CONTRACT 3595 Other1. ASSISTANCE NO.
HMECA5033130
"LATE OF CALIFORNIA
GOVERNOR'S OFFICE OF EMERGENCY SERVICES
ASSISTANCE AGREEMENT
595•
2. RECIPIENT NO. I 3. TYPE OF ACTION I 4. PROJECT /BUDGET PERIOD
003 Subgrant Award October 1, 2005 to September 30, 2006
5. SEND PAYMENT REQUEST TO 6. PAYMENT METHOD 7. TOTAL PROJECT /BUDGET COST (Accounting Office Use Only)
OES Accounting Department via 5411
OES Hazardous Materials Unit Reimbursement $8,000
8. RECIPIENT PROJECT MANAGER AND ADDRESS 9. OES REGIONAL COORDINATOR, ADDRESS, & PHONE #
Steve Tsumura, Environmental Safety Manager
City of El Segundo Fire Department
314 Main Street
El Segundo, CA 90245
10. PAYEE
City of El Segundo Fire Department
315 Main Street
El Segundo, CA 90245
11. ASSISTANCE PROGRAM (CDFA PROGRAM)
HMEP 20.703
FUNDS I THIS ACTION
13. Federal Share I $6,400
14. Recipients Match Share $1,600
15. Total Project Cost $8,000
Region I
Sean Grady
4671 Liberty Ave.,
Los Alamitos, CA
90720 -5158
(562) 795 -2912
Region IV
Jerilyn Peterson
3650 Schriever Avenue
Mather, CA 95655
(916) 845 -8480
12. PROJECT TITLE
Area Plan Update
Region II
Roger Sigtermans
1300 Clay Street,
Suite 400
Oakland, CA 94612
(510) 286 -6742
Region V
Roy Manning
2550 Mariposa Mail,
Room 181
Fresno, CA 93721
(559) 445 -5672
Region III
Nellie Lee Barber
1740 Walnut Street
Red Bluff, CA 96080
(530) 529 -0409
Region VI
Sean Grady
4671 Liberty Ave.
Los Alamitos, CA
90720 -5158
(562) 795 -2912
16. OES STATE PROJECT COORDINATOR AND PHONE #
Diana Melroe (916) 845 -8778
diana.melroe @oes.ca.gov
18. STATUTORY AUTHORITY
Federal Hazardous Materials Transportation Law, 49 U.S.C. 5101 et seq.
19. REGULATORY AUTHORITY
Title 49 CFR, Part 110
NOTE: This Agreement must be completed in triplicate and two originals returned to the Office of Emergency Services (OES), Hazardous
Materials Unit, 3650 Schriever Avenue, Mather, CA 95655 within 3 weeks after receipt or within any extension of time as may be granted by OES.
Receipt of a written refusal or failure to return the properly executed document within the prescribed time, may result in the withdrawal of this offer by
OES. Any change to this document by the recipient, subsequent to it being signed by the OES Award Official, who materially alters the document,
shall void the Agreement.
The United States of America, acting by and through the United States Department of Transportation and the California Governor's Office of
Emergency Services hereby offers assistance to El Segundo City Fire Department for 80% of all approved project costs incurred up to and not
exceeding $8,000. Recipients must contribute a minimum of 20% matching share to the total cost of the project. Recipients agree to provide the
OES Hazardous Materials Unit with quarterly project status reports and monthly /quarterly requests for payments that include costs incurred during the
quarter. Recipients agree to closely track all project work activities and associated costs. Recipients agree to submit to OES all supporting
documentation that substantiates all project costs, including the matching share. Recipients agree to provide written notification to the OES
Hazardous Materials Unit of any deviation from the project described in the project application. Recipients agree to refrain from implementing any
deviations b e provide information depicts outcome, requirements the at
the end r prior to the end o the quarter the grant year. Recipients agree ht failure to comply with any of these mayesult n
the withdrawal of this offer.
Mr'l wv W- r- , ,F tv7[::'itlh ararw,.;.e� wK .. ,,r. .. , -.. , .
A < 1F�11 AL TYPE NAME AND TITLE ,—
J��J SHELLEY A. THOMAS, Chief of Administration /2- . —10 /A
This reement is s ject to applicable United States Department of Transportation statutory provisions and assistance regulations. In accepting this
award or amendme t and any payments made pursuant thereto, (1) the undersigned represents that s(he) is duly authorized to act on behalf of the
recipient organization, and (2) the recipient agrees (a) with the requirements of the "Offer and Acceptance" clause, (b) that the award is subject to the
applicable provisions of 49 CFR § 110 et seq., 49 CFR Part 18, and of the provisions of this agreement, including the Articles of Agreement, and (c)
that acceptance of any payments constitutes an agreement by the payee that the amounts, if any found by OES to have been overpaid, will be
refunded in full to OES.
SIGNATU
t. '
f,
E S--1 67A (az t (10/02)
NAME AND TITLE
Jeff Stewart, City Manager
DATE
-5-1-/-o,&