Download:
pdf |
pdfOMB NO. 1660-0073
EXPIRES: JULY 31, 2012
NATIONAL URBAN SEARCH & RESCUE
RESPONSE SYSTEM
READINESS COOPERATIVE AGREEMENT
TASK FORCE NARRATIVE
WORKBOOK
Department of Homeland Security
Federal Emergency Management Agency
URBAN SEARCH AND RESCUE RESPONSE SYSTEM
Task Force Narrative Workbook
OMB 1660-0073
Expires July 17, 2012
Paperwork Burden Disclosure Notice
Public reporting burden for this workbook is estimated to average 4 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and submitting the workbook. This collection of information is required to obtain a benefit. You are not required to respond to
this collection of information unless it displays a valid OMB control number near the title of the electronic collection instrument, or for on-line applications, on the first screen viewed by the
respondents. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of
Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (1660-0073) NOTE: Do not send your completed
form to this address.
Purpose
The U.S. Department of Homeland Security (DHS) and the Federal Emergency Management Agency (FEMA) are accountable to provide
support and funding for the maintenance and readiness of the National Urban Search and Rescue (US&R) Response System. The purpose
of the Readiness Cooperative Agreement is to support the continued development and maintenance of a national urban search and rescue
capability.
Specifically, the agreement provides a mechanism for distribution of Cooperative Agreement funding for certain purposes in preparation
for US&R disaster response. The Cooperative Agreement allows each Sponsoring Agency of a US&R task force the opportunity to
maintain a high standard and condition of operational readiness and includes guidance on key areas for task force management to focus on
continued preparedness efforts.
The Cooperative Agreement provides direction to the US&R task force Sponsoring Agency for the use of funding to provide:
administrative and program management, training, support, equipment cache procurement, maintenance and storage. This workbook is
designed for use by the Sponsoring Agencies of all current task forces within the US&R Response System when applying for the US&R
Readiness Cooperative Agreement solicitation.
For more specific information, refer to the applicable Grant Guidance/Funding Opportunity Announcement package and Statement of
Work.
i
Urban Search & Rescue (US&R) Readiness Cooperative Agreement
Task Force Narrative Workbook
CONTENTS
Purpose……………………………………………………..……………………….i
Contents………………………………………………………………………….....1
US&R Application Checklist………………………………………………………2
Sample Cover Letter………………………………………………………………..3
Preparer & Contact Information (FEMA Form 089-0-10A)………………….........4
Sample SF-424 – Application……………………………………………………...5
Budget Summary (Detailed) (FEMA Form 089-0-10B)………………………...…6
Sample of “Purpose of Cooperative Agreement” from Task Force...……………...7
Administration & Management (FEMA Form 089-0-10C)……………………......8
Training (FEMA Form 089-0-10D)……………………………………………......9
Equipment FEMA Form 089-0-10E)………………………………………………10
Storage & Maintenance (FEMA Form 089-0-10F)………………………………...11
Budget Summary – Overall (FEMA Form 089-0-10G)……………………………12
Position Descriptions (FEMA Form 089-0-10H)…………………………………..13
Form for Additional Budget Clarification Information (FEMA Form 089-0-10I)...14
US&R APPLICATION CHECKLIST
Due By:
Done
Item
Cover Letter
Preparer & Contact Information
Notes
SF 424 (Application) (Through ND Grants)
SF 424 A (Budget Form) (Through ND Grants)
Assurances & Certifications
FEMA Form 20-16C (Through ND Grants)
SF LLL (Through ND Grants)
Budget Narrative (Four Program Category Spreadsheets)
Latest Single Audit Information Attached (if current audit is in progress, please
provide estimated date of completion in "Notes" column)
Single Audit Corrective Action Plan (If findings)
Request and approval of pre-award costs
(If training or meetings prior to start of Cooperative Agreement)
Indirect Cost Rate Agreement approved by cognizant government agency
(If charging indirect costs)
Rolling/Floating transportation specifications (if applicable)
Position Descriptions (Attach or fill Section 13 )
Form for additional Budget Clarification Information (Attach or fill in Section
14)
2
Month XX, 20XX
US Department of Homeland Security
Federal Emergency Management Agency
Grants Management Branch
Attn: Ms. Tawana Mack
Tech World, Room 411
500 C Street, SW
Washington, DC 20472
Dear Ms. Mack:
The following items are enclosed:
M
Application for Federal Assistance, SF 424
Budget Information-Non Construction Programs FEMA form SF 424A
Summary sheet for Assurances and Certifications, SF 424 B
SF LLL
Budget Narrative
Single Audit Report for 20XX/Corrective Action Plan
Indirect Cost Rate Agreement
Specifications for all rolling and/or floating transportation
Position Descriptions for all Staff paid by the Cooperative Agreement
SA
1.
2.
3.
4.
5.
6.
7.
8.
9.
PL
E
Enclosed is the US&R application of Your Sponsoring Agency Name for the year 20XX
Department of Homeland Security/FEMA, Urban Search & Rescue Cooperative Agreement for
a total of $XXX,XXX.
Please call “Your Point of Contact” at (XXX) XXX-XXX or email at [email protected] or
“Alternate Point of Contact” (XXX) XXX-XXXX or email at [email protected] for any other
information that you may need.
Sincerely,
Your Agency Head
Title
Agency
3
PREPARER INFORMATION
Preparer
Prefix
First Name
Middle Name
Last Name
Title
Agency/Organization
Address 1
Address 2
City
State
Zip
Phone
Fax
E-mail
CONTACT INFORMATION
Point of Contact
Prefix
First Name
Middle Name
Last Name
Title
Agency/Organization
Address 1
Address 2
City
State
Zip
Phone
Fax
E-mail
APPLICANT INFORMATION
Applicant
Task Force
Organization Name
Employer Identification Number
DUNS Number
Address 1
Address 2
City
County
State
Zip
Country
Submission Date
Type of Applicant
Congressional District Applicant
Congressional District Project
Authorized Representative First Name
Authorized Representative Middle Name
Authorized Representative Last Name
FEMA Form 089-0-10A
Section 4
Preparer Contact Information
Page 1 of 2
Authorized Representative Title
Authorized Representative Phone Number
Applicant Identifier (if applicable)
State Applicant Identifier (if applicable)
Organizational Unit:
Department:
Division:
Made available for EO 12372 (Answer Y or N )
Date Reviewed If applicable)
"Y" for not covered "N" for not selected
FEMA Form 089-0-10A
Section 4
Preparer Contact Information
Page 2 of 2
APPLICATION FOR
FEDERAL ASSISTANCE
2. DATE SUBMITTED
1. TYPE OF SUBMISSION:
3. DATE RECEIVED BY STATE
State Application Identifier
4. DATE RECEIVED BY FEDERAL AGENCY
Federal Identifier
Version 7/03
Applicant Identifier
January 0, 1900
Application
Construction
Non-Construction
0
Pre-application
Construction
Non-Construction
5. APPLICANT INFORMATION
Legal Name:
Organizational DUNS:
Address:
Street:
City:
County:
State:
Country:
6. EMPLOYER IDENTIFICATION NUMBER (EIN):
0
0
0
0
0
0
0
0
0
Organizational Unit:
0
Department:
0
Division:
Name and telephone number of person to be contacted on matters
involving this application (give area code)
Prefix:
0
0
First Name:
Middle Name:
0
0
Last Name:
Suffix:
0
Email:
0
Fax Number:
Phone Number:
7. TYPE OF APPLICANT: (See back of Form for Application Types)
Revision
PL
9. NAME OF FEDERAL AGENCY:
U.S. Department of Homeland Security /
Federal Emergency Management Agency (FEMA)
11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
0
2
Urban Search & Rescue Response System
c. State
$
d. Local
e. Other
f. Program Income
g. TOTAL
SA
13. PROPOSED PROJECT: Coordinate Statewide Emergency Management Program
Ending Date:
Start Date:
b. Applicant
5
M
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:
9 7
Urban Search & Rescue Response System
TITLE:
12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.):
15. ESTIMATED FUNDING:
a. Federal
$
0
0
Other (Specify):
Statewide
E
0
8. TYPE OF APPLICATION:
Continuation
X New
If Revision, enter appropriate letter(s) in box(es)
See back of Form for description of letters
0
- .00
.00
14. CONGRESSIONAL DISTRICTS OF:
a. Applicant
b. Project:
0
0
16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE
ORDER 12372 PROCESS?
a. YES
.00
DATE:
.00
.00
$
.00
$
- .00
x THIS PREAPPLICATION/APPLICATION WAS MADE
AVAILABLE TO THE STATE EXECUTIVE ORDER 12372
PROCESS FOR REVIEW ON:
January 0, 1900
b. NO.
x PROGRAM IS NOT COVERED BY E.O. 12372
OR PROGRAM HAS NOT BEEN SELECTED BY STATE
FOR REVIEW
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
Yes
If "Yes," attach an explanation
X No
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT, THE
THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE
ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
a. Authorized Representative:
Prefix:
First Name:
0
Middle Name:
Last Name:
Suffix:
0
0
0
b. Title:
c. Telephone Number:
d. Signature of Authorized Representative:
e. Date Signed:
Previous Edition Usable
Standard Form 424 (Rev.09-2003)
Authorized for Local Reproduction
Prescribed by OMB Circular A-102
Section 5
SF 424
COOPERATIVE AGREEMENT BUDGET SUMMARY
BUDGET SUMMARY
Grant Program
Function
or Activity
(a)
Catalog of Federal
Domestic Assistance
Number
(b)
Estimated Unobligated Funds
97.025
0.00
1. US&R Readiness
Cooperative
Agreement
Federal
(c)
New or Revised Budget
Non-Federal
(d)
Federal
(e)
0.00
Non-Federal
(f)
0.00
Total
(g)
$
0.00
2.
0.00
3.
0.00
4.
0.00
5. Totals
$0.00
$0.00
BUDGET CATEGORIES
$0.00
$0.00
$0.00
GRANT PROGRAM, FUNCTION OR ACTIVITY
6. Object Class Categories
(1)Admin. & Mgmnt.
a. Personnel
(2) Training
(3) Equipment
Total
(5)
(4) Storage & Maint.
$0.00
$0.00
$0.00
$0.00
$0.00
b. Fringe Benefits
0.00
0.00
0.00
0.00
0.00
c. Travel
0.00
0.00
0.00
0.00
0.00
d. Equipment
0.00
0.00
0.00
0.00
0.00
e. Supplies
0.00
0.00
0.00
0.00
0.00
f. Contractual
0.00
0.00
0.00
0.00
0.00
g. Construction
N/A
N/A
N/A
N/A
N/A
h. Other
0.00
0.00
0.00
0.00
0.00
i. Total Direct Charges (sum of 6a-6h)
0.00
0.00
0.00
0.00
0.00
j. Indirect Charges
k. TOTALS (sum of 6i and 6j)
7. Program Income
FEMA Form 089-0-10B
$
0.00
0.00
0.00
0.00
0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$
$
Section 6
Budget Summary - Detailed
$
$
Page 1 of 2
NON-FEDERAL RESOURCES
(a) Grant Program
(b) Applicant
8.
$
(c) State
$
(d) Other Sources
(e) TOTALS
$
$0.00
9.
0.00
10.
0.00
11.
0.00
12. TOTAL (sum of lines 8-11)
$0.00
FORECASTED CASH NEEDS
Total for 1st Year
1st Quarter
$0.00 $
13. Federal
$0.00
$0.00
2nd Quarter
$
$0.00
3rd Quarter
4th Quarter
$
$
0.00
14. Non-Federal
15. TOTAL (sum of lines 13 and 14)
$0.00
$0.00
$0.00
$0.00
$0.00
BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS (Years)
(b) First
(c) Second
(d) Third
(a) Grant Program
16.
$
$
$
(e) Fourth
$
17.
18.
19.
20. TOTAL (sum of lines 16-19)
$0.00
$0.00
$0.00
$0.00
OTHER BUDGET INFORMATION
21. Direct Charges:
22. Indirect Charges:
23. Remarks:
FEMA Form 089-0-10B
Section 6
Budget Summary - Detailed
Page 2 of 2
National Urban Search & Rescue Response System
US&R Task Force Readiness Cooperative Agreement Budget Narrative
Purpose of Agreement
The purpose of this Readiness Cooperative Agreement is to continue the
development and maintenance of National Urban Search and Rescue (US&R)
Response System resources to be prepared for mission response and to provide
qualified personnel in support of Emergency Support Function-9 (ESF-9)
activities under the National Incident Management System (NIMS) and the
National Response Framework (NRF).
SA
M
PL
E
Our Task Force agrees to manage the continued development and maintenance
of this National US&R Response System resource. We will be prepared to
provide qualified, competent US&R personnel in support of ESF-9 activities
under the National Response Framework. Specifically, the FY2012 US&R
Funding Opportunity Announcement and the accompanying budget narrative
provide our plan to accomplish our objectives identified by DHS/FEMA. This
work plan identifies the key areas that our Task Force will focus its continued
readiness efforts. These key areas are administrative and program management,
training, support, equipment cache preparedness, maintenance and storage.
These key areas are detailed in the Grant Guidance/Statement of Work. This
Cooperative Agreement will allow our Task Force to maintain a high standard
and condition of operational readiness. It is the intent of our Task Force to
comply with the US&R Response System FY 2012 US&R Funding Opportunity
Announcement throughout the duration of this agreement.
While portions of the FY2012 US&R Funding Opportunity Announcement are
included in the budget narrative, we acknowledge compliance with the FY2012
Funding Opportunity Announcement in its entirety.
7
ADMINISTRATION & MANAGEMENT
Task Force General Comments
Our Task Force will accomplish the goals set forth in the DHS-FEMA statement of work, guidance, and directives provided by the Urban Search & Rescue Program Office. The costs for the Administration & Management portion of this
budget/narrative will be addressed in this section and will cover costs for a maximum amount of time of 12 months, and the costs will occur within the 18 month period of performance. The cost details will be provided in the object classes
within this Program Category. The Administrative/Management personnel under this Cooperative Agreeement is responsible for the day-to-day operations of the Task Force and will be responsible to ensure that all management,
administration and operational requirements are accomplished. Our Task Force will attempt to maintain the preparedness of the Task Force under this Readiness Cooperative Agreement, in order to provide critical emergency response
services as one of the 28 teams for the National Urban Search and Rescue Response System under the Activation Cooperative Agreement. Funding for any deployments will be handled under the Activation Cooperative Agreement.
Total Administration & Management Cost
$0
Personnel Salaries & Fringe Benefits
Notes for Personnel Salaries and Fringe Benefits Section
The Task Force will provide sufficient staff for management and administration of the US&R Task Force day- to-day activities to accomplish required supervisory, administrative, training and logistical duties. Specifically: program
management; grants management; financial management; administrative support; training coordination and instruction; logistics management and property accountability. This shall include, but is not limited to, funding personnel salaries
relating to Task Force development and management; record-keeping, inventory and maintenance of the US&R Equipment Caches; correspondence with Task Force members and parties who support Task Force activities; along with similar
management and administrative tasks.
Provide the staffs' salary, benefits, and also note any cost of living increases (percentage and amount) below that will be paid under the Cooperative Agreement. There is a drop down menu for the staff positions, and any additional staff
not noted can be added. If a staff position is part time, please provide the hours and hourly rate in the Personnel box below to clarify the time to be allotted, e.g., one day a week, 40 hours a month at a rate of $45.00 per hour , etc. If
overtime hours are listed, please note them as a separate line item below. Put the total amount under salary. Note the hourly rate in the clarification box.
Personnel Salaries and Fringe Benefits
Staff Position
If other,
If other,
If other,
If other,
If other,
If other,
Totals
list
list
list
list
list
list
Name
Full/Part Time
Overtime Hours
Salary Dates (Current) Salary Dates (Prior) Fringe Benefits
Salary
Total
here
here
here
here
here
here
Personnel Salaries
The area below is for any additional notes the Task Force may need to add for clarifying the paid staff
positions. If the position is part-time list the hours, and hourly rate. Also there is a separate area (Tab
14) for the position descriptions for each staff position listed, or position descriptions may be added as an
attachment.
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
Fringe Benefits
The area below is to state the total percentage (e.g., 23%) for the Fringe Benefits (if applicable) and list
the items (e.g., health, dental, workers' comp) that are included.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10C
Section 8
Administration Management
Page 1 of 4
Travel
Notes for Travel Section
Attend DHS/FEMA-sponsored or DHS/FEMA-approved US&R meetings, conferences, and training sessions, to include Task Force Leader meetings, the 12 standing US&R Work Groups, Operations Group, Ad Hoc Work Groups and SubGroups, Incident Support Team (IST) training/meetings, workshops, or others as directed by the US&R Program Office as they relate to the National US&R Response System. Other activities include on-site peer Operational Readiness
Evaluation (ORE) of other Task Forces, quality assurance oversight of FEMA-sanctioned training courses, training with other Task Forces, grants management training, and research and development for equipment, as directed by the US&R
Program Office. Based on approval by the US&R Program Office and available funding, Task Forces can use funds to cover travel for product research and development efforts, thereby keeping apprised of cutting edge technology for
equipment used within the System.
There are also miscellaneous meetings that are required due to the dynamic program. Costs can be provided in detail or by trip costs, and a detail of the costs should be listed in the comments sections, that will show how you arrived at
the trip total. The costs listed below are estimates due to travel locations that are unknown at the time of application. It is at this time when costs are generally based on historical data. There are drop down menus for some of the
meetings, and you can add others that are in line with the statement of work. The drop down menu in the section below includes all events, allowing you the flexibility to account for your travel costs in this section Admin/Management
Program Category or the Training Program Category. The Task Force is authorized to reallocate funds between Admin/Management travel and Training travel without requesting a budget change authorization. However, this change must
be reflected in your Performance Report and note the reason(s) for the change.
Travel
Event Title
If other,
If other,
If other,
If other,
If other,
If other,
If other,
If other,
If other,
Total
list
list
list
list
list
list
list
list
list
No. of Personnel
No. of Trips
Cost Per Person
Lump Sum
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
here
here
here
here
here
here
here
here
here
Cost Basis: Please mark appropriate box(es) below.
Travel
Briefly describe breakdown of travel Cost Per Person. Provide examples of "other authorized travel" if selected above.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
(List here):
Other
This narrative box has character limitations. For additional clarification use tab 14
Equipment
Notes for Equipment Section
Purchase of office furniture and equipment specifically for administrative purposes are allowable under this Cooperative Agreement. This shall include, but is not limited to, laptops and desktop computers, cellular telephones/wireless PDAs,
printers, scanners, copy machines, desks, book shelves, etc. The costs noted in this area are for the purchase of equipment and not service agreements, which should be included under contractual or other. Rolling or floating
transportation will require specifications as part of the application and should be listed under the Equipment Program Category. The general definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable,
tangible personal property having a useful life of more than one year and an acquisition cost which equals or exceeds the lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000.
Equipment
These are the items our Task Force anticipates requiring for this Cooperative Agreement for the equipment object class under the Administration/Management Program Category. However, due to the dynamic program,
the requirements for these items (within the amount approved at time of award for this object class) may change. Any changes to listed items will be reflected in the Performance Reports, with the reason for the
change noted and the Task Force will not be required to submit a budget change if items are on the approved cache lists, authorized by program guidance or directives.
Item Description
Cache #
Unit Cost
No. of Units
Total Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Equipment
Describe any additional supporting information for equipment costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
This narrative box has character limitations. For additional clarification, use tab 14.
Other
FEMA FORM 089-0-10C
Section 8
Administration Management
(List here):
Page 2 of 4
Supplies
Notes for Supplies Section
In the below area, provide an approximate listing of the supplies necessary for the administration/management of this cooperative agreement. Supply items/costs that should be listed are items to support the administration/management
of the Task Force and other then what the equipment definition states as follows: The general definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of
more than one year and an acquisition cost which equals or exceeds the lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000. However, due to the dynamic program, the
requirements for these items (within the amount approved at time of award for this object class) may change. Any changes to the listed items will be reflected in the Performance Reports, including the reason for the change(s) noted.
Supplies
These are the items we anticipate requiring for this Cooperative Agreement. However, due to the dynamic program, requirement of these items may change and any changes will be reflected in
the Performance Reports, with the reason for the change noted.
Item
Cache #
Unit Cost
No. of Units
Total cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Supplies
Describe any additional supporting information for supply costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
This narrative box has character limitations. For additional clarification, use tab 14.
(List here):
Contractual
Notes for Contractual Section
In the area below, list any contractual costs for medical exams, services, rentals, etc. The Task Force will ensure that Task Force Medical Screening will take place in accordance with Program Directive 2005-008 or a more current revised
directive issued by the US&R Program Office.
Contractual
Service
Quantity
Unit Cost
Total Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Contractual
Describe any additional supporting information for contractual costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification, use tab 14.
FEMA FORM 089-0-10C
Section 8
Administration Management
Page 3 of 4
Other
Notes for Other Section
This area will cover any miscellaneous items that are not covered in the other object classes and are allowable within the Statement of Work.
Item
Quantity
Unit Cost
Total Cost
$0
$0
$0
$0
$0
$0
$0
Total
Other
Describe any additional supporting information for other costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
This narrative box has character limitations. For additional clarification, use tab 14.
(List here):
Indirect Costs
Notes for Indirect Costs Section
Indirect Costs can only be listed if there is an Indirect Cost Rate Agreement that has been approved by a cognizant Federal Agency. A copy of the Indirect Cost Rate Agreement should accompany the application. The Indirect Cost Rate
Agreement you provide should state what category or categories the Indirect Costs are based on, ie equipment, salaries, all expenses, etc. The information provided below should list the description of the cost category for the base, the
amount on which it's based, the percentage, and the total. The rate or amount approved at time of award will prevail thru the term of the Cooperative Agreement.
Indirect Costs
Item/Category
Item Description
Percentage
Base Amount
Total Cost
Total
$0
Indirect Costs
Describe any additional supporting information for indirect costs below. Please advise who is the
Cognizant Federal Agency and the date of approval.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification, use tab 14.
`
FEMA FORM 089-0-10C
Section 8
Administration Management
Page 4 of 4
TRAINING
Task Force General Comments
This Program Category covers the costs for the training portion of this Readiness Cooperative Agreement. The training portion of this budget/narrative will cover costs for a maximum amount of time of 12 months, and will be
accomplished within the 18 month period of performance. This Task Force intends to maintain a deployable Task Force and will provide the required training to insure mission readiness, safety, and management of the Task
Force. The training will be accomplished in accordance with the Urban Search & Rescue Program Office statement of work, program guidance, directives, and will also include training to meet the NIMS compliance
requirements. The training cost details will be provided in the below object classes under this Program Category. Our Task Force will attempt to maintain the preparedness of the Task Force under this Readiness Cooperative
Agreement, in order to provide critical emergency response services as one of the 28 teams for the National Urban Search and Rescue Response System. Funding for any deployments will be handled under the Activation
Cooperative Agreement. The below list of training and costs covers what is anticipated for this Readiness Cooperative Agreement. Due to the dynamic program, training scheduling and requirement changes, some of the
training listed may require revisions. Any changes will be noted within the Performance Reports, and will include the change and the reason for the change. It will not require a budget adjustment as long as the change is
within the Program Category total as noted at time of award, and is an approved training requirement within the statement of work, program guidance, and directives. The only exception to this is the movement of travel
funds between the Administration/Managment Program Category and the Training Program Category, which can be accomplished without requiring a budget change, however, it must be noted in the Performance Reports,
with the change and the reason for the movement of funds.
Total Training Cost
$0
Personnel Salaries & Fringe Benefits
Notes for Personnel Salaries and Fringe Benefits Section
The Task Force can use this category to account for the salaries of Task Force Members attending US&R-related, US&R required, and local training as well as salaries for the training coordinator. This includes, but is not
limited to, functional training, mobilization training, local training for the program, grants management training, training with other task forces, research and development for equipment, and other DHS/FEMA approved training
events, or training related to the requirements of the US&R program, as approved by the Program Manager/Grants Assistance Officer. This may also include backfill expenses for the individual(s) attending training. If specific
costs are unknown, give estimated salary hours and average salary rate. If specific dates are unknown, provide estimated time frame (e.g., 1 day per week/month, etc.). If overtime hours are listed, please note them as a
separate line item below. Put the total amount under salary. Note the hourly rate in the clarification box.
Personnel Salaries and Fringe Benefits
Staff Position
Training Event Description
Full/Part Time
Overtime Hours
Date Salary Charged
Fringe Benefits (If Applicable)
$0
Totals
Personnel Salaries
The area below is to provide additional notes the Task Force may need to add for clarifying
the range of salary rates used to develop the average hourly costs.
Salary
Total
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
Fringe Benefits
The area below is to state the total percentage (e.g., 23%) for the Fringe Benefits (if
applicable) and list the items (e.g., health, dental, workers' comp) that are included.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10D
Section 9
Training
Page 1 of 5
Travel
Notes for Travel Section
Attend DHS/FEMA-sponsored or DHS/FEMA-approved US&R meetings, conferences, and training sessions, to include Task Force Leader meetings, the 12 standing US&R Work Groups, Operations Group, Ad Hoc Work Groups
and Sub-Groups, Incident Support Team (IST) training/meetings, workshops, or others as directed by the US&R Program Office as they relate to the National US&R Response System. Other activities include on-site peer
Administrative Readiness Evaluation (ARE) of other Task Forces, quality assurance oversight of FEMA-sanctioned training courses, training with other Task Forces, grants management training, and research and development
for equipment, as directed by the US&R Program Office. Based on approval by the US&R Program Office and available funding, Task Forces can use funds to cover travel for product research and development efforts, thereby
keeping apprised of cutting edge technology for equipment used within the System.
There are also miscellaneous meetings that are required due to the dynamic program. Costs can be provided in detail or by trip costs, and a detail of the costs should be listed in the comments sections, that will show how
you arrived at the trip total. The costs listed below are estimates due to travel locations are unknown at the time of application. It is at this time when
costs are generally based on historical data. There are drop down menus for some of the meetings/training, and you can add others that are in line with the statement of work, program guidance, and directives. This will
allow you the flexibility to account for your travel costs in this section (Training) or Admin/Management categories. The Task Force is authorized to reallocate travel funds between Admin/Management travel and Training
travel without requesting a budget change authorization. However, any changes must be reflected in your Performance Report, with an explanation on the reason(s) for the change.
Travel
Event Title
No. of Personnel
Cost Per Person
If other, list here
If other, list here
If other, list here
If other, list here
If other, list here
If other, list here
If other, list here
If other, list here
If other, list here
Total
Travel
Briefly describe breakdown of travel Cost Per Person. Provide examples of "other authorized
travel" if selected above.
Lump Sum
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10D
Section 9
Training
Page 2 of 5
Equipment
Notes for Equipment Section
Purchase of equipment specifically for training, to include props, training materials, training facility expenses, etc. are allowable under this Cooperative Agreement. The costs noted in this area are for the purchase of
equipment and not service agreements, which should be included under contractual or other. Rolling or floating transportation, if allowable, will require specifications/approval as part of the application.
The general definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year and an acquisition cost which equals or exceeds
the lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000.
Equipment
These are the items our Task Force anticipates requiring under this Cooperative Agreement for the equipment object class under the Training Program Category. However, due to the dynamic program, the requirements for
these items (within the amount approved at time of award for this object class) may change. Any changes to listed items will be reflected in the Performance Reports, noting the reason for the change and the Task Force will
not be required to submit a budget change if items are on the approved cache lists, authorized by program guidance or directives. Rolling or floating equipment requires the specifications to be submitted to the Program
Office/Grants Assistance Officer for prior approval.
Item Description
Item #
Cache #
Unit Cost
No. of Units
Total Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Equipment
Describe any additional supporting information for equipment costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10D
Section 9
Training
Page 3 of 5
Supplies
Notes for Supplies Section
In the area below, provide an approximate listing of the supplies necessary for preparing and/ or delivery of training within this cooperative agreement.
Supply items/costs that should be listed are items other then what the equipment definition states as follows: The general definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable,
tangible personal property having a useful life of more than one year and an acquisition cost which equals or exceeds the lesser of the capitalization level established by the governmental unit for financial statement purposes,
or $5000.
Supplies
These are the items our Task Force anticipates requiring under this Cooperative Agreement. However, due to the dynamic program, the requirements for these items may change and any changes will be reflected in the
Performance Reports, with the reason for the change noted. A budget change is not required to be submitted if the costs in this category if costs remain the same and items are allowable under the Grant Guidance, current
Cache List and official documentation from the US&R Program Office.
Item
Cache #
Unit Cost
No. of Units
Total Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Supplies
Describe any additional supporting information for supply costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
(List here):
Other
This narrative box has character limitations. For additional clarification use tab 14
Contractual
Notes for Contractual Section
In the area below, list any supporting information for the contractual costs of services, rentals, etc., as it pertains to training.
Contractual
Service
Quantity
Unit Cost
Total Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Contractual
Describe any additional supporting information for contractual costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10D
Section 9
Training
(List here):
Page 4 of 5
Other
Notes for Other Section
This area will cover any miscellaneous items that are are training-related and allowable under the Statement of Work but not covered in the other object classes.
Other (If Applicable)
Item
Quantity
Total Cost
Unit Cost
$0
$0
$0
$0
$0
$0
$0
Total
Other
Describe any additional supporting information for other costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
(List here):
Other
This narrative box has character limitations. For additional clarification use tab 14
Indirect Costs
Notes for Indirect Costs Section
Indirect Costs can only be provided if there is an Indirect Cost Rate Agreement that has been approved by a cognizant Federal Agency. A copy of the Indirect Cost Rate Agreement should accompany the application. The
Indirect Cost Rate Agreement that you provide should state what category or categories the Indirect Costs are based on, ie equipment, salaries, all expenses, etc. The information provided below should list the description
of the cost category for the base, the amount on which it's based, the percentage, and the total. The rate or amount approved at time of award will prevail thru the term of the Cooperative Agreement.
Indirect Costs
Item/Category
Item Description
Percentage
Base Amount
Total Cost
$0
Total
Indirect Costs
Describe any additional supporting information for indirect costs below. Please advise who is
the Cognizant Federal Agency and the date of approval.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List Here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10D
Section 9
Training
Page 5 of 5
EQUIPMENT
Task Force General Comments
This Program Category covers the costs for the equipment portion of the Readiness Cooperative Agreement for our Task Force. The period of performance covers a 18 month period to accomplish the work
in this area. Our Task Force intends to maintain a deployable Task Force and will provide the required equipment to insure mission readiness, safety, and management of the Task Force. The equipment
will be purchased in accordance with the requirements of the Urban Search & Rescue Program Office statement of work, current cache list, and official guidance from the US&R Program Office. The
equipment and supporting cost details will be provided in the below object classes under this Program Category. Our Task Force will attempt to maintain the preparedness of the Task Force under this
Readiness Cooperative Agreement, in order to provide critical emergency response services as one of the 28 teams for the National Urban Search and Rescue Response System.
The below list of equipment and costs covers what is anticipated for this Readiness Cooperative Agreement. Due to the dynamic program, training scheduling and requirement changes, some of the
equipment listed may require revisions. Any changes will be noted within the Performance Reports, and will include the change and the reason for the change. It will not require a budget adjustment as
long as the change is within the Program Category total as noted at time of award, and is an approved equipment requirement within the statement of work, current cache list, and official guidance from the
US&R Program Office.
Total Equipment Cost
$0
Personnel Salaries & Fringe Benefits
Notes for Personnel Salaries and Fringe Benefits Section
The Task Force can use this category to account for the salaries of Task Force Members who perform duties related to maintenance of US&R equipment and vehicles. This may also include backfill
expenses for individual(s) who are working with the cache. If specific costs are unknown, give estimated salary hours and average salary rate. If specific dates are unknown, provide estimated time frame
(e.g., 1 day per week/month, etc.). If overtime hours are listed, please note them as a separate item below. Put the total amount under salary. Note the hourly rate in the clarification box.
Personnel Salaries and Fringe Benefits
Staff Position
Full/Part Time
Overtime Hours
Date Salary Charged
Fringe Benefits (If Applicable)
Salary
Totals
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Totals
Personnel Salaries
The area below is to provide additional notes the Task Force may need to add for clarifying
the range of salary rates used to develop the average hourly costs.
$0
$0
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
Fringe Benefits (If Applicable)
The area below is to state the total percentage (e.g., 23%) for the Fringe Benefits (if
applicable) and list the items (e.g., health, dental, workers' comp) that are included.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10E
Section 10
Equipment
Page 1 of 6
Travel
Notes for Travel Section
Travel in this category would cover costs relating to quality assurance on equipment or vehicle, or any other travel related to cache management within the scope of the Grant Guidance. Please note:
These expenses can be reflected within the Administrative/Management or Training travel category instead. Costs can be provided in detail or by trip costs, and a detail of the costs should
be listed in the comments sections, that will show how you arrived at the trip total. The costs listed below are estimates due to travel locations that are unknown at the time of application. It is at this time
when costs are generally based on historical data. There are drop down menus for some of the meetings, and you can add others that are in line within the Statement of Work.
Travel (If Applicable)
Event Title
If other,
If other,
If other,
If other,
If other,
If other,
Total
No. of Personnel
Cost Per Person
No. of Trips (approx.)
Total Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
list here
list here
list here
list here
list here
list here
Travel
Briefly describe breakdown of travel Cost Per Person. Provide examples of "other authorized
travel" if selected above.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10E
Section 10
Equipment
Page 2 of 6
Equipment
Notes for Equipment Section
Your agency is authorized to purchase equipment as listed in the approved DHS/FEMA Task Force Equipment Cache List, dated December 2011, or any subsequently approved DHS/FEMA US&R Equipment
list. Task Force personnel are reminded and directed not to exceed quantity and/or cost caps as listed on the cache list. Task Force must follow department procurement regulations, which are in
accordance with 44 CFR Part 13 or 2 CFR 215 to ensure reasonable prices are obtained. The US&R Program Office and the Grants Office Assistance Officer must provide written approval for any other
equipment not identified on approved cache list(s), in program guidance, or specifications. Those Task Forces who maintain an IST Medical Cache are to include the appropriate amount below for
replacement of equipment and pharmaceuticals.
However, due to the dynamic program, the requirements for these items (within the amount approved at time of award for this object class) may change. Any changes to listed items will be reflected in the
Performance Reports, noting the reason for the change and the Task Force will not be required to submit a budget change if items are on the approved cache lists, noted in the statement of work, or
authorized by program guidance or directives. Rolling or floating equipment requires the specifications to be submitted to theUS&R Branch/Grants Assistance Officer for prior approval. The general
definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year and an acquisition cost which equals or
exceeds the lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000.
Equipment
These are the items our Task Force anticipates requiring for this Cooperative Agreement under the equipment object class within the Equipment Program Category. However, due to the dynamic program,
the requirements for these items (within the amount approved at time of award for this object class) may change. Any changes to listed items will be reflected in the Performance Reports, noting the
reason for the change and the Task Force will not be required to submit a budget change if items are on the approved cache lists, authorized by program guidance or directives. Rolling or floating
equipment requires the specifications and budget information to be submitted to the Program Office/Grants Assistance Officer for prior approval.
Item #
Cache #
Unit Cost
No. of Units
Total Cost
Item Description
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Equipment
Describe any additional supporting information for equipment costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10E
Section 10
Equipment
Page 3 of 6
Supplies
Notes for Supplies Section
In the area below, provide an approximate listing of necessary supplies. Supply items/costs that should be listed are items other then what the equipment definition states as follows: The general definition
of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year and an acquisition cost which equals or exceeds the
lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000. However, due to the dynamic program, the requirements for these items (within the
amount approved at time of award for this object class) may change. Any changes to the listed items will be reflected in the Performance Reports, including the reason for the change(s) noted.
Supplies
These are the items our Task Force anticipates requiring under this Cooperative Agreement. However, due to the dynamic program, the requirements for these items may change and any changes will be
reflected in the Performance Reports, with the reason for the change noted. A budget change is not required to be submitted for approval if the costs in this object class remain as approved at time of
award and the items are allowable in accordance with the statement of work, program guidance and directives.
Item
Cache #
Unit Cost
No. of Units
Total Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Supplies
Describe any additional supporting information for supply costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10E
Section 10
Equipment
Page 4 of 6
Contractual
Notes for Contractual Section
In the area below, list any supporting information for the contractual costs of services, rentals, etc., for equipment.
Contractual
Service
Quantity
Unit Cost
Total Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Contractual
Describe any additional supporting information for contractual costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
(List here):
Other
This narrative box has character limitations. For additional clarification use tab 14
Other
Notes for Other Section
This area will cover any miscellaneous items that are are equipment-related and allowable under the Statement of Work but not covered in the other object classes.
Other
Item
Quantity
Unit Cost
Total Cost
$0
$0
$0
$0
$0
$0
$0
Total
Other
Describe any additional supporting information for other costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10E
Section 10
Equipment
Page 5 of 6
Indirect Costs
Notes for Indirect Costs Section
Indirect Costs can only be provided if there is an Indirect Cost Rate Agreement that has been approved by a cognizant Federal Agency. A copy of the Indirect Cost Rate Agreement should accompany the
application. The Indirect Cost Rate Agreement that you provide should state what category or categories the Indirect Costs are based on, i.e., equipment, salaries, all expenses, etc. The information
provided below should list the description of the cost category for the base, the amount on which it's based, the percentage, and the total. The rate or amount approved at time of award will prevail thru
the term of the Cooperative Agreement.
Indirect Costs
Item/Category
Item Description
Percentage
Base Amount
Total Cost
$0
Total
Indirect Costs
Describe any additional supporting information for indirect costs below. Please advise who is
the Cognizant Federal Agency and the date of approval.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10E
Section 10
Equipment
Page 6 of 6
STORAGE & MAINTENANCE
Task Force General Comments
This Program Category covers the costs for the storage/maintenance portion of this Readiness Cooperative Agreement. The costs for the Storage/Maintenance portion of this budget/narrative will
be addressed in this section and will cover costs for a maximum amount of time of 12 months for any warehouse lease or maintenance costs for the equipment/vehicles, and the costs will occur
within the 18 month period of performance. Our Task Force intends to provide the required storage and maintenance for the equipment to insure mission readiness, safety, and management of the
Task Force. The storage and maintenance will be in accordance with the requirements of the Urban Search & Rescue Program Office statement of work, program guidance, and directives. The
supporting cost details will be provided in the below object classes under this Program Category.
Our Task Force will attempt to maintain the preparedness of the Task Force under this Readiness Cooperative Agreement, in order to provide critical emergency response services as one of the 28
teams for the National Urban Search and Rescue Response System. The below list of costs covers what is anticipated for this Readiness Cooperative Agreement. Minor renovations are allowed
for the warehouse and they will not change the footprint of the facility.
Total Storage & Maintenance Cost
$0
Personnel Salaries & Fringe Benefits
Notes for Personnel Salaries and Fringe Benefits Section
The Task Force can use this category to account for the salaries of Task Force Members who perform duties related to storage & maintenance. This may also include backfill expenses for
individual(s) who are working with related projects. If specific costs are unknown, give estimated salary hours and average salary rate. If specific dates are unknown, provide estimated time
frame (e.g., 1 day per week/month, etc.). If overtime hours are listed, please note them as a separate line item below. Put the total amount under salary. Note the hourly rate in the clarification
box
Personnel Salaries and Fringe Benefits
Staff Position
Full/Part Time
Overtime Hours
Date Salary Charged
Fringe Benefits (If
Applicable)
Salary
$0
Totals
Personnel Salaries
The area below is to provide additional notes the Task Force may need to add for clarifying the
range of salary rates used to develop the average hourly costs.
Totals
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
Fringe Benefits
The area below is to state the total percentage (e.g., 23%) for the Fringe Benefits (if
applicable) and list the items (e.g., health, dental, workers' comp) that are included.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10F
Section 11
Storage Maintenance
Page 1 of 6
Travel
Notes for Travel Section
This section can be used for those travel items related to storage, maintenance and/or equipment (e.g., mileage, etc.) allowable within the scope of the Statement of Work. Please note: These
expenses can be reflected within the Administrative/Management travel category instead. Costs can be provided in detail or by trip costs, and a detail of the costs should be listed in
the comments sections, that will show how you arrived at the trip total. The costs listed below are estimates due to travel locations that are unknown at the time of application. It is at this time
when costs are generally based on historical data. There are drop down menus for some of the meetings, and you can add others that are in line within the Statement of Work.
Travel (If Applicable)
No. of Personnel
Event Title
If other, list
If other, list
If other, list
If other, list
If other, list
If other, list
Total
Cost Per Person
Number of Trips
Total Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
here
here
here
here
here
here
Travel
Briefly describe breakdown of travel Cost Per Person. Provide examples of "other authorized
travel" if selected above.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10F
Section 11
Storage Maintenance
Page 2 of 6
Equipment
Notes for Equipment Section
This section may be used to reflect expenses related purchasing, maintenance and repair of equipment and vehicles, as approved by DHS/FEMA and within the scope of the Statement of Work.
Your Task Force is authorized to purchase equipment as listed in the approved DHS/FEMA Task Force Equipment Cache List, dated December 2011, or any subsequently approved DHS/FEMA US&R
Equipment list. Task Force personnel are reminded and directed not to exceed quantity and/or cost caps as listed on the cache list. Task Force must follow department procurement regulations,
which are in accordance with 44 CFR Part 13 or 2 CFR 215 to ensure reasonable prices are obtained. The US&R Program Office and the Grants Office Assistance Officer must provide written
approval for any other equipment not identified on approved cache list(s). Those Task Forces who maintain an IST Medical Cache are to include the appropriate amount below for replacement of
equipment and pharmaceuticals. Please note: These expenses can be reflected within the Equipment category instead.
Equipment
Item Description
Item #
Cache #
Unit Cost
No. of Units
Total Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Equipment
Describe any additional supporting information for equipment costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10F
Section 11
Storage Maintenance
Page 3 of 6
Supplies
Notes for Supplies Section
In the area below, provide an approximate listing of necessary supplies. Supply items/costs that should be listed are items other then what the equipment definition states as follows: The general
definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year and an acquisition cost which
equals or exceeds the lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000.
Supplies
Item
Cache #
Unit Cost
No. of Units
Total cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Supplies
Describe any additional supporting information for supply costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10F
Section 11
Storage Maintenance
(List here):
Page 4 of 6
Contractual
Notes for Contractual Section
In the area below, list any supporting information for the contractual costs of services, rentals, etc., as it pertains to the maintenance and/or lease of storage facilities and associated US&R
equipment and supplies. Under the quantity for leases please include the square footage of the warehouse. This section can also include costs for planning, engineering and other costs for
development, maintenance, minor construction, upgrades, minor renovations and modifications, etc. of the existing warehouse/training facilities that do not change the footprint of the structures.
Any costs for upgrades to existing warehouse facilities associated with this funding must be included and be approved by the Program Office and Grants Assistance Officer. This Cooperative
Agreement may not be used for funding new capital construction.
Contractual
Service
Prior Coverage Dates
Lease Begin Date
Lease End Date
Quantity
Unit Cost
Total Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total
Contractual
Describe any additional supporting information for contractual costs below. Include square
footage and cost per for any facility leases included above.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
(List here):
Other
This narrative box has character limitations. For additional clarification use tab 14
Other
Notes for Other Section
This area will cover any miscellaneous items that are are storage & maintenance-related and allowable under the Statement of Work but not covered in the other object classes, including minor
construction costs.
Other (List minor renovation costs here)
Item
Quantity
Unit Cost
Total Cost
$0
$0
$0
$0
$0
$0
$0.00
Total
Other
Describe any additional supporting information for other costs below.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10F
Section 11
Storage Maintenance
Page 5 of 6
Indirect Costs
Notes for Indirect Costs Section
Indirect Costs can only be provided if there is an Indirect Cost Rate Agreement that has been approved by a cognizant Federal Agency. A copy of the Indirect Cost Rate Agreement should
accompany the application. The Indirect Cost Rate Agreement that you provide should state what category or categories the Indirect Costs are based on, ie equipment, salaries, all expenses,
etc. The information provided below should list the description of the cost category for the base, the amount on which it's based, the percentage, and the total. The rate or amount approved at
time of award will prevail thru the term of the Cooperative Agreement.
Indirect Costs
Item/Category
Item Description
Base Amount
Percentage
Total Cost
$0
Total
Indirect Costs
Describe any additional supporting information for indirect costs below. Please advise who is
the Cognizant Federal Agency and the date of approval.
Cost Basis: Please mark appropriate box(es) below.
Union Agreements
City/County/Organization Negotiated Agreements
Historical Data
Bids/Quotes
Costs are in Comparison w/ other TFs for Similar Tasks or Items
Other
(List here):
This narrative box has character limitations. For additional clarification use tab 14
FEMA FORM 089-0-10F
Section 11
Storage Maintenance
Page 6 of 6
BUDGET SUMMARY - OVERALL
This summary will be populated based on figures entered into other sections of this narrative.
Activity
Administration & Management
Training
Equipment
Storage & Maintenance
Object Class
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Other
Indirect Charges
FEMA FORM 089-0-10G
Cost
$0.00
$0.00
$0.00
$0.00
Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Activity Sum
$0.00
Object Class Sum
$0.00
Total
$0.00
Section 12
Budget Summary
POSITION DESCRIPTIONS
Please fill in position descriptions below, or attach pre-typed descriptions.
1. Administrative Specialist:
Name
2. Financial Grants Manager:
Name
3. Grant Manager:
Name
Describe Administrative Specialist functions here.
Describe Financial Grants Manager functions here.
Describe Grant Manager functions here.
FEMA FORM 089-0-10H
4. Logistics Coordinator:
Name
5. Logistics Manager:
Name
6. Program Manager:
Name
Describe Logistics Coordinator functions here.
Describe Logistics Manager functions here.
Describe Program Manager functions here.
Section 13
Position Descriptions
Page 1 of 2
7. Training Coordinator:
Name
Describe Describe Training Coordinator functions here.
Other (Please list position and name)
Describe position functions here.
Other (Please list position and name)
Describe position functions here.
FEMA FORM 089-0-10H
8. Training Manager:
Name
Describe Training Manager functions here.
Other (Please list position and name)
Describe position functions here.
Other (Please list position and name)
Describe position functions here.
Section 13
Position Descriptions
Page 2 of 2
BUDGET CLARIFICATION
P lease use the block s below if additional space is needed to clarify other sections of the narrative
ADMINISTRATIVE/MANAGEMENT
ADMINISTRATIVE/MANAGEMENT
Fringe Benefits:
Supplies:
Travel:
Contractual:
ADMINISTRATIVE/MANAGEMENT
ADMINSTRATIVE/MANAGEMENT
P ersonnel Salaries:
Other:
Equipm ent:
Direct Charges
FEMA FORM 089-0-10I
Section 14
Budget Clarification
Page 1 of 5
TRAINING
TRAINING
Fringe Benefits:
Supplies:
Travel:
Contractual:
P ersonnel Salaries:
FEMA FORM 089-0-10I
Equipm ent:
Section 14
Budget Clarification
Page 2 of 5
TRAINING
Other:
TRAINING
Direct Charges
EQUIPMENT
EQUIPMENT
Fringe Benefits:
Supplies:
Travel:
Contractual:
P ersonnel Salaries:
FEMA FORM 089-0-10I
Equipm ent:
Section 14
Budget Clarification
Page 3 of 5
EQUIPMENT
Other:
EQUIPMENT
Direct Charges
FEMA FORM 089-0-10I
Section 14
Budget Clarification
Page 4 of 5
STORAGE & MAINTENANCE
STORAGE & MAINTENANCE
Fringe Benefits:
Supplies:
Travel:
Contractual:
STORAGE & MAINTENANCE
STORAGE & MAINTENANCE
P ersonnel Salaries:
Other:
Equipm ent:
Direct Charges
FEMA FORM 089-0-10I
Section 14
Budget Clarification
Page 5 of 5
| File Type | application/pdf |
| Author | OLA |
| File Modified | 2012-07-25 |
| File Created | 2012-06-19 |