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1. for completing additional NIMS surveys and NIMS compliance metrics as requested by the Vermont Homeland Security Unit and outlined in Vermont s NIMS Implementation Plan Applicant Signature Printed Name Robert W Norris Robert W Norris Sheriff 9 Mar 11 National Resource Typing By signing or typing if submitting electronically below confirm that this agency will complete the National Resource Typing Survey s distributed by the Vermont Homeland Security Unit This agency understands that if this application is approved and an award issued it also accepts the responsibility for completing additional NIMS surveys as requested by the Vermont Homeland Security Unit Applicant Signature Printed Name Fire Service only National Fire Incident Reporting System NFIRS By signing or typing if submitting electronically below confirm that this agency will be current with the National Fire Incident Reporting System NFRIS prior to award This agency understands that if this application is approved and an award issued it also accepts the responsibility for continuing to be current in NFIRS pursuant to 20 V S A Applicant Signature u Printed Name Police Service only National Incident Based Reporting System NIBRS By signing or typing if submitting electronically below I confirm that this agency will be current with the National Incident Based Reporting System NIBRS prior to award This agency understands that
2. if this application is approved and an award issued it also accepts the responsibility for continuing to be current in NIBRS reporting pursuant to VSA Title20 Section Applicant Signature Printed Name Date Robert W Norris Robert W Norris Sheriff 9 Mar 11 Payment Method Please indicate the preferred payment method and remittance address i 2 Reimbursement in arrears of expenditures DS ance 4 XK ba attached documentation Remittance Address Street P O Box 367 St Albans 05478 Authorization l the undersigned do hereby certify under the pain amp penalties of perjury that the information contained in this application is accurate to the best of my knowledge E F G Authorized Entity Signature Printed Name Robert W Norris Robert W Norris Sheriff 9 Mar 11 Is your application complete Please review all areas Thank you Homeland Security Grant Program Equipment Budget Detail Worksheet Date March 9 2011 Jurisdiction Department Franklin County Sheriffs Office Total Equipment Request 25 635 00 instructions Indicate at the top of the form your department or jurisdiction name Indicate the Item Proposed Placement Quantity Estimated Total Cost and Department s receiving the equipment Use additional pages as needed ndicate if you are or have also requested Fire Act Funds for this equipment a Add total costs of
3. A Vermont Department of Public Safety FY10 Homeland Security Grant Program HSGP Application Cover Sheet Agency Name Agency s Fiscal Year Franklin County Sheriffs Office From 1 Jul us 30 Jun Federal TIN Tax Status Appropriated Division of the Town 03 0296061 C 501 c 3 Dther Must Specify Legal Name of entity to which the FTIN was assigned Agency Government Type Franklin County Sheriffs Office E County Sheriff DUNS Number n Parent Entity DUNS Number if applicable o a Q Agency 911 Physical Address Address Street Zip 387 Lake Road St Albans 05478 First Responder Contact lj irst Name 4 e 3k 802 524 2121 Robert Norris Sheriff Fax Address Street 802 524 7947 P O Box 367 St Albans 05478 ain Government Town Official OR Second First Responder Contact rmorris dps state vt us Last Name Title Tel 02 524 2121 Jay Sween Chief Depu Fax State Zip 802 524 7947 05478 Ema isweeny dps state vt us Certificate of Insurance Please provide a copy of your Certificate of Insurance with application NIMS Compliance By signing or typing if submitting electronically below confirm that this agency will complete the current NIMS Progress Survey and become compliant with all NIMS metrics This agency understands that if this application is approved and an award issued it also accepts the responsibility
4. Advanced Archive Search Multiple Names Recent Updates Browse All Records Contact Information For Help Federal Service Desk 3 22 2011
5. CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGANE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IRSR ADD POLICY TIVE POLICY EXPIRATION LTR NSRD TYPE GF INSURANCE POLICY NUMBER DATE MWDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE Fi DAMAGE TC RENTED ug COMMERCIAL GEWERAL LIABILITY PREMISES Ea occurence CLAIMS MADE OCCUR MED EXP Any one person PERSONAL amp ADV INJURY GENERAL AGGREGATE GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP OP AGG POLICY FBO COMBINED SINGLE LIMIT Ea accidunt BODILY INJURY Per parson BODILY INJURY Per acctdant ucc ME PROPERTY DAMAGE Per accident xe x ix oe OTHER THAN EACH OCCURRENCE DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY FROPRIETOR IPARTNER EXECUTIVE OFFICERIMEMBER EXCLUDED AGGREGATE M yes describe under joavuMins eR MWC700033503 11 08 10 11 08 11 EL EACH ACCIDENT 500000 E L DISEASE FA EMPLOYEE BOO000 Sa eer nao u i S NT SPECIAL PROVISIONS DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES EXCLUSIONS ADDED BY ENDORSEME S CERTIFICATE HOLDER mI EE CANCELLATION SHOULD ANY O
6. D EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERJEXEGUTIVE OFFICERIMEMBER EXCLUDED Iyos describa under SPECIAL PROVISIONS bolow EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFIDATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAI SUCH NOTICE SHALL IMPOBE NO OBLIGATION OR LIABILITY DF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES Department of Public Safety 103 South Main Street Waterbury VT 05671 AUTHORIZED REPRESENTATIVE gj ACORD 25 2001 08 ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Market Place Insurance Ctr Inc 2 Market Place Ste 5 Essex Jct VT 05452 Phone 802 878 8156 Fax 802 878 4485 INSURED INSURERS AFFORDING COVERAGE INSURER A Argonaut Insurance Company INSURER B INSURER C Franklin County Sheriff s Dept Sheriff Robert W Norris PO Box 367 St Albans VT 05478 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHI
7. F THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO 0 SHALL F IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER iTS AGENTS OR Dept of Public Safety REPRESENTATIVES 103 So Main St Waterbury vT 05476 AUTHORIZED REPRESENTATIVE David B Schramm ACORD 25 2001 08 f ACORD CORPORATION 1988 v MM Jason Gosselin From Jason Gosselin Sent Monday February 28 2011 1 51 PM To Robert Norris Jay Sweeny Cc Michael Manning Subject LPR Application Attachments App Cover Sheet xls Budget Detail Worksheet doc Elsag Quote Franklin County Sheriff s Department xis Good Afternoon Sheriff Norris Please be advised that we have received and reviewed the quote provided by ELSAG NA the vendor that will be providing you with a license plate reader for your organization Attached is the quote In order to move forward with purchasing this equipment a sub grant agreement is required Attached is the application and budget detail worksheet Please complete these forms and return to my attention Once received a sub grant will be issued Also per Capt Reinfurt s e mail dated 8 February 2011 the LPR will capture data and be stored on servers DPS Local Departments In an effort to ensure that civil rights and privacy policies are maintained we are askin
8. all equipment requested for jurisdiction department and place that total at the top of this page as indicated Also indicate Total Federal Funds and Total Matching Funds a Any one item over 2 500 00 requires three quotes that need to be attached to the application Note If you intend to use the state contract you do not need to provide these quotes however you will need to provide the state contract number Requested Estimated From Fire Detailed Item Description Proposed Placement Quantity Total Costs Department Act Funds 7 x 1 Mobile License Plate FCSO Cruiser 19 400 FCSO No Reader installed Operations Center 1 975 00 FCSO License Additional Car Kit FCSO Cruiser 1 460 00 3 Yr extended Warranty 1 4 800 il NEN Dem E ei pe AUGURH CERTIFICATE OF LIABILITY INSURANCE 69 30 2010 PRODUCER 802 635 9220 FAX 802 635 9213 E THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC USURERA Argonaut Insurance INSURER B INSURER 0 Lanoitle Valley Insurance P O Hox 367 J
9. g each department to adopt a policy that addresses these concerns as well as agree to the VIBRS policy on storing data The documents were attached in the Capt s e mail and are being vetted by working groups These policies will ensure that LE follows standard protocols in protecting civil rights and at the same time protected itself if challenged Currently VIBRS is reviewing one document as it relates to the storage of this data on DPS server The second policy relates to the conduct ofthe department to ensure that this data is not misused in violation of any standards relating to civil rights The department policy being reviewed was created by IACP and has major support across the country Capt Reinfurt asked that you review and advise if there are any issues you may have in your department adopting agreeing to these documents Please advise if you intend on adopting these policies Please be advised that you must not order any equipment until you receive a fully executed subgrant agreement Thanks and let me know if you have any questions Sincerely Jason E Gosselin Grants Manager Homeland Security Unit Vermont Department of Public Safety 103 South Main Street Waterbury VT 05671 802 241 5445 ELSAG North America Law Enforcement Systems LLC 412 Ciocktower Commons DATE Brewster NY 10509 Duns 196140821 LL 2 28 2011 Phone 1 866 9MPH900 967 4900 QUOTATION E Fax 336 379 7164 Delivered to Quotation valid un
10. nd 1 extra GPS unit with USB extension 110 00 for a Total of 460 00 per vehicle to power up an additional unit PERMANENT WIRING KIT ADDITIONAL CAR KIT EXTENDED 3 yr extended warranty 1 600 00 per year times 3 yrs for WARRANTY a Total of 4 800 00 Service Plan for qoods and services provided by the above quote Free fies oe See 1 600 00 per year Hardware and Software 1 600 00 per year Hardware and Software 1 600 00 per year Hardware and Software BT TS oftware Onl Service Plan Includes Software Updates Annual Training Service Parts amp Labor Approvai Signature From Jason Gosselin Sent Wednesday March 16 2011 11 04 AM To Robert Norris Jay Sweeny f Cc Michael Manning Subject Franklin County SD LPR Award Attachments Franklin Cty SD 71009E 001 doc Sheriff Norris Thanks to you and Capt Sweeney for the LPR application Attached is an award Please note that there is one change to the subgrant agreement it s on page 2 under Maximum Amount Basically you cannot order your equipment until after itis signed by the Commissioner Please sign and return the first 3 pages to my attention via mail Thanks and let me know if you have any questions Sincerely Jason E Gosselin Grants Manager Homeland Security Unit Vermont Department of Public Safety 103 South Main Street Waterbury VT 05671 802 241 5445 From Jay Sweeny Sent Wedne
11. ohnson VT 05656 Terri QO Hear sURED Franklin County Sheriffs St Albans VT 05478 COVERAGES Tn THE POLIGIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLISY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANGE AFFORDED BY THE POLICIES DESCRIBED HEREIN iS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS POLICY NUMBER MLE700008902 POLICY EXPIRATION DATE QUII YI 07 01 2010 07 01 2011 satu occurrence s 1 000 000 MED BP payors perem 5 aad TYPE OF INSURANCE s GENERAL LIABILITY 7 __ COVMERGIAL GENERAL LIABILITY ctams Mave OCCUR A Law Enforecment Liability GENI AGGREGATE LIMIT APPLIES PER POLIUY AUTOMOBILE LABILITY ANY AUTO ALLOWNED AUTOS scuenuien auros Wren auros _ Non ownen Auros L EIE B a PERSONAL amp ADVINJURY GENERAL AGGREGATE Ed 1 000 000 PRODUGTS COMP OF AGG is is MBA700008902 07 01 2010 07 01 2011 couniEo sinave ur fen areton 1 000 000 Par pereon Per accident PROPERTY DAMAGE Far dcc ani ano omy eansooan s OOOO OTHER THAN FA ACC AUTO ORLY Pre ES WORKERS COMPENBATIDN AN
12. sday March 09 2011 10 27 AM To Jason Gosselin Cc Robert Norris Attachments App Cover Sheet xls Budget Detail Worksheet doc Ins Cert pdf Jason Attached is the application for the LPR Let me know if you need anything else Capt Jay H Sweeny Chief Deputy Franklin County Sheriffs Office 387 Lake Road St Albans VT 05478 802 524 2121 www franklincountysheriff net Excluded Parties List System Page of1 Search Current Exclusions F EPLS Search Advanced Search Multiple Names Exact Name and SSN TIN MyEPLS Recent Updates gt Browse All Records View Cause and Treatment Code Descriptions Reciprocal Codes Procurement Codes Nonprocurement Codes Agency amp Acronym Information Agency Contacts Agency Descriptions State Country Code Descriptions OFFICIAL GOVERNMENT USE ONLY Debar Maintenance Administration Upload Login https www epls gov epls search do Resutts Search Results for Parties Excluded by Firm Entity or Vasset Franklin County Sherlff s Department As of 22 Mar 2011 3 50 PM EDT Saveto MyEPLS Your search returned no resuits Back New Search Printer Friendly Resources gt Search Help gt Advanced Search Tips gt Public User s Manual gt FAQ gt Acronyms gt Privacy Act Provisions gt News Reports gt Advanced Reporis gt Recent Updates gt Dashboard Archive Search Past Exclusions
13. til April 1 2011 Vermont State Police i Prepared by Pat Fox Att Lt Michael Manning amp Jason Gosselin Vermont State Police Headquarters Projected Arrival Date TBD 103 South Main St Waterbury Vermont 05671 Please mail or Fax your purchase order to the address and telephone number above and Fax a copy to 518 452 7777 Receipt of Goods NASPO Multi State Contract PC62119 Award 19745 i 75 California Participating Addendum LM WSCA 4f PC 62119 Hazardous Incident Response Equipment Contract term 5 20 2007 5 10 2010 OPERATION STONEGARDEN Mobile License Plate Reader Includes 3 units with LPR Processors 6 MPH 900X3 AD3 cameras 3 color amp 3 infrared in 3 enlosures junction box cables and Sp tSt s SPLIT TRANS Units amount NN T 4 800 4 800 00 related software REQUIRES INSTALLATION BY ELSAG N A AUTHORIZED PERSONNEL This Is a 3 camera system to be mounted on a Ford Crown Victoria with a CLICKER mount with a 35 mm camera facing to the rear on the driver s side a 25mm facing forward and a 16mm camera on the passenger side THIS UNIT IS FOR THE FRANKLIN COUNTY SHERIFF S DEPT AND IS TO BE SHIPPED TO 387 LAKE RD ST ALBANS VERMONT 05748 ATTENTION SHERIFF ROBERT NORRIS MPH 900 INSTALL OPERATION CENTER LICENSE Operations Center License 2 extra power cords 125 00 each 1 extra ethernet cord 100 00 a
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