NC DEPT PUBLIC SAFETY EMPG FY14 COST REPORT 2Grantee:
Address:
Federal ID No.
Account No.:
Grant Period:
Project:
Grant File No:
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STATE OF NORTH CAROLINA
DEPARTMENT OF PUBLIC SAFETY
North Carolina Emergency Management
Physical Address: 1636 Gold Star Drive, Raleigh, NC 27607 -3371 w
Mailing Address: 4236 Mail Service Center, Raleigh, NC 27699 -4236
COST REPORT 2 - FISCAL YEAR 2413
EMERGENCY MANAGEMENT
PERFORMANCE GRANT
NEW HANOVER COUNTY EMERGENCY MANAGEMENT & 911 COMMUNICATIONS
230 GOVERNMENT CENTER DR, SUITE 115
WILMINGTON NC 28403-
56- 6000324 -A
1901 -15 00 -8 0163 5 HD -2013
10/01/12 - 09/30/14
EMPQ
EMPG - 2013 -37129 DUNS No.: 040029563 Branch: Eastern
Funding
Worksheet
2013 EMPG
Final Amount
Universal Amount
(Previously Paid)
Optional Amount
SATCOM
Deductions
Balance to be Paid
Federal /State
$72,551.01
$62,500.00
$15,736.72
$5,685.72
$10,051.01
Local Match
$78,236.72
$62,500.00
$15,736.72
$0.00
$15,736.72
Total
$150,787.73
$125,000.00
$31,473.45
$5,685.72
$25,787.73
This Final Cost Report reflects completed and approved Optional amounts by your Emergency Management program minus
SATCOM Deductions to give a final Balance to be Paid amount. SATCOM Deductions are from January 1, 2012 to
December 31, 2013 and reflect all charges for SATCOM use. This Optional Amount can be used for enhancing your local
emergency management program.
This Cost Report require appropriate signatures and return to the state for payment. Payment will be made once all
signatures have been completed and processed. This funding reimburses your county for eligible EMPG work.
Certification:
certify the above are correct, based on grantee's official accounting system and records, consistently applied and maintained, and that expenditures
shown have been made for the purpose of and in accordance with, applicable grant terms and conditions, and that appropriate documentation to support
these costs and expenditures is available or attached.
�S% I Ell -t
JNyf Finance Officer Authorized Signature Date
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COUNTY EMERGENCY MANAGEMENT & 911 COMMUNICATIONS Authorized Signatur Date
North Carolina Emergency Management Director's Approval Signature Date
Department of Public Safety Controller's Office Approval Date
Printed: 2/17/2014 2:30:40 PM 2013 Cost Report 2
North Carolina Department of Public Safety,
EmergencyM&Bagemmt
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2013
EMERGENCY MANAGEMENT PERFORMANCE GRANT (EMPG)
GRANT AWARD AND MEMORANDUM OF AGREEMENT AMENDMENT
Grantee: NEW HANOVER COUNTY EMERGENCY MANAGEMENT & 911 COM DUNS No.: 040029563
Federal ID Number: 56- 6000324 -A 2013 Federal /State EMPG Base Amount: $62,500.00
Account 1500- 801635HD -2013, 50% Federal Fund 2013 Federal /State EMPG Optional Amount $15,736.72
Catalog of Federal Domestic Assistance (CFDA) Number: 97.042 SATCOM Deductions: $5,685.72
Date of Award: See Page 3 - Effective Date Total 2013 EMPG Grant Amount: $72,551.01
THIS AMENDMENT TO THE GRANT AWARD AND MEMORANDUM OF AGREEMENT
is entered into by and between the State of North Carolina, Department of Public Safety,
North Carolina Emergency Management, Raleigh, North Carolina (hereinafter referred to as
the GRANTOR), and the
V HANOVER COUNTY EMERGENCY MANAGEMENT & 911 COMMUNICATK
(hereinafter referred to as the GRANTEE).
WITNESSETH
That WHEREAS, on October 1, 2012 the parties entered into a Grant Award and Memorandum of Agreement
wherein GRANTOR provided funds from the U.S. Department of Homeland Security (DHS),
Federal Emergency Management Agency (FEMA), for FY 2013 Emergency Management Performance
Grant Program Funding Award EMW- 2013 -EP- 00031 -S01;
And WHEREAS, the parties wish to modify the provisions of the prior Grant Award and
Memorandum of Agreement by this amendment.
Therefore, in consideration of the payments that have already been made on the original Grant Award and
Memorandum of Agreement and in further consideration of the promises and agreements that follow, the
GRANTOR and the GRANTEE do mutually agree that the prior Grant Award and Memorandum of
Agreement of the parties is changed in the following respects only:
2013 EMPG Grant Award Amendment
page 1
MAILING ADDRESS
4236 Mail Service Center
Raleigh, NC 27699 -4236
www.noem.org
An Equal Opportunity /Affirmative Action Employer
OFFICE LOCATION:
1636 Gold Star Drive
Raleigh, NC 27607 -3371
Telephone: (919) 825 -2500
Fax: (919) 825 -2685
A Nationally Accredited Agency
Compensation. Grantor agrees that it will pay the Grantee as indicated above as complete and total compensation
for the services to be rendered by the Grantee. Payment to the Grantee for expenditures under this Agreement will be
reimbursed after the Grantee's cost report is submitted and approved for eligible work. The original signed copy of this
Award and MOA Amendment must be signed by the Official(s) authorized to sign below and returned to North Carolina
Emergency Management no later than April 15, 2014. The grant award and MOA amendment shall be effective
upon return of this form and final approval by North Carolina Emergency Management of the EMPG Grant
Activities. Grant funds will be disbursed (according to the approved project budget) upon receipt of evidence that
funds have been invoiced and products received and /or that funds have been expended (i.e., invoices, contracts,
itemized expenses, etc.) and/or that all Universal work activities and up to six Optional work activities are completed.
Grantee will perform all Universal work activities and up to six Optional work activities identified in the 2013 EMPG
Activity Directory which is a part of the 2013 EMPG application packet, incorporated by reference herein.
System for Award Management (SAM): Please ensure that your organization's name, address, DUNS number and
EIN are up to date in SAM and that the DUNS number used in SAM is the same one used to apply for all FEMA
awards at http: / /www.sam.gov. Future payments will be contingent on the information provided in SAM; therefore it is
imperative that the information is correct.
It is expressly agreed by the parties that this Grant Award and Memorandum of Agreement Amendment is
supplemental to the Grant Award and Memorandum of Agreement executed on February 4, 2014 and incorporated by
reference herein, and all terms, conditions, and provisions of the original Grant Award and Memorandum of
Agreement, unless specifically modified by this amendment, are to apply to this Grant Award and Memorandum of
Agreement Amendment and are made a part of this agreement as though expressly included.
2013 EMIPG Grant Award Amendment
page 2
IN WITNESS WHEREOF, the GRANTOR and the GRANTEE have each executed this Agreement, this the
day of 92014.
Accepted for the Grantee
Title
3I o/
Date
County of
2013 EMPG Grant Award Amendment
page 3
Accepted for the Grantor
Will Polk, Special Counsel
Department of Public Safety
Date
Jean Burke, Assistant Controller
Department of Public Safety
Date
Michael A. Sprayberry, Director
North Carolina Emergency Management
Date
Gregory K. Baker, Commissioner of Law Enforcement
Department of Public Safety
Date
2013 EMPG Grant Award Amendment
page 4