The URL can be used to link to this page

Home My WebLink About02-19-2013 c2 fire prevention and safety grantS counci ll;aGEnOa nepoa t C I T Y O F S A N L U I S O B I S P O FROM : Charlie Hines, Fire Chie f Prepared By :Julie Cox, Administrative Analys t SUBJECT :FIRE PREVENTION AND SAFETY GRAN T RECOMMENDATIO N 1.Authorize the City's submittal of a grant application in the amount of $102,000 to Federa l Emergency Management Agency (FEMA) for fire prevention and safety grant for 2013 . 2.Authorize the City Manager to accept and appropriate the funds to the Fire Department if th egrant is awarded to the City . DISCUSSIO N Backgroun d Following an increase in fire deaths in the City of San Luis Obispo in the last two years, thre e Departments (Parks and Recreation, Police and Fire) have researched and developed a safet y • awareness, education, and smoke alarm check and installation program . The program targets senior s aged 60 and over especially individuals that are deaf or hard of hearing . The goal of the program i sto prevent fire deaths, injuries, and residential fires in the City of San Luis Obispo . The 2010 census data indicates an increasing older population in the City of San Luis Obispo . Ther e are 5,414 individuals who are 65 and over, 12 percent of the City of San Luis Obispo population .The State percentage is 11 .4 percent. Analysis of the statistics from the American Communit y Survey 2006-2010 provides a breakdown of seniors by age group : 1,834 individuals age 65-74 year s(4.1 percent); 1,628 age 75 – 84 years (3 .6 percent); and 1,138 age 85 years and over (2 .5 percent). The senior population has increased since the American Community Survey was conducted a sindicated by the 2010 census data . There are close to 2,000 persons age 65 and over living alone . Of these single households, 499 are male and 1,458 are female . According to the Hearing Los sAssociation of California one in ten people have a hearing loss . The grant target population wil linclude seniors age 60 and above . In the last two years in the City of San Luis Obispo there were three fire deaths with two involvin gsenior citizens . In both cases, the senior citizens' smoke alarms were not working . It has bee n determined that additional education and assistance in checking smoke alarms and installing new batteries and/or new smoke alarms is needed to prevent future fire deaths . Also of concern is th eissue of seniors falling ; falls are a threat to the health and independence of older adults and ca n significantly limit their ability to remain self-sufficient . Therefore, a program called Rememberin g When : A Fire and Fall Prevention Program for Older Adults developed by National Fire Preventio n Association (NFPA) and the Center for Disease Control was selected to address both fire and fal lprevention. eeting DateFebruary 19,201 3 rem Number C 2 • C2-1 Fire Safety and Prevention Grant Page 2 Program This grant application is a collaborative between Parks and Recreation, Police, and Fir e Departments . The grant, if funded, will help the City increase fire prevention and safety awarenes s by implementing a comprehensive educational program along with a smoke alarm check an d installation program for seniors . The fire prevention and safety grant program plans to include the following : 1)A collaborative effort between three city departments (Parks and Recreation, Fir e and Police) utilizing the expertise and knowledge to increase safety for senio r citizens, especially persons who are deaf/hard of hearing in the City of San Lui s Obispo . 2)A 20 hour Project Coordinator will coordinate the three way partnership an d implement the Safety Program for senior citizens . The program will include fir e prevention and safety messages through presentations, media and special events , smoke alarm testing and installation, fall prevention for senior citizens, and education on calling 9-1-1 . 3)An evidence based presentation,Remembering When : A Fire and Fall Prevention Program for Older Adults developed by NFPA and the Center for Disease Contro l will be provided by Project Coordinator and/or trained volunteers for senio r audiences . 4)A presentation,Tips on Making an Effective 9-1-1 Call,will be provided by th e Police Department Communications Technician . 5)Door-to-door distribution of smoke alarm information . Volunteer student group s from Cal Poly will distribute the safety information . Prior to the distribution, the students will receive training on fire safety and be encouraged to discuss smok e alarm safety with residents as they distribute the information door-to-door . Information will include the availability of free smoke alarms and installation fo r the targeted age groups by contacting the City of San Luis Obispo Fire Department . 6)Participation at special events that target seniors adults and distribution of fir e prevention promotional items such as canvas bags used for grocery shopping and a magnet or notepad with a fire prevention message printed on the item . 7)Media outreach : Fire prevention and safety information and education materials o n website, press releases, advertisements in the Senior Services Directory, newspape r and other appropriate media outlets . 8)Education outreach through messaging on items distributed at special events such a s notepads, canvas shopping bags and night lights . 9)Testing and installation of smoke alarms by Fire Department Interns for individual s with limited ability to change the battery . Long life batteries will be installed . Dowels will be distributed to assist individuals in testing theft smoke alarms . 10)Outreach and presentations to community groups that work with the persons wit h disabilities and deaf/hard of hearing to provide smoke alarms . • • • C2-2 • Fire Safety and Prevention Grant Page 3 The Program Coordinator will meet quarterly with the collaborative committee (representative s from Parks and Recreation, Police and Fire) to review statistical reports, seek input, revie w upcoming schedule of events and make any needed adjustments to the program . Budget The budget includes personnel cost of $23,000 and supply/equipment cost of $79,000 . Personnel costs for the grant period of one year include a part time (20 hours a week) temporary City Worke r 4 to coordinate the program, ten hours a week for a City Worker 3 - Fire Intern for smoke alar m checks/installations and 2 .5 hours per month overtime for Communications Technician for 91 1 presentations . Program supplies include education literature and DVD's, smoke alarms (standar d smoke alarms and specialized smoke alarms for deaf and hard of hearing) long life smoke alar m batteries and promotional items (night lights, notepads and canvas bags with fire safety message). CONCURRENCE S This grant application has the concurrence of the Parks and Recreation Department and the Polic e Department. FISCAL IMPAC T • If the City were to receive the grant funding from FEMA, there is no match requirement . There would be no additional cost to the General Fund in Fiscal Year 2012-13 or 2013-14 . If the grant i s not funded, the program will not happen . If the grant is funded, funding will be for one year . If the program is funded and successful, additional funding to continue the program will be requeste d through grants or through the budget process . ALTERNATIVE S The Council could decide not to pursue the grant monies . This is not recommended as fir e prevention and education grant opportunities are limited and the grant funds would provide important prevention programs and smoke alarms to at risk groups . ATTACHMENT Fire Prevention and Safety Grant • C2-3 Application Number : EMW-20 I 2-FP-00459 Page I of 2 8 Attachment Entire Applicatio n Preparer Informatio n Prefix or Title 'First Nam e Middle initia l *Last Nam e Organization Name 'Address 1 `City 'State *Zi p 'Primary Phon e "Secondary Phon e Optional Phone "Emai l • Is there a grant-writing fee associated wit h the preparation of this request ? If you answered yes above, what is the fee ? Are you the person to be contacted on matters involving this application? Ye s If no, please specify who should be contacted : Preparer Informatio n Ms . Julie Cox 2160 Santa Barbara Ave San LuisObisp o California 93401 - 805-781-7382 Ext . Type wor k 707-695-9309 Ext . Type cel l Ext. Type Select jcox©slocity .org N o $ • • • ervices .fema .gov/FetnaFireGrantlfiregrantfjsp/prevention2012lapplicationlprint C_gZZC2013 Application Number : EMW-2012-FP-00459 Page 2 of 2 8 Attachment • • • Contact Informatio n * Title Prefi x First Name Middle Initia l * Last Nam e * Primary Phon e *Secondary Phon e Optional Phon e Fa x *Email Title Prefi x First Nam e Middle Initial * Last Name Primary Phon e -Secondary Phon e Optional Phon e Fax *Email Primary Contact Informatio n Administrative Analyst Ms . Julie Co x 805-781-7382 Ext . Type wor k 707-695-9309 Ext . Type cell Ext. Type Selec t jcox@slocity .org Alternate Contact Informatio n Fire Marsha l N/A Rodger Maggio 805-781-7386 Ext . Type work 805-431-4446 Ext. Type cel l Ext. Type Select rmaggio@slocity.org hops://eservices.fema.govlFemaFireGrant/firegran t/jsp/prevention2012/applicationlprint_a ...C t7lz/2013 Application Number :EMW-2012-FP-00459 Page 3 of 2 8 Attachment Applicant Information EMW-2012-FP-0045 9 Originally submitted on 01/17/2013 by Rodger Maggio (Userid : slocity ) Contact Information : Address : 2160 Santa Barbara City : San Luis Obispo State : Californi a Zip : 9340 1 Day Phone : 8057817386 Evening Phone : Cell Phone : Email : rmaggio©slocity .org Application number is EMW-2012-FP-0045 9 ° Organization Name City of San Luis Obisp o * Type of Applicant Municipal If other, please enter the type of Applican t Are you a Fire Department?Yes N o * What kind of organization do you represent?All Paid/Caree r if you answered combination, above , what is the percentage of career members in you r organization ? Are you a non-fire based EMS?N o Type of community served?Suburban •Employer Identification Number,95-600078 1 * What is your Organization's DUNS Number?,09899240 7(call 1-866-705-5711 to get a DUNS number ) * Have you registered with the System for Awar d Management (SAM)?Yes The City of San Luis Obispo is a full-service city tha t provides police, fire, water, sewer, streets, transit , parking, planning, building, engineering and parks &recreation services to the community . The City operates under the Council-Mayor-Cit y Manager form of government . Council members ar e elected at-large and serve overlapping, four yea rterms. The Mayor is also elected at-large but for a two - year term, and serves as an equal member of th e Council. The council appoints the City Manager an d City Attorney . All other department heads ar e appointed by the City Manager . The city is 10 .7 square miles in with a population ofapproximately 45,000 people ;however that numbe r increases to over 100,000 during the daytime hours , as we are the County government operations cente r and business center . California Polytechnic State • • https ://eservices .fema.gov/FemaFireGrant/firegrantljsp/prevention2012/application/print a ...0 013 • Application Number : EMW-2012-FP-0045 9 * Please describe your organization and/or communit y that you serve Page 4 of 2 8 Attachmen t University (Cal Poly), which is just outside the cit ylimits, adds 20,000 people to our service population . The City of San Luis Obispo is surrounded b ymountains and is 10 minutes from the Pacific Ocean .San Luis Obispo is located halfway between Sa nFrancisco and Los Angeles on California's Centra lCoast. San Luis Obispo was the first municipality in the worl dto implement a non-smoking statute in all publi cbuildings, including restaurants and bars . San LuisObispo's air quality is at or below the Californi astandard for acceptable ozone levels every day of th eyear. According to the 2010 census data, there are a nincreasing number of seniors in the City of San Lui sObispo. There are 5,414 individuals age 60 and over , 12 percent of the City of San Luis Obispo population .The State percentage is 11 .4 percent. There are closeto2,000 persons age 65 and over living alone . O fthese single households,499 are male and 1,458 arefemale. According to the Hearing Loss Association o fCalifornia one in ten people have a hearing loss . Th egrant target population will include seniors age 60 an dabove. The grant focus is on this high risk group . • What is the permanent resident population of your 4500 0•Primary/First-Due Response Area or jurisdiction Note if you are not a fire department or EMSserved?organization, you may enter a zero . •In the space provided below, please provide a brief synopsis of the proposed project and then identify th especific goals and objectives of your project(s): The goal of the project is to prevent fire fatalities, injuries and residential fires by providing fir eprevention/smoke alarm information and education as well as checking and installing smoke alarms an dbatteries to senior citizens (age 60 and older), with a special focus on individuals who are deaf/hard of hearing .Objective of the program include :25 fire prevention presentations, participation in five special events ,distribution of 800 smoke alarms with installation provided when needed, at least 25 percent for deaf/hard ofhearing. Follow-up phone calls will be conducted to confirm the smoke alarm was installed . Other objective sinclude: distribution and installation of smoke alarm long life batteries, distribution of educational information ,contact with the media, distribution of dowels to check smoke alarm batteries, home safety checks, an ddistribution of promotional items with a fire safety message .This grant proposal from the City of San Lui sObispo will provide smoke alarm checks, new batteries and smoke alarm installation, safety education an dawareness on fire and fall prevention as well as tips on calling 9-1-1 .The program targets senior citizens ag e60 and over, with a special focus to outreach deaf/hard of hearing individual . This grant will provide funding fora20hour program coordinator that will implement the grant with the support of representatives from the Park sand Recreation Department who offer senior programs and schedule use of city facilities, Police Departmen twho will provide a communication technician employee to provide presentations on calling 9-1-1 and the Fir eDepartment who will provide Fire Interns for smoke alarm checks and smoke alarm and battery installation i fneeded. Volunteer student groups from Cal Poly State University will be utilized to distribute fire preventio ninformation door-to-door in targeted neighborhoods in the City of San Luis Obispo . "Remembering When :AFire and Fall Prevention Program for Older Adults" developed by NFPA and the Center for Disease Control wil lbe provided by project coordinator or trained volunteers . Other components of the program will include use ofmedia, City website and participation at special events targeted to the at-risk groups to increase fire preventio nawareness and education . Supplies needed for the program include smoke alarms, batteries, printed safet yinformation, promotional items and DVD : At our Age . •Please describe your organization's need for Federal financial assistance . •For more than four years, the City of San Luis Obispo has focused on financial sustainability . It has not bee n https ://eservices .fema .gov/FemaFireGrant/firegrant/jsp/prevention2012/application/print_a ...Cg2Z/2013 Application Number :EMW-2012-FP-00459 Page 5 of 2 8 Attachmen t an easy task to embrace this new fiscal reality . Beginning in 2008 the onset of what would become the wors trecession since the Great Depression (now commonly referred to as the Great Recession) was recognize dand the City began efforts to limit its impacts on our financial condition ; these impacts were most severe on th eCity's General Fund . The City began making a series of aggressive expenditure reductions to balance th ebudget. These budget balancing strategies totaled $17 .6 million in the General Fund over the last four years .However, the continuing effects of the economic downturn on our revenues, coupled with significantl yincreasing employee benefit costs, have caused an ongoing structural gap between revenues an dexpenditures in our General Fund which must be addressed . It also became clear that a number of the one -time stop gap measures that were adopted in the 2009-11 budgets were not sustainable on a long-term basi sand a more robust investment in our capital assets was necessary . The result of all of these factors is aGeneral Fund budget gap of $4 .4 million for the two year Financial Plan 2011-2013, which the City needed t oaddress. The 2011-13 Financial Plan focuses on permanent, on-going changes as much as possible, with departmenta loperating reductions and employee concessions being the two largest elements of the budget balancin gstrategy. Revenue enhancements are part of the Financial Plan but were limited due to recognition that th eCity's long-term sustainability depends more on cost control than on development of new revenue sources . Al lof these pieces of the financial sustainability puzzle were included after thorough and rigorous evaluation .Every decision was made with service to the community in mind . All of these decisions were difficult to mak ebut honor a model of shared sacrifice . Moreover, they are necessary in order to right size our operating costs . Unfortunately, expenditures continue to grow at a faster pace than revenues, particularly in the area o femployee retirement . The California Public Employees Retirement System (CaIPERS), which provide sretirement benefits for our employees, was hit hard by stock market losses in 2008, and these losses causedemployer contribution rates to rise significantly . General Fund revenues are up modestly in 2012-13 from 2010-11 levels, with a few exceptions . In particular ,Property Tax revenues are still being impacted by the housing downturn of the last few years, and we arecontinuing to experience a reduction in this important and significant revenue source . Overall, General Fun drevenues are projected to increase by approximately 2% in 2012-13 . The City Council approved the 2011-13 Financial Plan balancing strategy that closes the projected $4 .4 millio ngap. The strategy consists of the following elements : 1) Implementing select, limited new revenues an dincreased cost recovery, 2) Reducing operating program costs and related service levels by approximatel y$1 .8 million beginning in 2011-12, 3) Reducing the cost of personnel via negotiated concessions by $2 .6million annually . The City Council will reach these goals over the next several years . Specific staff reduction to the Fire Department in 2011 included the elimination of the part time PublicEducation Coordinator which eliminated the outreach programs to senior citizens . This grant will re-establish afire prevention program that targets older adults and receives support and expertize from three departments .Ongoing funding will be sought through other grant sources, community groups, the city special tax measur ethat includes public safety programs or requesting donations for the program at classes, presentations, classe sand special events related to this program . Headquarters Physical Addres s Physical Address 1 990 Palm St . Physical Address 2 •City San Luis Obisp o State Californi a •Zip 93401 - 5240 Mailing Address Mailing Address,990 Palm St. Mailing Address 2 City San Luis Obispo •State California • • • https://eservices .fema.gov/FemaFireGrant/firegrant/jsp/prevention2012/application/print_a ...C ?'29/2013 Application Number :EMW-2012-FP-00459 Page 6 of 2 8 Attachment • 93401-524 0 Account informatio n Type of bank account Checkin g Bank routing number - 9 diqit number on the bottom 12100035 8left hand corner of your chec k •Your account numbe r Additional Informatio n * This fiscal year, are you receiving Federal fundin g from any other grant program for the same purpos e for which you are applying for this grant? * This fiscal year, are you receiving Federal fundin g from any other grant program regardless of purpose? 006108024 9 N o Yes * Is the applicant delinquent on anv federal debt?N o If you answered yes to any of the additional question s above, please provide an explanation in the spac e provided below : The City pursues Federal Grant funding for various projects city-wide . Currently the city has budgeted to receiv e Federal Grant funding for Transportation and Street Rehabilitation projects, Federal Transportation Act (FTA ) funds for transit system and Federal Emergency Management Agency (FEMA) funding for Local Hazard Mitigation Update Plan and thermal imaging cameras . • • hops ://eservices .fema .gov/FemaFireGrant/fuegrant/jsp/prevention2012/application/print_a ...C 1201 3 Application Number : EMW-2012-FP-00459 Page 7 of 2 8 Attachmen t Request Informatio n w 1 . Select one of the choices listed below . You can apply for a maximum of 3 projects within an activity . (If you modify your selection, you will lose data entered under the original aside ty.) Program Nam e Fire Prevention and Safet y Request Details Summar y The number of projects and cost for the activity Fire Prevention and Safety are listed in the table below . Activity Number of Projects Total Cos t Fire Prevention and Safety 1 $ 101,536 Fire Prevention And Safety Project s To review other sections of your application, select the appropriate section from the pull-down menu above an d then press the Go button . You may edit this application if you want to correct a mistake .After you have reviewed al l the sections and are satisfied with the information, please click on the Submit Application link on the left to complete your submission . Note : Fields marked with an ` is required . Fire Prevention and Safet y General Education/Awareness Project Action General Education/Awareness - Capabilities Information View Details Project Action General Education/Awareness-Smoke Alarm Campaign View Detail s Item Number of units Cost per unit Total Cost Action Printed Educational Material 150 $ 21 $ 3,150 View Detail s Remembering When Information 1 $ 275 $ 275 View Detail s DVD, At Our Age 3 $ 315 $945 View Detail s Refreshments for Presentation 25 $ 30 $ 750 View Detail s Salary - Program Coordinator, City Worker 4 1040 $ 14 $ 14,560 View Detail s Salary - Fire Intern, City Worker 3 520 $ 13 $ 6,760 View Detail s Salary - Communications Technician Polic e Department 30 $ 59 $ 1,770 View Detail s Benefits - Program Coordinator 1 $ 300 $ 300 View Detail s Benefits - Fire Intern 1 $ 150 $ 150 View Detail s Benefits - Communications Technician 1 $ 75 $ 75 View Detail s Fuel 1 $ 1,356 $ 1,356 View Details • https /eservices.fema .gov/FemaFireGrantlfregrant/jsp/prevention2O12/application/print_a .C2 IM /2013 • • Application Number : EMW-2012-FP-00459 Page 8 of 2 8 Attachment •Dowel $ 1,000 $ 1,000 View Detail s Promotional Item - Canvas Bags 2500 $ 2 $ 5,000 View Details Promotional Item - Magnets 20 $ 21 $ 420 View Detail s Promotional Item - Flashlights 50 $ 23 $ 1,150 View Detail s Promotional Item : Notepads 2000 $ 2 $ 4,000 View Detail s Promotional Item - Night Lights 1000 $ 2 $ 2,000 View Detail s Water Bill Mailer Fire Safety Insert $ 250 $ 250 View Detail s Smoke Alarms for the deaf/hard of hearing 200 $ 170 $ 34,000 View Detail s Long Life Batteries 500 $ 7 $ 3,500 View Details Standard Smoke Alarms 600 $ 20 $ 12,000 View Details Tax, Shipping/ Handling and Advertisements $ 8,125 $ 8,125 View Details Total Cost $ 101,536 General Education/Awareness Project(s ) View Project General Education/Awareness Project Informatio n *1 . Project *If you selected other, above, please specif y '2 . Who is the target audience for the planned project ? *3 . What is your estimated size of the target audience ? *4 .How was this target audience determined ? If none of the above, briefly describe the method used to Census data, Fire Department statistics, Key Informan tdetermine target audience .inpu t *5 . Will you install the alarms?Yes If no, Describe the plan for ensure the alarms will beinstalled Detectors to be installed will comply with NFPA repor ttitled Smoke Alarms in US Home Fires September 2009 Marty Aherns which states, for the bes t • • Smoke Alarm Campaign Adults over 6 5 High risk grou p Other adults 60 an dolder 8500 Informal Assessment bttps :l/eservices .fema .gov/FemaFireGrantlfiregrantlj sp/prevention2012/application/print_a .C 21 /2/201 3 Application Number : EMW-2012-FP-00459 Page 9 of 28 Attachmen t *6.Describe the type of alarms that will be installed and protection both types of alarms, or a combinatio n the rationale for this selection alarm (photoelectric and ionization) should b e installed in homes . At least 25% of the smoke alarm s purchased will meet NFPA standards for the deaf o r hard of hearing due to the large number of elderly , disabled and hard of hearing in the target audience . *7.In the space provided below, please explain your experience and ability in developing and conducting (i .e ., timely and satisfactory project completion) past fire prevention and safety projects . Additionally, pleas e demonstrate the experience and expertise you have in managing the type of project you are proposing : This exciting project is a collaborative effort between three city departments . The collaboration brings th e strengths and expertise of each department to inform and educate at-risk age groups regarding smoke alar m safety as well as fire and fall prevention . The Parks and Recreation Department is experienced in providin g senior programs and special events to all age groups, many targeted specifically for senior citizens . The Park s and Recreation Department also coordinates the use permits for city facilities . The Police Department will provid e the staffing expertise and presentations on Tips for calling 9-1-1 and home safety . The Fire Department i s experienced checking and installing smoke alarms, home safety checks and providing fire prevention programs . Senior citizens attending the safety program, Remembering When : a Fire and Fall Prevention Program for Olde r Adults will be referred to Parks and Recreation Department senior programs if interested in participating i n strength, balance and exercise classes . The coordinating committee (representatives from the three cit y departments) has experience with program development and implementation, special events, gran t management, media relations, collaborations and program evaluation . 8. The narrative portion of the application should contain supporting information that allows for evaluation of thi s project. If you are applying for a grant in the Fire Prevention and Safety Activity, your Narrative Statement mus t address the evaluation elements as outlined in the FY2012 Program Guidance .O . Keep in mind that the evaluation of your application will also be based on a clear understanding of you r proposal, your ability to meet the objectives of the program, and your probability of successfully delivering you r project to the population targeted . You need to fully explain how the funds will be used to accomplish the goal s of your project . To that end, be sure to include descriptions/justification for all budgeted items - items no t justified may be disallowed . Your narrative is broken out into 6 separate sections . Each section will address each of the criteria which you r application will be evaluated and scored . Due to the built in "time-out" feature,we recommend you create th e narrative text in your word processing system and then copy it into the spaces provided below . Images , attachments, and special characters of formatting (i .e .: quote marks, bold print, bullet points, symbols, etc .) are not allowed . *8a . Vulnerability Statement : What is the vulnerability in your community that you have identified? Wha t statistics correspond with and support your project and target audience? Please describe the step s which were taken to determine the vulnerability and target audience and describe the methodology fo r determining all of the above . As a result of a 300 percent increase in fire deaths in the City of San Luis Obispo in the two years, a collaborativ e effort of three San Luis Obispo city departments (Parks and Recreation, Police and Fire) have researched an d developed a safety awareness, education and smoke alarm check and installation program . The program targetsseniors age 60 with a special focus on outreach to at-risk group : persons who are deaf/hard of hearing . The goa l of the program is to prevent fire deaths, injuries and residential fires in the City of San Luis Obispo . The 2010 census data indicates an increasing older population in the City of San Luis Obispo . There are 5,41 4 individuals age 65 and over, 12 percent of the City of San Luis Obispo population . The State percentage is 11 .4percent. Analysis of the statistics from the American Community Survey 2006-2010 provides a breakdown o fseniors by age group : 1,834 individuals age 65-74 years (4 .1 percent), 1,628 age 75 – 84 years (3 .6 percent) an d1,138 age 85 years and over 2 .5 percent . The senior population has increased since the American CommunitySurvey was conducted as indicated by the 2010 census data . There are close to 2,000 persons age 65 and ove r living alone . Of these single households, 499 are male and 1,458 are female . According to the Hearing Los sAssociation of California one in ten people have a hearing loss . The grant target population will include senior sage 60 and above . In the past two years in the City of San Luis Obispo there were three fire deaths, two of the fire deaths were • • • https ://eservices .fema .govfFemaFireGrantlfiregrant/jsp/prevention2012/application/print_a,C 2 1R2/2013 Application Number : EMW-2012-FP-00459 Page 10 of 2 8 Attachment •senior citizens . In both cases, the senior citizen's smoke alarm was not working . It has been determined tha tadditional education and assistance in checking smoke alarms and installing new long life batteries and/or ne wsmoke alarms is needed to prevent fire deaths . Also of concern is the issue of seniors falling and so we hav eselected a program Remembering When : A Fire and Fall Prevention Program for Older Adults developed b yNFPA and the Center for Disease Control that will address both fire and fall prevention . The methods used to determine the target audiences were : 1) a review of local fire statistics (NFIRS), 2) revie wof U .S . census data, and 3) conversations with key informants . Reviewing the statistics from fire incidents ther ehas been a 200 percent increase in fire deaths in the senior population in the last two years . Also according tothe Hearing Loss Association of California one in ten people have a hearing loss . This at-risk population has als obeen included as a target population . Discussion with key informants including the Fire Chief, Fire Marshal ,Police Department Communications and Records Supervisor, as well as Parks and Recreation staff determine dthe target populations were at-risk populations and could benefit from fire safety awareness and education toprevent fire deaths and injuries . *8b .Implementation Plan : Provide details on the implementation plan which discusses the propose dproject's goals and objectives . What are the methods and specific steps that will be used to achieve th egoals and objectives? If applicable, what examples can you provide of marketing efforts to promote th eproject? Who will deliver the project and what partnerships may be involved? How will the materials o rdeliverables be distributed ? The goal of the project is to prevent fire fatalities, injuries and residential fires by providing safety information an deducation as well as checking and installing smoke alarms and batteries to senior citizens (age 60 and older),with a special focus on individuals who are deaf/hard of hearing . Objectives of the program include :1)Twenty-five fire prevention presentations provided by the program coordinator, communications technician(dispatcher) or volunteer s2)Participation in five special events which focus on older adult s3)Distribution of 800 smoke alarms at least 25 % for deaf/hard of hearing ,with installation provided when needed by the Fire Department Interns, or program coordinator or othe rdesignated individuals ,•4) A follow-up call will be conducted to confirm smoke alarm installed.5)Distribution of smoke alarm batteries long life 700 at special events, door to door campaign or presentation s6)Installation of smoke alarm batteries long life 20 07)Distribution of educational information 10,000 presentations, special events, water bill maile r8)Media contacts (awareness and educational material, advertisements) 2 09)Distribution of dowels to check smoke alarm batteries 1000 at special events, door to door campaign o rpresentations10)Home safety checks 30 011)Distribution of promotional items at special events and presentations 3,00 0 The steps and methods that will be used to achieve the goals and objectives include :1)A collaborative effort between three city departments (Parks and Recreation, Fire and Police) utilizing th eexpertise and knowledge to increase safety for senior citizens, especially individuals who are deaf/hard o fhearing in the City of San Luis Obispo .2)A part time Program Coordinator will coordinate the three way partnership and implement the Safety Progra mfor senior citizens, especially persons who are deaf/hard of hearing . The safety program will include safet ymessages through presentations, media and special events, door –to-door fire prevention information, smok ealarm testing and installation, fire and fall prevention program and education on calling 9-1-1 .3)An evidence based presentation for senior audiences using the Remembering When : A Fire and Fal lPrevention Program for Older Adults developed by NFPA and the Center for Disease Control will be provided b yproject coordinator or trained volunteers .4)Safety presentations on fire and fall prevention as well as Tips on Making an Effective 9-1-1, or use of th eDVD At Our Age .6)Door-to-door distribution of smoke alarm information and when needed smoke alarms . Volunteer studen tgroups from the Cal Poly will distribute the safety information . Prior to the distribution the students will receiv etraining on fire safety and be encouraged to discuss smoke alarm safety with residents as they distribute th einformation door-to-door . Information will include the availability on of free smoke alarms and installation for th etargeted age groups by contacting the City of San Luis Obispo Fire Department .7)Participation at special events that target seniors, with a focus on deaf/hard of hearing such as Senior Expo ,Area Agency on Aging events promotional items such as canvas bags used for grocery shopping, magnet o r•notepad with a fire prevention message printed on the item .B) Media outreach : Safety information and education materials on website, press releases, advertisements in th e https :/leservices.fema.gov/FemaFireGrantifiregrant/jsp/prevention2012/application/print a .C2 IO21 12013 Application Number :EMW-2012-FP-00454 Page 11 of 2 8 Attachmen t Senior Services Directory and other appropriate media outlets .9)Education outreach through messaging on items distributed at special events such as notepads canva sshopping bags and night lights .10)Testing and installation of smoke alarms using long life batteries by Fire Department Interns for individual swith limited ability to change the battery . Dowels will be distributed to assist individuals in testing their smok ealarms.11)Outreach and presentations to community groups that work with the individuals who are deaf/hard of hearin gto provide smoke alarms . Installation will be provided by Fire Department interns if needed . '8c .Evaluation Plan : Will the proposed project be periodically evaluated for its impact on th ecommunity? If yes, describe the methodology and steps you plan to take in order to conduct th eevaluation. Several evaluation methods will be used . The program coordinator will meet quarterly with the collaborativ ecommittee (representatives from Parks & Recreation, Police and Fire) to review statistical reports, seek input ,review upcoming schedule of events and make any needed adjustments to the program . The report will include :1.Number of seniors contacte d2.Number of individuals deaf/hard of hearing contacte d3.Number of presentations provide d4.Number of special events5.Number of smoke alarms teste d6.Number of smoke alarm batteries replace d7.Number of smoke alarms installed and type (Age group : 60-64, 65-74, 75-85, 85 and over, deaf/hard o fhearing)8.Types and number of education material distribute d9.Number of volunteers involve d10.Number of volunteer hour s11.Comments/ Other items impacting the grant : At the safety presentations participants (senior citizens, caregivers, disabled, deaf/hard of hearing) will be aske dto complete a brief evaluation at the end of the presentation . The evaluation is intended to measure th eknowledge gained by the presentation . The evaluation results will be provided at the quarterly meetings . An ychanges that need to occur as a result of the presentation evaluations will be discussed by the collaborative an dimplemented by the program coordinator . Special events will be reviewed to determine the value of participation and outreach conducted . The smoke alarm checks, installations and batteries replaced for senior citizens and deaf/hard of hearing will b ereviewed quarterly . If smoke alarm is not installed by the Fire Department, a follow-up phone call will b econducted, to determine if the smoke alarm was installed by recipient, caregiver or other designated individual .The participant will be asked at the time the smoke alarm is distributed if they are able to install or have someon ewho can install the smoke alarm . A quarterly review of media contacts, presentations scheduled and upcoming special events will occur t odetermine if the grant is on track with objectives . '8d .Cost Benefit: Does your project demonstrate a high benefit for the cost incurred? Are the costsassociated with the project are reasonable for the target audience that will be reached? If so ,demonstrate the above in addition to the cost benefits and how you plan to maximize the level o ffunding that goes directly into the delivery of the project . In looking at other programs who have measured the cost effectiveness of a smoke alarm give-away program th efollowing information was obtained from Oklahoma City, Oklahoma program . A cost effectiveness analysis wa sconducted from the Oklahoma City smoke alarm giveaway program (10,000 alarms), from the societal and healt hcare systems perspectives . The study compared program costs with the total costs of medical treatment an dproductivity losses averted over a five year period . Fatal and non-fatal residential fire related injuries prevente dwere estimated from surveillance data .Medical costs were obtained from chart reviews of patients with fir erelated injuries that occurred during the pre-intervention period . During the five years post-intervention, it i sestimated that the program prevented 20 fatal and 24 non-fatal injuries . From the societal perspective, the tota ldiscounted cost of the program was $531,000 . Total discounted net savings exceeded $15 million . From thehealth care system perspective, the total discounted net savings were almost $1 million and would have a ne tsaving even if program effectiveness was reduced by 64%. While the City of San Luis Obispo will give away andinstall fewer smoke alarms than the Oklahoma City program the societal and health care system benefits will • • • https ://esery ices .fema.gov/FemaFireGrantlfiregranttjsp/prevention2012/application/print_a.C 21M/2013 Application Number : EMW-2012-FP-00459 Page 12 of 2 8 Attachment • occu r Volunteers will be used as presenters and to distribute the safety awareness information at fairs and specialevents. The cost benefit of volunteer involvement will be included in reports at the quarterly meetings . The promotional products will all carry a fire prevention message . The City of San Luis Obispo now has a cityordinance that charges a fee of ten cents for grocery bags . The promotional canvas bags will be used and be aconstant reminder promoting fire safety . The other promotional product will be utilized and provide additionalsafety in the home . *8e .Sustainability :Is it your organizations intent to deliver this program after the grant performanc eperiod? If so, how will the overall activity be sustained and what are the long-term benefits? Example sof sustainable projects can be illustrated through the long-term benefits derived from the delivery of th eproject, the presence of non-federal partners likely to continue the effort,or the demonstrated long-termcommitment of the applicant . The collaborative will request funding to continue the program in the 2015-17 City of San Luis Obispo Financia lPlan process . There will also be efforts to create a core of volunteer presenters for the Remembering When :AFire and Fall Prevention Program for Older Adults and safety programs . The door-to-door safety awareness an deducation information will continue through volunteer efforts . Every effort will be made to sustain the program a tthe funded grant level and possible expansion if additional grants can be obtained . Requesting donations for th eprogram at presentations, classes and special events related to this program will also be considered if needed t osustainthe program . We think the outreach efforts by this unique partnership will provide opportunities to see kadditional funding to sustain the program in future years and will seeking opportunities to do so . Your support in providing the first year of funding to initiate the program is instrumental . We are confident th esuccess and public relations oppotunities of this critical project will assist in establishing ongoing funding for th eprogram. 8f .Additional Comments : If you have any additional comments about your project, please provide the mhere. •Thank you for the opportunity to submit the grant . We appreciate your review and consideration of this proposal .The Smoke Alarm Campaign will provide coordinated outreach to an at risk population . With an increasing senio rpopulation in the City of San Luis Obispo, we hope you will fund this fire prevention grant . Budget kern *Item Printed Educational Material *Select Object Class Supplie s If you selected other above, please specif y * Number of units 150 (whole number only ) * Cost per unit $ 21 (Whole dollar amounts only ) NFPA brochures will be distributed at presentations and specia l* Description events . There are 100 brochures per unit .Five different brochure sThe space to the right should be used to provide will purchased . Remembering When : How to Prevent Falls 3further clarification and details on the costs (i .e .9 (0 units ,personnel costs : number of hours/rate/staff ; meeting $630 .) Remembering When : How to Prevent Fires(30 units, $630 .)costs: number of meetings/days/attendees ; travel 10 Tips for Fire Safety (30 units, $630 .) Home Smoke Alarms (3 0costs, etc .) and types of items that you are units, $630 .) Carbon Monoxide Alarms (30 units, $630 .) Pric erequesting. Budget justification should be included in represents NFPA member discount . Tax and shipping have bee nthe project narrative .included in other category . Budget Item *Item Remembering When Informatio n *Select Object Class Supplies If you selected other above, please specif y •* Number of units 1 (Whole number only ) https ://eservices . fema. gov/FemaFireGrant/fregrant/j sp/prevention2012/application/print_a .C2/'9/2013 Application Number : EMW-2012-FP-00459 Page 13 of 2 8 Attachment • * Cost per unit * Description The space to the right should be used to provid efurther clarification and details on the costs (i .e .personnel costs : number of hours/rate/staff ; meetin gcosts: number of meetings/days/attendees ; trave lcosts, etc.) and types of items that you arerequesting. Budget justification should be included i nthe project narrative . Budget Ite m *Ite m *Select Object Class If you selected other above, please specify * Number of units * Cost per uni t * Descriptio n The space to the right should be used to provid efurther clarification and details on the costs (i .e .personnel costs : number of hours/rate/staff; meetingcosts: number of meetings/days/attendees ; trave l costs, etc .) and types of items that you ar erequesting. Budget justification should be included i nthe project narrative. $ 275 (Whole dollar amounts only ) Remembering When : A fire and fall prevention program for olde r adults. Remembering When is a complete step-by-step program tha t teaches life-savings lessons to this high-risk group . It includes lesson plans, brochures, fact sheets, gamecards and more . (Package of 10 Remembering When Programs . Price represent s NFPA member discount . Tax and shipping are included in othe r category . DVD, At Our Ag e Supplie s 3 (Whole number only ) $ 315 (Whole dollar amounts only ) DVD, At Our Age, NFPA's At Our Age with Tom Bosley . A DVD that presents practical strategies for avoiding fires and falls -- the leadin g causes of preventable injuries for seniors . Thhis DVD will be used t o educate seniors,spark conversation, and promote action . NFPA member price $315 . Total cost $945 . Tax and shipping have bee n included in other category . Budget Ite m Item Refreshments for Presentatio n *Select Object Class Supplies If you selected other above, please specify * Number of units 25 (Whole number only ) * Cost per unit $ 30 (Whole dollar amounts only ) * Descriptio n The space to the right should be used to provid efurther clarification and details on the costs (i .e .personnel costs : number of hours/rate/staff; meetingcosts: number of meetings/days/attendees ; travelcosts, etc .) and types of items that you arerequesting. Budget justification should be included i nthe project narrative . Budget Ite m *Item Salary - Program Coordinator, City Worker 4 *Select Object Class Personne l If you selected other above, please specify * Number of units 1040 (Whole number only ) * Cost per unit $ 14 (Whole dollar amounts only) • Water or juice, fresh fruit and crackers or cookies or granola bar s will be provided at the presentations . Estimated cost $25 . pe r presentation, 25 presentations planned . Total $750 . * Description The space to the right should be used to provid e further clarification and details on the costs (i .e .personnel costs : number of hours/rate/staff; meetin gcosts: number of meetings/days/attendees ; travelcosts, etc .) and types of items that you arerequesting. Budget justification should be included i nthe project narrative . The Program Coordinator will average 20 hours a week an d coordinate the three way partnership and implement the Safet y Programs for senior citizens . Program development , implementation, public speaking, volunteer recruitment, progra m evaluation and door to door contact senior citizens will be include d in the responsibilities of this position . Total $14,560 . • https ://eservices .fema.gov/FemaFireGrant/firegrant/jsp/prevention2012/application/print_a .C2T/l2 /2013 • Application Number :EM W -2012-FP-00459 Page 14 of 2 8 Attachment 520 (Whole number only ) $ 13 (Whole dollar amounts only ) The Fire Intern will average 10 hours a week for 520 hours durin gthe grant cycle . The Fire Intern wwill check and install smoke alarm sand batteries and complete a home safety check . The Fire Intern wil ldo follow up phone call to the recipient of smoke detectors who di dnot need assistance with installation to make sure they wer einstalled. Total $6,760 . Salary - Communications Technician Police Departmen t Personne l 30 (Whole number only ) $ 59 (Whole dollar amounts only ) The Communications Technician is a Police Department employeethat provides dispatch services for both the Fire and Polic eDepartment. The Communications Technician will provide 1 2presentations about Tips on Calling 9-1-1 . The Communication sTechnicial will attend the quarterly collaborative meetings . Th eCommunications Technicial will be paid overtime for th epresentations. The 12 presentations and quarterly meetings will tota l30 hours during the grant period . Total cost $1,770 . Budget Item *Item Benefits - Program Coordinato r *Select Object Class Fringe Benefits If you selected other above, please specify * Number of units 1 (Whole number only) * Cost per unit $ 300 (Whole dollar amounts only ) * Descriptio nThe space to the right should be used to provid efurther clarification and details on the costs (i .e .personnel costs : number of hours/rate/staff ; meetingcosts: number of meetings/days/attendees ; travel Unemployemnt, total $300 .costs, etc.) and types of items that you ar erequesting. Budget justification should be included i nthe project narrative. Budget Item *Item Benefits - Fire Inter n *Select Object Class Fringe Benefits If you selected other above, please specify * Number of units 1 (Whole number only ) •Budget Ite m *Item Salary - Fire Intern, City Worker 3 *Select Object Class Personne l If you selected other above, please specif y * Number of units * Cost per uni t * Descriptio nThe space to the right should be used to provid efurther clarification and details on the costs (i .e .personnel costs . number of hours/rate/staff ; meetin gcosts: number of meetings/days/attendees ; trave lcosts, etc.) and types of items that you arerequesting. Budget justification should be included i nthe project narrative . Budget Item *Ite m `Select Object Class If you selected other above, please specify * Number of unit s * Cost per uni t * Descriptio nThe space to the right should be used to provid efurther clarification and details on the costs (i .e .•personnel costs: number of hours/rate/staff ; meetin gcosts: number of meetings/days/attendees ; trave lcosts, etc.) and types of items that you arerequesting. Budget justification should be included i nthe project narrative . Beenefits for program Coordinator include Medicare and State https ://eservices .fema .gov/FemaFireGrant/firegrant/jsp/prevention2012/application/print_a .C 2 023/2013 Application Number :EMW-2012-FP-00459 Page 15 of 2 8 Attachment * Cost per unit $150 (Whole dollar amounts only ) *Description The space to the right should be used to provid e further clarification and details on the costs (i .e . personnel costs : number of hours/rate/staff ; meeting Benefits for the Fire Intern will include Medicare and Stat e costs : number of meetings/days/attendees; travel Unemployement, total $150 .costs, etc.) and types of items that you ar e requesting . Budget justification should be included i n the project narrative . Budget Item *Item Benefits - Communications Technicia n *Select Object Class Fringe Benefit s If you selected other above, please specify *Number of units 1 (Whole number only ) * Cost per unit $75 (Whole dotter amounts only) * Descriptio n The space to the right should be used to provid e further clarification and details on the costs (i .e . personnel costs : number of hours/rate/staff ; meeting Benefits for the Communications Technician will include Medicar e costs : number of meetings/days/attendees ; travel and Unemployment Insurance, total $75 .costs, etc .) and types of items that you ar e requesting . Budget justification should be included i n the project narrative . Budget Ite m *Item Fue l *Select Object Class Trave l If you selected other above, please specify *Number of units 1 (Whole number only ) * Cost per unit $1356 (Whole dollar amounts only ) * Descriptio n The space to the right should be used to provide Fuel reimbursement for 2400 miles at $0 .565 gallon will total $1,356 .further clarification and details on the costs (i .e . personnel costs: number of hours/rate/staff ; meeting Program Coordinator, Fire Intern and Communications Technicia n costs : number of meetings/days/attendees ; travel for mileage when personal vehicle used for presentations ,costs, etc.) and types of items that you are installations, special events and outreach .requesting. Budget justification should be included i n the project narrative . One unit of dowels is 1000, 48 inch dowels, total cost $200 . Th e dowels will be distributed at presentations and special events t o assist senior citizens in testing their smoke alarms . Tax and shippin g have been included in other category . Budget Item *Item Dowe l *Select Object Class Supplies If you selected other above, please specif y * Number of units 1 (Whole number only ) * Cost per unit $ 1000 (Whole dollar amounts only ) * Descriptio n The space to the right should be used to provid e further clarification and details on the costs (i.e . personnel costs : number of hours/rate/staff ; meetin g costs: number of meetings/days/attendees ; travelcosts, etc.) and types of items that you ar e requesting . Budget justification should be included in the project narrative. • • • https ://esery ices .fema .gov/FemaFireGrantlfire grant/j sp/prevention2012lapplicationlprint_a .C 2C/7/2013 Application Number : EM W-2012-FP-00459 Page 16 of 2 8 Attachmen t •Budget Ite m *Item Promotional Item - Canvas Bag s `Select Object Class Supplie s If you selected other above, please specify * Number of units 2500 (Whole number only) * Cost per unit $2 (Whole dollar amounts only ) * Descriptio n The space to the right should be used to provide Promotional Item :2500 canvas bags - grocery tote with fire safet yfurther clarification and details on the costs (i .e . personnel costs : number of hours/rate/staff ; meeting messae . The canvas bags - grocery tote will be distributed at specia l costs : number of meetings/days/attendees ; travel events and presentaions .$2 .00 each at total cost of $5,000.Ta xcosts, etc.) and types of items that you are included in other category .requesting . Budget justification should be included i n the project narrative . Budget Ite m *Item Promotional Item - Magnet s *Select Object Class Supplie s If you selected other above, please specify *Number of units 20 (Whole number only ) * Cost per unit $21 (Whole dollar amounts only ) * Descriptio n The space to the right should be used to provid e further clarification and details on the costs (i .e . personnel costs: number of hours/rate/staff ; meeting Promotional item :2000 magnets with fire safety message . Unit of• costs : number of meetings/days/attendees ; travel 100 for 21 .00, 20 units for $420 .Tax included in other category . costs, etc .) and types of items that you are requesting . Budget justification should be included i n the project narrative. Budget Ite m *Item Promotional Item - Flashlight s `Select Object Class Supplie s If you selected other above, please specify *Number of units 50 (Whole number only) * Cost per unit $23 (Whole dollar amounts only ) * Descriptio n The space to the right should be used to provid e further clarification and details on the costs (i.e .Promotional Item :500 flashlights with pocket clip . Unit of 10 forpersonnel costs : number of hours/rate/staff ; meeting $23 .00, 50 units (500)for a total cost of $1,200 . Tax included i ncosts: number of meetings/days/attendees ; trave l costs, etc .) and types of items that you are other category . requesting . Budget justification should be included i n the project narrative . Budget Ite m Item Promotional Item : Notepad s *Select Object Class Supplies If you selected other above, please specify * Number of units 2000 (Whole number only) • * Cost per unit $ 2 (Whole dollar amounts only ) hops ://eservices .fema .gov/FemaFireGrant/firegrant ljsp/prevention2012/application/print_a .C 21 /22/2013 Application Number : EMW-2012-FP-00459 Page 17 of 2 8 Attachmen t * Descriptio n The space to the right should be used to provid e further clarification and details on the costs (i .e . personnel costs : number of hours/rate/staff; meetin g costs : number of meetings/days/attendees ; trave l costs . etc .) and types of items that you are requesting . Budget justification should be included i n the project narrative . Budget Ite m *Item Promotional Item - Night Lights *Select Object Class Supplie s If you selected other above, please specif y * Number of units 1000 (Whole number only) * Cost per unit $ 2 (Whole dollar amounts only ) * Descriptio n The space to the right should be used to provid e further clarification and details on the costs (i .e . personnel costs : number of hours/rate/staff; meeting Promotional Item - 1,000 night lights with fire safety message $2 .0 0 costs : number of meetings/days/attendees; travel each, total $2,000 . Tax included in other category . costs, etc.) and types of items that you are requesting . Budget justification should be included i n the project narrative . Budget Item Item Water Bill Mailer Fire Safety Insert `Select Object Class Supplie s If you selected other above, please specify * Number of units 1 (Whole number only) * Cost per unit $ 250 (Whole dollar amounts only) * Description The space to the right should be used to provid e further clarification and details on the costs (i .e. personnel costs : number of hours/rate/staff ; meeting Printed Material : Fire Safety information printed to insert into 14,50 0 costs : number of meetings/days/attendees; travel water bills $250 .00 . Tax included in other category . costs, etc) and types of items that you ar e requesting. Budget justification should be included in the project narrative . Budget Ite m *Item Smoke Alarms for the deaf/hard of hearin g `Select Object Class Supplies If you selected other above, please specif y ` Number of units 200 (Whole number only) "Cost per unit $ 170 (Whole dollar amounts only ) Promotional Item : 2,000 notepads with fire safety message . th enotepads will be distributed at special events and presentations ,$2 .00 each, total $4,000 . Tax included in other category . • • * Descriptio n The space to the right should be used to provid e further clarification and details on the costs (i .e . personnel costs : number of hours/rate/staff; meetin g costs: number of meetings/days/attendees ; trave l costs, etc.) and types of items that you are requesting . Budget justification should be included i n the project narrative . Budget Item Smoke Alarms for the deaf/hard of hearing . These smoke alarms wil lbe distributed to the the deaf/hard of hearing to give reliable earlywarning of the presence of smoke with both audible and visualalarms. 200 units will cost $34,000 . Tax and shipping have bee nincluded in other category . • https ://eservices .fema .gov/FemaFireGrant/firegrant/j sp/prevention2012/application/print_a .C 2 1 ;9/2013 Application Number : EMW-2012-FP-00459 Page 18 of 2 8 Attachment •*Item Long Life Batteries *Select Object Class Supplies If you selected other above, please specif y * Number of units 500 (Whole number only ) * Cost per unit $ 7 (Whole dollar amounts only ) * Descriptio nThe space to the right should be used to provid efurther clarification and details on the costs (i .e .These ultra long life batteries will be provided to senior citizens . Fivepersonnel costs : number of hours/rate/staff; meeting hundred (500) lithium 9V batteries cost $3,500 . Tax and shippingcosts: number of meetings/days/attendees ; travel have been included in other category .costs, etc.) and types of items that you ar e requesting. Budget justification should be included i nthe project narrative . Budget Ite m Item Standard Smoke Alarm s *Select Object Class Supplie s If you selected other above, please specify * Number of units 600 (Whole number only ) * Cost per unit $ 20 (Whole dollar amounts only) * Descriptio nThe space to the right should be used to provide Smoke alarms to be installed/distributed give reliable early wardnin gfurther clarification and details on the costs (i .e . personnel costs: number of hours/rate/staff ; meeting of the presence of smoke . Six hundred (600) units with 1 smokecosts: number of meetings/days/attendees ; travel ' alarm each, total cost $12,000 . Tax and shipping have bee n.costs, etc .) and types of items that you are included in other category .requesting . Budget justification should be included i nthe project narrative . Budget kern *Item Tax, Shipping/ Handling and Advertisement s *Select Object Class Other If you selected other above, please specify Tax, Shipping/ Handling and Advertisement s * Number of units 1 (Whole number only) * Cost per unit $ 8125 (Whole dollar amounts only ) * Descriptio nThe space to the right should be used to provid efurther clarification and details on the costs (i .e .personnel costs: number of hours/rate/staff ; meetin gcosts: number of meetings/days/attendees ; trave lcosts, etc .) and types of items that you ar erequesting. Budget justification should be included i nthe project narrative . Tax on items purchsed, City of San Luis Obispo, CA sales tax is 8 %for an estimated total of $5,475, shipping and handling for a nestimated total of $1,150, and advertisements of presentations an dspecial events and any entry or booth fees at $1,500 . Total othercost $8,125 . Research And Development Projects Budget • https ://eservices .fema .gov/FemaFireGrant/firegrant/jsp/prevention2012/application/print_a .C 2f32/201 3 Application Number :EMW-2012-FP-00459 Page 19 of 2 8 Attachmen t Budget Object Class Budget Amoun t Personnel 23,09 0 Benefits 52 5 Travel 1,356 Equipment 0 Supplies 68,440 Contractual 0 Construction 0 Other 8,125 Indirect Charges 0 Indirect Cost Details (complete this section only if you have a Federally approved Indirect Cost Rate agreement). Please note you must add the Indirect Costs as a line item within the Request Details section as they are no t automatically calculated . Agency Indirect Cost Agreement wit h Indirect Cost Rate °la Agreement Summar y Total Federal and Applicant Share Federal Share $ 101,53 6 Applicant Share $0 Federal Rate Sharing (%)100/0 Non-Federal Resources (The combined Non-Federal Resources must equal the Applicant Share of $ 0 ) a.Applicant $0 b.State $0 c.Local $0 d.Other Sources $0 If you entered a value in Other Sources other than zero (0), include your explanation below . You can use thi s space to provide information on the project, cost share match, or if you have an indirect cost agreement with a federal agency . Total Budget $ 101,536 • • • https ://eservices .fema.gov/FemaFireGrant/firegrant/jsp/prevention2012/application/print_a .C2 1 /2013 • Application Number : EMW-2012-FP-00459 Page 20 of 2 8 Attachment Narrative Statemen t The narrative for Fire Prevention and Safety is provided when adding Fire Prevention and Safety Projects unde rthe Request Details section . • • https :/leservices .fema .gov/FemaFireGrant/firegrantljsp/prevenhon2012/appltcation/print_a.C 2 T 12013 Application Number :EMW-2012-FP-00459 Page 21 of 28 Attachmen t Assurances and Certifications FEMA Form SF 4248 You must read and sign these assurances.These documents contain the Federal requirements attached to al l Federal grants including the right of the Federal government to review the grant activity . You should read over th e documents to become aware of the requirements . The Assurances and Certifications must be read, signed, an d submitted as a part of the application . Note : Fields marked with an * are required . O .M .B Control Number 4040-0007 Assurances Non-Construction Program s Note : Certain of these assurances may not be applicable to your project or program . If you have any questions , please contact the awarding agency . Further, certain Federal awarding agencies may require applicants t o certify to additional assurances . If such is the case, you will be notified . As the duly authorized representative of the applicant I certify that the applicant : 1.Has the legal authority to apply for Federal assistance and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project costs) t o ensure proper planning, management and completion of the project described in this application . 2.Will give the awarding agency, the Comptroller General of the United States, and i f appropriate, the State . through any authorized representative, access to and the right t o examine all records, books, papers, or documents related to the award ; and will establish a proper accounting system in accordance with generally accepted accounting standards o r agency directives . 3.Will establish safeguards to prohibit employees from using their positions for a purpose tha t constitutes or presents the appearance of personal or organizational conflict of interest, o r personal gain . 4.Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency . 5.Will comply with the Intergovernmental Personnel Act of 1970 (42 U .S .C . Section 4728-4763 ) relating to prescribed standards for merit systems for programs funded under one of th e nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Meri t System of Personnel Administration (5 C .F .R . 900, Subpart F). 6.Will comply with all Federal statutes relating to nondiscrimination . These include but are no t limited to : (a) Title VI of the Civil Rights Act of 1964 (P .L . 88-352) which prohibit s discrimination on the basis of race, color or national origin ; (b) Title IX of the Educatio n Amendments of 1972, as amended (20 U .S .C . Sections 1681-1683, and 1685-1686), whic h prohibits discrimination on the basis of sex ; (c) Section 504 of the Rehabilitation Act of 1973 , as amended (29 U .S .C . Section 794), which prohibits discrimination on the basis o f handicaps ; (d) the Age Discrimination Act of 1975, as amended (42 U .S .C . Sections 6101 - 6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office an d Treatment Act of 1972 (P .L . 92-255), as amended, relating to nondiscrimination on the basi s of drug abuse ; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatmen t and Rehabilitation Act of 1970 (P .L . 91-616), as amended, relating to nondiscrimination o n the basis of alcohol abuse or alcoholism ; (g) §§523 and 527 of the Public Health Service Ac t of 1912 (42 U .S .C . §§290 dd-3 and 290 ee-3), as amended, relating to confidentiality o f alcohol and drug abuse patient records ; (h) Title VIII of the Civil Rights Acts of 1968 (4 2 U .S .C . Section 3601 et seq .), as amended, relating to nondiscrimination in the sale, rental or • • https ://eservices .fema.gov/FemaFireGrant/firegrant/j sp/prevention2012/application/print_a .C 2 f122/2013 Application Number : EMW-201 .2-FP-00459 Page 22 of 28 • • • Attachment financing of housing ; (i) any other nondiscrimination provisions in the specific statute(s) unde rwhich application for Federal assistance is being made ; and (j) the requirements of any othe r nondiscrimination statute(s) which may apply to the application . 7.Will comply, or has already complied, with the requirements of Title II and III of the Unifor m Relocation Assistance and Real Property Acquisition Policies Act of 1970 (Pl .91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquire das a result of Federal or federally-assisted programs . These requirements apply to all interes tin real property acquired for project purposes regardless of Federal participation i npurchases. 8.Will comply, as applicable, with provisions of the Hatch Act (5 U .S.C . §§1501-1508 and 7324 - 7328) which limit the political activities of employees whose principal employment activitie s are funded in whole or in part with Federal funds . 9.Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U .S .C . §§276a t o 276a-7), the Copeland Act (40 U .S .C . §276c and 18 U .S .C . §874), and the Contract Wor kHours and Safety Standards Act (40 U .S .C . §§327-333), regarding labor standards fo r federally-assisted construction subagreements . 10.Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) o fthe Flood Disaster Protection Act of 1973 (P .L . 93-234) which requires recipients in a specia l flood hazard area to participate in the program and to purchase flood insurance if the tota l cost of insurable construction and acquisition is $10,000 or more . 11.Will comply with environmental standards which may be prescribed pursuant to the following : (a) institution of environmental quality control measures under the National Environmenta lPolicy Act of 1969 (P .L . 91-190) and Executive Order (EO) 11514 ; (b) notification of violatin gfacilities pursuant to EO 11738 ; (c) protection of wetlands pursuant to EO 11990 ; (d ) evaluation of flood hazards in floodplains in accordance with EO 11988 ; (e) assurance ofproject consistency with the approved State management program developed under th eCoastal Zone Management Act of 1972 (16 U .S .C . §§1451 et seq .); (t) conformity of Federa l actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Ac tof 1955, as amended (42 U .S.C . §§7401 et seq .); (g) protection of underground sources o fdrinking water under the Safe Drinking Water Act of 1974, as amended (P .L . 93-523); and , (h) protection of endangered species under the Endangered Species Act of 1973, a samended (P .L . 93-205). 12.Will comply with the Wild and Scenic Rivers Act of 1968 (16 U .S .C . Section 1271 et seq .) related to protecting components or potential components of the national wild and sceni crivers system . 13.Will assist the awarding agency in assuring compliance with Section 106 of the Nationa lHistoric Preservation Act of 1966, as amended (16 U .S .C . 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act o f1974 (16 U .S .C. 469a-1 et seq .). 14.Will comply with P.L . 93-348 regarding the protection of human subjects involved in research , development, and related activities supported by this award of assistance . 15.Will comply with the Laboratory Animal Welfare Act of 1966 (Pl.89-544, as amended,7U.S.C . 2131 et seq .) pertaining to the care, handling, and treatment of warm blooded animal s held for research . teaching, or other activities supported by this award of assistance . 16.Will comply with the lead-Based Paint Poisoning Prevention Act (42 U .S .C . Section 4801 etseq.) which prohibits the use of lead based paint in construction or rehabilitation of residenc estructures. 17.Will cause to be performed the required financial and compliance audits in accordance wit h the Single Audit Act Amendments of 1996 and OMB Circular No . A-133, "Audits of States , Local Governments, and Non-Profit Organizations ." 18.Will comply with all applicable requirements of all other Federal laws, executive orders , regulations and policies governing this program . https ://eservices .fema .gov/FemaFireGrant/firegrant/jsp/prevention2012/application/print_a .C 2 f Z/2013 Application Number : EMW-2012-FP-00459 Page 23 of 2 8 Attachment Signed by Julie Cox on 0110912013 • • • https ://eservices .fema.gov/FemaFireGrant/firegrant/j sp/prevention2012/application/print_a .C 2 [?29/2013 Application Number : EMW-2012-FP-00454 Page 24 of 2 8 Attachment •Form 20-16C You must read and sign these assurances . Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters and Drug-Fre eWorkplace Requirements .Note : Fields marked with an * are required . O .M .B Control Number 1660-002 5 Applicants should refer to the regulations cited below to determine the certification to which they are required t oattest. Applicants should also review the instructions for certification included in the regulations befor ecompleting this form . Signature on this form provides for compliance with certification requirements under 4 4CFR Part 18, New Restrictions on Lobbying ; and 44 CFR Part 17, "Government-wide Debarment an dSuspension (Non-procurement) and Government-wide Requirements for Drug-Free Workplace (Grants)." Th ecertifications shall be treated as a material representation of fact upon which reliance will be placed when th eDepartment of Homeland Security (DHS) determines to award the covered transaction, grant, or cooperativ eagreement. 1 . Lobbyin g A . As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for person s(entering) into a grant or cooperative agreement over $100,000, as defined at 44CFR Part 18, the applican tcertifies that : (a)No Federal appropriated funds have been paid or will be paid by or on behalf of th eundersigned to any person for influencing or attempting to influence an officer or employee of an yagency, a Member of Congress, an officer or employee of congress, or an employee of a Membe rof Congress in connection with the making of any Federal grant, the entering into of an ycooperative agreement and extension, continuation, renewal amendment or modification of an y•Federal grant or cooperative agreement . (b)If any other funds than Federal appropriated funds have been paid or will be paid to any perso nfor influencing or attempting to influence an officer or employee of any agency, a Member o fCongress, an officer or employee of congress, or an employee of a Member of Congress i nconnection with this Federal grant or cooperative agreement, the undersigned shall complete an dsubmit Standard Form LLL, "Disclosure of Lobbying Activities", in accordance with its instructions . (c)The undersigned shall require that the language of this certification be included in the awar ddocuments for all the sub awards at all tiers (including sub grants, contracts under grants an dcooperative agreements and sub contract(s)) and that all sub recipients shall certify and disclos eaccordingly. 2 . Debarment, Suspension and Other Responsibility Matters (Direct Recipient ) A . As required by Executive Order 12549, Debarment and Suspension, and implemented at 44CFR Part 67, fo rprospective participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17 .510-A, th eapplicant certifies that it and its principals : (a)Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentence dto a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covere dtransactions by any Federal department or agency . (b)Have not within a three-year period preceding this application been convicted of or had acivilian judgment rendered against them for commission of fraud or a criminal offense in connectio nwith obtaining, attempting to obtain or perform a public (Federal, State, or local) transaction o rcontract under a public transaction ; violation of Federal or State antitrust statutes or commission o fembezzlement, theft, forgery, bribery, falsification or destruction of records, making fals estatements, or receiving stolen property . •(c) Are not presently indicted for or otherwise criminally or civilly charged by a government entit y https ://eservices .fema .gov/FemaFireGrant/firegrant/jsp/prevention2012/application/print a .C 2 1 2/2013 https ://eservices .fema .g ov!FemaFireGrantlfiregrant/j sp/prevention2012/application/print_a .C 2 11TL/201 3 Application Number :EMW-2012-FP-00459 Page 25 of 2 8 Attachmen t (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) o f this certification : an d (d) Have not within a three-year period preceding this application had one or more publi c transactions (Federal, State, or local) terminated for cause or default ; and B . Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach a n explanation to this application . 3 . Drug-Free Workplace (Grantees other than individuals ) As required by the Drug-Free Workplace Act of 1988, and implemented at 44CFR Part 17, Subpart F, fo r grantees, as defined at 44 CFR part 17, Sections 17 .615 and 17 .620 : (A) The applicant certifies that it will continue to provide a drug-free workplace by : (a) Publishing a statement notifying employees that the unlawful manufacture , distribution, dispensing, possession, or use of a controlled substance is prohibited i n the grantee's workplace and specifying the actions that will be taken agains t employees for violation of such prohibition ; (b) Establishing an on-going drug free awareness program to inform employee s about : (1)The dangers of drug abuse in the workplace ; (2)The grantees policy of maintaining a drug-free workplace ; (3)Any available drug counseling, rehabilitation and employe e assistance programs ; an d (4)The penalties that may be imposed upon employees for drug abus e violations occurring in the workplace ; (c) Making it a requirement that each employee to be engaged in the performance o f the grant to be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will : (1)Abide by the terms of the statement an d (2)Notify the employee in writing of his or her conviction for a violatio n of a criminal drug statute occurring in the workplace no later than fiv e calendar days after such conviction . (e) Notifying the agency, in writing within 10 calendar days after receiving notic e under subparagraph (d)(2) from an employee or otherwise receiving actual notice o f such conviction . Employers of convicted employees must provide notice, includin g position title, to the applicable DHS awarding office, i .e . regional office or DHS office . (f) Taking one of the following actions, against such an employee, within 30 calenda r days of receiving notice under subparagraph (d)(2), with respect to any employe e who is so convicted : (1)Taking appropriate personnel action against such an employee, u p to and including termination, consistent with the requirements of th e Rehabilitation Act of 1973, as amended ; o r (2)Requiring such employee to participate satisfactorily in a drug abus e assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement or other appropriat e agency . (g) Making a good faith effort to continue to maintain a drug free workplace throug h implementation of paragraphs (a), (b), (c), (d), (e), and (f). • • • Application Number : EMW-2012-FP-00459 Page 26 of 2 8 Attachmen t •(B) The grantee may insert in the space provided below the site(s) for the performance of wor kdone in connection with the specific grant : Place of Performance Street City State Zip Actio n If your place of performance is different from the physical address provided by you in the Applicant Information ,press Add Place of Performance button above to ensure that the correct place of performance has bee nspecified. You can add multiple addresses by repeating this process multiple times . Section 17 .630 of the regulations provide that a grantee that is a State may elect to make one certification in eac hFederal fiscal year . A copy of which should be included with each application for DHS funding . States and Stateagencies may elect to use a Statewide certification . Signed by Julie Cox on 01/09/201 3 • • https ://eservices .fema .gov/FemaFireGrant/firegrant/jsp/prevention2012/application/print_a .C 21-7ZZ/2013 Application Number : EMW-2012-FP-00459 Page 27 of 2 8 Attachment FEMA Standard Form LL L Only complete if applying for a grant for more than $100,000 and have lobbying activities . See Form 20-16C fo r lobbying activities definition . This form is not applicable • • • https ://eservices .fema .gov/FemaFireGrant/fiiregrant/jsp/prevention2012/applicationiprinta .C2 I722/2013 Application Number : EMW-2012-FP-00459 i 1 Page 28 of 2 8 Attachmen t Submit Application Application 100%complete, Submitte d Please click on any of the following finks to visit a particular section of your application . Once all areas of yourapplication are complete, you may submit your application . Application Area Statu s Preparer Information Complete Contact Information Complete Applicant Information complete Request Information Complete Request Details Complete Budget Complete Narrative Statement complete Assurances and Certifications Complete PLEASE READ THE FOLLOWING STATEMENTS BEFORE YOU SUBMIT. • YOU WILL NOT BE ALLOWED TO EDIT THIS APPLICATION ONCE IT HAS BEEN SUBMITTED . If youare not yet ready to submit this application, save it, and log out until you feel that you have no morechanges.•. When you submit this application, you, as an authorized representative of the organization applying for thi sgrant, are certifying that the following statements are true : To the best of my knowledge and belief, all data submitted in this application are true and correct . This application has been duly authorized by the governing body of the applicant and the applicant wil lcomply to the Assurances and Certifications if assistance is awarded . To sign your application, check the box below and enter your password in the space provided . To submit you rapplication, click the Submit Application button below to officially submit your application to FEMA . Note:the primary contact will be responsible for signing and submitting the application . Fields marked with an ^are required . I, Julie Cox, am hereby providing my signature for this application as of 17-Jan-2013 . • https ://eservtces.fema.gov/FemaFireGrantlfiregrant/jsp/prevenhon2012/ apphcation/print_a .C 2 1,2/2013 Page intentionally left blank .