HomeMy WebLinkAboutDepartment of Public Safety - LFR and EMS Grant - 8/19/19Kim Reynolds
Governor
Adam Gregg
Lt. Governor
Department of Public Safety
Stephan K. Bayens
Commissioner
Local Fire Protection and Emergency Medical Services
Grant Program - Grant Agreement Letter
August 5, 2019
Waterloo Fire Department
Attn: Chris Ferguson
425 E 3rd St
Waterloo IA 50703
Dear Chris:
The Iowa State Fire Marshal is pleased to inform you that a grant has been approved in
the amount of $7,888.99 for use under the Local Fire Protection and Emergency Medical
Services Grant Program.
This letter and its attachments outline the terms and conditions of accepting this grant.
Please read all the terms and conditions carefully, sign, and return along with this agreement
letter before making any purchase(s). If the Division does not receive signed copies of this
grant award letter and general grant terms within 14 days after the date of the grant award
letter, this grant may be revoked.
Grant funds must be used for equipment, specifically One Lion ITS portable fire
extinguisher training system, as stated in your approved grant proposal. You must submit a
written request to us for reimbursement after each purchase and a check will be mailed to you
upon review and approval of the purchase. The grant funds are to be expended within one year
from the date of this letter and written approval must be received prior to spending funds on
anything not already approved in your grant proposal.
Congratulations on this recognition of your important efforts. We look forward to working
with you during the coming year.
zat//
Dan Wood
Iowa State Fire Marshal
Department of Public Safety
ACCEPTED AND AGREED:
Fire Chief or Designee (signature)/Date
STATE FIRE MARSHAL DIVISION • 215 EAST 7TH STREET • DES MOINES, IOWA 50319-0047.515-725-6145
Integrity, Fairness, Respect, Honesty, Courage, Compassion, Service
LOCAL FIRE PROTECTION AND EMERGENCY MEDICAL SERVICES GRANT
PROGRAM
GENERAL GRANT TERMS, CONDITIONS, AND UNDERSTANDINGS
In addition to the specific terms and conditions in the grant award letter dated August 5,
2019, to which these General Grant Terms, Conditions, and Understandings are attached, the
Iowa State Fire Marshal (Division) is awarding this grant in the amount of $7,888.99 to you
as the Grantee contingent upon the following:
Expenditure of Funds:
This grant is to support specific fireworks safety education programming to the public; or
to purchase necessary enforcement, protection, or emergency response equipment related
to the sale and use of consumer fireworks in Iowa. You must submit a written request to
us for reimbursement after each purchase and a check will be mailed to you upon review
and approval of the purchase. The Grantee must provide a written report to the Division if
any portion of the grant is unexpended after 12 months to include the amount of funds left,
how it will be used, and when it will be expended. This grant is made for the purpose
outlined in the grant award letter, and terms and conditions. Grant funds may not be
expended for any other purpose without prior written approval from the Division.
No Assignment or Delegation:
You may not assign, or otherwise transfer, your rights or delegate any of your obligations
under this grant without prior written approval from the Division.
Records and Reports:
You are required to submit a written request, including itemized receipt(s), to the Division
after a related purchase is made. A reimbursement check will be sent to you upon review and
approval of the purchase. You are required to keep the financial records with respect to this
grant, along with copies of any reports submitted to the Division, for at least five years
following the year in which all grant funds are fully expended.
Required Notification:
You are required to provide the Division with immediate written notification of: (1) your
inability to expend the grant within 12 months for the purposes described in the grant award
letter and terms and conditions; or (2) any expenditure from this grant to be made for any
purpose other than those for which the grant was intended.
11Page
Reasonable Access for Evaluation:
You will permit the Division, at its request, to have reasonable access during regular business
hours to your files, records, accounts, personnel and clients, or other beneficiaries for the
purpose of making such financial audits, verifications, or program evaluations as the Division
deems necessary or appropriate concerning this grant award.
Right to Modify or Revoke:
The Division reserves the right to discontinue, modify or withhold any payments to be made
under this grant award or to require a total or partial refund of any grant funds if, in the
Division's sole discretion, such action is necessary: (1) because you have not fully complied
with the terms and conditions of this grant; or (2) to comply with the requirements of any law
or regulation applicable to you, the Division, or this grant.
The undersigned certify that they are duly elected and authorized officers of the Grantee and
that, as such, are authorized to accept this grant on behalf of the Grantee, to obligate the
Grantee to observe all of the terms and conditions placed on this grant, and in connection with
this grant to make, execute and deliver on behalf of the Grantee all grant agreements,
representations, receipts, reports and other instruments of every kind.
ACCEPTED AND AGREED TO:
[A)e400 Fiec. /2�eSCu
Fire Department
1,)(J
Iowa State Fire Marshal (printed)
c Lto IAA i ✓\ 'Act.
Fire Chief or Designee (printed)
Iow . to Fire Marshal (signature)/Date
Fire Chief or Designee (signature)/Date
21Page
Iowa State Fire Marshal Division
Please return completed report and signed copies of purchase orders, receipts, etc. to:
Iowa State Fire Marshal Division
sfmfireworks@dps.state.ia.us
For Administrative Use Only
Date Date to
Approved Finance
Instructions: Use this form to electronically submit for reimbursement with each grant related purchase, regardless of whether or not you have received reimbursement for any prior purchases, until
the total grant amount has been expended. Include scanned copy of applicable invoice(s), receipt(s), etc. with your signature.
(1) Confirm department name and mailing address where check(s) should be sent, (2) Name of vendor or store where item(s) was purchased, (3) Detailed description of item(s)
purchased, (4) Date of purchase, (5) Category item belongs to: personnel/staff time, training/educational materials, or equipment, (6) Total amount spent for item listed, (7) Running
balance of grant funds remaining.
Purchase Item Category Purchase Grant Balance
Vendor (2) Item Description 131 Date 14) (s) Amount 161 l�)
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Dept Name Ill Waterloo Fire Department
425 E 3rd St
Waterloo IA 50703
f or Designee Name/Dat
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