HomeMy WebLinkAboutCC Reso 2019-17 Cathedral City Resolution 2019-17
STATE OF CALIFORNIA 65-0000
GOVERNOR'S OFFICE OF EMERGENCY SERVICES Cal OES ID No:
Cal OES 130
DESIGNATION OF APPLICANT'S AGENT RESOLUTION
FOR NON-STATE AGENCIES
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF CATHEDRAL CITY
(Governing Body) (Name of Applicant)
THAT CITY MANAGER ,OR
(Title of Authorized Agent)
FIRE CHIEF ,OR
(Title of Authorized Agent)
CITY EMERGENCY MANAGER
(Title of Authorized Agent)
is hereby authorized to execute for and on behalf of the CITY OF CATHEDRAL CITY ,a public entity
(Name of Applicant)
established under the laws of the State of California,this application and to file it with the California Governor's Office of Emergency
Services for the purpose of obtaining certain federal financial assistance under Public Law 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 CATHEDRAL CITY ,a public entity established under the laws of the State of California,
(Name of Applicant)
hereby authorizes its agent(s)to provide to the Governor's Office of Emergency Services for all matters pertaining to such state disaster
assistance the assurances and agreements required.
Please check the appropriate box below:
®This is a universal resolution and is effective for all open and future disasters up to three(3)years following the date of approval below.
❑This is a disaster specific resolution and is effective for only disaster number(s)
Passed and approved this 22nd day of MAY 20 19
MARK CARNEVALE, MAYOR
(Name and Title of Governing Body Representative)
JOHN AGUILAR, MAYOR PRO TEM
(Name and Title of Governing Body Representative)
(Name and Title of Governing Body Representative)
CERTIFICATION
I, TRACEY MARTINEZ ,duly appointed and CITY CLERK of
(Name) (Title)
CITY OF CATHEDRAL CITY ,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 CATHEDRAL CITY
(Governing Body) (Name of Applicant)
on the 22nd day of MAY 20 19
CITY CLERK
(Signature) (Title)
Cal OES 130(Rev.'/13) Page 1
STATE OF CALIFORNIA
GOVERNOR'S OFFICE OF EMERGENCY SERVICES
Cal OES 130-Instructions
Cal OES Form 130 Instructions
A Designation of Applicant's Agent Resolution for Non-State Agencies is required of all Applicants to be eligible to
receive funding. A new resolution must be submitted if a previously submitted Resolution is older than three(3)years
from the last date of approval,is invalid or has not been submitted.
When completing the Cal OES Form 130,Applicants should fill in the blanks on page 1. The blanks are to be filled in as
follows:
Resolution Section;
Governing Body: This is the group responsible for appointing and approving the Authorized Agents.
Examples include: Board of Directors,City Council,Board of Supervisors,Board of Education,etc.
Name of Applicant: The public entity established under the laws of the State of California. Examples include: School
District,Office of Education,City,County or Non-profit agency that has applied for the grant,such as: City of San Diego,
Sacramento County,Burbank Unified School District,Napa County Office of Education,University Southern California.
Authorized Agent: These are the individuals that are authorized by the Governing Body to engage with the Federal Emergency
Management Agency and the Governor's Office of Emergency Services regarding grants applied for by the Applicant.There are
two ways of completing this section:
1. Titles Only: If the Governing Body so chooses,the titles of the Authorized Agents would be entered here,not
their names.This allows the document to remain valid(for 3 years)if an Authorized Agent leaves the position
and is replaced by another individual in the same title. If"Titles Only"is the chosen method,this document
must be accompanied by a cover letter naming the Authorized Agents by name and title.This cover letter can
be completed by any authorized person within the agency and does not require the Governing Body's signature.
2. Names and Titles: If the Governing Body so chooses,the names and titles of the Authorized Agents would be
listed.A new Cal OES Form 130 will be required if any of the Authorized Agents are replaced,leave the position
listed on the document or their title changes.
Governing Body Representative: These are the names and titles of the approving Board Members.
Examples include: Chairman of the Board,Director, Superintendent,etc. The names and titles cannot be one of the
designated Authorized Agents,and a minimum of two or more approving board members need to be listed.
Certification Section;
Name and Title: This is the individual that was in attendance and recorded the Resolution creation and approval.
Examples include: City Clerk, Secretary to the Board of Directors,County Clerk,etc.This person cannot be one of the
designated Authorized Agents or Approving Board Member(if a person holds two positions such as City Manager and
Secretary to the Board and the City Manager is to be listed as an Authorized Agent,then the same person holding the
Secretary position would sign the document as Secretary to the Board(not City Manager)to eliminate"Self
Certification."
Cal OES 130(Rev.9/13) Page 2
DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
OMB Control Number 1660-0017
REQUEST FOR PUBLIC ASSISTANCE Expires December 31,2019
Paperwork Burden Disclosure Notice
Public reporting burden for this data collection is estimated to average 15 minutes per response.The burden estimate includes the time for reviewing
instructions,searching existing data sources,gathering and maintaining the data needed,and completing and submitting this form.This collection of
information is required to obtain or retain benefits.You are not required to respond to this collection of information unless a valid OMB control number is
displayed in the upper right corner of this form.Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the
burden to:Information Collections Management,Department of Homeland Security,Federal Emergency Management Agency,500 C Street,SW.,
Washington,DC 20472,Paperwork Reduction Project(1660-0017)NOTE:Do not send your completed form to this address.
Privacy Act Statement
Authority:FEMA is authorized to collect the information requested pursuant to the Robert T.Stafford Disaster Relief and Emergency Assistance Act,§§
402-403,406-407.417,423,and 427,42 U.S.C.5170a-b,5172-73,5184,5189a,5189e;The American Recovery and Reinvestment Act of 2009,
Public Law No.111-5,§601;and"Public Assistance Project Administration,"44 C.F.R.§§206.202,and 206.209.
APPLICANT(Political subdivision or eligible applicant) DATE SUBMITTED
CITY OF CATHEDRAL CITY 05-15-2019
DUNS NUMBER FEDERAL TAX ID NUMBER
614150373 95-3674780
COUNTY(Location of Damages.If located in multiple counties,please indicate)
RIVERSIDE
APPLICANT PHYSICAL LOCATION
STREET ADDRESS
68700 AVENIDA LALO GUERRERO
CITY COUNTY STATE ZIP CODE
CATHEDRAL CITY RIVERSIDE CA 92234
MAILING ADDRESS(If different from Physical Location)
STREET ADDRESS
POST OFFICE BOX CITY STATE ZIP CODE
Primary Contact/Applicant's Authorized Agent Alternate Contact
NAME NAME
CHARLES C. MCCLENDON PAUL S. WILSON
TITLE TITLE
CITY MANAGER FIRE CHIEF
BUSINESS PHONE BUSINESS PHONE
(760) 770-0372 (760) 770-8200
FAX NUMBER FAX NUMBER
(760) 328-3902 (760) 328-3902
HOME PHONE(Optional) HOME PHONE(Optional)
CELL PHONE CELL PHONE
E-MAIL ADDRESS E-MAIL ADDRESS
cmcclendon@cathedralcity.gov pwilson@cathedralcity.gov
Did you participate in the Federal/State Preliminary Damage Assessment(PDA)? j YES 0 NO
Private Non-Profit Organization? J YES [7 NO
If yes,which of the facilities identified below best describe your organization?
Title 44 CFR,part 206.221(e)defines an eligible private non-profit facility as:"...any private non-profit educational,utility,emergency,medical or
custodial care facility,including a facility for the aged or disabled,and other facility providing essential governmental type services to the general public,
and such facilities on Indian reservations.""Other essential governmental service facility means museums,zoos,community centers,libraries,
homeless shelters,senior citizen centers,rehabilitation facilities,shelter workshops and facilities which provide health and safety safety services of a
governmental nature.All such facilities must be open to the general public."
Private Non-Profit Organizations must attach copies of their Tax Exemption Certificate and Organization Charter or By-Laws.If your
organization is a school or educational facility,please attach information on accreditation or certification.
OFFICIAL USE ONLY: FEMA- -DR- - FIPS# DATE RECEIVED
FEMA Form 009-0-49 9/16 PREVIOUS EDITION OBSOLETE