CONTRACT 7388 Grant AgreementAgreement No. 7388
GAVIN NEWSOM
GOVERNOR %jfijf
CatES
OF EMERGENCY SERVICES
I
J i „
April 2, 2025
George Avery
Fire Chief
City of El Segundo
350 Main Street
El Segundo, CA 90245
SUBJECT: NOTIFICATION OF SUBRECIPIENT APPLICATION APPROVAL
FY 2024 Emergency Operations Center Grant Program (EOC)
Subaward #: 2024-0055, Cal OES ID: 037-22412
Dear George Avery:
NANCY WARD
DIRECTOR
The California Governor's Office of Emergency Services (Cal OES) has approved your
FY 2024 Emergency Operations Center Grant Program (EOC) application in the
amount of $322,500. As of the date of this letter, you may request reimbursement of
eligible grant expenditures using the Cal OES Financial Management Forms Workbook
(FMFW) available at www.coloes.ca.gov. A copy of your approved subaward is
enclosed for your records.
Any activities requiring additional review (e.g., Environmental Planning and Historic
Preservation, Allowability Requests, procurement of Aviation or Controlled Equipment,
etc.) shall not incur costs until you receive written approval for those activities.
This subaward is subject to all provisions of 2 CFR Part 200, Subpart F - Audit
Requirements. Any funds received in excess of current needs, approved amounts, or
those found owed as a result of a final review or audit, must be refunded to the State
within 30 days upon receipt of an invoice from Cal OES.
For additional information, please contact your Cal OES Program Representative.
Homeland Security & Emergency Management Grants Processing
Enclosure
cc: Subrecipient file
fib`* 3650 SCHRIEVER AVENUE, MATHER, CA 95655
(916) 845-8510 TELEPHONE
"'" www.CalOES.co.gov
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES
SUPPLEMENTAL GRANT SUBAWARD INFORMATION
1. Cal OES Contact Information Section:
Governor's Office of Emergency Services
Nancy Ward, Director
3650 Schriever Avenue
Mather, CA 95655
2. Federal Awarding Agency Section:
Federal Program
. ... .....
Federal Awarding
- - - ...... ,
Federal I Total Federal
i - '-- -
I Total Local
Fund AL #
Agency
Award Date
Award
Assistance
Amount
Amount
Emergency Operations
..........
USDepartment Of
8/1/202A
$7,966,590
$7,568,26
Center Graints
Homeland Security
Progira m/9 7 05 2
. . ........ -
3. Project Description Section:
* l::1roject Acronym:
Ernergency Operations Center Grants
Program, (EOC)
o Project- Description-
Support for EOC cons [ruction/renovai iion projects
4. Research & Development Section:
9 Is this Subaward a Research & Development grant? Yes El No 0
SupplemenfaGrant Subaward Information Cal OES2-101a(9/2021) Revised 4/7/23
Agreement No. 7388
Docusign Envelope ID: CEB89594-591 D-4876-96E9-DFF813651 ECA
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES) ML#785224
(Cal OES Use Only)
Cal OES # wFIPSm#� m 037-22412VS#IT....... Subaward ^ 2024 0055 ....m
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES
GRANT SUBAWARD FACE SHEET
The California Governor's Office of Emergency Services (Cal OES) hereby makes a Grant Subaward of funds to the following:
1. Subrecipient: Cifyof,EJ Segundo _... ... la. UEI:.. E24KEACYA856
2. Implementing Agency: Cil of EI Se undo ,, 2a. UEI: E24KEACXA856"'
�_ _�—-......-.__ —
...... ........., _ ..wd T keT1.113 3. Implementing Agency Address: 350 P tam Efts t- l t'
E"atr „ayr;f iCiryl (Zip F41
4. e eel, ..._fi'4 Shc3
0 _ w
Location o Project 348 �,�r2in otter ( El Gr,� rraudu^t f
..n_ si�aae tyt� V.drwn44
ance
5. Disaster/Pro ram Title: e n sntlnrss c nte� Grtarrt 9 f"eac 1prro 4 Budget Period: � r�vt �202 to April 30, 2027
g rr Or. i,3,. n� .._, 3_w.,....., .�
(End Do let
7. Indirect Cost Rate: N/A Federally Approved ICR (if applicable):
Item Grant Fund
A. State B. Federal � C, Total D. Cash Match E. In-KWJ �
Number � Year Source F. total Match G. Total Cost
8 2024 EOC $322,500 $322,500 $107 S00 $107,500 $430,000
.,. _.. _ .. .w ........
9.
. - „_em ......._„
10.
12.
��_..._ _......
Total Project Cost $322,500 $322,500 $107,500 7,500 $430,0.0010
is. Gernncanon - inis Grant Subaward consists or this title page, the application tor the grant, which I5 attached and made a pan nereor, the
Assurances/Certifications, and any altached Special Conditions. I hereby certify I am vested with the authority to enter into this Grant Subaward, and have the
approval of the City/County Financial Officer. City Manager, County Administrator, Governing Board Chair. or other Approving Body, The Subrecipieni certifies that
all funds received pursuant to this agreement will be spent exclusively an the purposes specified in the Grant Subaward, The Subrecipient accepts this Grant
Subaward and agrees to administer the grant project in accordance with the Grant Subaward as well as all applicable stole and federal laws, audit
requiremenls. federal program guidelines, and Cal OES policy and program guidance. The Subrecipient further agrees that the allocation of funds may be
contingent on the enactment of the State Budget.
14. CIA Public ,Records Act- Grant applications are subject to the California Public Records Act, Government Code section 7920 et seq. Do not put any personally
identifiable information or private information on this application. if you believe that any of the information you are putting on this application is exempt from the
Public Records Act, please attach a slalement that indicates what portions of the application and the basis for the exemption Your statement that the
information is not subject to the Public Records Act will not guarantee that the information will not be disclosed
15. Official Authorized to Sign for Subreciplent-
Name: Gporq, yf"
Payment Mailing Address 350 ryrt-tl Signature:
16. Federal Employer ID
Title: Fire Chief
City: EI Segundo Zip Code+4 90245 3813
Date:_ ...,13/04/2.5. ...... ., w....
peisanaI knowledge Thai eudgeted funds are ovalloble for the perod u [brk_ws
�M9rdp fG4Y"" byGendilure sta fe;y above
3/27 zo25 ..� .____........�_,,.__ s/zs....
& r,i fDalel .+ 1�.......... ... ..�...,, ,,....�,.ot
���?aOesiAneel f aeztel
ENY:2024-25 Chapter:22 SL:14724
a
Item:0690-101-0890 Pgrn:0385
FAIN #:EMF-2024-EO-05000 9/l/2024-8/31/2027
Fund: Federal Trust AL#: 97.052
Program: Emergency Operation Center Grant Program
Match Req.: 25% of TPC
Project ID: OES24EOCG000012
SC: 2024-14724 Amount: $ 322,500
By AI Hardoy a 025
RECEIVED
.. f 7 43 am Mar 0 1 2 ,
FY 2023 EOCGP FMFW (Macro) v.23 1 1 of 23 Grant Subaward Face Sheet Cal OES 2-101 (Revised 05/2023)
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
• :o• •
This worksheel provides instructions on how to complete the FY 2024 Financial Management Forms Workbook (FMFW), EOCGP v.23, It is divided into sections that correspond to each of the worksheets within this
workbook, The first section describes the macros used in this workbook and can be ignored if you are using the non -macro version of this FMFW., For further guidance, contact your Program Representative..
Below is a table with instructions on how to enable macros in Microsoft Excel, depending on the version.
Note: Some computers may not run Macros conecity even when enabled in Excel. A Non -Macro version of the workbook is available under such circumstances.
..._......... ...."."...m .. ....._ .�w..,, _..... �....��- ................._ ........�._.....,.._._.......
Version Instructions
1) From the menu bar, click on TOOLS > MACRO > SECURITY.,
2) From SECURITY LEVEL lab, select the MEDIUM.
Exce12003 3) Save, Close, and Re -open the workbook.
NOTE: The MEDIUM setting will prompt you to enable or disable macros each time The file is opened, This will prevent potentially unsafe macros from running.
The LOW setting will enable macros without a prompt,
1) Click the round "Office" button in upper left corner of the window,
2) Click "Excel Options" button near lower -right corner.
3) From "Excel Options" window, select'Trust Centel' on left pane
Exce12007 4I Click on the'Trust Center Settings" button on the right pane, which will open a new'Trust Center" window.
5) From the new'Trust Centel' window, pick "Macro Settings" on left pane,
6) Choose "Disable all macros with notification" radio button on the right pane, then click OK.
NOTE: Each time a workbook with macros is opened, a security alert will appear„ This alert maybe a pop-up window or a banner across [he top of the
window, You must choose to enable for macros to function,
1) Click on the File tab, then choose Options, which will [hen open a new "Excel Opfions"window.
2) From the new window, click'Trust Centel' on [he let[ pane.
3) Click'Trust Center Settings,.,:' button on the right pane, which will then open a new'Trust Centel' window.
Excel 2010/2013/2016/2019/365 4) From the'Trust Centel' window, pick "Macro Settings" on left pone.
5) Choose "Disable all macros with nolificalion" radio button on the right pane, then click OK..
6) Save, Close, and Re -open the workbook,.
NOTE: Each time a workbook with macros is opened, a security alert will appear. This alert may be a pop-up window or a banner across the top of the
window. You must choose to enable for macros to function.
try PYW 1__. (a. e d 1 )m C7{ I hrkG4 �,Yuy„b�4(',
,,, „ r6.rYe nn uwltlr+
rAP 71^�, w nW1O r abs u r Vt s r ' aCFk
w C.......uM... ., :. ... ...._� ,...
Button
Function
Sort (A-Z)
Sorts table by project letter, from A to Z.
Spellcheck
Spellchecks the worksheet.,
Clear Filters
Clears all filters applied to any of the tables.
Calculate M&A
Calculates maximum allowable M&A based on total cost of all non-M&A projects.
Black Font
]
Selects the entire now(s) of the selected cells) and changes the font color to black., Any strikethroughs will be removed.
.........
... ._....._._.. -
Red Strikelhrough
[o red. A red slrikethrough will be added.
Selects the entire row(s) of the selected cell(s) and changes the font color be
Blue Font
Selects the entire row(s) of the selected cell(s) and changes the font color to blue Any strikeihroughs will be removed.
Add Row
Adds row below the selected cell,
Delete Row
Deletes entire row(s) of selected cell(s). Selection must be contiguous if multiple cells are selected.
Validate Worksheet
Restores formulas and formatting to default values in the appropriate cells. This macro does not erase data.
New Request
nDu Duplicates the active worksheel For reimbursement and modification requests, placing it immediatelafter the original wor
p � q 9 � Y g ksheet, An input box will appear to
... -.. ...._...
gori
name the new worksheel Remember to use the most recent version of the worksheel when creatinga new request.
........... _. _.......... _......................_.... ........_.._.9
New Mod Item
theline Y to red with a red stnkelhrou gh indicating that the line
ache sitimmediate) below. The font color of the selected rows will change
envies
been chedn
ged duplicated line will have blue font color, without a strike through, indicatingthe modified line item,
Initial Application
Populates the Ledger Type field with'lnilial Application" and the Date field with today's date,.
Reimbursement Request
Populates [he Ledger Type field with "Reimbursement Request' and the Date field with today's date. A new "Request #" field will appear.
Modification
Populates the Ledger Type field with "Modification" and the Date field with today's date. A new "Request N" field will appear.
1 of 23 Instructions
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Below is a table that lists macros that can be activated by using a keyboard shortcut A shortcut requires the user to press 2 keys simultaneously: the control button and a letter..
,v—�..,.,�..... Keyboa�,._......_. .....,.�,.._ ...,�..�..,.�,,,�....... ............._.......... .W_.�_. .,,.�._,_, m...� ww...w.,� ...�..,,�,....-�_w_w.���.. ,_.... w...,,,�.......W,�__....._._.�....�,,..�.
rd Shortcut Function
Ctd +Shift + G Creates a new worksheet with a pivot table that aggregates Budgeted Costs by Solution Area. Only works on the Project Ledger lab,
CIO +Shift + I Resets information on top of each tab to reflect name, FIPS, subaward number. POP dates from Face Sheet
CIO + Shift + L Breaks all links to external sources,
C td + Shift + S Spellchecks worksheet.
Ctd +Shift + Y Duplicates the active sheet, then deletes the red lines and changes blue font to black font,.
Use the Grant Subaward Face Sheet to apply for grant
programs„ Each grant program requires its own separate Grant Subaward Face Sheel., Please convert the Grant Subaward Face Sheet to PDF in portrait format
and provide a digital signature from the authorized
official, the use matt wltulltte out, fulfp e„ or dfgnttnk rued adfloiru Its Ifwrolhhl4biled air"I will invaild'alte the Aginaahn e on ttlMe! G,iroisll Suul4.roaawuaoad IFQce S'hmr A
Cal OES Section: The top portion of the Form contains
blacks for four (4) important numbers. Please do not Fill in these blocks. These numbers will be entered by Cal OES,
............ —_
Form Held
_.,_....... ...._,...............�,,...,,.W.�...
Instructions
The Subrecipient is the unit of government or community based organization (CBO) that will have legal responsiblify for these grant funds )e,g., County of
Alameda, City of Fresno of Women's Place of Merced), Enter the legal name of the Subrecipient that is registered with the Internal Revenue Service (IRS),.
I Subrecipient
PLEASE NOTE: All CBOs must be registered, active, and current with the IRS, Department of Justice (DOJJ, and Secretary of State (SOS) websites., Failure to be
current will result in funds being withheld by Cal OES..
-
_.......�..,..
.......... .,_ .....,,,,..,.m..-., ._-....... .,,,,,._............... _.......... _.
Effective April 4, 2022. the Federal Government transilioned from using the Data Universal Numbering System or DUNS number, to a new, non-proprietary
identifier known as a Unique Entity Identifier or UEI For entities that have an active registration in the System for Award Management (SAM) prior to this date,
I a, Unique Entity Identifier (UEIJ
the UEI has automatically been assigned and no action is necessary.. For all entities Filing a new registration in SAM,gov on or after April 4. 2022, the UEI will be
assigned to that enlily as part of the SAM,gov registration process UEI registration information is available on GSAgov at: J.x..3:.r,flwl-rr tYadofur 9
GSA.
— _
...... ...................
2. 1mplemen ling Agency
.....,... ....... ,.,......,...,,,,.,. ............. ..........
Enter the complete name of the agency responsible for the day-to-day operation of the grant (e g. Sheriff, Police Department, or Department of Public
Works), If the Implementing Agency is the same as the Subrecipient, enter the some title again.
Effective April 4, 2022, the Federal Government transilioned from using the Data Universal Numbering System or DUNS number, to a n p g g y ew, non-proprietary
identifier known as a Unique Entity Identifier or UEI. For entities that have an active registration in the System for Award Management (SAM) prior to this date,
2a. Unique Entity Identifier (UEI)
the UEI has automatically been assigned and no action is necessary., For all entities filing a new registration in SAM.gov on or after April 4, 2022, the UEI will be
assigned to that entity as part or the SAM. gov registration process. UEI registration information is available on GSA,gov at; jr,�'jy,,',Rd11ilt'r fAadate d'„
GSA,
3, Implementing Agency Address
Enter the address of the Implementing Agency, Provide the complete nine digit zip code (Zip+4),
4, Location of Project
Enter the City and County/Operational Area where the project is located,. Provide the complete nine digit zip code (Zip-4),
�.................._.... ....._............. .
5 Disaster/Program Title
..... _..... .,....._ ............ ....,. ... ......�.....
the name of the Disaster or Program providing the funds for this Grant Subaward, A disaster may be referred by the federal declaration number..
Program
Program titles should be complete without the use of acronyms.
h, Performance Period
Enter beginning and ending dates of the performance period for the Grant Subaward, (mm/dd/yyyy)
...........
.......................,,... ...... ..........
Indica le whe Iher you are using the 10% de Minimis rate based on Modified Tofol Direct Costs (MTDCI or your current cognizant agency approved indirect coO
7, Indirect Cost Rote
rate agreement,. A copy of the approved negotiated indirect cost rate agreement must be enclosed with your application. Indicate N/A if you will not be
...WuuuIT ���
claiming indirect costs under the award. Indirect cosh mayor may not be allowable under all Federal fund sources .
„For
each fund source used in the program, select the correct grant year and acronym from the drop down lists, the amount of state or federal funds
8-12.. Fund Allocations and Total Project Cost
requested, the amount of cash and/or in -kind match contributed and the resulting totals, Please do not enter both state and federal on the some line,. The
Total Project Cost row should correspond to the total project cost specified in the budget.
13. Certification Paragraph
Please review the Certification Paragraph.,
14, CA Public Records Act
Please review, and if applicable, provide the necessary documentation,
mmmmmmmmmmmmmmmmmmm ... ... ..............
15 Official Authorized to sign for the Subrecipient
er official authorized to enter into the Grant Subaward for the Subrecipient as stated in Block I of the Grant Subaward Face Sheet
Enter the name and title of the
(Cal OES 2-101) Enter the Payment Mailing Address where grant funds should be sent Provide the complete nine digit zip code (Zip+41.
16, Federal Employer ID Number
Enter the nine digit Federal Employer Identification Number for the Implementing Agency..
2 of 23 Instructions
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Provide the contact information of any additional Authorized Agents (AA) or staff related to grant activities, If is recommended that more than one person be designated as an AA, so that if one AA is not available,
a second AA can sign the requests for reimbursements and modifications.
Use this ledger to submit funding information for projects,
as well as submitting Cash Requests and Modifications.
.,
Ledger Column NName,..
........_.._...��.-�,..._. -_. ......-- ... -. _ ......... �,, � ..._-""'.._ InshucHons
Request Type
Using the Macro buttons, specify what type of ledger is being completed (Application, Advance, Reimbursement, or Modification). Enter the request number.
State Goals
Select the State Goals from the drop -down list.
Direct/Subaward
Use the drop -down list to ideniffy if the Project is Direct or Subaward
.... ....,�, ............................
Project
-........ ....._ .....�,.. ._....�._............................_................._ ..... .. ..........m.,... ......,...
Enter the project letter from the drop -down Iisl,
Project Tithe
Enter a short, but descriptive name for the project.
Project Description
Enter the project description, citing specific and measurable objectives.
Solution Area
Select a Solution Area from the drop -down list,.
._........................
............. -.
Solution Area Sub-Cotegory
_. -
ry.........._,p _.......,........... p
Select a Solution Area Sub -Category from the drop -down list. This list is dependent on a selection from the Solution Area Category drop -down list., The Solution
p.gY
Area Sub-Categorywill not display the dro down list unless a Solution Area Categorya selected,
Core Capabilities
Select a Core Capabilities from the drop -down list..
Capability Building
Select Capability Building from the drop -down list.
Deployable/Shareable
Select from the drop down list,.
Total Budgeted Cost
Enter the total amount obligated for the project.
..,,.,..,. .........._ ..�.,.._ ,.
Previously Approved Amount
....._. «..... _..., ... ........ .....,,...,.-.. -,... _._........ _................. ........ .............. ........
This field auto -populates with the cumulative expenditures of all reimbursement requests prior to the current request This value does not include any match
amounts,
Amount This Request
This field is for Cash Requests only: Enter the requested dollar amount for the line item,
Total Approved
This field auto-populales with the cumulative amount expended for the line item. This value does not include any match amounts.
Expenditures To Date
This field aulo-populales with the total expenditures to date for the line item. This value includes match amounts.
Remaining Balance
This field auto -populates with the remaining balance allowed for the line item, This value does not include any match amounts.
Percent Expended
This field auto -populates with the amount expended, to -date, as a percentage of the budgeted amount. This value does not include any match amounts.
3 of 23 Instructions
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Column Name
. ............................ . . . ..... . ..... .
Instrucillons
. . . . . ...........
Project
. . . . ........................
Select the project letter from the drop -down list that corresponds with the Project Ledger,
................... . . . .............. . . . .......
Direct/Suboward
.......... . .................. .
Use the drop down list to identify if the project is Direct or Subaward.
. . . ... . .......................... . ................ . ....... . ................
Planning Activity
Enter the planning activity -
Solution Area Sub -Category
Select a Solution Area Sub-Calegory from the drop -down list that corresponds with the Project Ledger.
Expenditure Category
. . ...... . ................ . . . . ....... . .....
Select an Expenditure Category from the drop -down list. This list is dependent on a selection from the Solution Area Sub -Category drop -down list, The
Expenditure Category .41 not display the drop -down list unless a Solution Area Sub -Category is selected.
. . . . . . .................. . ......
..... ............
Final Product
. ....................... . ........... .... . ... _
Enter a description of the final product for this Planning activity This must be a tangible item such as a manual, procedure, etc Please contact your Program
.... ..................
Representative for further examples of final products.
........ . . ................ _...__. . ....... — — — ----- ---------
Noncompetitive Procurement over 250k
... . ........ . ...
Select YES or NO from the drop -down list.
. . ..............
Hold Trigger
.................. . .........
. . .......... ..
If project is subject to a Hold, select the Hold type from drop -down list
. ..... ........ . ..... .. . ....
Approval Date
......... ....
If applicable, enter date when hold was released/approved
. ............. . . . ............... ........ . ................ _ .. . ..............
Budgeted Cost
Enter the total amount of grant funding budgeted for the line item,
. . ......... ........
Previously Approved Amount
. .. . .......
This field oulo-populates with the cumulative expenditures as of all reimbursement requests prior to the current request, This value does not include any match
amounts
Amount This Request
This field is for Cash Requests only: Enter the requested dollar amount for the line item,
. . . ...... ..... . . .........
Total Approved
. . . . . ....................
This field auto -populates with the total expenditures to -date for the line item. This value does not include any match amounts.
....... ......
Remaining Balance
This field auto -populates with the remaining balance allowed for the line item, This value does not include any match amounts.
.......... .......... . ............ I .. .............. . ... . . ............
Ledger Column Name
. ..........
Instructions
Project
. . . ..... . .....
Select the project letter from the clrop-cfo�vn list that corresponds with the Project Ledger.
. .................. . .... ..... . . . ............. ...
Direct/Subaward
. . ......... . .
Use the drop down list to identify if the project is Direct or Subaward.
....... ........... . . ............
Organization
. ........ ... . .
Enter the name of the organization,
. . ................ .. .
Solution Area Sub -Category
.... . . ...... —._ . ........ . ......
Select a Solution Area Sub -Category from the drop -down list that corresponds with the Project Ledger.
............... .................................... .
Expenditure Category
... . . .......... . ..... . ..... .
Select on Expenditure Category from the drop -down list- This list is dependent on a selection from the Solution Area Sub -Category drop -down list The
................ . . . . ......
Expenditure Category will not display the drop -down list unless a Solution Area Sub -Category is selected,
. ..... .......... . . ............... . . . . . . . . . ............ . . . ..... . . .......
Detail
Select a Detail option from the drop -down list
Budgeted Cast
Enter the total amount of grant funding budgeted for the line item
. . . ....................... .
Previously Approved Amount
. . . ....... . . . . . . . . . ...... . . . . . .......... ... ..... . ....... .. . . .......... .
This Feld auto -populates with the cumulative expenditures as of all reimbursement requests prior to the current request This value does not include any match
amounts.
Amount This Request
. .......................... . . . . .
This Feld is for Cash Requests only: Enter the requested dollar amount for the line item.
. . . . . ........... . ..........
Total Approved
This field auto -populates with the total expenditures to -date for the line item, This value does not include any match amounts.
Remaining Balance
This field auto -populates with the remaining balance allowed for the line item, This value does not include any match amounts
. . ..........
4 of 23 Instructions
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Colur;WN.- —ane..
. . ...............
Instructions
. . ............. . ___ . . ..... . ...................
Project
Select the project letter from the drop -down list that corresponds with the Project Ledger,
.......... . . ......... . . .... � . ..... .. . ......... . ..
Equipment Description
Provide a description of equipment and quantity. If Item is Mobile or Portable identify as such.
........... —1 ... . ................ .
AEL Number & Title
. .................. . ......... . ... ......... _ . ........
Place the AEL Number and Tile in these columns, The AEL Number and The can be obtained from the following link:
A—Y t . . . . . .......... . . . ..... . ..... ... . ..... . . .
SAFECOM Compliance
. .. .. .....
Select YES, NO, or NIA from the drop -down list
. .......... . . .......... _ . ................
Solution Area Sub -Category
. ..................... ........ .
Select a Solution Area Sub-Cofegory from the drop -down list that corresponds with the Project Ledger
. ............... . . ....... . . ................ . .............
Invoice Number
Enter the Invoice Number for the equipment.
. . ......
............................ _�
Vendor
..... .........
Enter the name of vendor from whom the equipment was purchased.
I.—
-- — ------- . .......... "I'll..
ID Tog Number
... .........
Enter the ID Tog Number used to identify this equipment with Subrecipient may use a product's serial number, or their own internal numbering format to tog
equipment. ID Tag Number must be available during monitoring visits
... ..........................
............ . . ............................ . .............. .. . . ........... .
% of Federal Funds Used in the Purchase
Select 50% or 100% from the drop -down list, or enter the appropriate percentage,
.
Condition and Disposition
. . .. . . ............ . . ....... . ... . ........ . . ..........
Enter the condition of equipment by selecting the appropriate drop -down item. It the equipment is not in use, please use the "Deployed Location" column to
. . . . . ..................... ...... ..........
explain current status
... _— . .......... ..............
Deployed Location
Enter the equipment's current location.
Acquisition Date
Enter the dote Thal this equipment was acquired from vendor.
. . ............... . .
Noncompetitive Procurement over 250k
. . . .. ..................... . .
Select YES or NO from the drop -down list.
.............. ... . ................ . .....
Hold Trigger
. .
. . .
If project is subject to a Hold, select the Hold type from drop -clown list
. ...... .......... . .... . .... . . ....... . . . . .....
Approval Date
If applicable, enter date when hold was released/approved
..........
Budgeted Cost
Enter the total amount of grant funding budgeted for the line item
. . .. ........................
Previously Approved Amount
. . ........ ... . . ............. . . ...... ............... .......
This field auto -populates with the cumulative expenditures as of all reimbursement requests prior to the current request. This value does not include any match
. .........
amounts,
. ............ . . ..........
Amount This Request
............... ............ . .
This field is for Cash Requests only: Enter the requested dollar amount for the line item
. . ......... ................. . . ................... . . ......... - .......... . ......
Total Approved
. . ......................... .
This field auto -populates with the total expenditures lo-date for the line item. This value does not include any match amounts,
. ........... .... ..... .... . ..........
Remaining Balance
This field auto-populales with the remaining balance allowed for the line item, This value does not include any match amounts.
............. .......... . .. . ....... . ....... ..... .
5 of 23 Instructions
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
rx
Ledger Column Name
. ....... . ......
. ................. . .... . ...................
Instructions
Project
Select the project letter from the drop -down list that corresponds with the Projecl Ledger
. .......... .................. ....... . ....I........................_ ............. . ....... ......
Direct/Subaward
.....................
Use the drop down list to identify if the project is Direct or Subaward,
. . .................... . ......... . ..... .... . . . . .....
Course Name
. .
Enter course name.
. . . .......... .....
..........
Solution Area Sub -Category
.......... .
Select a Solution Area Sub-Calegory from the drop -down list that corresponds With the Project Ledger.
I—.—
. ......... I .......
Expenditure Category
.......... . ............ . . . ........ ... . .............. . . . . . . ...... . .........
Select an Expenditure Category from the drop -down list. This list is dependent on a selection from the Solution Area Sub -Category drop -down list. The
...............
Expenditure Category will not display the drop -down list unless a Solution Area Sub -Category is selected.
................... . .......... . . ......... ...... . .....
Feedback Number
Enter the Feedback Number for the Training activity To request a [raining Feedback Number, contact CSTI and submit the form from the following link:
......... ................. . . .
hrqc1,JnuJ2wnqi'jw RxuaiLEPin o
. ............................... . . .......... . . ..... _ .. . ........... . ...............
Training Activity
. . . ........................... . . . . .
Please identify your training activity from the drop -down list.
...... . . . .... . . . .......... . ..... . .......... . .....
Total # Trainee(s)
.....
Enter Ihe total number of Irainee(s)
.... . _ ......... ........... . . ...... . . .......
Identified Ho5l
If you are not the host, please identify who is the host. For further guidance, please refer to your Program Representative
. . . .....
........ ........ .
Noncompetitive Procurement over $2501k
....................... ......
. . . ...................... . . . ................... .............. ._
Select YES or NO from the drop -down list
........
Hold Trigger
If project is subject to a Hold, select the Hold type from drop -down list.
ApprovalDate
......... .. .
If applicable, enter dole when hold was released/approved,.
. . ..... . .......................... . .. ... . ............... _. . . ...............
Budgeted Cost
Enter the total amount of grant funding budgeted for the line item
..................................
Previously Approved Amount
............... . ......... ..... . ..... . ....
This field auto -populates with the cumulative expenditures as of all reimbursement requests prior to the current request This value does not include any match
............ .
amounts,
. ... ......... .. . .......
Amount This Request
This field is for Cash Requests only: Enter the requested dollar amount for the line item.
...... . . . .....
Total Approved
This field oulo-populates with the total expenditures a -date for the line item, This value does not include any match amounts
. . . . ...................... . .......... __ . . .......
Remaining Balance
... .
. .
This field auto -populates with the remaining balance allowed for Ihe line item. This value does not include any match amounts.
. ........... ... . ................ _...._ . ............... . .....................
6 of 23 Instructions
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
calls=
to.
dger Column Name
. .........
5! 11
. . ...... . .....
Instrucillons
. . . . .. ... . . .. ........... 111—_....— . . ........ ...... _....... . . ......
Project
r . ...................
Select the project letter from the drop -down list That corresponds ilh the ProjectLedger.:
. . .............. . . ........... . . ........ . . ........
.irect/Subaward
----- . ........................
Use the drop down list to identify if the project is Direct or Subaward,
. . . . ...... ... . ............... . . ....... . . . ....... . ...... . ....
Exercise Title
Enter the title of the exercise activity
Solution Area Sub-Colegory
Select a Solution Area Sub -Category from the drop -down list that corresponds with the Project Ledger
Expenditure Category
................ ... I — ------ .. . . . ................
Select an Expenditure Category from the drop -down list. This list is dependent on a selection from the Solution Area Sub -Category drop -down list. The
..........
Expendture e drop -down list a Solution Area Sub-Category�,s se�lected
_atqn� ill �nof display �th...... . .......
Exercise Activity
Please select your exercise activity from the drop -down list
...... . ...... —.— ............ . . . . ............... . . ......
If you are not Ilia.m h, inkmie, identify who is the host, For further guidance, okzfsu oulen B0 your Program Representative.
Identified Host
Date of Exercise
.
. ............... . . .....
Enter the dale of when Ihis exercise was conducted,
. . ............... .... . .. .. . . ...........
Date of AARAP E-moiled into HSEEP
.... .... . ...... . . .....
Enter the dale that the After Action Report (AAR) / Improvement Plan (1P) was e-mailed to bftwfem ftm—ay.
. . ......... ..............
Noncompetitive Procurement over $250k
.. . . . . .................
Select YES or NO from the drop -down list,
. ............. ..... .......... ...........
Hold Trigger
... I . . . ....... .
If project is subject to a Hold, select the Hold type from drop -down list.
.......... .
Approval Date
If applicable, enter dale when hold was released/approved
............ ..... . .............. . .....
Budgeted Cost
Enler the total amount of grant funding budgeted for the line item.
. . . ..... . . .....
Previously Approved Amount
.... .......... ......... . ......... ................ . ..........
This field auto --populates with the cumulative expenditures as of all cash request requests prior to the current request- This value does not include any match
..........
amounts,
......... — ---- . . ............................ . ... . . ............... . . ............
Amount This Request
This field is for Cash Requests only: Enter the requested dollar amount for the line item
........... . . ......
Total Approved
............... . . . .
This field auto -populates with the total expenditures to -dale for the line item This value does not include any match amounts.
. ....................... . ..... ...... ..... _. ......... . .............. . . . . . . .......
Remaining Balance
This field oulo-populates with the remaining balance allowed for the line item This value does not include any match amounts
................ . . . . . . . ......... . . ..... . . . . . ....... ...........
. ................. ........ .. ..... . ......
Ledger Column Name . ..... .... Instructions
. ....... ..... . .. ....................
Project Select the project letter from the drop -down list that corresponds wilh the Project Ledger.
. . . . . .............. .. .. . . . . . ................. .. .. . . . .............. . ...... . . .......
Activity Provide detailed information on M&A achvity,
............. ......... . . . .. ........................... . ........ ..... . . ...............
Solution Area Sub -Category Select "Grant Administration" from the drop -down list.
. . .......... . .........
Expenditure Category Select an Expenditure Category from the drop -down list. This list is dependent on a selection from the Solution Area Sub -Category drop -down list. The
Expenditure Calegory will not display the drop -down list unless a Solution Area Sub -Category is selected
..................... . . . . ............
Deloil Select a Delat option from the drop -down list
------- . . . ............ .......... ............... . . ........ . ............. . . .......
Budgeted Cost Enter the total amount of grant funding budgeted for the line item,
................................ . . ................................. . . . . . . . .... — — -----
Previously Approved Amount This field auto-papulates with the cumulative expenditures as of all reimbursement requests prior to the current request This value does not include any match
amounts,
Amount This Request This field is for Cash Requests only: Enter the requested dollar amount for the line item
. . . . .......... ... ....... . ............... . . .........................
Total Approved This field auto -populates with Ihe total expenditures to -date for the line item. This value does not include any match amounts.
........................ ...... .... .... ...................... ...... ......
Remaining Balance This field oulo-populates with Ihe remaining balance allowed for the line item. This value does not include any match amounts.
. . ............... . .......... ............. ........................ . .............
7 of 23 Instructions
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
If claiming indirect costs under the award, provide detailed information on the total estimated indirect costs and the indirect cost rate at which you will be claiming. If you have a federally -approved rate, provide
information on the direct cost base on which, the rate is calculated, e.g., Salary and Wages ISM), Salary. Wages and Benefits ISW&BI, Total Direct Costs UDC), Modified Total Direct Costs (MTDC), the De Minimis Role
of 10%of MTDC (10%MTDC), or another base (Other)..
.... project le.....�.-....
.. g _ _....._.. Instructions
' Ledger Column Name ro letter from the drop Gown list that corresponds with the � �
Project Select the .._. _.. _�...�,....
Project Ledger.
_...................... ............ ..........
Activity Provide detailed information on Indirect Cost activity.
Solution Area Sub -Category Select "Facilities & Administration" from the drop -down list.
ICR Base Select on ICR Base from the drop -down Its[,
Rate Enter the Percentage Rate.
Budgeted Cost Enter the total amount of grant funding budgeted For the line item..,
Previously pprorved Amount This
mofield
ls. auto -populates with the cumulative expenditures as of all reimbursement requests prior to the current request This value does not include an A nt y match
Amount This Request This field is for Cash Requests only: Enter the requested dollar amount for the line item.
Total Approved This field auto -populates with the total expenditures to -date for the line item. This value does not include any match amounts.
m_____ g match amounts.
Remaining Balance This field auto -populates with the remaining balance allowed or the me item. is value does no include e any
r...-.__....._—...-.-..._ .......
Ledger Column Name
. ..................... ....
Instructions
roject
Select the project letter from the drop -down list that corresponds with the Project Ledger.,
onsul ling Firm / Consultant Name
FProjecl
Provide the name of the Consulting Firm and Consultant Name.
& Descp of Services
m-„Description
Y Y using a fee For each
ter }heir seficati
Provide detailed information on tdeliverable,
............. .....�.�.....�..
n t
p emergency notification system)
then describe the prodcrt in the Deliverable column. (e, g:l$10,000 Fora evese 9rlI/telen hone emer
. — ....
._.............,,,._.,. .,..........,,ibe
Deliverable
IF our consultant/con} factor invoiced you for their services using a Fee for each deliverable, then describe the product in the Deliverable
y er g
y column.
p
.......,,,..... .._....................,......,......................_._.......__..,,,........,,
(e g : $10,000 for a reverse 911 /tele hone emergencynotification system)
p ............,.,,,,....,,,. ..._ .. ..............,.,.�,.. _...
Solution Area
p' Select a Solution Area from the drop -down list.
�I
.... ..............
Solution Area Sub -Category
.......�..._.... .. --........ .....,... ...,............... .....,.., ..... ____ .. .m..............
Select a Solution Area Sub -Category from the drop -down list that corresponds with the Project Ledger. This list is dependent on a selection from the Solution
.......,...— ._.......... . _�m..._..-_
Area Category drop -down list. The Solution Area Sub -Category will not display the drop -down list unless a Solution Area Category is selected
, _ .. .. � �� .,-
Expenddure Category
ow
Select m down list This list is de n Category drop -down lis[,fie
Pe dent on a selection from the Solution Area Sub
an Expendu e Category fro the
.......
Expenditurect
Categorywill not display p- n Area Sub -Category is selected.
drop down list unless ti Sol
................�_..,.��, .._. .� ......__
.-,.A�,.....-- -- _. .............
......
Noncompetitive Procurement over $250k
Select YES or NO from the drop down list
_
Hold Trigger
...,,,,,....,-. .... .......,,,,,
If project is subject to a Hold, select the Hold type from drop -down list,.
. ............... ........................ .............. ..... _........ ..�
Approval Date
If applicable, enter date when hold was released/approved.
Period of Expenditure
Enter the Period of Expenditure in this column.
mmmmmmmmmmITITmm^mm ITITITITITITITITITITITITIT
Fee for Deliverable
If our consul font/contractor invoiced you for their services using a fee for eah deliverable. then W in t
Y Y 9 _ he cost for the product in the Fee for Deliverable
column e� W,000 for a reverse 911/tele hone emergency notificationsystem)
Total Cost Charged to this Grant
Enter the Total Cost Charged to the Grant in this column.
8 of 23 Instructions
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Column Name
Instructions
Project/Deliverable
Select the project letter from the drop -down list that corresponds with the Project Ledger.
............. ... ,.,..
..... ........ ...-..-. .........._.,......... .......... .. _....... ..........
Employee Name
Provide the name of the employee..
Project/Deliverable
Provide detailed information on The project and description of services.
Funding Source
Select the appropriate funding source used for this project. Funds from one funding source cannot be moved to another funding source,
Solution Area
Select a Solution Area From the drop -down list.
.
Solution Area Sub -Category ..._._
Select a Solution Area Sub -Category from the drop down list. This list is dependent on a selection from the Solution Area Category drop down list, The Solution
Area Sub -Category will not display the drop -down list unless a Solution Area Category is selected.,
Dates of Payroll Period
Provide the Dates of the Payroll Period.
. B
Total Salary and Benefits Charged for this
Provide the Total Salary and Benefits Charged for the Reporting Period ,
Reporting Period
Total Project Hours
Enter the Total Project Hours in this column.
Total Cost Charged to this Grant
Enter the Total Cost Charged to the Grant in this column.
In
Ledger Column N..�
ame
,,, ..................._�� .... .,_.-... W....�.....�._ _..
Instructions
Project
Select the project letter from the drop -down list Ihat corresponds with the Project Ledger.
Direct/Subaward
Use the drop -down list to identify if the Project is Direct or Suboward
Project Title
Enter the name of the project.
Match Description
Enter the description of the Match activity,
Solution Area
Select a Solution Area from the drop -down list that aligns to the activities/costs used to meet the EMPG Match Requirement,.
g es/costs used to meet the EMPG Match Requirement This list is
Select a Solution Area Sub -Category from the drop -down list that ali ns to the activities/costs
Solution Area Sub -Category
dependent on a selection from the Solution Area Calegory drop -down list. The Solution Area Sub -Category will not display the drop -down list unless a Solution
Area Category is selected..
Type of Match
Select the Type of Match: Cash or In -Kind
Total Budgeted Match
Enter the total budgeted match amount for this project in this column.
Previously Approved Amount
This field auto -populates with the cumulative match expenditures as of the reimbursement request prior to the current request.
Current Match
This field is for Cash Requests only: Enter the match amounl for the line item.
Total Match Expended
This field auto -populates with the total match expenditures to -date for the line item,.
Remaining Balance
This field auto -populates with the remaining match balance for the line item.
Percentage Expended
This field oulo-populates with the match amount expended, to -dale, as a percentage of the budgeted match amount,
9 of 23 Instructions
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
Ledger Column Name
Instructions
Period
Enter the lime period For which the indirect cost rate is valid, Use the formal: Month/Year through Monfh/Year...
Indirect Cost Rate for Period
Enter the indirect cost rate for period
ICR Base
Select ICR Base from the drop -down
Total Costs
Enter Total Costs.
Less Distorting Costs
Enter Less Distorting Costs.
._................. .................. ..
... ....... .......... .. .... .. .....,_... ...........
Cosh Applicable to ICR
This field auto -populates.
Total Direct Costs
This field auto -populates..
Total Allowable Indirect Costs
This field auto -populates.
Tolal Budgeted Indirect Costs
_........._. - ... ......... _.... - !
Enter Total Indirect Costs Budgeted; this value should be not be greater than the Total Allowable Indirect Costs.
....................................... ... .......
The Authorized Agent sheet must accompany ALL Reimbursement Requests, Modifications, and the Initial Application,.
-........... _.......,.. .....� ....��...._...,...,.r
Form Field Instructions
Request Type Enter the type of request that is being made. Use one of the following types:
INITIAL APPLICATION, REIMBURSEMENT REQUEST, FINAL REIMBURSEMENT REQUEST and MODIFICATION
Performance Period This field is auto -populated with the grant Performance Period as described on the Face Sheet Tab
Request H Enter the "Cash Request' or "Modification" number associated with this request.
Amount This Request This field is for Cash Requests only: Enter the requested dollar amount for this request,.
Authorized Agent Enter the Name and Title of Authorized Agent. Sign and date..
10 of 23 Instructions
Agreement No. 7388
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES)
(Cal OES Use Only)
al OES #
FIPS"#_. .. 037-22412 _. . VS# _..I Subaward # 2024-0055
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES
GRANT SUBAWARD FACE SHEET
The California Governor's Office of Emergency Services (Cal OES) hereby makes a Grant Subaward of funds to the following:
1. Subrecipient: Cit oy f EI„Sundo la. UEI:
E24KEACXA856
2. Implementing Agency:
of EI Seaundo 2a. UEL
. ImplementingA enc Address: ��Vr.:urrr�1rw� ..,
Agency Seaundo.....
l e' u�t _,......_..�
................. 90245.3813 .........m,
.. _
f s to eO) (City)
_..,.-
I Zip * 4q
4. Location of Project:
348 Main Street InX Segundo Los Ang l s
�..S _ _
...._.. 90245 3f?13 ....
S. Disaster/Program Title:
6. Performance /
_ Emer encv O erations Center Grunt Program Budget Period: 1U ust 1" 2024to
....
April 30, 2027
µ........
QalW �f oleF
(End Date)
7. Indirect Cost Rate:
N/A Federally Approved ICR (if applicable):.
%
�
....._.ee... �___w .-
"
�D.
.....,, .' _ .-...��...w
Number Ye�._._._..,.
Item Grant Fund
Year Source
A. State B. Federal C. total Cash Match E. In -Kind Matc
Total Match Total Cost
8. 2024 EOC
$322,500 $322,500 $107,500
$107,500 $430,000
9. _.
____... ._._...
10.
.____m . ........v.._..._
11.
12.
Total Project Cost
$322,500 $107,500
$107,500 $430,000
13. Certification - This Grant Subaward consists of this title page, the application for the grant, which is attached and made a part hereof, the
Assurances/Certifications, and any attached Special Conditions. I hereby certify I am vested with the authority to enter into this Grant Subaward, and have the
approval of the City/County Financial Officer, City Manager, County Administrator, Governing Board Chair, or other Approving Body. The Subrecipient certifies that
all funds received pursuant to this agreement will be spent exclusively on the purposes specified in the Grant Subaward. The Subrecipient accepts this Grant
Subaward and agrees to administer the grant project in accordance with the Grant Subaward as well as all applicable state and federal laws, audit
requirements, federal program guidelines, and Cal OES policy and program guidance. The Subrecipient further agrees that the allocation of funds may be
contingent on the enactment of the State Budget.
14. CA Purtie Records act - Grant applications are subject to the California Public Records Act, Government Code section 7920 et seq. Do not put any personally
identifiable information or private information on this application. If you believe that any of the information you are putting on this application is exempt from the
Public Records Act, please attach a statement that indicates what portions of the application and the basis for the exemption. Your statement that the
information is not subject to the Public Records Act will not guarantee that the information will not be disclosed.
15. Official Authorized to Sign for Subrecipient:
Name: Georr e Avery
Payment Mailing Address: 350 Main Street _
Signature:
Title: Fire Chief
City: El Segundo _ .. ..........m Zip Code+4:. ..10245.38t3
Date:........... 02�20/25�..........
16. Federal Employer ID Number: _ wA dY6
....
USE OwNli�l...._
I hereby certify upon my personal knowledge that budgeted funds are available for the period and purposes of this expenditure stated above.
OES Fiscal Officer) (Date) (Cal OES Director or Designee) f Datel
FY 2023 EOCGP FMFW (Macro) v.23 11 of 23 Grant Subaward Face Sheet Cal OES 2-101 (Revised 05/2023)
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