RECEIVED AUG 2 2 2024 BY.. Auchaeyt Board Commissioners Agenda Item Transmittal Form Procurement/ContractTransmital Form of Type ofcontract: 1yearD Multi-yearD Single Event D Contract #: BOCApproval Date: Submission Information Contact Name: Meredith Barnum Department: EMA Vendor Information Agency/Homeland Security Address: PO Box18055 Address: Vendor Name: Georgia Emergency Management ProjectTitle: Hazard Mitigation Grant Closeout Funding Account Number: Matchs 1920 Contract amount: $32,000 ? Email: ugeringegemagago" Phone #: 404-635-7245 Contact: Lucy Herring, HMP Specialist Term ofcontract: 4y years Contract' Type: Goods0) Services0) Labor (X) Contract Action: New (X) Renewal0) Change Order 0 Original Contract Number: Finance Director Signature Ihave reviewed the attached contract, and the amounti is CMontLvhes Procurement Manager Signature Ihave reviewed the attached contract, and itisi in compliance with Purchasing Policies of Rockdale County. DTGEEVA glolat approved foy processing. Signature: Signature: Date: 9-2024 Detailed Summary of Contract: 39080 This is the final Payment Request form for the Hazard Mitigation Plan Grant. The $32,000 will be utilized to offset personnel costs involved with the administration: of writing and implementing this grant. The HMP allows Rockdale County to analyze existing threats and hazards, as well as plan for mitigation actions. Ifi items are listed as mitigation actions (such as storm shelters) it will allow Rockdale county to pursue additional grants fori infrastructure and preparedness grants. Matchs 190, Department Head/Elected Official Signature: Hnann lkk Date: 3/2212004 2094-491 EXHIBIT "E" Date: Rockdale County HMGP Progress Payment Request Instructions: All requests for progress payments must be supported by documentation supporting actual expenditures. Itemize each expenditure below to the fullest detail possible, inclading a reference to specific sites or elements of work. Attach documentation that supports this progress payment request, such as copies of bills of sale, invoices, receipts, and checks evidencing payment. Dor nots send originals. Attach a continuation sheeti ifnecessary. AGREFMENTNUMBER, HMGP-4501-0001 SUBRECIPIENT NAMB: Rockdale County FEMA Project Number; HMGP-4501-0001 EMGrants ID. Number:_ 4501F01S02 Sitel Reference or Blement of Work. Fees/ /Contractor Approved Amount $0 Preyious Payment Current Request Description pfDocuméntation. Attached in Support of tbis Payment Reqpest Proofofpayment (Check, purchase order, etc.) Inyoice Labor $32,000 32.000.00 Labor) Expense Shect (from continuation sheet attached) SUBTOTAL 32,000.00 32,000.00 1,920.00 $30,080.00 TOTAL Less Subrecipient Share (6%)! NETA AMOUNT. REQUESTED Under penalty of perjury, I eertify that to the best of my knowledge the data above is correct and that all ontlays were: made in accordance with the grant conditions, comply with proenrement regulations contained within the 2 CFR, Part 200, and that payment is due and has not been previously requested. Iam familiar with Section 317 of) Pablic Law 93-288, as amended by the Robert T. Stafford. Disaster Reliefand Emergeney. Assistance. Act. X ONEr, Choirm Signature of Subrecipient's. Authorized Representative (and printed name) ATTEST: lannlfar a Drtarirn Pamh. Ptaut. Georgia Emergency Management. Agencyl Homeland Security Labor Expense Summary APPLICANT Performed oodate Countye Period Govoring Program O0tbcrE022 "Apri024 HariagasaPasUpis Hazan Mitigation PianUpdate GENA E12010 Spacnt omnw Direator Aberodie Dloctor Whlo EIAAS Spaclalist 60 200 70 10 10 10 2 2 2 40 5 ODe 25.96 10.38 38.33 26,358.34 45 52.80 25.12 87.92 $,856.40 37 40.38 16.14 58.50 2,090.50 18 28.34s 11.34 a9.6a 884.58 Y Y a 0 $ $ 32,040-12 s 32,040.12 ICERTIFYT THAT" THEA ABOVEI FROMI PAYROLLE RECORDS, ORC OTHERD DOCUMENTS THAT AEA/ALASLEFORAJOT. THATT THEABOVEC COSTSAREN NOTE BENGI USEDE FORLOCALI MATCHFORANKOTHER: FEDERALG GRANT. Ceiruar DATE Osbih Neabrrf,Jv, ATTEST: Jennifer O. Rutledge, CountyClerk