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HomeMy WebLinkAboutC21-078 Colorado Division of Homeland Security700 Kipling Street, Lakewood, CO 80215 | www.colorado.gov/publicsafety Jared Polis, Governor | Stan Hilkey, Executive Director Birch Barron, Emergency Management Director EAGLE COUNTY EMERGENCY MANAGEMENT P.O. Box 850 Eagle, CO 81631 March 3, 2021 Re: 2019 Emergency Management Performance Grant (EMPG) Special Project Award Letter – 19EM- 20-99 Dear Mr. Barron, The Colorado Division of Homeland Security & Emergency Management (DHSEM) is pleased to inform you that your application for funding pursuant to the 2019 Emergency Management Performance Grant (EMPG) Special Project is approved in the amount of $22,500.00 (funding source: Federal Funds). Please review this Award Letter, Statement of Work (SOW), and terms and conditions for your grant award. Project funding award is based on the project description provided in the application and outlined in the following table: DHSEM will issue your grant award as a Small Dollar Grant Agreement (SDGA). The issuance of a SDGA functions like a ‘purchase order’ for requests for reimbursements (RFRs) in the State financial system, and does not require original signatures on a formal agreement from your approving authorities. To issue the SDGA, DHSEM must receive the Letter of Acceptance signed by an Authorized Signatory (See attached) submitted electronically to Esther Son, Esther.Son@state.co.us, and confirm information on file for the following forms (included with this letter): 1.Request for Taxpayer Identification Number and Certification (W-9) form 2.Electronic Funds Transfer (EFT) form with appropriate bank letter or voided check After receiving the above mentioned required form and confirming organizational information in W-9 and EFT documents on file at DHSEM, DHSEM will issue the completed SDGA and terms and conditions for your grant award to you. If the W-9 or EFT forms on file with DHSEM differ from those of your organization, new forms are required to be sent to DHSEM to update our financial system prior to issuing and completing the SDGA process. Project Activity/Line Item Federal Share Required Non- Federal Local Share Total Project EMPG Activities $22,500.00 $22,500.00 $45,000.00 Total Award Amount $22,500.00 DocuSign Envelope ID: 4C08DE51-0785-4228-AC92-F49EF4857BF5 C21-078 700 Kipling Street, Lakewood, CO 80215 | www.colorado.gov/publicsafety Jared Polis, Governor | Stan Hilkey, Executive Director The period of performance for the 2019 EMPG Special Project SDGA is from July 1, 2020 to July 30, 2021. All requests for reimbursements must cover work completed, or expenditures claimed, within this period of performance. Quarterly RFR and Progress Report submissions will continue to be submitted to your assigned Regional Field Service Manager. For questions regarding your SDGA or the EMPG Program, please contact Bobbie Lucero at (970) 846- 3912 or bobbie.lucero@state.co.us, or Esther Son at (303) 947-7701 or Esther.Son@state.co.us. Please feel free to contact me at (303) 239-4183 or Larisa.Cannon@state.co.us if you have further questions on the award agreement process or documents. Thank you for your assistance in managing this grant award. Sincerely, Larisa Cannon Grants and Contracts Manager Colorado Department of Public Safety Division of Homeland Security and Emergency Management Attachments: Letter of Acceptance W-9 Form EFT Form DocuSign Envelope ID: 4C08DE51-0785-4228-AC92-F49EF4857BF5 700 Kipling Street, Lakewood, CO 80215 | www.colorado.gov/publicsafety Jared Polis, Governor | Stan Hilkey, Executive Director Letter of Acceptance __________________ _____ , 2021 Month Day Encumbrance Number: 19EM-20-99 Subrecipient Name: Eagle County Grant Name: 2019 EMPG This letter serves as notification and acceptance of the Small Dollar Grant Agreement (SDGA) for 2019 EMPG in the amount of $22,500.00 (Federal funds) issued by the Colorado Department of Public Safety, Division of Homeland Security and Emergency Management (CDPS/DHSEM). By signing below, the agency, in accordance with acceptance, acknowledges the receipt, review and concurrence of the provided terms and conditions, scope of work, and any additional requirements identified. Additionally, the following required documents on file at DHSEM are confirmed as accurate and up-to-date, or updated documents are included with this Letter of Acceptance for issuance of the award through the State financial system: 1. Current Request for Taxpayer Identification Number and Certification (W-9) form 2. Current Electronic Funds Transfer (EFT) form with appropriate bank letter or voided check By signing and returning this letter, the undersigned holds authority to enter into, and understands and accepts all the terms and conditions outlined for the Small Dollar Grant Agreement referenced above. By (Printed Name): Title: Date: *Signature DocuSign Envelope ID: 4C08DE51-0785-4228-AC92-F49EF4857BF5 3/16/2021 County Manager Jeff Shroll 3/16/2021