MANAGEMENT AND ADMIN. (Up to 5%) $0.00 $0.00 $0.00 TOTAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Please report EM activities, meetings, training, exercises, or other necessary information to support quarterly progression. QUARTER: July 1 - Sept. 30 Emergency Management Personnel EM Funded Staff Name & Position Title DELIVERABLES/TASK REQUIREMENTS ENTER DATE COMPLETED COMMENTS Use for explanation that supports Training & Exercise progression. QTR 1 QTR 2 QTR 3 QTR 4 T2: Submit a copy of the current and accurate County Emergency Management Local Budget (General Revenue) including the budget approval date (Q2, any updates Q3-Q4) T2: Submit a copy of the local EM general revenue expenditure (general ledger) report (Q2, any updates Q3-Q4) T3: Response Capabilities- Completean inventory of portable generators owned by the local governments which are capable of operating during a major disaster on the WEBEOC Equipment Inventory board no later than March 31, 2023. (Q3, any updates Q4) DATE: 53 RECIPIENT: INCURRED DATE RANGE: Example: July 1 through November 5, 2022 Please use separate Division Form 2A-Detail of Claims per allocation category. Please add additional pages or lines as needed for each allocation category. Please provide FEMA AEL numbers for EQUIPMENT expenditures only. Please provide a budget revision along with this form, if expenses being claimed are not allocated on the most recently approved budget. Please include the Costs Incurred Date Range in the applicable cell above. This is usually the quarterly period; however, a recipient may incorporate a larger date range to include a forgotten claim for reimbursement for a payment made the previous quarter (within the period of agreement). This allowance does not circumvent the four (4) required quarterly reporting forms submissions. DOES THIS CLAIM FOR REIMBURSMENT INCLUDE EXPENSES FOR ANY INCENTIVES OR SPECIAL PAY? Note: If this claim includes incentives or special pay, please provide FDEM with the written established policy for support. EM Funded staff Name Total Salary Amount FICA/Medicare Retirement Employee Life Insurance Health/Dental Insurance Workers Comp Incentive Pay (If, Applicable) Total Fringe Benefits $ 15,000.00 SubTotals $ 15,000.00 $ - Total Cost Charged to the Grant $ 15,000.00 Florida County (name) $100,000 $95,000 $90,000 $85,000 $90,000 2020-2021 10% $10,000 $5,000 This form is to be completed and sent when the Local County Budget is approved or by the end of the first quarter. Required with this form the recipient shall provide a copy of the current Emergency Management Local Budget (General Revenue) with the approved buget date. If the Recipient's county's current budget is lower than the last year or the average of the last three previous years, the county is required to request a waiver from the Division no later than forty-five (45) days after the county budget is approved. (1) Base Grants shall be matched at an amount either equal to the average of the previous three years’ level of county general revenue funding of the County Emergency Management Agency or the level of funding for the County Emergency Management Agency for the last fiscal year, whichever figure is lower. County general revenue funding for 911 services, emergency medical services, law enforcement, criminal justice, public works or other services outside the emergency management responsibilities assigned to the County Emergency Management Agency by Section 252.38, F.S., shall not be included in determining the “level of county funding of the County Emergency Management Agency.” Each county shall certify compliance with this rule chapter and this rule, as a condition precedent to receipt of funding. (2) If the Base Grant recipient demonstrates that exceptional financial circumstances prevent the Base Grant recipient from complying with the match requirements in subsection 27P-19.011(1), F.A.C., then the Base Grant recipient may request that the Division authorize a reduction in the amount of match required. The match required shall not be reduced by a percentage amount in excess of reductions in funding for county 911 services, emergency medical services, law enforcement, criminal justice, public works or other emergency management related services. To be eligible for any reduction, the Base Grant recipient shall demonstrate and certify that the reduction is due to reductions in county general revenue funding and that the amount of the requested reduction is equivalent to across the board reductions in all county budgets. County requests for reduction shall be signed by the county’s chief elected officer and the certification of reduction in county budget funding shall be signed by the county’s chief financial officer. Requests shall certify the intent to return to pre-reduced funding as soon as practicable, and shall provide an estimate of the date at which the county will return to the current level of funding. Requests for reduction shall also be accompanied by financial data for the previous three years indicating: the level of county funding for the County Emergency Management Agency budget; budget detail regarding all individual items of the County Emergency Management Agency budget; and the proposed level of funding, for all budget items, if the reduction is authorized by the Division. All requests for match reduction shall be submitted no later than forty-five (45) days after the county budget has been approved or by the first quarter by the governing body of the jurisdiction, or the opportunity to request shall be waived. REQUIRED CERTIFICATION BY AUTHORIZED REPESENTATIVE I, , certify that the above match requirements have been met in accordance with the 2022-2023 EMPA Agreement and Rule 27P-19, Florida Administrative Code. I, , certify that (RECIPIENT'S COUNTY), will not meet the match requirement. Attached is the request for waiver. SUB-RECIPIENT: POINT OF CONTACT: ▇▇▇▇ ▇▇▇, Planner 2 $ - $0.00 0% 3 $ - $0.00 0% 4 $ - $0.00 0% 5 $ - $0.00 0% 6 $ - $0.00 0% 7 $ - $0.00 0% 8 $ - $0.00 0% 9 $ - $0.00 0% 10 $ - $0.00 0% 11 $ - $0.00 0% 12 $ - $0.00 0% 13 $ - $0.00 0% 14 $ - $0.00 0% 15 $ - $0.00 0% 16 $ - $0.00 0% 17 $ - $0.00 0% 18 $ - $0.00 0% 19 $ - $0.00 0% 20 $ - $0.00 0% 1. In Column #1, list the name, position title and area of responsibility(s) for all funded EMPA Emergency Management staff . 2. In Column #2, list total anticipated annual amount of Salaries and Benefits to be paid for each EM funded position. 3. In Columns #3-5 & 7, provide the funding distribution (%) in each applicable column. 4. In Column #6, list the amount of Salaries and Benefits to be paid out of EMPA grant funds. 5. In Column #8, list the amount of Salaries and Benefits to be paid out of EMPG grant funds. 6. Column #9 calculates the sum of percentages entered in Columns 3 - 5 & 7 and must equal 100% of the anticipated annual salaries and benefits per EM position. 7. Please provide to the Division updates or revisions to this form throughout the period of the agreement, as necessar 8. This form is to be submitted to the Division along with the 1st Quarter submission, or by November 15, 2022, whichever occurs first. PHONE/EMAIL: UNCLAIMED BALANCE: REIMBURSEMENTS RECEIVED BY THE RECIPIENT (Include any advanced funds and final requested payment) ALLOCATION CATEGORIES ALLOCATIONS DATE AMOUNT 1. PLANNING $ - $ -
Appears in 2 contracts
Sources: Grant Agreement, Grant Agreement
MANAGEMENT AND ADMIN. (Up to 5%) $0.00 $0.00 $0.00 TOTAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Please report EM activities, meetings, training, exercises, or other necessary information to support quarterly progression. QUARTER: July 1 - Sept. 30 Emergency Management Personnel EM Funded Staff Name & Position Title DELIVERABLES/TASK REQUIREMENTS ENTER DATE COMPLETED COMMENTS Use for explanation that supports Training & Exercise progression. QTR 1 QTR 2 QTR 3 QTR 4 T2: Submit a copy of the current and accurate County Emergency Management Local Budget (General Revenue) including the budget approval date (Q2, any updates Q3-Q4) T2: Submit a copy of the local EM general revenue expenditure (general ledger) report (Q2, any updates Q3-Q4) T3: Response Capabilities- Completean inventory of portable generators owned by the local governments which are capable of operating during a major disaster on the WEBEOC Equipment Inventory board no later than March 31, 2023. (Q3, any updates Q4) DATE: 53 RECIPIENT: INCURRED DATE RANGE: Example: July 1 through November 5, 2022 Please use separate Division Form 2A-Detail of Claims per allocation category. Please add additional pages or lines as needed for each allocation category. Please provide FEMA AEL numbers for EQUIPMENT expenditures only. Please provide a budget revision along with this form, if expenses being claimed are not allocated on the most recently approved budget. Please include the Costs Incurred Date Range in the applicable cell above. This is usually the quarterly period; however, a recipient may incorporate a larger date range to include a forgotten claim for reimbursement for a payment made the previous quarter (within the period of agreement). This allowance does not circumvent the four (4) required quarterly reporting forms submissions. DOES THIS CLAIM FOR REIMBURSMENT INCLUDE EXPENSES FOR ANY INCENTIVES OR SPECIAL PAY? Note: If this claim includes incentives or special pay, please provide FDEM with the written established policy for support. EM Funded staff Name Total Salary Amount FICA/Medicare Retirement Employee Life Insurance Health/Dental Insurance Workers Comp Incentive Pay (If, Applicable) Total Fringe Benefits $ 15,000.00 SubTotals $ 15,000.00 $ - Total Cost Charged to the Grant $ 15,000.00 Florida County (name) $100,000 $95,000 $90,000 $85,000 $90,000 2020-2021 10% $10,000 $5,000 This form is to be completed and sent when the Local County Budget is approved or by the end of the first quarter. Required with this form the recipient shall provide a copy of the current Emergency Management Local Budget (General Revenue) with the approved buget date. If the Recipient's county's current budget is lower than the last year or the average of the last three previous years, the county is required to request a waiver from the Division no later than forty-five (45) days after the county budget is approved.
(1) Base Grants shall be matched at an amount either equal to the average of the previous three years’ level of county general revenue funding of the County Emergency Management Agency or the level of funding for the County Emergency Management Agency for the last fiscal year, whichever figure is lower. County general revenue funding for 911 services, emergency medical services, law enforcement, criminal justice, public works or other services outside the emergency management responsibilities assigned to the County Emergency Management Agency by Section 252.38, F.S., shall not be included in determining the “level of county funding of the County Emergency Management Agency.” Each county shall certify compliance with this rule chapter and this rule, as a condition precedent to receipt of funding.
(2) If the Base Grant recipient demonstrates that exceptional financial circumstances prevent the Base Grant recipient from complying with the match requirements in subsection 27P-19.011(1), F.A.C., then the Base Grant recipient may request that the Division authorize a reduction in the amount of match required. The match required shall not be reduced by a percentage amount in excess of reductions in funding for county 911 services, emergency medical services, law enforcement, criminal justice, public works or other emergency management related services. To be eligible for any reduction, the Base Grant recipient shall demonstrate and certify that the reduction is due to reductions in county general revenue funding and that the amount of the requested reduction is equivalent to across the board reductions in all county budgets. County requests for reduction shall be signed by the county’s chief elected officer and the certification of reduction in county budget funding shall be signed by the county’s chief financial officer. Requests shall certify the intent to return to pre-reduced funding as soon as practicable, and shall provide an estimate of the date at which the county will return to the current level of funding. Requests for reduction shall also be accompanied by financial data for the previous three years indicating: the level of county funding for the County Emergency Management Agency budget; budget detail regarding all individual items of the County Emergency Management Agency budget; and the proposed level of funding, for all budget items, if the reduction is authorized by the Division. All requests for match reduction shall be submitted no later than forty-five (45) days after the county budget has been approved or by the first quarter by the governing body of the jurisdiction, or the opportunity to request shall be waived. REQUIRED CERTIFICATION BY AUTHORIZED REPESENTATIVE I, , certify that the above match requirements have been met in accordance with the 2022-2023 EMPA Agreement and Rule 27P-19, Florida Administrative Code. I, , certify that (RECIPIENT'S COUNTY), will not meet the match requirement. Attached is the request for waiver. SUB-RECIPIENT: POINT OF CONTACT: ▇▇▇▇ ▇▇▇, Planner 2 $ - $0.00 0% 3 $ - $0.00 0% 4 $ - $0.00 0% 5 $ - $0.00 0% 6 $ - $0.00 0% 7 $ - $0.00 0% 8 $ - $0.00 0% 9 $ - $0.00 0% 10 $ - $0.00 0% 11 $ - $0.00 0% 12 $ - $0.00 0% 13 $ - $0.00 0% 14 $ - $0.00 0% 15 $ - $0.00 0% 16 $ - $0.00 0% 17 $ - $0.00 0% 18 $ - $0.00 0% 19 $ - $0.00 0% 20 $ - $0.00 0%
1. In Column #1, list the name, position title and area of responsibility(s) for all funded EMPA Emergency Management staff .
2. In Column #2, list total anticipated annual amount of Salaries and Benefits to be paid for each EM funded position.
3. In Columns #3-5 & 7, provide the funding distribution (%) in each applicable column.
4. In Column #6, list the amount of Salaries and Benefits to be paid out of EMPA grant funds.
5. In Column #8, list the amount of Salaries and Benefits to be paid out of EMPG grant funds.
6. Column #9 calculates the sum of percentages entered in Columns 3 - 5 & 7 and must equal 100% of the anticipated annual salaries and benefits per EM position.
7. Please provide to the Division updates or revisions to this form throughout the period of the agreement, as necessarnecessar y
8. This form is to be submitted to the Division along with the 1st Quarter submission, or by November 15, 2022, whichever occurs first. PHONE/EMAIL: UNCLAIMED BALANCE: REIMBURSEMENTS RECEIVED BY THE RECIPIENT (Include any advanced funds and final requested payment) ALLOCATION CATEGORIES ALLOCATIONS DATE AMOUNT 1. PLANNING $ - $ -
Appears in 1 contract
Sources: Grant Agreement