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A TRUE COPY CERTIFICATION ON LAST PAGE J.R. SMITH, CLERK FY 2022 - 2023 EMPG AGREEMENT ATTACHMENT H REPORTING FORMS FLORIDA DIVISION OF EMERGENCY MANAGEMENT -. 1 2022.2023 EMERGENCY MANAGEMENT PERFORMANCE GRANT - EMPG BASE GRANT DIVISION FORM 1B -QUARTERLY TASKS sAfia� SUB -RECIPIENT: QUARTER: ENTER DATE COMPLETED DEIIVERABLESfTASK REQUIREMENTS QTR 1 DTR 2 OTR 3 GTR 4 T1 (A): Quarterly Match. Submit Diusion Form 3A - Ouartedy Match to identify the non-federal match amount. For those sub recipients using local funds, supporting documentation Is required with the form to support match amount reported (Due G704) T1 (0): Ensuring the Protection of GJI Rights: Complete am submit the Gut Rights Evaluation tool CnfRightsEseluation@hq.dhs.gov Form (Attachment H) to Include supporting materials within thirty (30) days of receipt of the Notice of Award (November 1, 2082) for the first award under which this term applies. (Dus Q7) T2 (A): National Incident Management System: NIMS Data Collection Worksheet_Local, prouded by the Preparedness Bureau In the month of September, must be submitted in Salesforce by December 1, 2072 to the Buea i Chief of Preparednees (Due 07) T2 (0): Operational Coordination Must ergage With whole ommunty stakeholders on a quarterly baso either bu participating in regional meestings of existing mi.1 agency organizations (i.e. Regional Domestic security Task forces, Local Emergency Planning Commfttes, Regional Health Care Co hu"', Local Voluntary/Commuri ty Organizations Active in Disaster) or by nosting/conducting meetings with whole cornmunty stakeholders. Must submit proof d participation by a mprelimmatiia oltte.-Recipiant in quarterly meetings. Meeting minutes. agendas and sign4n sheets. (Dur Q104) T2 (C): Public Information and Waning: The Sub recipient shall upload the' updated FEMA IPAWS County executed MOA and signed IPAWS Rules of Behauor forms for each authored user linen access to send IPAW S messages kr the county. into Salesfortx w later than August 30, 2023. (Duo 04) T3 (A): Integrated Preparedness Program: Upload the County 2024-2026 IPP in Salesforce by January 10, 2023. P-ude proof of participation by a representadw of the Sub -Recipient In the appropriate Regional IPP Workshop (IPPW ). EMPG funded Personnel she encourage to attend. Dates and places are listed In the scope of work (SOW). (Duo Q2) T3 (0): Training: ProMde Division Form 4 - Staffing Detail for ail funded EMPG personnel. Pruude training transcripts for EMPG funded personnel listed on Duslon Form 4 - Staffing Detail. If certificates an, uploaded into SERI TRAC'the Diiision's Gant na Mage will mgmst a copy tum the TILE Una. (Dw 01, updates If necessary Q204) T3 (C): Validating Capabilities Through Exercise: Pheude sign in sheet or certificate of participation In a minimum of three (3) exorcises for funded EMPG personnel during the period of performance. (Duo Q1, Dsllwmble a pted) (Dull Q2 -i Not required if completed In 01) COMMENTS Use for e, p1a,abon that supports Training 8 Exercise progre —, oy ayn,na e,rs moon, r mmry m me sem ormy xnowsoge anisaamnmar ma report a'i cornple%, antl aa'um%, and ore expendifums, disbursements and msh —jus ars for ere purposes and objaolms mtevM in ane terms and—bons of8e Furans/ awed / am swam that any %Ise, fictitious, or'autlulenl 0i.maeon, or Na omission olady m andal %d, may aubjsrd ms b oiminal, ani/ a sdmin/stri pene/ees br fraud.. %Iso s%%m ants, %Ise claims or ,th—se. (U. S. Cotler This 19. Section 1001 and Ttla 31. S..i 37211-3730 and 3801 -3812). - SIGNATURE: AUTHORIZED REPRESENTATIVE PRINTED NAME: 62