CONTRACT 3821 Grant AgreementABOVEGROUND PETROLEUM STORAGE ACT PROGRAM
GRANT AGREEMENT BETWEEN THE
CALIFORNIA ENVIRONMENTAL PROTECTION AGENCY
AND
CITY OF EL SEGUNDO
CERTIFIED UNIFIED PROGRAM AGENCY
AGREEMENT NO. 07- 638 -550
State and Grantee hereby agree as follows:
1. PROVISIONS. The following statute authorizes the State to enter into this Grant Agreement:
A. California Health and Safety Code, division 20, chapter 6.67, section 25270.11
2, PURPOSE. The State shall provide a grant to and for the benefit of the Grantee for the purpose of allocating
moneys from the Environmental Protection Trust Fund (EPTF) to the Certified Unified Program
Agencies (CUPAs), in accordance with the formula and process determined by the Secretary for
Environmental Protection (Secretary) in consultation with the CUPAs. Up to 80% of the grant is
authorized by statute to be paid in advance and will be paid upon approval of the grant. The CUPAs
shall expend those funds for the purpose of implementing the Aboveground Petroleum Storage Act
(APSA).
3. GRANT AMOUNT. $52,483.58
4. TERM OF AGREEMENT. The term of the Agreement shall begin on January 1, 2008, and end on March 1, 2010.
The grant is for the implementation of the APSA Program from January 1, 2008, through
December 31, 2009. ABSOLUTELY NO FUNDS MAY BE REQUESTED AFTER June 1,
2011.
5. REPRESENTATIVES. Either party may change its Representative(s) upon written notice to the other party. The
Representatives during the term of this Agreement will be:
California Environmental Protection Agency
GRANT MANAGER
John Paine, Staff Environmental Scientist
1001 "1" Street, 4 Floor
Sacramento, California 95814
Phone 916 327 -5092
Fax 916 322 -6555
jpaine@calepa.ca.gov
City of El Segundo CUPA
GRANTEE
Name of Project Director, Title: Steve H. Tsumura,
Environmental Safety Manager
Street Address: 314 Main Street
City, Zip: El Segundo, 90245
Phone: 310 524 -2242
Fax: 310 414 -0929
e -mail: stsumura@elsegundo.org
L Ls MAY 2 0. 2008 i:.L::
6. STANDARD AND SPECIAL. PROVISIONS. The following exhibits are attached and made a part of this Agreement by this reference:
Exhibit A REPORTING AND INVOICING PROVISIONS
Exhibit B SPECIAL AND GENERAL PROVISIONS
Exhibit C APSA GRANT APPLICATION
3 8 Z 1 , ` ity of El Segundo Certified Unified Program Agency
APSA Grant Agreement No. 07- 638 -550
Page 2 of 6
7. GRANTEE REPRESENTATIONS. The Grantee accepts and agrees to comply with all terms, provisions, conditions, and
commitments of this Agreement, including all incorporated documents, and to fulfill all
assurances, declarations, representations, and commitments made by the Grantee in its
application, accompanying documents, and communications filed in support of its request
for grant funding.
DEFINITIONS. The following defined terms apply throughout this Agreement:
"APSA" means the Aboveground Petroleum Storage Act;
"AST" means aboveground storage tank;
"Cal /EPA" means the California Environmental Protection Agency;
"CUPA" means the Certified Unified Program Agency;
"EPTF" means the Environmental Protection Trust Fund;
"Grantee" means City of El Segundo CUPA;
"PA" means the Participating Agency;
"Project" means the implementation of the Aboveground Petroleum Storage Act;
"Secretary" means the Secretary of the California Environmental Protection Agency; and
"State" means the State of California, including Cal /EPA.
IN WITNESS THEREOF, the parties have executed this Agreement on the dates set forth below.
By:
e ignatur as authorized in the
resolution)
Jack Wayt, Interim City Manager
Grantee Na e, Title (Typed /Printed)
Da
By: /1J
Donald A. Johnson, sistant Secretary 4
California Envviron ntal Protection Agency
Date
382 1 City of
El Segundo Certified Unified Program Agency
' APSA Grant Agreement No. 07- 638 -550
Page 3 of 6
EXHIBIT A
REPORTING AND INVOICING PROVISIONS
A. REPORTING PROVISIONS
1. The Grantee shall prepare and submit APSA Program Implementation Status Reports, including invoices
for documentation of expenditures, and an inventory of aboveground storage tank (AST) facilities to the
Cal /EPA Grant Manager at the following address:
California Environmental Protection Agency
Unified Program Section
c/o John Paine, Staff Environmental Scientist
1001 "1" Street, 4th Floor
Sacramento, California 95814
2. Each report shall provide a brief description of all the actions taken and work activities performed during
the reporting period. As necessary, the report shall also include a description of any problems
encountered or potential issues identified that may affect the terms, conditions, provisions, or
commitments contained under this Agreement.
3. Each report shall have a cover letter certified by the Project Director or the Grant Contact.
4. For purposes of the APSA Program Implementation Status Reports, the reporting period is as follows:
a. 1St Report = January 1, 2008, to June 30, 2008
b. 2nd Report = July 1, 2008, to December 31, 2008
c. 3rd Report = January 1, 2009, to June 30, 2009
d. Final Report = July, 1, 2009, to December 31, 2009
5. Submission of the reports and invoices shall be in accordance with the following schedule:
a. 15t Report & Invoice Due Date
August 1, 2008
b. 2nd Report & Invoice Due Date
February 1, 2009
c. 3`d Report & Invoice Due Date
August 1, 2009
d. Final Report & Invoice Due Date
March 1, 2010
6. For purposes of the inventory of AST facilities, the Grantee.shall submit a revision of the Cal /EPA list of
AST facilities for the CUPA's jurisdiction. The revision will serve to determine the final percentage share
for each CUPA for any funds remaining from the Environmental Protection Trust Fund. The Grantee shall
use the format provided in the Cal /EPA list of AST facilities.
7. The Grantee shall submit the revised inventory of AST facilities to Cal /EPA no later than December 1,
2008.
B. INVOICING PROVISIONS
1. Invoices shall be used to depict the expenditures incurred by the Grantee in implementation of the APSA
Program from January 1, 2008, through December 31, 2009.
2. The invoice shall include all APSA Program implementation expenditures (direct and indirect) incurred by
the Grantee during the reporting period.
3. The invoice shall be submitted as an attachment to the "Implementation Status Report," in accordance
with the submission schedule provided above.
4. The Grantee shall use the invoice template format provided by Cal /EPA.
City of El Segundo Certified Unified Program Agency
APSA Grant Agreement No. 07- 638 -550
Page 4 of 6
EXHIBIT B 3 8 2 1 ' •-
SPECIAL AND GENERAL PROVISIONS
A. SPECIAL PROVISIONS
1. AMENDMENTS: No amendment or variation of the terms of this Agreement shall be valid unless made in
writing, signed by the parties and approved as required. No oral understanding or agreement not
incorporated in the Agreement is binding on any of the parties.
2. DISPUTES: The Grantee shall continue with the responsibilities under this Agreement during any dispute.
Any dispute arising under this Agreement which is not otherwise disposed of by agreement shall be
decided by the Cal /EPA Assistant Secretary for Local Programs or an authorized representative. The
decision shall be in writing and a copy thereof furnished to the Representatives of this Agreement. The
decision of the Assistant Secretary shall be final and conclusive unless, within thirty (30) calendar days
after mailing of the decision to the Grantee, the Grantee furnishes a written appeal of the decision to the
Secretary for Environmental Protection, with carbon copies furnished to the Cal /EPA Assistant Secretary
for Local Programs and the Cal /EPA Grant Manager. The decision of the Secretary shall be final and
conclusive unless determined by a court of competent jurisdiction to have been fraudulent, or capricious,
or arbitrary, or so grossly erroneous as necessarily to imply bad faith, or not supported by substantial
evidence. In connection with any appeal under this clause, the Grantee shall be afforded an opportunity
to be heard and to offer evidence in support of its appeal. Pending final decision of a dispute hereunder,
the Grantee shall continue to fulfill and comply with all the terms, provisions, commitments, and
requirements of this Agreement. This clause does not preclude consideration of legal questions, provided
that nothing herein shall be construed to make final the decision of the Cal /EPA Assistant Secretary for
Local Programs or the Secretary, on any question of law.
FISCAL MANAGEMENT SYSTEMS AND ACCOUNTING STANDARDS: The Grantee agrees that, at a
minimum, its fiscal control and accounting procedures will be sufficient to permit tracing of grant funds to
a level of expenditure adequate to establish that such funds have not been used in violation of state law
or this Agreement. The Grantee further agrees that it will maintain financial accounts in accordance with
generally accepted accounting principles. Without limitation of the requirement to maintain financial
management systems and accounting standards in accordance with generally accepted fiscal and
accounting principles, the Grantee agrees to:
a. Establish a financial account(s) and accounting system(s) that will adequately and accurately depict
all EPTF amounts received and expended during the term of this Agreement, including but not limited
to:
i. EPTF advance allocation amounts, including interest earned;
ii. Additional EPTF allocations amounts;
iii. All APSA Program implementation expenditures (direct and indirect); and
iv. Running balance of EPTF allocations and expenditures.
4. RECORDS MANAGEMENT: Maintain all documentation and financial records, as may be necessary, for
the state to fulfill federal reporting requirements, including any and all reporting requirements under
federal tax statutes or regulations. Establish an official file for the EPTF allocation that shall adequately
document all significant activities and actions relative to the Implementation of the APSA Program,
including but not limited to:
a. Fiscal accounting;
b. APSA Implementation Status Reports; and,
c. Invoicing and supporting documentation.
5. TIMELINESS: Time is of the essence in this Agreement. The Grantee shall proceed with APSA Program
implementation in an expeditious manner. The Grantee shall prepare and submit all required reports and
invoices as stipulated in this Agreement.
r 2
City of El Segundo Certified Unified Program Agency
APSA Grant Agreement No. 07- 638 -550
Page 5 of 6
6. WITHHOLDING OF GRANT DISBURSEMENTS: Cal /EPA may withhold all or any portion of the EPTF
allocations provided for by this Agreement in the event the Grantee:
a. Materially violates, or threatens to materially violate, any term, provision, condition, or
commitment of this Agreement; or
b. Fails to maintain reasonable progress toward implementation of the APSA Program.
B. GENERAL PROVISIONS
1. ASSIGNMENT: This grant is not assignable by the Grantee, either in whole or in part, without the consent
of the State.
2. AUDIT: Grantee agrees that the Cal /EPA, the Bureau of State Audits, or their designated representative
shall have the right to review and to copy any records and supporting documentation pertaining to the
expenditure of allocated EPTF moneys and performance of this Agreement. The Grantee agrees to
maintain such records for a possible audit for a minimum of three (3) years after term of the Agreement,
unless a longer period of records retention is stipulated. Grantee agrees to allow the auditor(s) access to
such records during normal business hours and to allow interviews of any employees who might
reasonably have information related to such records. Further, the Grantee agrees to include a similar right
of the State to audit records and interview staff in any contract related to performance of this Agreement.
3. COMPUTER SOFTWARE: The Grantee certifies that it has appropriate systems and controls in place to
ensure that state funds will not be used in the performance of this Agreement for the acquisition,
operation or maintenance of computer software in violation of copyright laws.
4. CONFLICT OF INTEREST: The Grantee certifies that it is in compliance with applicable state and /or
federal conflict of interest laws.
5. GOVERNING LAW: This grant is governed by and shall be interpreted in accordance with the laws of the
State of California.
6. INDEPENDENT ACTOR: The Grantee, and its agents and employees, if any, in the performance of this
Agreement, shall act in an independent capacity and not as officers, employees or agents of the State.
7. NONDISCRIMINATION: During the performance of this Agreement, the Grantee and its contractors shall
not unlawfully discriminate against, harass, or allow harassment against any employee or applicant for
employment because of sex, race, religion, color, national origin, ancestry, disability, sexual orientation,
medical condition, marital status, age (over 40) or denial of family -care leave, medical -care leave, or
pregnancy- disability leave. The Grantee and its contractors shall ensure that the evaluation and
treatment of their employees and applicants for employment are free of such discrimination and
harassment.
8. NO THIRD PARTY RIGHTS: The parties to this grant Agreement do not create rights in, or grant
remedies to, any third party as a beneficiary of this grant Agreement, or of any duty, covenant, obligation
or undertaking established herein.
9. TERMINATION: The State may terminate this Agreement and be relieved of any payments should the
Grantee fail to perform the requirements of this Agreement at the time and in the manner herein provided.
In the event of such termination, the Grantee agrees, upon demand, to immediately return the remaining
unused portion, if any, of the Grantee's allocation of the EPTF.
10. UNENFORCEABLE PROVISION: In the event that any provision of this Agreement is unenforceable or
held to be unenforceable, then the parties agree that all other provisions of this Agreement shall continue
to have full force and effect and shall not be affected thereby.
City of El Segundo Certified Unified Program Agency
I� $ APSA Grant Agreement No. 07- 638 -550
Page 6 of 6
EXHIBIT C
APSA GRANT APPLICATION
(see enclosure)
ABOVEGROUND PETROLEUM STORAGE ACT (APSA) PROGRAM
GRANT APPLICATION
1. Entity Information:
Name of Grantee: City of El Segundo
Name of Project Director: Steve H. Tsumura, Environmental Safety Manager
Address: 314 Main Street
City, Zip: El Segundo, CA 90245
Phone: (310) 524 -2242
Fax: (310) 414 -0929
E -Mail: stsumura @elsegundo.org
Name of Grant Contact (if applicable): Steve Tsumura
Address: 314 Main Street
City, Zip: El Segundo, CA 90245
Phone: (310) 524 -2242
r''ax: (310) 414 -0929 i Q
E -Mail: stsumura @elsegundo.org
`
C
2. Grant Amount: $52,483.58 (over two -year period) I 1
UNIFIED PROGRAM
� CAUEPA
3. Work plan: (Scope of Work)
City of El Segundo AST Implementation Plan
The City of El Segundo CUPA will incorporate the implementation of the Aboveground
Petroleum Storage Act (APSA) Program into the existing Unified Program structure established
for the City of El Segundo. The current activities of verifying preparation of an SPCC and
referrals to the Regional Water Quality Control Board will be replaced with full implementation
and administration of the APSA, beginning on January 1, 2008. The following work plan, and
associated timelines for completion, address all aspects related to El Segundo's planned APSA
implementation activities from January 1, 2008 through December 31, 2009.
A. Work k Plan
Fee Accountability Program
The City of El Segundo CUPA will incorporate the APSA Program into the
existing Unified Program (UP) Fee Accountability system, accounting for the fee
APSA GRANT APPLICATION — December 2007
X 8 2 i • .,.
ABOVEGROUND PETROLEUM STORAGE ACT (APSA) PROGRAM
GRANT APPLICATION
schedule, the actual amount billed, and the revenue collected. The fee
accountability program is designed to encourage more efficient and cost - effective
operation of the program for which the single fee is assessed. For the APSA
Program, the fee accountability program will be instituted before incorporating it
into the single fee system. The El Segundo CUPA's fee accountability program
includes the following elements:
o Accounting for: the fee schedule, the actual amount billed, and the
revenue collected;
o Discrete billable services, categorized as general;
• Staff work hours required to implement the APSA program;
• Direct program expenses (including durable and disposable equipment);
• Indirect program expenses (including overhead for facilities and
administrative functions);
o The number of businesses regulated under the APSA Program in the City
of El Segundo; and,
o The Quantity and range of services provided, including frequency of
inspection.
The incorporation of the APSA Program into the Unified Program Fee
Accountability system and Program will be accomplished by November 16, 2009.
1
II. Unified Program Single Fee System
Prior to January 1, 2010, the El Segundo City Council will adopt the APSA
program fee as part of the UP single fee system in the City of El Segundo CUPA.
The APSA Program fee will be established at a level sufficient to pay the
necessary and reasonable costs incurred by the CUPA in administering the
APSA Program, including, but not limited to, inspections, enforcement, and
administrative costs. As part of the single fee system, the El Segundo CUPA will
provide for a waiver of the APSA Program fees when a state or local government
agency submits a tank facility statement.
By January 1, 2010, the El Segundo CUPA's "UP Single Fee Invoice" will be
amended to include a line item for the APSA Program fee. Fees for non-
recurring APSA Program activities of the CUPA such as, but not limited to, the
fee for an initial permit of special inspection, may be billed separately from the
"UP Single Fee Invoice." Beginning in January 2010, each regulated business
will be assessed the APSA program fee as part of the single fee invoice.
The El Segundo CUPA UP fee schedules will be available to interested parties
on the City website or upon request to the CUPA.
2 APSA GRANT APPLICATION — December 2007
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schedule, the actual amount billed, and the revenue collected. The fee
accountability program is designed to encourage more efficient and cost - effective
operation of the program for which the single fee is assessed. For the APSA
Program, the fee accountability program will be instituted before incorporating it
into the single fee system. The El Segundo CUPA's fee accountability program
includes the following elements:
o Accounting for: the fee schedule, the actual amount billed, and the
revenue collected;
o Discrete billable services, categorized as general;
• Staff work hours required to implement the APSA program;
• Direct program expenses (including durable and disposable equipment);
• Indirect program expenses (including overhead for facilities and
administrative functions);
o The number of businesses regulated under the APSA Program in the City
of El Segundo; and,
o The Quantity and range of services provided, including frequency of
inspection.
The incorporation of the APSA Program into the Unified Program Fee
Accountability system and Program will be accomplished by November 16, 2009.
1
II. Unified Program Single Fee System
Prior to January 1, 2010, the El Segundo City Council will adopt the APSA
program fee as part of the UP single fee system in the City of El Segundo CUPA.
The APSA Program fee will be established at a level sufficient to pay the
necessary and reasonable costs incurred by the CUPA in administering the
APSA Program, including, but not limited to, inspections, enforcement, and
administrative costs. As part of the single fee system, the El Segundo CUPA will
provide for a waiver of the APSA Program fees when a state or local government
agency submits a tank facility statement.
By January 1, 2010, the El Segundo CUPA's "UP Single Fee Invoice" will be
amended to include a line item for the APSA Program fee. Fees for non-
recurring APSA Program activities of the CUPA such as, but not limited to, the
fee for an initial permit of special inspection, may be billed separately from the
"UP Single Fee Invoice." Beginning in January 2010, each regulated business
will be assessed the APSA program fee as part of the single fee invoice.
The El Segundo CUPA UP fee schedules will be available to interested parties
on the City website or upon request to the CUPA.
2 APSA GRANT APPLICATION — December 2007
38 2 1., s .,
I ABOVEGROUND PETROLEUM STORAGE ACT (APSA) PROGRAM ��
GRANT APPLICATION
The El Segundo CUPA's dispute resolution procedures will be amended to
incorporate the APSA Program, which will guide the resolution of fee disputes
that arise between the businesses regulated under the APSA Program element.
III. Staffing Plan
Staff resources for the initial implementation phase (January 1, 2008 — December
31, 2009) of the APSA Program will involve the hiring of staff and redirection of
program responsibilities for the CUPA Manager. As part of the CUPA's staffing
plan and adoption of the single fee for the APSA Program, the adequacy of
proposed staffing resources will include an analysis of:
1. The number and type of regulated tank facilities within the
jurisdiction;
2. An estimate of the annual number of compliance and complaint
inspections, considering cost of the following activities:
i. Inspections and the related travel, research, analysis of
findings, and documentation;
ii. Inspection and enforcement activities including warnings,
notices, meetings, hearings, legal proceedings, and
documentation;
iii. Permit activities including application reviews, modifications
and revisions, and facility evaluations;
iv. Training, including field, meetings, seminars, workshops,
courses, and literature reviews; and
v. Management, including day -to -day operation scheduling and
supervision.
By September 30, 2008, the CUPA will secure staff to assist with the start up
activities associated with implementing the APSA Program in El Segundo.
Existing staff will be temporarily redirected to assist with the startup activities.
Once a solid funding mechanism is in place (after January 1, 2010), the El
Segundo CUPA will initiate the process of hiring APSA program staff.
IV. Identification of Regulated Universe
The El Segundo CUPA will use the AST Tank facility list provided by Cal /EPA as
the starting point for the identification of the regulated tank facilities in El
Segundo. The list will be compared with the existing facility data to determine
those facilities already regulated under one or more Unified Program elements
that handle petroleum materials in amounts that are equal to or in excess of
1,320 gallons. The list will then be segregated based on the following categories:
APSA GRANT APPLICATION — December 2007
• o •
ABOVEGROUND PETROLEUM STORAGE ACT (APSA) PROGRAM
GRANT APPLICATION
1. Exempted tank facilities with total tank storage capacity of less than
20,000 gallons
2. Tank facilities w /storage capacity >1,320 and <10,000 gallons
3. Tank facilities w /storage capacity >10,000 and <100,000 gallons
4. Tank facilities w /storage capacity > 100,000 and <1,000,000 gallons
5. Tank facilities w /storage capacity > 1,000,000 and <10,000,000 gallons
6. Tank facilities w /storage capacity > 10,000,000 and <100,000,000 gallons
7. Tank facilities w /storage capacity > 100,000,000 gallons
The El Segundo CUPA will submit the complete list of regulated tank facilities to
Cal /EPA by December 1, 2008.
V. Staff Training Plan
Both the consultant and redirected CUPA staff will be attending the AST Training
Program developed by Cal /EPA, which is scheduled to be delivered in July,
August, and September 2008. When permanent APSA Program staff is hired,
they will go through the AST Training Program's computer -based training course,
including successful completion of the examination for inspectors. The APSA
Program standards will be incorporated into the CUPA's on -going training
program to program staff on a regular basis.
VI. Inspection and Compliance Plan
As part of the City of El Segundo CUPA's Unified Inspection and Enforcement
Program, the CUPA will ensure all regulated businesses subject to the APSA
Program are in compliance with all the program requirements, including SPCC
Plan preparation and implementation, annual submission of their facility
statement, and spill notifications. Exempted tank facilities will be periodically
reviewed to verify that their total tank capacity is less than 20,000 gallons and to
ensure they are performing and documenting their daily tank inspections.. Tank
facilities with storage capacity of > 1,320 and <10,000 gallons will be periodically
reviewed to verify that their total tank capacity is less than10,000 gallons and to
ensure that they have prepared and are implementing an SPCC Plan, are
submitting their annual facility statements, and are paying the APSA Program
fee. Tank facilities with storage capacity of >10,000 gallons will be inspected at
least once every three years to ensure that they have prepared and are
implementing an SPCC Plan in compliance with U.S. Code of federal
Regulations, Title 40, part 112. The inspection will also include a visual
inspection of a representative sample of the tanks at the tank facility. The
inspection and all violations discovered during the inspections will be
documented on an inspection report form. Minor violations will be clearly
identified and required to be corrected within 30 days. The owner /operator of the
tank facility will be required to certify that all minor violations have been
corrected. For more significant or serious violations, El Segundo CUPA will
either initiate an administrative enforcement action or refer the case to the Los
Angeles County District Attorney for civil enforcement.
4 APSA GRANT APPLICATION — December 2007
.t W.,I
ABOVEGROUND PETROLEUM STORAGE ACT (APSA) PROGRAM
GRANT APPLICATION
VII. UP Administrative Procedures
The El Segundo CUPA's administrative policy and procedures will be reviewed
and updated, as necessary to incorporate all relevant aspects of the APSA
Program. All revisions will be completed by April 2009.
VIII. Regulated Business - Outreach Activities
The EI Segundo CUPA will develop educational and guidance materials for those
businesses regulated under the APSA Program. The educational and guidance
materials will include fact sheets and guidance documents to assist regulated
businesses in complying with all requirements of the APSA Program. These
materials will be developed prior to June 2009. In addition to these educational
and guidance materials, the El Segundo CUPA will hold one compliance
workshop in October 2009. The workshop will be held in the morning and afford
the regulated businesses the opportunity to learn about the APSA Program
requirements and ask questions concerning specific requirements or appropriate
methods,of compliance.
IX. Other Implementation Activities
The El Segundo CUPA is the only Unified Program Agency within the
jurisdictional boundaries of the City of El Segundo.
B. Implementation Timeline
ActtuttyNarne
Start
Data
Conference Call
1008
OrantAppilcation
1114108
City Mgr.lC, u;6i
1M 8109
CUPAAPSAClass
715108
Grant Submisslori
2127108
Resolution Prep.
4121!08
Data Gathering
1128109
Semi- Annual Report
7lt DI08
APSAWorkshops
07108
FaeAccountablllty
11116109
Semi - Mnual Report
1115109
dingle Fee
1011!08
— - -- ..... -..... _
Staffing
ng
8130108
1011108
Regulated Business
_. - ln -.. lnp - .. -... ......._......_8127108.
Tra
deml -Annual Report
7115109
Procedures
4111D9
Outreach
1011109
Inspections
114110
---- ...- -.. _ ---
Final Report
- ---
2!1110
APSA GRANT APPLICATION — December 2007
ABOVEGROUND PETROLEUM STORAGE ACT (APSA) PROGRAM
GRANT APPLICATION
Projected Budget:
Direct Program Costs:
*Personnel Services $10,000.00
Operating Expenses (prorated for project) $ 4,000.00
Travel Expenses
Supplies /Materials (less than $5,000 per item) $ 5,000.00
Equipment ($5,000 or more per item)
Professional /Consultant Services $ 35, 000.00
Indirect Cost ( %)(Rate applied to Personnel Services only) $ 3,483.58
TOTAL $ 52,483.58
*Salary is based on hourly rate and includes fringe benefits.
5. CERTIFICATION
I certify under penalty of perjury that the information I have entered on this application is true and complete to the best of my
knowledge and that I am an employee of the applicant authorized to submit the application of behalf of the application. I
fu, r+. er understand that any false, incomplete, or incorrect statements may result in the disqualification of this application.
E, Jjning this application, I aive any and all rights to privacy and confidentiality of the proposal on behalf of the applicant,
tonne extent provided in)V program. /
plicant SigjS§�Gre
Printed Name of Applicant
Da
FEB 2 6 2008
UNIFIED PROGRAM
CAL/EPA
6 APSA GRANT APPLICATION — December 2007