NC EMPG Emerg Mgt Performance Grant application FY14TO: Local Emergency Management Coordinator
FROM: Michael A. Sprayberry, Director
DATE: October 2, 2013
SUBJECT: Emergency Management Performance Grant (EMPG) FFY 2014 Funding
You are invited to submit your application for the Emergency Management Performance
Grant (EMPG) program funding for FFY 2014 (October 1, 2013 - September 30, 2015). There
are two types of award amounts that will be made for this grant period. The first type is a
Universal (Baseline) dollar amount based on a county population formula. Universal work
activities for this baseline amount must be completed, verified and approved by your Branch
Office prior to October 1, 2014. Failure to complete all Universal work activities will result in a
penalty that will be assessed against your FFY 2015 EMPG funds. The second type of payment
will be for approved Optional work activities, up to six (6), that your county may choose to work
on in addition to the Universal activities. Approved Optional activities will result in additional
monies being awarded. The final award amount will be determined when all county Optional
activities have been completed, verified and approved. Failure to complete an Optional activity
will not result in a penalty other than no monies awarded for that activity. Optional activities
must be completed and approved prior to October 1, 2014.
The enclosed application package contains State and Federal Guidance and the necessary
forms to complete your application. Please review this material and gather the information
needed. Your Area Coordinator or Branch Manager will be available to assist you in completing
the application package. Additionally, your Area Coordinator can work with you to determine
the actual percentage of time you devote to emergency management, preparedness, mitigation,
response and recovery activities (excluding Fire Marshal, EMS, 911, safety activities, etc.).
1 n order to be eligible to receive EMPG funds, you must complete, sign and submit to
your Branch Office the completed documents by the deadlines in Attachment 1.
MAILING ADDRESS
4236 Mail Service Center
Raleigh NC 27699 -4236
www.readync.org
www.acdps.gov
An Equal Opportunity employer
OFFICE LOCATION
1636 Gold Star Drive
Raleigh, NC 27607 -3371
Telephone: (919) 825-2500
Fax: (919) 825 -2685
I recommend you develop and complete your FFY 2014 EMPG Application for Funding
package in consultation with your key county officials. I encourage you to use this opportunity
to discuss your program with your county officials.
If you have questions about this package, please contact your Area Coordinator or Branch
Manager.
Thank you for your continued support of NCEM!
MASIja
'r
Attachments
1 — Application Schedule and Eligibility Criteria
2 —FFY 2014 EMPG Application Package
Instructions, EM Form 66
EMForm66*
Instructions, EM Form 66A
EMForm66A*
EM Program Manager 201.4 Certification*
Assurances- Non - Construction Programs*
Certifications Regarding Lobbying*
Disclosure of Lobbying Activities, SF -LLL*
FFY 2014 Quarterly Report Form
FFY 2014 EMPG Local Activity Directory
* Application documents are to be completed, signed and returned to your Area
Coordinator by your Branch office deadline.
ggktaj�7 44- CZ[elig Ili 1;[*]:4ji
EM Agency Name - Type or print the official legal title of your
Emergency Management (EM) agency.
1.2 Street Address, City, Zip Code - Type or print the street address,
city, and zip code.
1.3 Application Completion Date - Type or print the date the form was
completed.
1.4 EM Program Manager - Type or print the name of the county EM
Program Manager. NOTE: Must be the same title on the Position
Description and Organization Chart.
1.5 Time % - EM Director will type or print the percentage of time the
director devotes to Emergency Management program activities
(e.g. 50 %, 60 %, 90 %, etc.).
1.6 Current Salary - Type or print the current annual salary for EM
Director. (Round to the nearest dollar).
1.7 Date of Employment in Current Position — Enter the start date of
your position as Local Emergency Management Program Manager,
e.g. 02/04/2013.
1.8 Personnel Data Table — Complete the specific questions that deal
with EM program staff. For the Cost Share or In -Kind Match question,
explain how the county will match the federal award grant monies. In
FFY 2014, EMPG has a 50% County and 50% Federal cost share
cash- or in- kind match requirement. Federal funds cannot be
matched with other Federal funds. The data requested will assist in
documenting the extent to which EMPG Program funding contributes
to enhancing or sustaining emergency management capacity in terms
of personnel support at the local level.
All EMPG Program funds (f=ederal and match) allocated towards Local
emergency management personnel?
Enter the dollar amount budgeted for your county EM personnel in the dollar
column. If for example all EM personnel have other duties and only 75% of
anyone's time is developed to EMPG work, then only enter 75% of the budgeted
amount allocated to EM personnel salaries and benefits.
EM Application Form 66 (Rev. 9/18) Page 1
Funds allocated towards Local contractors?
Enter the dollar amount budgeted for any local contractors that do Emergency
Management work. If a county does not use contractors for EMPG related work,
then enter a $0 amount in the dollar column.
Local Total Number of
personnel
number Program)? Enter the number of personnel who spend time working on EM
activities. Enter the •
Number of Local emergency . equivalent
personnel supported by EMPG Program?
If a county EM program has no FTE personnel, enter 0.
Cost Share or In -Kind Match explanation In detail?
Enter in information as to how the county will match the local EMPG
share. Describe if funds will come from a general fund, EMPG local
funds, etc.
EM Application Form 66 (Rev. 9/18) Page 2
INSTRUCTIONS FOR COMPLETING EM FORM 66A
(STATE /LOCAL FFY 2014 EMPG AGREEMENT)
It is important that the Finance Officer and the local Chief Executive Officer have
information and knowledge of the local EM program and the financial status of the local
EM Agency. By coordinating the program emphasis with your county officials, the State's
"Comprehensive Emergency Management Criteria" and the state and federal required
activities, your partnership agreement should serve as a master plan for the year's
activities.
The State /Local FFY 2014 EMPG Agreement requires the signature of the Local
Emergency Management Program Manager, the Local Finance Officer, and the Local
Chief Executive Officer (the last may be the same individual).
Your Area Coordinator will monitor your FFY2014 EMPG progress through quarterly
reports.
REPORTING
EMPG quarterly reports are required. These reports serve a vital role in the evaluation
of your agency's performance in the completion of scheduled activities throughout the
year.
Your completed quarterly reports must be sent to your Area Coordinator before the end of
each quarter. Each quarterly report will incorporate and supersede the prior report
showing quarterly activity progress. Your Quarterly Reports should include the progress
from all previous quarterly reports as well.
North Carolina Emergency Management does recognize that circumstances may prevent
the accomplishment of a scheduled activity. However, for full eligible Federal funding in
FFY 2015, all Universal activities must be completed.
All requests for revisions (rescheduling or substitution of an equivalent activity) must be
justified in writing to the Director of North Carolina Emergency Management through the
appropriate Branch Manager.
EM Application Form 66A (Rev. 9/18) Page 4
Mr. r0mr-MV
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1. EM Form 66 - North Carolina Local Government Application for FFY 2014 EMPG Funding,
must be completed and submitted to your Branch Office no later than February 7, 2014;
2. EM Form 66A - State /Local FFY 2014 EMPG Agreement; must be completed and submitted
to your Branch Office no Iater than February 7, 2014;
3. A signed EM Program Manager 2014 Certification form stating that the EM Program Director
position is not vacant or is currently being filled by an acting county employee. This form must
be completed and submitted to your Branch Office no later than February 7, 2014;
4. Federal Forms must be completed and attached to your EM Form 66A and submitted to your
Branch Office no later than February 7, 2014;
SF424B - Assurances -Non- Construction Programs
Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility
Matters; and Drug -Free Workplace Requirements
Disclosure of Lobbying Activities
5. Provide a separate current job description or functional statement for the EM PROGRAM
MANAGER identified on EM Form 66 and submit to your Branch Office no later than
February 7, 2014;
6. A current Organizational chart must be submitted to your Branch Office no later than
February 7, 2014;
7. Quarterly Activity reports must be submitted electronically to your Branch Office by
December 31, March 31, June 30 and September 30. Each quarterly report should show a
cumulative preEmssion of previous quarters towards completing your designated work activities
and explanation of accomplishments to meet the deliverable.
Funding Eligibility Criteria
Federal funds administered through the State are available to local governments to assist in the
cost of developing and maintaining a "Comprehensive Emergency Management" program.
Continued EMPG funding is contingent upon completion of all EMPG funding requirements.
The following eligibility criteria must be adhered to during FFY 2014 for EMPG funds:
1. EMPG has a 50% County and 50% State cost share cash- or in- kind match requirement.
2. Each applicant must complete all Universal activities as outlined in the FFY 2014 EMPG
Local Activity Directory.
3. Every participant must be established as an Emergency Management agency by appropriate
county resolution/ordinance.
4. The County must have a full -time or part-time (at least 50 %) Emergency Management
Program Director.
5. Employees must be covered by an approved Pay Plan. However, the Director may be exempt
from this requirement.
6. The political subdivision must have an acceptable local travel regulation plan or accept the
state travel regulations.
7. Complete Universal activities and up to six (6) Optional activities prior to October 1,
to be eligible to receive FFY 2014 EMPG funding.
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From: Francolini, Mark
Sent: Tuesday, October 15, 2013 6:30 PM
To: Smith, Teresa
Subject: RE: POSITION COST
Categories: Important
Here you go.
Teresa Smith
Base Pay
$39,374
FICA /MED
0.0765
$3,012
Med /Dent
$499
$11,985
LTD
0.0020
$79
R
0.0707
$2,784
lary & Fringe
$57,234
John Still
.Base Pay
$57,886
FICA /MED
0.0765
$4,428
Med /Dent
$499
$11,985
LTD
0.0020
$116
Retirement
0.0707
$4,093
Total Salary & Fringe
$78,508
Kristen Skinner
Base Pay
$53,624
FICA /MED
0.0765
$4,102
Med /pent
$343
$8,229.84
LTD
0.0020
$107
Retirement
0.0707
$3,791
Total Salary & Fringe
$69,855
Warren Lee
Base Pay
$117,013
FICA /MED
0.0765
$8,951
Med /Dent
$354
$8,498.64
LTD
0.0020
$234
Retirement
0.0707
$8,273
Total Salary & Fringe
$142,970
STATE /LOCAL FFY 2014 EMPG AGREEMENT
AGENCY: New Hanover
This is to certify that the above named agency agrees to successfully complete the activities
below in full partnership with North Carolina Emergency Management and the U.S.
Department of Homeland Security. The appropriate Branch Manager and /or Area Coordinator
will review the progress of this agreement quarterly with the local Emergency Management
Director. This report will also be the basis for continued funding during this fiscal year.
Please report quarterly the Emergency Management activities you completed during this
agreement period that ends September 30, 2014. Your Quarterly Reports should include the
progress from all previous quarterly reports as well.
All Universal and Optional activities with deliverables are to be completed by the September 30.
2014 deadline. Deliverables are to be submitted to your Branch Office by their deadline.
Certify completion of the following activities for EMPG Universal activities by
September 30, 2014 unless otherwise noted below:
2014.01 Update the new 2014 THIRA/SPR/NIMS reporting tool by November 15, 2013;
2014.02 Review /Update County Emergency Operation /Response plan;
2014.03 Participate in a minimum 24 hours EM training;
2014.04 Conduct three exercises per year;
2014.05 Complete all NIMS training requirements as outlined in NIMS Five -Year Plan;
2014.06 Update Resources in Web EOC Resource Manager;
2014.07 Attend Statewide EM Conference
NOTE: As listed above to be eligible to receive FFY 2014 EMPG funding, applicants must meet
NIMS compliance requirements. The NIMS, formally NIMSCAST, is the required means to report
FY 2014 NIMS compliance for FFY 2014 funds.
FFY 2014 Compliance Requirements
NIMS Training: IS 100; IS 200; IS 700; and IS 800;
FEMA Professional Development Series: IS 139, IS 230b; IS 235b; IS 240a; IS 241a;
IS 242a; and IS 244a
EMPG Program funds used for training should support the nationwide implementation of
NIMS. Grantees are encouraged to place emphasis on the core competencies as defined in
the NIMS Training Program. The NIMS Training Program can be found at
http:// www. fema .govlpdf/emergencylnimslnims training program.pdf. The NIMS Guideline for
Credentialing of Personnel provides guidance on the national credentialing standards. The
NIMS Guidelines for Credentialing can be found at
http://www.fema.govlpdf /emergency /nims/nims cred guidelines reporf.pdf.
EM Application Form 66A (Rev. 9/18) Page 5
This Agreement will become effective upon execution of all parties to the Agreement. The date of
execution shall be the date of the last signature.
EXECUTED THIS THE DAY OF 201
(Print) Name of Local EM Program Manager
Signature of Local EM Program Manager
gnature of Local Finance Officer
(14- CX33Wj-t,<.0
ture of1:M9Mhjef Executive Officer
County of
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EM Application Form 66A (Rev. 9/18) Page 6
• MI
Date:
• • • ,
EMPG Application Form (Rev. 9/18) Page 7
OMB Number: 4040 -0007
Expiration Date: 06/30/2014
ASSURANCES - NON - CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348- 0040), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND
IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances.
If such is the Case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance
and the institutional, managerial and financial capability
(including funds sufficient to pay the non - Federal share
of project cost) to ensure proper planning, management
and completion of the project described in this
application.
2. 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; and will establish a
proper accounting system in accordance with generally
accepted accounting standards or agency directives.
3. 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.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding
agency.
5. Will comply with the Intergovernmental Personnel Act of 7.
1970 (42 U.S.C. § §4728 -4763) relating to prescribed
standards 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 of
Personnel Administration (5 C.F.R. 900, Subpart F).
6. Will 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 handicaps; (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 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 nondiscrimination 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; and, (j) the requirements of any other
nondiscrimination statute(s) which may apply to the
application.
Will 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.
8. Will comply, as applicable, 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.
Previous Edition Usable Standard Form 4248 (Rev. 7 -97)
Authorized for Local Reproduction Prescribed by OMB Circular A-102
9, Will comply, as applicable, 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), and the Contract
Work Hours and Safety Standards Act (40 U.S.C. § §327-
333), regarding labor standards for federally- assisted
construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster
Protection Act of 1973 (P.L. 93 -234) which requires
recipients in a special Flood hazard 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.
11. Will 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);
and, (h) protection of endangered species under the
Endangered Species Act of 1973, as amended (P.L. 93-
205).
12. Will 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.
13. Will 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.).
14. WIII comply with P.L. 93 -348 regarding the protection of
human subjects involved in research, development, and
related activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of
1966 (P.L. 89 -544, as amended, 7 U.S.C. § §2131 et
seq.) pertaining to the care, handling, and treatment of
warm blooded animals held for research, teaching, or
other activities supported by this award of assistance.
16. Will 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.
17 Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit
Act Amendments of 1996 and OMB Circular No. A -133,
"Audits of States, Local Governments, and Non - Profit
Organizations."
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
* SIGNAT E OF AUTHORIZED CERTIFYING OFFICIAL
* TITLE
* APPLICANT ORGANIZATION
" DATE SUBMITTED
W450 �. �C, ►
L 1- /
Standard Form 424B (Rev. 7-97) Back
DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 1650 -0025
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER Expires November 30, 2013
RESPONSIBILITY MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS
Public reporting burden for this data collection is estimated to average 1.7 hours per response. The burden estimate includes the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. This collection of information is required
to obtain or retain benefits. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send
comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of
Homeland Security, Federal Emergency Management Agency, 1800 South Bell Street, Arlington, VA 20598 -3005 Paperwork Reduction Project (1660- 0025).
NOTE; Do not send your completed form to this address.
Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the
instructions for certification included in the regulations before completing this form. Signature of this form provides for compliance with rtifi tion
requirements under 44 CFR Part 18, "New Restrictions on Lobbying" and 28 CFR Part 17, "Government -wide Debarment and Suspension (Nonprocureent)
and Government -wide Requirements for Drug -Free Workplace (Grants)." The certifications shall be treated as a material representation of fact upon which
reliance will be placed when the Federal Emergency Management Agency (FEMA) determines to award the transaction, grant, or cooperative agreement.
1. LOBBYING
As required by section 1352, Title 31 of the U.S. Code, and implemented
at 44 CFR Part 18, for persons entering into a grant or cooperating
agreement over $ 100,000, as defined at 44 CFR Part 18, the applicant
certifies that:
(a) No Federal appropriated funds have been paid or will be paid, by or on
behalf of the undersigned, to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress
in connection with the making of any Federal grant, the entering into of any
cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal grant or cooperative
agreement.
(b) If any other funds than Federal appropriated funds have been paid or will be
paid to any other person for influencing or attempting to influence an officer
or employee of any agency, a member of Congress, an officer or an
employee of Congress, or employee of a member of Congress in
connection with this Federal Grant or cooperative agreement, the
undersigned shall complete and submit Stand Form -LLL, "Disclosure of
Lobbying Activities," in accordance with its instructions.
c) The undersigned shall require that the language of this certification be
included in the award documents for all subawards at all tiers (including
subgrants, contracts under grants and cooperative agreements, and
subcontracts) and that all subrecipients shall certify and disclose
accordingly.
F Standard Form -LLL "Disclosure of Lobbying Activities" attached
(This form must be attached to certification if nonappropriafed funds are to
be used to influence activities.)
2. DEBARMENT,SUSPENSION, AND OTHER RESPONSIBILITY
MATTERS (DIRECT RECIPIENT)
As required by Executive Order 12549, Debarment and Suspension, and
implemented at 44 CFR Part 67, for prospective participants in primary
covered transactions, as defined at 44 CFR Part 17, Section 17.510 -A.
A. The applicant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment,
declared ineligible, sentenced to a denial of Federal benefits by a State or
Federal court, or voluntarily excluded from covered transactions by any
Federal department or agency;
(b) Have not within a three -year period preceding this application been
convicted of a or had a civilian judgment rendered against them for
commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or perform a public 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 otherwise criminally or civilly charged by a
governmental entity (Federal, State, or local) with commission of any of the
offenses enumerated in paragraph (1) (b) of this certification; and
(d) Have not within a three -year period preceding this application had one or
more public transactions (Federal, State, or local) terminated for cause of
default; and
B. Where the applicant is unable to certify to any of the statements in this
certification, he or she shall attach an explanation to this application.
3. DRUG -FREE WORKPLACE
(GRANTEE OTHER THAN INDIVIDUALS)
As required by the Drug -Free Workplace Act of 1986, and implemented at
44 CFR Part 17, Subpart F, for grantees, as defined at 44 CFR Part 17.615
and 17.620-
A. The applicant certifies that it will continue to provide a drug -free
workplace by;
(a) Publishing a statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the grantee's workplace and specifying the
actions that will be taken against employees for violation of such
prohibition;
(b) Establishing an on -going drug free awareness program to inform
employees about-
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug -free workplace;
(3) Any available drug counseling, rehabilitation, and
employee assistance programs; and
(4) The penalties that may be imposed upon employees
for drug abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in the
performance of the grant to be given a copy of the statement required by
paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that,
as a condition of employment under the grant, the employee will-
FEMA Form 112 -0 -3C (1112010) PREVIOUS EDITION OBSOLETE
(1) Abide by the term of the statement; and
(2) Notify the employee in writing of his or her conviction for a
violation of a criminal drug statute occurring ion the workplace no
later than five calendar days after such convictions;
(e) Notifying the agency, in writing, within 10 calendar days after receiving
notice under subparagraph (d)(2) from an employee or otherwise receiving
actual notice of such conviction. Employers of convicted employees must
provide notice, including position, title, to the applicable FEMA awarding
office, i.e., regional office or FEMA office.
(f) Taking one of the following actions, within 30 calendar days of receiving
notice under subparagraph (d)(2), with respect to any employee who is
convicted-
(1) Taking appropriate personnel action against such an employee,
up to and including termination, consistent with the requirements of
the Rehabilitation act of 1973, as amended; or
(2) Requiring such an employee to participate satisfactorily in a
drug abuse assistance or rehabilitation program approved for such
purposes by a Federal, State, or local health, law enforcement, or
other appropriate agency;
(g) Making a good faith effort to continue to maintain a drug free workplace
through implementation of paragraphs (a), (b), (c), (d), (e) and (f).
B. The grantee may insert in the space provided below the site(s) for the
performance of work done in connection with the specific grant:
Place of Performance (Street address, City, County, State, Zip code)
230 Government Center Drive, Suite 115
Wilmington, NC 28403
New Hanover County
r' There are workplaces on file that are not identified
Sections 17.630 of the regulations provide that a grantee that is a
State may elect to make one certification in each Federal fiscal
year. A copy of which should be included with each application for
FEMA funding. States and State agencies may elect to use a state
wide certification.
DISCLOSURE OF LOBBYING ACTIVITIES
Approved by OMB
Complete this form to disclose lobbying activities pursuant to 31 U.5.C.1352 0348 -0046
1. * Type of Federal Action: 2. * Status of Federal Action: 3. * Report Type:
F1 a. contract a. bid /offedappllcatlon ❑X a, Initial filing
❑ b. grant b. Initial award b. material change
H
c. cooperative agreement c, post -award
d. loan
e. loan guarantee
f. loan insurance
4. Name and Address of Reporting Entity:
Prime F]SubAwardee
"Name
"Street f Street 2
city Stele Zip
Congressional District, If known:
. It Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:
6. * Federal Department/Agency: 7. * Federal Program Name /Description:
CFDA Number, Ifappliceble:
S. Federal Action Number, if known: 9. Award Amount, if known:
10. a. Name and Address of Lobbying Registrant:
Prefix • First Name Middle Name
Last Name Suffix
Street 1 Street 2
City State ZIP
b. Individual Performing Services (Including address if different from No. iaa)
Prefix ' First Name Middle Name
`Last Name I Suffix
` Street f Street 2
City State Lp
1. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activitles is a material representation of fact upon which
reliance was placed by the tier above when the transectlon was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to
the Congress seniNprivally and Wit be available for public Inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than
$10,000 and not mo than $100,000 for each such failure.
* Signature: s
*Name: Prefix ' First Name Middle Name
"Last Name -. -. suffix
Title: Telephone No.: Oo -,$, -6 ff o Date: �p
i i " i'"` M ''j -c '1 �"� - ': Authorized far Local Reproduerlon
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New Hanover County, NC Page 1 of 3
EMERGENCY MANAGEMENT DIRECTOR
The following class specification is intended to represent only the key areas of responsibilities; specific position
assignments will vary depending on the business needs of the department.
DEPARTMENT: Emergency Management & 9 -1 -1 Communications REPORTS TO: Assistant County Manager
CLASS SUMMARY
Directs and oversees the operations, activities, and programs of the County Emergency Management and 9 -1 -1
Communications Department.
DISTINGUISHING CHARACTERISTICS
The Emergency Management Director is a stand -alone classification, which is distinguished from other department
directors by its responsibility for directing, coordinating, and preparing emergency management programs and managing
the recovery from emergency events and the County's public safety communications system and service.
TYPICAL CLASS ESSENTIAL DUTIES
• Supervises two or more full -time staff to include prioritizing and assigning work; conducting performance evaluations;
ensuring staff is trained; and making hiring, termination, and disciplinary recommendations.
• Directs the preparation for and response to emergency disasters and events to include determining whether local, state,
volunteer, or federal response is necessary during the emergency.
• Monitors the weather in the community and surrounding areas and related events to assist in the preparation of
emergency response efforts.
• Oversees the maintenance of emergency response equipment to include scheduling periodic equipment testing and
overseeing the pre - deployment of emergency supplies, vehicles, equipment, and personnel.
• Develops and maintains emergency plans, procedures, policies, and contacts to include making an estimation of the
County's risk and vulnerability.
• Serves as a consultant to County and public safety agencies, local businesses, and community groups to monitor
current laws and regulations that promote the awareness of emergency planning policies and procedures.
• Develops and maintains effective working and administrative relationships with a policy board and the various fire
services departments, emergency medical service groups, law enforcement agencies and professional organizations
dedicated to 9 -1 -1 communications. Attends meetings of relevant agencies and organizations, confers with and
counsels various emergency response agencies and other County and City departments regarding communications
matters and the coordination of services, promotes community awareness for effective use of emergency
communications services.
• Plans and directs all of the programs, services and use of resources. Develops goals and objectives, and
formulates /implements communications rules, standards, policies and procedures consistent with the County's mission
statement and the policy board's specifications; identifies needs for equipment, funding and/or staff. Promotes the
objectives of the department and seeks to enhance emergency service efforts by conducting training seminars and
researching grant and funding sources.
• Reviews maps of subdivisions, land use plans, and construction projects to ensure access by emergency response
equipment and prompt evacuation from during emergencies.
• Interprets nuclear power plant response status and emergency conditions in addition to regulatory changes that affect off -
site emergency response and population protection planning efforts and programs.
• Addresses inquiries posed by the media and the public regarding emergency operations.
• Establishes an emergency operations center during emergencies and disasters to monitor and prevent escalation of
events.
• Performs other duties of a similar nature or level.
• Performs work during emergency /disaster situations.
POSITION SPECIFIC DUTIES
Does not apply.
New Hanover County, NC
EMERGENCY MANAGEMENT DIRECTOR
KNOWLEDGE AND SKILLS
Knowledge of:
• Police, fire, and EMS system delivery models;
• Techniques in emergency planning for local governments;
• Spectrum management;
• Federal, state, and local disaster laws and regulations;
• Grant applications and management;
• Chemistry of hazardous materials;
• Hazardous material containment;
• Radioactive materials;
• Basic meteorology;
• Community planning, zoning, demographics, and land use;
• Warning systems;
• Supervisory principles.
Page 2 of 3
Skill in:
• Using computers and applicable software;
• Using a variety of office equipment;
• Reading blue prints, topographic maps and related construction documents;
• Interpreting codes, rules and regulations;
• Analyzing various data;
• Serving as a leader during an emergency;
• Organizing and delegating tasks;
• Operating a vehicle;
• Monitoring radio systems;
• Supervising and evaluating the work of staff;
Communication, interpersonal skills as applied to interaction with coworkers, supervisor, the general public, etc.
sufficient to exchange or convey information and to receive work direction.
TRAINING AND EXPERIENCE
Bachelor's Degree in Emergency Management, Public Safety Administration, or a related field and eight years of
progressively responsible emergency management or related experience, including three years of management level
experience; or an equip alent combination of education and experience sufficient to successfully perform the essential
duties of the job such as those listed above.
LICENSINGICERTIFICATION
• North Carolina Emergency Management Certificate;
• Valid NC Driver's License;
• Emergency Medical Dispatch (EMD)Certification;
• NC State Bureau of Investigation DCI Terminal Operator, NC Telecommunicator Certification, within one (1) year of
employment required.
PHYSICAL REQUIREMENTS /WORKING CONDITIONS
Typically requires walking, lifting, fingering, talking, hearing, and seeing.
Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or negligible
amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than
that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work.
Maybe subjected to travel.
New Hanover County, NC
EMERGENCY MANAGEMENT DIRECTOR
GENERAL INFORMATION
FLSA Status: Exempt
Class Spec Established/Revised: Ell %99
Page 3 of 3
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