CM-2015-669 - 1/30/2015City of Round Rock
i 55O1tO°r Agenda Item Summary
Agenda Number:
Title: Consider executing the Fiscal Year 2015Emergency Management
Performance Grant Application. This program is administered by the
Texas Division of Emergency Management and The Texas Department of
Public Safety
Type: City Manager Item
Governing Body: City Manager Approval
Agenda Date: 1/30/2015
Dept Director: Fire Chief David Coatney
Cost:
Indexes:
Attachments: LAF and 2015 EMPG application
Department: Fire Department
Text of Legislative File CM•2015669
The Emergency Management Performance Grant (EMPG) supports local comprehensive emergency
managment programs by off -setting the salaries of EMPG staff. The program is administered by the Texas
Division of Emergency Management and requests for funding must be submitted annually. Participation will
partially fund salanes for the Emergency Management Coordinator and the Assistant Emergency Management
Coordinator.
Staff recommends approval
Cay ofaeuneaocx Paas 5 Ptl Won 419/1015
CITY OF ROUND ROCK
CONTRACT MANAGEMENT SECTION
CONTRACT APPROVAL FORM FOR CITY MANAGER ACTION
Required for Submission of Specific City Manager Items
Emergency Management Performance Grant
Department Name: Fire Department Project Name: Application
Project Mgr/Resource: David Coamey
Fx City Manager Approval
Texas Manion of Emergency Management.
ContractorlVendor: Texas Department Of Puck Salety
CMA Wording
Consider executing Me Focal Year 2015 Emergency Management Performance mnl Application. This Pregnant is atlministeretl
by the Texas Division of Emergency Management and The Texas Department of Public Safety.
Approval
lEmployee EE Bowden `' —Date January 27, 2015
FISCAL YEAR 2015
EMERGENCY MANAGEMENT PERFORMANCE GRANT APPLICATION
1. APPLICANT NAME (Jurisdiction): City of Round Rock
2. COUNTY: WilliarnSOn
3. DISASTER DISTRICT: 513
4. EMPG STATUS: ❑r Current EMPG Program participant ❑ New EMPG Program applicant
5. PROGRAM PARTICIPANTS: (List alljunsdctions that are participants in your emergency managementprogram.
identify anyjurisdich'ons that have joined or withdrawn from yourpmiliam in the last year.)
N/A
S. CHECKLIST OF APPLICATION ATTACHMENTS: (See the FY 2015 Emergency Management Performance
Grant (EMPG) Guide for information on completing these forms.)
❑� Designation of Grant Officials (TDEM-17B)
❑ Statement of Work & Cumulative Progress Report (TDEM-17A) - This form shall be signed by the EMC
❑� EMPG Staffing Pattern (TDEM-66) - The Authorized Official shall sign this form
Application for Federal Assistance (TDEM67) -The Authorized Official shall sign this form
❑� EMPG Staff Job Description (TDEM-68) - A currentjob description is required for each staff member listed in the
FY 2014 EMPG Staffing Pattern (7DEM-66)
❑� FEMA Form 20-16 Summary Sheet for Assurances & Certifications- Shall be signed by an Authorized Official
Attached:
❑ FEMA Form 20-16A, Assurances— Non -Construction Programs
❑ FEMA Form 20-16C, Certifications Regarding Lobbying, Debarment, Suspension, & Other Responsibility
Matters; and Drug -Free Workplace Requirements
❑ FEMA Form SF LLL, Disclosure of Lobbying Activities - Signed by the Authorized Official required only if the
applicant performs lobbying to influence federal actions
❑� Direct Deposit Authorization (form 74-146) or Application for Payee ID Number (form AP -152) -The Grant
Financial Officer shall sign this form
❑v Travel Policy Certifcafon (TDEM69) - The Grant Financial Officer shall sign this form
7. CERTIFICATION: This Application, togetherw4h the approved EMPG Statement of Wmk & Cumulative Progress Report
(TDEM-17A), cronsfdufes annualworkplanfor the emergency managementprogwn ivhose paftipants aro listed above. The
untie ed agree tD axe Melrbest efforts tD accomplish all activ8bs listed In the Statement of Work & Cumulative Progress
Re pProvetl T xas D' sron of Emergency Msnagement.
�,
Authorized Offiftri U Date Emergeticypilmagement Coordinator to
(Original Signature) (Original Si ture)
Laurie Hadley Dorothy L. Miller
Printed Name Printed Name:
TDEM-17
12114
Mail completed forms and application materials to: Grant CODidlnator
Office of Management and Budget
Texas Division of Emergency Management
Texas Department Df Public Safety
5805 N Lamer Blvd.
Auafin, TX 78752
Email Heather Baxter at
Heather.Boxter@dps.tems.gov
Cry (0(09
Page 1 of 1
FISCAL YEAR 2015
DESIGNATION OF Ell GRANT OFFICIALS
,TAUT MAuv r ulolernrnnuo- City of Round Rock
EMERGENCY
MANAGEMENT COORDINATOR'
NAME
Mr. ■ Ms. Dorothy L. Miller
E,nerD Mawement cooNlraw
'If newly appointed, attach form TDEM-147
Official Mailing Address
2701 North Mays Street
Please include mail stop
Round Rock, TX 78665-2412
code
E-mail Address
Daytime Phone Number
512 218-3259
Fax Number
( 512 ) 218-6681
E-mail Address
dmiller roundrocktezas. ov
POINT OF CONTACT IRESPONSIBLE FOR APPLICATION
NAME
Lj Mr. LM Ms. DOm LMorar
Title
E,nerD Mawement cooNlraw
Official Mailing Address
Please include mail stop
code.
2701 North Mays Street
Round Rock, TX 78665-2412
Daytime Phone Number
1512 218-3259
Fax Number
( O 1 ) 218-6682
E-mail Address
dmiller roundrocktezas. ov
GRANT FlNANCIAL
OFFICER CANNOT BE THE SAME AS EMC
NAME
I Mr. ■ Ms. Ma. olma Rdey
Title
x rtl'ssuaarnrcw
Official Mailing Address
Please include mail stop
code.
221 East Main Street
Round Rock, TX 78664-5271
Daytime Phone Number
512 341-3300
Fax Number
( 512 ) 218-5442
E-mail Address
orileyaroundroCktexas.gov
AUTHORIZED
OFFICIAL MAYOR COUNTY JUDGE, CITY MANAGER
NAME
Mr. ■ Ms. Laane Ma,uay
Title
city Maregar
Official Mailing Address
Please include mail stop
code.
221 East Main Street
Round Rock, TX 78664-5271
Daytime Phone Number
1512 218-5430
Fax Number
( 512 ) 218-7097
E-mail Address
The ie roundrocktezas. ov
TDEM-17B Page 1 of 1
12/2014
FISCAL YEAR 2015
EMPG STATEMENT OF WORK & CUMULATIVE PROGRESS REPORT
Applicant Name (Jurisdiction): City of Round Rock
Jurisdiction DUNfSAM # 10-274-0792
Jurisdiction Congressional District it TX -31
KEY DOCUMENT SUBMISSIONS AND APPROVALS
Document
Submitter Data
TDEM ReViewer
Date
statement or wodc
Dorothy Miller 1/6/2015
0 Work Plan
mET Progress Report #2 is being submitted to the TDEM OMB
Progress Report #1
0 Second & Third Quarter Financial Reports newt been submitted to TDEM OMB
Fouts Quarter Financial Report has been submitted to TDEM OMB
Progress Repon 92
❑ Updated Joint Resolution dated:
NIMS Ado gen dated:
TASK 1—WORK PLAN & SEMIANNUAL PROGRESS REPORT
0+ Work Pian
Jurisdiction will submit an EMPG Application, two Progress Reports, four Quartedy
FEMA Training matrices, and four Quarterly Financial Reports
0 Progress Report #1
Progress Report #1 is being submitted to TDEM OMB
0 First Financial Report has been submitted to TDEM OMB
0 Work Plan
mET Progress Report #2 is being submitted to the TDEM OMB
0 Progress Report #2
0 Second & Third Quarter Financial Reports newt been submitted to TDEM OMB
Fouts Quarter Financial Report has been submitted to TDEM OMB
TASK 2—LEGAL AUTHORITIES FOR EMERGENCY MANAGEMENT PROGRAM
Jurisdiction will maintain current legal documents establishing emergency management
program
0+ TRRN registration completed and resources entered
0+ Legal documents are current & on fila with TDEM; no additional action is required
0 Work Plan
0 Jurisdiction will prepare or update & submit to TDEM:
0 Commisaionees Coun omen #
❑ City Ordinari for.
❑ Updated Joint Resolution dated:
NIMS Ado gen dated:
TRRN regs ration completed and resources entered
0 Legal documents are wment & on file with TDEM, no additional action is required
❑ Progress Report #1
0 Jurisdiction completed & submitted to TDEM:
0 Commissioners CourtOder #
October 1 —
0 City Ordmanco(s) for.
March 31
0 Updated Joint Resolution dated
NIMS Adotion dated:
Ll TRRN registration completed and resources entered
0Legal documents are current & on fib with TDEM, no additional action is required
❑Progress Report #2
0 Jurisdiction completed & submitted to TDEM:
0 Commissioner's Coun Order#
April l-
0 CRY Ordinances) for.
September 30
0 Updated Joint Resolution dated:
0 NIMS Adoption dated:
TASK 4—EMERGENCY
TASK 3—PUBLIC EDUCATION/INFORMATION
El Option 1: Jurisdiction will conduct 30 hours of hazard awareness activities for locel
El Jurisdiction reviewed emergency management plan & annexes for currency and
citizens
NIMS compliance
0 Emergency management plan and all annexes are current and NIMS compliant
D+ Option 2: Jurisdiction will prepare & distribute public educationvinformation
0+ Work Plan
materials to a substantial portion of the community. Please describe the materials
❑ Basic Plan
EJA EIB OC CID [3E DI DJ OK OL OM
CFU CI
to be distributed in the remarks section found on page 6.
OH
+ON 00 OP []Q OR DS ❑T
"Jurisdictions may present a combination of both options
D Other documents:
Jurisdiction completed the following hazard awareness andlor public
NOTE Plans & annexes dated Pnor to September 30, 2010 must be revised or updated
educatioMnfonnation activities:
[] Progress Report ai
October 1 —
March 31
❑ Progress Report #1
❑ Jurisdiction updated by revision or change the following planning documents:
O No Task 3 progress was made this report period.
D Basic Plan
Antes: DA OB DC DO DE []F OG DH DI DJ OK OL ❑M
Lj Jurisdiction completed the following hazard aamnamss andlor public
[]N Do OP []Q []R OS DT ❑u Dv
educationfinfonastion activities:
OProgress Report#2
Apnl 1 —
September 30
NIMS compliance
D Emergency management plan and all annexes am current and NIMS compliant
❑ No Task 3 progress was made this report period.
TASK 4—EMERGENCY
MANAGEMENT PLANNING DOCUMENTS
El Jurisdiction reviewed emergency management plan & annexes for currency and
NIMS compliance
0 Emergency management plan and all annexes are current and NIMS compliant
❑ Jurisdiction will develop, update, or change these planning documents:
[71 Work PlanAnnexes:
❑ Basic Plan
EJA EIB OC CID [3E DI DJ OK OL OM
CFU CI
OH
+ON 00 OP []Q OR DS ❑T
D Other documents:
NOTE Plans & annexes dated Pnor to September 30, 2010 must be revised or updated
this year All Plans and Annexes most be NIMS compliant
Lj Jurisdiction reviewed our emergency management plan & annexes for currency and
NIMS compliance
0 Emergency management plan and all annexes are current and NIMS compliant
❑ Progress Report #1
❑ Jurisdiction updated by revision or change the following planning documents:
October 1 —
D Basic Plan
Antes: DA OB DC DO DE []F OG DH DI DJ OK OL ❑M
March 31
[]N Do OP []Q []R OS DT ❑u Dv
[]Other documents:
No Task 4 progress was made this reortod.
Jurisdiction reviewed our emergency management plan & annexes for currency and
NIMS compliance
D Emergency management plan and all annexes am current and NIMS compliant
❑Progress Reportg2
❑ Jurisdiction updated by revision or change the following planning documents:
April 1 —
El Basic Plan
Annexes: DA DB OC CID OE OF DG OH 01 DJ OK DL DM
September 30
Se
ON DO OP OQ OR OS OT OU OV
D Other documents:
❑ No Task 4 progress was made this report Etrietl.
TASK 5—TEP, NOTIFICATION AND INDIVIDUAL EXERCISE PARTICIPATION
Training and Exercise Plan
Each jurisdiction must develop ars submit a multi-year Training and Exercise
Plan (TEP), not less than three years,to H Mer BaxteriMd0S IexaS.Q0y.
Each jurisdiction must submit the Pre-Exercise Notification Form to the TDEM Exercise
event.
Unit not less than 45 days prior to a planned exercise
[] Work Plan
Each jurisdiction o must submit After Action Repan (And) and Improvement Plan (IP)
�i TEP
ss
for minimum of Iwo (2) ewssiw-0ased exercises and one (7)
rim based
a unit
exercise. All AARsnPs all exercise activities to the TDEM Exercise unit not more than
r all
Date Submitted:
45 days after the conclusion of the exercise.
01/06/2015
One real mind event is cunngy allowed per fiscal viiar.
NOTE: A Full-Scale exercise must be conducted every Ihm a (3) years.
"Each EMPG-funded person must complete and submit individual Exercise
Participation farms. All EMPG funded personnel must participate in at least three
exercisesr ear.
REQUIRED EXERCISE SCHEDULE
Performance
Exercise Type Exercise Name 8 "ercise Date Quarter of Year
Period
E, Diswssion Based NWS Severe Weather TTX 3/4A5 r 1 2 3 a
Fiscal Year 2075
Q+ Diswssion Based Hail for the Fourth Jul 2015 1 2 r 3 4
I] Operational Based Communication q Key Dec 2015 1 2 3O4
(October 7, 2014.
Real Worts Event 1 2 3 4
September 30, 2015)
t
Full Scale 2 3=4
Our last Full-Scale exercise
was conduclod on date
Conducted the foilowIn
exercises and rovitled "untainted n W TDEM:
❑ Progress Report #1
Exeroke T e
Exercise Name Exercise Data EMP" FurMed YIN
Discussion
October 1 -
❑ Discussion
March 31
❑ Operation
❑ Real World
❑ TEP
Event
❑ Full Scale
Date Submitted:
Ourjunsdicbon completed NO exercise arts did not request credit for a real wand
event
Exercise approved dowmenlation attached
Conducted Me folt0win exercises antl rovitled tlocumanfation to TDEM:
Exerciser a Exercise Name Exercise Date EMPG Fundetl VM
Discussion
❑ Progress Report#2
❑ Discussion
❑ Operation
April 1-
❑ Real Wantl
September 30
Event
❑ Full Scale
❑ Junsdicdon completed NO exercise and did not request credit lora real world event
0 Exercise approvad documentation attached
TASK 6—TRAINING FOR EMERGENCY MANAGEMENT PERSONNEL
ALL EMPGfunded emergency management personnel will participate In the
following training during FY 2015:
Position & Name course Name or Number
Dorothy Miller, EMC E948 Situational Awareness/Common
Operating Picture
p work Plan
E451 Leadership
Michael Clanton, Asst. EMC E948 Situational Awareness/Common
Operating Picture
Emergency management personnel completed the tollol training and documentation is
attached
Position & Name course Name or Number Date complete
❑ Progress Report ttl
October 1 -
March 31
❑ No training took place this re ort ariod.
Emergency management personnel =pleted ma following training and documentation is
attached
Position&Name course Name or Number DaOe Com bled
❑ Progress Report #2
April 1 -
September 30
❑ No training took place this progress report period.
TASK 7-EMERGENCY
MANAGEMENT TRAINING FOR OTHER PERSONNEL
oWolk Plan
Junsdiclion will conduct or arrange emergency management related training for elected
officials other local officials & support agencies.
❑ Progress Report #1
October 1 —
March 31
Thafollowln formaltralnln coumeswem tau htorcontncted:
Dam Course Title Claes Description If
Trained
CAPCOG Regional Homeland Security Task Force. Preparedness Committee and Emcee
SuDCommittee; TCEM Homeland Security Conference; FBI Infraguard, CASHP, CANIT,
Austin -Round Rock Bimalch; T&EPW Workshops, NWS Slone Ready Programs, Williamson
County Public Health & Medical Committee, and Homeland Seoriry, and Preparedness Council.
Jurisdiction completed the following staff development activities:
❑ Progress Report #1
October 1—
Lj No mining took VWCU Nm Progress re rt period.
[]Progress Report #2
April 1 —
September 30
The followAno formal training courses" mu htorcontracted:
Data Coumo Title Class Description #
Trained
Jurisdiction mmplelad the u ovring sniff development activities:
CIProgress Report #2
April 1 —
September 30
No training took lar»Nls ro ressm rt ertotl.
TASK S -EMERGENCY
MANAGEMENT ORGANIZATIONAL DEVELOPMENT
Jurisdiction will participate in the following emergency management organizational
development activities:
(aWork Plan
CAPCOG Regional Homeland Security Task Force. Preparedness Committee and Emcee
SuDCommittee; TCEM Homeland Security Conference; FBI Infraguard, CASHP, CANIT,
Austin -Round Rock Bimalch; T&EPW Workshops, NWS Slone Ready Programs, Williamson
County Public Health & Medical Committee, and Homeland Seoriry, and Preparedness Council.
Jurisdiction completed the following staff development activities:
❑ Progress Report #1
October 1—
March 31
Jurisdiction mmplelad the u ovring sniff development activities:
CIProgress Report #2
April 1 —
September 30
REMARKS
(Use an Additional Sheet If Necessary)
JURISIDICTION NAME: City of Round mock
Option 2: Jurisdiction will prepare & distribute public education/information materials to
a substantial portion of the community. Please describe the materials to be distributed
in the remarks section found on page 6.
We will utilize several venues throughout the year to distribute educational materials to
the public, including departmental information flyers on safety and preparedness,
FEMA preparedness information for general population, children, pets and those with
special medical needs. We participate in open house, public safety day and other such
events throughout the year in which we speak to the community and hand out various
preparedness materials as appropriate and/or requested. We will also keep our
citizens informed and prepared through our city website materials.
FISCAL YEAR 2015
EMPG STAFFING PATTERN
1. APPUCANT NAME (as is appears an EMPG application)
City of Round Rock
2. COUNTY
Williamson
3. FULL-TIME EMPLOYEES
(including those who work all or only a portion oftheir time
emergenry management duties)
4. Gross
Annual Salary
S.Grass
Mnaal
Benefts
6.6mas
Salary&
Benefits 14.S)
7.%
Work In
EM
Duties
a. Salary&
Benefits for
EM (6x7)
9. Eat EM
Trawl Davis
Name: Dorothy L. Miller
81,597.00
28,000.00
109,597.10
lUo%
109,597.00
3,000.00
Position: Emergent, Management Coordinator
Name: Steven Michael Clanton
67,828.00
24,750.00
92,578.00
100%
92,578.00
3,000.00
Position: Assistant Emergent, Management Coordinator
Name:
0.00
Daiwa
0.00
Position:
Name:
0.00
0.00
Positlan:
Name:
0.00
0.00
1 0.00
0.00
Position:
Name:
Name:
0.00
0.00
Position:
Name:
Position:
0.00
0 D
202,3]5.00
6,000.00
Position:
&SUBTOTAL:
10. PART-TIME EMPLOYEES
11.%of
12.Gmsa
13. Gross
14.G..
15.%
16.Salary&
17.Ed EM
F.1111ne
An.ISalary
Amual
Salary&
Work in
Benefmfor
Trawl Crib
Beasi
BIMBts
EM
EM LWS)
(12.13)
Daiwa
Name:
0.00
0.00
Position:
Name:
0.00
0.00
Position:
Name:
0.00
0.00
Position:
Name:
0.00
0.00
Position:
Name:
0.00
0.00
Position:
Name:
0.00
0.00
Position:
Name:
0.00
Position:
B. SUBTOTAL:
E201,1701.000
0.00
19.
TOTAL'
6,000.00
CERTIFICATION: Icertiiy that no individual listed abov ds on elected aX .
Signature of Authorind Official
Printed name offiadhor)ced Official: Laurie Had", City Manager
Date Signed: ' Z S
TUEM-fib
Dec -14
FISCAL YEAR 2015
APPLICATION FOR FEDERAL ASSISTANCE
(Instructions on Reverse)
NAME OF PROGRAM/ ASSISTANCE:
f. CFDA NUMBER:
z. APPLICANT
STATUS:
EMERGENCY MANAGEMENT
New Applicant ❑
PERFORMANCE GRANT (EMPG)
97.042
Renewal Q
3. FEDERAL FISCAL YEAR:
a. START DATE:
5. END DATE:
FY 2015
OCTOBER 1, 2014
SEPTEMBER 30, 2015
APPLICANT INFORMATION
a. Legal Name of Applicant Organization (as
b. Name & Telephone Number of Emergency
it appears on the EMPG Application
Management Coordinator:
(TDEM-17):
City of Round Rock
Dorothy L. Miller
512-218-3259
C. Mailing Address:
d. Physical Address If different from Mailing
Address):
City Hall
221 East Main Street
2701 North Mays Street
Round Rock, TX 78664
Round Rock, TX 78665
Employer Identification Number/Tax ID#
EMPG PERSONNEL SUMMARY include only those staff that will be paid with EMPG funds
e. Number of EMPG Staff & Percentage of Time Worked in Emergency Management Duties
# Staff
Percant
# Staff
Percent
# Staff
Percent
i) Full Time:
2
100
2) Part Time
Total Number of EMPG-Funded Personnel: 2
ESTIMATED EXPENSES
c Salary & Benefits from line 18, form TDEME6 202.17500
g. Travel Expenses from line 19 form TDEM-86 6,000.00
h. Other Ex enses from section 11 on reverse 2.+00.00
i. Total Ez enses F+G+H 210,57500
Federal Share I x.50) 1os.xe7.w
Note: If you cannot meet the cash match requirement, check the box below and attach a match
proposal as specified in Section 2 of the Local Emergency Management Performance Grant Guide.
TDEM must review and approve any exceptions made to the cash match requirement at the time of
alication. E]Cash Match Exception Requested
CERTIFICATION: I certify that to the best of my knowledge and belief this application and its
attachments are two and correct.
t. Typed Name of Authorized Official:
Laurie Hadley
I. Title of Authorized Official:
ci anager
m. Original
Signature of Authorized
Official:
n. Date Signed:
{ Z
TDEME7 Page 1 of 2
10/13
INSTRUCTIONS
1. Except as indicated below, entries are self-explanatory.
2. Item A: Enter the legal name of your jurisdiction. Your entry should match the Applicant Name used on the
EMPG Program Application (TDEM-17).
3. Item E: Indicate the number of full-time employees who work specific percentages of time in emergency
management duties. Example: 1 staff @ 100 percent, 2 staff @ 50 percent. Also indicate the number of part-
time employees. Include only staff members whose salary and benefits will be supported by EMPG funding.
The data in this section should agree with the information included on the EMPG Staffing Pattern (TDEM-66).
4. Item K, L. 8 M: This form must be signed by an Authorized Official, who is a person authorized by the governing
body of the jurisdiction to apply for grants and accept grants and execute agreement and contracts on behalf of
the jurisdiction. Authorized Officials are County Judges, Mayors, and many City Managers— not Emergency
Management Coordinators.
OTHER ALLOWABLE EXPENSES:
Describe the other allowable expenses of your emergency management program that you are requesting be
supported by EMPG funding and provide an estimate of the amount of those expenses. These costs must comply
with 2 Cl Part 225, Cost Principles for State. Local, and Indian Tribe Governments (OMB Circular A-67). Salaries
and expenses for elected officials are not allowed. Continue on a separate sheet if necessary. Transfer the Total
calculated below to line go on the front of this form. To determine if an expense is allowable under the EMPG
program, refer to the DHS Authorized Equipment List (AEL) available on the Responder Knowledge Base at Lessons
Learned Information Sharing at httos Ilwww.111s.chiragy/knowledgelbase
Please reference the appropriate Authorized Equipment List (AEL) for expenses listed below.
Speci c Description of Expense
AEL Cotle (Deaeriptlons moat be specific —do not use broad or general categories, Estimated Amount
sucn as erating or administrative ez ses
Summer student intern $2400.00
Total 2400.00
TDEM-67 Page 2 of 2
10113
EMPG STAFF JOB DESCRIPTION
Jurisdiction Name city of Rated Rea
Staff Member Name Derwhy L. Miller
Position Title Enwrgenry Manager 1Coordndbr
Description Prepared Boomdy L Miller, EMC
Date Prepared 31 oecemoer 2014
JOB DESCRIPTION
❑ Current Job Description Attached 0 See Below
A. Provide a general description of the duties performed by this staff member.
SUMMARY OF POSITION:
The City of Round Rock's Emergency Management Coordinator (EMC) is responsible for planning, organizing and directing
activities for the City's Emergency Management Program. This position report directly to the Fire Chief on emergency
responsibilities. Advises Mayor, City Council and City Manager on emergency management matters.
The position is "exempt' and "professional' and is based on a 40 -hour work week and requires being'on-call' for emergencies
during evenings, weekends, holidays.
EXAMPLES OF DUTIES:
• Develop, review and update emergency operation plans to prepare for potential emergency or disaster situations.
• Coordinate staffing for the emergency operations ranter (EOC) with designated departmental personnel. Activates the EOC when
necessary due to emergency Conditions
• Develop, Coordinate and lead emergency preparedness training, coordinate and evaluate emergency management exercises and
management of Homeland Security Exercise and Evaluation Program (HSEEP) within the City and its wider Community.
'Evaluate EOC operations during and ager disasters: make recommendations to enhance operations andfor response.
'Advise department on emergency plans and annexes and Communicate plans to appropriate departments and local groups to
Coordinate response planning.
• Prepare and submit program funding documents and coordinate grant proposal activities related to emergency preparedness.
Assist in maintenance of City's NI MS Compliance efforts.
B. d this staff member performs both emergency management duties and other duties, identify the speck
emergency management duties performed.
TDEM68 nce��i a ••�r•r ..• ••�•_
12114
EMPG STAFF JOB DESCRIPTION
Jurisdiction Name Cin of Ranh Rock
Staff Member Name endi canton
Position Title Assistant Emergency Management Coordinator
Description Prepared BDeanery L. Maks, EMC
Date Prepared 31 oeCafMer2014
JOB DESCRIPTION
❑ Curren Job Description Attached See Below
A. Provide a general description of the duties performed by this staff member.
SUMMARY OF POSITION:
The Cin of Round Rock's Assistant Emergency Management Coordinator (EMC) provides mala support to he ct" pace of Emerganq Management
(OEM) on a 24/7 beans and contributes, to the overall success of he emergency management program. This donation reports direotiy to the Emergency
MMxgement Owdinata.
The Nissan is -exempt' and'professional' and is based on a 40 -hour work week and requires being'onu11' for emergencies during evenings, weekends.
hWidays.
EXAMPLES OF Cut
• Assist sigh dewtoping, renvuh, end implementing emergency management and mgigation plena In ensure he dry complks wish nuu end federal
requirements.
• support key elements or he emergency operations center. Responds to Emergency Cremations Center "an crossed of emergency conditions
• Assisi In emergency preparedness wining and management of Homeland Security Exercise and Evaluation Program (HSEEP)wihin at, req he wider
conunanity.
• Assist In maintenance of City. NIMS comphance.gods.
• Task and Instance EOC equipment and notification systems for h ndtiunality and effectiveness.
• Assist In maintenance of FEMA Apaoved Havant Iffie,tkn Action Plan MMAPI.
• Avnet arm enhancing and Implementing he emergency management program.
• Assist vdlh annual budget preparation and maintains records as required.
•
Attend various arkah fin and below, with local, sure, and federal agsndies as eppropdak.
• Develops won implements new programs for he city to allow for a more educated, prepared community, and better prepared personnel.
•
Other dotes as asnlgned and necessary 10 he success of he overall preparedness of the Cate of Emergency Management. the City of Round Rock's
WricnnO and downs.
• Assist wiM COOP/COG program development andimplemenuuan.
B. If this staff member performs both emergency management duties and other duties, identify the speck
emergency management duties performed.
MEM -68
12114
TRAVEL POLICY
CERTIFICATION
FCI'y
f Round Rock, Texas
Jurisdiction Name:
Check one of the two blocks below
❑✓ This jurisdiction has no qualifying travel regulations. EMPG participants
requesting reimbursement for travel expenditures will do so in accordance with
Slate of Texas travel regulations and reimbursement rates as published by the
Texas Comptroller of Public Accounts. State travel regulations are available at
httosY/fmx coa state.tx.us/(mx4ravel/textravellindex.oho
Me;
This jurisdiction has its own qualifying travel policy, a copy of which is attached.
EMPG participants requesting reimbursement for travel expenditures will do so in
accordance with that policy.
Name of Grant Financial Officer
Elaine S. Wilson
Printed or Typed)
Original Signature of Grant Financial
Officer
Date Signed
01/08/2015
MEW69
ivnoia
A r4 -n6
Direct Deposit Authorization
O
This form may be used by vendors, individual recipients or state employees to receive payments
/runt the state of Texas by direct deposit or to change/cancel existing direct deposit information.
Transaction Type
z New setup (Sed/ons 2. 3, 4 and 5 - Section 5 is coaxial ❑ Change account type (Sectors 2, 3, 4 and 5 - Section a is coherent
O
F ❑ Change financial institution(Sedan 2. 3.4 and 5- Section 6 I opronaq ❑ Cancellation(Sectrons 2 and 5- Sections l and a for state agency use)
w ❑ Change amount number(Sectons 2. 3. 4 and 5- Section Bis opgonaq
Vl
Payee Identification
Financial Institution (Completion by financial institution is recommended.)
wsaew.
i] Texas Identification Number (TIN)
I understand that the Texas Comptroller of Public Accounts will reverse any payments made to my account in error
Mail code (if not known,
1 further understand that the Texas Comptroller of Public Accounts will comply at all times with the National Automated Clearing House Association's
F1 State employee
Wj Employer Identification Number(EIN)
W
leave blank.)
iVendor
or other recipient
E]Social Security Number (SSN)' 7 4 6 0
1 7 4 8 5,
0 0 0
O
0,0,6,1,-�
4 5, 6,8,9, 1,3,8, 6,
�Checkin9 El savings
F
Pryee risme
rTtlb(nC.nnae
PM1me numter
y
City of Round Rock
m
512-218-5400 ext.
Senior Vice President
MCIIIryaM'e s
Fireno-el nriv—..n. eyvi.,ervtionin)
CMy
Stare
ZIP mtle
221 E Main Street
ext.
Round Rock
TX
78664
Financial Institution (Completion by financial institution is recommended.)
International Payments Verification (required)
WII these payments be forwarded to a financial institution outside the United States7..._...._.._.......................................... El YES 66 NO
y If "YES,
"also complete the ACH (Direct Deposit) Payment Destination Confirmation (Form 74-227).
Authorization for Setup, Changes or Cancellation (required)
FHnaa reme
an
I understand that the Texas Comptroller of Public Accounts will reverse any payments made to my account in error
O
1 further understand that the Texas Comptroller of Public Accounts will comply at all times with the National Automated Clearing House Association's
Morgan Chase, NA
Austin
W
71,71,JP TX
w
flonarstransilnum[er(P6gih)
customer ac¢urN numoer (ma. um nd,Lan1Y)
Data
TyPe W..m
Z
0,0,6,1,-�
4 5, 6,8,9, 1,3,8, 6,
�Checkin9 El savings
,1,1,1,0,-
rTtlb(nC.nnae
VFmenuele
xierrin—reme(op5oneq
m
Larnell Carries
Senior Vice President
Fireno-el nriv—..n. eyvi.,ervtionin)
PMmn -(sa m"0
bete(vytimaq
ext.
International Payments Verification (required)
WII these payments be forwarded to a financial institution outside the United States7..._...._.._.......................................... El YES 66 NO
y If "YES,
"also complete the ACH (Direct Deposit) Payment Destination Confirmation (Form 74-227).
Authorization for Setup, Changes or Cancellation (required)
Authorized Signature (forstate agencyuse)
I authorize the Texas Comptroller of Public Accounts W deposit my payments from the state of Texas to my financial institution electronically.
in
I understand that the Texas Comptroller of Public Accounts will reverse any payments made to my account in error
O
1 further understand that the Texas Comptroller of Public Accounts will comply at all times with the National Automated Clearing House Association's
U
rules. (For further Information on theaa.mles, pleese contact your financial insfitutlon.)
W
O
w
sign atlev
Frimeu cane
Data
W
here
Elaine Wilson
01108175
Authorized Signature (forstate agencyuse)
Please return your completed form to:
sq,.nrre
Dem
sign
here
PSmie numAv
Pgvryrvmber
O
et.
1—
Aya,cy,ame
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N
cmMenls
Please return your completed form to:
SUMMARY SHEET FOR ASSURANCES AND CERTIFICATIONS Expires February 28, 2007
FOR CA Fri i(Name of Applicant)
FY
.2
FY l.lt' o�Zl .-YJYi�. 12CC�L.
This summary sheet includes Assurances and Certifications that must be read, signed, and submitted as part of the
Application for Federal Assistance.
An applicant must check each item that they are certifying to:
Part I FEMA Form 20-16A, Assurences-Noncenstrection Programs
Part 11 FEMA Form 20-16B, Assurances -Construction Programs
Part 111 FEMA Form 20-16C, Certifications Regarding Lobbying;
Debarment, Suspension, and Other Responsibility
Matters; and Drug -Free Workplace Requirements
Part IV SF LLL, Disclosure of Lobbying Activities (Ifapplicable)
ily authorized representative of the applicant, I hereby certify that the applicant will comply with the identified
assurances and certifications.
Laurie- I'
Typed Name of Author' ed Representative
szzzl�
Signature OfAuthbrized Relithmentmire
FE: By signing the certification regarding debarment, suspension, and other responsibility mutters for primary covered
section, the applicant agrees that, should the proposed covered transaction be entered into, it shall not knowingly enter
any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded
i participation in this covered transaction, unless authorized by FEMA entering into this transaction.
The applicant further agrees by submitting this application that it will include the clause titled "Certification
srding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier Covered Transaction;' provided by
?EMA Regional Office entering into this covered transaction, without modification, in all lower tier covered transactions
in all solicitations for lower tier covend transactions. (Refer to 44 CFR Part 17.)
Paperwork Burden Disclosure Notice
blit reporting burden for this form Is estimated to average 1.7 hours per response. Burden means the time, effort and
ncial resources expanded by persons to generate, maintain, retain, disclose, or to provide information to us. You may
d comments regarding Me burden estimate or any aspect of the farm, Including suggestions for reducing the burden
Information Collec0ons Management, Federal Emergency Management Agency, 600 C Street, SW, Washington, DC 20472,
erwork Reduction Project (3067-0206). You are not required to respond to this collection of information unless a valid
B control number appears in the upper right corner of this form. Please do not send your completed form to the above
Farm
ASSURANCES -NON -CONSTRUCTION PROGRAMS
Note: Certain ofthese assurances may not be applicable to your project or program. Ifyou have any 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 authorised representative of the applicant, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance,
nod the institutional, managerial and financial capability
(including funds sufficient to pay the non -Federal share of
project casts) 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 race rds, 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 gain.
4. Will initiate and complete the work within the
applicable time frame after receipt of approval of the
awarding agency.
5. Will comply with the Intergovernmental Personnel
Art of 1970 (42 U.S.C. Section 47284763) relating to
prescribed standards for merit systems for programs
funded under one of the nineteen statutes or regulations
specified in Appendix A of OPM's Standards for a Merit
System of Personnel Administration) 5 C.F.R.900,
Subpart F).
6. Will comply with all Federal statutes relating to
nondiscrimination. These include but arc not limited to:
(a) Title VI ofthe Civil Rights Act of 1964 (P.L. 88-352)
which prohibits discrimination on the basis of race, color
or national origin; (b) Title IX cribs Education Amendments
of 1972, as amended (20 U.S.C. Sections 1681-1683, and
1685-1686), which probibits discrimination on the basis of
sex; (c) Section 504 of the Rehabilitation Act of 1973, as
amended (29 U.S.C. Section 794), which prohibits
discrimination on the basis ofh..dicaps; (d) the Age
Discrimination Act of 1975, as amended (42 U.S.C.
Sections 6101-6107), which prohibits discrimination an 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; (Q the
Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (P.4 91-616), as
amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; (g) Sections 523 and 527 of
the Public Health Service Act of 1912 (42 U.S.C. 290-dd-3
and 290-m-3), as amended, relating to confidentiality of
alcohol and drag abuse patient records; (h)Title Vlll of the
Civil Rights Acts of 1968 (42 U.S.C. Section 3601 et seq.h
as emended, relating to nondiscrimination in the sales
rental or financing of housing; (i) any other
nondiscrimination provisions in the specific stalute(s)
under which application for Federal assistance is being
made; and (j) the requirements of any other
nondiscrimination statute(s) which may apply to the
application.
7. Will comply, or has already complied, with the
requirements of Title H and 111 of the Uniform
Relocation Assistance and Real Property Acquisition
Policies Act of 1990 (P.L. 91-646) which provide for fair
and equitable treatment of persons displaced or whose
property is acquired as a malt of Federal or Federally
assisted programs. These requirements apply to all
interest in real property acquired for project purposes
regardless of Federal participation in purchases.
S. Will comply with provisions of the Hatch Act (S
U.S.C. Sections 1501-1508 and 7324-7328) which limit
the political activities of can players whose priecipal
employment activities are funded in whole or in part
with Federal funds.
9. Will comply, as applicable, with the provisions of
the Davis -Bacon Act (40 U.S.C. Sections 276a to 276a-
7), the Copeland Act (40 U.S.C. Section 276c and 18
U.S.C. Sections 874), and the Contract Work Hours
and Safety Standards Act (40 U.S.C. Sections 327-333),
reg. rding labor standards for federally assisted
construction subagreements.
10. Will comply, if applicable, with flood insurance
purchase requirement, of Section 102(x) 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 lithe total cost of insurable construction and
acquisition is 810,000 or more.
11. Will comply with environmental standards which may
be prescribed pursuant to the following: (a) institution
of environmental quality central measures under the
National Environmental Policy Act of 1969 (P.L. 91-190)
and Executive Order (EO) 11514; (b) notification orviolating
facilities pursuant to EO 11738; (c) protection ofwetlands
pursuant to EO 11990; (d) evaluation offlood hazards in
floodplain 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. Section 1451 el 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. Section 7401 et seq.); (g) protection
of underground sources of drinking water under the Sete
Drinking Water Act of 1974, as amended, (P.L. 93-523);
and (h) protection of endangered species under the
Endangered Species Act of 1973, as amended,
(P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of
1968 (16 U.S.C. Section 1271 at seq.) related to
protecting components or potential components of
the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring
compliance with Section 106 of the National Historic
Preservation Act of 1966, as amended (16 U.S.C. 470),
EO 11593 (identification and protection of historic
properties), and the Archaeological and Historic
Preservation Act of 1974 (16 U.S.C. 469a -I ct scq.).
(BACK)
14. Will comply with P.L. 93-348 regarding the
protection of human subjects involved in research,
development, and related activities supported by this
award of assistance.
15. Will comply with the Laboratory Animal Welfare Act
of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 el seq.)
pertaining to the care, handling, and treatment orwarm
blooded animals held for research, leaching, or other
activities supported by this award ofassistance.
16. Will comply with the Lead -Based Paint Poisoning
Prevention Act (42 U.S.C. Section 4801 cl seq.) which
prohibits the use of lead based paint in construction or
rehabilitation of residence structures.
17. Will cause to be performed the required financial
and compliance audits in accordance with the Single
Audit Act of 1984.
19. Will comply with all applicable requirements ofall
other Federal laws, executive orders, regulations and
policies governing this program.
19. It will comply with the minimum wage and maximum
hours provisions ofthe Federal Fair Labor Standards
Act (29 U.S.C. 201), as they apply to employees of
institutions of higher education, hospitals, and other
non-profit organizations.
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND
OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants
should also review the instructions for certification included in the regulations before completing this form. Signature on this
form provides for compliance with certification requirements under44 CFR Part 18, "New Restrictions on Lobbying; and 38 CFR
Part 17, "Government -wide Debarment and suspension (Nonprocurement) and Government -wide Requirements for Drug -Free
Workplace (Grunts)." The certifications shall be treated use a material representation of fact upon which reliance will be placed
when the Federal Emergency Management Agency (FEMA) determines to award the covered transaction, grant, or cooperative
Agreement
A As requirud by steebal 1352, Tite 31 of 8a U.S. Code, and
implamented at M GFR Pon 18. lar peraan eatering into a grant
or cooperative agreement over S100,000, as delaea at as CFR
Part 18, the applicant certifies Nat
(a) No Federal tMic netud funds al bnen paid or will be pail.
by or an hehalfa Mo urNeaiptga, to any pmsen for inenanr rg or
ahemp, g in ina ena an officer or employee of any agency, a
Member of Cooperate, an office or employee of octagons or an
ampbyse of a Member of Congress in adrnx8on with care making
of any Patent gang be causing into of any cooperative sgreemenb
said the invasion. conditions', aranval, emendmmll or indecision
darty Poo l grant ormopurealve agreement:
(b) If any cher funds than Federal appropriated hands have been
paid or will be mid to and person lar influencing or mempting to
haft mxw an officer or employee of my agency, a Member of
Congress, an call or an employee of Congress. or employee
0 a maintain of Congress in connac ion wdh this Federal grant or
noopma8ve ignition, tle Unde stood shall complete and submit
Staudnd Form LLL, -Olaclnsua ol Lobbying ActiviBell in
accordance who as irabutebns:
(o) Tho aMeagne l shall reach¢ that Pe 1.1-10 No ceNficadm
be included in Pa award ccoummls lar of eubrommis at all lien
(Including rotational connotes under grants am eooperanve
apeemenls, and sunt' nbate(s) and Pat all subaciplents shall
corny end disease aarortlingly.
❑Sbnaard Form LLL. Misdosua of Lobbying Aclwlies' attached
(This ram mesion edeMed b pertlacaam,fr eppdoba funds
she ro be used 0 infiuerge achvitle.)
2. DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
(DIRECT RECIPIENT)
As required by Esacawe Orden 125x9, Oobannenl and Smilitheion,
and implamerest e144 CFR Pan 67, lar paupece" Makinants In
pamary coastal instruments, as aefinud at as CFR Part 17,
Sec1im 17510.A The appli ere cettrfias Oat a std as Par -Pols
(a) Are not presently asounal suspended proposed for dehmmaa
assumed iMtigibit. E moment b a conal of Factual benefit by a State
M Foothe court, or volunlaaly eaoluded than covenant transactions by
convkled of or had a civilian ludgmert tendered against mem lar
control ol hand a a cal l number in,onnee8m with,
obtaining, atlempgrq b obtain, or pedam a mriigo(Federal. Slate.
or loom therembm cr contact under a public nanstall vinaaon
of Fudaal or State Mention mates m commission of amberikmenl
Pak forgery, bribery, fissifinbm or desbuWcn of Beardl
making histo statements, a receiving stolen property,
lo) Are an presently mdlctud for ce othenw est criminal -or Cil
tluged by a govemmental Marty (Federal, Slab. or IoW) win
commisski n olany of Me nations enumerated in paragraph (1)(b)
If this cntfigtion,. and
(d) Have notes m a Nae -year poked ptotling bda aWp m
Mo one is, more punk t ho satliana (Federal, Stab, or loa0
semiannual for cause or dell and
B. lbhe n Ne applkent is unable to cony, to any of she sblements
In PIs ceNfxadm, he or shall shall aazaad an eiplanation to Pis
application.
3. DRUG-FREE WORKPLACE
(GRANTEES OTHER THAN INDIVIDUALS)
As required by Pe Dreg -Free WoAplace AH of IMS, and
impkmenbd at as CFR Part 17, Stained F. for granbea, ab defined
at as CFR Pad 17. Sections 17615 and 11.620:
A. ilia eppliantcer4fies Bat ilwill corMnueaprivitle etlag-
hae vmmplac, by:
(a) Punishing a statement molting empleyeea that Pe unlawful
man ibcture, disbbulpn, dispensing. possession, or use of a
con" ea samerve is prehibrted lit Pe goo sat wokplace and
specifying ba nolbm PI will M taken against employees for
vic n ion of Much Pmllin8on;
(b) EabbbMkg an on-going drug has awmmess programto
Minn. empoyeea sa ed:
(t) The angers of asp abuse ainn instance:
(2) The canonise. Palm, of maintaining a nag -free workplace:
(3) Any available oag cour,aplirg, rehablfibgm, end
amplal amseems programa; and
(a)Mop ices that may be imposed -Pm employeesW
drug abuse valagons exumng In Pe workplaee:
(c) MaFinp ita mgunimenl mat each employee b be engaged in
me pedpma^m of the grant no ba given a copy, of ma abbrtent
reouired
by prei(a);
(d) Notifying Ma employee in the Statement reouired by
paragraph (a) but as a cvmition of employment under the Arent,
the amp" will:
(1) Adds W the hams of the statement. entl
(2) Notify ma employee in wailing of his or ler mnraAon fora
speed. of a criminal drug stature ocmmng in thew WSW p later
Man Me ®tamer days after suds conviction.
(a) NaNyirg the agency, in wntir,, winin 10 cobndardays aXer
recoiviroa entice under subparagraph (dX2)1mm an employee or
ogetwi99 reprving adua1.0. of satin convioben. Employsre of
W y ided employees.. provide notice. indming pinion tide,
W me appliceNe FEMA awaclirg once, i.e.. regional office or
FEW office.
(0 Taking ons of the f rswing smorm, within 3o Wtendar days of
rapers, notice under suhperegniph Id)(2), with respect W any
employee wino is so corwided:
(1) Takir, apphiprana personnel action spina such an employee,
up to and ind Wing termination, consistent w,l me regUin)— or
of the RehadliWlan Ad of 1973, a3 amended. or
Form 20-16C (BACK)
(2) Reeuim, sudl amp". W pee opal, astshemsly in a
drug souse assistance or rehabilitation Frei appo nsi lar
such pn,mea by a Federal. State, or local health, law eneammenl
in other appropriate agency.
(g) Making a good fain Short W continue W maintain a dime free
wpkplape through implementawn of pe0nlns la). (b), to, (d). (e),
am 10.
6. thegrant, may incertm the space pm"ided belowrte:here) for
rte pdormance of work done In connection with Its, apeoPc Brent
plep of pa sormaape (Street address. City, County, Stab, Zip Wide)
u csYMQin %yi i
-TI ,r,d ICY -rap '1RI�b4
Check �if nae are wohpWcea on file mat ere nM identified M1ere.
Section 1].630 of rte reguWWns provide that a mantp mat Is a State
may elect to maks we cedificidion In each Federal fiscal year. A copy
of wNcl,:mould W iapludedi with aech aWlaphon On FEMA Wndinp.
States and State agencies may died to we a Statewide carefoation.