HomeMy WebLinkAboutCA Governor's Offfice Grant Subaward Face SheetCalOES #
(Cel OES Use Only)
FIPS # VS#
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES
GRANT SUBAWARD FACE SHEET
lne California Govemor"s Office of Emergency Services (Col OES) hereby makes a G<0nl Suboward of funds lo lhe followvig:
Subaward # 2024-0050
1. Sub<eclplent. City of Palm Desert 1 a. UEl: ____ :..;;XL:cR:.:Ea.H:..;;Y-'-4MDG==W..:.4-'-----
2. lmplementtng Agency: --"C""il,_y_,o"-f-'-P-=a"-lm:..;;.:Dc::e;;:;se::ar-'-1 __________________ _ 2a. UEI: ____ :..;;XL:cR:.:Ea.H"-Y-'-4MDG==W-'-4-'-----
3. lmplementtng Agency Address: 07..;?,'5e=,..:.:,?,=-,.;.7-=ed-=..cWc.onn=-"gLDriv=:..:e'------------....:..,ico;;c1~...;~,:..:::°"""'=::.:...---------...;~;;Zlp:::+:::,.;.1 ·-=22:c«J=---
4-Locetton of ProJect.
5. Dboster/Progrom Tttle:
7 Indirect Cost Rote·
Item Grant Fund
Number Yea, Source
8. 2024 EMPG
9.
10.
11.
12.
Total Project Cost
73510 Fred Waring Drive
(City)
Emergency Managemenl Pertormance Grant
N/A
A.State a. Federal c. Total
Riverside
(County)
6. Performance / Budget Perlod:--=Je:U::,tv_l:.,.,.=2fl2=4'--ISIOlt Dote)
Federally App,oved ICR r,f applcabfe)•
O. Cash Match E. In-Kind Match
to
F. Total Match
00009-22«}
(Zlp+•I
############
(End Dote!
G. Total Cost
13. Cerlitlcetlon • This Gronl Suboword consists of this tnle page, the application lor the grant, which Is otleched end mode a port hereof, the Assuronces/Cerl!Hcotlons.
and any attached Special Condittons. I hereby certify I am vested with the outhortty to enter Into thb Grant Suboword, end have the approval of the City/County
Flnonclol Officer, Ctty Manager, County Administrator, Governing Soard Choir, or other Approving 8ody. The Subreclplent certiftes that all funds received pursuant to
this agreement wlll be spent exclusively on the purposes specified In the Grant Suboword The Sub<eclplent accepts this Grant Suboword and agrees to administer the
grant prefect In occ0<donce with the Grant Suboword as well OJ all applicable Jlote and tederol lows, audit requirements, federal program guldetlnH. and Col OES
potlcy and program guidance. The Subreclplent furth•r agrees that the allocation of funds may be contingent on the enactment of the State Budget.
14. CA Public Records Act . Grant applications ore subJect to the Colffo,nlo Public Reco,ds Act. Government Code secHon 7920 et seq. Do not put any personolty
Identifiable lnformoHon or private lntormotlon on this opplicolfon. It you believe that any of the Information you ore putting on this oppllcatlon Is exempt ~om the Public
Records Act. please attach a statement that Indicates what portions of the oppllcoHon and the basis tor the exemption. Your statement that the lntormollon Is not
subJecl to the Public Rec0<ds Act wlll not guarantee that the lnfo,motton wlll not be dlsclo,ed
15. Otllclol Authorized to Sign tor Sub<eclplent.
Name: Chr~ Escobedo TIiie: lnlerim City Manager ·~-~·~-·· '""~ ~naltKe: C ~ -,
16. Federal Employer ID Number.
City: Palm Desert Zip Code-+4: ___ 922=.::«i,,__ __
Dole: ___________________ _
95-2859459
(FOR Col OES USE ONL YI
I hefeby certify vpon my penonal lcnowledge that budgeted fvnds ae available fa the period ond puposes of rhfs expenditure stated abOve
(Cal OES Flscol Offlc•r) (Dole) (Col OE.S otrector Of 0eslgnee) (Dole)
4/10/2025
AUTHORIZED AGENT
NOTE: Unauthorized alterations will delay the approval of this request.
I ALN: I EMPG 97.042
2024--0050
Supporting Information for Application, Modification, or Request for Federal Funds
This claim is for costs Incurred within the grant performance period.
This request is for a/on: Initial Application July 1, 2024 through December 31, 2025
Seg1Mng Per1ormonce Period Dote Ending Pe1tormonce Period Dote
Request I Amot.wll Th& Request
Under Penally of Perjury, I certify that.
I om the duly authorized otfcer of the cloimont herein. This da1m is true, correct. and all expenditures were mc:ide ln accordance wjfh oppbcoble lows. rvles. regulations. and grant
conditions and assurances.
Statement ot Cerffllcatlon -Aufho,ized Agent
Sy signing th~ report, I cemly. to the best of my knowledge ond bef,ef, that the report is true. complete, ond accurate, and that the expenditures. disbursements. ond cash receipts
ore'°' the purposes and objectives sel forth in the terms and conditions of the Federal award. I om a\'YOre that any false fictitious. Of froudvlent informohon. or the omsson of any
material fact. may subject me to c:rirrinal. civil o, adminis~alive penalties tor fraud. false statements false claims or athEl!Wise. (U.S. Code rn1e 18. Section 1001 ond Title 31. Sections
3729-37)'.) and 3801-3812).
Chris Escobedo 73-510 Fred Waring Drive
Prrited Nome ol Authorlled Agent Payment Adcteu
Interim City Manager Palm Desert, CA 92260
City, ZIP
4/9/2025
6 --'\
f C'lf!IP-Counly of Riverside Emergency Management Department
~----~....-FY 2024 Subreclplent Grants Management Assessment
Subrecipient: City of Palm Desert UEI #: XLREHY4MDGW4
Grant Program Title: EMERGENCY MANAGEMENT PERFORMANCE GRANT
Performance Period: 7/1/24 to 12/31 /25 I Subaward Amount
Requested: $8,682
Per Title 2 CFR § 200.332. it is required to evaluate the risk of noncompliance with federal statutes, regulations and
grant terms and conditions posed by each subrecipient of poss-through funding. This assessment is mode to
determine and provide on appropriate level of technical assistance, training, and grant oversight to subrecipients
for the award referenced above. For the purposes of completing this questionnaire, "grant manager" is the
individual who hos primary responsibility for day-to-day administration of the grant, "bookkeeper/accounting staff"
means the individual who hos responsibility for reviewing and determining expenditures to be charged to the grant
award. and "organization" refers to the subrecipient applying for the award, and/or the governmental
implementing agency, as applicable.
The following are questions related to your organization's experience in the management of federal grant awards.
This questionnaire must be completed and returned with your grant application materials.
1. How many years of experience does your current grant manager hove managing < 5 Years grants?
2. How many years of experience does your current bookkeeper/accounting st aff > 5 Years have managing grants?
3. Are individual staff members assigned to work on multiple grants? Yes
4. Do you use timesheets to track the time staff spend working on specific Yes activities/projects?
5. Does your organization utilize cost tracking methods that distinguishes grant Yes expenditures separately from general fund expenditures?
6. How often does your organization have a financial audit? ·.Aonually
7. Has your organization received any audit findings in the last three years? No
8. Do you have written procurement policies? Yes
9. Do you get multiple quotes or bids when buying items or services?
10. How many years do you maintain receipts, deposits. cancelled checks, invoices? Sometimes
11. Has your organization received grant funding for this program in prior years? > 5 Years If yes, provide the following data for the most recent 3 funding years
Grant Year: 2023 Amount Awarded: $13,683 Amount Expended: $13, 683
Grant Year: 2022 Amount Awarded: $14,241 Amount Expended: $14,241
Grant Year: 2021 Amount Awarded: $14,576 Amount Expended: $14,576
Certification: This is to certify that, to the best of our knowledge and belief, the data furnished above is
accurate. complete, and currenL /7 -
Authorized Agent Signature: ( ·~:? I Date: 4/9/2025
Print Nome: Chris Escobedo .,. I ntle: Interim City Manager
Grant Manager Signature: I Date: 4/9/2025
Print Nome: Daniel Hurtado I Title: Public Safety Analyst
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