NEW
JERSEY OFFICE OF EMERGENCY MANAGEMENT
PUBLIC
ASSISTANCE OFFICE
DISASTER COSTS DOCUMENTATION PACKAGE
JUNE
2001 - INTERNET VERSION
SUBJECT: |
Documentation
of Disaster-Related Costs |
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TO: |
Potential
Disaster/Emergency Applicants for Federa & State Assistance
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- The
Presidential Disaster/Emergency Declaration received or anticipated
by the State of New Jersey provides you with the opportunity to
recovery a significant portion of the cost of damages to your
public infrastructure (roads, bridges, buildings, schools, utilities,
recreational facilities, etc.) and for extraordinary costs associated
with Debris Removal and the conduct of Emergency Protective Measures
during the disaster event.
- You
have been provided a basic description of the Public Assistance
Grant Program which will assist you in recovering from the effects
of the recent disaster/emergency event. Your handout material
includes the Public Assistance Guide (FEMA 322) and the Public
Assistance Applicant's Handbook (FEMA 323), which contain comprehensive,
easy to follow instructions for generating your disaster claims.
For the complete version of the FEMA Public Assistance Guide (FEMA
322) and the FEMA Public Assistance Applicant's Handbook (FEMA
323) click on this link:
http://www.fema.gov/r-n-r/pa/padocs.htm
- A
key first step in this process is the prompt and accurate documentation
of all eligible costs you incurred as a direct result of the disaster
event. The labor performed by your work force (police, public
works, health, fire, emergency management, etc) is defined as
"Force Account Labor", as opposed to word done by contract.
Labor rates include acutal wages plus fringe benefits paid or
credited. You are also eligible for the costs of equipment, materials,
rentals and work done by contract.
- You
need to begin now to document and certify your costs utilizing
this packet of information and application forms. We suggest that
your business manager, personnel officer, payroll department and
supervisors collaborate to make this information available to
Federal and State disaster officials as quickly as possible.
- This
packet begins with an explanation of the basic public assistance
categories of damage. It contains all the forms you will need
to begin the documentation process. There is an instruction sheet
for each form and a filled out example of each category.
-
Questions should be directed to your FEMA Public Assistance Coordinator
at the Disaster Field Office, or to the State Public Assistance
Office Staff.
FEMA
PUBLIC ASSISTANCE GRANT
CATEGORIES
OF WORK
EMERGENCY
WORK
Category
A - Debris Removal
Category B - Emergency Protective Measure
PERMANENT
WORK
Category
C - Road Systems
Category D - Water Control Facilities
Category E - Buildings/Vechicles/Equipment
Category F - Public Utilities
Category G - Recreational Areas, Beaches, Parks, Other
DEBRIS
REMOVAL
- Eliminate
immediate threat to lives, health & safety
- Eliminate
immediate threat to improved property
- Ensure
economic recovery of community
- Examples
include sand on streets, downed trees, collapsed structures, debris
from flooded homes.
EMERGENCY
PROTECTIVE MEASURES
- Search
and Rescue
- Emergency
Medical Care
- Mass
Care & Shelter
- Security/Warning/Barricades
- Provision
of Food/Water/Medicine
- Provision
of Temporary Facilities
- Activation
of EOC
- Demolition
of Structures
- Removal
of Health and Safety Hazards
- Construction
of Emergency Protection (Dunes)
- Emergency
Access
REMOVAL
OF HEALTH AND SAFETY HAZARDS
- Disposal
of dead animals
- Pumping
of trapped floodwaters
- Pumping
of flooded basements only if widespread need exists in the community
- Pumping
septic tanks and well decontamination only if widespread pollution
exists in the community
- Pumping
septics tanks and well decontamination only if widespread pollution
exists in the community
- Vector
control if serious hazard
PERMANENT
WORK - CATEGORIES C THROUGH G
That
restorative work that must be performed through repairs or replacement,
to restore an eligible facility on the basis of its predisaster
design and current applicable standards. Would include modifications
to comply with American with Disabilities Act or other recent code
changes.
CATEGORY
C - ROADS & BRIDGES
- Roads
and streets
- Bridges
- Culverts
and Low Water Crossings
- Sidewalks
- Curbs
and Gutters
- Traffic
Lights and Control Signs
- Guardrails
CATEGORY
D - WATER CONTROL FACILITIES
- Dams
- Levees
- Canals
- Jetties
and Breakwaters
- Debris
Catch Basins
- Diversion
Structures
- Drop
Structures
CATEGORY
E - BUILDINGS AND EQUIPMENT
- Buildings
- Furnishings
and Equipment
- Inventory
- Consumable
Supplies
- Service
Equipment
- Vehicles
CATEGORY
F - UTILITIES
- Storm
and Sanitary Sewers
- Water
Lines
- Solid
Waste Disposal
- Power
Generation, Transmission and Distribution Systems
- Telephone
Systems
- Lift
Stations and Pump Stations
CATEGORY
G - Recreation & Other
- Playgrounds,
Stadiums, Ball Fields
- Swimming
Pools
- Boat
Docks and Piers
- Bath
Houses and Restrooms
- Tennis
Courts
- Picnic
Tables and Grills
- Golf
Courses
- Man-made
Engineered and Maintained Beaches
DISASTER
DOCUMENTATION PACKAGE FOR PUBLIC ASSISTANCE GRANTS
FEDERAL
EMERGENCY MANAGEMENT AGENCY
PUBLIC ASSISTANCE APPLICANT HANDBOOK
Note:
Download and print out the following forms:.
FEMA
Form 90-49, "Request for Public Assistance." (Rich
Text Format)
FEMA
Form 90-91, "Project Worksheet" (Rich Text Format)
FEMA Form 90-91, "Project Worksheet
Instructions" (Rich Text Format)
FEMA
Form 90-91B, "Project Worksheet--Cost Estimate Continuation
Sheet" (Rich Text Format)
FEMA
Form 90-91C, "Project Worksheet --Maps & Sketches Sheet
(Rich Text Format)
FEMA
Form 90-120, Special Considerations Worksheet (Rich Text Format)
FEMA
Form 90-121, PNP Facility Questionnaire (Rich Text Format)
Rich
Text Format, MS Word 95 Format, and MS Word 97 Format versions of
the FEMA Public Assistance Forms can be found on FEMA's Website
by clicking here: http://www.fema.gov/r-n-r/pa/appfrm2.htm
APPENDIX
D - RECORDKEEPING FORMS AND INSTRUCTIONS
GENERAL
It
is essential that you accurately document the expenses incurred
in disaster response and recovery. Accurate documentation will help
you to:
- Recover
all of your eligible costs.
- Have
the information necessary to develop your disaster projects.
- Have
the information available, which the State and FEMA will need
to see, to validate the accuracy of your small projects.
- Be
ready for any State or Federal audits or other program or financial
reviews.
There
are many ways to maintain documentation of your records. What's
important is that you have the necessary information readily available
and that all this information is in a usable format. Your records
must be compiled under the Project Number as shown on FEMA's Project
Worksheet. The Project Number will be given to you by the Public
Assistance Coordinator.
A
set of five summary records has been developed to assist you in
organizing your project documentation. These forms are optional.
If you already have a system you want to use, you may do so, if
it shows the information outlined above.
The
summary records are:
- The
Force Account Labor Summary Record -- used to record your personnel
costs.
- Force
Account Equipment Summary Record -- used to record your equipment
use costs.
- Materials
Summary Record - used to record the supplies and materials that
you take out of stock or purchase.
- Rented
Equipment Summary Record --- used to record the costs of rented
or leased equipment.
- Contract
Work Summary Record -- used to record the costs or work that you
have done by contract.
Also
included in this section:
Applicant's
Benefits Calculation Worksheet - used to record employees' fringe
benefits.
FORCE ACCOUNT LABOR SUMMARY RECORD INSTRUCTIONS
Click
here to Print out FEMA Form 90-123, "Force Account Labor Summary
Record" (Rich Text Format)
Force account is the term to refer to your own personnel and equipment.
Keep the following points in mind when compiling force account labor
information:
Record
regular and overtime hours separately.
Record
the benefits separately for regular and overtime hours. Most overtime
hours include fewer benefits than regular hours.
Attach
a Applicant's Benefit Calculation Worksheet giving a breakdown of
what is included in your benefits, by percentages, e.g., social
security -- 15.2%, worker's compensation -- 4.3%, insurance -- 18.5%,
etc. You can use an average rate if you have different benefit rates
for different employees.
COMPLETE
THE RECORD AS FOLLOWS:
- Applicant:
Enter the organization's name.
- PA
ID: Enter the computer tracking number that FEMA assigns to your
organization. Your Public Assistance Coordinator can tell you
what it is if you don't know it.
- PW
#: Enter the project number that you have assigned to this project.
If you know the project number assigned by FEMA use that number.
- Disaster
Number: Enter the declaration number for this disaster here. The
Public Assistance Coordinator can tell you what it is if you don't
know it.
- Location/site:
Enter physical address or location of project.
- Category:
Enter category of work, if known.
- Period
covering: Enter time period referenced for the information contained
on this sheet.
- Description
of work performed: Briefly described the type of work that was
performed.
- Name:
Enter the names of each employee who worked on the project.
- Title:
Enter the title or occupation of each employee who worked on the
project.
- REG:
Enter the regular hours that each employee worked on the project.
- OT:
Enter overtime hours that each employee worked on the project.
REMINDER: Only overtime is eligible for reimbursement for emergency
work. Record both regular and overtime hours, so that personnel
hours can be compared with equipment use hours, if necessary.
- Total
HR: Total the hours for each employee and enter the result in
this block.
- Hourly
Rate: Enter each employee's hourly rate.
- Benefit
Rate/HR: Enter each employee's hourly benefit rate. There should
be different percentages for benefits pertaining to regular and
overtime wages.
- Total
Hourly: Add the employee's hourly rate in the Rate/Hr block and
the hourly benefits rate in the Benefits/Hr block and enter the
results here.
- Total
Costs: Multiply the entries in the Total Hours and Total Hourly
and enter the result here.
- Total
Cost: Multiply the entries in the Total Hr and Total Rate/Hr blocks
and enter the result here.
- Total
Cost for Force Account Labor Regular Time: Add the entries in
the Total Cost, REG block for each employee and enter the results
here.
FORCE ACCOUNT EQUIPMENT SUMMARY RECORD INSTRUCTIONS
Click
here to print out FEMA Form 90-127, "Force Account Equipment
Summary Record." (Rich Text Format)
Force
account is the term to refer to your own personnel and equipment.
Keep the following points in mind when compiling force account labor
information:
Complete
the record as follows:
- Applicant:
Enter your organization's name.
-
PA ID: Enter the computer tracking number that FEMA assigns to
your organization. Your Public Assistance Officer can tell you
what it is if you don't know it.
-
PW #: Enter the project number that you have assigned to this
project. If you know the project number assigned by FEMA, use
that number.
-
Disaster Number: Enter the declaration number for this disaster
here. The Public Assistance Coordinator can tell you what it is
if you don't know it.
-
Location/site: Enter the physical address of location of the project.
-
Category: Enter category of work, if known.
-
Period Covering: Enter time period referenced for the information
contained on this sheet.
-
Description of work performed: Briefly describe the type of work
that was performed.
- Type
of equipment: Enter a brief description of the equipment, including
the rated horsepower of the equipment. Be sure to include this
information if you also use a trade name or common name to describe
the equipment, e.g., Ditch Witch.
- FEMA
Code: Enter the FEMA Cost Code for the equipment
- Operator's
Name: Enter the equipment operator's name.
- Date/Hours
Used: Enter the dates and hours the equipment was used on the
project.
- Total
Hours: Enter the total hours the equipment was in use.
- Equipment
rate: Enter the hourly cost to use the equipment.
- Total
Cost: Multiply the number in the Total Hours block by the number
in the quipment Rate block and enter the results here.
- Grand
Totals: Add the numbers in the Total Hours blocks and Total Cost
blocks and enter the results here.
MATERIALS RECORD SUMMARY INSTRUCTIONS
Click
here to print out FEMA Form 90-124, "Materials Summary Record."
(Rich Text Format)
This
form is used to record the costs of supplies and materials purchased
in response to the disaster or used to repair damages caused by
the disaster.
Complete
the record as follows:
- Applicant:
enter your organization's name.
-
PA ID: Enter the computer tracking number that FEMA assigns to
your organization. Your Public Assistance Coordinator can tell
you what it is if you don't know it.
-
PW #: Enter the project number that you have assigned to this
project. If you know the project number assigned by FEMA, use
that number.
-
Disaster Number: Enter the declaration number for this disaster
here. The Public Assistance Coordinator can tell you what it is
if you don't know it.
-
Location/Site: Enter physical address or location of project.
-
Category: Enter category of work, if known
-
Period Covering: Enter time period referenced for the information
contained on this sheet.
-
Description of work performed: briefly describe the type of work
that was performed.
- Vendor:
Enter the name of the supplier if the material was bought specifically
as a result of the disaster.
- Description:
Enter a brief description of the supplies or materials used or
purchased.
- Quantity:
Enter the amout of material used (e.g., number, tonnage, etc.)
- Date
Purchased: Enter the date on the invoice
- Date
used: Enter the date actually used/installed
- Info
from: Check whether information entered on the form was obtained
from actual invoice or if material was taken from stock on hand.
- Grand
total: Add the numbers in the Total Price blocks and enter the
result here.
RENTED EQUIPMENT SUMMARY RECORD INSTRUCTIONS
Click
here to print out FEMA Form 90-125, "Rented Equipment Summary
Record." (Rich Text Format)
This
form is used to record the costs of equipment that you had to rent
or lease
to respond to the disaster or to be used in making repairs to damages
caused by
the disaster.
Complete
the record as follows:
- Applicant:
Enter your organization's name.
-
PA ID: Enter the computer tracking number that FEMA assigns to
your organization. Your Public Assistance Coordinator can tell
you what it is if you don't know it.
-
PW #: Enter the project number that you have assigned to this
project. If you know the project number assigned by FEMA, use
that number.
-
Disaster Number: Enter the declaration number for this disaster
here. The Public Assistance Coordinator can tell you what it is
if you don't know it.
-
Location/site: Enter physical address or location of project.
-
Category: Enter category of work, if known.
-
Period Covering: Enter time period referenced for the information
contained on this sheet.
-
Description of work performed: Briefly describe the type of work
that
was performed.
- Type
of Equipment: Enter a brief description of the equipment that
you leased or rented, including the rated horsepower or capacity
of the equipment. Be sure to include this information if you also
use a trade name or common name to describe the equipment, e.g.,
Ditch Witch.
- Dates/Hours
Used: Enter the dates and hours the equipment was used on the
project.
- Rate
Per Hour: Enter the hourly rental or lease cost of the equipment.
Indicate
if the equipment was rented on a daily, weekly, or monthly rate,
instead of an hourly rate. List in appropriate column if operator
costs were included.
- Total
Cost: Multiply hours Used by Hourly Rate charged and enter total
cost here.
- Vendor:
Enter the name of the company that rented or leased the equipment
to you.
- Invoice
No.: Enter billing invoice number.
- Date
/ Amount Paid: Enter date of payment and amount of check.
- Check
No.: List check number that was used to pay for equipment rental.
- Grand
Total: Add the dollar figure from the Amount Paid blocks and enter
total here.
CONTRACT WORK SUMMARY RECORD - INSTRUCTIONS
Click
here to print FEMA Form 90-126, "Contract Work Summary Record."
(Rich Text Format)
Click here to print FEMA Form 90-126, "Contract
Work Summary Record." (PDF)
This
form is used to record the costs of contracts that you awarded to
respond to
the disaster or to make repairs to damages caused by the disaster.
Complete
the record as follows:
- Applicant:
Enter your organization's name.
- PA
ID: Enter the computer tracking number that FEMA assigns to your
organization. Your Public Assistance Coordinator can tell you
what it is if you don't know it.
- PW
#: Enter the project number that you have assigned to this project.
If you know the project number assigned by FEMA, use that number.
- Disaster
Number: Enter the declaration number for this disaster here. The
Public Assistance Coordinator can tell you what it is if you don't
know it.
- Location/site:
Enter physical address or location of project.
- Category:
Enter category of work, if known.
- Period
Covering: Enter time period referenced for the information contained
on this sheet.
- Description
of work performed: Briefly describe the type of work that was
performed.
- Invoice
Number: Enter the invoice number.
- Dates
Worked: Enter the dates that contractor work on the project.
- Contractor:
Enter the name of the contractor receiving the contract.
- Billing/Invoice
Number: Enter invoice or billing number submitted by contractor.
- Amount:
Enter the total dollar figure listed on the invoice for that project.
- Comments
- Scope: Enter a brief description of the work the contractor
performed and/or other pertinent comments.
- Grand
Total (includes contract labor): Add the numbers in the Amount
column and enter the result here.
APPLICANT'S
BENEFITS CALCULATION WORKSHEET
Click
here for FEMA Form 90-128, Applicant's Benefits Calculation Worksheet.
(Rich Text Format)
Benefits
Calculation
Fringe
benefits for force account labor is eligible. Except in extremely
unusual cases, fringe benefits for overtime will be significantly
less than regular time.
The
following steps will assist in calculating the percentage of fringe
benefits paid on an employee's salary. Note that items and percentages
will vary from one entity to another.
- The
normal year consists of 2080 hours (52 weeks x 5 workdays/week
x 8 hours/day). This does not include holidays and vacations.
- Determine
the employee's basic hourly pay rate (annual salary/2080 hours).
- Fringe
benefit percentage for vacation time: Divide the number of hours
of annual vacation time provided to the employee by 2080 (80 hours
(2 weeks)/2080 = 3.85%).
- Fringe
benefit percentage for paid holidays: Divide the number of paid
holiday hours by 2080 (64 hours (8 holidays)/2080 = 3.07%).
-
Retirement pay: Because this measure varies widely, use only the
percentage of salary matched by the employer.
-
Social Security and Unemployment Insurance: Both are standard
percentages of salary.
- Insurance:
this benefit varies by employee. Divide the amount paid by the
city or county by the basic pay rate determined in Step 2.
- Workman's
Compensation: this benefit also varies by employee. Divide the
amount paid by the city or county by the basic pay rate determined
in Step 2. Use the rate per $100 to determine the correct percentage.
Note: Typically, you should not be charging the same rate for
regular time and overtime. Generally, only FICA (Social Security)
is eligible for overtime; however, some entities may charge retirement
tax on all income.
Sample
Rates
Although
some rates may differ greatly between organizations due to their
particular experiences, the table below provides some general guidelines
that can be used as a reasonableness test to review submitted claims.
These rates are based on experience in developing fringe rates for
several State departments, the default rate is that used for the
state of Florida, following Hurricane Andrew (August 1992), and
the review of several FEMA claims. The rates presented are determined
using the gross wage method applicable to the personnel hourly rate
(PHR) method. The net available hours method would result in higher
rates.
Paid
Fringe Benefits
HCA
Matching 7.65% (or slightly less)
Retirement - Regular 17.00% (or less)
Retirement - Special Risk 25.00% (or slightly more)
Health Insurance 12.00% (or less)
Life & Disability Insurance 1.00% (or less)
Worker's Compensation 3.00% (or less)
Unemployment Insurance 0.25% (or less)
Leave
Fringe Benefits
Accrued
Annual Leave 7.00% (or less)
Sick Leave 4.00% (or less)
Administrative Leave 0.50% (or less)
Holiday Leave 4.00% (or less)
Compensatory Leave 2.00% (or less)
Rates
outside of these ranges are possible, but should be justified during
the validation process.
SAMPLES
OF COMPLETED PUBLIC ASSISTANCE FORMS
Click on these links for completed samples of FEMA Public Assistance
Forms.
Sample
Request for Public Assistance (Word Document)
Sample Request for Public Assistance
(PDF)
Sample Project Worksheet (Word
Document)
Sample Project Worksheet (PDF)
Sample Force Account Labor Summary
Record (Word Document)
Sample Force Account Labor Summary Record
(PDF)
Sample Force Account Equipment Summary
Record (Word Document)
Sample Force Account Equipment Summary
Record (PDF)
Sample Contract Work Summary Record
(Word Document)
Sample Contract Work Summary Record
(PDF)
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