HomeMy Public PortalAboutGEMA Project Application Grant Report.pdfGEORGIA
MANAGEMENT AGENCY
HOMEUWD SECURITY
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I
NATHAN GOVERNOR x a
April1
Honorable Jason Buelterman
Mayor
City of Tybee Island
403 Butler Avenue
Tybee Island, Georgia 31328
Dear Mayor Buelterman:
RE: FEMA -4284 -DR -GA
PA ID #051-78036-00
City of Tybee Island
HOMER BRYSON
DIRECTOR
Enclosed is a copy of the approved Project Application Grant Report, which includes
Project Worksheets for eligible expenses incurred by the City of Tybee Island, as a result of
Hurricane Matthew covered by the Presidential Disaster Declaration DR -4284.
All agreements concerning the approved project application are contained in the
enclosed Recipient-Subrecipient Agreement. Please sign the Recipient-Subrecipient
Agreement, Exhibit A, Exhibit B and Exhibit H. Only return the executed original of the
Exhibit A, Exhibit 8, Exhibit H and the Recipient-Subrecipient Agreement to the Public
Assistance Office at the address on our letterhead. Keep copies of signed documents and
all other enclosed documentation for your records. A copy of the fully executed agreement will
be returned to you for your files.
Federal funds will be provided as specified in paragraph two of the
Recipient-Subrecipient Agreement.
If you have any questions regarding this matter, please contact Ms. Tara Teuta, Grants
Specialist at 404-635-7066 or 1-800-TRY-GEMA.
cd/ft
Enclosures
cc: Dennis Jones, Director
Chatham County Emergency
Management Agency
Kristen Higgs, Area Field Coordinator
Georgia Emergency Management
Homeland Security Agency
Sin erely,
Charles D6wson
I Public Assistance Divion Director
Post Office Box 18055 Atlanta, Georgia 30316-0055 • (404) 635-7000 • Fax (404) 635-7205
W W W.GEMA.GA.GOV
RECIPIENTSUBRECIPIENT AGREEMENT
On October 8, 2016, the President declared that a major disaster exists in the State of
Georgia. This declaration was based on the disastrous event resulting from Hurricane
Matthew, beginning on October 4, 2016 to October 15, 2016. This document is the
Recipient-Subrecipient Agreement for the Public Assistance Program for the
presidential declaration, designated FEMA -4284 -DR -GA, under the Robert T. Stafford
Disaster Relief and Emergency Assistance Act, Public Law 100-707, 42 USC 5121 et
seq. ("The Act'), in accordance with 44 CFR 206.44.
Under this Agreement, the interests and responsibilities of the Recipient, hereinafter
referred to as the State, will be executed by the Georgia Emergency Management and
Homeland Security Agency (GEMHSA). The individual designated to represent the
State is Mr. Homer Bryson, Governor's Authorized Representative. The Subrecipient is
identified in paragraph 5 of the Application for Federal Assistance, Exhibit A, to this
agreement. The Subrecipienfs Authorized Representative who is named in paragraph
13 of Exhibit A and whose signature appears on page 3 of this agreement will execute
the interests and responsibilities of the Subrecipient.
1. The following exhibits are attached and made a part of this agreement.
Exhibit A. Application for Federal Assistance.
Exhibit B. Assurances -Construction Programs, Standard Form 424D
Exhibit C. Financial Assistance.
Exhibit D. Certification Regarding Debarment, Suspension, Ineligibility, and
Voluntary Exclusion, Lower Tier Transactions.
Exhibit E. Certification for Contracts, Grants, Loans, and Cooperative
Agreements.
Exhibit F. Guidance for Implementation of Section 406 Hazard Mitigation.
Exhibit G. Certification of Program Cost Share
Exhibit H. Federal Funding Accountability and Transparency Act Certificaton
Exhibit I. Project Worksheet Quarterly Report Form
2. Consistent with the requirement that federal assistance be supplemental, any federal
funds provided under the Act for Public Assistance will be limited to 75 percent of
total eligible costs, or as otherwise indicated pursuant to federal program incentives
provided under the Public Assistance Program. The remaining non-federal cost
share of eligible costs will be provided according to the Exhibit G, Certification of
Program Cost Share.
a. For local governments, the cost share is based on the information
found on Exhibit G.
b. For private nonprofit organizations and State agencies, 25% by the
Subrecipient.
3. No federal or state assistance under the Act and this Agreement shall be approved
unless the approved damages resulted from Hurricane Matthew that took place
beginning October 4, 2016. All requests for designations of areas and types of
assistance under the Act must be made within 30 days from the date of the incident
period unless an extension is authorized under 44 CFR 206.36.
4. Federal assistance under the Act and this Agreement shall be limited to Brantley,
Bryan, Bulloch, Camden, Candler, Chatham, Effingham, Emanuel, Evans, Glynn,
Jenkins, Liberty, Long, McIntosh, Pierce, Screven, Tattnall, Toombs, Ware and
Wayne County.
5. If the Subrecipient violates any of the conditions of disaster relief assistance under
the Act, this Agreement, or applicable federal and state regulations; the State shall
notify the Subrecipient that additional financial assistance for the project in which the
violation occurred will be withheld until such violation has been corrected to the
satisfaction of the State. In addition, the State may also withhold all or any portion of
financial assistance which has been or is to be made available to the Subrecipient
for other disaster relief projects under the Act, this or other agreements, and
applicable federal and state regulations until adequate corrective action is taken.
6. The Subrecipient agrees that federal or state officials and auditors, or their duly
authorized representatives may conduct required audits and examinations. The
Subrecipient further agrees that they shall have access to any books, documents,
papers and records of any recipients of federal or state disaster assistance and of
any persons or entities which perform any activity which is reimbursed to any extent
with federal or state disaster assistance funds distributed under the authority of the
Act and this Agreement.
7. No elected or appointed official or employee of the Subrecipient shall be admitted to
any share or part of this Agreement, or to any benefit to arise thereupon; provided,
however, that this provision shall not be construed to extend to any contract made
with a corporation for its general benefit.
8. The Subrecipient will establish and maintain an active program of nondiscrimination
in disaster assistance as outlined in implementing regulations. This program will
encompass all Subrecipient actions pursuant to this Agreement.
9. The Subrecipient agrees that emergency work projects (Categories A and B) will be
completed by April 4, 2017. Completion dates may be extended upon justification
by the Subrecipient and approval by the Governor's Authorized Representative.
10.All other projects (Categories C -G) shall be completed by April 4, 2018. If any
projects require work past this date, a request for a time extension must be
submitted to the Govemor's Authorized Representative before the deadline date for
approval. All projects should be completed before April 4, 2018. No State Cost
Share Match, if applicable will be available following this date.
17.Quarterly reports are required. The first quarterly report will cover the period
January 1, 2017 — March 31, 2017. Subsequent reports will cover the periods
ending June 30, 2017, September 30, 2017, December 31, 2017 and March 31,
2018. Reports will be submitted to the Governor's Authorized Representative no
later than 10 working days following the end of the reporting period.
12.There shall be no changes to this Agreement unless mutually agreed upon by both
Parties to the Agreement.
Agreed:
By. By:
Authorized Recipient Official
Signature Date
GEMHSA
Agency/Entity Name
Authorized Subrecipient Official
Printed or Typed Name
b;7y 1
Agency Entity Name
Exhibit H
Federal Funding Accountability and Transparency Act Certification
In order to remain in compliance with The Federal Funding Accountability and Transparency
Act of 2006 (FFATA) reporting, please complete Items 1 through 7 (and Items 8, 9 and 10 if
applicable), sign and certify by an authorized agent.
Sub -recipient award Number: 051-78036-00
Sub -recipient Name: City of Tybee Island
CFDA Program Number and Program Title: 97.036
Sub -award Project Description:
I. Sub -recipient DUNS Number
2. Sub -recipient Name
3. Sub -recipient DBA Name
4. Sub -recipient Address
� 1 ci(f� 13a
5. If DBA, Sub -recipient Parent DUNS Number
6. Sub -award Principle Place of Project Performance 1
7. In the preceding fiscal year, did the sub -recipient receive _80% of its annual gross revenues from the
Federal government? Yes No
X
If Yes, continue to question 8. No, STOP and certify. The questionnaire is complete.
8. In the preceding fiscal year, were the sub -recipient's annual gross revenues from the Federal
government more than $25 million annual? Yes No 1—
If Yes, continue to question 9. If No, STOP and certify. The questionnaire is complete.
9. Does the public have access to the names and total compensation of the sub -recipient's five most
highly compensated officers through periodic reports filed under section 13(a) or 15(d) of the
Securities Exchange Act of 1934 (15 U.S.C. §§ 78m(a), 78o d)) or section 6104 of the Internal
Revenue Code of 1986? Yes No __
If No, continue to question 10. If Yes, STOP and certify. The questionnaire is complete.
10. Please list the names and compensation of the sub -recipient's five most highly compensated officers
only if question 9 was applicable and answered NO.
Page I of 2
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I certify that to the best of my knowledge all of the information on this form is complete and accurate.
Authorized Signatliv�_ Date: 1/ 27/r
This section is for use by the Georgia Emergency Management Homeland Security Agency Only.
Sub -recipient Obligation/Agency Name:
In accordance with The federal Funding -Accountability and Transparency Act of 2006 (FFATA), this
document has been processed imtheFFATASub-award Reporting System (FSRS) by the undersigned:
Date:
Sub -recipient Obligation/Action Date:
Page 2 of 2
EXHIBIT A
PAS284075 APPLICATION FOR FEDERAL ASSISTANCE
1 -Type of Submission:
tted:
Applicant Indentifier: 051-78036-00
[ ]Construction
73.I)ateRcvdby State:
State Application ID: Bundle # 206
]Non -Construction
by Federal:
State Identifier: FEMA -DR -4284 -DR -GA
5.Applicart Information:
Legal Name: City of Tybee Island
Organizational Unit: Chatham
Add s (C'n, cou0iy, state, and zip):
Name and telephone number of the person to be contacted
�• QX' f ,
on matters involving this application (include area code):
'403 But ax Avenue
Tybee island, GA 31328
(912)472-5C70 (� /�' � - J5 ii1
Employer Identification Number(EIN):
7.Type of Applicant (enter appropriate letter in box) [ C 7
58-6000661
A.State F.State Institution of
B.County Higher Learning
C.Municipal: G.Private Learning
D.SpeciaL District H.Other (List):
E.Indeperdent School District
8.Type of Application:
9.Name of State Agency:
(X ]New [ ]Continuation [ ]Revision
If
Georgia Emergency Management and Homeland Security
revision, enter appropriate letter(s) in boxes) [ ]
Agency
A. Increase Award C. Increase Duration
B. Decrease Award D. Decrease Duration
E. Other (List):
10.Catalog of Federal Domestic Assistance Number:
ll.Descriptive Title of Applicant's Project:
Title:
(See Exhibit G for PW Details)
12.Estimated Funding:
Remarks:
This Exhibit A is for Bundle # 208
Federal: $119,035.50
Applicant: $19,839.25
State: $19,839.25
Local: XX.XX
Other: XX . XX
Total: $158,714.00
13.TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT.
THE DOCUMENT FAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL
COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
Typed Name of Authorized Representative:
Title:
Telephone Number6:
1*ffi"(Xlv��Rr_
qq
(912).Fr2•-59 8-.'J "-L)
N rrna
Signatute of Authorized Representative:
Date Signed:
-7
SignSign to of Approving Authority:
Title:
EXHIBIT A
PAS284075 APPLICATION FOR FEDERAL ASSISTANCE
].Type of Submission:
2.Date Submitted:
Applicant Indentifier: 051-78036-00
[ ]Construction
3.Date Rcvd by State:
State Application ID: Bundle # 218
I ]Non -Construction
4_Date Rcvd by Federal:
State Identifier: FEMA -DR -4284 -DR -GA
5.Apnlicant Information:
Legal Name: City of Tybee Island
Organizational
Unit: Chatham
Addrgsa� y, county, state, and zip):
Name and telephone number of the person to be contacted
Y ()x 'A'1 4 i
on matters
involving this application (include area code):
403 Butler Avenue
Tybee Island, GA 31328
g CS�aY4-1a- soap
Employer Identification N•umber(EIN):
7.Type of
Applicant (enter appropriate letter in box): I C ]
A.State
F.State Institution of
58-6000661
B.County
Higher Learning
C.Municipal: G.Private Learning
D.Special
District H.Other (List):
E.Independert School District
S.Type of Application:
9.Name of State Agency:
XI New [ ]Continuation I )Revision
Georgia Emergency Management and Homeland Security
If revision, enter appropriate letter(s) in
box(es) 17
Agency
A. Increase Award C. Increase Duration
B. Decrease Award D. Decrease Duration
E. Other (List):
10.Catalog of Federal Domestic Assistance Number:
11.Descriptive Title of Applicant's Pioject:
Title:
(See Exhibit G for PW Details)
12.Estimated Funding:
Remarks:
This Exhibit A is for Bundle # 218
Federal: $12,928.17
Applicant: $2,154.69
State: $2,154.70
Local: XX. XX
Other: XX. XX
Total: $17,237.56
13.TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL
DATA IN THIS
APPLICATION ARE TRUE AND CORRECT.
THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL
COMPLY WITH THE ATTACHED ASSURANCES IF THE
ASSISTANCE IS
AWARDED.
Typed Name of Authorized Representative:
Title:
Telephone Number:
-
912)=, Iya7
�..,
Signatute of Authorized Representative:
Date Signed:
Si ratute of Approving Authority:
Title:
EXHIBIT A
PAS284075 APPLICATIONi FOR FEDERAL ASSISTANTCE
1.Type of Submission:
ate Submitted:
Applicant Indentifier: 051-78036-00
[ ]Construction
ate RCvd by State:
r4Date
State Application ID: Bundle # 233
[ ]Non -Construction
Rcvd by Federal:
State Identifier: FEMA -DR -4284 -DR -CA
S.Applicant Information:
Legal Name: City of Tybee Island
Organizational Unit: Chatham
Addres (city, county, state, and zip):
Name and telephone number of the person to be contacted
12 11�0 x01\ !:
`T -1
on matters involving this application (include area code):
403 Butler Avenue
Tybee Island, GA 31328
- 68qG
Employer Identification Number(EIN):
7.Type of Applicant (enter appropriate letter in box): r C
A.State F.State Institution of
58-6000661
B.Count Y Higher Learning
C.Municipal: G.Private Learning
D.Special District H.Other (List):
E.Independent School District
6.Type of Application:
[X]New I ]Continuation [ ]Revision
9 -Name of State Agency:
If
Georgia Emergency Management and Homeland Security
revision, enter appropriate letter(s) in box(es) [ 7
AJancy
A. Increase Award C. Increase Duration
B. Decrease Award D. Decrease Duration
E. Other (List):
10.Catalog of Federal Domestic Assistance Number:
11.Descriptive Title of Applicant's Project:
Title:
(See Exhibit G for PW Details)
12.Estimated Funding:
Remarks:
This Exhibit A is for Bundle # 233
Federal: $79,351.02
Applicant: $13,225.17
State: $13,225.17
Local: XX . XX
Other: XX XX
Total: $105,801.36
13.TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT.
THE DOCUMENT RAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL
COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
Typed Name of Authorized Representative: Title:
Telephone Number:
r
Q
544-3-0-7
J1� 4
Signature of Authorized Representative:
Date Signed:
Sig to of Approving Authority:
Title:
EXHIBIT A
PAS284075 APPLICATION FOR FEDERAL ASSISTANCE
1.Type of Submission:
2.Date Submitted:
Applicant Indentifier: 051-78036-00
[ ]Construction
3.Date Rcvd by State:
State Application ID: Bundle # 282
[ )Non -Construction
4.Date Rcvd by Federal:
State Identifier: FESA-DR-4284-1)R-GA
5.Applicant Information:
Legal Name: City Of Tybee Island
Organizational Unit: Chatham
Add�ys s(�(ci"[`[Y�,,,county, state, and zip):
•a,
Name and telephone number of the person to be contacted
•' `� • X 1 t f
�1'
or. matters involving this application (include area code):
403 Sutleerr Aveaue
Tybee Island, GA 31328qo
] �
RV15til i 7"70VSQ _, ]
( Imo- Cq 1a� 41 a- 50 �
Employer Identification Number(EIN):
7.Type of Applicant (enter appropriate letter in box): E C ]
58-6000661
A.State F.State Institution of
B.County Higher Learning
C.Municipal: G.Private Learning
D.Special District H.Other (List):
E.Independent School District
8.Type of Application:
9.Name of State Agency:
(X ]New [ ]Continuation [ ]Revision
If
Georgia Emergency Management and Homeland Security
revision, enter appropriate letter(s) in box(es) [ ]
Agency
A. Increase Award C. Increase Duration
B. Decrease Award D. Decrease Duration
E. Other (List):
10.Catalog of Federal Domestic Assistance Number:
ll.Descriptive Title of Applicant's Project:
Title:
(See Exhibit G for PW Details)
12.Estimated Funding:
Remarks:
This Exhibit A is for Bundle # 282
Federal: $491,544.39
Applicant: $43,371.57
State: $43,371.56
Local: XX XX
Other: XX.XX
Total: $578,287.52
13.TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT.
THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL
COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
Typed Name of Authorized Representative:
Title:
Telephone Number:
City Manager
(912)472-5V70- OW- S 4 a
Signatute of Authorized Representative:
Date Signed:
y z7lf i
Signatu f Approving Authority:
Title:
OMB Number. 4040-0007
Expiration Date: 01/312019
ASSURANCES - NON-CONSTRUCTInN PRnaRennc
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.
�.calm or mese 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. Wig initiate and complete the work within the applicable
time frame after receipt of approval of the awarding
agency.
5. WiII Comply with the Intergovernmental Personnel Act of 7.
1970 (42 U.S.C_ §§472814763) 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 induce but are not limited to:
(a) Trtle 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) Titie IX of the Education
Amendments of 1972, as amended (20 U.S-C.§§1 681-
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. §§61016107), 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, Q) 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-M) 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
Authorized for Local Reproduction S�ribzrd y OMBForm
Cir (Rar A-1 2
Prascdbed by ONB Circular A•702
9. Will comply, as applicable, with the provisions of the Davis- 13. Will assist the awarding agency in assuring compliance
Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act with Section 106 of the National Historic Preservation
(40 U.S.C. §276c and 18 U_S.C. §874), and the Contract AG of 1966, as amended (16 U.S.C. §470), EO 11593
Work Hours and Safety Standards Act (4o U.S.C. §§327- (identification and protection of historic properties), and
333), regarding labor standards for federally -assisted theArohaeologicaland Historic PresenrationActof
construction subagreements. 1974 (16 U.S.C. §§469a-1 et seq.).
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 f 969 (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.); (9) protection of
underground sources of drinking water under the Safe
Drinking WaterAct 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_
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
ORGANIZATION
y_
14. Will comply with P.L. 93-348 regarding the protection of
human subjects invoked in research, development, and
related activities supported by this award of assistance.
15. WU 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
ActAmendments of 1996 and OMB Circular No. A-133,
"Audits of States, Local Governments, and Non -Profit
Organizations."
18. Wrll comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
19. Will comply with the requirements of Section 106(8) of
the Trafficking Victims Protection Act (TVPA) of 2000, as
amended (22 U.S.C. 7104) which prohibits grant award
recipients or a sub -recipient from (1) Engaging in severe
forms of trafficking in persons during the period of time
that the award is in effect (2) Procuring a commercial
sex act during the period of time that the award is in
effect or (3) Using forced labor in the performance of the
award orsubawards under the award.
TITLE
DATE SUBMITTED
y- n
Standard Form 42AB OW. 7.97) back
ASSURANCES -CONSTRUCTION PROGRAMS
OMB Number. 4040-0009
Vale; ul/3lizula
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 (0348-0042), 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 assistance 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,
8_ Will comply with the Intergovernmental Personnel Act
and the institutional, managerial and financial capability
of 1970 (42 U.S.C. §§4728-4763) relating to prescribed
(including funds sufficient to pay the non -Federal share
standards of merit systems for programs funded
of project costs) to ensure proper planning,
management and completion of project described in
under one of the 19 statutes or regulations specified in
this application.
Appendix A of OPM's Standards for a Merit System of
y
Personnel Administration (5 C.F.R. 900, Subpart F).
2. Will give the awarding agency, the Comptroller General
9. Will comply with the Lead -Based Paint Poisoning
of the United States and, if appropriate, the State,
the right to examine all records, books, papers, or
Prevention Act (42 U.S.C. §§4801 et seq.} which
documents related to the assistance; and will establish
prohibits the use of lead-0ased paint in construction or
rehabilitation s residence structures.se paint
a proper accounting system in accordance with
generally accepted accounting standards or agency
10. Will comply with all Federal statutes relating to non -
directives.
discrimination. These include but are not limited to: (a)
3. Will not dispose of, modify the use of, or change the
Title VI of the Civil Rights Act of 1964 (P.L. 88352)
which prohibits discrimination on the basis of race,
terms of the real property title or other interest in the
site and facilities without permission and instructions
color or national origin; (b) Title IX of the Education
from the awarding agency. Will record the Federal
Amendments of 1972, as amended (20 U.S.C. §§1681
1683, and 1685-1686), which prohibits discrimination
awarding agency directives and will include a covenant
in the title of real property acquired in whole or in part
on the basis of sex; (c) Section 504 of the
with Federal assistance funds to assure non-
Rehabilitation Act of 1973, as amended (29) U.S.C.
§794), which prohibits discrimination on the basis of
discrimination during the useful life of the project.
handicaps; (d) the Age Discrimination Act of 1975, as
4. Will comply with the requirements of the assistance
amended (42 U.S.C. §§61013107), which prohibits
awarding agency with regard to the drafting, review and
discrimination on the basis of age; (e) the Drug Abuse
approval of construction plans and specifications.
Office and Treatment Act of 1972 (P.L. 92-255), as
5. Will provide and maintain competent and adequate
amended relating to nondiscrimination on the basis of
drug abuse; (f) the Comprehensive Alcohol Abuse and
engineering supervision at the construction site to
Alcoholism Prevention, Treatment and Rehabilitation
ensure that the complete work conforms with the
Act of 1970 (P.L. 91316), as amended, relating to
approved plans and specifications and will famish
nondiscrimination on the basis of alcohol abuse or
progressive reports and such other information as may be
alcoholism; (g) §§523 and 527 of the Public Health
required by the assistance awarding agency or State.
Service Act of 1912 (42 U.S.C. §§290 dd3 and 290 ee
6. Will initiate and complete the work within the applicable
3)• as amended, relating to confidentiality of alcohol
time frame after receipt of approval of the awardingen
agency. cy.
and drug abuse patient records; (h) Title VIII of the
Civil Rights Act of 1965 (42 U.S.C. §§3601 et seq.), as
7. Will establish safeguards to prohibit employees from
amended, relating to nondiscrimination in the sale,
using their positions for a purpose that constitutes or
rental or financing of housing; (i) any other
presents the appearance of personal or organizational
nondiscrimination provisions in the specific statue(s)
conflict of interest, or personal gain.
under which application for Federal assistance is being
made; and Q) the requirements of any other
nondiscrimination statue($) which may apply to the
application.
Previous Edition usable Authorized
for Local Reproduction Standard Fonn 4240 (Rev. 7-97)
Prescribed by OMB CircularA-102
11. Will comply, or has already complied, with the
requirements of Titles 11 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 and federally -assisted
Programs. These requirements apply to all interests in real
property acquired for project purposes regardless of
Federal participation in purchases.
12. Will comply with the 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.
13. Will comply, as applicable, with the provisions of the Davis -
Bacon Ad (40 U.S.C. §§276a to 276x7), the Copeland Act
(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract
Work Hours and Safety Standards Ad (40 U.S.C. §§327-
333) regarding labor standards for federally -assisted
cons don subagreements.
14. Will comply 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.
15. 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 ED 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
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
APPLICANT ORGANIZATION
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 93523); and, (h) protection of
endangered species under the Endangered Species
Act of 1973, as amended (P.L 93-205).
16. 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
Mid and scenic rivers system.
17. 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. �§ 9a-3 et seq).
18. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit
Ad Amendments of 1996 and OMB Circular No. A-133,
"Audits of States, Local Governments, and Non-Proft
Organizations"
19. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
20. Will comply with the requirements of Section 106(g) of
the Trafficking Victims Protection Act (NPA) of 2006, as
amended (22 U.S.C. 7104) which prohibits grant award
recipients or a sub -recipient from (1) Engaging in severe
forms of trafficking in persons during the period of time
that the award is in effect (2) Procuring a commercial
sex ad during the period of time that the award is in
effect or (3) Using forced labor in the performance of the
award or subawards under the award.
TITLE
DATE SUBMITTED
SF -424D (Rev. 7-97) Bark
Exhibit C
Financial Assistance
1. General. The state shall make necessary funding available for disaster assistance
within the limits of funds provided by FEMA pursuant to the major declaration
designated FEMA -4284 -DR -GA.
2. Documentation. The Subrecipient will maintain a list of locations where its records,
including the original documentation supporting each claim, may be audited. These
records shall be retained for a period of not less than three years from the date of
the final applicant closeout.
3. Audit. Audits of Subrecipients receiving assistance under the Act and this
Agreement shall be conducted in accordance with the requirements of the
Single Audit Act of 1984 (PL 98502), The Super Circular 2 C.F.R. Part 200,
OMB Circulars A-128 and A-110 as well as related FEMA and state regulations
and instructions. Subrecipients will ensure that appropriate corrective action
is taken within three months after receipt of the audit in instances of
noncompliance.
4. Payments.
A. General
(1) Small projects are defined as those with an estimated cost under
$123,100. Large projects are defined as those with an estimated cost
of $123,100 or greater.
(2) GEMHSA will provide funds to the Subrecipient in the form of initial
payments, progress payments, and final payments for approved
project applications. The state hereby establishes, and the
Subrecipient agrees to, the terms and conditions listed below in
paragraphs 4A (3) through (8), 46, 4C, and 4D, which shall govern all
funds used to make these payments.
(3) The Subrecipient Official responsible for the custody of the funds shall
be a bonded official or, if other than a bonded official, assurances of
satisfactory surety shall be provided.
(4) The Subrecipient will pay contractors, vendors, suppliers, etc.
immediately upon receipt of funds.
(5) The Subrecipient shall maintain records that identify adequately the
source and application of federal and/or state disaster assistance
funds along with accounting records that are supported by adequate
documentation.
(6) The funds shall be used solely for disaster relief projects approved by
GEMHSA and FEMA.
(7) The Subrecipient shall establish and maintain accounting records,
which will be subject to state or federal audit, containing the following;
(a) The amount and date of each disaster assistance payment to the
Subrecipient.
(b) The amount of funds provided to each contractor, vendor,
supplier, etc., including the check number, amount, date, invoice
number, and individual payee.
(8) Subrecipient reports of cash disbursements will be made as required
by GEMHSA.
B. Small Projects:
(1) GEMHSA will make advance payment of the full project amount
(100%) to the Subrecipient on the basis of the approved federal
estimate contained in the Project Worksheet (PW), FEMA Form
90-91, for all small projects.
(2) Overruns and underruns on all small projects will be totaled upon
completion of all small projects. If there is a net underrun, the
difference need not be returned by the Subrecipient to the state.
However, the Subrecipient must spend the funds generated by project
underruns on projects which contribute to the general welfare of its
constituents, i.e., for the public benefit.
(3) Claims for net overruns will be supported by appropriate
documentation. if an overrun is claimed, documentation on all small
projects must be submitted for review by GEMHSA and FEMA to
determine if payment of the overrun is justified.
(4) Failure to complete a project according to the defined scope of work,
in partial or in its entirety, will require that the federal and state
payments be refunded.
(5) It is essential that significant potential overruns or underruns on
individual projects be brought to the attention of GEMHSA as soon as
they become apparent so that the project can be reviewed and/or
reinspected to determine if a revised PW is necessary.
(6) Final inspection of small projects will be conducted in accordance with
current procedures. Documentation to support all small projects must
be kept for possible review and/or audit for three years following
project completion.
C. Large Projects:
(1) An initial payment of 25% of the full project amount may be paid to the
Subrecipient on the basis of the approved federal estimate contained
in the Project Worksheet (PW), FEMA Form 90-91, for all large
projects. No further payments will be made by GEMHSA until
sufficient documentation has been received from the Subrecipient to
justify the initial payment.
(2) Generally, advance payments will not be made for large projects. The
GAR may authorize advance payments on a case-by—case basis upon
request and justification by the Subrecipient.
(3) Payments will normally be made based upon progress and requests
for reimbursement of documented expenditures of the Subrecipient.
Ten percent of each large PW will be retained by GEMHSA and
subject to final inspection, review and approval by GEMHSA and
FEMA.
(4) Upon completion of each large project, the Subrecipient shall request
a final inspection by GEMHSA.
(5) After the final inspection has been approved by FEMA, obligated funds
will be processed for payment. Any deobligated funds must be
refunded to GEMHSA as required.
D. Repayments:
Any project funds provided to the Subrecipient, with the exception of small
project underruns, which are:
(1) in excess of current needs, or,
(2) in excess of amounts approved by GEMHSA or FEMA, or,
(3) found by audit or investigation to be owing to the state or FEMA, shall
be refunded by check drawn payable to the State of Georgia -Office of
Planning and Budget. Repayment shall be made to the state within 10
working days after the Subrecipient becomes aware of such excess
funds or funds due the state. If the Subrecipient fails to pay the state
such funds within 10 working days, then the Subrecipient shall pay
interest at a rate established by FEMA. If immediate repayment is not
possible, then a reasonable repayment schedule with interest charged
on the unpaid balance will be submitted to the state for approval. In
the event that repayment is not made within four months or in
accordance with an approved payment schedule, the GAR shall take
appropriate measures as provided by state law to collect or otherwise
dispose of the debt.
EXHIBIT D
Federal Emergency Management Agency
Certification Regarding
Debarment Suspension Ineligibility, and Voluntary Exclusion
Lower Tier Covered Transactions
This certification is required by the regulations implementing Executive Order 12549,
Debarment and Suspension, 44 CFR Part 17. The regulations were published in the
May 26, 1988 Federal Register. Copies of the regulation are available from the
appropriate FEMA Regional Office.
1. The prospective lower tier participant certifies, by submission of this proposal, that
neither it nor its principals is presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from participation in this
transaction by any Federal department or agency.
2. Where the prospective lower tier participant is unable to certify to any of the
statements in the certification, such prospective participant shall attach an
explanation to this proposal.
EXHIBIT E
Certification for Contracts. Grants. Loans and
Cooperative Agreements
The Applicant's Agent, as part of this agreement, certifies, to the best of his or her
knowledge and belief, that:
1. 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
awarding of any federal contract, the making of any federal grant, the making of any
federal loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment, or modification of any federal contract, grant,
loan, or cooperative agreement.
2. If any funds other than federal appropriated funds have been paid or will be paid 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 this federal contract, grant,
loan, or cooperative agreement, the undersigned shall complete and submit
Standard Form -LLL, `Disclosure Form to Report Lobbying", in accordance with its
instructions.
3. The undersigned shall require that the language of the certification be included in the
award documents for all subawards at all tiers (including subcontracts, subgrants,
and contracts under grants, loans, and cooperative agreements) and that all
subrecipient shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed
when this transaction was made or entered into. Submission of this certification is a
prerequisite for making or entering into this transaction imposed by section 1352, Title
31, U.S. Code. Any person who fails to file the required certification shall be subject to
a civil penalty of not less than $10,000 and not more than $100,000 for each such
failure.
EXHIBIT F
GUIDANCE FOR IMPLEMENTATION OF
SECTION 406 HAZARD MfTIGATION
FOR FEMA -4284 -DR -GA
The Robert T. Stafford Disaster Relief and Emergency Assistance Act, as amended,
provides FEMA the authority to fund the restoration of eligible facilities that have
sustained damage due to a Presidentially declared disaster. Within the enabling act,
Section 406 also contains a provision for the consideration of funding additional
measures, not required by applicable codes and standards, that will enhance a facility's
ability to resist similar damage in future events.
In providing discretionary authority for the addition of hazard mitigation to permanent
work restoration, Congress recognized that, during the repair of damaged components
of facilities, there would be a unique opportunity to attempt to prevent recurrence of
similar damage from future, similar disaster events. Such measures are additional to
compliance with adopted codes and standards, although such compliance could be
considered a form of mitigation.
Based on the above, the Federal Emergency Management Agency (FEMA) and the
Georgia Emergency Management Agency -Homeland Security (GEMHSA), as
Recipients under the FEMA Public Assistance Grant Program, agree to conduct Public
Assistance inspections pursuant to the following provisions:
1. GEMHSA will make every effort to alert local representatives to the potential for
hazard mitigation funding under the Public Assistance program, and FEMA will
support this initiative.
2. During inspections, FEMA, State, and local inspectors will explore every opportunity
for the provision of hazard mitigation to combine with other costs potentially eligible
for public assistance funding.
3. Section 406 Hazard Mitigation funding will only be considered for components of the
eligible facilities. Section 406 Hazard Mitigation proposals are not eligible as
stand-alone projects: They must be associated with eligible damage reduction.
4. General eligibility criteria for Public Assistance require that an item of work be
required as a result of the major disaster event. For this reason, hazard mitigation
proposals must be aimed at reducing damages from future similar events.
5. Restoration PWs will incorporate applicable codes and standards when appropriate.
Since replacement projects will incorporate compliance with applicable codes and
standards, there generally will be no need to mitigate such projects. Mitigation will
not be considered for use in alternate projects since the eligible funding will not be
used in restoration of a damaged facility.
6. All hazard mitigation proposals submitted pursuant to Section 406 will be evaluated
for cost effectiveness (Where the benefits of the measure must exceed the costs),
technical feasibility, environmental compliance and historical compliance. These
proposals will also be evaluated against any other applicable requirements.
7. In order to ensure consideration of potential mitigation opportunities, FEMA
inspectors will annotate the level of mitigation included in the PW. Typical
conclusions will include: a) mitigation proposal attached to PW, b) mitigation already
considered through code compliance and no other opportunities were identified; c)
opportunities were explored but none were identified (PW must include a detailed
explanation as to this determination).
8. Some repairs to a facility are written to incorporate preventative measures that
constitute good engineering and common sense. if not required by code, these
additional measures are mitigation, and will be so annotated on the PW in the same
fashion as other mitigation measures.
9. FEMA Public Assistance in coordination with FEMA Mitigation and GEMHSA Public
Assistance and Mitigation will establish a review team dedicated to the processing of
hazard mitigation proposals and review of other PWs to assess the potential for
mitigation opportunities. To the extent possible, this team will identify and implement
procedures to expedite the review of these proposals and PWs.
90. Measures that are designed to reduce damages from future events, that are not
linked to an eligible damaged site, and that do not qualify for Section 406 mitigation
funding, should be forwarded to the applicant for possible application under the
Section 404 mitigation program.
EXIMIT I
Georgia Emergency Management and Homeland Security Agency
Project Worksheet Quarterly Report Form
This form is required to be submitted on a quarterly basis for each open large Project Worksheet (PW). If you have any questions, please contact your
Grants Specialist (GS) in the Public Assistance and Recovery Division. This form can be scanned, emailed and or faxed to your GS_ Failure to send in
the report by the due date can result in loss of fund ng for proiects.
Identify the performance period for this report: (a separate form is required for each Quarterly Report)
❑ January I to March 31 (report is due to GENWA by April 15)
❑ April Ito June 30 (reportis due to GRVfHsA by July 15)
❑ July I to September 30 (report due to GEMHSA by October 15)
❑ October I to December 31 (report due to GEWI.SA by January 15)
Applicant Name:
Telephone Number.
Gnnts Specialist:
Fu Number:
Disaster Number,
Project Worksheet Number and Category (A -G):
Date:
DR -4284
dates
were
nxpecrea oetays or identified problems; (Identify if there is a change the scope of work outlined in the PW, weather issues, etc. Include as much detai
as possible with baric up documentation- Include any information about circt>mstances that could delay the estimated project completion date or result in
an tmenpected cost overrun.) If there is a need for a time waensiou, the applicant must send in a separate request with details.
Note 1: The subrecrprent will submit projected cost overruns, with complete justification, to the GS for approval immediately upon reap mg the
expecmd overrun. If approved, the GS will subsequently submit projected cost overruns of the approved grant amount
GEMHSA Form (March 2016)
Total Funds awarded for the pixjca to date:
$
Total funds ded to date:
$
Total Administrative Funds exDended to date:
$
Estimated additional funds required to complete roject:
$
Do you plan on exceedmg the approved Pro'ect Worksheet amoam? ' See Note 1)
❑Yes
❑ No
If Yes, give estimated $S amount -
$
Will You be m9westing reimbursement for your cost ovemm?
❑ Yes
❑ No
Will the project be completed as written in the Scope of Work? If No, a request to change
the PW or an ' ed/alternate project must be submitted to GENIA/Hs.
What percentage complete is the project to date?
❑ Yes
❑ No
%
Total amount of advanced funds this
$
Are all advanced fimds liquidated? f not completely liquidated, please, exphdn above):
❑ Yes
❑ No
What is the completion date of project
t
Note 1: The subrecrprent will submit projected cost overruns, with complete justification, to the GS for approval immediately upon reap mg the
expecmd overrun. If approved, the GS will subsequently submit projected cost overruns of the approved grant amount
GEMHSA Form (March 2016)
EXHIBIT G
Certification of Program Cost Share
This certification is pursuant to the State Financial Assistance Policy for Local
Governments Declared Eligible for Federal Disaster Assistance Programs. This
policy can be obtained from the Georgia Emergency Management Agency.
1. The prospective subgrantee certifies, by submission of this proposal,
that it will provide its local match based on the local contribution
rates indicated In this exhibit on all expenditures incurred on any
projects funded as a result of this agreement_
2. Failure to provide match at or greater than the rates specified will
result in non-payment for the full amount of the expenditure for which
reimbursement is requested and deobligation of the federal share.
FEMA -DR -4284 -DR -GA
PAS284075
Hurricane Matthew
Tybee Island, City of
PW # VRS Bundle Amount
PW -00208 0 Utilities
158,714.00
Grand Total
158,714.00
Federal Fluids
119,035.50(75.0%)
Federal Total
119,035.50
State Cost Share
19,839.25(12.5%)
State Total
19,839.25
BUNDLE #: 208
Local Cost Shar
19,839.25 (12.5'
Local Total
19,839.25
ENINU I P.2 Report
Relt&nlsted
03/30/201714:59
Data Captured As Of:
03/30/2017 14:59
Disaster Number:
4284
Bundle:
PA -04 -GA -4284 -PW -00208
Capture Date: 03/30/2017 14:59
Federal Emergency Management Agency
Project Application Grant Report (P.2)
Disaster: FEMA -4284 -DR -GA
Number of Records: 1
Page 1 of 2
Appplicant ID: 051-78036-00
Em spp-Bundle # - PA -04 -GA -
4294 -PW -00208(206) Applicant: TYBEE ISLAND
PW # Cat Cost Share Projected Completion Date Approved PW Amount {$)
PA -04 -GA -4284 -PW -00208(0) G N 04.08-2018 158,714.00
Facility Number: 1
Facility Name: Damage #2390; North Beach Parking Lot TDSR
North Beach parking Lot
Location: Tybee Island, Georgia 31328
Scope of Work: 2390 North Beach Parking Lot TDSR
Scope of Work (Applicant provided)
The Applicant requested a proposal to repair the 130,625 SF gravel and 275
concrete parking blocks (bumpers) in parking lot at North Beach to restore this
facility back to its pre -disaster design, function and capacity.
The city of Tybee Island received a proposal on January 6, 2017 from contractor,
Phillips and Jordan inc.. They propose to install, grade and compact 3" of GABC
stone for a lump sum amount of $ 121,701.25. Reset 275 concrete parking blocks
at a cost of $55.000 for a total of $ 15,125.00. Furnish and install 100 new ABS
Plastic parking blocks at $188.80 Ca for a total of $11,880.00. (This is ineligible
cost, this is in addition to what was there prior to Hurricane Matthew).
The Invoice also used an incorrect calculation of 80625 SY, which Phillips rt Jordan
claim an Excel error. In the documentation of FEMA site inspector and Phillips it
Jordan superintendent both agreed on the total 130,625SF, this does not affect
the pricing of the lump sum for 1820 tons of gravel installed and graded to 3" in
depth.
Total of Proposal $ 148,706.25 - $11,880.00 = $136,826-25
This gravel parking lot was the staging area for the community's debris piles.
Debris collected due to Hurricane Mathew. The debris piles have all been taken to
their correct depositories.
Applicant received a permit for the beach to be used as a temporary debris site.
See attachment: "DNR Letter for LOP for Debris Permit as TDSR"
FEMA SOW notes:
RS Means estimate has been generated to show the reasonableness for the project
cost. (see attachment: "ST605 RS Means Estimate" )
https://connect l .dhs.gov/emmie/,Danalnfo=sso.fema.net,SSL+search.do?gr... 3/30/2017
EMMIE I P.2 Report
Capture Date: 03/30/2017 14:59
Number of Records: 1
Page 2 of 2
Federal Emergency Management Agency
Project Application Grant Report (P.2)
Disaster: FEMA -4284 -DR -GA
Since the project is less than 90% complete and over the large project threshold
($121,600) a CEF has been generated and is included. (see attachment: "ST605
CEF spreadsheet..")
Total project cost (w/ CEF): $158,714.00
1 PW PWS ($) Subgrantee Admin Exp. ($) Total ($)
Amount Eligible ($) 158,714.00 0.00 158,714.00
Federal Share ($) 119,035.50 0.00 119,035.50
https://connecti .dhs.gov/emmie/,Danalnfo=sso.fema.net,SSL+search.do?gr... 3/30/2017
Federal Emergency Management Agency E -Grants
Page 1 of 2
Pft4�GA`-s184
0208(0) P
APPLICANT: TYBEE ISLAND WORK COMPLETE AS OF:
Applicant Name:
Application Title:
TYBEE ISLAND
ST00605-Cat GTybee Island North Beach Parking Lot
Period of Performance Start:
Period of Performance End:
10-06-2016
04-08-2018
Bundle Reference # (Amendment #) jDate Awarded
PA -04 -GA -4284 -PW -00208(206) 03-30-2017
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. PAID NO. DATE r`Ai- ---nov
FEMA 4284 - DR I -GA 1605 051- 03-13-2017 G ---
78036-00
APPLICANT: TYBEE ISLAND WORK COMPLETE AS OF:
02-132017: 0
Site 1 of 1
DAMAGED FACILrrY:
Damage #2390; North Beach Parking Lot TDSR
COUNTY:
Chatham
LOCATION:
LATITUDE:
LONGITUDE:
PA-04-GA4284-PW-00208(0):
32.02168
-80.84365
North Beach parking Lot
Tybee Island, Georgia 31328
Current Version:
DAMAGE DESCRIPTION AND DIMENSIONS:
PA -04 -GA -4284 -PVN -00208(0):
The Disaster #4284DR occurring on 10!92016 caused:
Damage #2390; North Beach Parking Lot TDSR
The heavy rainfall event caused broken limbs, uprooted trees, and leafy material buildup, generating the accumulation of debris
throughout The Tybee Island City in Chatham County. The North Beach Parking
( beachfront lot) looted in Fort Screven, which served
as a Hurricane Mathew debris collection site to the locals, was affected. Damages described as following:
North Beach Parking Lot TDSR (GPS = 32.02168 -80.84365), a Other with an approximately area of two (2) acres, was damaged on
10/8/2016 by debris deposit operations. Due to the constant movement of trucks and the debris piles weight, the parking surface was
washed out and sunk in two (2) sections. in addition several parking blocks needed to be remove and reset
The following is a list of damage at North Beach Parking Lot TDSR:
Parking Lots, 74375 SF of Gravel surface, 425 FT long x 175 FT wide, was washed out
Parking Lots, 56250 SF of Gravel surface, 225 FT long x 250 FT wide, was washed out
Parking Lots, 275 of Parking blocks, 75 IN long x 8 IN wide x 5 IN high, removed and reset
Notes:
The measurements were provided by the applicant. At the time of the inspection construction work was taking place, as a result the She
Inspector was unable to take any measurement.
Current Version:
SCOPE OF WORK
PA -04 -GA -4284 -PW -00208(0):
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Federal Emergency Management Agency E -Grants Page 2 of 2
North Beach Parking Lot TDSR
Scope of Work (Applicant provided)
The Applicant requested a proposal to repair the 130,625 SF gravel and 275 concrete parking blocks (bumpers) in parking lot at North
Beach to restore this facility back to its pre -disaster design, function and capacity.
The city of Tybee Island received a proposal on January 6, 2017 from oordractor, Phillips and Jordan Inc.. They propose to install, grade
and compact 3' of GABC stone for a lump sum amount of $ 121,701.25. Reset 275 concrete parking blocks at a cost of $55.00@ for a
total of S 15,125.00. Furnish and install 100 new ABS Plastic parking blocks at $188.80 @ for a total of $11,880.00. (This is ineligible cost,
this is in addition to what was there prior to Hurricane Matthew).
The Invoice also used an incorrect calculation of 80625 SY. which Phillips 8 Jordan claim an Excel error. In the documentation of FEMA
site inspector and Phillips 8: Jordan superintendent both agreed on the total 130,625SF, this does not affect the pricing of the lump sum for
1820 tons of gravel installed and graded to 3' in depth.
Total of Proposal $ 148,706.25 — $11,880.00 = $136,82625
This gravel parking lot was the staging area for the community's debris piles. Debris collected due to Hurricane Mathew. The debris piles
have all been taken to their correct depositories.
Applicant received a permit for the beach to be used as a temporary debris site. See attachment "DNR Letter for LOP for Debris Permit
as TDW
notes:
RS Means estimate has been generated to show the reasonableness for the project cost. (see attachment "ST605 RS Means Estimate-)
Since the project is less than 90% complete and over the large project threshold ($121,600) a CEF has been generated and is included.
(see attachment: "Si605 CEF spreadsheet...')
Project cost (w! CEF): $158,714.00
Current Version:
Does the Scope of Work change the pre -disaster
conditions at the site? Yes `/ No Special Considerations included? Yes J No
Hazard Mitigation proposal included? - Yes J No Is there insurance coverage on this facility? Yes */ No
PROJECT COST
REM CODE NARRATIVE QUANTITY/UNI I UNIT PRICE COST
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— Version 0 —
Work To Be Completed
1
9000
CEF Cost Estimate (See Attached
Spreadsheet)
1/LS
$ 158,714.00
$ 158,714.00
Direct Subgrantee Admin Cost
2
9901
Direct Administrative Costs
(Subgrantee)
1/LS
$ 0.00
$ 0.00
TOTAL
COST
$ 158.714.00
PREPARED BY Kathleen Brewing[on TITLE PDMG
SIGNATURE
APPLICANT REP. Diane Schleicher TITLE
SIGNATURE
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EXHIBIT G
Certification of Program Cost Share
This certification is pursuant to the State Financial Assistance Policy for Local
Governments Declared Eligible for Federal Disaster Assistance Programs. This
policy can be obtained from the Georgia Emergency Management Agency.
1. The prospective subgrantee certifies, by submission of this proposal,
that it will provide its local match based on the local contribution
rates indicated in this exhibit on all expenditures incurred on any
projects funded as a result of this agreement.
2. Failure to provide match at or greater than the rates specified will
result in non-payment for the full amount of the ex enditure for which
reimbursement is requested and deobligation of the ederal share.
FEMA -DR -4284 -DR -GA
PAS284075
Tybee Island, City of
Hurricane Matthew
PW # VRS Bundle Amount Federal Funds State Cost Share
PW -00218 0 Parks, recreational, facilities and other items
17,237.56 12,928.17(75.0%) 2,154.70(12.5%)
Grand Total Federal Total State Total
17,237.56 12,928.17 2,154.70
BUNDLE #: 218
Local Cost Shar
2,154.69(12.5`
Local Total
2,154.69
EMMIE j P.2 Report
Capture Date: 03/30/2017 14:55
Federal Emergency Management Agency
Project Application Grant Report (P.2)
Disaster: FEMA -4284 -DR -GA
Number of Records: 1
Applicant ID: 051-78036-00
8:n p -Bundle # : PA -04 -GA -
4264 -PW -00298(201)
PW # Cat Cost Share
PA -04 -GA -4284 -PW -00218(0) G
Facility Number:
Facility Name:
Location:
Scope of Work:
Page 1 of 2
Applicant: TYBEE ISLAND
Projected Completion Date Approved PW Amount ($)
Parks
Campgrounds
Tybee Island, Georgia 31328
Damage #996; Parks
04-08-2018
17,237, 56
SITE 996
Work Completed
Force Account Material
Repair the erosion on roadway and a void left by removal of root ball from a fallen
tree, replaced two green, cast iron, stone drain covers, safety fence purchase at
Home Depot purchased and a porch door for the Manager's house/office
A-4 loads of white rock, #57 stone, and 1 load of fill dirt
B- 2 -Storm drain covers, 18"x18"
C- Safety fence
D- Porch door from Home Depot
Total Materials - $4,256.98.
Note: Applicant did not request any force account labor. Based on actual cost and
appears reasonable. Stone drain covers are not described in the DDD but are in the
site inspection. Attached excel spread sheet for breakdown of totals
Contracts
The Applicant used a contractors to make repairs on River's End Campground,
Repaired and reinstalled overhead power, Evaluated lift station damage and
replaced starter (debris incidental to repair), Evaluate lift station pump damage
and replace burnt up pump and starter kit and Repaired 32 SF of asphalt shingles
on manager home.
A -Repaired and reinstalled overhead power
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Rept den:1103/30/2017
14:55
Data Captured As Of:
03/30/2017 14:55
Disaster Number:
4284
Bundle:
PA -04 -GA -4284 -PW -00218
Capture Date: 03/30/2017 14:55
Federal Emergency Management Agency
Project Application Grant Report (P.2)
Disaster: FEMA -4284 -DR -GA
Number of Records: 1
Applicant ID: 051-78036-00
8:n p -Bundle # : PA -04 -GA -
4264 -PW -00298(201)
PW # Cat Cost Share
PA -04 -GA -4284 -PW -00218(0) G
Facility Number:
Facility Name:
Location:
Scope of Work:
Page 1 of 2
Applicant: TYBEE ISLAND
Projected Completion Date Approved PW Amount ($)
Parks
Campgrounds
Tybee Island, Georgia 31328
Damage #996; Parks
04-08-2018
17,237, 56
SITE 996
Work Completed
Force Account Material
Repair the erosion on roadway and a void left by removal of root ball from a fallen
tree, replaced two green, cast iron, stone drain covers, safety fence purchase at
Home Depot purchased and a porch door for the Manager's house/office
A-4 loads of white rock, #57 stone, and 1 load of fill dirt
B- 2 -Storm drain covers, 18"x18"
C- Safety fence
D- Porch door from Home Depot
Total Materials - $4,256.98.
Note: Applicant did not request any force account labor. Based on actual cost and
appears reasonable. Stone drain covers are not described in the DDD but are in the
site inspection. Attached excel spread sheet for breakdown of totals
Contracts
The Applicant used a contractors to make repairs on River's End Campground,
Repaired and reinstalled overhead power, Evaluated lift station damage and
replaced starter (debris incidental to repair), Evaluate lift station pump damage
and replace burnt up pump and starter kit and Repaired 32 SF of asphalt shingles
on manager home.
A -Repaired and reinstalled overhead power
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ENDZE I P.2 Report
Capture Date: 03/30/2017 14:55
Number of Records: 1
Page 2 of 2
Federal Emergency Management Agency
Project Application Grant Report (P.2)
Disaster: FEMA -4284 -DR -GA
B- Evaluated lift station damage and replaced starter (debris incidental to repair)
C- Evaluate lift station pump damage and replace burnt up pump and starter kit
D- Repaired 4 ft. X 8 ft.32 SF of asphalt shingles on various park buildings
Total Contracts $9874.16
RS Means estimate, average cost and actual equipment cost used to validate cost
as reasonable
Work to Be Completed
The Applicant will use Force Account labor, equipment and materials to repair 120
LF of fence near the Dog Park at the River's End Campground. Applicant supplied
estimate
A- Hours of Labor - 40 hours using 4 employees
B- Hours of Equipment- 4 hours of pickup truck (FEMA Code 8801)
C- Materials = (33) 6'x6' Dog eared fence panels, (35) 4"x 4'x8' Treated poles, (2)
Box screwST 611s
Total on fence project $ 2723.86
The applicant estimated Labor, used FEMA cost codes for equipment and actual
cost for material. The repair estimate appears reasonable. Validated using on-line
fence quotes.
1 PW PWs ($) Subgrantee Admin Exp. ($) Total ($)
Amount Eligible ($) 17,237.56 0.00 17,237.56
Federal Share ($) 12,928.17 0.00 12,928.17
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Federal Emergency Management Agency E -Grants
Page 1 of 3
P-0!�GA 840218(0) P
APPLICANT: 78036.00 TYBEE ISLAND WORK COMPLETE AS OF:
Applicant Name:
Application Title:
TYBEE ISLAND
ST00611 - Rivers End Campground
Period of Performance Start:
Period of Performance End:
10418-2016
04-08-2018
Bundle Reference # (Amendment #) Date Awarded
PA -04 -GA -4284 -PW -00218(201) 0330.2017
Subgrant Application - FEMA Form 90-99
Note: The Effective Cost Share for this application is 75%
FEDERAL EMERGENCY MANAGEMENT AGENCY
PROJECT WORKSHEET
DISASTER PROJECT NO. PA ID DATE
ST00611 NO. 0315-2017 G -----
FEMA 4284 - DR I -GA 051-
APPLICANT: 78036.00 TYBEE ISLAND WORK COMPLETE AS OF:
02-22-2017:100 %
Site 1 of 1
DAMAGED FACILITY:
Parks
COUNTY: Chatham
LOCATION:
LATITUDE:
LONGITUDE:
PA -04 -GA -4284 -PW -00218(0):
32.02888
-80.85024
Campgrounds
Tybee Island, Georgia 31328
Current Version:
DAMAGE DESCRIPTION AND DIMENSIONS:
PA -04 -GA -4284 -PW -00218(0).
Damage Description and Dimensions
During the incident period (October 4 through October 15, 2016), high winds and driven rain from Hurricane Matthew took down trees and
power lines and damaged fences and caused erosion at the River's End Campground RV Park located in the city of Tybee Island in
Chatham County. The damaged power lines also caused city wide power surges and outages that destroyed equipment at the lift stations
at the campground. The location is 5 Fort Ave, PO Box 988, Tybee Island, GA 31328.
Damage 0996; Parks
Parks (GPS = 32.02888 -80.85024), a Park with Sewage grinder and electric power feed, was damaged on 10IM016 by Electric surge.
The following is a list of damage at Parks:
' Galvanized guy wire, galvanized cable, 30 FT, Electrical guy wire, 30 FT
• Lighting, electric transmission, 180 FT, 0000 copper wire, 200 FT
. Fencing, treated lumber, 120 FT, 5ft H x 1208 dog ear treated lumber fence, 120 FT
• Park Buildings, asphalt shingles, 32 SF, asphalt shingles, 32 SF
' Sewage grinder, Keen pump, 0 FT, sewage grinder, 0 FT
Current Version:
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Federal Emergency Management Agency E -Grants
SCOPE OF WORK:
PA -04 -GA -4284 -PW -00218(0):
Damage #996; Parks
SITE 996
Completed
Force Account Material
Page 2 of 3
Repair the erosion on roadway and a void left by removal of root bail from a fallen tree, replaced two green, cast iron, storm drain covers,
safety fence purchase at Home Depot purchased and a porch door for the Manager's house/office
loads of white rock, #57 stone, and 1 load of fill dirt
B- 2 -Storm drain covers, 18x18"
Safety fence
D- Porch door from Home Depot
Total Materials - $4,256.98.
Note! Applicant did not request any force account labor. Based on actual cost and appears reasonable. Storm drain covers are not
described in the DDD but are in the site inspection. Attached excel spread sheet for breakdown of totals
Contracts
The Applicant used a contractors to make repairs on Rivet's End Campground, Repaired and reinstalled overhead power, Evaluated lift
station damage and replaced starter (debris incidental to repair), Evaluate lift station pump damage and replace burnt up pump and startei
kit and Repaired 32 SF of asphalt shingles on manager home.
A -Repaired and reinstalled overhead power
& Evaluated lift station damage and replaced starter (debris incidental to repair)
C- Evaluate lift station pump damage and replace burnt up pump and starter kit
D- Repaired 4 ft. X 8 ft.32 SF of asphalt shingles on various park buildings
Total Contracts $9874.16
RS Means estimate, average cost and actual equipment cost used to validate cost as reasonable
to Be Completed
will use Force Account labor, equipment and materials to repair 120 LF of fence near the Dog Park at the River's End
Applicant supplied estimate
A- Hours of tabor — 40 hours using 4 employees
S Hours of Equipment- 4 hours of pickup truck (FEMA Code 8801)
C- Materials = (33) 6'x6' Dog eared fence panels, (35) 4"x 4'x8' Treated poles, (2) Box screwST 611s
on fence project $ 2723.86
The applicant estimated tabor, used FEMA cost codes for equipment and actual Cost for material- The repair estimate appears
reasonable. Validated using on-line fence quotes.
Current Version:
Does the Scope of Work change the Pre -disaster conditions
at the site? - Yes J No
Special Considerations induced? �/ Yes No
Hazard Mitigation proposal included? J Yes No
Is there insurance coverage on this facility? V Yes No
PROJECT COST
[tkCOSDE
NARRATIVE
QUANTITY/UNIT
UNIT
PRICE
COST
'Version 0 *'
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Federal Emergency Management Agency E -Grants
Page 3 of 3
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Work Completed
1
9003
1 Contract Costs
IIS
$ 14,131.14
$ 14,131.14
Work To Be Completed
2
9007
Labor
1/LS
$ 1,123.60
$ 1,123.60
3
9008
Equipment
1/LS
$ 77.80
$ 77.80
4
9009
Material
1 I
$ 1,522.46
$1,522.46
5
9903
No Direct Administrative Costs
1 I
$ 0.00
$ 0.00
6
0909 1
Hazard Mitigation Proposal
1/LS
$ 382.56
$ 382.56
TOTAL
COST
$ 17,237.56
PREPARED By Kathleen Brewington
TITLE Program Delivery
Manager
SIGNATURE
APPLICANT REP. Diane Schleicher
TITLE City Manager
SIGNATURE
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EXHIBIT G
Certification of Program Cost Share
This certification is pursuant to the State Financial Assistance Policy for Local
Governments Declared Eligible for Federal Disaster Assistance Programs. This
policy can be obtained from the Georgia Emergency Management Agency.
1. The prospective subgrantee certifies, by submission of this proposal,
that it will provide its local match based on the local contribution
rates indicated in this exhibit on all expenditures incurred on any
projects funded as a result of this agreement.
2. Failure to provide match at or greater than the rates specified will
result in non-payment for the full amount of the expenditure for which
reimbursement is requested and deobligation of the federal share.
FEMA -DR -4284 -DR -GA
PAS284075
Hurricane Matthew
Tybee Island, City of
PW # VRS Bundle Amount
PW -00233 0 EPM
105,801.36
Grand Total
105,801.36
Federal Funds
79,351.02(75.0$)
Federal Total
79,351.02
State Cost Share
13,225.17(12.5$)
State Total
13,225.17
BUNDLE #: 233
Local Cost Shar
13,225.17(12.5'
Local Total
13,225.17
EMMIE I P.2 Report
Page 1 of 2
Capture Date: 03/30/2017 14:47
Rept genic'ted
03/30/201714:47
Data Captured As Of:
03/30/2017 14:47
Disaster Number:
I
4284
Bundle:
PA -04 -GA -4284 -PW -00233
Page 1 of 2
Capture Date: 03/30/2017 14:47
Federal Emergency Management Agency
Project Application Grant Report (P.2)
Disaster: FEMA -4284 -DR -GA
Number of Records: 2
Applicant ID: 051-78036-00
 p Bundle # - PA -04 -GA -
4244 -PW -00233(196)
Applicant: TYBEE ISLAND
PW #
Cat Cost Share Projected Completion Date Approved PW Amount ($)
PA•04-GA-4284•PW-00233(0)
B N 04.08.2017 105,801.36
Facility Number:
1
Facility Name:
Emergency Protective Measures
Undefined, citywide
Location:
Tybee [stand, Georgia 31328
Scope of Work:
Damage # 993; Emergency Protective Measures
Work Completed: ion
The applicant utilized Force Account Labor - OT Hours, Equipment, and Rental
Equipment to perform Emergency Protective Measures (EPM);
Force Account Labor - Overtime Hours: $34,899.03
Reference Document: (CP497-Resided labor - Category B.xlsm)
Force Account Equipment: $45,601.68
Reference Document: (CP497 - Revised Equipment Summary CAT B-1.xtsm)
Rented Equipment: $19,191.36
The applicant rented by-pass pumps from Xylem Dewater Solutions, to assist with
the pumping at each lift station. The Applicant used the pumps from October 5,
2016 to October 14, 2016 at a cost of $19,191.36 for two invoices #400651182 Et
#400651183. (Reference Documents: Detailed Rental equipment.pdf, pages 26-30
and Payment of Rental Pumps.pdf).
Direct Administrative Costs (DAC): $6,109.29
Direct Administrative Cost for data collection and dissemination, copying, meeting
with FEMA Representative regarding this project, and submitting documents to
support the claim.
Reference Documents: (CP497 - Email - PDMG DAC Total Revised; CP497 - Emait -
PDMG - CAT B RFI - DAC Response.pdf and DAC Costs Cat B.pdf)
Project Cost: $105,801.36
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EMMIE ( P.2 Report
Page 2 of 2
Capture Date: 03/30/2017 14:47
Number of Records: 2
Federal Emergency Management Agency
Project Application Grant Report (P.2)
Disaster: FEMA -4284 -DR -GA
Project Notes:
Documentation Validation: 60% of supporting documentation provided by the
applicant has been validated by FEMA.
Material: Generator for $999.99 was purchased on 12/9/2016, this is not an
eligible CAT B cost for reimbursement. Applicant will have to include this cost in
their CAT E project.
Equipment Deductions: The applicant claimed $47,710.25 for force account
equipment usage, after completing the validation process, a total of $2,108.57
deducted from this cost, due to the following:
Anthony G Deleza: Equipment hours are not included in the labor spreadsheet for
10/8/16, 10/9/16, it 10/12/16. Adjustments: 18.5 hrs, totaling $32.38.
Todd Sorrells: Equipment (Dump Truck) hours for 10/11116, not included in the
Labor spreadsheet. Adjustments: 4 hours, totaling $226.00.
Michael Levy: Equipment hours for 10/4/15, not included in the labor
spreadsheet. Adjustments: 4 hours, totaling $105.00.
Todd Horne: Equipment hours for 10/10/16, not included in the labor spreadsheet.
Adjustments: 8 hrs, totaling $748.00.
Barbara I Caramico: Equipment hours for 10/10/16, 10/11/16, and 10112/16, not
included in the labor spreadsheet. Adjustments: 13.5 hrs, totaling $432.
Eddie Dicus: Equipment hours for 10/14/16, not included in labor spreadsheet.
Adjustments: 8 hrs, totaling $91.20
Bradley Griesbach: Deduction of 24 hours for 10/10/16 and 10111/16, the
employee time sheet did not reflect those hours. Adjustments: 24 hours, totaling
$474.00
Facility Number: 2
Facility Name: Emergency Protective Measures
Lift Stations
Location: Tybee Island, Georgia 31328
Scope of Work: Damage # 994; Scope and Cost captured in Site# 993.
1 PW PWs ($) Subgrantee Admin Exp. ($) Total ($)
Amount Eligible ($) 105,801.36 0.00 105,801.36
Federal Share ($) 79,351.02 0.00 79,351.02
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Federal Emergency Management Agency E -Grants
Pagel of 3
+1:5undie Reference # (Amendment #) IDate Av✓arded
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. PAID DATE
CP00497 NO. 03-16-2017
FEMA 4284- DR I -GA
051-
P OG4 A' 184- ng ru) P
02-03-2017 t00
Applicant Name:
Application Title:
TYBEE !BLAND
cP00497 - Tybee Island Cat B
Period of Performance Start:
jPeriod of Performance End:
10-08.2016
04.08.2017
+1:5undie Reference # (Amendment #) IDate Av✓arded
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. PAID DATE
CP00497 NO. 03-16-2017
FEMA 4284- DR I -GA
051-
APPLICANT: TYBEE ISLAND 78036-00
WORK COMPLETE AS OF:
02-03-2017 t00
Site 1 of2
DAMAGED FACILITY:
Emergency Protective Measures
COUNTY: Chatham
LOCATION:
LATITUDE:
LONGITUDE:
PA -04 -GA -4284 -PW -00233(0):
32.0086
-80.842941
Undefined, citywide
Tybee Island, Georgia 31328
Current Version:
DAMAGE DESCRIPTION AND DIMENSIONS -
PA -04 -GA -4284 -PW -00233(0):
Damage # 993; Emergency Protective Measures (Emergency Protective Measures)
During the incident period of October 4th thru October 15th 2016, severe storms, flooding and high winds created an immediate threat to
the health and safety of the general public in the City Tybee
of Island requiring emergency response and protective measures.
The City of Tybee experienced power outages citywide beginning 1018J2016-
* Provided Emergency Access for evacuation, 911 response, and traffic control at Tybee Island from 10/4/2016 to 10/15M1 6.
Applicant Address: 403 Butler Ave, Tybee Island, Georgia 31328
(GPS: 32.008600, -80.842941)
Current Version:
SCOPE OF WORK
PA-04GA-4284PW-00233(0):
Damage # 993; Emergency Protective Measures
Work Completed: 100%
The applicant utilized Force Account Labor— OT Hours, Equipment, and Rental Equipment to perform Emergency Protective Measures
(EPM):
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I-ederai Emergency Management Agency E -Grants Page 2 of 3
Force Account Labor— Overtime Hours: $34,899.03
Reference Document (CP497-Resided labor -Category Bxlsm)
Force Account Equipment $45,601.68
Reference Document: (CP497 - Revised Equipment Summary CAT B-1.xlsm)
Rented Equipment: $19,191.36
The applicant rented by-pass pumps from Xylem Dewater Solutions, to assist with the pumping at each lift station. The Applicant used the
Pumps from October 5, 2016 to October 14, 2016 at a cost of $19,191.36 for two invoices #400651182 & #400651183. (Reference
Documents: Detailed Rental equipment.pdf, pages 26-30 and Payment of Rental Pumps.pdf).
Direct Administrative Costs (DAC): $6,109.29
Direct Administrative Cost for data collection and dissemination, copying, meeting with FEMA Representative regarding this project, and
submitting documents to support the claim.
Reference Documents: (CP497 - Email - PDMG DAC Total Revised; CP497 - Email - PDMG - CAT 6 RFI - DAC Response.pdf and DAC
Costs Cat B.pdo
Project Cost: $105,801,36
Project Notes:
Documentation Validation: 60% of supporting documentation provided by the applicant has been validated by FEMA.
Material: Generator for $999.99 was purchased on 121912016. this is not an eligible CAT B cost for reimbursement. Applicant will have to
include this cost in their CAT E project.
Equipment Deductions: The applicant claimed $47,710.25 forforce account equipment usage, after completing the validation process, a
total of $2,108.57 deducted from this cost, due to the following:
Anthony G Deleza: Equipment hours are not included in the labor spreadsheet for 1018/16, 10/9/16, & 10/12/16. Adjustments: 18.5 hrs.
totafinq $32.38.
Todd Sorrells: Equipment (Dump Truck) hours for 10/11116, not included in the labor spreadsheet. Adjustments: 4 hours, totaling
$226.00.
Michael Levy, Equipment hours for 1014/15, not included in the labor spreadsheet. Adjustments: 4 hours, totaling $105.00.
Todd Home: Equipment hours for 10/10116, not included in the labor spreadsheet. Adjustments: 8 hrs. totaling $748.00.
Barbara I Caramico: Equipment hours for 10110/16, 10/11/16, and 10112/16, not included in the labor spreadsheet. Adjustments: 13.5 hrs,
totaling $432.
Eddie Dicus: Equipment hours for 10114116, not included in labor spreadsheet. Adjustments: 8 hrs, totaling $91.20
Bradley Griesbach: Deduction of 24 hours for 10/10/16 and 10111/16, the employee time sheet did not reflect those hours. Adjustments:
24 hours, totaling $474.00
Current Version:
Site 2 of 2
DAMAGED FACILITY:
Protective Measures
LOCATION:
Lift Stations
Tybee Island, Georgia 31328
Current Version:
DAMAGE DESCRIPTION AND DIMENSIONS:
Chatham
32.004929
PA -04 -GA -4284 -PW -00233(0):
Damage # 994; Emergency Protective Measures (Emergency Protective Measures)
' Provided 911 response and traffic control for citizens of Tybee Island at Citywide from 10/4/2016 to 10/15/2016.
LONGITUDE:
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i- ecterai Emergency Management Agency E -Grants
Page 3 of 3
SCOPE OF WORK:
PA -04 -GA -4284 -PW -00233(0):
Damage # 994: Scope and Cost captured in Site# 993.
Current Version:
Does the Scope of Work change the predisaster conditions
at the site? Yes J No
Special Considerations included? J Yes No
Hazard Mitigation proposal included? Yes `/. No
Is there insurance coverage on this facility? -/Yes
No
PROJECT COST
ITEM
CODE
NARRATIVE
QUANTITY/UNITMUNIT,OST
Version 0Work
Completed
1
9004
Rented Equipment
i/LS
19,191.36
2
9007
Labor
113
$ 34,899.03
$ 34,899.03
3
9008
Equipment
1/LS
$ 45,601.68
$ 45,601.68
4
9901
Direct Administrative Costs
(Subgrantee)
1/LS
$ 6,109.29
$ 6,109.29
TOTAL
COST
$ 105,801.36
PREPARED BY Kathleen Brewington
TITLE Program Delivery
Manager
SIGNATURE
APPLICANT REP. Diane Schleicher
TfTLE City Manager
SIGNATURE
https://connect 1. dhs.gov/emmie/,Danalnfo=sso. fema.net, S S L+intemallntegr... 3/30/2017
EXHIBIT G
Certification of Program Cost Share
This certification is pursuant to the State Financial Assistance Policy for Local
Governments Declared Eligible for Federal Disaster Assistance Programs. This
policy can be obtained from the Georgia Emergency Management Agency.
1. The prospective subgrantee certifies, by submission of this proposal,
that it will provide its local match based on the local contribution
rates indicated in this exhibit on all expenditures incurred on any
projects funded as a result of this agreement.
2. Failure to provide match at or greater than the rates specified will
result in non-payment for the full amount of the expenditure for which
reimbursement is requested and deobligation of the federal share.
FEMA -DR -4284 -DR -GA
PAS284075
Hurricane Matthew
Tybee Island, City of
PW # VRS Bundle Amount
PW -00282 0 Debris Removal
578,287.52
Grand Total
578,287.52
Federal Funds
491,544.39(65.0%)
Federal Total
491,544.39
State Cost Share
43,371.56(7.5%)
State Total
43,371.56
BUNDLE #= 282
Local Cost Shar
43,371.57(7.5%
Local Total
43,371.57
EMMIE I P.2 Report
Capture Date: 03/30/2017 14:45
Federal Emergency Management Agency
Project Application Grant Report (P.2)
Disaster: FEMA -4284 -DR -GA
Number of Records: 1
Page 1 of 2
Applicant ID: 051-78036-00
&nbsBundle # : PA -04 -GA -
4A4 -PW -00282(193) Applicant: TYBEE ISLAND
PW # Cat Cost Share Projected Completion Date Approved PW Amount ($)
PA -04 -GA -4284 -PW -00282(0) A N 04-08-2017 578,287.52
Facility Number: 1
Facility Name: Debris 85%
Undefined, citywide
Location: Tybee Island, Georgia 31328
Scope of Work: Damage #991; Debris 85%
PAAP debris project - Day 1 through 30 ® 85% Federal Cost Share (signed PAAP
Acknowledge form attached)
From October 10 through November 2, 2016, applicant used City employees and
contractors to remove 41,200 Cy of vegetative debris from public road right of
ways and city -owned Rivers Edge Campground. See attached Project Cost
Summary Spreadsheet.pdf for summary of project costs. See list of files used in
preparation of this project, an attached Word document.
Contract - Debris Removal:
Contractor Phillips 8 Jordan Inc., (pre -approved contract attached to invoice)
from 10/15/16 to 11/2/2016 removed debris from city road right of ways at total
cost of $391,401.43.
At Rivers Edge Campground two (2) contractors, Longwater Landscape
Management Inc. and Natural Outdoors Tree Removal removed hazardous limbs
and trees and stumps for a cost of $9650.00 and $17,500.00 respectively.
Solomon's Tree Service, PO Box 13, Tybee Island, GA 31328, on 11 /01 /16 removed
a live oak in median, leaning across roadway, between Solomon Ave and Van Horn
Ave across from Jaycee Park, 30 Van Horn Ave, Tybee Island. Purchase Order # 17-
36514 (no invoice #) GPS: 32.017770, -80.846399. Total Cost $ 1200.00
Gaston's Tree Service, 1901 NW 67th Pl. Suite E, Gainesville, FL 32653 (352)378-
5801 on 10/13/16 removed an uprooted, leaning tree from the Guard House, 31
Van Horn Ave., Tybee Island. GPS:32.018177, -80.846367. Total Cost $ 6500.00
Contract Debris Removal Total: $ 426,251.43
Contract - Debris Monitoring:
Atkins was working under a preapproved contract for Debris Monitoring. They
https://connect l .dhs. gov/emmie/,Danalnfo=sso.fema.net,S SL+search.do?gr... 3/30/2017
RetLtiencyated
03/30/201714:45
Data Captured As Of:
03/30/2017 14:45
Disaster Number:
4284
Bundle:
PA -04 -GA -4284 -PW -00282
Capture Date: 03/30/2017 14:45
Federal Emergency Management Agency
Project Application Grant Report (P.2)
Disaster: FEMA -4284 -DR -GA
Number of Records: 1
Page 1 of 2
Applicant ID: 051-78036-00
&nbsBundle # : PA -04 -GA -
4A4 -PW -00282(193) Applicant: TYBEE ISLAND
PW # Cat Cost Share Projected Completion Date Approved PW Amount ($)
PA -04 -GA -4284 -PW -00282(0) A N 04-08-2017 578,287.52
Facility Number: 1
Facility Name: Debris 85%
Undefined, citywide
Location: Tybee Island, Georgia 31328
Scope of Work: Damage #991; Debris 85%
PAAP debris project - Day 1 through 30 ® 85% Federal Cost Share (signed PAAP
Acknowledge form attached)
From October 10 through November 2, 2016, applicant used City employees and
contractors to remove 41,200 Cy of vegetative debris from public road right of
ways and city -owned Rivers Edge Campground. See attached Project Cost
Summary Spreadsheet.pdf for summary of project costs. See list of files used in
preparation of this project, an attached Word document.
Contract - Debris Removal:
Contractor Phillips 8 Jordan Inc., (pre -approved contract attached to invoice)
from 10/15/16 to 11/2/2016 removed debris from city road right of ways at total
cost of $391,401.43.
At Rivers Edge Campground two (2) contractors, Longwater Landscape
Management Inc. and Natural Outdoors Tree Removal removed hazardous limbs
and trees and stumps for a cost of $9650.00 and $17,500.00 respectively.
Solomon's Tree Service, PO Box 13, Tybee Island, GA 31328, on 11 /01 /16 removed
a live oak in median, leaning across roadway, between Solomon Ave and Van Horn
Ave across from Jaycee Park, 30 Van Horn Ave, Tybee Island. Purchase Order # 17-
36514 (no invoice #) GPS: 32.017770, -80.846399. Total Cost $ 1200.00
Gaston's Tree Service, 1901 NW 67th Pl. Suite E, Gainesville, FL 32653 (352)378-
5801 on 10/13/16 removed an uprooted, leaning tree from the Guard House, 31
Van Horn Ave., Tybee Island. GPS:32.018177, -80.846367. Total Cost $ 6500.00
Contract Debris Removal Total: $ 426,251.43
Contract - Debris Monitoring:
Atkins was working under a preapproved contract for Debris Monitoring. They
https://connect l .dhs. gov/emmie/,Danalnfo=sso.fema.net,S SL+search.do?gr... 3/30/2017
ENDAM I P.2 Report
Capture Date: 03/30/2017 14:45
Number of Records: 1
Page 2 of 2
Federal Emergency Management Agency
Project Application Grant Report (P.2)
Disaster: FEMA -4284 -DR -GA
certified the debris removal quantities removed and handled at the temporary
debris staging site (see attached invoice and Request for Proposal after invoice.)
Total monitoring cost: $107,042.65
Force Account:
Force Account Labor: City employees removed debris from public road right of
ways and city owned campground. From October 8 through October 15, 2016, City
employees accrued a total of 1,193.5 hours, 904 regular time hours at cost of
$21,221.40. Overtime hours totaled 289.5 at cost of $8,840.80. (See attached two
(2) Force Account Labor Records.)
Total labor cost: $ 30,062.20.
Force Account Equipment: 555.5 equipment hours to clear and haul vegetative
debris citywide and 95.5 hrs at the campground. Total 651 hours . (See attached
two (2) FA Equipment Records.) Total cost: $13,363.53
Project Total Cost $578,287.52
"'Total debris removal by Force Account from October 8- November 2, 2016 was
41,200 CY, totaling $578,287.52. Accelerated Debris Removal - 85% Federal Share
(1-30 days)"'
The costs were reviewed and found reasonable at $14/CY
Project notes
Temporary Debris Staging Site: Debris was temporarily staged at North Beach
Parking Lot, as approved by DNR (32.021745, -80.843574 (see DNR Letter regarding
LOP for NBPL attached).
Final Disposition: Debris was reduced by chipping and mulching and after
reduction taken to:
Superior Landfill and Recycling Center
3001 Little Neck Road, Savannah, GA. 31419 (32.029642, -81.271851) see attached
permit listing.
1 PW Pws ($) Subgrantee Admin Exp. ($) Total ($)
Amount Eligible ($) 578,287.52 0.00 578,287.52
Federal Share ($) 491,544.39 0.00 491,544.39
https://connect l .dhs.gov/emmie/,Danalnfo=sso. fema. net, S S L+search. do?gr... 3/30/2017
Federal Emergency Management Agency E -Grants
4P
Page 1 of 3
►P -04 A'�184 0282(0) P
Applicant Name: Application Title:
TYBEE ISLAND CP00495 - Tybee Island Debris 85%
Period of Performance Start: Period of Performance End:
10-08-2016 04-08-2017
Bundle Reference # (Amendment IDate Awarded
I A -04 -GA -4284 -PW -00282(193) 03-30-2017
Subgrant Application - FEMA Form 90-91
Note: The Effective Cost Share for this application is 85%
FEDERAL EMERGENCY MANAGEMENT AGENCY
PROJECT WORKSHEET
DISASTER PROJECT NO. PA ID NO. DATE
FEMA 4284 - DR -GA C10049-1051-78036- 03-23-2017 A ..---,..
00
APPLICANT: TYBEE ISLAND WORK COMPLETE AS OF:
02-01-2017: 100 %
Site 1 of 1
DAMAGED FACILITY:
Debds 85% COUNTY: Chatham
LOCATION:
LATITUDE: LONGITUDE:
PA -04 -GA -1284 -PW -00282(0): 32.004929 -80.868935
Undefined, citywide 32.01777 _ -80,846399
Tybee Island, Georgia 31328 32085 p 846367
.21$4
Current Version: 32.029642 -81.271851
DAMAGE DESCRIPTION AND DIMENSIONS:
PA -04 -GA -4284 -PW -00282(o):
Damage #991; Debris 85%
During the incident period (October 4 through October 15, 2016), high winds and driven rain from Hurricane Matthew deposited debris
throughout the city of Tybee Island in Chatham County. Located in the eastern most point in the state of Georgia, it covers an area of
3.20 square miles. An estimated 41,200 CY of trees and other vegetative debris were scattered on City roads and right -of --ways that
Posed an immediate threat to lives public health and safety.
During the incident period 1014=16 through 1011-512016, Hurricane Matthew deposited the following debris throughout Tybee Island.
` Tybee Island, a Public ROW, is [Length] Foot long x [Width] Foot wide x [Depth] Foot deep, Vegetative Debris. The work was completed
between [Start Date] and [End Date] by both Force Account and Contract, without a permit.
Current Version:
SCOPE OF WORK:
PA -04 -GA -4284 -PW -00282(0):
Damage #991; Debris 85%
PAAP debris project— Day 1 through 30 @ 85% Federal Cost Share (signed PAAP Acknowledge form attached)
From October 10 through November 2, 2016, applicant used City employees and contractors to remove 41,200 CY of vegetative debris
from public road right of ways and city -owned Rivers Edge Campground. See attached Project Cost Summary Spreadsheet-pdf for
summary of project costs. See fist of files used in preparation of this project, an attached Word document.
Contract - Debris Removal:
htq)s://connect l . dhs-gov/emmie/,Danalnfo=sso. fema. net, S S L+intemallntegr... 3/30/2017
Bundle Reference # (Amendment IDate Awarded
I A -04 -GA -4284 -PW -00282(193) 03-30-2017
Subgrant Application - FEMA Form 90-91
Note: The Effective Cost Share for this application is 85%
FEDERAL EMERGENCY MANAGEMENT AGENCY
PROJECT WORKSHEET
DISASTER PROJECT NO. PA ID NO. DATE
FEMA 4284 - DR -GA C10049-1051-78036- 03-23-2017 A ..---,..
00
APPLICANT: TYBEE ISLAND WORK COMPLETE AS OF:
02-01-2017: 100 %
Site 1 of 1
DAMAGED FACILITY:
Debds 85% COUNTY: Chatham
LOCATION:
LATITUDE: LONGITUDE:
PA -04 -GA -1284 -PW -00282(0): 32.004929 -80.868935
Undefined, citywide 32.01777 _ -80,846399
Tybee Island, Georgia 31328 32085 p 846367
.21$4
Current Version: 32.029642 -81.271851
DAMAGE DESCRIPTION AND DIMENSIONS:
PA -04 -GA -4284 -PW -00282(o):
Damage #991; Debris 85%
During the incident period (October 4 through October 15, 2016), high winds and driven rain from Hurricane Matthew deposited debris
throughout the city of Tybee Island in Chatham County. Located in the eastern most point in the state of Georgia, it covers an area of
3.20 square miles. An estimated 41,200 CY of trees and other vegetative debris were scattered on City roads and right -of --ways that
Posed an immediate threat to lives public health and safety.
During the incident period 1014=16 through 1011-512016, Hurricane Matthew deposited the following debris throughout Tybee Island.
` Tybee Island, a Public ROW, is [Length] Foot long x [Width] Foot wide x [Depth] Foot deep, Vegetative Debris. The work was completed
between [Start Date] and [End Date] by both Force Account and Contract, without a permit.
Current Version:
SCOPE OF WORK:
PA -04 -GA -4284 -PW -00282(0):
Damage #991; Debris 85%
PAAP debris project— Day 1 through 30 @ 85% Federal Cost Share (signed PAAP Acknowledge form attached)
From October 10 through November 2, 2016, applicant used City employees and contractors to remove 41,200 CY of vegetative debris
from public road right of ways and city -owned Rivers Edge Campground. See attached Project Cost Summary Spreadsheet-pdf for
summary of project costs. See fist of files used in preparation of this project, an attached Word document.
Contract - Debris Removal:
htq)s://connect l . dhs-gov/emmie/,Danalnfo=sso. fema. net, S S L+intemallntegr... 3/30/2017
htq)s://connect l . dhs-gov/emmie/,Danalnfo=sso. fema. net, S S L+intemallntegr... 3/30/2017
Federal Emergency Management Agency E -Grants
Page 2 of 3
Contractor Phillips 8 Jordan Inc., (pre -approved contract attached to invoice) from 10/15/16 to 11/2/2016 removed debris from city road
right of ways at total cost of $391,401.43.
At Rivers Edge Campground two (2) contractors, Longwater Landscape Management Inc. and Natural Outdoors Tree Removal removed
hazardous limbs and trees and stumps for a cost of $9650.00 and $17,500.00 respectively.
Solomon's Tree Service, PO Box 13, Tybee Island, GA 31328, on 11/01/16 removed a live oak in median, leaning across roadway,
between Solomon Ave and Van Hom Ave across from Jaycee Park, 30 Van Horn Ave, Tybee Island. Purchase Order# 17-36514 (no
invoice #) GPS: 32.017770, -80.846399. Total Cost $ 1200.00
Gaston's Tree Service, 1901 NW 67th PI. Suite E, Gainesville, FL 32653 (352)378-5801 on 10/13/16 removed an uprooted, leaning tree
from the Guard House, 31 Van Horn Ave., Tybee Island. GPS:32.018177, $0.846367. Total Cost $ 6500.00
Contract Debris Removal Total: $ 426,251.43
Contract- Debris Monitoring:
was working under a preapproved contract for Debris Monitoring. They certified the debris removal quantities removed and
d at the temporary debris staging site (see attached invoice and Request for Proposal after invoice.)
Total monitoring cost: $107,042.65
Force Account:
Force Account Labor: City employees removed debris from public road right of ways and city owned campground. From October 8
through October 15, 2016, City employees accrued a total of 1,193.5 hours. 904 regular time hours at cost of $21,221.40. Overtime hours
totaled 289.5 at cost of $8,840.80. (See attached two (2) Force Account Labor Records.)
labor cost $ 30,062.20.
Force Account Equipment 555.5 equipment hours to Gear and haul vegetative debris citywide and 95.5 hrs at the campground. Total 651
hours. (See attached two (2) FA Equipment Records.) Total cost $13,363.53
Project Total Cost $578,287.52
—Total debris removal by Force Account from October 8- November 2, 2016 was 41,200 CY, totaling $578,287.52. Accelerated Debris
Removal - 85% Federal Share (1-30 days)—
costs were reviewed and found reasonable at $14/CY
Project notes
Temporary Debris Staging Site: Debris was temporarily staged at North Beach Parking Lot, as approved by DNR (32.021745, -80.843574
(see DNR Letter regarding LOP for NBPL attached).
Final Disposition: Debris was reduced by chipping and mulching and after reduction taken to:
Superior Landfill and Recycling Center
3001 Little Neck Road, Savannah, GA. 31419 (32.029642, -81.271851) see attached permit listing.
Current Version:
Does the Scope of Work change the pre -disaster
conditions at the site? Yes V No
Special Considerations included? J Yes No
Hazard Mitigation proposal included? Yes J No
Is there insurance coverage on this facility? V Yes No
PROJECT COST
ITEM
CODE
NARRATNE
QUANTITY/UNIT
UNIT PRICE
COST
Version 0 —*
Work Completed
1
9221
PAAP Accelerated Debris Removal
0-30 days — 85% Federal Share
1/LS
$ 0.00
$ 0.00
2
(3226
Force Account Labor (Straight Time) -
Debris Removal
1/1S
$ 29,221.40
$ 21,229.40
3
9227
1/LS
$ 8,840.80
$ 8,840.80
https://connect l.dhs.gov/enunie/,DanaInfo=sso.fema.net,S SL+intemallnteg r... 3/30/2017
Federal Emergency Management Agency E -Grants
Page 3 of 3
https://connect l.dhs.gov/emmie/,Danalnfo=sso.fema.net, SSL+intemalIntegr... 3/30/2017
Force Account Labor (Over Time) -
Debds Removal
4
9231
Contract- Debris Removal
1/LS
$
425,251.43
$ 426,251.43
5
9232
Contract - Debris Monitoring
1/LS
107,042.65
$ 107,042.65
6
9008
Equipment
1/LS
$ 13,363.53
$ 13,363.53
7
9009
Material
1/LS
$ 1,567.71
$ 1,567.71
8
9903
No Direct Administrative Costs
1/LS
$ 0.00
$ 0.00
TOTAL
COST
$ 578,287.52
PREPARED BY Kathleen Brewington
TITLE PDMG
SIGNATURE
APPLICANT REP. Diane Schleicher
TITLE
SIGNATURE
https://connect l.dhs.gov/emmie/,Danalnfo=sso.fema.net, SSL+intemalIntegr... 3/30/2017