Entire Application
Overview

* Are you a member, or are you currently involved in the management of the fire department or organization applying for this grant with this application?

No, I am a grant writer or otherwise not affiliated with this applicant

If you answered No, please complete the information below and press the Save and Continue button. If you answered Yes, please do not complete the information requested below and press the Save and Continue button.

Note: If you answered No to the above question, the fields marked with an * are required.

Preparer Information
* Preparer's Name Judy Sloan
* Address 1 18340 Goodwin Avenue
Address 2
* City Hastings
* State Minnesota
* Zip 55033 - 9527   
 
* Is there a grant-writing fee associated with the preparation of this request? No
If you answered yes above, what is the fee? $


 

 

Contact Information

Alternate Contact Information Number 1
* Title Chairman, Vermillion Twp
Prefix Mr.
* First Name Robert  
Middle Initial  
* Last Name Bohn  
* Business Phone  Ext.
*Home Phone  Ext.
Mobile Phone/Pager
Fax
*E-mail  

Alternate Contact Information Number 2
* Title Fire Committee Lead
Prefix Mr.
* First Name James  
Middle Initial  
* Last Name Sathra  
* Business Phone  Ext.
*Home Phone  Ext.
Mobile Phone/Pager
Fax
*E-mail  

 

Applicant Information

EMW-2009-FF-00663
Originally submitted on 01/15/2010 by Judy Sloan

Contact Information:

Email: vre@bevcomm.net

Application number is EMW-2009-FF-00663

* Organization Name Vermillion Township
* What kind of organization do you represent?
All Volunteer 
If you answered combination, above, what is the percentage of career members in your organization?
%
* Type of Jurisdiction Served
Township 
If other, please enter the type of Jurisdiction
* In what county/parish is your organization physically located? If you have more than one station, in what county/parish is your main station located? Dakota
* Employer Identification Number

* Are you sharing an EIN with another organization?
No
If yes, please enter the name of the entity with whom you share an EIN


* What is your organization's DUNS Number?

Headquarters Physical Address
* Physical Address 1 .  
Physical Address 2  
* City  
* State
* Zip   
Need help for ZIP+4?
Mailing Address
* Mailing Address 1 .  
Mailing Address 2  
* City  
* State
* Zip   
Need help for ZIP+4?
Account Information
* Type of bank account Checking
* Bank routing number - number on the bottom left hand corner of your check
 
*Your account number    
Additional Information  
* For this fiscal year (Federal) is your jurisdiction receiving Federal funding from any other grant program that may duplicate the purpose and/or scope of this grant request? No
* If awarded this grant, will your jurisdiction expend greater than $500,000 in Federal share funds during the Federal fiscal year in which the grant was awarded? No
* Is the applicant
No
If you answered yes to any of the additional questions above, please provide an explanation in the space provided below:     

 

Applicant Characteristics (Part I)

* Are you a member of a or authorized representative of a fire department?
Yes

* Are you a member of a Federal Fire Department or contracted by the Federal government and solely responsible for suppression of fires on Federal property?
No
       
* Please indicate the type of community your organization serves.
Rural


* What is the square mileage of your first-due response area?
36
* What percentage of your response area is protected by hydrants?
0 %
* Does your organization protect critical infrastructure of the state?
Yes

Percentages in three answers below must sum up to 100%:
* How much of your jurisdiction's land use is for agriculture, wild land, open space, or undeveloped properties?
93 %
* What percentage of your jurisdiction's land use is for commercial, industrial, or institutional purposes?
1 %
* What percentage of your jurisdiction's land is used for residential purposes?
6 %
 
* How many occupied structures (commercial, industrial, residential, or institutional) in your jurisdiction are more than four stories tall? Do not includes structures which are not regularly occupied such as silos, towers, steeples, etc.
0

* What is the permanent resident population of your
1317

* How many stations are in your organization?
1
* Please indicate if your department has a formal automatic/mutual aid agreement with another community or fire department and the type of agreement that exists.



No aid

* What services does your organization provide?
Structural Fire Suppression
Wildland Fire Suppression
Medical First Response


Hazmat Operational Level

Rescue Operational Level
Rescue Technical Level
 

Active Firefighting Staff, use these definitions to answer the questions about “firefighter” positions.

Active Firefighter Position

An individual having the legal authority and responsibility to engage in fire suppression; being employed by a fire department of a municipality, county, or fire district; being engaged in the prevention, control, and extinguishing of fires; and/or responding to emergency situations in which life, property, or the environment is at risk.  This individual must be trained in fire suppression, but may also be trained in emergency medical care, hazardous materials awareness, rescue techniques, and any other related duties provided by the fire department.

Full-time Paid Firefighter Position

Full-time positions are those that are funded for at least 2,080 hours per year (i.e., 40 hours per week, 52 weeks per year.)  The program office will also consider funding the sharing of a full-time position with sufficient justification.  A job-share position is a full-time position that is occupied by more than one person.  Positions funded via SAFER may be shared, but DHS limits the number of individuals to no more than four (4) per position.

Part-time Paid Firefighter Position

Part-time paid firefighters receive pay for being on duty at the fire station, whether or not they respond to any alarms.  They may or may not receive benefits.

Volunteer Firefighter Position

Volunteer firefighters receive no financial compensation for their services other than life/health insurance, workers compensation insurance, and/or stipend per call.


The goal for SAFER is to assure that SAFER grantees’s communities have adequate protection from fire and fire-related hazards. The following questions are designed to help us understand the changes that will occur in departments receiving grants.

Use the following definitions when completing the table below.

Total # Career Personnel – the number of authorized and funded active, full-time uniformed career positions employed by your department on the date indicated.

# Officers – Of the career positions indicated in the “Total” field above, how many of those serve in officer-level (both command and company) positions?

# NFPA Support – Of those career positions indicated in the first field above (total number of authorized and funded positions), how many are assigned to field or response apparatus positions that directly support NFPA 1710 (Section 5.2.4.2 – Initial Full Alarm Assignment Capability) or NFPA 1720 (Section 4.3 – Staffing and Deployment) compliance?

Note: The number of career positions in any of these fields should include positions which are job-shared.

For more information regarding these standards please see the program guidance or go to www.nfpa.org/saferactgrant

  Total # Career Personnel # Officers # NFPA Support
 * Staffing levels as of January 1, 2008 0 0 0
 * Staffing levels as of June 30, 2009 0 0 0
 * Staffing levels at the time of application 0 0 0
* At the time of application, how many positions in your department are filled with part-time paid firefighters?
Note: If you utilize part-time firefighters, please explain, in your narrative, the number of part-time firefighters, the number of positions that these part-time firefighters occupy, and how they are scheduled to meet your staffing needs.
0

* At the time of application, how many active volunteer firefighters are in your department?
0

* If awarded this grant, how many authorized and funded active, full-time firefighter positions will be in your department?
0

* If awarded this grant, how many active volunteer firefighters will be in your department?
25

* Do you currently report to the National Fire Incident Reporting System (NFIRS)?
No


 

Applicant Characteristics (Part II)



2008
2007
2006
* What is the total number of fire-related civilian fatalities in your jurisdiction over the last three years?
0 0 0
* What is the total number of fire-related civilian injuries in your jurisdiction over the last three years?
0 0 0
* What is the total number of line of duty member fatalities in your jurisdiction over the last three years?
0 0 0
* What is the total number of line of duty member injuries in your jurisdiction over the last three years?
0 0 0
 
* What is your department's operating budget(including personnel costs) for your current fiscal year and what was your budget for the last three fiscal years?
72700         
69900
40800
36000
* What percentage of your annual operating budget is derived from:
Enter numbers only, percentages must sum up to 100%
Taxes?
100 %
Grants?
0 %
Donations?
0 %
Fund drives?
0 %
Fee for Service?
0 %
Other?
0 %
If you entered a value into Other field (other than 0), please explain

* How many vehicles does your organization have in each of the types or classs of vehicle listed below? You must include vehicles that are leased or on long-term loan as well as any vehicles that have been ordered or otherwise currently under contract for purchase or lease by your organization but not yet in your possession. (Enter numbers only and enter 0 if you do not have any of the vehicles below.)
Type or Class of Vehicle    Total Number
Total Number of
Riding Positions
   
Engines (or Pumpers): (pumping capacity of 750 gpm or greater and water capacity of 300 gallons or more):
Pumper, Pumper/Tanker, Rescue/Pumper, Foam Pumper, CAFS Pumper, Quint (Aerial device of less than 76 feet), Type I engine, Type II engine
   0    0
Tankers: (pumping capacity of less than 750 gpm and water capacity of 1,000 gallons or more):
Tanker, Tender, Foam Tanker/Tender (greater than 1,250 gallon tank capacity)
   0    0
Aerial Apparatus:
Aerial Ladder Truck, Telescoping, Articulating, Ladder Towers, Platform, Tiller Ladder Truck, Quint (Aerial device of 76 feet or greater)
   0    0
Brush/Quick attack : (pumping capacity of less than 750 gpm and water capacity of at least 300 gallons):
Brush Truck, Patrol Unit (Pick up w/ Skid Unit), Quick Attack Unit, Mini-Pumper, Type III Wildland/Urban Interface Engine, Type IV Engine, Type V Engine, Type VI Engine, Type VII Engine
   0    0
Rescue Vehicles:
Rescue Squad, Rescue (Light, Medium, Heavy), Technical Rescue Vehicle, Hazardous Materials Unit
   0    0
Other:
EMS Chase Vehicle, Air/Light Unit, Rehab Units, Bomb Unit, Technical Support (Command, Operational Support/Supply), Hose Tender, Salvage Truck, ARFF (Aircraft Rescue Firefighting), Command/Mobile Communications Vehicle, Other Vehicle.
   0    0

 

Department Call Volume


* How many responses per year by category?

Do not include responses/calls where your department was dispatched to provide mutual/automatic aid. (Enter whole numbers only; if you have no calls for any of the categories, enter 0.)
2008
2007
2006
Structural Fires
1 0 5
Vehicle Fires
2 2 4
Vegetation Fires
1 0 2
EMS
14 15 19
Rescue
0 0 0
Hazardous Condition/Materials Calls
1 0 1
Service Calls
0 1 0
Good Intent Calls
1 1
False Alarms
1 2 1
Other Calls and Incidents
0 2 0


In an average year, how many times does your organization receive mutual/automatic aid?
      0
In an average year, how many times does your organization provide mutual/automatic aid? (Do not include first-due responses claimed above.)
      0

 

Request Details


The activities for your organization are listed in the table below.

Activity Number of Entries
5


Hiring or Rehiring Firefighters
* 1. Grants awarded to hire new firefighters require the grantees to maintain their staffing and incur no lay-offs during the two-year period of performance. Grants awarded to hire new firefighters also require the grantees to commit to retaining the SAFER-funded firefighters for one full year after the end of the period of performance. Have you, as the applicant, discussed this application and its long-term obligations with your governing body and is your governing body willing to accept this long term commitment?

* 2. Grants awarded to re-hire laid-off firefighters require the grantees to maintain their staffing and incur no further lay-offs during the two-year period of performance. Have you, as the applicant, discussed this application and its obligations with your governing body and is your governing body willing to accept this long-term commitment?


* 3. If awarded a hiring grant, will the newly added firefighters be trained to at least Firefighter I or equivalent within 12 months of employment?


* 4. If awarded a hiring grant, will the newly added firefighters be trained to at least Firefighter II or equivalent within 24 months of employment?


* 5. If awarded a hiring grant, will the newly added firefighters be trained within 24 months of employment to at least the minimum level of EMS certification as established by the local fire department?


*6. Select which line-item below best describes your organization and the NFPA standard you are attempting to meet.
NFPA Requirements
Check One NFPA Standard
(see the Program Guidance for more detail regarding these standards)
Department Characteristics Demographic Assembly Staffing Response Time Frequency of Time

1710 Career With Aerial 15 8 min 90%

1710 Career Without Aerial 14 8 min 90%

1720 – Urban Urban Combo/Vol > 1,000 pop/square mile 15 9 min 90%

1720 – Suburban Suburban Combo/Vol 500 - 1,000 pop/square mile 10 10 min 80%

1720 – Rural Rural Combo/Vol < 500 pop/square mile 6 14 min 80%

1720 – Remote Remote Combo/Vol Travel > 8 mi 4 n/a 90%
* 7a. In your best estimate, with your current staffing levels, how often did your organization meet the assembly requirements detailed in the table above for structure fires claimed in this application?
 
* 7b. With the additional or restored staffing requested in this application, what percentage of time do you anticipate that your organization will meet the NFPA requirements detailed in the table above?
 
* 8a. Given your current staffing levels and the number of structure fires indicated in the “Call Volume” box of your application, what is the average actual staffing level on your first arriving engine company or vehicle capable of initiating suppression activities? (Up to one decimal e.g., 2.5)


* 8b. With the additional or restored staffing requested in this application and given the number of structure fires indicated in the “Call Volume” box of your application, what would be the average actual staffing level on your first arriving engine company or vehicle capable of initiating suppression activities? (Up to one decimal e.g., 2.5)


* 9. Is your request for hiring firefighters based on a risk analysis and/or a staffing needs analysis?


If Yes, briefly describe how the analysis was conducted. If more space is needed, continue to discuss the analysis in the narrative.
* 10. If awarded a grant for hiring / rehiring firefighters, will you provide them with an entry-level physical in accordance with NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments 2003 Edition, Chapter 6?

* 11. Does your organization currently seek, recruit, and hire members of racial and ethnic minority groups and women to increase their ranks within your department?

If so, explain in your narrative what efforts your organization has instituted and how successful those efforts have been.

If not, explain in your narrative what policies and procedures you will implement to assure that, to the extent possible, you will seek, recruit, and hire minorities and women.

* 12. Does your organization currently have a policy ensuring that firefighters in positions filled under the SAFER grants are not discriminated against for, or prohibited from, engaging in volunteer firefighting activities in another jurisdiction during off-duty hours.

If so, explain in your narrative what efforts your organization has instituted and how successful those efforts have been.

If not, explain in your narrative what policies and procedures you will implement to assure that, to the extent possible, this requirement will be met.

 


Recruitment and Retention of Volunteer Firefighters
* 1. What is the ideal number of active volunteer firefighters needed by your department or organization to adequately comply with NFPA 1710 (Section 5.2.4.2 - Initial Full Alarm Assignment Capability) or NFPA 1720 (Section 4.3 - Staffing and Deployment)?
30

* 2. What is the current number of active volunteer firefighters in your department or organization?
10

* 3. How many active volunteer firefighters joined your department or organization over the last three years?
10
* 4. How many active volunteer firefighters left your department or organization over the last three years?
10
* 5. Will your department or organization periodically evaluate your proposed program's impact?
Yes

If Yes, please provide an explanation of how the evaluation will be conducted. Comparison of total volunteers to number of fire/rescue calls weighted with mutual aid requests.
* 6. Do you currently have a recruitment and/or retention volunteer coordinator's position?
Yes




* 7. Do you currently have a marketing plan as part of your recruitment and/or retention program?
Yes


* 8. Does your department currently offer AD&D (accidental death/dismemberment) and disability (loss of wages) protection for active volunteer firefighters?

Included in this request

* 9. Will your program have a regional impact?
Yes, the activities requested will be shared by more than one department



If Yes, please explain the extent of impact on the communities/population. 6 neighboring townships and the City of Hastings will benefit from Vermillion Twp volunteers fire fighters as well as the Flint Hills refinery, Highway 52 corridor and Prairie Island Power plant.
* 10. Do you currently provide entry-level physicals in accordance with NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments 2003 Edition, Chapter 6?


Included in this request (for new recruits only)


* 11a. What is the minimum level of training and certification standard required by your locality/state?


FF I


* 11b. Will the personnel recruited meet the minimum local or State fire and EMS training and certification requirements for firefighters within 24 months of appointment?
Yes


* 12. Does your organization seek, recruit, and hire members of racial and ethnic minority groups and women to increase their ranks within your department?

If so, explain in your narrative what efforts your organization has instituted and how successful those efforts have been.

If not, explain in your narrative what policies and procedures you will implement to assure that, to the extent possible, you will seek, recruit, and hire minorities and women.
Yes

 

Budget Item
* Item Name
Insurance packages 
If you selected Other, above, please specify:

* Select Object Class:
Personnel 
If you selected Other, above, please specify:

* Cost
$ 11100
$ 11100
$ 11100
$ 11100
* Description

Click for details regarding information to be included in this description.
Firefighter relief would be covered under the State Volunteer Firefighter Retirement Plan (SVFRP) administered by the Public Employeers Retirement Association (PERA) at an estimated cost of $11,000 per year.

Workmans' Compensation is based on township population and is estimated to be $100 per year.

Total estimated insurance needs for one year is $11,000 + $8000 + $100 = $11,100.



Budget Item
* Item Name
Costs for attending required training 
If you selected Other, above, please specify:

* Select Object Class:
Personnel 
If you selected Other, above, please specify:

* Cost
$ 9625
$ 9625
$ 9625
$ 9625
* Description

Click for details regarding information to be included in this description.
This estimate is based on the cost of training 25 volunteer firefighters over a period of 4 years. $35,000 estimated for training and $3,500 estimated for certification.



Budget Item
* Item Name
Marketing program costs to recruit new volunteers 
If you selected Other, above, please specify:

* Select Object Class:
Indirect Charges 
If you selected Other, above, please specify:

* Cost
$ 1000
$ 1000
$ 1000
$ 1000
* Description

Click for details regarding information to be included in this description.
Estimated cost of newspaper adds, town meetings and informational mailings, and recruitment to achieve diversity.



Budget Item
* Item Name
Staffing needs assessment 
If you selected Other, above, please specify:

* Select Object Class:
Indirect Charges 
If you selected Other, above, please specify:

* Cost
$ 300
$ 300
$ 300
$ 300
* Description

Click for details regarding information to be included in this description.
asdf



Budget Item
* Item Name
Turnout gear for training (limit-4 sets, see program guidance) 
If you selected Other, above, please specify:

* Select Object Class:
Equipment 
If you selected Other, above, please specify:

* Cost
$ 6400
$ 0
$ 0
$ 0
* Description

Click for details regarding information to be included in this description.
Turnout gear is estimated at $1600 per person. Turnout gear for four people is estimated to be $6400.




Budget


Recruitment and Retention of Volunteer Firefighters:
There is no local match requirement for this activity and there are no maximum Federal share limits. Therefore, any items requested under Recruitment and Retention will be 100% Federally funded.

Using the information you entered for your item’s please enter and review the budget information below. Include totals in the right hand column and bottom row.
  First
12-Month Period
Second
12-Month Period
Third
12-Month Period
Fourth
12-Month Period
Total
20,725 20,725 20,725 20,725 82,900
0 0 0 0 0
0 0 0 0 0
6,400 0 0 0 6,400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1,300 1,300 1,300 1,300 5,200
Federal Share 28,425 22,025 22,025 22,025 94,500
Applicant Share 0 0 0 0 0
Total: 28,425 22,025 22,025 22,025 94,500

 

Narrative Statement for Volunteer Recruitment and Retention Activity


In addition to the elements described below, the Narrative Statement (project description) should clearly explain how all budgeted funds are to be used. Because the application will time out after a period of inactivity, it is recommended that applicants type their narrative offline using any word processing software. Once the narrative is complete, copy and paste it from the word processing document into the Narrative Statement block in the application. Also, as space for the narrative is limited to six pages, you are cautioned to confirm that the full content of your narrative has been copied into the application. After saving the copied narrative, exit the narrative section of the application, then reopen it and scroll to the bottom to ensure all text is present. If the narrative has been truncated, you will need to reduce the length of your narrative until if fits in the allotted space.

The Narrative Statement (project description) for the Volunteer Recruitment and Retention Activity must include the following:

Note: Fields marked with an * are required.

Project Description
* Please enter your narrative statement using no more than six single-spaced pages in the space provided..
------------------------------
------- Project description:

Some leaders and residents of Vermillion Township feel that the community should be more engaged in firefighting and rescue activity within the township and surrounding area. Vermillion Township does not have its own fire department at this time and there is no official resolution to establish one yet, but a vote of the township residents is planned for the March 2010 annual meeting. Applications are being written to assess the feasibility of grant funding, and results will be reported to the voters prior to the meeting. The township residents are well aware that a fire department is not a trivial undertaking, and want to be sure of their costs and funding sources before starting.

The township currently contracts fire services from a neighboring town, but there are several areas in the township that are unprotected due to the distance from the fire station. Also, the cost of the contracted service has risen dramatically over the last three years, and it is time for the township to consider alternatives.

Vermillion Township is actively recruiting volunteers within the township in order to increase the number of trained firefighters and first responders in the region and to eventually form the Vermillion Township volunteer fire department. Vermillion is central to seven other townships and five cities; a fire department in this area would be beneficial to the residents and mutual aid of the other fire districts. Benefitting regions are: Empire Township, Castle Rock Township, Hampton Township, Douglas Township, Marshan Township, Farmington Township, city of Vermillion, city of Hampton, city of Miesville, city of Coates city of Rosemont and the city of New Trier.

The reason for pursuing this grant is to secure funding for recruitment, training and retention of local volunteer firefighters and first responders. Vermillion Township has secured volunteers, but local funding is scarce due to the harsh economic climate and startup & training is difficult without federal funding.

-------------
----- Application Clarifications
On Applicant Characteristics (Part I), selected "services provided" are what the currently contracted fire department provides at this time; it is intended that, if created, these services will also be provided by the Vermillion Township Fire Department. Also, on Applicant Characteristics (Part II), the operating budget reflects the expense of the currently contracted fire department.

-----------------------------------------------------------
-----General Plan and Timeline for Establishment of the Vermillion Township Fire Department

If township approval is granted in March 2010 and a resolution for a fire department is established, The Vermillion Township Fire Department would begin official operation on December 31, 2012.

Projected Time Table:
Township vote - March 2010
Resolution for fire department establishment - May 2010
Begin formal recruitment of volunteers - May 2010
Fire committee begins formulation of the following processes and documentation - June 2010
NFPA 1720, section 4.1.1 - administrative regulation
NFPA 1720, section 4.1.1 - standard operating procedures (SOP)
NFPA 1720, section 4.1.1 - departmental orders
NFPA 1720, section 4.2 - community fire and EMS risk management plan
NFPA 1720, section 4.2.3.1 - community risk management plan with respect to hazardous materials
NFPA 1720, section 4.9.6.2 - quality management
NFPA 1720, section 4.4 - reporting system

Volunteer training begins - July 2010
Formal written mutual aid agreements in place - March 2011

------------------
-----Call Volume
Projected call volume is based on data collected from the sub-contracted fire department for 2006, 2007 and 2008. A summary of those three years:
14 structural and vehicle fires
3 vegetation fires
48 EMS requests
2 hazardous material

A more detailed breakdown can be found in the application entries under "Department Call Volume".

---------------------------------
-----Staffing Projections
As per NFPA 1720, section 4.3, table 4.3.2, Vermillion Township would fall under the category (demand zone) of "Rural Area, <500 people per square mile. Vermillion township has 1371 residents in a 36 square mile area, and based on table 4.3.2 a minimum of six volunteers would be needed to safely and effectively provide fire protection or emergency medical services for each incident. To guaranty a minimum of 6 volunteers on a 24/7 basis, it is estimated that the fire department should have 25 volunteers on staff; this takes into account normal absences due to work schedules, illness, attrition, and vacation.

------------------------
-----Startup
Pending the township vote and resolution, land is available for The creation of the Vermillion Township Fire Department; the location is central with respect to the township borders. The plan is to start with basic necessities and then grow as needed. Cost of land and building is estimated to be $200,000.00 to $250,000.00.
It is estimated that the following vehicles (certified used equipment) would be needed as a minimum:
1 engine (5 riding positions) ~ $45,000.00
1 tender (2 riding positions) ~ $35,000.00
1 Brush / Quick attack (2 riding positions) ~ $25,000.00
1 rescue vehicle (2 riding positions) ~ $50,000.00
vehicle total = $155,000

Note that the above vehicles were listed under "Applicant Characteristics II, Type or Class of Vehicle", and are an estimate of what will be purchased pending township approval and resolution.


The turnout gear is estimated to be $6400 for each volunteer; gear total = $160,000.00

Training for 25 volunteers is estimated to cost $35,000.00.

MFSCB certification is estimated to cost $3,500.

Besides the training and certification, Vermillion Township would work closely with and be mentored by the Randolph Hampton Fire Department.

-------------------------
-----Annual Operation
The annual operating budget is estimated to be $70,000.00 per year and would be derived by tax levy; the current sub-contracted fire protection and EMS is funded this way.

Estimated cost of Fire Relief and workman's comp is $11,000 per year.

-------------------------------------
------- Impact on daily operations:

People in the southwest region of the township do not have adequate fire protection under the current system; response times are long due to their distance from the contracted fire department, and a fire in this area would most likely result in a total loss. This situation creates the additional hardship of high fire insurance premiums for the people in this area. If the grant is secured, Vermillion Township could fulfill recruitment and training needs, and continue to work toward creating a fire department that is more central to the township.

State Highway 52 corridor runs through Vermillion Township. When accidents occur, more regional firefighters and first response people in the area will decrease the response time of fire and rescue personnel.

--------------------------
------- Financial need:

Vermillion Township has 1317 residents scattered over six square miles. Currently all funding is through tax dollars. The tax base cannot afford the cost of startup (marketing, planning, training and equipment). Federal funding is needed to start the effort, then eventually community fund raising and tax dollars would cover the costs in later years.

------------------------------
------- Minority Recruitment:

All residents will be welcome to participate and activities will include recruiting to achieve diversity. The marketing committee will be responsible for identifying underrepresented groups within the township and organizing quarterly social events and advertising. The emphasis needs to be on face-to-face interaction and developing relationships first with individuals and then expanding to groups.

For many people, firefighting brings to mind tasks that require great strength and agility, and this perception causes some to doubt their ability to participate within the organization. The marketing committee needs to highlight the many essential tasks such as equipment monitoring and repair, facility maintenance, community outreach, mentoring, fund raising and vehicle driving. Introduction to these tasks and the people associated with them could be the key to connecting with underrepresented groups; this could be the first step in establishing the confidence needed to become trained volunteer firefighters and first responders.

--------------------------------------------------
------- Recruitment and Retention Plan Summary:

Minnesota State Volunteer Firefighters Association (MSVFA) is working on guidance, but until that is ready, the Vermillion Township plan is modeled after the Ontario Public Fire Safety Guidelines, Volunteer Fire Service Personnel Recruitment and Retention

http://www.ofm.gov.on.ca/english/FireProtection/munguide/04-84-13.asp

The Township funds the cost of:
training for FF1, FF2 and first response,
NFPA 1582 compliant physicals,
Minnesota State Volunteer Firefighter Retirement Plan,
Workman’s compensation,
Stipend paid for each call attended by the volunteer


The plan includes:
proactive leadership with Fire Chief and an assessment coordinator; the assessment coordinator identifies the number, type and quality of volunteers needed for the community as well as shortfalls and availability of volunteers.

establishment of a fire committee with a project coordinator; the committee is responsible for marketing activities, fund raising, recognition of volunteer service time and accomplishments and general engagement of the community.

documented policy & guidelines that govern the recruitment, selection, orientation and probation, training, advancement, retention efforts and exit process.

---------------------------------
------- Grant Request Summary:

4 sets of turnout gear = $6,400
Training (FF1, FF2, Haz Mat Ops) for 25 people (over 4 years) = $35,000
MFSCB certification = $3,500
Firefighters relief and workman’s comp for 4 years = 4 x 11,100 = $44,400
Marketing and assessment for 4 years = 4 x $1,300 = $5,200

Total Grant Request = $94,500.00

* Please describe any grants that your department has received from DHS including the AFG. For example:
2002 AFG Fire Engine, 2003 UASI Equipment... (Enter "N/A" if Not Applicable).
N/A


 

Assurances and Certifications


Form 20-16A


You must read and sign these assurances. These documents contain the Federal requirements attached to all Federal grants including the right of the Federal government to review the grant activity. You should read over the documents to become aware of the requirements. The Assurances and Certifications must be read, signed, and submitted as a part of the application.

Note: Fields marked with an * are required.

Assurances Non-Construction Programs
Note: Certain of these assurances may not be applicable to your project or program. If you 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 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 costs) 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 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 Act of 1970 (42 U.S.C. Section 4728-4763) 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 are not limited to: (a) Title 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) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. Sections 1681-1683, 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. Section 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. Sections 6101-6107), 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) Sections 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 Acts of 1968 (42 U.S.C. Section 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 (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 II 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 or Federally assisted programs. These requirements apply to all interest in real property acquired for project purposes regardless of Federal participation in purchases.
8.
Will comply with provisions of the Hatch Act (5 U.S.C. Sections 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.
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), regarding labor standards for Federally assisted construction sub agreements.
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 1969 (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 flood plains 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 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. Section 7401 et seq.); (g) protection of underground sources of drinking water under the Safe 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 et 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-1 et seq.).
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 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. Section 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 Act of 1984.
18.
Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program.
19.
It will comply with the minimum wage and maximum hours provisions of the 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.

 

Signed by Judy Sloan on 01/15/2010



 

Form 20-16C

You must read and sign these assurances.

Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters and Drug-Free Workplace Requirements.
Note: Fields marked with an * are required.


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 under 44 CFR Part 18, "New Restrictions on Lobbying" and 44 CFR Part 17, "Government-wide Debarment and Suspension (Non-procurement) and Government-wide Requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Homeland Security (DHS) determines to award the covered transaction, grant, or cooperative agreement.
1. Lobbying

A. As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons (entering) into a grant or cooperative agreement over $100,000, as defined at 44 CFR Part 18, the applicant certifies that:

(a) 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 making of any Federal grant, the entering into of any cooperative agreement and extension, continuation, renewal amendment or modification of any Federal grant or cooperative agreement.

(b) If any other funds 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 grant or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure of Lobbying Activities", in accordance with its instructions.

(c) The undersigned shall require that the language of this certification be included in the award documents for all the sub awards at all tiers (including sub grants, contracts under grants and cooperative agreements and sub contract(s)) and that all sub recipients shall certify and disclose accordingly.

2. Debarment, Suspension and Other Responsibility Matters (Direct Recipient)

A. As required by Executive Order 12549, Debarment and Suspension, and implemented at 44 CFR Part 67, for prospective participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17.510-A, the applicant certifies that it and its principals:

(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency.

(b) Have not within a three-year period preceding this application been convicted of or had a civilian judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain or perform a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property.

(c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and

(d) Have not within a three-year period preceding this application had one or more public transactions (Federal, State, or local) terminated for cause or default; and

B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application.

3. Drug-Free Workplace (Grantees other than individuals)

As required by the Drug-Free Workplace Act of 1988, and implemented at 44 CFR Part 17, Subpart F, for grantees, as defined at 44 CFR part 17, Sections 17.615 and 17.620:

(A) The applicant certifies that it will continue to provide a drug-free workplace by:

(a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition;
(b) Establishing an on-going drug free awareness program to inform employees about:

(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation and employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;

(c) Making it a requirement that each employee to be engaged in the performance of the grant to be given a copy of the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will:

(1) Abide by the terms of the statement; and
(2) Notify the employee in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction.

(e) Notifying the agency, in writing within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to the applicable awarding office.
(f) Taking one of the following actions, against such an employee, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted:

(1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement or other appropriate agency.

(g) Making a good faith effort to continue to maintain a drug free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f).

(B) The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant:

 

Place of Performance
Street City State Zip Action
 

If your place of performance is different from the physical address provided by you in the Applicant Information, press Add Place of Performance button above to ensure that the correct place of performance has been specified. You can add multiple addresses by repeating this process multiple times.

Section 17.630 of the regulations provide that a grantee that is a State may elect to make one certification in each Federal fiscal year. A copy of which should be included with each application for DHS funding. States and State agencies may elect to use a Statewide certification.


Signed by Judy Sloan on 01/15/2010



 

FEMA Standard Form LLL
Complete only if applying for a grant for more than $100,000 and have lobbying activities using Non-Federal funds.

If this lobbying form is not applicable, check "This form is not Applicable." and include this page with your application submission

This form is not applicable