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Home My WebLink About2010 005 CC RESO2010 005 CC RESOHÄ—@¸— ¸»Í«Stale of California OFFICE OF EMERGENCY SERVICES OES ID # DESIGNATION OF APPLICANT'S AGENT RESOLUTION FOR NON-STATE AGENCIES Resolution No. 2010-005 City) BE IT RESOLVED BY THE City Council OF THE City of Baldwin Park Governing Body) Name of Applicant) THAT Chief Executive Officer OR Title of Authorized Agent) Chief of Police OR Title of Authorized Agent) Finance Director Title of Authorized Agent) is hereby authorized to execute for and in behalf of the City of Baldwin Park a public entity Name of Applicant) established under the laws of the State of California, this application and to file it in the Office of Emergency Services for the purpose of obtaining certain federal financial assistance under P.L. 93-288 as amended by the Robert T. Stafford Disaster Relief and Emergency Assistance Act of 1988, and/or state financial assistance under the California Disaster Assistance Act. THAT the City of Baldwin Park a public entity established under the laws of the State of California Name of Applicant) hereby authorizes its agent(s) to provide to the State Office of Emergency Services for all matters pertaining to such state disaster assistance the assurances and agreements required. This is a universal resolution and is effective for all open and future disasters. This is a disaster specific resolution and is effective for only disaster number(s) FEMA# 1577-DR-CA. Passed and approved this 3rd day of March, 2010 Mayor Manuel Lozano Name and Title of Governing Body Representatives) Mayor Pro Tern Ricardo Pacheco Name and Title of Governing Body Representatives) Councilmember Marlen Garcia Name and Title of Governing Body Representatives) Councilmember Monica Garcia Name and Title of Governing Body Representatives) Councilmember Susan Rubio Name and Title of Governing Body Representatives) CERTIFICATION I, Laura M. Nieto duly appointed and Deputy City Clerk of Name) Title) City of Baldwin Park do hereby certify that the above is a true and correct copy of a Name of Applicant) resolution passed and approved by the City Council of the City of Baldwin Park Governing body) on the 3d day of March 2010. Date: March 3, 2010 Official Position) Name of Applicant) OES Form 130 01,08) DAD Fo* Pagj2 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«PROJECT WORKSHEET REPORT DECLARATION NO. rEM A-CA DR157'7 FiPS NC. 03 r'-OS•?5,£-DO APPL=CAN Y NAME BALC^?.VIN PARK CITY SUEDIVISI0r FEMA PW # T VSN REF# BP.•B,O; PREPARED DATE 9`.:!Wf~7.;;:a; REPORT DATE INF TYPE NF EC 7: CATEGORY B Piotel,::vt plea r COUNTY LOS ANGELES FUNDING OPTIOP COST SHARED STO PROJECT NC PROJECT TITLE EMERGENCY PROTECTIV;C MEASLRES C17, v`ADS PROJECTED CNIPLTN DTCIB+ 1` O' ACTUAL CMPLTN DT ELIGIBILITY Yes AMOUNT ELIG $2,4-r0 6 BEGIN DESIGN aT BEGIN CONSTR DT END DESIGN LET END CONSTR DT PREPARER SCFIA'APFF. ROLE P,'-' STATE DATA SOURCE DATE OBLGTDDL'iEi 2005 PACKAGE DATE05 PACKAGE 10 7£ WORK COIAPLETE AS OF U~75 FEDERAL SHARE S j845 4S PRIORITY Noma PW REVIEWER DATA REVIEWER NAME CRATE INITIAL REVIEW ALLSRITTGN.JAPAE. FINAL REVIEW ALLBRITTON,JAMES MT PROP ye # No VALIDATED 0 Yes N PNP QUESTIONS Yes* N STATE RVWD yen 0 N.- ATTACH Yes hi Does the Scone of Work change Ilse pre-disaster coed t of s at the Site? Yes Nc Ursure Spec,*', Considerations issues incli:dedn Yes N, Unsure ore n'rss Ra:nc:e coverage on t"ris faciley' Yes 0 Nc, Unsure 1 ac C,1 ii t c r pro sal r t rd c Yes N. Urn lre: Page 1 of 6 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«PROJECT WORKSHEET REPORT DECLARATION NC FFM OA riP1 VIPS NO *v r!:i APPLICANT NAME B/;LD'WIN PARK, CITY OF SUBDIVISION FEMA PW A VSN REF# Ire?-E-(, PREPARED DATE 54)15 SITE NUMBER 1 of I FACILITY NAME RA-1 1YV IN PARK STREETS ADDRESS CITY HALI'aANPARK SITE NUMBER I LOCATION r..l~.}'T C.IT OF F A.LOTNIN PARK CA REPORT DATE 1? Ci u` iC; L INF TYPE 110 NN REC thr> Site WVAOusIy daTanecr' s N t)r,s-n SITE NUMBER I DAMAGE DIMENSIONS AND DESCRIPTION D`JRIN;. THE DECLARED EVENT, SANDBAGS WERE REQUIRED TO PROTECT PUBLIC HEAL', H, SAFETY AND IMPROVED PROPERTY TROM RISING WATERS CAUSED BY HEAVY RAIN SEDIMENT AND VEGETATIVE MATERIAL DEPOSITED ON STREETS BY THE ++1ORIM.1 REOUI RED EMERGENCY RESF'ONSE BY CITY PERSONNEL. SITE NUMBER 1 SCOPE OF WORK I IV r LC)VVIN G WORK HAS I3EE:N COMPLETED SANDBAGS WERE DISTRIBUTED AT VARIOUS LOCATIONS THROUGHOUT 1 HE CITY, WHICH REQUIRED THE USE OF FORCE ACCOUN-1 LABOR OVERTIME. MATERIALS, AND EQUIPMENT- CITY PERSONNEL RESPONDED TO PROBLEMS CAUSED BY SEDIMENT AND VEGETATIVE MATERIAL DEPOSITED ON THE STREET&. WHICH REQUIRED THE USE OF FORCE ACCOUNT LABOR OVERTIME AND EQUIPMENT FORCE ACCOUNT LABOR. INCLUDES OVERTIME BENEFITS CALCULATED AT 77,97% OF OVERTIME LABOR COST AS SHOWN ON ATT.A,CHED APPLICANT'S BENEFITS CALCULATION WORKSHEET. FORCE ACCOUNT LABOR HOURS AND RATES ARE DO CUMENTEE ON ATTACHED FORCE ACCOUNT LABOR SUMMARY SHEET FORCE ACCOUNT EQUIPMENT COSTS ARE BASED ON FEMAA EQUIPMENT RATES BECAUSE THE LOCAL RATES DO NOT REFLECT ACTUAL COSTS. THE FORCE ACCOUNT EQUIPMENT SUMMARY RECORD DETAILS THE EQUIPMENT COSTS ASSOCIATED W rTT,,I SANDBAGGING AND EMERGENCY REESPONSE. AT THOUCR-" FORCE` ACCOUNT EQUIP IM'MENT'JWAS USED ON WEEKENDS AND FOR EXTENDED WORKDAYS. NO ADDITION.A`,>. FORCE n;.':,,.UN LABOR VF- L.Tltoll- IS A S('CIATFDVT 1 H 1115 SE Latitude Longitude STATE CA ZIP Page 2 of 6 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«PROJECT WORKSHEET REPORT DECLARATION NO.FEM,-%-CA DR 15-,7 FIPS NO. J 6D610: APPLICANT NAME BA! D1•YI rARK CITY C'F SUBDIVISION FEMA PWt i2I` VSN 0 REFA 6P-t3-r,1 PREPARED DATE C 5e06!2005 REPORT DATE 11•"1.20 16.'12 INF TYPE IN NON-INE R E 171 COST ESTIMATE ITEM VSN CODE MATERIAL AND/OR DESCRIPTION UOM QTY UNIT PRICE COST P,; I HE 1i1 II Ettgi Total this version) Total Oblig To Date Unoblicated + Obligated Federal Stahre for Obligated and Unrrbtigated Amounts: SPECIAL CONSIDERATIONS Does tyre oe€rna•ed facility oo lenrt of veork have. Insurance coverage andeor is it an insurable risk ie g, t:uildirt equipntent velncles etc), 1_ rie ci,Imager t.rctluty 13ca:ed wither. a ftoodplain or coastal high hazard area and/or does it ha art it raac=, on z flco Alain of wotlar67 COMMEN-tS 0'16'2005 22.23. v- CATEGORY 8, FIRM NOT RBVIEVrED. Is, the damaged fac,l,tt or tern of v: ark located within or adia: rant to a Coastal earner Resource System Unit or an i" lnerwse Protected Area' A Winl the proposed facility repairsireeonstruetion change the pro disaster condl;iosns e.g_, t; orateri ar, location, capacity, use or function);. 5 watt have oa t;axaarb ntitr^atuon riroposat orv.oulu the applicant like to-hnrcal a hazard n i:tccrflun proposal? Is n rn'nogeo tacilctr on tho National Recrst r cut tlistorc Places zr Ith' Stet.. I I.,torl;. lisli t~ %Is C• vi- t', Are mere more,sirrilar build m" near the Mee rt ttui arry l r slrx tt 7 areas or or rir ar. tf=o nro1.r s,trl7 Ai a there I€argft tracks of 8 A'e t neie ai'v t wedges materials at or adjacent to me garaged taciltl,• ndio' teem o` wo+rk+' A'e i i. an,, genet e.rrt irorunerlta' or 0ant'avorSt'+t1 issues associated With 1:l?C danraaed fad curd. or tern r1 work' Y=.:s f"lt:. Unsuic Uctwir Yea N, r) I lot; Fie' YeS * No Unsure Yes No I.1r:5t.re Y s No tlnsr.;rc: Ye No nsu: Yes No Uns.tr~? Page,,' of6 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«Date 11130/2009 FEDERAL EMERGENCY MANAGEMENT AGENCY Project Completion and Certification Report P.4) Disaster t#: 1577 P.A. 10' 037-03666-00 Applicant: BALDWIN PARK, CITY OF Work % Approved C Done Projected Compl. Elig Actual Date Amt. Claimed PW# INF Proj. Amt. Version S Cat PKG By Compl. Date at Insp. Amount Completed by Applicant Comments 1297 N $2,460.61 C N B 64 08104/2005 95 $2,460.61 $ Total for 1 PW $24160.61 Subgrantee Admire: $73.82 Grand Total: $2,534.43 Page 1 of 2 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«Date. 1113012009 FEDERAL. EMERGENCY MANAGEMENT AGENCY Project Completion and Certification Report P.4) Disaster #: 1577 P.A. ID: 037-03660-00 Applicant: BALDWIN PARK. CITY OF CERTIFICATION 1 I-IEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF I CERTIFY THAT ALL FUNDS WERE EXPENDED IN ALL WORK AND COSTS CLAIMED ARE ELIGIBLE IN ACCORDANCE WITH THE ACCORDANCE WITH THE PROVISIONS OF THE FEMA-STATE GRANT CONDITIONS, ALL WORK CLAIMED HAS BEEN COMPLETED, AND ALL AGREEMENT AND I RECOMMEND AN APPROVED COSTS CLAIMED HAVE BF PAID t? FULL, AMOUNT OF $ SIGNED DATE: DATE: APPLICANT'S AUTI I7_ZD REPRESENTATIVE GOVERNOR'S AUTHORIZED REPRESENTATIVE Page 2 of 2 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«BALDWIN PARK POST OFFICE BALDWIN PARK, California 917069998 0569390725 0095 01/19/2010 800)275-8777 09:51:36 AM N N 0 da N LPL LL 2 Li n a 2:& w W iu iu v m 0 E wE NW o LL o N o` LL W 9992 9290 2000 0292 6002. 0 ro ru Ci' O 0 N Product Description Sales Receipt Sale Unit Qty Price LOS ALAMITOS CA 90720 Zone-1 First-Class Large Env 3.40 oz. Final Price $1.39 Return Rcpt Green Card) $2.30 Certified $2.80 Label #: 70092820000206282866 Issue PVI: Total: $6.49 $6.49 Paid by: Cash $7.00 Change Due: $0.51 Order stamps at USPS.com/shop or call 1-800-Stamp24. Go to USPS.com/clicknship to print shipping labels with postage. For other information call 1-800-ASK-USPS. Bill#: 1000503938887 Clerk: 01 All sales final on stamps and postage Refunds for guaranteed services only Thank you for your business PICK UP A FREE RECYCLING ENVELOPE Take an envelope to recycle your inkjet cartridge, cell phone or small electronics free of charge! **************************************** **************************************** HELP US-SERVE.YOU BETTER Go to: https://postalexperience.com/Pos TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPINION COUNTS Customer Copy BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«FIB; AL INSPECTION REPORT FCD R:&1.., N4 ARR,-,.TJ VT Application nscout) tl3Gtidi Clt3 11t1 Baldwin Park Cits of PA U3 1440 E Pacific Ave FL NIA 1577 DR-CA i#ailns in lark:. CA 91706 Telephone: 9626) l3-5255 %Villiattt Galvez) Table of Contents N arratl b'f_' 101-111 loscout Request and PA.. Prepared by Edward Pao Date January 19, 2010 I Reviewed by Dale BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸» Í«INSPE(71*10N RF11010' 1l)pplicanl Name: Eii)idwi i Park ilk tit PAJ I) N37-03666-011 41131400M, C'I)\\ FFNIA-I577-1)k Background: Applicant ReprCsell tative; Wilhani ilv c Applicant E'htuac *+: 626) 813-5255 C;alF'lA lncpertor: Eclvv=ard Pau I in, mall in5pe iltin icport is t?.ased tipm flit si,incd i'.4. Kcmw'ntcel cmt: t.ic ic:v inc. crItscaU4s s Vral.aip.. i; ci.l; and sr•;t a4tieact.lLni with tits sih attic`s upplic;ztiztzt. Mum wort cc u!t.t or: P\V ni 1lic:ii 1 116' Wt.° sziiall ptojvcas aW I) l'L1s wet`c lat" pr(iir:cts, Ibie r a)Iwaiir sithiaciwd tb_nt com leIC 1=ulrnaI F nt i vn,,-, ll ina~trm nt r\c cn•.• tl I MA Prc t et C"ctu>plet nn aril cite is atnni Itrl)eazt 1'.•1 1 icc tln; bcauz.'s tc.~:a1 cl tr::<<d amount is'S2,46(.(1 amid tic l 1 yIA o l 1i atcd I tin Ibi rat l.yniu is A{a 1.(i[ iht mOi1tnwMed F c ra1'I nal 111 k, Ainc?unt is 2. 60.Ii I. 1II( Narrative: PS'4-I i'ts.asu1Tlll:illYsitTh,,nltotOleacuule'taslofS24!cta{r1 tt1t 1171'"11;tI cr en: t3iU..:41' ttI ti+:71 it,irik=thin surtcikail s at ccirm Icsc;rliOns th ou hour the Ch y, I'lte appli;:sz,n used Sirzccartc i.t lz:l?:,i amid cu u}:zrr z'; to ptamticlr the crl)crgen v w mr`i; ci a cast ul S2, lfifl,{,a; wk concp`::tcd 100','-,,), The cliaihlc xims a:i. is $14N").6I ozlrlucion/[tcuztzrtetttt.t I: n. air::` Iec' nllnli'n,laant)Ii it1thi t?16.'1cir that in uc.cartlalec mil 44 FR 206,20-1 a). this noted h6ow. P1' NO. I•ntttl For r111 Small Projeels Total far Approved Subgrantee aimed Ohs RN(1)MME NI311) At) 1 51.}MI_N'l Attaount amount AMOUNT I otaB S2.460),(3I Prepare rrltt w'd AST,". P rajccl p-mltmo ns PA Date: 119!2011) 11:11dt 11 i I' vie cd h a c BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸» Í«i,;;aliILx,'tiz9 rtr,rt;rie', FINAL INSPECTION REPORT FEDERAL DECLARATION NUMBER 1577 PROJECT APPLICATION NU BER 037-03666-00 SUOIGRANTEL Baldwin Park CITY OF LARGE PRO ECTS MALL PROJECt FIR PAR TIAL X FIR FINAL- CAT PvV NO DATE COMPLETLD DATE INSPECT EL) FEMA APPROVED AMOUNT CLAIMED COST" FIR LLIG113LE COST OVERRUN t.INUEPRUN REMARKS B 12,97 5,6/2005 111912010 2,460.61 2,360.61 2,460.61 0.003 0.00 O 000 11011900 0.00 0.00 0.00 0.00 0.00 0 000 1"011900 0.00 0.00 0.00 03.00 0.00 0 000 110/1900 0.00 0.00 0.00 0.00 0.00 0 000 1/0/1900 0.00 0.00 0.00 0.00 0.00 0 000 1 /011900 0.00 0.00 0.00 0.00 0.00 0 000 110/1900 0.00 0.00 000 0:00 0,00 I_) 000 1011900 0.00 0.00 0.00 0.00 0.00 3 000 1 /0/1900 0.00 0 00 0,00 0.00 0.00 TOTAL AMOUNTS FROM OTHER PAGES GRAND TOTAL NET ADJUSTMENT 00 2,460.611 2,460. 2,4 0.0' 0 I 0.00) 0.001 0.00 TA I EF.tEN I T'HI- ABOVE PROJECTS HAVE BEEN INSPFCrED AND VERIFIED Pt R THE GENERAL GUIDANCE POP RISKED BASED FINAL INSPECTFONS` 11 IAl THE WORK HAS BEEN COMPLETED AS APPROVED EXCEPT THOSE NOTED IN REMARK STATE INSPECTOR STATE AGENCY) tF)ATE}it1<,d t4 TTlrTE REVIE'':Y EDWARD PAO LOCAL. t~ r~r A 1 t+: T F. DATE" 112") / Tam Gave, Public Works Direc,lur) 1 JFErc.HW tr.>>1~,-t:-TC>t(Ft~OERAt Af~~F_IVrl} i?.4TF. El=v iv,:, FIH•FOR^.it xl,.!4 Pn.e+.> 1 ar BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«FEDERAL EMERGENCY MANAGEMENYAr EF1( Y Projrr t Completion anti Certi is tion Rcpart P.4) Disaster l#: 1 7a P.A., lia o pptt~arit: tsut C N PARK, C: i r C F Appa'O ed c Du"' prop)cted rt7rtipi- i« tg Arita.-OOble Am ctaittso i NIF 8 r t 4 BY CanipL to 31 Imp Amount CGEtdii€AWt1 b A}it)# nY wdmtifents i 97 N S? d5t.si 4) ti s s Ji?:Y14i-fi4a 95 52Afttl f'atal fir i P%" S A'3031 Sub,jranlepMinn: 573.82 Grand Tot<.i. $2,6-.54.43 iof2 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸» 2010 005 CC RESOHÄ—@¸— ¸» Í«JECT WORKSHEET REPORT DECLARATION NO. FEIsL r,:, FiPS NO. r APPLICANT NAME SUBDIVISION FEMA PW $ E CATEGORY B_ ProlertIv t ht<sa<i STO PROJECT NO. PROJECTED CMPLTN OT ELIGIBILITY Yes BEGIN DESIGN 07 END DESIGN DT PREPARER SCI.1,4,RFF, ROLE PD STATE DATE OBLGTDC6tI 20^`J PACKAGE ID6 REFS BP_B-0; PREPARED DATE 05/06 20D5 REPORT DATE 1 it3Ol0i;b 15;1 INF TYPE INF NON-INF REC COUNTY LOS ANGELES FUNDING OPTION COST SHAREO 75 Lt 1ERGENCY PROTECTIVE IM,EASU€;GS CITYWIDE TUAL CMPLTN DT NSTR DT ONSTR DT A SOURCE 0 E I" 5'18. 200x' V.. RK COffr11PLETE. AS OF 05106/2005 J5 FEDERAL SHARE 51.845.46 PRIORITY Norma! PW REVIEWER DATA REVIEWER NAME DATE INITIAL REVIEW ALLBRITTON,J,ARIES C5 1 i r2cD: FINAL REVIEW ALLBRITTON,JA?,AES 06117i203- MT P +OP Yes # No VALIDATED Yes No PNP QUESTIONS:Yes * No STATE RVWD Yes * Nc ATTACH Yes i tie.) Does the Scope of Work r r c-disnzer conditions I the sits? Yes No Unsure Sprcial Considernti•otis iss.: 1 Yes W. Unsure is ttrrre insurance caveat, Yes r~ No Unsure Hazax T.9urgatiof prow n.-,; Yes No Unsure Pane Iof6 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«DECLARATION NO FIPS NO. APPLICANT NAME Er,'. SUBDIVISION FEMA PW I SITE NUMBER 1 c FACILITY NAME Bi,: ADDRESS CITY 13A1.1_ SITE NUMBER 9 LOr ChY'W OE. CITY O:= SITENUMBERI-DAIMMA-;F r DURING THE DECI.AI' FROM RISING WWATEI- REQUIRED EMERGEN' SITE NUMBER I SCO- THE FOLLOWING SANDBAGS WERE D ACCOUNT LABOR O'VE F TI?:1 F_ CITY PERSONNEL RES?ON WHICH REQUIRED THE USE FORCE ACCOUNT LABC~. IN, ATTACHED APPLICANT: 63E,'- ON ATTACHED FORCE ACCU' EQUIPMENT RATES BECAU"' RECORD DETAILS THE E011': ACCOUNT EQUIPMENT WA'AS 1 OVF.F2TIMF ISAS:SOCIATED- ECT WOR~`~-, i REPORT REFi I;r Latitude Longitude STATE CA Zl PREPARED DATE 05100:'2005 REPORT DATE 11+30.2009 15l 2 INF TYPE INF r NON-INF" RE'Q Waa this t_° prev i,:,.: 1,1 dzrnaped? Yes No Unsure ESCRIPTION IRE REQUIRED TO F iC TEE;': BLIC HEALTH, SAFETY, AND IMPROVED PROPERTY SEDIMIENTA:NO VEE>ETA"I 1 MATERIAL DEPOSITED ON STREETS BY THE STORM I: RSONNEL. CCAT'IONS TI IRE' is CITY, WHIGG I REQUIRED THE USE OF FORCE EQUIPMENT. CAUSED BY SEDI1,1ENTAND VEGETATIVE MATERIAL DEPOSITED ON THE STREETS. NT LABOR OVERTIME AND EQUIPMENT. E BENEFITS, CALCULATED AT 7,97% OF OVERTIME LABOR. COST, AS SHOWN ON ON WORKSHEET. FORCE A000UNT LABOR HOURS AND RATES ARE DOCUMENTED MARY SHEET FORCE ACCOUNT EQUIPMENT COSTS ARE BASED ON FEMA ES DO NOT REFLECT ACTUAL cOST5. THE FORCE ACCOUNT EQUIPMENT SUMMARY SOCIATED WITH SANDBAGGING AND EMERGENCY RESPONSE. ALTHOUGH FORCE N_,S AND FOR EXTENICED WORKDAYS, NO ADDITIONAL FORCE ACCOUNT LABOR Pane2ofC BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«T WC t~EPORT DECLARATION j. SIPS tt0. APPLICANT N;J': SUBDIVISION FEMA PV: COST ESTIMATL. ITEM VSN CODE ifs REF4 B PREPARED DATE 05.106;2005 REPORT DATE 11 3012009 15. 2 NF TYPE INF NON.INF REC SCRiPTION OTY UNIT PRICE COST it 2.3 1 5- l u 274 73 Elio,'. Total this version) 52.460,61 Total Oblig To Date 52,460.61 U nobl igated + Obtigated U1,460.61 flhii<latad and Unabligated $1,64545 SPECIAL CONSID, y Doss the darn. rwlr_ risk Yes No Unsure 2 e u. buildtlul i, r•l: IS me danna;.ltI act on a l n im gal hl 1 sit have Unsure a p COMMENTS Is the narnapeo U it r zi: S t rl.:GOR'Y El FIR" O.)T P' I,csource Yes No Unsure 4 ys n o em Will the proposed l, c iocaticn material j--ce the pro-Ci footprint, No Unsure 8 Des ttt apfi'rlt: Assistanas torn r., zo Is, the d2mageo vuN t:7 iG Pls cc c Aln,~7 is it Yes Yes No No Unsc:rs Unsun:., 7 older tria0 50 yeo:+ Arc, IhOde any pnnSIi:oC rear the Site near, the projsgc %r rni: raw tracts of Yea unsure Iorestign(l? a Are tnece y i,;:. r camaae so n C' rork7 Yes # N Linsore Are mere any ott r and,or item of won. i;soes associ"32 r r ILe: 0. od facility Yes No Unsure Panc 3 of BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«Date: 11130/2009 FEDERAL EMERGENCY MANAGEMENT AGENCY Project Completion and Certification Report P.4) Disaster #: 1577 i-0366-0u t. b,~l U' Tr OF Page 1 of 2 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«Date: 11130/2009 P A, ID: 03- ONDIT' SIGNED. C APPLICANT'S AUTI KC.l FEDERAL EMERGENCY MANAGEMENT AGENCY Project Completion and Certification Report P.4) Disaster #: 1577 Page 2 of 2 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«BALDWIN PARK POST OFFICE BALDWIN PARK, California 917069998 0569390725 0095 L 01/19/2010 800)275-8777 09:51:36 AN i S l R t Product Description p a es ece Sale Unit Final Qty Price Price LOS ALAMITOS CA 90720 $1.39 Zone-1 First-Class Large Env 3.40 oz. Return Rcpt Green Card) $2.30 Certified $2.80 Label #: 70092820000206282866 Issue PVI: $6.49 Total: $6.49 Paid by: Cash $7.00 Change Due: $0.51 Order stamps at USPS.com/shop or call 1-800-Stamp24. Go to USPS.com/clicknship to print shipping labels with postage. For other information call 1-800-ASK-USPS. Bill#: 1000503938887 Clerk: 01 All sales final on stamps and postage Refunds for guaranteed services only Thank you for your business wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww PICK UP A FREE RECYCLING ENVELOPE Take an envelope to recycle your inkjet cartridge, cell phone or small electronics free of charge! wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww wwwwwwwwwwwwwwwwwww,'vwwwwwwwwwwwwwwwwwwww wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww wwwwwwwwwwwwwwwwwwwwwwww+rwwwwwwwwwwwwwww HELP US SERVE YOU- BELTER Go to: https://Postalexperience.com/Pos TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPINION COUNTS wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww Customer Copy BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«N REPORT PA # 037-036611-00-O0 FEMA # 1S77 DR-CA Pg 1 P Pg. 4-5 2.010 Date BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«n t Representative. W'illi:rtn 1s ti it Phone ft: 626) 813-525S A Inspector: Edward Pau co titilc rep vcriiic:attio of cttu.tpiCted a tuwi olr fi tV. of which I YWs; were their ccxuplcte.i Federal E.rtirr~~,-ency= i cpetrt PA). The upplicazrt s IC tIL clailm"d tiCi.Ci(. The raccnendeU fire er tl l otal crl[orm enaca'~za nc'. IpruleCt RC ieIY ices Of 7;~p!icatxr used force ac.cowo labor and cquipaneut 100',4,). The chgiblc amount. is S2,46O.61. R. 206.204 a). this application be luncled as nrUS i):\l NILNI)E1) f C)UN'r \L).IL'$1'N' I NT 160.61 I 460 6i 0 Date: 1f19f2()10 J BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í« Gtmle of alitorrri-t C 1ilornia E i rc;enc;' Gi RAND TOTAL NET ADJUSTMENT 2,460.6111 2,460.,E i i 2,ai6,~ I 0.00 STATEMENT THE ABOVE PROJECTS HAVE SEEN INSPECTED AND VERIFIED PER THE GENERAL GUIDANCE FOR RISKED BASED FINAL INSPECTIONS THAT THE WORK HAS BEEN COMPLETED AS APPROVED EXCEPT THOSE NOTED IN REMARK. STATE INSPECTOR STATE AGENCY) E)ATEitt19. 1a STATE REVEEW EDWARD PAO LOCAL REPRESENTATIVE ITITLE) RATE) 1°12;'tJ William Galvez Public Works Director) FEt:1FRAL INSPECTOR FEDERAL AGENCY) DATE-) FEMA REVIEW FIR-FORKI;XLS Page 1 of BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«Uric. U'll, a t'EC3ERAL EMERGENCY MAWAGEMENTAGENCY Prc j ct Comptstion uii CertiticMion Roprjrt 1l Page I of 2 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«n:;" i, EDE Q v1rt~CFNC rnarrh,r.-~yrs.1 ACC t{ Page 2 of 2 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 2010 005 CC RESOHÄ—@¸— ¸»Í«Slave of Ca! 1Oro: OFFICE OF EMERGENCY SERVICES OES ID # Reso 010 10-005 DESIGNATION OF APPLICANT'S AGENT RESOLUTION FOR NON-STATE AGENCIES BE IT RESOLVED BY THE City Council OF THE City of Baldwin Park Governing Body) Name of Applicant) THAT Chief Executive Officer OR Title of Authorized Agent) Chief of Police OR Title of Authorized Agent) Finance Director Title of Authorized Agent) is hereby authorized to execute for and in behalf of the City of Baldwin Park a public entity Nanie cf Applicant) established under the laws of the State of California, this application and to file it in the Office of Emergency Services for the purpose of obtaining certain federal financial assistance under P.L. 93-288 as amended by the Robert T. Stafford Disaster Relief and Emergency Assistance Act of 1988, and/or state financial assistance under the California Disaster Assistance Act. THAT the City of Baldwin Park, a public entity established under the laws of the State of California Name of Applicant) hereby authorizes its agent(s) to provide to the State Office of Emergency Services for all matters pertaining to such state disaster assistance the assurances and agreements required. This is a universal resolution and is effective for all open and future disasters. This is a disaster specific resolution and is effective for only disaster number(s) FEMA# 1577-DR-CA. Passed and approved this 8th day of February 2010 Vijay Sin2hal Chief Executive Officer Name and Title of Governing Body Representative) Lili Hadsell Chief of Police Name and Title of Governing Body Representative) Lorena Ouizano Finance Director Name and Title of Governing Body Representative) CERTIFICATION I, Laura M. Nieto duly appointed and Deputy City Clerk of Name) Title) City of Baldwin Park do hereby certify that the above is a true and correct copy of a Name of Applicant) resolution passed and approved by the City Council of the City of Baldwin Park Governing body) Name of Applicant) on the 8`h day of February 2010. Date: February 8, 2010 Deputy City Clerk Official Position) Signature) OES Form 130 03/08) DAD Form Page 2 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04 Í«Oattr 1 E()Eip tL EMERGFN CY I tAUAGEMEN1 AGENCY Project G43rnittat&r144 md Ct>rtitfrattont Report PAJ 01,3;4s ter V: 1577 PA. 11 o 7-o3(SG`Ctdtf L App!FC3ttt: E3ALD'MN Nr`tM':., t t`i OF: I HEREBY CLF 1 E l XT TO THE LEST OF M KNO_)AM:DBE AN BE:t E= AU. ru'OF K AND COSTS CLAWLIJ ARt•:;• Elt(31I3LE IN ACCORDANCE= Fit H THE GRANT CONDITIONS, ALL WORK CLAIMED f W3 3EtiN COMPLETE, ANt) ALL COST'S CL,AtNWU HAVES 3AtD FBI t., Jt3Nt'C DATE APPL!CANV At!'( E,Rt2() REPRE ENTATIVE I FPTIg" t I MT ALL FUNDS tit'r`E1 E U#"':=FED i ACCORDANCE 4 VI H THE PROVISIONS OF THE F M:A S rr TL ACRE MENT AND 4 R M+W M;END AN, AP ROVE D AMOB{ f l OF S A W GOVERNOR'!.; AUTHORIZED REPRESEWW"VE P o2of2 BIB] 40564-U01 2010-U02 005-U02 CC-U02 RESO-U02 LI3-U03 FO8417-U03 FO128036-U03 DO132177-U03 C6-U03 RESO-U03 1/20/2011-U04 ROBIN-U04