FY18 EMPG APPLICATIONNORTH CAROLINA EMERGENCY MANAGEMENT
FFY 2018 EMERGENCY MANAGEMENT PERFORMANCE GRANT
(EMPG)
APPLICATION
Submission Deadline: February 7, 2018
INSTRUCTIONS FOR COMPLETING EM FORM 66
A. Applicant Information
• EM Agency Name - Type or print the official legal title of your Emergency Management
(EM) agency.
• Street Address, City. ZIP + 4 - Type or print the street address, city, and nine digit zip
code.
• D -U -N -S Number - Type or print the unique nine -digit identification number for your
county's agency. NOTE: Your financial personnel should be able to provide you with this
number.
• EIN/Tax ID Number - Type or print the unique nine -digit identification number for your
county's agency. NOTE: Your financial personnel should be able to provide you with this
number.
• SAM Registered - Each applicant must be registered in the Federal System for Award
Management (SAM) annually in order to be eligible to receive EMPG monies. The URL
is his: / /www.sam.gov/.
• Expiration Date - What is the expiration date for your SAM account?
B. Applicant Point of Contact Information - Type or print the name and contact information for
the person responsible for the day to day management of the grant once awarded.
C. County EM Program Manager Contact Information - Type or print the name of the county
Emergency Management Program Manager. NOTE: Must be the same title on the Position
Description and Organization Chart.
D. Finance Manager -Type or print the name of the county Financial Manager. NOTE: Must be the
same title on the Position Description and Organization Chart.
E. MOA Signatory Information - Type or print the name and contact information for the person
that has signatory authority to accept the grant award on behalf of the municipality.
F. Proiect Information
• Anticipated Local EM total budget - Type or print the budget allocated by the county for
the EM program
• Pre-Award Cost Request - If you would like request pre-award cost please enter the
amount and attach an explanation of what expenses the request will cover.
• Time % - EM Program Manager will type or print the percentage of time the Program
Manager devotes to Emergency Management program activities (e.g. 50 %, 60 %, 90 %,
etc.).
• Current Salary - Type or print the current annual salary for EM Program Manager.
(Round to the nearest dollar).
EMPG Application Form 66 (Rev. 01/18) Page 1 of 8
• Date of Employment in Current Position - Enter the start date of the Emergency
Management Program Manager, e.g. 02/04/2014.
• 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 2018, 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 (federal and match) allocated towards local emergency
management personnel - Enter the dollar amount for all EMPG Program funds (federal
and match) allocated for emergency management personnel.
• Total number of local emergency management full -time equivalent (FTE) personnel
(including those supported and not supported by the EMPG Program) - Enter the total
number of emergency management full -time equivalent (FTE) personnel (including those
supported and not supported by the EMPG Program).
• Number of local emergency management full -time equivalent (FTE) personnel supported
by the EMPG Program - Enter the number of emergency management full -time
equivalent flT) personnel supported by the EMPG Program.
• Total number of local emergency management personnel funded (fully or partially) by
the EMPG Pro gram - Enter the total number of local emergency management personnel
funded (fully or partially) by the EMPG Program.
• Cost share or in -kind match explanation in detail - Enter in information as to how the
county will match the federal EMPG share. Describe if funds will come from a general
fund, in -kind match, etc.
G. FEMA Reporting and Review Requirements
• Core capabilities - Select a capability that best describes this project (required by FEMA
for annual reporting).
• Environmental Historical Preservation - Complete if your project involves construction,
modification, or installation of equipment to a permanent fixture.
• Project Milestone - Describe the steps that will help you complete this project.
H. Certifications -Verify that all application information is correct.
EMPG Application Form 66 (Rev. 01/18) Page 2 of 8
NORTH CAROLINA EMERGENCY MANAGEMENT
FFY 2018 EMERGENCY MANAGEMENT PERFORMANCE GRANT
(EMPG)
APPLICATION
Submission Deadline: February 7, 2018
EM FORM 66
A. Applicant Information
(When awarded a Brant. the aoolicant will be referred to as the sub - recipient)
Applicant
New Hanover County Emergency Management & 911
Street Address
230 Government Center Drive, Suite 115
City, State, ZIP + 4
Wilmington, NC 28403
DUNS Number
040029563
Tax ID Number
56- 6000324
Registered in SAM?
(Registration is required)
Yes
Expiration Date
06/12/2018
B. Applicant Point of Contact Information
(Primary ooint ofcontact for all communication re2ardina the Qrant)
Name
Teresa Smith
Agency
New Hanover County Emergency Management & 911
Title
Administrative Su rt S cialist
Phone (Work)
910 - 798 -6907 Phone obile 910 -409 -9130
Street Address
230 Government Center Drive, Suite 115
City
Wilmington, NC I ZIP + 4 28403
Email
tersmith@nhcgov.com
C. County EM Program Manager Contact Information
Name I Steven Still
Email I sstillAnhcaov.com
D. County Finance Director Contact Information
Name Lisa Wurtzbacher
Email lwurtzbacher@nhcgov.com
E. MOA Signatory Information:
(Individual who has the authority to sien the ¢rant aereement. ifmore than one sienotory is required add contact information on se nne sheet)
Name
Lisa Wurtzbacher
Agency
New Hanover County — Finance Department
Title
Chief Financial Officer
Street Address
(must be physical address,
not PO Box
230 Government Center Drive, Suite 165
City
Wilmin on, NC ZIP +4 28403
Email
lwurtzbacher@nhcgov.com
Name
Tim Burgess
Agency
New Hanover County — County Manager's Office
Title
Assistant County Manager
Street Address
(must be physical address,
not PO Box
230 Government Center Drive, Suite 195
city
Wilmington, NC ZIP + 4 28403
Email
tb ,ess@nhegov.com
** *Please attach information for additional MOA signatory, if necessary * **
EMPG Application Form 66 (Rev. 01/18) Page 3 of 8
F. Project Information
Project Name
Local Emergency Management Project
Project Description/Match Explanation
There are several projects being funded by this award:
1. EM Salaries for 4 Full -Time employees
2. Equipment to build capabilities
3. EOC equipment and supplies
4. County -wide all- hazards trainings and exercises
5. Re- vamping COOP processes and training
6. Office supplies
The total match for this grant award will be met by (salary match /in -kind/ county funds).
Explanation:
The match for this grant will be met with in -kind services and cash match.
Solution Area
I Funding Amount
Match Amount
Total
Anticipated Total EM budget
$ 425,542
Pre Award Cost Request
0
0
0
Planning
0
0
0
Organization (Salary)
Time Cl)
Date of Employment
Indicate actual percentage of time
Current Salary
Emergency Management Program
(e.g. 50 %, 75 %, 100016)
in Current Position
Manager devotes to work on only EM
activities. Please do not include work
time for EMS. 911. Fire Marshal. Safety
50%
153,336
0110112017
activities, etc.
Personnel Data: Complete for personnel supported with FFY 2018 EMPG Program funds
a. All EMPG Program funds (federal and match) allocated towards local
$ 306,108
emergency management personnel?
b. All EMPG Program funds (federal and match) allocated towards non -local
$76,668
emergency management personnel?
c. Total number of local emergency management full -time equivalent (FTE)
4
personnel (including those supported and not supported by the EMPG
Program)?
d. Number of local emergency management full -time equivalent (FTE)
4
personnel supported (fully or partially) by the EMPG Program?
e. Number of local emergency management personnel supported (fully or
4
partially) by the EMPG Program?
Equipment
0
0
0
(Only AEL listed equip- ment)
Training
0
0
0
Exercise
0
0
0
TOTAL FUNDING
0
0
0
EMPG Application Form 66 (Rev. 01/18) Page 4 of 8
Core Capability(s) best
by FEMA for annual reporting)?
® Planning ❑ Critical Transportation
® Operational Coordination ®Environmental Response/Health and Safety
❑ Forensics and Attribution
❑ Interdiction and Disruption
❑ Screening, Search, and Detection
❑ Access Control and Identity Verification
❑ Physical Protective Measures
❑ Supply Chain Integrity and
❑ Cvber Security
❑ Fatality Management Services
• Intelligence and Information Sharing
• Community Resilience
❑ Mass Care Services
® Public Health and Medical Services
❑ Risk Management for Protection Programs and
Activities
Natural and Cultural Resources
Fire Management and Suppress
❑ Infrastructure Systems
® Logistics and Supply Chain Management
® On -scene Security, Protection, and Law
Enforcement
• Operational Communications
• Threats and Hazard Identification
• Risk/Disaster Resiliency Assessment
• Mass Search and Rescue Operations
• Public Information and Warning
• Health and Social Services
❑ Economic Recovery
• Long -term Vulnerability Reduction
• Situational Assessment
Does this project require new construction, renovation, retrofitting, or No
modification of existing structures?
Does this project require affixing equipment (e.g. TV, monitor, radio No
equipment, etc.) to an existing structure?
If you answered yes to either question above, please provide explanation:
Project Milestones: Describe the major steps that will occur over the process of completing the project
and include the estimated date o those steps. Project plan should be no longer than 12 months.
Milestone Date mm/
Receive grant award 10/2018
03/2019
09/2019
H. Certification
I certify that:
® This application includes completed and accurate information.
M No project (supported through federal and/or matching funds) having the potential to impact
Environmental or Historical Preservation (EHP) can be started without the prior approval of FEMA,
including but not limited to communications towers, physical security enhancements, new
construction, and modifications to buildings, structures and objects that are 50 years old or greater.
Applicant must comply with all conditions placed on the project as the result of the EHP review. Any
change to the approved project scope of work will require re- evaluation for compliance with these
EHP requirements. Any activities that have been initiated without the necessary EHP review and
approval will result in a non - compliance finding and will not be eligible for FEMA funding.
® In accordance with HSPD -5, the adoption of the National Incident Management System (NIMS) is a
requirement to receive federal preparedness assistance through grants, contracts, and other activities.
EMPG Application Form 66 (Rev. 01/18) Page 5 of 8
By submitting this grant application, you and all participating entities are certifying that your
locality /state agency is NIMS compliant.
• Submission of the project proposal does not guarantee funding.
• Any projects allocated funds for equipment will be required to check all equipment purchases against
the Allowable Equipment List (https: / /www.fema.gov /authorized - equipment- list).
• Any changes made to this grant application after the submission deadline must be approved by the
Planning and Homeland Security Section Grants Branch Manager and an updated application must be
submitted.
• Positions that are classified as sworn law enforcement officers may not be funded through EMPG.
I. State/Local FFY 2018 EMPG Agreement
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 Program Manager. This report will also
be the basis for continued funding during this fiscal year.
All universal and optional activity deliverables must be completed by September 30, 2017. To
receive credit for any deliverables you complete, an electronic copy for each deliverable must be
uploaded into WebEOC by the deadline above and approved by state personnel. Failure to complete
universal and optional activities will result in a penalty of funds awarded that will be reflected on the
FFY 2018 EMPG awards to the county.
Universal Activities:
2018.01 Review and complete the NIMS reporting tool.
2018.02 Review /update county Emergency Operation/Response Plan.
2018.03 Participate in a minimum 24 hours EM training per year.
2018.04 Conduct or participate in three exercises per year.
2018.05 Complete all NIMS training requirements as outlined in NIMS five -year plan.
2018.07 Attend NCEMA Statewide Emergency Management Conferences each year.
2018.09 Review jurisdiction's authorized agents page of the Statewide Mutual Aid Agreement.
2018.52 Update county profile in the WebEOC.
Optional Activities:
To be selected by the county.
NOTE: As listed above to be eligible to receive EMPG funding, applicants must meet NIMS compliance
requirements. The THIR VSPR/NIMS is the required tool to report annual NIMS compliance for EMPG
funds.
Compliance Requirements
• NIMS Training: IS 100; IS 200; IS 700; and IS 800.
• FEMA Professional Development Series: IS 120; IS 230a; IS 230b; IS 235a; IS 235b; IS 240a; IS
241 a; IS 242a; and IS 244a.
EMPG Program funds used for training should support the nationwide implementation of NIMS.
Recipients 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.gov/pdf/ emergency /ninu/nitm training _program.pdf. The NIMS Guidelinefor
Credentialing of Personnel provides guidance on the national credentialing standards. The NIMS
Guidelines for Credentialing can be found at
http:// www. fema .zovlpdflemerizencvinimslnims cred guidelines report.
EMPG Application Form 66 (Rev. 01/18) Page 6 of 8
The Federal Funding Accountability and Transparency Act ( FFATA) necessitates a system to allow prime
grant award and sub -award recipients to report monies received from federal funds. The FFATA
Subaward Reporting System — FSRS.gov — is the system that allows grant award and contract award
recipients to electronically report their sub -award monies. Each prime and sub -award recipients must be
registered and renewed annually in the System for Award Management (SAM) to continue to be eligible
for EMPG monies.
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.
EMPG Application Form 66 (Rev. 01/18) Page 7 of 8
2018 CERTIFICATION
EXECUTED THIS THE J AY OF t �(
.�e�je, '�A,'l
(Print) Name of Local EM Program Manager
Signature of tocal EM Program Manager ate
•I do hereby certify that the EM Program Manager position
is currently being filled by either a permanent or acting county
employee.
lot I (Al Y
Signature of Local Finance Officer Date
laSq Wur�zbacWc��CL. +c� Pnanc;a.Q 0tctr
6 8
Signature of Chi9QLqc0w6 Officer Date
` -cmOmr{ C.. &'-f-gcss t "(SkeN C'O.NNA ,arjar
County of Iii 2x ); 0CLg0\ e r
EMPG Application Form 66 (Rev. 01/18) Page 8 of 8