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HomeMy WebLinkAboutSR Package - DR 4482 Diamond Bar, City of 037-19192 AMD 143City Manager 21810 Copley Drive Dan Fox Diamond Bar, California 91765-4178 Diamond Bar, City of January 8, 2021 Notification of Obligation and Payment Public Assistance and CDAA Grant Programs FEMA-4482-DR-CA, Cal OES ID: 037-19192 The California Governor's Office of Emergency Services has attached the Grant Summary and the Project Application Summary for Federal Package #143. Please see the table below for further obligation details. Subject: Dear Mr. Fox: Obligation Notification Total $31,142 $31,142 Obligation Details Package/Supplement Obligation Amount Cumulative Amount Obligated Federal-Public Assistance $31,142 $31,142 For disaster numbers 4382 and prior, funds will be paid in accordance with the following disbursement table: Payment Process Project Status State Funds Disbursement Process Small Projects less than 100% complete e Small Projects 100% complete Automatic payment of state share and administrative allowance Large Projects less than 100% complete Advance administrative allowance only. All other funds (less retention) will be paid on a reimbursement basis Large Projects 100% complete Automatic payment of state share and administrative allowance Federal Funds Disbursement Process Automatic advance of federal share and administrative allowance Automatic payment of federal share and administrative allowance Advance administrative allowance only. All other funds (less retention) will be paid on a reimbursement basis Automatic payment of federal share and administrative allowance for entire project GAVIN NEWSOM GOVERNOR MARK S. GHILARDUCCI DIRECTOR 3650 SCHRIEVER AVENUE  MATHER, CA 95655 (916) 845-8110  (916) 636-3880 FAX GRANTS PROCESSING UNIT Automatic advance of state share and administrative allowance. Retention In order to receive funds, the following forms must be on file with our office:Required Documents For those large projects with a work completion of less than 100 percent, a Large Project Reimbursement Request form has also been included with this Package/Supplement. Federal and State funds will be issued separately by the State Controller's Office. Please be advised that state warrants have a one-year period of negotiability. For this particular Package/Supplement, payment will be automatically disbursed as follows: Total $31,142 Payment Details Amount Automatically Paid Federal-Public Assistance $31,142 Program Requirements -General As a requirement of this program, a special fund for the deposit of the state warrant must be established upon receipt of any advance funding. Under no circumstances are expenditures to be made for any damages other than those approved in this application. Any funds received in excess of current needs or approved amounts, or those found owed as a result of an audit or final inspection, must be refunded to the State within 30 days upon receipt of an invoice from the California Governor's Office of Emergency Services. Form Received by Cal OES? NoProject Application for Federal Assistance (OES 89) Yes N/APayee Data Record (STD. 204) - Private non profit organizations only Designation of Applicants Agent Resolution (OES 130) Page Two January 8, 2021 Mr. Fox Payment Process -Continued ggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggg Project Status State Funds Disbursement Process Small Projects less than 100% com Small Projects 100% complete Automatic advance of state share and administrative allowance. Retention held until 100% complete Large Projects less than 100% complete Advamce administrative allowance only. All other funds (less retention) will be paid on a reimbursement basis Large Projects 100% complete Automatic payment of state share and administrative allowance Federal Funds Disbursement Process Automatic advance of federal share and administrative allowance Automatic payment of federal share and administrative allowance Advance administrative allowance only. All other funds (less retention) will be paid on a reimbursement basis Automatic payment of federal share and administrative allowance for entire project Automatic advance of state share and administrative allowance. Retention held until 100% complete For disaster numbers 4407 and forward, funds will be paid in accordance with the following disbursement table: Please note, for all other PW versions, you will receive notification under separate cover from Cal OES's Public Assistance Section. For appeal assistance, contact Public Assistance at (916) 845-8200. For assistance regarding this letter, contact the Grants Processing Unit's main line at (916) 845-8110. GRANTS PROCESSING UNIT Enclosures c: Disaster Recovery Manager, FEMA Applicant's Federal File Applicant's State File U.S. Department of Homeland Security - Federal Emergency Management Agency California Governor's Office of Emergency Services Public Assistance Grants 97.036 FEMA-4482-DR-CA, Cal OES ID: 037-19192 Federal Grantor Agency Pass-Through Agency Program Title Federal CFDA Number Pass-Through Grantor's Number Page Three January 8, 2021 Mr. Fox Federal Program Audit Requirements As a recipient of federal funds, your organization is subject to the Federal Single Audit Act of 1984 and the Single Audit Act Amendments of 1996. Part of your report requirements under the Act and Amendments include the preparation of a Schedule of Expenditures of Federal awards. The following information is provided to assist in the accurate completion of the Schedule: Appeal Process Please compare the enclosed obligated Project Worksheet(s) (PW) with your copy of the original PW(s). In accordance with Title 44 Code of Federal Regulations, Section 206.206(a), if you disagree with FEMA's obligated amount(s) or scope of work for the Version 0 PW(s) addressed in this Package, you must appeal FEMA's determination within 60 days from receipt of this letter. The appeal must contain documented justification supporting your position and be addressed to the Assistant Director of Recovery. Please submit your letter of appeal to the following mailing address: California Governor's Office of Emergency Services Recovery Division, Public Assistance 3650 Schriever Avenue Mather, California 95655 Questions and Inquiries PROJECT PAYMENT REPORT Please Note: This report only includes projects for which payment has been approved - for a complete listing of PWs in this obligation package, please refer to the attached obligation report 4482 Diamond Bar, City of 131,100 OES Proj#PW#PW Ref# Total Project Obligations to Date (Fed&CDAA) Project Payments to Date (Fed&CDAA) Reported Project Exp. to Date Decl#: Small Project Amt.:Applicant Name: OES ID#: 037-19192 Authorized Payment Amounts Federal Amount Total Amount Federal Pkg#: 143 40794Payment ID#: 62537 166 143838 31,142 31,142 0 31,142 31,142 31,142Total Project Payments for Diamond Bar, City of: OES#: 037-19192-00 Department: Diamond Bar, City of 31,142 31,142Total Project Payments: Total Admin Allowance: Total Authorized Payments: 0 0 31,142 31,142 APPLICANT HISTORY REPORT - FEDERAL OBLIGATION Page:1 4482 037-19192Decl Num:Cal OES ID#:Diamond Bar, City ofApplicant Name: 12/29/20 41,522 31,142 0 0Grand Total to Date 143Pkg. Num: 75%Fema Share: 166-0 41,522 0 0 31,142 0 31,142 PW #100% Elig.FEMA Share Ret %Retention Admin. Allowance Available Amt.OES Project# 62537 B Cat.% Complete 40 41,522Package 143 Total: 31,142 0 0 31,142 Diamond Bar, City ofDepartment: Cal OES ID#: 037-19192-00 41,522Department Total: 31,142 0 0 31,142 31,142Total Obligation: 143838 PW Ref# Report Generated on: 12/29/2020 16:28 Disaster Number: 4482 Applicants: "037-19192-00" Report Format: Detail Date: 12/29/2020 16:28 Federal Emergency Management Agency Public Assistance Grant Summary (P.5) Disaster: FEMA-4482-DR-CA Number of Records: 1 Applicant ID: 037-19192-00 Applicant: DIAMOND BAR Bundle # Date Approved PW #Cat Cost Share Project Amount ($) Federal Share ($) Subgrantee Admin ($) Total Approved ($) PA-09-CA-4482-PW-00166(143) 12-29- 2020 PA-09-CA-4482-PW-00166(0) B N 41,522.75 31,142.06 0.00 31,142.06 Applicant Total in Bundle PA-09-CA-4482-PW-00166(143) (1 PW) 41,522.75 31,142.06 0.00 31,142.06 APPLICANT TOTAL: 037-19192-00 (1 PW) 41,522.75 31,142.06 0.00 31,142.06 TOTAL for report: (1 PW) 41,522.75 31,142.06 0.00 31,142.06 OK 037-19192-00 Received December 29, 2020 ML #725601 Financial Processing Unit 40794 Report Generated on: 12/29/2020 16:27 Data Captured As Of: 12/29/2020 16:27 Disaster Number: 4482 Bundle: PA-09-CA-4482-PW-00166 Applicant: 037-19192-00 Capture Date: 12/29/2020 16:27 Federal Emergency Management Agency Project Application Grant Report (P.2) Disaster: FEMA-4482-DR-CA Number of Records: 1 Applicant ID: 037-19192-00  Bundle # : PA-09-CA-4482- PW-00166(143) Applicant: DIAMOND BAR PW #Cat Cost Share Projected Completion Date Approved PW Amount ($) PA-09-CA-4482-PW-00166(0)B N 09-22-2020 41,522.75 Facility Number:1 Facility Name: Damage # 391939; Emergency Protective Measures (Damage for Project [143838] COVID-19) Location: 21810 Copley Drive, Diamond Bar, California, 91765 Scope of Work: 391939 City of Diamond Bar - Covid-19 The purpose of this Streamlined Project is to provide funding to the City of Diamond Bar for COVID-19 emergency response activities including EOC activation and materials and supplies starting from March 4, 2020 through September 22, 2020. The project cost estimate is prepared based on applicant-provided costs in response to FEMA DR- 4482-CA (a Covid-19 declared event). Contracts must include a Termination for Convenience clause. FEMA will not approve PA funding that duplicates funding or assistance provided by another Federal agency, including the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, and the United States Department of Agriculture. FEMA will only reimburse for PPE/medical supplies and equipment provided to and used by Applicants and essential workers as necessary to prevent the spread of infection as directed by public health officials not to exceed the duration of the HHS public health emergency declaration for COVID-19. Approval of funding for the purchase of PPE is conditioned upon the Applicant meeting the following requirements prior to close-out and/or final version for expedited projects: 1.  The Recipient, and any subrecipient funded through this and associated subgrants, must provide an internal control plan for accounting for intake, distribution, tracking, and handling of excess commodities and personal protective equipment (PPE) funded by this and associated prior subgrants for the same purpose. Handling of excess must comply with 2 CFR § 200.314 (supplies) and 2 CFR § 200.313 (equipment). 2.  The Recipient and any subrecipient must provide the current burn rate for each identified category of PPE under this and associate subawards purchased (for example, N95 masks, surgical masks, and gowns) 3.  The Recipient and any subrecipient must provide a current accounting of previously distributed PPE under this and associate subawards by jurisdiction or entity (i.e. by local government, hospital system, etc.) Work Completed In response to the COVID-19 Public Health Emergency, the applicant purchased PPE, materials and supplies in response to COVID-19. Capture Date: 12/29/2020 16:27 Federal Emergency Management Agency Project Application Grant Report (P.2) Disaster: FEMA-4482-DR-CA Number of Records: 1 City of Diamond Bar A.  Rental Equipment: $5,250.00 A message board was rented to provide dissemination of communication of general health and safety information to the public JCL Traffic Services 1 Ea Rate: $150/day Duration: 35 days B.  Materials - $23,794.70 Materials purchased include masks, sanitizing supplies, hand sanitizer, and communication materials. Work Completed Total: $29,044.70 Work to be Completed In response to the COVID-19 Public Health Emergency, the applicant will continue to rent a message board to provide information to the public. A.  Rental Equipment: $12,478.05 A message board was rented to provide dissemination of communication of general health and safety information to the public JCL Traffic Services 1 Ea Rate: $150/day Duration: Approximately 83 days Work to be Completed Total: $12,478.05 Total Project Cost: $41,522.75 Project Notes: 1.  Scope and cost were developed based on applicant cost summaries and certification included in the Schedule EZ – Small Project Estimate. See attachment: ST 143838 Cost Estimate and Validation. 1 PW PWs ($)Subgrantee Admin Exp. ($)Total ($) Amount Eligible ($)41,522.75 0.00 41,522.75 Federal Share ($)31,142.06 0.00 31,142.06 PA-09-CA-4482-PW-00166(0)P Applicant Name: Application Title: DIAMOND BAR 143838 - COVID-19 Period of Performance Start: Period of Performance End: 03-22-2020 09-22-2020 Subgrant Application - Entire Application Application Title:143838 - COVID-19 Application Number:PA-09-CA-4482-PW-00166(0) Application Type:Subgrant Application (PW) Preparer Information Prefix First Name Anthony Middle Initial Last Name Santos Title Assistant to the City Manager Agency/Organization Name CALOES Address 1 3650 Schriever Ave Address 2 City Mather State CA Zip 95655 - 4203 Phone 916-845-8224 Email David.Gillings@caloes.ca.gov Is the application preparer the Point of Contact?No Point of Contact Information Prefix First Name Anthony Middle Initial Last Name Santos Title Assistant to the City Manager Agency/Organization Diamond Bar, City of Address 1 21810 Copley Drive Address 2 City Diamond Bar State CA ZIP 91765 Phone 909-839-7013 Fax Email asantos@diamondbarca.gov Alternate Point of Contact Information Prefix First Name Ryan Middle Initial Last Name McLean Title Assistant City Manager Agency/Organization Address 1 Address 2 City State ZIP Phone 909-839-7016 Fax Email rmclean@diamondbarca.gov Project Description Disaster Number:4482 Pre-Application Number:PA-09-CA-4482-RPA-0289 Applicant ID:037-19192-00 Applicant Name:DIAMOND BAR Subdivision: Project Number:143838 Standard Project Number/Title:299 - Emergency Protective Measures Please Indicate the Project Type:Neither Alternate nor Improved Application Title:143838 - COVID-19 Category:B.PROTECTIVE MEASURES Percentage Work Completed?40.0 % As of Date:07-29-2020 Comments Attachments Damage Facilities (Part 1 of 2) Facility (Site) Number Facility (Site) Name Address County City State ZIP Previously Damaged?Action 1 Statewide CA No Damage # 391939; Emergency Protective Measures (Damage for Project [143838] COVID-19) Comments Attachments Facility (Site) Name: Damage # 391939; Emergency Protective Measures (Damage for Project [143838] COVID-19) Address 1: Address 2: County:Statewide City: State:CA ZIP: Damage Category:B Was this facility (site) previously damaged?No Percentage Work Completed?40.00 % Location: PA-09-CA-4482-PW-00166(0): 21810 Copley Drive, Diamond Bar, California, 91765 Damage Description and Dimensions: PA-09-CA-4482-PW-00166(0): The Disaster #4482DR, which occurred between 1/20/2020 and Ongoing , caused: Damage # 391939; Emergency Protective Measures (Damage for Project [143838] COVID-19) On March 13, 2020, the President declared the ongoing Coronavirus Disease 2019 (COVID-19) pandemic of sufficient severity and magnitude to warrant an emergency declaration for all states, tribes, territories, and the District of Columbia pursuant to section 501 (b) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C. 5121- 5207 (the “Stafford Act”). State, territorial, tribal, and local government entities and certain private non-profit organizations are eligible to apply for Public Assistance. In response to the pandemic, on March 22, 2020 the State of California received a Major Disaster Declaration under Presidentially declared FEMA-DR-4482-CA, (the California Covid-19 Pandemic event). The incident Period is from January 20, 2020 and ongoing. During the incident period of 1/20/2020 through Ongoing, COVID-19 created an immediate threat to the health and safety of the general public requiring emergency response and protective measures. Provided Emergency Operations Center for response to the COVID-19 pandemic event. The Applicant will conduct emergency response and recovery in response to the COVID-19 pandemic including communications of general health and safety and purchase of PPE. at 21810 Copley Drive, Diamond Bar, California, 91765 from 3/4/2020 to 9/22/2020. Scope of Work:PA-09-CA-4482-PW-00166(0): 391939 City of Diamond Bar - Covid-19 The purpose of this Streamlined Project is to provide funding to the City of Diamond Bar for COVID-19 emergency response activities including EOC activation and materials and supplies starting from March 4, 2020 through September 22, 2020. The project cost estimate is prepared based on applicant-provided costs in response to FEMA DR-4482-CA (a Covid-19 declared event). Contracts must include a Termination for Convenience clause. FEMA will not approve PA funding that duplicates funding or assistance provided by another Federal agency, including the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, and the United States Department of Agriculture. FEMA will only reimburse for PPE/medical supplies and equipment provided to and used by Applicants and essential workers as necessary to prevent the spread of infection as directed by public health officials not to exceed the duration of the HHS public health emergency declaration for COVID-19. Approval of funding for the purchase of PPE is conditioned upon the Applicant meeting the following requirements prior to close-out and/or final version for expedited projects: 1. The Recipient, and any subrecipient funded through this and associated subgrants, must provide an internal control plan for accounting for intake, distribution, tracking, and handling of excess commodities and personal protective equipment (PPE) funded by this and associated prior subgrants for the same purpose. Handling of excess must comply with 2 CFR § 200.314 (supplies) and 2 CFR § 200.313 (equipment). 2. The Recipient and any subrecipient must provide the current burn rate for each identified category of PPE under this and associate subawards purchased (for example, N95 masks, surgical masks, and gowns) 3. The Recipient and any subrecipient must provide a current accounting of previously distributed PPE under this and associate subawards by jurisdiction or entity (i.e. by local government, hospital system, etc.) Work Completed In response to the COVID-19 Public Health Emergency, the applicant purchased PPE, materials and supplies in response to COVID-19. City of Diamond Bar A. Rental Equipment: $5,250.00 A message board was rented to provide dissemination of communication of general health and safety information to the public JCL Traffic Services 1 Ea Rate: $150/day Duration: 35 days B. Materials - $23,794.70 Materials purchased include masks, sanitizing supplies, hand sanitizer, and communication materials. Work Completed Total: $29,044.70 Work to be Completed In response to the COVID-19 Public Health Emergency, the applicant will continue to rent a message board to provide information to the public. A. Rental Equipment: $12,478.05 A message board was rented to provide dissemination of communication of general health and safety information to the public JCL Traffic Services 1 Ea Rate: $150/day Duration: Approximately 83 days Work to be Completed Total: $12,478.05 Total Project Cost: $41,522.75 Project Notes: 1. Scope and cost were developed based on applicant cost summaries and certification included in the Schedule EZ – Small Project Estimate. See attachment: ST 143838 Cost Estimate and Validation. Hazard Mitigation Proposal * Is effective mitigation feasible on this facility (site)? No If you answered Yes to the above question, the next question is required Will mitigation be performed on this facility (site)? If you answered Yes to the above question, the next question is required Do you wish to attach a Hazard Mitigation Proposal? If you answered Yes to the above question, the next two questions are required Please provide the Scope of Work for the estimate: (maximum 4000 characters) Would you like to add the Hazard Mitigation Proposal as a cost line item to the project cost? GIS Coordinates Project Location Latitude Longitude Special Considerations 1. Does the damaged facility or item of work have insurance coverage and/or is it an insurable risk (e.g., buildings, equipment, vehicles, etc)? No 2. Is the damaged facility located within a floodplain or coastal high hazard area and/or does it have an impact on a floodplain or wetland? No 3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource System Unit or an Otherwise Protected Area? No 4. Will the proposed facility repairs/reconstruction change the pre-disaster conditions (e.g., footprint, material, location, capacity, use of function)? No 5. Does the applicant have a hazard mitigation proposal or would the applicant like technical assistance for a hazard mitigation proposal? No 6. Is the damaged facility on the National Register of Historic Places or the state historic listing? Is it older than 50 years? Are there more, similar buildings near the site? No 7. Are there any pristine or undisturbed areas on, or near, the project site? Are there large tracts of forestland? No 8. Are there any hazardous materials at or adjacent to the damaged facility and/or item of work? No 9. Are there any other environmental or controversial issues associated with the damaged facility and/or item of work? No Attachments Mitigation section is not applicable for your project category. Cost Estimate Is this Project Worksheet for (Preferred) Repair Sequence Code Material and/or Description Unit Quantity Unit of Measure Unit Price Subgrant Budget Class Type Cost Estimate Action *** Version 0 *** Work Completed 1 9004 Rented Equipment 1 LS $ 5,250.00 EQUIPMENT Work Completed $ 5,250.00 2 9009 Material 1 LS $ 23,794.70 SUPPLIES Work Completed $ 23,794.70 Work To Be Completed 3 9001 Contract 1 LS $ 12,478.05 CONTRACTUAL Work To Be Completed $ 12,478.05 Total Cost : $ 41,522.75 Insurance Adjustments (Deductibles, Proceeds and Settlements) - 5900/5901 Sequence Code Material and/or Description Unit Quantity Unit of Measure Unit Price Subgrant Budget Class Type Cost Estimate Action Total Cost : $ 0.00 Total Cost Estimate: (Preferred Estimate Type + Insurance Adjustments) $ 41,522.75 Comments Attachments Existing Insurance Information Insurance Type Policy No.Bldg/Property Amount Content Amount Insurance Amount Deductible Amount Years Required Facility (Site) No. Comments Attachments Comments and Attachments Name of Section Comment Attachment Bundle Reference # (Amendment #) Date Awarded PA-09-CA-4482-PW-00166(143)12-29-2020 Subgrant Application - FEMA Form 90-91 Note: The Effective Cost Share for this application is 75% FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT WORKSHEET DISASTER PROJECT NO. 143838 PA ID NO. 037- 19192-00 DATE 07-29-2020 CATEGORY BFEMA4482-DR -CA APPLICANT: DIAMOND BAR WORK COMPLETE AS OF: 07-29-2020 : 40 % Site 1 of 1 DAMAGED FACILITY: Damage # 391939; Emergency Protective Measures (Damage for Project [143838] COVID-19) COUNTY: Statewide LOCATION: PA-09-CA-4482-PW-00166(0): 21810 Copley Drive, Diamond Bar, California, 91765 LATITUDE: LONGITUDE: Current Version: DAMAGE DESCRIPTION AND DIMENSIONS: PA-09-CA-4482-PW-00166(0): The Disaster #4482DR, which occurred between 1/20/2020 and Ongoing , caused: Damage # 391939; Emergency Protective Measures (Damage for Project [143838] COVID-19) On March 13, 2020, the President declared the ongoing Coronavirus Disease 2019 (COVID-19) pandemic of sufficient severity and magnitude to warrant an emergency declaration for all states, tribes, territories, and the District of Columbia pursuant to section 501 (b) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C. 5121-5207 (the “Stafford Act”). State, territorial, tribal, and local government entities and certain private non-profit organizations are eligible to apply for Public Assistance. In response to the pandemic, on March 22, 2020 the State of California received a Major Disaster Declaration under Presidentially declared FEMA-DR-4482-CA, (the California Covid-19 Pandemic event). The incident Period is from January 20, 2020 and ongoing. During the incident period of 1/20/2020 through Ongoing, COVID-19 created an immediate threat to the health and safety of the general public requiring emergency response and protective measures. Provided Emergency Operations Center for response to the COVID-19 pandemic event. The Applicant will conduct emergency response and recovery in response to the COVID-19 pandemic including communications of general health and safety and purchase of PPE. at 21810 Copley Drive, Diamond Bar, California, 91765 from 3/4/2020 to 9/22/2020. Current Version: SCOPE OF WORK: PA-09-CA-4482-PW-00166(0): 391939 City of Diamond Bar - Covid-19 The purpose of this Streamlined Project is to provide funding to the City of Diamond Bar for COVID-19 emergency response activities including EOC activation and materials and supplies starting from March 4, 2020 through September 22, 2020. The project cost estimate is prepared based on applicant-provided costs in response to FEMA DR-4482-CA (a Covid-19 declared event). Contracts must include a Termination for Convenience clause. FEMA will not approve PA funding that duplicates funding or assistance provided by another Federal agency, including the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, and the United States Department of Agriculture. FEMA will only reimburse for PPE/medical supplies and equipment provided to and used by Applicants and essential workers as necessary to prevent the spread of infection as directed by public health officials not to exceed the duration of the HHS public health emergency declaration for COVID-19. Approval of funding for the purchase of PPE is conditioned upon the Applicant meeting the following requirements prior to close-out and/or final version for expedited projects: 1. The Recipient, and any subrecipient funded through this and associated subgrants, must provide an internal control plan for accounting for intake, distribution, tracking, and handling of excess commodities and personal protective equipment (PPE) funded by this and associated prior subgrants for the same purpose. Handling of excess must comply with 2 CFR § 200.314 (supplies) and 2 CFR § 200.313 (equipment). 2. The Recipient and any subrecipient must provide the current burn rate for each identified category of PPE under this and associate subawards purchased (for example, N95 masks, surgical masks, and gowns) 3. The Recipient and any subrecipient must provide a current accounting of previously distributed PPE under this and associate subawards by jurisdiction or entity (i.e. by local government, hospital system, etc.) Work Completed In response to the COVID-19 Public Health Emergency, the applicant purchased PPE, materials and supplies in response to COVID-19. City of Diamond Bar A. Rental Equipment: $5,250.00 A message board was rented to provide dissemination of communication of general health and safety information to the public JCL Traffic Services 1 Ea Rate: $150/day Duration: 35 days B. Materials - $23,794.70 Materials purchased include masks, sanitizing supplies, hand sanitizer, and communication materials. Work Completed Total: $29,044.70 Work to be Completed In response to the COVID-19 Public Health Emergency, the applicant will continue to rent a message board to provide information to the public. A. Rental Equipment: $12,478.05 A message board was rented to provide dissemination of communication of general health and safety information to the public JCL Traffic Services 1 Ea Rate: $150/day Duration: Approximately 83 days Work to be Completed Total: $12,478.05 Total Project Cost: $41,522.75 Project Notes: 1. Scope and cost were developed based on applicant cost summaries and certification included in the Schedule EZ – Small Project Estimate. See attachment: ST 143838 Cost Estimate and Validation. Current Version: Does the Scope of Work change the pre-disaster conditions at the site? Yes No Special Considerations included? Yes No Hazard Mitigation proposal included? Yes No Is there insurance coverage on this facility? Yes No PROJECT COST ITEM CODE NARRATIVE QUANTITY/UNIT UNIT PRICE COST *** Version 0 *** Work Completed 1 9004 Rented Equipment 1/LS $ 5,250.00 $ 5,250.00 2 9009 Material 1/LS $ 23,794.70 $ 23,794.70 Work To Be Completed 3 9001 Contract 1/LS $ 12,478.05 $ 12,478.05 TOTAL COST $ 41,522.75 PREPARED BY Anthony Santos TITLE Assistant to the City Manager SIGNATURE APPLICANT REP. Anthony Santos TITLE Assistant to the City Manager SIGNATURE DIAMOND BAR : PA-09-CA-4482-PW-00166 Conditions Information Review Name Condition Type Condition Name Description Monitored Status Insurance No Recommended DIAMOND BAR : PA-09-CA-4482-PW-00166 Conditions Information Insurance Review Conditions (Grant Specific) FEMA insurance requirements are specific to permanent work to replace, restore, repair, reconstruct, or construct a facility. No insurance requirements are mandated for Category B emergency work Final Review Program Conditions (Program Specific) Standard Conditions RECORD RETENTION/DOCUMENTATION REQUIRED As described in 2 CFR, Part 200 § 200.333, financial records, supporting documents, statistical records and all other non-Federal entity records pertinent to a Federal award must be retained for a period of three (3) years from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency or pass-through entity in the case of a sub-recipient. Federal awarding agencies and pass- through entities must not impose any other record retention requirements upon non-Federal entities. Exceptions, Part 200.333, (a) – (f), (1), (2). All records relative to this Project Worksheet are subject to examination and audit by the State, FEMA and the Comptroller General of the United States and must reflect work related to disaster-specific costs. PROCUREMENT In the seeking of proposals and letting of contracts for eligible work, the Applicant/Subrecipient must comply with its Local, State (provided that the procurements conform to applicable Federal law) and Federal procurement laws, regulations, and procedures as required by FEMA Policy 2 CFR Part 200, Procurement Standards, §§ 317- 326. SMALL PROJECTS The Recipient must submit its certification of the applicant’s completion of all of its small projects and compliance with all No Approved DIAMOND BAR : PA-09-CA-4482-PW-00166 Conditions Information environmental and historic preservation requirements within 180 days of the applicant’s completion of its last small project. FEMA-STATE AGREEMENT REQUIRED The terms of the FEMA-State Agreement are incorporated by reference into this project award under the Public Assistance grant and the applicant must comply with all applicable laws, regulations, policy, and guidance. This includes, among others, the Robert T. Stafford Disaster Relief and Emergency Assistance Act; Title 44 of the Code of Federal Regulations; FEMA Policy No. 104-009-2, Public Assistance Policy and Program Guide; and other FEMA policy and guidance. DHS STANDARD TERMS AND CONDITIONS REQUIRED The DHS Standard Terms and Conditions in effect as of the date of the declaration of this major disaster are incorporated by reference into this project award under the Public Assistance grant, which flow down from the Recipient to subrecipients unless a particular term or condition indicates otherwise. UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS REQUIRED The Uniform Administrative Requirements, Cost Principles, and Audit Requirements set forth at 2 C.F.R. pt. 200 apply to this project award under the Public Assistance grant, which flow down from the Recipient to all subrecipients unless a particular section of 2 C.F.R. pt. 200, the FEMA-State Agreement, or the terms and conditions of this project award indicate otherwise. See 2 C.F.R. §§ 200.101 and 110. CHANGES IN SCOPE OF WORK REQUIRED The applicant must submit a written request through the Recipient to FEMA before it makes a change DIAMOND BAR : PA-09-CA-4482-PW-00166 Conditions Information to the approved scope of work in this project. If the applicant commences work associated with a change before FEMA approves the change, it will jeopardize financial assistance for this project. See FEMA Policy No. 104-009-2, Public Assistance Program and Policy Guide. Internal Comments No.Queue User Date/Time Reviewer Comments 3 Final Review LANGLEY MARGEAUX 12-28-2020 09:54 PM GMT 12/28/2020 Verified by DIU - The CRC Net Cost in GM is equal to the Total Project Cost in EMMIE and Cost Share matches in both systems. No documents uploaded: DIU process implemented 6.24.2020 / mll. 2 Insurance Review LANGLEY MARGEAUX 12-28-2020 09:43 PM GMT 10/01/2020 Per the Deduction Section of the Streamlined Application, the Applicant is confirming that they do not have insurance for the activities identified in Section II of the Streamline Application Project worksheet. Further, Section II of the Streamlined Application Project, the Applicant has confirmed that a reasonable effort to recover insurance proceeds that they are entitled to receive from their insurer(s) has been taken. Insurance proceeds are not anticipated. FEMA requires the Applicant to take reasonable efforts to pursue claims to recover insurance proceeds that it is entitled to receive from its insurer(s). In the event that any insurance proceeds are received for these expenses those proceeds must be reduced from FEMA Public Assistance funding to ensure no duplication of benefits has occurred. This declaration is specific for the cost associated with the actions taken to protect the public health and safety of the general population from the COVID-19 Pandemic. No commercial property insurance proceeds are anticipated for these costs. If in the event any part or all costs are paid by an insurance policy, a duplication of benefits from insurance will occur. Applicant must notify grantee and FEMA of such recoveries and the Sub-Grant award amount must be reduced by actual insurance proceeds. FEMA insurance requirements are specific to permanent work to replace, restore, repair, reconstruct, or construct a facility. No Internal Comments No.Queue User Date/Time Reviewer Comments insurance requirements are mandated for Category B emergency work Ryan DeShong - Insurance Specialist - CRC West 1 Initial Review BRANNAN LISA 07-29-2020 09:31 PM GMT 7.29.2020: DDD, SOW, & Cost to be populated at Final Record Upload in EMMIE. LB/DIU Go Back