results in lost productivity, reduced efficiency, and increased absenteeism by the substance abuser and
interferes with the job performance of employees who do not use illegal or unauthorized substances. [Section
8355(b)(1)]
California law prohibits the unlawful manufacture, dispensation, possession, or illegal use of a controlled
substance. That prohibition extends to all places and includes the worksite of California state employees.
[Section 8355(a)]
Employees convicted of a violation of criminal drug statute, when the violation occurred at an employee's
worksite, shall report the conviction to the granting and monitoring State agency upon conviction. [Section
8356(a)(1)(2)]
In the event of the unlawful manufacture, distribution, dispensation, possession or illegal use of a controlled
substance at a State worksite, the State may take disciplinary action pursuant to the law and/or require the
satisfactory completion of a drug abuse assistance or rehabilitation program. [Section 8355(b)(4)]
The Employee Assistance Program (EAP) provides drug problem assessment and referral to appropriate
counseling and rehabilitation services. The EAP is available to all agency employees. Procedures exist to
ensure the confidentiality of EAP records. Contact your personnel office for further information.
It is the intent of the City of Arcadia (your agency) to ensure by execution of this statement of
compliance that each employee shall abide by the terms of this drug-free workplace statement. [Section
8355(c)]
Drug-Free Workplace Certification STD.21 (Revised 7/2015)
EXHIBIT D
County of Los Angeles
2016 Grant Assurances
As the duly authorized representative of city of Arcadia (the
"Applicant" or "Subrecipient"), I hereby certify that the Applicant has the legal authority to apply for
federal assistance and the institutional, managerial and financial capability (including funds sufficient to
pay any non-federal share of project cost)to ensure proper planning, management and completion of the
project described in this application, within prescribed timelines.
I further acknowledge that the Applicant is responsible for reviewing and adhering to all
requirements within the:
(a) Applicable Federal Regulations (see below);
(b) Federal Program Notice of Funding Opportunity (NOFO);
(c) California Supplement to the NOFO; and
(d) Federal and State Grant Program Guidelines.
Federal Regulations
Government cost principles, uniform administrative requirements and audit requirements for federal grant
programs are set forth in Title 2, Part 200 of the Code of Federal Regulations (CFR) and updates are
issued by the Office of Management and Budget (OMB) and can be found at
http://www.whitehouse.gov/omb/.
Significant state and federal grant award requirements (some of which appear in the documents
listed above) are set forth below. The Applicant hereby agrees to comply with the following:
1. Proof of Authority
The Applicant will obtain written authorization from the city council, governing board or authorized
body in support of this project. This written authorization must specify that the Applicant and the city
council, governing board or authorized body agree:
(a) To provide all matching funds required for the grant project and that any cash match will be
appropriated as required.
(b) Any liability arising out of the performance of this agreement shall be the responsibility of the
Applicant and the city council, governing board or authorized body.
(c) Grant funds shall not be used to supplant expenditures controlled by the city council,
governing board or authorized body.
(d) The official executing this agreement is, in fact, authorized to do so.
This Proof of Authority must be maintained on file and readily available upon request.
2. Period of Performance
The Applicant will initiate work after approval of the award and complete all work within the period of
performance specified in the grant.
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3. Lobbying and Political Activities
As required by Section 1352, Title 31 of the U.S. Code (U.S.C.), for persons entering into a contract,
grant, loan or cooperative agreement from an agency or requests or receives from an agency a
commitment providing for the United States to insure or guarantee a loan, 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 an agency, a Member of Congress, an officer or employee of Congress, or an employee of
a Member of Congress in connection with the awarding of any Federal contract, the making
of any federal grant, the making of any federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment, or modification of any
federal contract, grant, loan, or cooperative agreement.
(b) If any funds other than federal appropriated funds have been paid or will be paid to any person
for influencing or 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 contract, grant, loan, or cooperative agreement, the undersigned
shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying", in
accordance with its instructions.
(c) The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts
under grants, loans, and cooperative agreements) and that all subrecipients shall certify and
disclose accordingly.
The Applicant will also comply with provisions of the Hatch Act (5 U.S.C. §§1501-1508 and §§7324-
7328) which limit the political activities of employees whose principal employment activities are
funded in whole or in part with federal funds.
Finally, the Applicant agrees that federal funds will not be used, directly or indirectly, to support the
enactment, repeal, modification or adoption of any law, regulation or policy without the express written
approval from the California Governor's Office of Emergency Services (Cal OES) or the federal
awarding agency.
4. Debarment and Suspension
As required by Executive Orders (EO) 12549 and 12689, and 2 CFR§200.212 and codified in 2 CFR
Part 180, Debarment and Suspension, the Applicant will provide protection against waste, fraud and
abuse by debarring or suspending those persons deemed irresponsible in their dealings with the
federal government. The Applicant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, 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 civil
judgment rendered against them for commission of fraud or a criminal offense in connection
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with obtaining, attempting to obtain, or performing a public(federal, state, or local)transaction
or contract under a public transaction; violation of federal or state antitrust statutes or
commission of embezzlement, theft, forgery, bribery, falsification or destruction of records,
making false statements, or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity
(federal, state, or local) with commission of any of the offenses enumerated in paragraph
(2)(b) of this certification; and
(d) Have not within a three-year period preceding this application had one or more public
transaction (federal, state, or local) terminated for cause or default.
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.
5. Non-Discrimination and Equal Employment Opportunity
The Applicant will comply with all federal statutes relating to non-discrimination. These include, but
are not limited to, the following:
(a) Title VI of the Civil Rights Act of 1964 (Public Law (P.L.) 88-352 and 42 U.S.C. §2000d et.
seq.) which prohibits discrimination on the basis of race, color or national origin and requires
that recipients of federal financial assistance take reasonable steps to provide meaningful
access to persons with limited English proficiency (LEP) to their programs and services;
(b) Title IX of the Education Amendments of 1972, (20 U.S.C. §§1681-1683, and 1685-1686),
which prohibits discrimination on the basis of sex in any federally funded educational program
or activity;
(c) Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. §794), which prohibits discrimination
against those with disabilities or access and functional needs;
(d) Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on the basis of
disability and requires buildings and structures be accessible to those with disabilities and
access and functional needs; (42 U.S.C. §§12101-12213.);
(e) Age Discrimination Act of 1975, (42 U.S.C. §§6101-6107), which prohibits discrimination on
the basis of age;
(f) Public Health Service Act of 1912 (42 U.S.C. §§290), relating to confidentiality of patient
records regarding substance abuse treatment;
(g) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §3601 et seq.), relating to nondiscrimination
in the sale, rental or financing of housing;
(h) EO 11246, which prohibits federal contractors and federally assisted construction contractors
and subcontractors, who do over $10,000 in Government business in one year from
discriminating in employment decisions on the basis of race, color, religion, sex, sexual
orientation, gender identification, or national origin;
(i) EO 11375, which bans discrimination on the basis of race, color, religion, sex, sexual
orientation, gender identification, or national origin in hiring and employment in both the United
States federal workforce and on the part of government contractors;
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(j) California Public Contract Code §10295.3, which prohibits discrimination based on domestic
partnerships and those in same sex marriages;
(k) Any other nondiscrimination provisions in the specific statute(s) under which application for
federal assistance is being made; and
(I) The requirements of any other nondiscrimination statute(s)which may apply to the application.
In addition to the items listed in (a) through (I), the Applicant will comply with California's Fair
Employment and Housing Act(FEHA). FEHA prohibits harassment and discrimination in employment
because of ancestry, race, color, religious creed (including religious dress and grooming practices),
sex(which includes pregnancy, childbirth, breastfeeding and medical conditions related to pregnancy,
childbirth, or breastfeeding), gender, gender identity, gender expression, sexual orientation, marital
status, national origin, ancestry, mental and physical disability, genetic information, medical condition,
age, pregnancy, denial of medical and family care leave, or pregnancy disability leave (California
Government Code sections§§12940, 12945, 12945.2), military and veteran status, and/or retaliation
for protesting illegal discrimination related to one of these categories, or for reporting patient abuse
in tax supported institutions.
6. Drug-Free Workplace
As required by the Drug-Free Workplace Act of 1988 (41 U.S.C. §701 et seq.), the Applicant certifies
that it will maintain a drug-free workplace and a drug-free awareness program as outlined in the Act.
7. Environmental Standards
The Applicant will comply with state and federal environmental standards, which may be prescribed
pursuant to the following, as applicable:
(a) California Environmental Quality Act (CEQA) (California Public Resources Code §§21000-
21177), to include coordination with the city or county planning agency;
(b) CEQA Guidelines (California Code of Regulations, Title 14, Division 6, Chapter 3, §§15000-
15387);
(c) Federal Clean Water Act (CWA) (33 U.S.C. §1251 et seq.), which establishes the basic
structure for regulating discharges of pollutants into the waters of the United States and
regulating quality standards for surface waters;
(d) Federal Clean Air Act of 1955 (42 U.S.C. §7401)which regulates air emissions from stationary
and mobile sources;
(e) Institution of environmental quality control measures under the National Environmental Policy
Act of 1969 (P.L. 91-190) and EO 12898 on the Environmental Justice Act, and EO 11514 on
Environmental Quality;
(f) Notification of Environmental Protection Agency (EPA) violating facilities pursuant to EO
11738;
(g) Protection of wetlands pursuant to EO 11990;
(h) Evaluation of flood hazards in floodplains in accordance with EO 11988;
(i) Assurance of project consistency with the approved State management program developed
under the Coastal Zone Management Act of 1972 (16 U.S.C. §1451 et seq.);
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2016 Grant Assurances
(j) Conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c)
of the Clean Air Act of 1955, as amended (42 U.S.C. §7401 et seq.);
(k) EO 11738 instituted to assure that each federal agency empowered to enter into contracts for
the procurement of goods, materials, or services and each federal agency empowered to
extend federal assistance by way of grant, loan, or contract shall undertake such procurement
and assistance activities in a manner that will result in effective enforcement of the Clean Air
Act and the Federal Water Pollution Control Act EO 11990 which requires preservation of
wetlands;
(I) The Safe Drinking Water Act of 1974, (P.L. 93-523);
(m)The Endangered Species Act of 1973, (P.L. 93-205);
(n) Wild and Scenic Rivers Act of 1968 (16 U.S.C. §1271 et seq.) related to protecting
components or potential components of the national wild and scenic rivers system.
The Applicant shall not be: 1) in violation of any order or resolution promulgated by the State Air
Resources Board or an air pollution district; 2)subject to a cease and desist order pursuant to§13301
of the California Water Code for violation of waste discharge requirements or discharge prohibitions;
or 3) determined to be in violation of federal law relating to air or water pollution.
8. Audits
For subrecipients expending $750,000 or more in federal grant funds annually, the Applicant will
cause to be performed the required financial and compliance audits in accordance with the Single
Audit Act Amendments of 1996 and Title 2 of the CFR, Part 200, Subpart F Audit Requirements.
9. Access to Records
In accordance with 2 CFR §200.336, the Applicant will give the awarding agency, the Comptroller
General of the United States and, if appropriate, the state, through any authorized representative,
access to and the right to examine all records, books, papers, or documents related to the award.
The Applicant will require any subrecipients, contractors, successors, transferees and assignees to
acknowledge and agree to comply with this provision.
10. Conflict of Interest
The Applicant will establish safeguards to prohibit employees from using their positions for a purpose
that constitutes or presents the appearance of personal or organizational conflict of interest, or
personal gain.
11. Financial Management
False Claims for Payment The Applicant will comply with 31 U.S.0 §3729 which sets forth that no
subgrantee, recipient or subrecipient shall submit a false claim for payment, reimbursement or
advance.
12. Reporting -Accountability
The Applicant agrees to comply with applicable provisions of the Federal Funding Accountability and
Transparency Act (FFATA) (P.L. 108-282), specifically (a) the reporting of subawards obligating
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$25,000 or more in federal funds and (b) executive compensation data for first-tier subawards. This
includes the provisions of FFATA, which includes requirements for executive compensation, and also
requirements implementing the Act for the non-Federal entity at 2 CFR Part 25 Financial Assistance
Use of Universal Identifier and Central Contractor Registration and 2 CFR Part 170 Reporting
Subaward and Executive Compensation Information.
13.Whistleblower Protections
The Applicant also must comply with statutory requirements for whistleblower protections at
10 U.S.C. §2409, 41 U.S.C. §4712, and 10 U.S.C. §2324, 41 U.S.C. §4304 and §4310.
14. Human Trafficking
The Applicant will comply with the requirements of Section 106(g)of the Trafficking Victims Protection
Act of 2000, as amended (22 U.S.C. §7104) which prohibits grant award recipients or a subrecipient
from: (1) engaging in trafficking in persons during the period of time that the award is in effect; (2)
procuring a commercial sex act during the period of time that the award is in effect; or(3) using forced
labor in the performance of the award or subawards under the award.
15. Labor Standards
The Applicant will comply with the following federal labor standards:
(a) Comply with the provisions of the Davis-Bacon Act (40 U.S.C. §§276a to 276a-7), as
applicable, and the Copeland Act (40 U.S.C. §3145 and 18 U.S.C. §874) and the Contract
Work Hours and Safety Standards Act (40 U.S.C. §§327-333), regarding labor standards for
federally-assisted construction contracts or subcontracts.
(b) Comply with the Federal Fair Labor Standards Act (29 U.S.C. §201 et al.) as they apply to
employees of institutes of higher learning (IHE), hospitals and other non-profit organizations.
16.Worker's Compensation
The Applicant must comply with provisions which require every employer to be insured to protect
workers who may be injured on the job before commencing performance of the work of this
Agreement, as per the workers compensation laws set forth in California Labor Code §§3700 et seq.
17. Property-Related
If applicable to the type of project funded by this federal award, the Applicant will:
(a) Comply with the requirements of Titles II and III of the Uniform Relocation Assistance and
Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and
equitable treatment of persons displaced or whose property is acquired as a result of Federal
or federally-assisted programs. These requirements apply to all interests in real property
acquired for project purposes regardless of Federal participation in purchase.
(b) Comply with flood insurance purchase requirements of Section 102(a) of the Flood Disaster
Protection Act of 1973 (P.L. 93-234) which requires subrecipients in a special flood hazard
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area to participate in the program and to purchase flood insurance if the total cost of insurable
construction and acquisition is $10,000 or more.
(c) Assist the awarding agency in assuring compliance with Section 106 of the National Historic
Preservation Act of 1966, as amended (16 U.S.C. §470), EO 11593 (identification and
protection of historic properties), and the Archaeological and Historic Preservation Act of 1974
(16 U.S.C. §469a-1 et seq.).
(d) Comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. §4831 and 24 CFR
Part 35) which prohibits the use of lead-based paint in construction or rehabilitation of
residence structures.
18. Certifications Applicable Only to Federally-Funded Construction Projects
For all construction projects, the Applicant will:
(a) Not dispose of, modify the use of, or change the terms of the real property title or other interest
in the site and facilities without permission and instructions from the awarding agency. Will
record the federal awarding agency directives and will include a covenant in the title of real
property acquired in whole or in part with federal assistance funds to assure nondiscrimination
during the useful life of the project.
(b) Comply with the requirements of the awarding agency with regard to the drafting, review and
approval of construction plans and specifications.
(c) Provide and maintain competent and adequate engineering supervision at the construction
site to ensure that the complete work conforms with the approved plans and specifications
and will furnish progressive reports and such other information as may be required by the
assistance awarding agency or State.
19. Use of Cellular Device While Driving is Prohibited
Applicants are required to comply with California Vehicle Code sections 23123 and 23123.5. These
laws prohibit driving a motor vehicle while using an electronic wireless communications device to
write, send, or read a text-based communication. Drivers are also prohibited from the use of a
wireless telephone without hands-free listening and talking, unless to make an emergency call to 911,
law enforcement, or similar services.
20. Freedom of Information Act
The Applicant acknowledges that all information submitted in the course of applying for funding under
this program, or provided in the course of an entity's grant management activities that are under
Federal control, is subject to the Freedom of Information Act(FOIA), 5 U.S.C. §552, and the California
Public Records Rights Act, California Government Code section 6250 et seq. The Applicant should
consider these laws and consult its own State and local laws and regulations regarding the release
of information when reporting sensitive matters in the grant application, needs assessment, and
strategic planning process.
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21. Reporting Accusations and Findings of Discrimination
If during the past three years the recipient has been accused of discrimination on any basis the
recipient must provide a list of all such proceedings, pending or completed, including outcome and
copies of settlement agreements to the DHS financial assistance office and the DHS Office of Civil
Rights and Civil Liberties (CRCL) by e-mail at crcl(a�hq.dhs.gov or by mail at U.S. Department of
Homeland Security Office for Civil Rights and Civil Liberties Building 410, Mail Stop #0190,
Washington, D.C. 20528.
In the event any court or administrative agency makes a finding of discrimination against the recipient
or the recipient settles a case or matter alleging such discrimination, recipients must forward a copy
of the compliant and findings to the DHS Component financial assistance office and the CRCL office
by e-mail or mail at the addresses listed above.
The United States has the right to seek judicial enforcement of these obligations.
22.Acknowledgement of Federal Funding from DHS
All recipients must acknowledge their use of federal funding when issuing statements, press releases,
requests for proposal, bid invitations, and other documents describing projects or programs funded
in whole or in part with federal funds.
23. Activities Conducted Abroad
All recipients must ensure that project activities carried on outside the United States are coordinated
as necessary with appropriate government authorities and that appropriate licenses, permits, or
approvals are obtained.
24. Best Practices for Collection and Use of Personally Identifiable Information
DHS defines personally identifiable information (PII) as any information that permits the identity of an
individual to be directly or indirectly inferred, including any information that is linked or linkable to that
individual. All recipients who collect PII are required to have a publicly-available privacy policy that
describes standards on the usage and maintenance of PII they collect. Award recipients may also
find as a useful resource the DHS Privacy Impact Assessments: Privacy Guidance and Privacy
template respectively.
25. Copyright
All recipients must affix the applicable copyright notices of 17 U.S.C. §§401 or 402 and an
acknowledgement of Government sponsorship (including award number) to any work first produced
under federal financial assistance awards.
26. Energy Policy and Conservation Act
All recipients must comply with the requirements of 42 U.S.C. §6201 which contain policies relating
to energy efficiency that are defined in the state energy conservation plan issued in compliance with
this Act.
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27. Federal Debt Status
All recipients are required to be non-delinquent in their repayment of any federal debt. Examples of
relevant debt include delinquent payroll and other taxes, audit disallowances, and benefit
overpayments. See OMB Circular A-129.
28. Fly America Act of 1974
All recipients must comply with Preference for U.S. Flag Air Carriers: (air carriers holding certificates
under 49 U.S.C. §41102) for international air transportation of people and property to the extent that
such service is available, in accordance with the International Air Transportation Fair Competitive
Practices Act of 1974 (49 U.S.C. §40118) and the interpretative guidelines issued by the Comptroller
General of the United States in the March 31, 1981, amendment to Comptroller General Decision B-
138942.
29. Hotel and Motel Fire Safety Act of 1990
In accordance with Section 6 of the Hotel and Motel Fire Safety Act of 1990, all recipients must ensure
that all conference, meeting, convention, or training space funded in whole or in part with federal
funds complies with the fire prevention and control guidelines of the Federal Fire Prevention and
Control Act of 1974, as amended, 15 U.S.C. §2225a.
30. Non-supplanting Requirements
All Applicants who receive awards made under programs that prohibit supplanting by law must ensure
that federal funds do not replace (supplant) funds that have been budgeted for the same purpose
through non-federal source.
31. Patents and Intellectual Property Rights
Unless otherwise provided by law, recipients are subject to the Bayh-Dole Act, Pub. L. No. 96-517,
as amended, and codified in 35 U.S.C. §200 et seq. All recipients are subject to the specific
requirements governing the development, reporting, and disposition of rights to inventions and
patents resulting from financial assistance awards located at 37 CFR Part 401 and the standard
patent rights clause located at 37 CFR §401.14.
32. SAFECOM
All Applicants who receive awards made under programs that provide emergency communication
equipment and its related activities must comply with the SAFECOM Guidance for Emergency
Communication Grants, including provisions on technical standards that ensure and enhance
interoperable communications.
33.Terrorist Financing
All Applicants must comply with EO 13224 and U.S. law that prohibit transactions with, and the
provisions of resources and support to, individuals and organizations associated with terrorism. It is
the legal responsibility of recipients to ensure compliance with the Order and laws.
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34. Reporting of Matters Related to Recipient Integrity and Performance
If the total value of the Applicant's currently active grants, cooperative agreements, and procurement
contracts from all federal assistance office exceeds $10,000,000 for any period of time during the
period of performance of this federal award, the Applicant must comply with the requirements set
forth in the government-wide Award Term and Condition for Recipient Integrity and Performance
Matters located at 2 CFR Part 200, Appendix XII, the full text of which is incorporated here by
reference in the terms and conditions of your award.
35. USA Patriot Act of 2001
All recipients must comply with the requirements of the Uniting and Strengthening America by
Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act (USA Patriot Act),
which amends 18 U.S.C. §§175-175c.
IMPORTANT
The purpose of the assurance is to obtain federal and state financial assistance, including any and all
federal and state grants, loans, reimbursement, contracts, etc. The Applicant recognizes and agrees that
state financial assistance will be extended based on the representations made in this assurance. This
assurance is binding on the Applicant, its successors, transferees, assignees, etc. Failure to comply with
any of the above assurances may result in suspension, termination, or reduction of grant funds.
All appropriate documentation, as outlined above, must be maintained on file by the Applicant and
available for the County of Los Angeles, Cal OES or public scrutiny upon request. Failure to comply with
these requirements may result in suspension of payments under the grant or termination of the grant or
both and the subrecipient may be ineligible for award of any future grants if the County of Los Angeles
or Cal OES determines that any of the following has occurred: (1) the recipient has made false
certification, or (2) violates the certification by failing to carry out the requirements as noted above.
All of the language_contained within this document must be included in the award documents for all
subawards at all tiers, including contracts under grants and cooperative agreements and subcontracts.
All recipients are bound by the Department of Homeland Security Standard Terms and Conditions 2016,
Version 6.0, herby incorporated by reference, which can be found at:
https://www.dhs.gov/sites/default/files/publications/Fiscal%20Year%202016%20DHS%20General%20T
erms%20and%20Conditions.pdf.
[Remainder of this page intentionally left blank]
Page 10 of 11
County of Los Angeles
2016 Grant Assurances
The undersigned represents that he/she is authorized by the above named Applicant to enter into this
agreement for and on behalf of the said Applicant. Applicant shall abide by all assurances and
requirements set forth herein.
Applicant Name: City of Arcadia
Signature of Authorized Agent:
Printed Name of Authorized Agent: Dominic Lazzaretto
Title: City N.z.ag.r Date: February 28, 2018
[Remainder of this page intentionally left blank]
Page 11 of 11
EXHIBIT E
EDMUND G.BROWN JR. MARK S.GHILARDUCCI
GOVERNOR r111111ftr DIRECTOR
Cal OLS
kirdry
GOVERNOR'S OFFICE RECEIVED SEP 2 3 2016
OF EMERGENCY SERVICES
September 16, 2016
Sachi Hamai
Interim Chief Executive Office
Los Angeles County CEOJCDAT
222 South Hill Street, 2nd Floor
Los Angeles, CA 90012
SUBJECT: NOTIFICATION OF SUBRECIPIENT AWARD APPROVAL
FY 2016 Homeland Security Grant Program
Grant#2016-0102, Cal OES ID#037-00000
Subrecipient Performance Period: September 1, 2016 to May 31,2019
Dear Ms. Hamai:
The California Governor's Office of Emergency Services(Cal OES)approved your FY16
Homeland Security Grant Program (HSGP)award in the amount of$10,415,280. Once your
completed application is received and approved, you may request reimbursement of eligible
grant expenditures using the Cal OES Financial Management Forms Workbook available at
www.caloes.ca.gov.
During the review process, a Cal OES Program Representative will examine and evaluate your
FY16 HSGP grant application. Throughout the grant cycle, Cal OES will use performance
milestones set in the Department of Homeland Security/FEMA Grants Reporting Tool as
indicators of performance and grant management capacity and this information may be used in
assessing future competitive grant applications. All activities funded with this award must be
completed within the subrecipient performance period.
You are required to comply with all applicable federal, state,and local environmental and
historic preservation(EHP)requirements. Additionally, Aviation/Watercraft requests,
Establish/Enhance Emergency Operations Center projects, projects requiring EHP review, and
sole source procurement requests and controlled equipment requests require additional approvals
from Cal OES. Subrecipients must obtain written approval for these activities prior to incurring
any costs, in order to be reimbursed for any related costs under this grant. Subrecipients are also
required to obtain a performance bond prior to the purchase of any equipment item over
$250,000, including any aviation or watercraft financed with homeland security dollars.
Performance bonds must be submitted to your Program Representative no later than the time of
reimbursement.
3650 SCHRIEVER AVENUE,MATHER,CA 95655
(916)845-8506 TELEPHONE,(916)845-8511 FAX
Sachi Hamai
September 16,2016
Page 2 of 2
Following acceptance of this award, you must enter your grant information into the Department
of Homeland Security/FEMA Grants Reporting Tool (GRT) for the Biannual Strategy
Implementation Report(BSIR)period. The GRT can be accessed online at
https:/'`www.reporting.odp.dhs.gov/. Your agency must prepare and submit the BSIR to Cal OES
via the GRT semi-annually for the duration of the grant performance period or until you
complete all activities and the grant is formally closed. Failure to submit required reports could
result in grant reduction, suspension, or termination.
This grant is subject to all provisions of 2 CFR Part 200, Subpart F —Audit Requirements. Any
funds received in excess of current needs, approved amounts, or those found owed as a result of
a final review or audit,must be refunded to the State within 30 days upon receipt of an invoice
from Cal OES.
Your dated signature is required on this letter. Please sign and return the original to your
Cal OES Program Representative within 20 days of receipt and keep a copy for your files.
For further assistance,please feel free to contact your Cal OES Program Representative or the
Homeland Security Grants Unit at(916) 845-8186.
Sincerely,
MARK S. GHILARDUCCI
Director
ett
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Sachi Hamas Date
Los Angeles County CEO'CDAT
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EXHIBIT F
Appendix C - Funding Guidelines
Recipients must comply with all the requirements in 2 C.F.R. Part 200 (Uniform Administrative
Requirements, Cost Principles, and Audit Requirements for Federal Awards).
In general, recipients should consult with their HQ Program Analyst prior to making any
investment that does not clearly meet the allowable expense criteria established by the NOFO.
Funding guidelines established within this section support the five mission areas—Prevention,
Protection, Mitigation, Response, and Recovery—and associated core capabilities within the
Goal.
Allowable investments made in support of the HSGP priorities as well as other capability-
enhancing projects must fall into the categories of planning, organization, exercises, training, or
equipment.
Continuity of Operations
FEMA is designated as the Department of Homeland Security's lead agency for managing the
nation's Continuity Program. To support this role, FEMA provides direction and guidance to
assist in developing capabilities for continuing the federal and state, local, tribal,territorial
government jurisdictions and private sector organizations' essential functions across a broad
spectrum of emergencies.
National Security Presidential Directive 51, National Security Presidential Directive 20, the
National Continuity Policy Implementation Plan (NCPIP), the Federal Continuity Directive
l(FCD 1), and Continuity Guidance Circular 1 (CGC 1), and CGC 2 outline the following
overarching continuity requirements for agencies and organizations and provide guidance,
methodology, and checklists. For additional information on continuity programs, guidance, and
directives, visit http://www.fema.gov/guidance-directives and http://www.fema.gov/continuity-
operations or contact the Regional Continuity Manager.
Planning(SHSP and UASI only)
SHSP and UASI funds may be used for a range of emergency preparedness and management
planning activities and such as those associated with the development, and review and revision
of the THIRA, SPR, continuity of operations plans and other planning activities that support the
Goal and placing an emphasis on updating and maintaining a current EOP that conforms to the
guidelines outlined in CPG 101 v 2.0.
Organization (SHSP and UASI Only)
Organizational activities include:
• Program management;
• Development of whole community partnerships, through groups such as Citizen Corp
Councils;
• Structures and mechanisms for information sharing between the public and private sector;
Page 54 of 86
Appendix C–Funding Guidelines
• Implementing models, programs, and workforce enhancement initiatives to address
ideologically-inspired radicalization to violence in the homeland;
• Tools, resources and activities that facilitate shared situational awareness between the
public and private sectors;
• Operational Support;
• Utilization of standardized resource management concepts such as typing, inventorying,
organizing, and tracking to facilitate the dispatch, deployment, and recovery of resources
before, during, and after an incident;
• Responding to an increase in the threat level under the National Terrorism Advisory
System(NTAS), or needs in resulting from a National Special Security Event; and
• Paying salaries and benefits for personnel to serve as qualified intelligence analysts.
States and Urban Areas must justify proposed expenditures of SHSP or UASI funds to support
organization activities within their IJ submission. All SAAs are allowed to utilize up to 50
percent (50%) of their SHSP funding and all Urban Areas are allowed up to 50 percent (50%) of
their UASI funding for personnel costs. At the request of a recipient of a grant, the FEMA
Administrator may grant a waiver of the 50 percent(50%) limitation noted above. Requests for
waivers to the personnel cap must be submitted by the authorized representative of the SAA (or
recipient agency) to GPD in writing on official letterhead, with the following information:
• Documentation explaining why the cap should be waived;
• Conditions under which the request is being submitted; and
• A budget and method of calculation of personnel costs both in percentages of the grant
award and in total dollar amount. To avoid supplanting issues, the request must also
include a three-year staffing history for the requesting entity.
Organizational activities under SHSP and UASI include:
• Intelligence analysts. Per the Personnel Reimbursement for Intelligence Cooperation
and Enhancement(PRICE) of Homeland Security Act(Pub. L. No. 110-412), SHSP and
UASI funds may be used to hire new staff and/or contractor positions to serve as
intelligence analysts to enable information/intelligence sharing capabilities, as well as
support existing intelligence analysts previously covered by SHSP or UASI funding. In
order to be hired as an intelligence analyst, staff and/or contractor personnel must meet at
least one of the following criteria:
- Successfully complete training to ensure baseline proficiency in intelligence
analysis and production within six months of being hired; and/or,
- Previously served as an intelligence analyst for a minimum of two years either in
a Federal intelligence agency, the military, or state and/or local law enforcement
intelligence unit.
As identified in the priority entitled,Maturation and Enhancement of State and Major Urban
Area Fusion Centers, all fusion center analytic personnel must demonstrate qualifications that
meet or exceed competencies identified in the Common Competencies for State, Local, and
Tribal Intelligence Analysts, which outlines the minimum categories of training needed for
intelligence analysts. A certificate of completion of such training must be on file with the SAA
Page 55 of 86
Appendix C-Funding Guidelines
and must be made available to the recipient's respective HQ Program Analyst upon request. In
addition to these training requirements, fusion centers should also continue to mature their
analytic capabilities by addressing gaps in analytic capability identified during the fusion
center's annual assessment.
• Overtime costs. Overtime costs are allowable for personnel to participate in information,
investigative, and intelligence sharing activities specifically related to homeland security
and specifically requested by a federal agency. Allowable costs are limited to overtime
associated with federally requested participation in eligible fusion activities, including anti-
terrorism task forces, Joint Terrorism Task Forces (JTTFs), Area Maritime Security
Committees (as required by the Maritime Transportation Security Act of 2002), DHS Border
Enforcement Security Task Forces, and Integrated Border Enforcement Teams. Grant
funding can only be used in proportion to the federal man-hour estimate, and only after
funding for these activities from other federal sources (i.e., FBI JTTF payments to state and
local agencies)has been exhausted. Under no circumstances should DHS/FEMA grant
funding be used to pay for costs already supported by funding from another federal source.
• Operational overtime costs. In support of efforts to enhance capabilities for detecting,
deterring, disrupting, and preventing acts of terrorism and other catastrophic events,
operational overtime costs are allowable for increased security measures at critical
infrastructure sites. SHSP or UASI funds for organizational costs may be used to support
select operational expenses associated with increased security measures at critical
infrastructure sites in the following authorized categories:
- Backfill and overtime expenses for staffing state or Major Urban Area fusion centers;
- Hiring of contracted security for critical infrastructure sites;
- Participation in Regional Resiliency Assessment Program activities;
- Public safety overtime;
- Title 32 or state Active Duty National Guard deployments to protect critical
infrastructure sites, including all resources that are part of the standard National
Guard deployment package (Note: Consumable costs, such as fuel expenses, are not
allowed except as part of the standard National Guard deployment package); and
- Increased border security activities in coordination with CBP.
SHSP or UASI funds may only be spent for operational overtime costs upon prior approval
provided in writing by the FEMA Administrator per the instructions in IB 379.
Note: States with UASI jurisdictions can use funds retained at the state level to reimburse
eligible operational overtime expenses incurred by the state (per the above guidance limitations
and up to a maximum of 50 percent (50%) of the state share of the UASI grant). Any UASI
funds retained by the state must be used in direct support of the Urban Area. States must
provide documentation to the UAWG and DHS/FEMA upon request demonstrating how any
UASI funds retained by the state would directly support the Urban Area.
Page 56 of 86
Appendix C-Funding Guidelines
Equipment(SHSP and UASI)
The 21 allowable prevention, protection, mitigation, response, and recovery equipment
categories and equipment standards for HSGP are listed on the Authorized Equipment List
(AEL). The AEL is available at http://www.fema.gov/authorized-equipment-list. Unless
otherwise stated, equipment must meet all mandatory regulatory and/or DHS/FEMA-adopted
standards to be eligible for purchase using these funds. In addition, agencies will be responsible
for obtaining and maintaining all necessary certifications and licenses for the requested
equipment.
Grant funds may be used for the procurement of medical countermeasures. Procurement of
medical countermeasures must be conducted in collaboration with state/city/local health
departments who administer Federal funds from HHS for this purpose and with existing MMRS
committees where available, in order to sustain their long term planning for appropriate, rapid,
and local medical countermeasures, including antibiotics and antidotes for nerve agents, cyanide,
and other toxins. Procurement must have a sound threat based justification with an aim to reduce
the consequences of mass casualty incidents during the first crucial hours of a response. Prior to
procuring pharmaceuticals,recipients must have in place an inventory management plan to avoid
large periodic variations in supplies due to coinciding purchase and expiration dates. Recipients
are encouraged to enter into rotational procurement agreements with vendors and distributors.
Purchases of pharmaceuticals must include a budget for the disposal of expired drugs within each
fiscal year's PoP for HSGP. The cost of disposal cannot be carried over to another DHS/FEMA
grant or grant period.
EMS electronic patient care data systems should comply with the most current data standard of
the National Emergency Medical Services Information System (www.NEMSIS.org).
Training (SHSP and UASI)
Allowable training-related costs under HSGP include the establishment, support, conduct, and
attendance of training specifically identified under the SHSP and UASI programs and/or in
conjunction with emergency preparedness training by other Federal agencies (e.g., HHS and
DOT). Training conducted using HSGP funds should address a performance gap identified
through a TEP or other assessments (e.g.,National Emergency Communications Plan NECP
Goal Assessments) and contribute to building a capability that will be evaluated through a formal
exercise. Any training or training gaps, including those for children, older adults, pregnant
women, and individuals with disabilities, individuals with limited English proficiency and others
who also have or access and functional needs, should be identified in a TEP and addressed in the
state or Urban Area training cycle. Recipients are encouraged to use existing training rather
than developing new courses. When developing new courses, recipients are encouraged to apply
the Analysis, Design, Development, Implementation and Evaluation model of instructional
design.
Exercises (SHSP and UASI)
Exercises conducted with grant funding should be managed and conducted consistent with
HSEEP. HSEEP guidance for exercise design, development, conduct, evaluation, and
improvement planning is located at https://www.fema.gov/exercise.
Page 57 of 86
Appendix C—Funding Guidelines
Maintenance and Sustainment(SHSP, UASI, and OPSG)
The use of DHS/FEMA preparedness grant funds for maintenance contracts, warranties, repair or
replacement costs, upgrades, and user fees are allowable, as described in FEMA Policy FP 205-
402-125-1 under all active and future grant awards, unless otherwise noted. With the exception
of maintenance plans purchased incidental to the original purchase of the equipment, the period
covered by maintenance or warranty plan must not exceed the PoP of the specific grant funds
used to purchase the plan or warranty.
Grant funds are intended to support the Goal by funding projects that build and sustain the core
capabilities necessary to prevent,protect against, mitigate the effects of, respond to, and recover
from those threats that pose the greatest risk to the security of the Nation. In order to provide
recipients the ability to meet this objective, the policy set forth in GPD's IB 379 (Guidance to
State Administrative Agencies to Expedite the Expenditure of Certain DHS/FEMA Grant
Funding) allows for the expansion of eligible maintenance and sustainment costs which must be
in 1) direct support of existing capabilities; (2)must be an otherwise allowable expenditure under
the applicable grant program; (3)be tied to one of the core capabilities in the five mission areas
contained within the Goal, and(4) shareable through the Emergency Management Assistance
Compact. Additionally, eligible costs must also be in support of equipment, training, and critical
resources that have previously been purchased with either federal grant or any other source of
funding other than DHS/FEMA preparedness grant program dollars.
Law Enforcement Terrorism Prevention Activities Allowable Costs (SHSP and UASI)
Activities eligible for use of LETPA focused funds are outlined in the National Prevention
Framework(and where capabilities are shared with the protection mission area, the National
Protection Framework) and include but are not limited to:
• Maturation and enhancement of designated state and major Urban Area fusion centers,
including information sharing and analysis, threat recognition, terrorist interdiction, and
training/hiring of intelligence analysts;
• Coordination between fusion centers and other analytical and investigative efforts
including, but not limited to Joint Terrorism Task Forces (JTTFs), Field Intelligence
Groups (FIGs), High Intensity Drug Trafficking Areas (HIDTAs),Regional Information
Sharing Systems (RISS) Centers, criminal intelligence units, and real-time crime analysis
centers;
• Implementation and maintenance of the Nationwide SAR Initiative, including training for
front line personnel on identifying and reporting suspicious activities;
• Implementation of the "If You See Something, Say SomethingTM" campaign to raise
public awareness of indicators of terrorism and terrorism-related crime and associated
efforts to increase the sharing of information with public and private sector partners,
including nonprofit organizations. Note: DHS/FEMA requires that the Office of Public
Affairs be given the opportunity to review and approve any public awareness materials
(e.g., videos,posters, tri-folds, etc.) developed using HSGP grant funds for the "If You
See Something, Say SomethingTM" campaign to ensure these materials are consistent
with the Department's messaging and strategy for the campaign and the initiative's
trademark;
• Training for countering violent extremism; development, implementation, and/or
expansion of programs to engage communities that may be targeted by violent extremist
Page 58 of 86
Appendix C—Funding Guidelines
radicalization; and the development and implementation of projects to partner with local
communities to prevent radicalization to violence, in accordance with the Strategic
Implementation Plan(SIP)to the National Strategy on Empowering Local Partners to
Prevent Violent Extremism in the United States;
• Increase physical security, through law enforcement personnel and other protective
measures by implementing preventive and protective measures at critical infrastructure
site or at-risk nonprofit organizations; and
• Building and sustaining preventive radiological and nuclear detection capabilities,
including those developed through the Securing the Cities initiative.
Controlled Equipment (SHSP, UASI, and OPSG)
Grant funds may be used for the purchase of Controlled Equipment, however,because of the
nature of the equipment and the potential impact on the community, there are additional and
specific requirements in order to acquire this equipment.
Refer to IB 407 Use of Grant Funds for Controlled Equipment for the complete Controlled
Equipment List, information regarding the Controlled Equipment Request Form, and a
description of the specific requirements for acquiring controlled equipment with DHS/FEMA
grant funds. For additional information on controlled equipment refer to Executive Order(EO)
13688 Federal Support for Local Law Enforcement Equipment Acquisition, and the
Recommendations Pursuant to Executive Order 13688.
Requirements for Small Unmanned Aircraft System (SHSP, UASI, and OPSG)
All requests to purchase Small Unmanned Aircraft System(SUAS) with FEMA grant funding
must also include the policies and procedures in place to safeguard individuals' privacy, civil
rights, and civil liberties of the jurisdiction that will purchase, take title to, or otherwise use the
SUAS equipment, see Presidential Memorandum: Promoting Economic Competitiveness While
Safeguarding Privacy, Civil Rights, and Civil Liberties, in Domestic Use of Unmanned Aircraft
Systems, issued February 20, 2015.
Critical Emergency Supplies (SHSP and UASI)
In order to further DHS/FEMA' mission, critical emergency supplies, such as shelf stable
products, water, and basic medical supplies are an allowable expense under SHSP and UASI.
Prior to the allocation of grant funds for stockpiling purposes, each state must have
DHS/FEMA's approval of a five-year viable inventory management plan which should include a
distribution strategy and related sustainment costs if planned grant expenditure is over$100,000.
If grant expenditures exceed the minimum threshold, the five-year inventory management plan
will be developed by the recipient and monitored by FEMA GPD with the assistance of the
FEMA Logistics Management Directorate (LMD). FEMA GPD will coordinate with LMD and
the respective FEMA Region to provide program oversight and technical assistance as it relates
to the purchase of critical emergency supplies under UASI. FEMA GPD and LMD will establish
guidelines and requirements for the purchase of these supplies under UASI and monitor
development and status of the state's inventory management plan.
States (through their Emergency Management Office) are strongly encouraged to consult with
their respective FEMA Regional Logistics Chief regarding disaster logistics-related issues.
Page 59 of 86
Appendix C—Funding Guidelines
States are further encouraged to share their DHS/FEMA approved plan with local jurisdictions
and Tribes.
Construction and Renovation (SHSP and UASI)
Project construction using SHSP and UASI funds may not exceed the greater of$1,000,000 or
15 percent (15%) of the grant award. For the purposes of the limitations on funding levels,
communications towers are not considered construction.
Written approval must be provided by DHS/FEMA prior to the use of any HSGP funds for
construction or renovation. When applying for construction funds, including communications
towers, at the time of application, recipients must submit evidence of approved zoning
ordinances, architectural plans, any other locally required planning permits, and a notice of
federal interest. Additionally, recipients are required to submit a SF-424C Budget and Budget
detail citing the project costs.
When applying for funds to construct communication towers, recipients and sub-recipients must
submit evidence that the FCC's Section 106 review process has been completed and submit all
documentation resulting from that review to GPD using the guidelines in EHP Supplement prior
to submitting materials for EHP review. Completed EHP review materials for construction and
communication tower projects must be submitted as soon as possible to get approved by the end
of the PoP. EHP review materials should be sent to gpdehpinfoAfema.gov.
HSGP Program recipients using funds for construction projects must comply with the Davis-
Bacon Act(40 U.S.C. § 3141 et seq.). Recipients must ensure that their contractors or
subcontractors for construction projects pay workers no less than the prevailing wages for
laborers and mechanics employed on projects of a character similar to the contract work in the
civil subdivision of the state in which the work is to be performed. Additional information
regarding compliance with the Davis-Bacon Act, including Department of Labor(DOL) wage
determinations, is available from the following website
http://www.dol.gov/whd/govcontracts/dbra.htm.
OPSG funds may not be used for any type of construction.
Personnel(SHSP and UASI)
Personnel hiring, overtime, and backfill expenses are permitted under this grant in order to
perform allowable HSGP planning, training, exercise, and equipment activities. Personnel may
include but are not limited to: training and exercise coordinators,program managers for activities
directly associated with SHSP and UASI funded activities, intelligence analysts, and statewide
interoperability coordinators (SWIC).
For further details, SAAs should refer to IB # 358,
http://www.fema.gov/pdf/government/grant/bulletins/info358.pdf, or contact their HQ Program
Analyst.
Page 60 of 86
Appendix C—Funding Guidelines
HSGP funds may not be used to support the hiring of any personnel for the purposes of fulfilling
traditional public health and safety duties or to supplant traditional public health and safety
positions and responsibilities.
The following are definitions as it relates to personnel costs:
• Hiring. State and local entities may use grant funding to cover the salary of newly hired
personnel who are exclusively undertaking allowable/DHSFEMA program activities as
specified in this guidance. This may not include new personnel who are hired to fulfill
any non-DHS/FEMA program activities under any circumstances. Hiring will always
result in a net increase of Full Time Equivalent(FTE) employees.
• Overtime. These expenses are limited to the additional costs which result from personnel
working over and above 40 hours of weekly work time as a direct result of their
performance of DHS/FEMA-approved activities specified in this guidance. Overtime
associated with any other activity is not eligible.
• Backfill-related Overtime. Also called"Overtime as Backfill," these expenses are limited
to overtime costs which result from personnel who are working overtime (as identified
above)to perform the duties of other personnel who are temporarily assigned to
DHS/FEMA-approved activities outside their core responsibilities. Neither overtime nor
backfill expenses are the result of an increase of FTE employees.
• Supplanting. Grant funds will be used to supplement existing funds, and will not replace
(supplant) funds that have been appropriated for the same purpose. Applicants or
recipients may be required to supply documentation certifying that a reduction in non-
federal resources occurred for reasons other than the receipt or expected receipt of federal
funds.
Operational Packages (OPacks) (SHSP and UASI)
Applicants may elect to pursue operational package (OPack) funding, such as Canine Teams,
Mobile Explosive Screening Teams, and Anti-Terrorism Teams, for new capabilities as well as
to sustain existing OPacks. Applicants must commit to minimum training standards to be set by
the Department for all federally-funded security positions. Applicants must also ensure that the
capabilities are able to be deployable, through EMAC, outside of their community to support
regional and national efforts. When requesting new OPacks-related projects, applicants must
demonstrate the need for developing a new capability at the expense of sustaining existing core
capability.
Western Hemispheric Travel Initiative (SHSP)
In addition to the expenditures outlined above, SHSP funds may be used to support the
implementation activities associated with the Western Hemisphere Travel Initiative (WHTI),
including the issuance of WHTI-compliant tribal identification cards. More information on the
WHTI may be found at http://www.dhs.gov/files/programs/gc 1200693579776.shtm or
http://www.getyouhome.gov/html/eng map.html.
Other Secure Identification Initiatives (SHSP)
SHSP funds may also be used to support the Department's additional efforts to enhance secure
identification, including driver's license and identification security enhancements. Activities that
facilitate secure identification, including IT enhancements for identification management and
Page 61 of 86
Appendix C—Funding Guidelines
verification systems are a priority. DHS/FEMA is currently developing and implementing a
number of screening programs in which secure identification credentials figure prominently.
These include the Transportation Worker Identification Credential (TWIC)program which
promotes tamper-resistant biometric credentials for workers who require unescorted access to
secure areas of ports, vessels, outer continental shelf facilities, and all credentialed merchant
mariners; and the credentialing of first responders which entails enhancing real-time electronic
authentication of identity and attribute(s) (qualification, certification, authorization, and/or
privilege) of emergency response/critical government personnel responding to terrorist attacks or
other catastrophic events.
States may continue implementing activities previously funded through the Driver's License
Security Grant Program(DLSGP)that focus on securing driver's license and identification card
issuance processes. Initiatives related to securing identification should:
• Have the greatest impact upon reducing the issuance and use of fraudulent driver's
license and identification cards;
• Reduce the cost of program implementation for individuals, states, and the Federal
Government;
• Driver's license identification material requirements;
• Expedite state progress toward meeting minimum security standards; and
• Plan and expedite state-specific activities to support federal data and document
verification requirements and standards.
Operations (OPSG)
The intent of OPSG is to focus on operational aspects of enhancing coordination between
federal, state, local, tribal, and territorial law enforcement agencies to increase the security of the
United States Borders.
• Operational Overtime. OPSG funds should be used for operational overtime costs
associated with law enforcement activities, in support of border law enforcement agencies
for increased border security enhancement. At the request of a recipient, the FEMA
Administrator may waive the 50 percent(50%)personnel cap. Waiver decisions are at the
discretion of the FEMA Administrator and will be considered on a case-by-case basis. A
formal OPSG personnel waiver request should:
- Be requested on official letterhead, include a written justification, and be signed
by the local jurisdiction;
- Include a budget and method of calculation of personnel costs both in percentage
of the grant award and in total dollar amount;
- Include an approved Operations Order from the USBP Sector office which
supports the local jurisdiction's written justification; and
- Be coordinated with the USBP Sector, SAA, and OBP.
• Part Time Personnel. OPSG funds may be used to pay additional current part time law
enforcement personnel salaries in order to bring them to temporary full time status.
• Travel, Per Diem, and Lodging. Travel and per diem include costs associated with the
deployment/redeployment of personnel to border areas and for travel associated with law
enforcement entities assisting other local jurisdictions in law enforcement activities. In
addition, costs to support up to six month deployment of law enforcement personnel to
Page 62 of 86
Appendix C-Funding Guidelines
critical Southwest Border locations to support operational activities (travel costs must be
in accordance with applicable travel regulations).
• Vehicle and Equipment Rentals.
• Vehicle/Equipment Maintenance.
• Fuel Cost and/or Mileage Reimbursement. There is no cap for reimbursement of
operational activities.
•Activate Reserve State, Local, Tribal, and Territorial Law Enforcement Personnel.
Supporting a request to the Governor to activate, deploy, or redeploy specialized National
Guard Units/Package and/or elements of state law enforcement to increase or augment
specialized/technical law enforcement elements operational activities.
• Backfill. Costs associated with backfill for personnel supporting operational activities.
• Law Enforcement Readiness. Use of OPSG funds may be used to increase operational,
material, and technological readiness of state, local, tribal, and territorial law enforcement
agencies.
Unallowable Costs (OPSG)
OPSG unallowable costs include costs associated with staffing and general IT computing
equipment and hardware, such as personal computers, faxes, copy machines, modems, etc.
OPSG is not intended as a hiring program. Therefore, applying funds toward hiring full-time or
permanent sworn public safety officers is unallowable. OPSG funding shall not be used to
supplant inherent routine patrols and law enforcement operations or activities not directly related
to providing enhanced coordination between local and federal law enforcement agencies.
Finally, construction and/or renovation costs are prohibited under OPSG. Applicants should
refer to IB 358 or contact their HQ Program Analyst at(800) 368-6498 for guidance and
clarification.
Due to the nature of OPSG, training and exercise expenses are not allowable costs under OPSG.
Unallowable Costs (SHSP, UASI and OPSG)
Per FEMA policy, the purchase of weapons and weapons accessories is not allowed with HSGP
funds.
Prohibited Equipment(SHSP, UASI and OPSG)
Grant funds may not be used for the purchase of Prohibited Equipment. Refer to IB 407 Use of
Grant Funds for Controlled Equipment for the complete Prohibited Equipment List. For
additional information on Prohibited Equipment see Executive Order (EO) 13688 Federal
Support for Local Law Enforcement Equipment Acquisition, and the Recommendations Pursuant
to Executive Order 13688.
Additional Planning Information
FEMA's National Preparedness Directorate (NPD) offers technical assistance (TA) that is
designed to provide recipients and sub-recipients with specialized expertise to improve their
emergency plans and planning. TA deliveries are designed specifically to improve and enhance
the continuing development of state and local emergency management across the five mission
areas of the Goal and across all core capabilities. TA provides the opportunity to engage
emergency managers, emergency planners, and appropriate decision-makers in open discussion
Page 63 of 86
Appendix C—Funding Guidelines
of options to improve plans and planning in light of their jurisdiction's needs. There is no cost to
approved jurisdictions for DHS/FEMA TA.
TA deliveries combine current emergency management best practices with practical
consideration of emerging trends, through discussion facilitated by DHS/FEMA contract
specialists and with the support of FEMA Region operational specialists. While the invitation of
participants is up to the requesting jurisdiction, DHS/FEMA encourages requesting jurisdictions
to include the broadest practical range of its emergency managers and planners in all TA
deliveries. TA deliveries should be made open to neighboring jurisdictions. As necessary,
DHS/FEMA may also invite other Federal experts and practitioners to participate. Additionally,
peer-to-peer representation may also be included from other jurisdictions that have recently used
TA for the same planning issue.
The TA catalog, showing the full range of TA available across all five mission areas and by all
providers, and the TA request form can be accessed at http://www.fema.gov/national-incident-
management-system/fema-technical-assistance-division.
Additional Training Information
Per DHS/FEMA Grant Programs Directorate Policy FP 207-008-064-1,Review and Approval
Requirements for Training Courses Funded Through Preparedness Grants, issued on September
9, 2013, states, territories, tribal entities and urban areas are no longer required to request
approval from FEMA for personnel to attend non-DHS FEMA training as long as the training is
coordinated with and approved by the state, territory, tribal or Urban Area Training Point of
Contact(TPOC) and falls within the FEMA mission scope and the jurisdiction's Emergency
Operations Plan(EOP). The only exception to this policy is for Countering Violent Extremism
courses.
DHS/FEMA will conduct periodic reviews of all state, territory, and Urban Area training funded
by DHS/FEMA. These reviews may include requests for all course materials and physical
observation of, or participation in, the funded training. If these reviews determine that courses
are outside the scope of this guidance, recipients will be asked to repay grant funds expended in
support of those efforts.
For further information on developing courses using the instructional design methodology and
tools that can facilitate the process, SAAs and TPOCs are encouraged to review the NTED
Responder Training Development Center(RTDC) website.
DHS/FEMA Provided Training. These trainings include programs or courses developed for and
delivered by institutions and organizations funded by DHS/FEMA. This includes the Center for
Domestic Preparedness (CDP), the Emergency Management Institute (EMI), and the National
Training and Education Division's (NTED)training partner programs including, the Continuing
Training Grants,the National Domestic Preparedness Consortium(NDPC) and the Rural
Domestic Preparedness Consortium(RDPC).
Approved State and Federal Sponsored Course Catalogue. This catalogue lists state and federal
sponsored courses that fall within the DHS/FEMA mission scope, and have been approved
Page 64 of 86
Appendix C—Funding Guidelines
through the FEMA course review and approval process. An updated version of this catalog can
be accessed at http://www.firstrespondertraining.gov.
Training Not Provided by DHS/FEMA. These trainings includes courses that are either state
sponsored or federal sponsored(non-DHS/FEMA), coordinated and approved by the SAA or
their designated TPOC, and fall within the DHS/FEMA mission scope to prepare state, local,
tribal, and territorial personnel to prevent, protect against, mitigate, respond to, and recover from
acts of terrorism or catastrophic events.
• State Sponsored Courses. These courses are developed for and/or delivered by
institutions or organizations other than federal entities or DHS/FEMA and are sponsored
by the SAA or their designated TPOC.
• Joint Training and Exercises with the Public and Private Sectors. These courses are
sponsored and coordinated by private sector entities to enhance public-private
partnerships for training personnel to prevent, protect against, mitigate, respond to, and
recover from acts of terrorism or catastrophic events. Overtime pay for first responders
and emergency managers who participate in public-private training and exercises is
allowable. In addition, states, territories, Tribes, and Urban Areas are encouraged to
incorporate the private sector in government-sponsored training and exercises.
Additional information on both DHS/FEMA provided training and other Federal and state
training can be found at http://www.firstrespondertraining.gov.
Training Information Reporting System ("Web-Forms"). Web-Forms are an electronic
form/data management system built to assist the SAA and its designated state, territory and
Tribal Training Point of Contact (TPOC). Reporting training activities through Web-Forms is
not required under FY 2016 HSGP; however, the system remains available and can be accessed
through the DHS/FEMA Toolkit located at http://www.firstrespondertraining.gov/admin in order
to support recipients in their own tracking of training.
Additional Exercise Information
Recipients that use HSGP funds to conduct an exercise(s) are encouraged to complete a
progressive exercise series. Exercises conducted by states and Urban Areas may be used to
fulfill similar exercise requirements required by other grant programs. Recipients are
encouraged to invite representatives/planners involved with other Federally-mandated or private
exercise activities. States and Urban Areas are encouraged to share, at a minimum, the multi-
year training and exercise schedule with those departments, agencies, and organizations included
in the plan.
• Exercise Scenarios. The scenarios used in HSGP-funded exercises must be based on the
state/Urban Area's THIRA and SPR. The scenarios used in HSGP-funded exercises must
focus on validating capabilities, must be large enough in scope and size to exercise
multiple activities and warrant involvement from multiple jurisdictions and disciplines
and non-governmental organizations, and take into account the needs and requirements
for individuals with disabilities, individuals with limited English proficiency and others
with access and functional needs. Exercise scenarios should align with priorities and
capabilities identified in the Multi-year TEP.
Page 65 of 86
Appendix C—Funding Guidelines
• Special Event Planning. If a state or Urban Area will be hosting a special event(e.g.,
Super Bowl, G-8 Summit), the special event planning should be considered as a training
or exercise activity for the purpose of the Multi-year TEP. The state or Urban Area
should plan to use SHSP or UASI funding to finance training and exercise activities in
preparation for those events. States and Urban Areas should also consider exercises at
major venues (e.g., arenas, convention centers)that focus on evacuations,
communications, and command and control.
• Regional Exercises. States should also anticipate participating in at least one Regional
Exercise annually. States must include all confirmed or planned special events in the
Multi-year TEP.
• Role of Non-Governmental Entities in Exercises. Non-governmental participation in all
levels of exercises is strongly encouraged. Leaders from non-governmental entities
should be included in the planning, design, and evaluation of an exercise. State, local,
tribal, and territorial jurisdictions are encouraged to develop exercises that test the
integration and use of non-governmental resources provided by non-governmental
entities, defined as the private sector and private non-profit, faith-based, community
organizations. Participation in exercises should be coordinated with the local Citizen
Corps Whole Community Council(s) or their equivalent and other partner agencies.
Unauthorized Exercise Costs
Unauthorized exercise-related costs include:
• Reimbursement for the maintenance and/or wear and tear costs of general use vehicles
(e.g., construction vehicles), medical supplies, and emergency response apparatus (e.g.,
fire trucks, ambulances).
• Equipment that is purchased for permanent installation and/or use, beyond the scope of
the conclusion of the exercise (e.g., electronic messaging signs).
Page 66 of 86
Appendix C—Funding Guidelines
•
LOS ANGELES COUNTY/DEPARTMENT OF AUDITOR-CONTROLLER EXHIBIT G
FA
''' SHARED SERVICES DIVISION
'C,, .IMP
GRANT PAYMENT REQUEST
Please submit legible supporting documents,files and completed request form at:
1.Grant Name&Year:
Grants aaauditor.lacountv.gov
In the event e-mail is not available,you can mail your Grant payment request to(please do not fax or send duplicates):
Department of Auditor-Controller
Shared Services Division/Attn:Grants Unit 20
3470 Wilshire Blvd.,Suite 812
Los Angeles,CA 90010
1.Sub-recipient's Name:(reimbursement check will be made payable to the name enter here) 3.Taxpayer ID#: 4.Contact's Name:
2.Mailing Address(please let us know where you want your check delivered,including attention line if necessary): 4.Contact's phone:
4.Contact's e-mail:
1.SOLUTION AREA 2.ITEM# 3. 4.EHP required? 5.VENDOR'S INVOICE# 6.PURCHASE METHOD 7.CLAIM
(e.g.equipment,training, (e.g.17.020) PROJECT (Environmental&Historic Preservation) If services,supplies or equipment *If the purchase price is$1$OK or more for a Non- AMOUNT
planning,exercise) ALPHA were purchased, please attach Competitive Bid or a Sole Source,please attach (indicate the
(e.g.D) invoices (maximum of 5)and State's prior Approval. amount per each
No Yes(attach indicate purchase method by Competitive line)
prior State completing numeral 6. Bid?(How Non-Competitive Sole Source
Approval) many?) Bid
•I I I I
1 I
- - - r — • — i r- — - — — — 4 -a -- —
8.TOTAL $
SECTION E: FOR SSD USE ONLY
I certify that(please use the checkbox):
1.I am the duly authorized officer of the claimant herein and this claim is in all respect true and correct. AR
expenditures were made in accordance with applicable laws,rules,regulations and grant conditions and STAMP WITH RECEIVED DATE HERE:
assurances.
2.All instructions for this form were followed and all the supporting documentation(per instructions)is included
with this claim.
3.
AUTHORIZED SIGNATURE DATE
4.
AUTHORIZED PRINTED NAME AUTHORIZED TITLE
5. AUTHORIZED CONTACT INFORMATION(If different from Section B): ASSIGNED INVOICE NO.:
PHONE#
E-MAIL:
NOTE:This Form is intended for Internal SSD review purpose only.
Revised on 11/20/2017
DEPARTMENT OF AUDITOR-CONTROLLER/SHARED SERVICES DIVISION
Purpose of these instructions:
To assist sub-recipients in completing the Grant Payment Request. We appreciate your participation in this program,for questions or
suggestions please use our e-mail below to contact us. Please do not send these instructions to us,they are to be used for your
guidance only.
In numeral 1 of this section,please enter the name and year of the grant program that you are submitting for payment. In addition,please help us
expedite the process of your Homeland Security claims by:
• Completing the Grant payment request correctly and according to these instructions.
• Submitting your Grant payment request using our e-mail—>Grants@auditor.lacounty.gov(please do not fax documents).
• Sending your Grant payment request only once(we do not require original documents and duplicates will slow down our process).
• Using the checkboxes to ensure all the required supporting documents and files accompany your Grant payment request. Supporting documents
are flagged for your convenience with a checkbox within the corresponding areas.
• Ensuring that all documents attached to your Grant payment requests are legible.
• Submitting Grant payment request timely. We do not guarantee the process of Grant payment requests that are submitted late or too close to the
final due date. Reimbursable expenditures need to be charged within the performance period of the grant and submitted to us as soon as they are
incurred.
The following numerals provide the instructions to fill in the corresponding numeral in the form:
1. Please enter the name of the agency requesting for payment. The name of the agency should be typed according to its signed agreement and as
you need it to appear in the payee line of the reimbursement check.
2. Please enter the complete address(street number and name,city,zip code)and attention line where you will need to receive the reimbursement
check. Please note that this is not necessary for L.A.County departments.
3' Please enter the tax ID of the governmental entity requesting payment. Please leave blank for L.A.County departments.
4. Please enter the information of the person that can assist us with detail claim questions.
In order to expedite your Grant payment request, in this area's grid,include a maximum of five(5)invoices or reimbursements charges(one charge
or one invoice per line). The invoices or charges need to share the same solution area,project alpha and item#. In addition,invoices from one fiscal
year should be claimed separate from invoices of another fiscal year. For example:an invoice dated June 2015(FY 14/15)should not be combined with
an invoice dated October 2015(FY 15/16)in the same claim request.
The following numerals provide the instructions to fill in the corresponding numeral in the form:
1. Enter the solution area corresponding to the claim. This information is found in the latest budget of the grant. Examples of solution areas are:
equipment,training,planning or exercise.
2. Enter the item#corresponding to the claim. This information is found in the latest budget of the grant. An example of Item#is 17.020.
3. Enter the project alpha corresponding to the claim. This information is found in the latest budget of the grant. An example of project alpha is D.
4. Check with an X under either yes or no according to the claim's Environmental&Historical Preservation(EHP) requirements from the State. EHP
approval needs to be obtained from the State prior to the start of the project on certain equipment items(see AEL description)or training/exercise
projects. Please attach the following:
a) 111 State EHP Approval:if required by the state for your claim.
5. If the expenditures that you are claiming were purchased thru a vendor or contractor,please enter the invoice#in the grid area. Please note that
you are responsible for following acceptable purchasing policies and for documenting your procurement process. Additionally please include the
following documentation with your claim:
a) n Copy of the invoice: Please attach an invoice that provides sufficient information to be used as a cross reference with the items
described in your grant line item and AEL#. When the invoice includes items that are not being claimed or that belong to different claims
or grants,please circle and designate on the invoice the items that you are requesting for reimbursement. Each item circled must have a
project#,a funding source,and a total. Purchase orders and price quotes will not be accepted in the place of the invoice.
b) n Copy of the purchase order
c) n Print out of the corresponding AEL#(Authorized Equipment List number). The AEL listing can be found at:
https://www.ricb.us/fema_grants.cfm
d) n Proof of payment of the invoice: The proof of payment for L.A.County Departments is the printout from e-CAPS showing that the check
cleared the bank.The proof of payment for other than L.A.County Department is the corresponding copy of the bank's cleared check.
e) n Calculations for use tax paid: When use tax is paid,clearly show the calculations of the use tax in the invoice included in your claim.
f) n Proof of payment of the use tax: Please provide official documents which authenticate the remittance of the use tax to the state,the
amount and the reference to the invoice being claimed.
g) n Federal Debarment Listing: Please provide a screen print out of the queried Federal Debarment Listing at
http://www.sam.qov/portal/public/SAM. (you will need a username and a password; if you don't please create an account). The listing
needs to be queried prior to the selection of the vendor.
6. If you are claiming services,supplies or any other type of items purchased thru a vendor or contractor,please indicate with an X the method that you
used to acquire the items(do not leave blank or mark more than one). Please note that competitive bid, non-competitive bid or sole source are the
only valid purchasing methods.
a) n Competitive Bid: for projects that received more than one bid. Please indicate number of bids received(must be more than one).
b) n Non-Competitive Bid: for single bid purchases of$150,000 or more to a single vendor or a single project,please attach the approval
from the State. The approval needs to be requested from the State prior to the start of the project.
c) n Sole Source: for non-bid purchases of$150,000 or more to a single vendor or a single project,please attach the approval from the State.
The approval needs to be requested from the State prior to the start of the project.
7. Enter the amount of your claim after you verify that your budget is sufficient to cover your request. When the amount of the budget is not sufficient,
please let your Program Coordinator know of the possible need for budget modification.
8. Enter the"Total Amount"by adding the subtotal claims included in each line.
The following numerals provide the instructions to fill in the corresponding numeral in the form:
1. Please read and check the box provided if you are an authorized signor.
2. Please read and check the box provided if you are an authorized signor.
3. Please sign the Grant payment request if you are an authorized signor of your agency.
4& When the authorized person is the same as the contact person in Section B you do not need to enter the authorized contact information. If the
5. authorized person and the contact person in Section B are different,please enter all the fields in this area as requested.
For Equipment Claims:
a) Equipment Inventory Listing(Print out&Excel File): Please include both the printout of the listing and the corresponding excel file with
your claim. The excel file is used to submit your claim with the state and the printout as backup document for audits. If there is no serial#
for your equipment please assign a valid ID tag,or write"Consumable"(if it applies)or write N/A. please do NOT leave the corresponding
space blank. 1Please refer to the Instructions to Equip Into Tab for completion procedures of Equipment Inventory.
Additionally,please enter the appropriate CBRNE Mission(Chemical, Biological, Radiological, Nuclear,or Explosive)in the column titled
"Equipment Description&Quantity". This only applies to vehicles with AEL#12VE-00-MISS(Vehicle Specialized Mission:CBRNE).
You need to inform us of any changes on the items above*1. This applies to each piece of equipment added in the Inventory
Listing,including when the items are disposed and/or no longer useful. We will update the master inventory listing(per grant
requirement)according to the information you give us. Please make sure that you include all the attachments that are necessary
to provide us with the requested information.
For Training Claims:
a) 0 State-Sponsored Training Reporting Form(with the tracking request#): Please add this form along with the Training Request Form
Training Officer(POC), which you completed at the website,to the claim's backup documentation. All the backup documentation
submitted for the training claim needs to agree with the training period and the detail description on the Training Reporting Form and the
line item of the Grant. Training request#'s must be obtained from the State prior to the start of the project.
b) ❑ Receipts and paid invoices:please include the complete copy of the receipts and paid invoices with your claim for itemized costs such
as air plane tickets,hotel stays,instructor's fees,workshop cost,facilities fees,consulting services,etc. Additionally,you will need to
include the documents requested in numeral 5 under Section C.
If you are including personnel cost with your training claim,please add the following:
c) ❑ Personnel List(Print out&Excel File): Please include both the printout of the listing and the corresponding excel file with your claim.
The excel file is used to submit your claim with the state and the printout as backup document for audits.
d) n Documents that certify completion of the training:please attach supporting documents that show the class name,dates of training,#
of hours of the training class,printed name and signature of individual taking the class and approval signature from supervisor or trainer
(attach the information for backfilled positions also). Examples of documents that certify completion of training are:
• Attendance sheets (signed by employee and instructor)
• Sign in sheets (same as above) • Signed training certificates
e) ❑ Summary Listing of Charges: Please use the Training Summary Sheet form provided in this claim packet that clearly shows the
breakdown of the training charges per employee and that match the total claimed. This form includes the following:employee name,
assignment, job title,date,salary, hours claimed,regular rate,overtime rate,employee benefits rate,claim amount per employee,clear
calculations of amount claimed per employee and total(equal to the amount claimed).
Please ensure that the Training Summary Sheet is verified/approved by an authorized signatory,with printed name and title,and
dated.
f) ❑ Backup for the Benefits Rate: If you are adding benefits to your claim,please make sure that you include the official calculation for the
rate used.
g) n Timecards: Include a printout of the corresponding timecards. Manual timecards need to indicate the#of hours charged per day to the
grant,supervisor's signature,employee name and signature. Automatic system generated timecards need to be approved and include the
name of the employee and hours charged per day to the grant.
h) ❑ Explanation of timekeeping codes:When the supporting documentation(timesheet,payroll register,etc.)includes timekeeping codes
please provide a printout with the explanation of the usage as detailed as possible.
i) n Payroll register: The payroll register needs to clearly support and explain the amount claimed per employee. It also needs to show the
salary,hourly rate,employee benefits and overtime rate.
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whose duties were covered and the dates accordingly. Please make sure that the roster is signed and that you include documentation
corresponding to the employee covered by the backfilling position.
For Planning Claims:
a) n Deliverable(or final product): Please include with your claim the final product of the planning activity(deliverable)that was identified in
the grant award.
b) n
Signed Certificate of Completion:The certificate of completion can be an e-mail confirming that the planning activity was completed.
c) n Invoices: If your planning claim includes charges invoiced by vendors,please see requirements and documents you need to attach to your
claim form under Section C(numeral 5 and numeral 6).
d) n Supporting Documentation for Personnel Cost: When your planning claim includes personnel cost, please see d)to i)under Training
Claim(supporting documents needed)and add to the documentation.
For Exercise Claims:
a) El Proof of State Approval of After Action Report(AAR): In order for your AAR to be approved you have to submit it to the State using the
ODP Portal(see link below),within 90 days after completion of the exercise. You need to notify the State when the AAR is uploaded so
they can proceed with the approval process.
https://hseep.dhs.gov/DHS_SSO/
b) Invoices: If your exercise claim includes charges invoiced by vendors please see requirements and documents you need to attach to your
claim form under Section C(numeral 5 and numeral 6).
c) n Supporting Documentation for Personnel Cost: When your exercise claim includes personnel cost,please see d)to i)under Training
Claim(supporting documents needed)and add to the documentation.
For Organization Claims: Please see above b)and c)under Exercise Claims
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Equipment Inventory Listing
Procedures for Completion
OBJECTIVE: To provide an equipment inventory listing that links the State
Homeland Security Workbook,to the Equipment Ledger and to the
Equipment Listing to simplify the tracking and accountability; and to
eliminate duplication and confusion.
Field Date Element Procedure
(1) Grant Name SHSP or EMPG
(2) Sub-Recipient Name of your agency
(3) Date of Report Date report completed{1}
(4) Grant Year Grant Year of funds used to purchase equipment
(5) Project Line Project Line(from Grant Workbook)
(6) Project Alpha Project Alpha character(from Grant Workbook)
(7) AEL No. Authorized Equip Listing No(from Grant Workbook)
(8) Description Description of the equipment
(9) Serial#or Other ID# Serial#or Other identification#used
(10) Safecom consult Fill out either by Yes, No, or N/A
(11) Source of Property Funding source, i.e, SHSP, EMPG,etc.
(12) Title Holder Name of agency(City/Department)
(13) Vendor Name Name of the vendor
(14) Invoice Number Invoice number
(15) Acquisition Date Date equipment acquired
(16) Acquisition Cost Cost of the individual equipment item
(17) %of Fed Part Fed participation in the cost of equipment
(18) Location Location of equipment
(19) Use&Condition Use&condition{2}
(20) Disposition data Date of disposition
(21) Sale Price Sale price, If applicable, or N/A for not applicable
The Equipment Inventory Listingmust be completed in its entirety to meet the objective
of the form.
Note{1}: This date should be the date the physical inventory of equipment was
taken and the results reconciled with the equipment records(at least
once every two years).
{2} Indicate: N=New, D= Deployed, 0=Out of Service, L=Lost&S=Stolen
Distribution
Copy maintained in sub-recipient file
Copy forwarded to Shared Services Division
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8.Notes on Personnel Cost:
In general, costs associated with:
❑ Work performed under contract for a specific deliverable DOES NOT count against the
personnel cap, however,
❑ Work performed under contract for an undefined period, such as for personnel costs
supporting operational activities, including general planning, training or exercise
activities DO count against the personnel cap; and
❑ Work performed by all non-contractor personnel, including for full-or part-time staff and
operational overtime DO count against the personnel cap.
The following examples would not count towards the personnel cap:
❑ Vendor installation of a radio tower;
❑ Vendor training on new equipment purchased;
❑ Contractor hired to create an Emergency Operations Plan;
❑ Contractor hired to provide deliveries of ICS 400; and
❑ Contractor hired to assist with planning, training, evaluating, and reporting the
effectiveness of a specific exercise.
The following examples would count towards the personnel cap:
❑ Contractor hired to be the State's WMD training instructor with no specific deliverables
under contract;
❑ Contractor hired to facilitate unidentified number of exercises throughout the
performance period;
❑ Contractor hired to be the part-time auditor of Homeland Security Grants throughout the year; and
❑ Contractor hired to be an intelligence analyst.