1c Hazardous Materials TrainingA ANHASS[,
v.- . MN -,- I1~
FIRE DEPT.
CHANHASSEN FIRE DEPARTMENT
P.O. Box 97 · 7610 Laredo Drive · Chanhassen, MN 55317
Bus. Phone 934-9191 · Minnewashta Station No. 2 · Phone 474-7094
MEMORANDUM
TO:
Scott Botcher, City Manager
FROM:
Greg Hayes, Fire Inspector/Training Chief
DATE: April 17, 2001
SUBJECT: Hazardous Materials Emergency Preparedness Grant for Training
Attached is a resolution for the City Council to accept a $2500.00 grant that the Fire
Department applied for to conduct training sessions related to hazardous materials] Some of
these training sessions have already been conducted not only with the Chanhassen Fire
Department but also with other outside agencies. The, grant Was specifically for materials to
conduct the clasS~ ' ' ~- "
If you have any questions, please feel free to give me a call at ext. 262. Thank you for your
continued support.
GH/be
gSsafety~gh~nemo~ant
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
Alcohol &
Gambling
Enforcement
Bureau of
Criminal
Apprehension
Capitol Security
Center for
Crime Victim
Services
Driver & Vehicle
Services
Drug Poiicy &
Violence
PreventiOn
Emergency
Management/
Emergency
Response
Commission
State Fire
Marshal/
Pipeline Safety
State Patrol
Traffic Safety
MINNESOTA ·
Division of Emergency Management
Emergency Response Commission
444 Cedar Street, Suite 223, St. Paul, Minnesota 55101-6223
Phone: 651/296-2233 FAX: 651.296.0459 T'I-Y: 651/282-6555
Internet: http://wvvw, d ps.state.mn.us
March 20, 2001
Greg Hayes
City of Chanhassen
690 City Center Drive
Chanhassen, MN 55317
Dear Chief Hayes'
I am pleased to confirm that your application for a Hazardous Materials Emergency
Preparedness (HMEP) Grant for Training Classes in the City of Chanhassen has been
approved in the sum of $2,500.00.
Enclosed you will find an agreement between your jurisdiction and the State of Minnesota.
Please ensure, at the bottom of the first page, that you include your jurisdiction's Minnesota
Tax I.D. Number and Federal Employer I.D. Number. Person(s) signing the agreement and
obligating your jurisdiction to the conditions of this agreement must be authorized. A
certified copy of the resolution which authorizes the jurisdiction to enter into this agreement
and which designates person(s) to execute'this agreement must be attached to 'the agreement.'
A sample resolution is enclosed for ybur reference. Please have the authorized person(s)
sign all copies of the agreement on pages 6 and C-1. Return all copies of the agreement to:
Mr. Erny Mattila, Division of Emergency Management, 444 Cedar Street, Suite 223, St.
Paul, Minnesota 55101-6223.
Also enclosed is a form for your use in billing the State of Minnesota to obtain
reimbursement for expenses. Please note the reporting requirements listed on pages 3 and 4
of the grant agreement. If your funded activity is an exercise, the enclosed FEMA Form 95-
44, Emergency Management Exercise Reporting System, must be completed and returned
with your billing.
As always, it is a pleasure working with you. If you have any questions, please contact
Erny Mattila at (651) 215-6939.
Sincerely,
Kevin C. Leuer
Director
Enclosures
EQUAL OPPORTUNITY EMPLOYER
STATE OF MINNESOTA, DEPARTMENT OF PUBLIC SAFETY
Division of Emergency Management
444 Cedar Street, Suite 223
St. Paul, Minnesota 55101-6223 ·
HAZARDOUS MATERIALS EMERGENCY PREPAREDNESS (HMEP) GRANT BILLING FORM
GRANT PERIOD February 7, 2001 - September 30, 2001 (Federal Fiscal Year 2000 Funds)
Greg Hayes THIS BILLING IS FOR: (CHECK C~NLY ONE)
City of' Chanhassen
690 City Center Drive __ Partial __ Final
Chanhassen, MN 55317
TOTAL AWARD AMOUNT: $2,500.00 Hazardous Materials Emergency Preparedness Grant for a Training Classes
CATEGORY
EXPENDITURES
(Please report all expenditures)
PERSONNEL
TRAVEL
ALL OTHER
TOTALS
CERTIFICATION
I certify the above data is correct based on the grantees' official accounting system and r~cords, consistently applied and maintained, and that expenditures shown
have been made for the purpose of and in accordance with applicable grant terms and conditions, I also certify that appropriate documentation to support these
authorized costs and expenditures is available.
(Authorized. Signature) - (Date)
Vendor #: 036770001
~nvoice #: HMEP GRANT
FY: 2001 Fund: 300
Amount:
FOR STATE USE ONLY
Orgn: 2282
Date:
Appr: 217
Fed Rptg Cat: TRNG
Doc. #: 2000-5514
Dept.: P07
Object: 5B00
Task:
I hereby certify that the goods or material covered by this claim have been inspected and received or the services have been performed, and are in accordance with
specifications and are in proper form, kind, amount and quality, and payment, therefore, is recommended:
System Assign. Ref. No. Dept. Authorized Signature
RESOLUTION AUTHOR/ZING EXECUTION OF GRANT AGREEMENT
RESOLUTION NO.
WHEREAS, the State of Minnesota has been given a grant by the U.S. Department of Transportation under the
Hazardous Materials Emergency Preparedness (HMEP) Program; and
WHEREAS, the City of Chanhassen has applied in good faith for HMEP monies for a Training Classes;
THEREFORE, BY IT RESOLVED, that the City of Chanhassen fully agrees to the terms of the grant, and, with
the passage of this resolution, officially requests the Division of Emergency Management to enforce the
contract in accordance with the applicable rules and regulations;
BE IT FURTHER RESOLVED, THAT and
be and hereby are authorized to execute the agreement and thereby assume for and on behalf of the City of
Chanhassen all of the contractual obligations contained therein.
I, , duly appointed of City of Chanhassen,
do hereby certify that I have compared the foregoing copy of this resolution with the original minutes of the
meeting held on the day of ,20 , and have found the same
to be a true and correct copy thereof.
Dated this day of ',. 11.20
STATE. OF MINNESOTA.
GRANT. CONTRACT
ACCOUNTING INFORMATION:
PROVIDING AGENCY'S Seller Fund
Seller Agency
^gen~y: P07
TotaIAmount of Contract: $2,500.00
Accounting Distribution 1:
~:ism Y~. 2001
Object Code: 5B00
Vu, d: 300
.^ppr.: 217
CVgJS-b.:2282
Rept Catg.: TRNG
Amo~n~ $2,500.00
Fiscal Year: 2001
Accounting Distribution 2:
Fiscal Year:.
Object Code:
Fund:
Appr.
OrgJSub.
Rept Catg.:
.-
Amount:
..
IVendor ~um~. 036770001
IAmount of Contract First FY: $2,500.00
. Accounting Distribution 3:
Fiscal Year:.
Object Code:
Fundi
Appr.
org./sub.
Rept. Catg.:
Amount:
Processing Information': (Some entries may not apply)
Requisition: 2000-1230 Solicitation:
Number/Date/Entry Initi.als
Contract:
Number/Date/Entry Initials
Order:
Number/Date/Entry Initials-
2000-5514
Number/Date/Signatures
(Individual signing certifies that funds have been encumbered
as required by Minn. Stat. ~16A15 and 16C. 05.)
NOTICE TO GRANTEE: You are required by Minnesota Statutes. Section 270.66 to provide yotir social security number, or Federal employer tax identification
number and Minnesota tax identification number if you do business with the State. of Minnesota. This information may be used in the enforcement of federal and state
lax laws. ' Supplying these numbers could result in action to require you to file state tax returns and pay delinquent state_ tax liabilities~. This grant contract will not be
· pproved unless these numbers are provide& These numbers will be available to federal and state tax authorities, and state personnel involved in approving the grant
r. xmtract and the payment of state obligations.
Grantee Name and Address:
'City of Chanhassen
690. City Center Drive
Chanhassem MN. 55317
Soc. Sec. or Federal Employer I.D. No..
Minnesota Tax I.D. No. (if applicable)
THIS PAGE OF THE GRANT CONTRACT CONTAINS PRIYA~ INFORMATION. ~
EXCEPT AS DEFINED ABOVE, THIS PAGE SHOULD NOT BE REPRODUCED OR DISTRIBUTED
EXTERNALLY WITItOUT EXPRESS WRITTEN PERMISSION OF THE GRANTEE
Chapter A If you circulate this grant'contr act internally, only offices that require access to the tax identification number
AND all individuals/offices signing this grant contract shouM have access to this page.
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Page 0
TH/S grant court.act, and amendments and supplements thereto, between the State of Minnesota, acting througi~ '"
·
its Department of Public Safety, Division of Emergency Management (hereinafter STATE) and City of
Chanhassen,-an independent contractor, not an employee of the State of Mirmesota, address' 690 .City Center
Drive, Chanhassen, MN 55317 (hereinafter GRANTEE), witnesseth that:
WttER~AS, the STATE, pursuant to Minnesota Statutes {}12.22, is empowered to allocate and disburse federal
aid made available through the United States Department of Transportation; and
WI-tEREAS, the purpose of the Hazardous Materials Emergency Preparedness (HMEP) Grant Program, Catalog
of Domestic Assistance No. 20.703, is to reimburse expenses of organizations and local units of government'
associated with the start-up, improvement and implementation of local planning advisory committees, the '
exercising of emergency response plans,-and conferences relating to hazardous materials planning and'response;
and
WHEREAS, GRANTEE represents that it is duly qualified and willing to perform the services set forth herein;.
NOW, THEREI~ORE, it is agreed:
GRANTEE'S DUTIES (Attach additional.page if necessary which is incorporated by reference and
made a part of this agreement.) GRANTEE shall perform the services and tasks for Training Classes,
as submitted and approved by the STATE in GRANTEE'S grant application,, which is hereby
incorporated by reference, labeled Attachment A, and made a part of this agreement.
IL ' CONSIDERATION AND TERMS OF PAYMENT '
-A. Consideration for all services performed by;GRANTEE'ivursuant to this grant contract shall be
pa/d by the STATE as follows:
II
Compensation shall not exceed Two Thousand Five Hundred dollars ($2,500.00), and shall be in
compliance with itemized categories approved by the STATE in GRANTEE'S grant application.
If additional Hazardous Materials Emergency Preparedness (HMEP) funds become available
and/or are reallocated to the STATE during the federal fiscal year, the STATE may increase, the
GRANTEE'S grant reimbursement under this grant contract by encumbrance. This shall be done
using the Grant Adjustment Notice Re-obligation form; a sample of this form is attached to this
agreement and labeled Attachment D. Any additional funds will be governed by this grant
contract and any amendments to this grant contract.
2. Matching Requirements. (If Applicable) GRANTEE certifies that the following matching
requirement, for the grant, will be met by GRANTEE: None
,
3. Reimbursement for travel and subsistence'expenses actually and necessarily incurred by'
GRANTEE in performance of this grant contract in an amount not 'to exceed
:
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N/A dollars ($ N/A ); provided,
that GRANTEE shall be.reimbursed for travel and' subsistence.expenses in the-same manner and ·
in no greater amount than provided in the current '2qon-managerial Unrepresented Employees
Plan" promulgated by the Commissioner of Employee Relations. GRANTEE shall not be
reimbursed for travel and subsistence expense incurred outside the State of Minnesota unless it
has received prior written approval for such out of state travel from the STATE.
The total obligation of the STATE for all Compensation and reimbursements to GRANTEE shall not
exceed Two Thousand Five Hundred dollars ($2,500.00).
B. Terms of Payment
,
Payments shall be made by the STATE promptly after GRANTEE'S presentation of invoices for
services performed and acceptance of such services by the STATE'S authorized representative
pursuant to Clause VI. Invoices shall be submitted in a form prescribed by the STATE and
according to the following schedule:
GRANTEE shall submit itemized invoices in arrears at least quarterly but not more often than
monthly, and within 30 days of the period covered by the invoice, for work satisfactorily
performed. Final invoice shall be received no later than October 31, 2001. Payment to-
GRANTEE by the STATE shall be made following the submittal, by the GRANTEE to the
STATE,. of /he required financial documents and quarterly reports.
o
(When applicable) Payments-are to be made from federal funds obtained by the STATE throUgh
the Federal Hazardous Mater/al Transportation-Law (49 U.S.C. Section 5101 et. seq. and
amendments thereto). If at any time such funds become unavailable, this grant contract shall be
terminated immediately upon written notic'e of such faci by the STATE to the GRANTEE. In
the event of such termination, GRANTEE shall be entitled to payment, determined on a pro rata
basis, for services satisfactorily performed.
°
If the grant application involves the formation of a planning advisory committee, the apPlicant
may request that up to twenty-five percent (25%) of the grant award be advanced to help offset
start-up costs. The balance of the funds would be due upon report completion..
CONDITIONS OF PAYMENT All services provided by GRANTEE pursuant to this grant contract
shall be performed to the satisfaction of the STATE, as determined at the sole discretion of its.
aUthorized representative, and in accord with all applicable federal, state, and local laws~ ordinances,
roles and regulations. GRANTEE shall not receive payment for work found, by the STATE to be'
unsatisfactory, or Performed in violation of federal, state or local law, ordinance, role or regulation.
TERMS OF CONTRACT This grant contract shall be effective on February 7, 200'1, or upon the date
that the final required signature is obtained by the STATE, pursuant to MS § 16C.05, Subd 2, whichever
'occurs later, and shall remain in effect until September' 30,2001, or until all obligations set forth in this
grant contract have been satisfactorily fulfilled, whichever occurs first.
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VIIL
. .
' CANCELLATION This grant contract may be cancelled by the STATE or GRANTEE at anytime,
with or without cause, upon thirty (30) daYs written.notice to the other party. In the event of such a
cancellation, GRANTEE shall be entitled to payment, determined on a pro rata basis, for work or
services satisfactorily performed.
STATE may cancel grant immediately if the STATE f'mds that there has been a failure to comply with
the provisions of this agreement, that reasonable progresS has not been made, or that the purposes for
which the funds were granted have not been or will not be fulfilled, the STATE may take action to
protect the interests of.the State of Minnesota, including the refusal'to disburse additional.funds and
requiring the return of all or part of the funds already disbursed. ·
STATE'S AUTHORIZED REPRESENTATIVE The STATE'S authorized representative for the
purposes of administration of this grant contract is Erny Mattila, Grants SPecialist. Such representative
shah have final authority for acceptance of GRANTEE'S services and if such services are accepted as ·
satisfactory, shall so certify on each invoice submitted pursuant to Clause II, paragraph'B. The
GRANTEE'S authorized representative for purposes of administration of this grant contract is Greg-
Hayes. The GRANTEE'S authorized representative shall have full authority 5o represent GRANTEE in
its fulfillment of the terms, conditions and requirements of this grant contract.
ASSIGNMENT GRAzNTEE shall neither assign nor transfer any rights or obligations under this grant
contract without the prior written consent of the STATE.
AMENDMENTS Any amendments to this grant contract Shall be in Writing, and shall be executed by
the same parties who executed the original grant contract, or their successors in office.
LIABILITY GRANTEE agrees to indemnify and.. save and hold the STATE, its representatives and
employees harmless from any and all claims or caUses of action, including all attorney's, fees incurred by
the STATE, arising from the performance of this grant contract by GRANTEE or GRANTEE'S agents"
or employees. This clause shall not be construed to bar any legal remedies GRANTEE 'may have for the
STATE'S failure to fulfill its obligations pursuant to this grant contract.
STATE AUDITS The books, records, documents, and accoUnting procedures and practices of the
GRANTEE relevant to this grant contract shall be subject to examination by the contracting department
and the Legislative Auditor for a minimum of six years from the end of this contract.
REPORTS AND DOCUMENTS REOUIRED FROM THE GRANTEE
A. Federally-mandated steps, required for compliance with the drug-free workplace and lobbYing
restrictions must be met by all grantees.
B. planning Advisory Committee Progress Report. If the grant is for the start-up, improvement or
implementation of a planning advisory committee, a progress report will be submitted to the
Division of Emergency Management with each request for payment, and will describe the
performance of, or accomplis .hment of, objectives/activities stated in the GRANTEE'S grant
application.
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Ce
Exercise Evaluation Report. I/the grant'is for the exercising of emergency response plans, an.
evaluation report based on the Federal Hazardous Materials Exercise Evaluation Methodology must
be submitted to the Division'ofEmergency Management with each request for payment.
De
Conference Evaluation Report.. if the grant is for a'Conference relating to hazardous materials
planning and/or response, a conference evaluation report will be submitted to the Division of
Emergency Management with each request for payment, and will describe the performance of, or
accomplishment of, objectives/activities stated in the GRANTEE'S grant application.
.E. Financial Reporting. To obtain financial information concerning the use of federal funds, the
Hazardous Materials Transportation Act requires that recipients 0f these funds submit timely
financial documents for review. Documentation may follow GRANTEE'S normal accounting
procedures, but must show and document work completed as specified in the. grant application. The
GRANTEE also agrees to keep records that support these expenses and make these records available
upon request by the STATE. Financial reports will be submitted with each invoice.
:
DATA PRACTICES ACT The GRANTEE must comply with the Minnesota Data Practices Act,-'
Minnesota Statute, Chapter 13, as it applies to all data provided by the STATE in accordance with this
Grant Contract and as it applies to all data created, collected, received, stored,; used, maintained or
disseminated by the GRANTEE in accordance with this Grant Contract. The civil remedies of
Minnesota Statutes Section 13.08 apply to the release'of the data referred to in this Article by either
the GRANTEE or the STATE.
In the event the GRANTEE receives a request to release the data referred to in this Article, the
GRANTEE, must immediately notify the STATE. The STATE will give the GRANTEE instructions
concerning the release of the data to the request~g party before the data is released.
OWNERSH~ OF MATERIALS AND INTELLECTUAL PROPERTY RIGHTS
A.' The STATE shall own all rights, title and interest in_all of the MATERIALS conceived or created by
-the GRANTEE, or its employees or subgrante.es, either individually or jointly with others and which
arise out of the performance of this grant contract, including any inventions, reports, studies,
'designs, drawings, specifications, notes, documents, software and documentation, computer based
training modules, electronically, magnetically or digitally recorded materiaI,.and other work in
Whatever form ("the MATERIALS")..
The-GRANTEE hereby assigns t° the STATE all rigt/ts, title and interest to the MATERIALS.
GRANTEE shall, UPon request of the STATE, execute all papers and perform all other acts
necessary to assist the STATE to obtain and register copyrights, patents or other forms of protection
provided by law for the MATERIALS. The MATERIALS created under this grant contract by the
GRANTEE, its employees or subgrantees, individually or jointly with others, shall be considered
"works made for hire" as defined by the U.S. Copyfi'ght Act. All of the MATERIALS, whether in
paper, electron/c, or other form, shall be remitted to the STATE by the GRANTEE, its employees
and any subgrantees, shall not copy, reproduce, allow or cause to have the MATERIALS copied,
reproduced or used for any purpose other than performance of the GRANTEE'S obligations under
this grant contract without the prior written consent of the STATE'S authorized representative.
ADMIN 1051 gtc.doc (07-01-98)
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Bo
GRANTEE represents and Warrants that MATERIALS produced or used under this grant contract-do
not and will not infringe upon any intellectual property rights of another, including but not limited' to
patents, copyrights, trade secrets, trade names, and service mark's and names. GRANTEE will'
indemnify and defend the STATE at GRANTEE'S expense from any action Or claim brought against
the STATE to the extent that it is based on a claim that all or part of the MATERIALS infringe upon ·
the intellectual property fights of another. GRANTEE shall be responsible for payment of any and
all such claims, demands, obligations, liabilities, costs, and damages including, but not limited to,
reasonable attorney fees arising out of th/s grant contract, amendments and supplements thereto,
which are attributable to such claims or actions.
If such a claim or action arises, or in GRANTEE'S or the STATE'S opinion is .likely to arise,
GRANTEE shall at the STATE'S discretion either procure for the STATE the right or license to
continue using the MATERIALS at issue or replace or modify the allegedly infringing
MATERIALS. This remedy shall be in addition to and shall not be exclusive to other remedies
provided by law.
XIV. PUBLICITY Any publicity given to the program, publications, or services provided resulting from this
grant contract, including, but not limited to, notices, informational pamphlets, press releases, research,
reports, signs, and similar public notices prepared by or for the GRANTEE or its employees individually
or jointly with others, or any subgrantees shall identify the STATE as 'the sponsoring.agency and shall
not be released, unless such release is a specific part of an approved work plan included in this grant
contract pr/or to its approval by the STATE'S authorized representative.
AFFIRMATIVE ACTION (When applicable) GRANTEE certifies that it has received a certificate of
compliance from the Commissioner of Human Rights pursuant to Minnesota Statutes, Section 363.073.
It is hereby agreed between the parties that Minne..sota Statutes.~ Section 363.073 is incorporated into this
contract by reference.
XVI. WORKERS' COMPENSATION (When applicable) In accordance with the provisions 0fMinnesota
Statutes, Section 176.182, the STATE affirms that GRANTEE has provided acceptable evidence of
compliance with the workers' compensation insurance coverage requirement of Minnesota Statutes,
Section 176.181, Subdivision 2.
ANTITRUST GRANTEE hereby assigns to the State of Minnesota any and all claims for overcharges
as to goods and/or services provided in connection With this contract resulting from antitrust violations
which arise under the antitrust laws of the United Siates and the antitrust laws of the State of
Minnesota.
JURISDICTION A_ND VENUE This grant contract, and amendments and supplements thereto, shall
be governed by the laws of the State of Minnesota. Venue for all legal proceedings arising out of this
grant contract, or breach thereof, shall be in the state or federal court with competent jurisdiction in
Ramsey County, Minnesota.
XIX. OTHER PROVISIONS (Attach additional pages as necessary):
A. FEDERAL AUDIT REQUIREMENTS, which are.hereby incorporated by reference, labeled
Attachment B, and made a part of this agreement.
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: -
B. cERTIFICATION OF COMPLIANCE WITH OOVERNMENT-~E GUIDANCE ON
- LOBBYING RESTRICTIONS (31 U.S.C. 1352), which is hereby incorporated by reference,
labeled Attachment C, and made a part of this agreement.
C. ASSURANCE OF COMPLIANCE WITH' TITLE vi OF THE ciVIL RIGHTS~ ACT OF .!964;
Which is hereby inc°rporated by reference, labeled Appendix B, and made a-part of this
agreement.
· GRANTEE shall complY with Attachments A, B, and C, and Appendix B, which are hereby.
incorporated by reference and made a part of this agreement.
IN WITNESS WHEREOF, the parties have. caused this grant contract to be duly executed intending to be bound
thereby.
APPROVED:
1. GRANTEE: City of Chanhassen
2. STATE AGENCY:
GRANTEE certifies that the. appropriate person(s) have executed the contract
on behalf of the GRANTEE as required by applicable articles, by-laws,
resolutions, or ordinances.
By (authorized signature)
By
Title .-
Title
Date
Date
By
Title
Dat~
Distffbution:
Agency - Original (fully executed) contract
Grantee
State Authorized Representative
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MINNESOTA' -
· .Public-Safety'"
· .. ,~.T.TAC.HMEN.T-
.
·
~SO'TX:'DEPAR~NT OF PuBL'Ic-!iS~
DMSION OF EMERGEN~'~A~MENT
444"CEI)ARS~ET, SUITE.223
ST..PAUL, :~SOTA 55! 01-6223
PHONIC: (65.1).296-2233
FAX:. (651) 296-0459
Grant Application .for an
'Exercise c/
INTERNAL USE ONLY:
HMEP SARA
Organization/Agency Name* Chanhassen Fire Department- Dive Team
Organization Address- 69'0 City Center Drive
City Chanhassen State MN ZIP ___55317
* Organization/agency 'must be eligible to receive federal grant monies.
Who is th~ contact person?
Name. Greg Hayes Title
City
Mailing Address
Name·__Greg'Hayes
City'
Same as above
Mailing Address
..
Phone (952:) 937-1900 x262
Fire Inspector/Training'Chief
State
..
Who,is the local emergency management directOr?
Same as above
Phone ,( 952 ) 937-1900 x262
ZIP
· Title__Fire Inspector/Training Chief
State ZIP
A-1
· . j '
..
..
DESCRIBE YOUR PROPOSED TRAI/gING:
DESCRIBE HOW THIS TRAINING WILL BENEFIT PUBLIC SECTOR RESPONDERS IN
THEIR RESPONSE TO HAZARDOUS MATERIALS INCIDENTS. ATTACH Tme~
COURCE OUTLINE OR ADGENDA FOR TRAINING.
Ctm'ently the dive teams participating in the training do not have any training in the decontamination
Of divers. This course will bring the responders into compliance with OSHA and NFPA standards for
Responding to diving emergencies that have hazardous materials involved.
Trainers: Greg Hayes- Chanhassen Fire Department 8 years-.Hazmat Topics
Richard Hagen- Washington & Ramsey County Dive Team Trainer, 30 years, dive training
experience. Teaching diving topics, ~-
.-
LOCATION, DATE, TIME
Product Identification ICS- Feb 7, 2001
Decontamination- Feb 10, 2001
Equipment & Maintenance- March 7, 2001
Scenarios- March 10, 2001
MAJOR OBJECTIVES (Must include prevention of, response to, and recovery·from hazardous
materials incidents)
The'objective of this training is to teach the responder how to safely respond to water related . .
emergencies that involve hazardous materials. The students Will be.able to identify a product and
its properties. After evaluating the chemical they will'~et up exclusion zones and a decontamination
cooridoor. The students will learn how to decontaminate entry team and. all equipment.
Attach a copy of a course outline and 'biographical.sketch of the instructorslfor the
proposed training.
o.
~kNTICIPATED RESULTS/BENEFITS:
The dive team will.have the prope~ ~/ning knowledge to'go through a decontamination system and .
'ensure that all contaminates are removed fi.om the equipment.. The students'will be able to better
·
identify chemical properties and potential outcomes.
LIST LOCAL AGENCIES INVOLVED IN EXERCISE:
NAME
Charthassen Fire Department
Washington County
Ramsey County
Dive Team
Dive Team
Dive Team
DISCIPLINE
(For d0~umentation purposes, pi~as~e'list aH costs?)'.
· .
Expense Category '
,-
PERSONNEL (Straight time only)
(List by organization/departmen0
Chanhassen Fire Department- Dive-Team
Washington Dive Team
Ramsey County Dive Team
Number Hours
10
15
15
24
24
24-
Cost
$1920.O0
$2880.00
$2880.00
VOLUNTEER PERSONNEL (for docu-
mentation purposes, please assign a
value to these hours)'
Travel
·
Rental
Office.Supplies- Books Handouts
Mailing
Meeting Expenses
Food- Doughnuts, Etc
Refreshments- Pop, Coffee~ Etc
Other ·-
TOTAL
*Grant may not cover aH costs.
$200.00
·
, .
$30.00
$20.00
. .
·
/1-4
FEDERAL AUDIT REOUIREMENTS
For subrecipients who are state (includes Indian tribes)'or local governments
...If the grantee expends total direct and indirect federal assistance of: .
Equal to or in excess of $300,000. or more per year, the grantee agrees to. obtain a financial and compliance
audit, made in accordance w/th the Single Audit Act of 1984. (Public. Law 98-502) and the federal Office of
Management and Budget (OMB). Circular A-133: 'The law and circular provide that the audit shall cover the
entire operations of the grantee government or, at the option of the grantee government, it may Cover
departments, agencies or establishments that received, expended, or otherwise administered federal financial
assistance .during the year.
Audits. shall be made annually unless the State or local, govermnent has, by January 1, 1987, a constitutional or'
statutory, requirement for less frequent audits.. For those governments, the cognizant agency shall permit biennial
audits, covering both years, if the government so requests. It shall also honor requests for biennial audits by
governments that have an administrative policy calling for audits less frequent than annual, but only roi' fiscal years'
beginning before January 1, 1987. '
2. For subrecipients 'who are institutions of higher education, hospitals, or other nonprofit organizations
I/the grantee expends total direct and indirect federal assistance of $300,000 or more per year} the grantee.
agrees to obtain a financial and compliance audit made in accordance with OMB Circular A-133. The audit
must be. organization wide audit, unless it is a coordinated audit in accordance with OMB Circular A-133.
However, when the $300,000 or more. was expended under only one program, the subrecipient may have an
audit of that one program.
Audits shall usually be made annually, but not less frequently than every tWo years.
All audits shall be made by an independent auditor. An independent auditor is a state or local government auditor or
a public accountant who meets the. independence standards specified in the General Accounting Office's. Standards
for Audit of Governmental Organizations, Programs, Activities, and Functions.
4. Audit reports shall state that the audit was performed in accordance with the provisions of OMB Circular A-133,. as
applicable.
,' :
5~
The reporting requirements for audit reports shall be. in accordance with the American Institute of Certified Public
Accountants' (AICPA) Statement on Auditing Standards (SAS) 5'8, "Reports on Audited Financial statements'' or,
SAS 62, "Special Reports", as applicable.
The reporting requirements for audit reports on. compliance and internal .controls shall be in accordance with
AICPA's SAS. 63, "Compliance Auditing Applicable to Governmental Entities and Other Recipients Of
Governmental Financial Assistance" and Statement of Position (SOP). 89-6, "Auditors' Reports in Audits of State
and Local Governmental Units."
In addition to the audit report, the recipient shall provide comments on the findings and recommendations in the
report, inclUding a plan for corrective action taken or planned and comments on the status of corrective action taken
on prior findings. If corrective action is not necessary a statement describing the reason it is not should accompany
the audit report.
The grantee agrees that the grantor, the Legislative. Auditor, the State .Auditor and any independent auditor
designated by the grantor shall have such access to grantee's records and financial statements as maybe necessary
for the grantor to comply with the Single Audit Act and OMB'Circular A-133, as applicable.
B-1
o
"Cu'antees of federal 'financial' assistance from'subrecipients are also required to comply With the Single'AUdit Act and
the OMB C/rcular A-133, as. applicable.
The grantee agrees to. retain documentation to. support the schedule, of federal assistance.
Required audit reports'must be filed with the. Office of the State Auditor, Single Audit Division and with' the '
_Department of Public Safety~ within 30 days after the. completion of the audit, but no 'later. than one. year after the end
of the' audit period.
The Department of Public Safety's.audit report should be-addressed to:
Minnesota Department of Public Safety
Office of Fiscal and Administrative Services
~.~. Cedar. Street, Suite 126, Town Square
St. Paul, MN 55101-5126
Recipients expending more than $300,000 in federal'funds are to submit one copy of the audit report within 30 days-
after issuance to the clearinghouse at the following address:
Bureau of the Census, Data Preparation Division
1201 East 10th Street
Jeffersonville, Indiana 47132
Attn: Single. Audit Clearinghouse
B-2
Anti-Lobbying Certification
ATTxcHMENT c
CERTIFICATION. OF COMPLIANCE WITH GOVERNMENT-WIDE
GUIDANCE ON. LOBBYING RESTRICTIONS
(3~ U.S.C.
The undersigned Grant Recipient certifies, to the best of his or her knowledge and belief, that:
No federal appropriated funds have been paid or will be paid, by or on behalf of the Grant Recipient, 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 awarding of any federal contract, the making of any Federal grant, the making of any Federal
loan, the entering into of any cooperative agreement, or modification of any Federal contract, grant, .loan,
or cooperative agreement.
If anY funds other 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
contract, grant, loan, or cooperative agreement, the Grant Recipient shall complete and submit Standard
Ponn LLL, "Disclosure Form to Report Lobbying," in accordance With its instructions..
3. The Grant Recipient shall require that the language of this certification be included in the award documents
for ali subawards at all tiers (including subcontracts, subgrants, and contracts under-grants, loans, and
cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
.
This certification is a material representation of fact upon'Which relian~ce was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, Title 31, U.S. Code. Any person who fails to file the required certification
shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for such failure.
'GRANTEE: City of Chanhassen
B~
Title:'
By:.
Title:
Date:
C-1
APPENDIX B
ASSURANCE OF COMPLIANCE WITH
TITLE. VI OF THE CML RIGHTS ACT OF 1964
DEPARTMENT'OF TRANSPORTATION
-During the performance of this contract, the contractor, 'for itself, its assignees and successors in interest
(hereinailer referred to as the "contractor" agrees as follows:
, -
Compliance with Re,relations: The contractor shall comply with the Regulations relative t°
nondiscrimination in Federally assisted programs of the Department of Transportation (hereinafter "DOT")
Title 49, Code of Federal Regulations, Part 21, as they may be amended-from time to time, 0aereinaf~er
referred to as the Regulations), which are herein incorporated by reference and made a part of this'contract,
o
Nondiscrimination: The contractor, with regard to the work performed by it during the contract, shall not
discriminate on the grounds of race, color, sex, or national origin in the selection and retention of i-
subcontractors, including procurement of materials and leases of equipment. The contractor shall not
participate either directly or indirectly in the .discrimination prohibited by Section 21.5 of the Regulations,
including employment practices when the contract Covers a program set forth in Appendix B of the
Regulations.
Solicitation for Subcontracts, Including Procurement of Materials and Equipment: In all solicitations
either by competitive bidding or negotiation made by the contractor for work to be Performed under a
subcontra.ct, including procurement of materials or leases of equipment, each potential-subcontractor or
supplier shall be notified by the contractor of the contractor's obligations under this contract and the
Regulations relative to nondiscrimination on the grofinds of race, color, seX, or national origin.
Information and Reports: The contractor shall provide all information and reports required by the
Regulations or directives issued pursuant thereto, and shall permit access to its books, records, accounts,
other sources of information, and its facilities as maybe determined by the State of Minnesota or the
Research and Special Programs Administration (RSPA) to be pertinent to-ascertain compliance with.such
Regulations, orders and instructions: Where any information required of a contractor is in the exclusive
possession of another who fails or refuses to furnish this information the contractor shall so certify to 'the
State of Minnesota or the Research and Special Programs Administration as appropriate, and shall set-forth
what efforts it has made to obtain the information.
Sanctions for Noncompliance: In the event of the contractor's noncompliance with nondiscrimination .
provisions of this contract, the State of Minnesota shall impose contract sanctions as it or the Research and
Special Programs Administration may detenuine to be appropriate, including, but not limited to:
(a) withholding of payments to the contractor under the contract-until the contractor complies; and/or
(b) cancellation, termination, or suspension of the contract, in Whole or in part.
..
APPENDIX B- PAGE 1
InCorporation.of PrOvisions: ,:The contractor shall include the rrovisions'ofparagraplis (1) throUgh (6) in
e~very, sUbcontract, including'procurement of materials and leases of equipment, unless eXempt by the
Regulations, or directives issued pursuant thereto..The cOntractor.shall take such action with respect to any
subcontract or-procurement as the State of Minnesota or the R~search and Special Programs
Administration may direct as a means of enforcing such provisions including sanctions for noncompliance;
provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with:
a subcontractor or supplier as a result of such direction, the contractor may request the State of Minnesota"
to enter into such litigation to protect the interests of the State of Minnesota, and in addition, the contractor
may request the United States to enter into such litigation to protect the interests of the United States.
APPENDIX B - PAGE 2
ATTAcitMENT D
· STATE OF. MINNESOTA, DEPARTMENT. OF pUBLIC SAFETY
Division of Emergency Management
4'44 Cedar Street, Suite 223
St. Paul. 'Minnesota 55101-6223
ItAz~Ous. MATERIALS EMERGENCY PREPAREDNESS (}IMEP)GRANT
REOBLIGATION FORM
GRANT PERIOD February 7. 2001. September 30, 2001
Greg H-ayes
City of Chanhassen
690 City Center Drive
Chanhassen, MN 55317
·
GRANT AWARD AMOUNT: $
REOBLIGATION AMOUNT: $
TOTAL GRANT AWARD AMOUNT: $
FOR STATE USE ONLY"
..
Vendor#: 036770001 Doc. #: 2000-5514
~nvoice #: HMEP GRANT Dept.: P07
FY: 01. Fund: 300 Orgn: 2282 Appr: ·217 Object:
Amount: Date: Fed Rptg Cat: TRNG Task:
I h~'eby certify that the.goods or' mat,rial covered by this claim have been inspected and received or the services~ have been performed, and are in accordance with
specifications and are in proper form, kind, mount and quality, and payment, therefore, is recommended:
System Assign. Rcf. No. Dept.. Authorized .Signature